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I am 41 years old diabetic patient last 8 years and my latest blood test report is fb is 111, pp is 89, uric acid is 4.4,creatinine is 1.13, TSH is 2.228 Spot urine microalbumin is 33.9,creatinine, urine-172, Albumin/creatinine Ratio-19.71,I take Inj. Human Mixtard 30/70 ten minutes before breakfast 8 units and also before dinner 8 units each along with tablet semi reclimet half an hour 0ne before breakfast and half an hour half before dinner also my doctor gave me one cap. NEPHROSAVE and one tablet Telma 40 after breakfast. I take also tab Eltroxin 25 MCG empty stomach for TSH but now it's normal. Earlier I take 12 units insulin before breakfast than last month my doctor reduced to 8 units. My question is can I continue with this insulin or reduced 4 units before breakfast? Why my fb is higher than pp? please say my report is ok or not? Microalbumin is 33.9 means? Is it any serious or high? Also give some diet chart for liver and kidney disease? Can I eat dal, brinjal,pumpkin, cauliflower,tomato, soybean,paneer, spinach and fish? Please reply my text and give me your variable suggestions.

1 Doctor Answered
DM type 2 report is in control you r on inj mixtard long acting do HBA1C DONOT change dose self show your diabetalogist so that they may even stop insulin and put you on tablet or decrease dose THYROID is ok then also need visit to your doctor r you HTN since when now mild nepropathy is their mild stage do liver function test LIPID profile USG abdomen ECG ECHO main aim is your maintain proper diet & decrease weight DIET FOR DM Food Should be distributed into small frequent feeds. The days requirement should be well distributed between the different meals. Skipping a meal or fasting is not really advisable. As far as possible, the patient should maintain ideal body weight. Considering the height, weight, activity, age and sex of the individual the days calorie requirement can be calculated. Of the total calories 55-65% should come from CHO's 15-20% from protein and the remaining 15-20% from fats. General Instructions to be followed Different cereals contain almost the same amount of CHO and so the quantity of cereal consumed should be noted rather than the type consumed. Whole grain cereals are better, preferred for their fibre content and satiety value. Rice Gruel if consumed, should be done so by discarding the rice water, and adding hot water. When consuming wheat porridge, it is better to have it with pulses than using coconut milk in it. Include whole pulses in the diet, soya products help to reduce cholesterol. Sprouted pulses are more nutrious. Fish can be included in the diet, in the curry form. Fried fish is the best avoided. Shell fishes like prawns, lobsters etc should be avoided. Poultry (Without Skin) can be used occasionally. Beef, Pork, mutton, liver etc should be avoided by cardiac patients. Trim off Excess fat (if any) before cooking. Egg yolk has to be avoided by individuals with hyperlipidemia. Milk and its products need not to be used more than 400 ml/ day. Use skimmed milk whenever possible, otherwise cream has to be removed before consumption. Root Vegetable like Tapioca, yam, potato, colocasia etc are better avoided and if used, should be in moderation instead of cereals. Include more vegetables (esp. Raw salads and green leafy vegetables) in your diet, as it is rich in fibre which in turn helps to reduce blood sugar and cholesterol levels. Raw salads with sprouted pulses enhances the nutrient composition. Fruits are restricted for diabetics and preferably should be consumed as such than having it in the form of juice. Select low calorie fruits from exchange list. Cardiac and hypertensive patients can take 3-4 servings of fruits. Whenever possible consume fruits with edible skins eg. Apple. Guava etc. Use of coconut and its products must be minimized. Cardiac patients need not restrict the intake of tender coconut water, whereas diabetes can only use it occasionally. It is better to avoid nuts like badam, peanuts, cashew nuts etc. But Occasionally can be used in restricted amounts instead of some other food items so that the calories remain unchanged. Sugar and sweet should be avoided by diabetic patients. Low calorie sweeteners can be used in moderation as substitutes for sugar, honey, sweets etc. Cardiac and hypertensive patients should minimize their intake of sugar and sweets. Garlic, curry leaves, fenugreek seeds cluster beans, oatbran etc have blood sugar and cholesterol loosing efforts. Ginger, foods in rich with Vit- E and B Carotene reduces the risk of cardiac diseases. Alcohol intake injurious to health, 1 ml of Alcohol contains 7 calories. Alcohol can cause hypoglyemia and can increase triglycerides which can be harmful for the heart. Cooking oil used should be minimized and may be restricted to 10-15 ml/day. (2-3 tsp). Use cooking methods that require little or no fat. Hidden fat in bakery products and snacks should also be taken into account. Preferably use a combination of cooking oils like sesame. Ground nut, sunflower, rice bran, corn oil etc. Use of coconut and palm oil should be maintained at minimum levels. Dinner should be enjoyed two hours before retiring. At bed time either diluted milk of fruit can be consumed. Include foods from all the different food groups and thus consume a balanced diet. Regular exercise is most useful but physical strain after a meal should be avoided. Free foods (can be included liberally) Thin buttermilk, unsweetened lime juice, jeera water, fenugreek water, raw vegetable salads made of low calorie vegetables, plain clear soups etc. Pappads, pickles, dried fish etc Canned and Salt preserved foods Sauces, soup cubes Sausages, lobsters, meat and yeast extracts Carbonated beverages Readymade foods like cornflakes, noodles, fast foods etc. Proprietary drinks eg. Horlicks, complan, bournvita etc.
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