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11/14/09 11:15 PM

"What kind of diet can I eat with both diabetes and CAD?"
Asked By: kayt98  

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DX diabetic T2 1996, went thru the pills, now on insulin MDI. 2007 had quintuple bypass. One Dr. says low carb <200 day. Cardio Dr says low fat and salt. That leaves very slim choices.GFR going down so probably have to restrict protein eventually.GRRRRRR

Expert Answers (1)

11/24/09 11:19 AM

Thanks for writing dLife! Your question is a very good one, and more often than not, those with diabetes also have to be concerned about cardiovascular disease as well as protecting their kidneys. And when you receive what seems to be conflicting recommendations..this is not only confusing but very stressful. This is why it would be a very wise idea to seek out a registered dietitian/certified diabetes educator for personalized advice considering your weight status, calorie needs, medications, blood glucose levels and your physical activity level. However, basic guidelines that you can start with include: 1: Have a regular schedule of meals and snacks, so you are eating at specific times as much as possible, based around your lifestyle and schedule. 2: Minimize fatty fried foods that are high in trans fats and realize that eating lot of high fat foods, even with little or no carbohydrate content, can promote weight gain and cardiovascular risk. 3: Watch your sodium intake- especially from foods such as condiments, processed and convenience foods (like canned soups), pickles and fast foods. 4: Include plenty of vegetables and other unprocessed plant foods which are high in fiber, and low in calories and fat. Fresh fruit is good, but portion control is important. Avoid juices, sweets and sodas. 5; Use whole grain breads, cereals and starches- but remember again, portion control is important. Also, test your blood glucose levels regularly so that your physcian/dietitian can track your individual responses to food, activity and medications. And speaking of activity, daily exercise is also very beneficial as well, so be sure to discuss this with your physician regarding safe and effective exercise planning. Best of luck to you!
Answered By: Janice Baker
Accreditations: B.Sc., MBA, RD, CDE, CNSC
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*** All information contained on dLife.com is intended for informational and educational purposes only. Our Expert Q&A is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.

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