Premise
The following indications are for informational purposes EXCLUSIVELY and are not intended to replace the opinion of professionals such as a doctor, nutritionist or dietician, whose intervention is necessary for the prescription and composition of PERSONALIZED food therapies.
Diabetes Mellitus Type 2
Type 2 Diabetes Mellitus is a disease that affects glucose metabolism; if left untreated, this form of diabetes also affects the state of health, lowering the quality and life expectancy of the patient.
In Type 2 Diabetes Mellitus glucose, once absorbed from the intestinal tract and poured into the bloodstream - due to an alteration of the hormonal vehicle (insulin) or a malfunction of the peripheral tyrosine kinase receptors that do not capture it sufficiently effective - remains in circulation causing a series of negative metabolic reactions (NB. Nervous tissue is the only insulin-independent).
Type 2 Diabetes Mellitus is a disorder that includes many facets, but what unites ALL clinical pictures is a situation of hyperglycemia (> 110 mg / dl), possibly accompanied by hyper-insulinemia and hyperlipidemia (VLDL - hypertriglyceridemia); obviously, this frequently leads to overweight, worsening of hypertension, glycation of plasma proteins, pro-oxidation of APO-B proteins and consequent REDUCTION of the ability to bind to peripheral receptors (LDL hypercholesterolemia), increased risk of atherosclerosis, retinopathy, neuropathy, nephropathy and foot of the diabetic.
Causes and treatment
Type 2 Diabetes Mellitus has several etiological causes; the most common concern the lifestyle: improper diet and carbohydrate abuse, excess fat mass, lack of muscle mass, sedentary lifestyle; others are genetic, such as the structural alteration of insulin or peripheral receptors. Certainly, whatever the causes, the most effective therapy for Type 2 Diabetes Mellitus consists of:
- Reduction of overweight / obesity
- Reduction of excess carbohydrates and restoration of nutritional balance
- Motor therapy
- Pharmacological therapy
- Compensation for other metabolisms.
Diet for Type 2 Diabetes Mellitus
The diet for Type 2 Diabetes Mellitus is almost always made up of a low-calorie diet (for weight loss) and, if not hypoglucidic, which provides the least amount of carbohydrates possible PUR while maintaining a certain nutritional balance; the diet for Type 2 Diabetes Mellitus CANNOT go beyond the beginning of motor therapy.
The basic principles of the Type 2 Diabetes Mellitus diet are:
- Hypocaloricity (if necessary)
- Reduction of the overall glycemic load
- Reduction of the glycemic load of meals
- Reduction of the glycemic index of meals
- Supply of simple carbohydrates exclusively represented by fructose naturally present in vegetables or by lactose naturally present in milk and dairy products (possibly, simple CHOs must remain around 10-12% of total calories).
Which from a practical point of view translates into:
- Choice of foods rich in fiber and elimination / drastic reduction of refined foods
- Abolition of sweets, sweet carbonated drinks, fruit juices, beer and baked goods
- Reduction of overly sweet fruit and elimination of preserved fruit (candied fruit, in syrup, jams (questionable), dehydrated, etc.)
- Increase, as much as possible, of foods containing antioxidants (vegetables, fruit NOT too sugary).
Useful supplements
There are no essential supplements to the treatment / diet for Type 2 Diabetes Mellitus (drugs are NOT supplements); however, it is obvious that a well-considered supplementation based on antioxidants (to try to improve oxidative stress on lipoproteins) and, in the case of a highly hypocaloric diet, a fiber supplement (possibly viscous which improve the glycemic index of the meal and increase the sense of satiety) could be useful in improving the impact of nutritional treatment.
Diet Example
- Retired lady who can take long walks. He takes hypoglycemic drugs.
Gender | F | |||
Age | 77 | |||
Height cm | 155 | |||
Wrist circumference cm | 15,5 | |||
Constitution | Normal | |||
Height / wrist | 10,0 | |||
Morphological type | Normolineo | |||
Weight kg | 68 | |||
Body mass index | 28,3 | |||
Evaluation | Overweight | |||
Physiological body mass index desirable | 21,7 | |||
Desirable physiological weight kg | 52,1 | |||
Basal metabolism kcal | 1134.6 | |||
Physical activity level coefficient | YES aus 1,56 | |||
Energy expenditure kcal | 1769,9 | |||
Diet | IPOCALORICS -30% | 1240 Kcal approx | ||
Lipids | 30% | 372kcal | 41,3g | |
Protein | 1,2g / kg * physiol. | 250,1kcal | 62,5g | |
Carbohydrates | 50,0% | 617,9kcal | 164,8g | |
Breakfast | 15% | 186kcal | ||
Snack | 10% | 124kcal | ||
Lunch | 35% | 434kcal | ||
Snack | 10% | 124kcal | ||
Price | 30% | 372kcal |
NB. The following diet example refers to a case of type 2 diabetes mellitus already pharmacologically compensated; therefore, the use of pasta and bread is allowed; however, even if the blood sugar were higher, it would not be possible to excessively distort the nutritional balance of the diet in favor of fats (which would limit weight loss) and / or proteins (which could excessively strain the liver and kidneys of a third party age).
Example diet for Type 2 Diabetes - DAY 1
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Strawberries | 150g, 48,0kcal | ||
Lunch, about 35% kcal TOT | |||
Pasta with tomato sauce | |||
Whole wheat semolina pasta | 80g, 259,2kcal | ||
Tomato Sauce | 100g, 24,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Lettuce | 100g, 18,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Sour red cherries | 100g, 50,0kcal | ||
Dinner, about 30% kcal TOT | |||
Grilled chicken breast | |||
Chicken breast | 100g, 110,0kcal | ||
Melanzane | 200g, 48,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 15g, 135,0kcal |
Example diet for Type 2 Diabetes - DAY 2
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ orange | 200g, 63,0kcal | ||
Lunch, about 35% kcal TOT | |||
Stewed beans | |||
Dried beans | 80g, 279,9kcal | ||
Parmesan | 10g, 39,2kcal | ||
radicchio | 100g, 24,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ orange | 200g, 63,0kcal | ||
Dinner, about 30% kcal TOT | |||
Trout fillet | |||
Trout, various species | 100g, 148,0kcal | ||
Fennel | 200g, 62,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 10g, 90,0kcal |
Example diet for Type 2 Diabetes - DAY 3
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 200g, 52,0kcal | ||
Lunch, about 35% kcal TOT | |||
White rice | |||
Brown rice | 80g, 289,6kcal | ||
Parmesan | 10g, 39,2kcal | ||
arugula (rocket salad) | 100g, 25,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 200g, 52,0kcal | ||
Dinner, about 30% kcal TOT | |||
Hard-boiled eggs | |||
Grapes of hen | 100g, 143,0kcal | ||
Potato | 100g, 85,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 5g, 45,0kcal |
Example diet for Type 2 Diabetes - DAY 4
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Lunch, about 35% kcal TOT | |||
Chickpeas in broth | |||
Chickpeas, dried | 90g, 300,6kcal | ||
Parmesan | 10g, 39,2kcal | ||
Valerian | 100g, 18,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Kiwi | 100g, 61,0kcal | ||
Dinner, about 30% kcal TOT | |||
Cod fillet in a pan | |||
Atlantic cod fillet | 100g, 82,0kcal | ||
Chard | 200g, 38,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 15g, 135,0kcal |
Example diet for Type 2 Diabetes - DAY 5
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Strawberries | 150g, 48,0kcal | ||
Lunch, about 35% kcal TOT | |||
Eggplant pasta | |||
Whole wheat semolina pasta | 80g, 259,2kcal | ||
Melanzane | 100g, 24,0kcal | ||
Parmesan | 10g, 39,2kcal | ||
Lettuce | 100g, 18,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
Sour red cherries | 100g, 50,0kcal | ||
Dinner, about 30% kcal TOT | |||
Turkey breast | |||
Chicken breast | 100g, 111,0kcal | ||
Zucchini | 200g, 36,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 15g, 135,0kcal |
Example diet for Type 2 Diabetes - DAY 6
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ orange | 200g, 63,0kcal | ||
Lunch, about 35% kcal TOT | |||
Stewed beans | |||
Dried beans | 80g, 279,9kcal | ||
Parmesan | 10g, 39,2kcal | ||
radicchio | 100g, 24,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ orange | 200g, 63,0kcal | ||
Dinner, about 30% kcal TOT | |||
Trout fillet | |||
Trout, various species | 100g, 97,0kcal | ||
Fennel | 200g, 62,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 15g, 135,0kcal |
Example diet for Type 2 Diabetes - DAY 7
Breakfast, about 15% kcal TOT | |||
Low-fat milk, 2% of the total | 150ml, 75,0kcal | ||
Wholemeal bread, RETRIEVE | 50g, 121,5kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 200g, 52,0kcal | ||
Lunch, about 35% kcal TOT | |||
White rice | |||
Brown rice | 80g, 289,6kcal | ||
Parmesan | 10g, 39,2kcal | ||
arugula (rocket salad) | 100g, 25,0kcal | ||
Extra virgin olive oil | 15g, 135,0kcal | ||
Snack, about 10% kcal TOT | |||
Light yogurt | 125g, 70,0kcal | ||
½ apple, with peel | 200g, 52,0kcal | ||
Dinner, about 30% kcal TOT | |||
ricotta cheese | |||
Cow ricotta, from partially skimmed milk | 100g, 138,0kcal | ||
Endive | 200g, 36,0kcal | ||
Whole grain bread | 25g, 60,8kcal | ||
Extra virgin olive oil | 10g, 90,0kcal |