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The Question
Mon Jan 16 19:07:38 EST 2012

I am a type 2 diabetic, i have GERD and IBS. I also have some protein leakage from my kidneys. I'm confused on what kind of diet i should be on.
Asked By: twseal77  

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I have been told to do a high protein, low carb diet. When i tried that my kidney tests came back off the charts bad. Also, my A1C was up and my Colestorol went up. When i went back to normal eating all of that came down pretty good. The problem is, i want to lose weight and get my sugar levels and A1C, colestoral down and be healthy and beat diabetes. I just don't know what to do. High Fiber and too much of certain vegtables irrirate my GERD and IBS. High protein affects my kidneys and of course Carbs are out of the question. Any help with what i should be eating? Everything i read is either conflicting with other information or just doesn't work for me.
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Expert Answers (1)
2012-01-19 20:39:08.0

Thank you for your question to dLife. Managing a diet for diabetes along with kidney disease, GERD and IBS must be very challenging! Your doctor and dietitian can evaluate your nutritional requirements, and together you can devise a meal plan which can help you best control your blood sugars, while adjusting your protein and fiber requirements. Depending on the severity of your kidney disease, your doctor might suggest monitoring your sodium, potassium, phosphorus and fluid intake along with adjusting your protein intake.

I would also suggest becoming comfortable reading food labels, so that you will be aware of the nutritional content of various foods, Please make sure that you have measuring spoons, cups and a food scale in your kitchen. If you are required to monitor your protein intake, it will be vitally important to measure your actual consumption of protein (and possibly fluids). Choosing high quality carbs can be challenging, due to the fiber limitations with IBS. Please use cooked vegetables, and start eating small portions (along with your meals and snacks). Carbs should be distributed throughout the day, so that you can best manage your blood sugars.

Both IBS and diabetes can cause abdominal discomfort and bloating. Be careful to avoid sugar alcohols (such as sorbitol) if you are experiencing gas or diarrhea. Avoid reclining after meals, to avoid worsening GERD symptoms. Please inform your doctor if you are taking a nutritional supplement. Again, working with a nutrition professional can help you design a meal plan that will address your medical and nutritional issues.
Answered By: Susan Weiner
Accreditations: R.D., M.S., C.D.E.,C.D.N.
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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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