07 ஏப்ரல் 2012

VARIETY OF DIETS


DIET FOR JAUNDICED/LOW FAT HIGH CARBOHYDRATE DIET
Morning : Tea or Coffee – one cup
Breakfast : Pongal - 1k/ Iddli – 3 / Pulka – 2
Mid Morning : Fruit Juice \ Sugar Cane Juice \ Gloucose Water OR Coconut Water.
Lunch : Rice – 2k
Mashed Potato Curry OR Bland Vegetable Curry – 1cup
Diluted Dal - 1/2 cup
Curds without cream – 2T
Evening : Same as Mid Morning
Dinner : Same as Lunch

FOODS TO BE AVIODED
Non – Veg Foods, Fried Foods, Oily Foods, Papads,
Pickles,Chutneys, Nuts & Oil Seeds & Bakery Products.

• Oils used for seasoning only


DIET FOR LOW FAT \ TRIGLYCERIDES & HYPOTHYROIDISM
Morning : Tea or Coffee without Sugar one cup
Breakfast : Wheat Rava Upma – 1k \ Iddli – 3 \ Pulka - 2
OR Dosa – 2 with minimum Oil OR Pongal – 1k
Mid Morning : Fruit : Guava\Citrous Fruit.
Water Melon 2 pieces\ Papaya 2 pieces.
Lunch : Vegetables Salad ( Cucumber,Tomato, Onion)
Rice – 2k \ 3 Pulkas
* Vegetable Curry – 1 cup
Dal – ½ cup \ Fish – 2 pieces
Green Leafy Veg Curry 1 cup
Butter Milk 1 Glass
Evening : Same as Mid Morning
Dinner : Same as Lunch
FOODS TO BE AVOIDED
Non – Veg Foods, Fried Foods, Oily Foods, Papads, Sweets,
Pickles, Nuts & Oil Seeds & Bakery Products.
Creams, Cheese, Butter, Ghee, Egg Yolk
Patato,Sweet Patato,Kanda. Maida,Cornflour, Jam,Jelly, Jaggery,Sugar, Honey,Canned Foods.
* Oils used for seasoning only(20 to 25 ml per day)
* 1 katory is equal to 150 ml. 1 cup is equal to 100 ml.

LOW URIC ACID DIET

PRINCIPLE - A low purine, low protien, easily digestable diet with a liberal fluid intake is adviced.

CALORIES - Obese persons should reduced to normal weight and to prevent changes in the weight bearing joints.
A heavy meal supplying high calories should be avoided,
as it tends to precipitate an attack.
PROTIEN - About 60 gms protien a day is adequate, preferably Supplied as vegetable or milk proteins.
FATS - Fat consumptions is restricted, partly because its
Ingestion tends to cause retention of urates by the
Kidney and partly to prevent obesity.
FLUIDS - Liberal intake of fluids should be adviced to ensure a daily excretion of about 2000 ml of urine.

PURINE CONTENT OF FOODS (100GMS)
GROUP I GROUP II GROUP III
(0 to 15mg) (50 to 150mg) (150 to above)
Bread Beans All Organ meats
Cereals Peas Mushrooms
Cheese Fish Sweet Bread
Eggs Lentils Mince meat
Fruits Sea Foods Meat Extracts
Nuts Poultry Beer Products
Sugar Sweets Spinach Alcohol
Vegetables Potato Cocoa, Carbonate drinks
Cauliflower


DIET FOR RENAL IMPAIRMENT 
LOW PROTIEN, LOW POTASSIUM DIET

Morning : Tea – one cup

Breakfast : Pulka 2 \ Semolina Upma - 1k \ Rice Flakes Upma – 1k Kichidi 1k OR Sago Upma 1k \ Iddli – 3 \ Dosa 2

Mid Morning : 5 Marie Buscuits \ Sago Payasam 1k \ Kheer 1k.

Lunch : Rice – 2 cups \ 3 Chapathies
* Vegetable Curry – 1 cup Diluted Dal – ½ cup \ Paneer Curry – 1 cup OR 2 Eggs Whites. Butter Milk 1 Glass.
Evening : Rice Flakes \ Puffed Rice \ Cornflakes + Milk
OR any Sago Preparation.
Dinner : Same as Lunch (Avoid Dal, Paneer & Eggs)

FOODS TO BE AVIODED
Non – Veg Foods, Fried Foods, Oily Foods, Papads, Salted Chips,
Pickles,Chutneys, Coconut Water,Fruits & Fruits Juices,
Aerated & Soft Drinks & leafy Vegetables & Bakery Products.
Tomato & Tamaring, Canned Foods,Sauces, Jam & Dry Fruits.
• Wash Peel & Cut Vegetables into small pieces. Soak in water for 1hr
• boil the vegetables in excess water & discard water.
• Salt is restricted to 2gms per day.
• 1k ( katori) is equal to 150ml, 1 cup is equal to 100ml. 



CARDIAC DIET – 1800 K Cal

Low Cholesterol
Low Carbohydrate
Morning : Tea one cup without sugar
Break Fast ; Iddli 3 \ Dosa 2 \ Pulka 2. Wheat rava Upma 1 cup Kichidi 1 cup \ Corn flakes + 1 cup milk.
Mid Morning : Tomato Soup 1 glass \ vegetable Soup 1 glass\ Butter Milk 1 glass.
Lunch : Vegetable salad 1k + 1 glass water
Butter milk 1 glass.
Rice 2 cups (raw wt 65 to 70 gms)\ 3 pulkas.
(50gms wheat flour)
Green leafy vegetables curry 1 cup
Other vegetable curry 1 cup.Sambar 1 cup.
Fruit : Apple \ Guava 1 \ Mosambi 1\ Papaya 2 piece\
Water Melon \ Musk melon \ Pomegranate \ Pineapple
Slices.
Evening Snack : Tea 1 cup without sugar + Marie biscuits or
Sprouted channa dhal or mung dhal 1 cup.
Dinner : 3 Roties made with Ragi or Maize or Jowar
Rest same as Lunch
Bed Time : Diluted Milk without sugar 1 cup.
DIETARY INSTRUCTIONS
Food to avoid : Sugar,Jaggery, Honey,Bakery products.
Kulfi, Ice – cream, soft drinks. Carbonated drinks,
All non vegetarian foods ( Except sea food) fries foods,
Canned foods, Jam & Jelly. Refined foods. Beer products,
Alcohols. Roots & Tubers, Butter, Ghee & Cheese.
Coconuts, Dry Fruits & Banana, Sugar Cane.
Foods to be permitted : Cereals and Cereals products, Corn flakes,breads,
All vegetables,Fruits, Milk,Egg white & sea foods.
• Cooking oil \ fat should be consumed 20 to 25 ml \ day
• Salt restricted to 3gm per day



DIET FOR LOW SALT LOW CHOCOLESTEROL DIET

Morning : Tea – one cup
Breakfast : Pulka 2 \ Iddli – 3 \ Upma – 1 cup
Or Dosa – 2 with minimum oil.
Or Pongal – 1 cup.
Mid Morning : Fruit – Citrous Fruit small \ Apple half \
Melon 2 pieces, Guava\ Papaya 2 pieces.
Lunch : Vegetables salad. ( Cucumber, Carrot,Tamato) .
Pulka 2\ Rice 2 cups
Vegetable curry - 1 cup
Dal ½ cup \ Fish – 2 pieces
Green leafy veg.curry 1 cup
Butter milk 1 glass
Evening : Same as Mid Morning
Dinner : Same as lunch
FOODS HIGH IN CHOLESTEROL AND SODIUM TO BE AVOIDED
Fried Foods ,Oily foods, Papads, Sweets, Pickles, Chutneys, nuts & Oil
Seeds & Bakery Products.
Creams, Cheese, Butter, Ghee, EggYolk. Salted Chips, Canned foods,
Puffed rice, Popcorn, Soda.
• Oils used for seasoning only
• Salt is restricted to 3gm per day.
TOTAL CHOLESTEROL IN SOME FOODS
Food Item (100gm) Chol (mg)
Egg Yolk 1120mg
Chicken 60mg
Mutton 65mg
Pork 90mg
Kidney 370mg
Liver 300mg
Brain 2000 mg
Fish 45mg
Prauns 150mg
Butter 250mg
Ghee 500mg

LIQUID DIETS
GIVEN EIGHT OR MORE FEEDINGS
INGREDIENTS QUANTITY
Rice \ Sago 150gms
Green gram dal 100gms
Mutton for (NV.Patient) 50gms
Vegetables 100gms
Sugar 50gms
Oil 25gms
Milk 500ml
Egg 1
Fruit 2
• Water is added to make the volume 1800 ml
MENU VEG & NON VEG
7AM Coffee\ Tea 1 cup
8AM Milk with Egg + Sugar (Egg Nog) 1 Glass
OR
Milk with Complan or Protinex
9AM Fruit Juice 1 Glass
10AM Vegetable Soup – 1 Glass
12AM Rice Gangi \ Sago Gruel – 1 Glass
01PM Dal Water \ Mutton Soup – 1 Glass
02PM Coconut Water
04PM Milk 1 Glass
06PM Vegetable Soup (Strained) 1 Glass
08PM Rice Gangi / Sago Gruel – 1 Glass
09PM Dal Water – 1 Glass
10PM Milk - 1 Glass
NUTRITIVE VALUE
CALORIES -- 1800 K.CAL, PROTEIN – 40 gms, FAT 40gms
Salt Restricted to 3gms per day.






INSTRUCTIONS FOR SODIUM RESTRICTED DIETS
1. Do not put salt while cooking the food, but you can take 2gms per day.
2. Avoid salted chips or nuts and other preserved foods.
3. Avoid Papad, Pickles, Chutney.
4. Avoid Bakery Products, including salt Bread, Foods made from Baking Soda.
5. Avoid Organ meats and Sea Foods.
6. Avoid Green leafy Vegetables & Roots Vegatables.
7. Avoid Coconut Water.
8. Avoid Canned Products are permitted.


INSTRUCTIONS FOR POTASSIUM RESTRICTED DIETS

1. Avoid all Fruits & Fruits Juices.
2. Avoid Tea & Coffee.
3. Avoid Green leafy Vegetables.
4. Avoid Potato, Sweet Potato, Jam, Colocacia , Tapoica.
5. Avoid Pulses.
6. Avoid Sauces, Jam, Jelly & Coconut Water.
7. Avoid Chocolates & Non Veg. Foods.
8. Avoid Vegetable soups & Meat Soups.
9. Avoid Dry Fruits like Figs, Raisens & Groundnuts.



DIETARY EXCHANGES
1. In place of rice & dal you can have Iddli , Dosa, Kichidi.
2. You may take a Egg preparation like Egg Flip, Pudding or Boiled egg etc.
3. Avoid Meat, Fish & Fowls.
4. You can take following Vegetables – Broad Beans, Cabbage, Snake Gourd,
Tinda, Cucumber, Carrot, Ridge Guard, Bottle guard,French Beans,
Ladies finger, Radish white, Tomatoes, Onions, Pumpkin etc.
5. For taste you can use sourlime instead of tamarind.
6. You can use Sago & Pohe Upma , Pohe Chiwda, Sago chiwda.
7. In place of milk you are permitted to have kheer , curds,lassi any
other preparation. ( If patient is Diabetic avoid sugar instead use
articicial sweetners).


DIETARY CHANGES

Diet is an important factor in the prevention and treatment of Heart
Disease. The aim of Dietary modification is to reduce serum lipids and
Cholesterol levels and to control the body weight.
The factors to be considered are:
- Total fat intake
- Type of fat being consumed
- Dietary fibre intake
- Total calorie intake
TOTAL FAT INTAKE
Should be restricted to 20 to 25% of calories and should made
From polyunsaturated, monounsaturated & saturated type of
Fats.
TYPE OF FATS
Some foods contain a high amount of saturated fat & cholesterol should
be avoided eg. egg yolk, red meats, mutton, beef & pork can be subestituted with chicken or fish. The fat in chicken can further be reduced by removing
the skin. Milk and curd can be used in moderation, but the cream should
be removed.
Cholesterol is found only in foods of animal organ, but some foods
Like coconut, coconut oil and palm oil are high in saturated fats.
Saffola, Sunola, Groundnut oil can be used instead, but in restricted
amounts.
DIETARY FIBRE
A high intake of fiber helps to reduce serum lipid and cholesterol
Levels. Fruits, Green leafy Vegetables, whole grams, unrefined cereals
are good sources of dietary fibre.
TOTAL CALORIE INTAKE
Should be restricted so that weight is maintained at 5 to 10 % below
Ideal Body Weight. Sugar ,Sweets, Roots & Tubers & Alcohol are rich
Sources of calaries & hence should be restricted. The method of food
preparation is also important. The amount of cooking oil should be
limited. Foods can be boiled, steamed, baked or roasted is preferable
to fry.
MODERATED EXERCISE : Helps in reducing weight & lowering
Serum lipid levels.



DIETARY RESTRICTIONS IN REGARD TO DIABETICS
Morning 6AM One cup of Tea or ½ cup of milk without sugar.
Morning 8AM Any one of the following :
1) 2 Pulkas & Vegetables ( other than root vegetables).
2) Wheat Upma or Pongal 2 cup.
3) 4 Iddlies with sambar ( coconut & groundnut chatnee
not to be taken).
4) 3 Dosas with minimum oil.
5) 2 Vegetable sandwitches.

Mid Morning : 11AM One Glass butter milk or tamato soup
Or vegetable soup or lime juice or light tea.
Afternoon : 12.30 Vegetable salad + one Glass of water
3 cups of rice, green leafy vegetables,
fish curry 2 pieces weekly twice,
dal 2 cup, butter milk 1 glass.
3.30 to 4 PM : 1 cup of sprouted moong dal & channa dal
or marie biscuits 6.
Dinner 7.30 to 8PM : Vegetable salad + 1 glass of water
3 Pulkas or wheat rava upma 2 cups
with 1 cup of vegetables of light
sambar 1 cup, butter milk 1 glass.
Bed Time 10 PM : One cup of milk without sugar.
* EXERCISES
Exercise helps to increase Glucose utilisation.
Brisk walking, Jogging, Swimming & Cycling
Are good exercises for 45 minitues. If evening
Exercise before 2 hrs food intake of after 2 hrs
Food gap should be maintained.
Morning 15 minitues Meditation & 15 minitues
Yoga that is Surya Namaskaram is advisable.
FOOD ITEM TO BE FOOD ITEMS THAT CAN TOTALLY AVOIDED BE USED FREELY

Jaggery Green leaf vegetables
Sugar Cucumbers
Honey Karela
Jam Cauliflower, Cabbage
Sweets Banana Flower
Butter Brinjal
Ghee Ladies finger
Dalda Drum Sticks
Ice cream All type of Beans
Dry Fruits Onions
Coconut All type of Guards
Root Veg.Like Potato
Yam, Colocans Sweets potato FRUITS \ DAY ONE ITEM
Cakes Guava - 1
Liqour Apple ½
Mutton Papaya 2 pieces
Yellow of Egg Water Melon ¼
Bakery Products Pemegranate ¼
Refined Foods Mosambee - 1
Oily Foods Jamun
Oily Foods
Sweet Fruits, Mango
Grapes, Custard Apple
Banana, Sapota, Dates
Fried Items Chips,
Papads & pickles
* Fat or Oil restricted to 20 to 25 ml per day.

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