Hi guys, when I Google food diabetic patient should avoid i see white rice and bread are listed there. These are food that Malaysian eat everyday. So what should the menu for a diabetic living in Malaysia be like??? Bcs rice and bread are in almost every restaurant menu...

You can eat brown rice and whole wheat bread that is dairy free.

It is about controlling food intake, that could affect the spike in blood glucose.

Change from white rice to brown rice or wholemeal bread won't magically reduce blood glucose if one is still consuming large quantity.

Eat more vege, fruits type, aka those food with high grain and fiber that will slow down food glucose absorbing.

where did you get your medical degree from?
or are you a dietition or nutriotionist ?
or even a sinseh ?

don't triggered, just curiously asking.

maybe you can look for group discussion that mainly discuss about it.
try look at fb or other forum in malaysia.

asking here, those who are diabetic only can really answer you...

Ok the bread i can change but i dont cook at home so mostly eat out. I dont think restaurants have options to choose brown rice??

Some do, you can ask for it or order in advance.

Second option is look out for food delivery service.
Not deliver from restaurant but home cook food delivery service.
There, you can order with brown rice, vegetables, legumes, lentils, nuts, roots, fruits, spices.

You need to see both (i)dietitian and (ii)diabetic resource center (DRC).

The answer you looking for wont be simple one-liner. Its a comprehensive package in order to achieve good glucose control.

I usually spend at least 30 minutes for my regular diabetic patient and as long as 1 hour for newly diagnosed diabetics. The lifestyle modification required to prevent further long term micro and macrovascular complication is not easy, and attending doctor/nurse/dietitian should take every concern voiced by patient seriously.

And yes, my patient love me because of the holistic approach I practiced on how to tackle the issue.

You can eat whatever you want. Rice is great food! rice is a slow carbohydrate. If you eat them in the morning, you will feel full all day.
You should not eat a lot of foods with glucose. You can eat candy, but you do not need to eat a kilogram of candy.

Normally how long you give your pts to do lifestyle changes before initiating oha?

As per HbA1c correspond to, so maximum is 3 months.

Go on Barry Sear's Zone Diet.

The so-called 40/30/30 diet.

40 percent carbohydrates
30 percent proteins
30 percent fats


Lots of celebrities are on it - Bill Clinton, Tiger Woods,
Brad Pitt, Madonna, Sandra Bullock, Jennifer Aniston,
Cindy Crawford, Demi Moore, Charlie Sheen, Bill Cosby.

Jennifer Aniston is probably the most famous proponent,
so they tend to refer to it as the Jennifer Aniston Zone Diet.

Follow it faithfully, and I'll guarantee you your diabetes
will be controlled within three months.

Because it reduces insulin resistance and circulating
insulin, it is also considered an antiaging diet.


Rajen, the boss of Total Health Concept, is also one of
its local proponents, so you could contact him for more
info.



Read Sear's books -

Enter The Zone

Mastering The Zone


https://www.zonediet.com/the-zone-diet/

https://www.amazon.com/Mastering-Zone-Achie...t/dp/0060391901

You can try basmathi parboiled.

You can choose to take less rice, more vege.

This post has been edited by lowlowc: Sep 4 2019, 09:44 AM

I'm trying out the carnivore / keto diet, so basically 80 % meat and 20 % vegetables. Feel much better but ah a bit expensive to keep up + lunch with coworkers a bit difficult

What made you try out carnivore keto diet for diabetic ?
When did you begin, How long have you tried?
Are you consistent in every meal or just 1 meal a week?

I stumbled upon some youtube videos and JRE interviews and wanted to give it a try to see without really expecting any magical results. I've been doing it on and off for a year but very consistent for last 3 months (meaning lunch + dinner and skip breakfast), I feel much better and lost a bunch of weight but could probably just be due to cutting out sugar lol.

Congratulations, your brainwash is successful. Enjoy your keto meals. Remember to keep your health insurance in good terms.

So sassy, what makes you say this? genuinely curious.

Since you are genuinely curious, and responded courteously.

Obviously most who follow keto will argue their way of life.
Just as a religious person would argue their god is the best.
There is always the other side of the argument. Go listen to it.

Ask experience heart surgeons if they do keto meals.
Carnivorous diets are not new, they have been around.
Name change, a few ingredients change, essentialy the same.

Atkin was one the former version names.
Dr Atkin died suddenly and mysteriously.
Then paleo now keto because it cause ketosis.

People find it to be effective at first but over time....
... how many heart specialists would keto or paleo long term.

I learn no matter how right is the facts, people often choose what they feel is nice or convenient. The psychological term is cognitive disonance. Besides who am I to say how others should live their life. If they want heart attack or cancer or diabetes, it is their choice. Enjoy yourself and have a nice day.

Yeah that sounds reasonable, any specific data or podcasts to back this up with? I guess the most cited long-term carnviore / keto examples are the innuits and the maasai (and humans before farming).

Before humans could farm, they were likely to eat plants; fruits, roots, beans, maybe soft vegetations, hunt small animals, fish if there were near river or lake. Were there any scientists to document their health? So where did those podcasters get their data? I tell you they get their data from who ever was paying them LOL and I am just speculating.

So let's see what kind of garbage is there on the internet....

The Inuit people live in the far northern areas of Alaska, Canada, Siberia, and Greenland, but I don't know how cold is it there because search engines were repeating about forest fire there, damn this global warming. They have limited food choices (sure in the middle of Siberia) not like Lim Kit Siang could drop by a mamak stall for cendol. The point is they live in cold climate, walk far to gather food (remember we specified before farming era) and maybe catch a rabbit or dodoo bird. (You try catching a wild animal for food, see how easy that is) LOL Mean while most forumers here live on the equatorial part of the planet in tropical climate. Apple and Chihuahas are not comparable.

The Maasai tribe are mainly in Kenya also some living in Tanzania around the Ngorongoro (isn't that near Wakanda?). Now these locations have similar climate, bingo!

The Maasai are a seminomadic, which means the fly around a lot on Malaysia Airlines until MH17 was shot down /sarcasm
Traditional Maasai lifestyle centres around their cattle which constitute their primary source of food - source: https://en.wikipedia.org/wiki/Maasai_people
(Search engine results were all over the place and what does Jessica Bruso from Massachusetts know about Maasai)

In fact experts in 1964, "The accurate measurement of dietary intake of these people proved extraordinarily difficult. We were able to make only limited measurements. This difficulty is because of the erratic intake of food, there being no fixed meal patterns in the families, because there are no uniform units of measurement or utensil and because of the disruption of usual behavior in the presence of an observer.” - source: Mann GV, Shaffer RD, Anderson RS, Sandstead HH. Cardiovascular Disease in the Masai. Journal of atherosclerosis research 1964;4:289-312.

Oh wait, if experts could not measure their diet, who made up that keto crap?

Maybe because there is no research funding and university or hospitals in Kenya during paleo times? LOL Okay, lets work with what's available...

By 1972, "The hearts and aortae of 50 Masai men were collected at autopsy. These pastoral people are exceptionally active and fit and they consume diets of milk and meat. The intake of animal fat exceeds that of American men. Measurements of the aorta showed extensive atherosclerosis with lipid infiltration and fibrous changes but very few complicated lesions. The coronary arteries showed intimal thickening by atherosclerosis which equaled that of old U.S. men. The Masai vessels enlarge with age to more than compensate for this disease. It is speculated that the Masai are protected from their atherosclerosis by physical fitness which causes their coronary vessels to be capacious." - source: Mann, G. V. (Vanderbilt Univ. School of Medicine, Nashville, Tenn. 37203), A. Spoerry, M. Gray, and D. Jarashow. Atherosclerosis in the Masai. Am J Epidemiol 95: 26–37, 1972.

Remember Maasai were nomadic and in the era before farming and 99speedmart.

Maasai were hunters and herd cattle, what do most Singaporeans do for a living?

People of Kenya in the 1950s lived up to about 40 years - https://www.macrotrends.net/countries/KEN/k...life-expectancy
Life expectancy in Tanzania is 42 for men and 44 for women - http://www.bbc.co.uk/northamptonshire/feat...maasai_03.shtml
(oh hey see what your podcasters forgot to tell you LOL)

In the age before farming, I have yet to be born. So whatever your podcasters claim, ask them why don't you claim to be god? There are no doctors to determine their cause of death, no autopsy, no statistics, no university scientist research. They can even claim to have created En Sabah Nur (meaning podcaster created god). As for the Inuit / Eskimo, got a heart attack in the middle of a frozen lake, who is going to know? Maybe they got hunted down by polar bears or wolves. Or the Maasai fellow got eaten by lions and vultures so no evidence left. But what the hell, who wants to live forever, eat all you want and die young (44 years old? good for you)

Oh we are in a diabetes forum, where are the Inuits and Maasai going to get diagnosed with diabetes? So no data, right? So go ahead, feast all you like!

As Vuwei said, "Yeah that sounds reasonable" LOL

This post has been edited by Pikichu: Sep 13 2019, 11:41 AM