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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest A Diet To Manage Diabetes And Hypertension

I just turned 71 years of age -w hat is the best diet for me? I am a type 2 diabetic, pulmanery hypertension and I have had 4 strokes. I do chair exercises 3 times a week, zumba 2 times and I walk at least once a week. I tried weight watchers and I WAS NOT ABLE TO FOLLOW IT. WHAT DO YOU SGGEST?
Wed, 25 Jul 2018
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Dietitian & Nutritionist,  's  Response
Hello and Welcome to 'Ask a Doctor' services,I have reviewed your query and understand you are looking for a diet to help you manage your diabetes and hypertension.Based on the limited information given, I would recommend a low sodium diet of 1500 mg/day to control the hypertension and insulin resistance of the type 2 diabetes. I would also prescribe a controlled carbohydrate diet with an emphasis on low glycemic load carbohydrates, the amount based on your weight goals. In addition, I would prescribe a high protein diet if there is no kidney compromise to preserve muscle and visceral protein integrity in the amount of 1.2 g/kg/day. This type of diet could easily be made up in conjunction with a dietitian but is essentially a version of no added sugars, low sodium DASH type of diet high in lean proteins and water soluble fibers and low in processed foods/meats/restaurant foods. More emphasis is place on fruits and vegetables in season, less on potatoes/white noodles/bread, more monounsaturated/polyunsaturated fats and fewer saturated fats.You are already exercising which is great! There are many personalized menu dietitians that would be happy to help you or perhaps you can make an appointment with one to go over your diet, but the prescription would be the same as what I just gave you: Low Sodium 1500 mg, Controlled Carbohydrate Low Kcal Diabetic Diet.Warm Regards,Kathy Shattler, BS, MS, RDN
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Suggest A Diet To Manage Diabetes And Hypertension

Hello and Welcome to Ask a Doctor services,I have reviewed your query and understand you are looking for a diet to help you manage your diabetes and hypertension.Based on the limited information given, I would recommend a low sodium diet of 1500 mg/day to control the hypertension and insulin resistance of the type 2 diabetes. I would also prescribe a controlled carbohydrate diet with an emphasis on low glycemic load carbohydrates, the amount based on your weight goals. In addition, I would prescribe a high protein diet if there is no kidney compromise to preserve muscle and visceral protein integrity in the amount of 1.2 g/kg/day. This type of diet could easily be made up in conjunction with a dietitian but is essentially a version of no added sugars, low sodium DASH type of diet high in lean proteins and water soluble fibers and low in processed foods/meats/restaurant foods. More emphasis is place on fruits and vegetables in season, less on potatoes/white noodles/bread, more monounsaturated/polyunsaturated fats and fewer saturated fats.You are already exercising which is great! There are many personalized menu dietitians that would be happy to help you or perhaps you can make an appointment with one to go over your diet, but the prescription would be the same as what I just gave you: Low Sodium 1500 mg, Controlled Carbohydrate Low Kcal Diabetic Diet.Warm Regards,Kathy Shattler, BS, MS, RDN