Need ideas for a heart healthy diabetic diet!

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Hi all!

My 53 year old diabetic (type II) dad just got home from the hospital last night, where he had a quintuple bypass last week. Luckily the heart disease was caught before a heart attack or stroke. He now has some pretty strict guidelines: 240 carbs/day, 1500 mg sodium/day, low fat, low cholesterol diet. Also low sugar, as he is diabetic. We are struggling right now with getting enough calories, 2000, in him with out going over on carbs and fat. This leaves protein, of course, but lean protein doesn't have many calories! He can have red meat once a week, an egg a day, etc.

What are some suggestions for a low sodium, low carb, high fiber, low fat, low sugar, 2000 cal diet?

Thank you!!!!

Replies

  • mikeyml
    mikeyml Posts: 568 Member
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    I don't have any specific ideas for you because I don't know what kind of food your dad enjoys. But I can offer some suggestions since my wife is a type 1 diabetic. Go to Amazon and check out diabetic cookbooks. There are a few to pick from with good ratings.

    One is made by Betty Crocker, but it uses a lot of recipes with refined flour and some processed food (I don't know if that is a big deal for him). There is another called the All Natural Diabetes Cookbook which focuses on natural foods instead of the processed stuff. We have both of those and they have lots of good ideas.

    I also subscribe to a magazine called Diabetic Cooking which comes every three months. It will usually have about 20 recipes in it and all of the nutrition information. They even keep a good amount of recipes online. http://www.diabeticcooking.com/

    Hope that helps!
  • championnfl
    championnfl Posts: 324 Member
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    Try,
    Brown rice,Quinoa,wheat pasta,[carbs] veggies, beans,eggs,[protein] & google,:wink: low Glycemic foods ,many foods that are good for you there.
    Always eat carbs & protein together,helps slow down glucose in blood stream. Try to keep meals to 400 cals each and 2-3 snacks of 200-250 cals.
    Please read all you can on the subject of diabetis.[could save your life one day] Also at least 30 mins of exercise a day with 2 days of weights.[don't have to be heavy,8 lbs weights are perfect with 20 reps each exercise]
    One last thought, apple cider vinager,cinnamon, & spinich are excellent at keepingblood sugar stable...Waist size is a direct corralation to being diabetic.[most of the time for type 2 ] Keep waist at 38 or below for benefits!:wink:

    P.S. Fiber & water are excellent for keeping you full!
  • anubis609
    anubis609 Posts: 3,966 Member
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    I'm a type 2 diabetic, and honestly those guidelines aren't actually strict. Those are preferred diets for anyone, really. Diabetics need to take into account the amount of carbs they take in. It's not just sugar content, which is a stigma that most people get confused with. Carbs convert into glucose which affects blood sugar levels. Given that you stated he had a "quintuple?" bypass, is it safe to assume he is also a bit overweight?

    Make changes to the diet. And they have to be permanent changes. Once you have diabetes, even if you reverse the symptoms, it's extremely easy to become hyperglycemic again. The first thing you need to know is the carb count and diabetic exchanges for food. The hospital or facility where your dad had the procedure should be providing diabetes classes that talk about foods and food portions. For a quick breakdown, 15g of carbs = 1 serving of carbs on the diabetic exchange; and 1 serving is equivalent to 1 slice of wheat toast, 1/2 a potato, 1/2 cup of milk/juice, 1 medium apple, 1/2 banana, etc... you really have to pay attention to food nutrition labels. When you read those, make sure you take note that they list the amount of carbs PER serving, so you're going to probably wanna invest in a food scale as well.

    Measuring and weighing out portions is really the best way to make sure that your dad doesn't go over his carb and portion sizes. Generally for each main meal of the day, breakfast, lunch, and dinner, ideally, he should be having 45g of carbs (3 - exchange servings). So an example would be one measured serving of oatmeal (made with water only), and 1 slice of wheat toast = 45g of carbs already. A lot of condiments have carbs in them also. If you decide to use reduced fat peanut butter, it may have a little less fat, but the carbs are more per serving than regular peanut butter.

    For snacks, it shouldn't be any more than 30g (2 servings) of carbs. And snacks should be 2 hours in between the main meals of the day, to keep his glucose levels steady.

    I'd love to explain more, but I have to get ready for work. PM me if you need more info. I'll get to it when I'm at the office. Hope that helps give an idea of what entails a diabetic so far. Don't let it overwhelm you guys. Just make small changes and eventually it'll become easier to gauge everything.
  • andreamichelle82
    andreamichelle82 Posts: 324 Member
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    Thank you for all the ideas so far guys! I guess I wasn't super clear before. He has been Type II diabetic for about 20 years. He JUST got out of the hospital for the quintuple bypass, which was because of heart disease. His arteries were 90% blocked in 5 places. He has never managed his diet for heart disease before. The biggest change to his diet will be watching cholesterol and sodium, something he's never done. He's managed his diabetes more with insulin than diet in the past, and that will need to change as well. And anubis you guessed correctly that he is overweight. However some of that heart disease is genetic. His mother, my grandmother, was always at a healthy weight, but needed a quadruple bypass in her 70s. Diabetes is rough on your arteries (and so much else)!
  • windwaterbliss
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    I try to eat a similarly styled menu, since I have been pre-diabetic in the past and also have significant cardiovascular disease in my family. My ratios are different since I am shooting for 1200c/day, however, my carbs are much lower so you could still get some idea from checking out my food logs.

    Here are some suggestions my Dr gave me.

    Fish at least twice a week!!
    Lean protein every meal: (i put several chicken breasts in the crock pot every weekend and then use the meat through out the week, but even low-sodium deli or canned can work)

    * White meat chicken and turkey (not fried)
    * Fish and shellfish (not fried)
    * Egg whites and egg substitutes (whole eggs in limited quantities)
    * Lean cuts of beef (round, sirloin, flank, tenderloin, rib/chuck/rump roast, ground round)
    * Lean cuts of pork (fresh ham, Canadian bacon, center loin chop, tenderloin)
    * Ham
    * Veal or lamb chops and roasts
    * Lean deli meats
    * Tofu or anything soy
    * Reduced fat cheeses, Parmesan, Mozzarella, and Ricotta cheese
    * Low-fat or fat-free cottage cheese and yogurt (especially greek yogurt like Fage, which can be mixed with any combination of agave nectar, fruit, Kashi high protein/high fiber cereals)
    * Skim or 1% milk, soy milk, lactose-free milk
    * Morningstar crumbles
    * Hummus with vegetables
    * Low-carb whole grain bread products like the Sandwich Thins at Costco
    * Unsweetened applesauce or sugar-free, fat-free hot cocoa tastes good as a treat sometimes

    I try to have 2 low-carb, low-fat protein shakes a day otherwise it is hard to get all my protein in. I like the Muscle Milk by Cytosport that is sold at Costco or Champion Nutrition Pure Whey.

    I also frequently add PURE brand unflavored protein Isolate to soups, coffee.. pretty much anything I can. Likewise, I add ground flax seed to most everything, too.

    I have found that many South Beach recipes follow this eating plan, so that may be helpful to you as well.

    Good luck!
  • anubis609
    anubis609 Posts: 3,966 Member
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    If he's had diabetes for a long time, then he should already know what it entails. Diabetes obviously runs in my family and my grandmother is the same way. She basically believes that insulin and medication are all you need to control it. And now she has kidney failure and requires dialysis 3x a week.

    I'm asymptomatic of anything related to diabetes, which includes normal [even low] blood sugar levels, well into the healthy normal range for cholesterol, and my blood pressure is actually on the low side now. And that all came with diet AND exercise. Exercise is just as important for diabetic maintenance as it is for everything else on the health scale.

    For a more structured breakdown, please look into checking out the information offered by the American Diabetic Association:

    http://www.diabetes.org/

    I wish your dad the best of luck and success in controlling his condition.