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A 21-year-old member asked:

should all diabetics observe a diet?

31 doctor answers46 doctors weighed in
Dr. Dean Giannone
Internal Medicine 25 years experience
Of course: Proper nutrition is tantamount to diabetes management. Small frequent meals (five or six small meals daily) with about five grams of fiber per meal, low fat food choices and limitation of simple sugar are the rules.
Dr. Perry Sexton
Specializes in Family Medicine
Yes, but...: We all think of sweets and carbs a being blacklisted from diabetics, but there are ways to make yourself less diabetic so this is not so critical. Muscles become Insulin resistant over time in diabetics. But if you exercise in a way that will build more muscle, your body becomes less diabetic over time and you can snack on that dessert every once in a while.
Dr. Andrew Carroll
Dr. Andrew Carrollanswered
Family Medicine 25 years experience
No brainer: This is a no brainer. Diet and exercise are the base of the treatment pyramid for diabetes. Without diet and exercise, all the other treatments are pretty much useless.
Dr. Theodore Cole
Specializes in Family Medicine
Yes: Diet is always the starting point. Avoid refined foods (oils, grains, and sugars) as much as possible, including fruit juices. Also avoid all artificial sweeteners. Start an exercise program and obtain a normal body weight. Good clean living goes a long way towards improved health!
Dr. Paige Gutheil
Family Medicine 19 years experience
Yes: Yes, but i wouldn't think of it as a diet. The word diet implies deprivation and temporary. What diabetics (and everyone else for that matter) should do is think of food as nutrition and energy for the body and eat foods in moderation that honor their body's metabolic needs. It may be a little more obvious for diabetics than this is a must, but everyone benefits from healthy nutrition habits!
Dr. Kathleen Cullen
Internal Medicine 9 years experience
Yes: Since age and obesity are risk factors, it is important for weight maintenance. The department of agriculture has changed the food pyramid into a plate in which 1/2 of our plates should be filled with veggies and fruit, 1/4 with starches, and 1/4 with protein. The main goal is to regulate blood sugars by decreasing our starchy carb intake like potatos and pasta and to increase daily exercise.
Dr. Michael Klein
Family Medicine 21 years experience
Diet is key: While not necessarily dieting per-se, all diabetics need to truly understand what they eat and how it affects sugars. Diets low in simple carbohydrate, with similar and consistent carbohydrates throughout the day are idea. Especially with Insulin injections, it is nearly impossible to manage diabetes well without consistent diet control. A clinical nutrtionist can be very helpful for this.
Dr. Cynthia Point
Specializes in Internal Medicine
Yes: It is important to eat a balanced diet, reducing the amount of refined carbohydrates, such as sugar, white bread, white rice, and noodles, to make the most of your nutrition. It is also important to watch your fat intake, and elevated cholesterol in diabetics is more dangerous. Inslulin use requires the patient to balance out the doses, and the calorie intake as well.
Dr. Kenneth Cheng
Family Medicine 31 years experience
No brainer II: As my colleague, dr. Carroll has already stated, it is a no brainer. However, and to go slightly in a different direction than the rest of my colleagues, i tend to emphasize exercise over diet only for the follow reasons: diet improves your blood sugar and cholesterol; exercise improves your blood sugar, cholesterol, weight, mental health, endorphin and adrenaline release, body fat, heart, etc.
Dr. Latisha Smith
Wound care 38 years experience
Yes, an eating plan: The word diet conjures up images of tasteless, boring meals. Individuals with diabetes should have a plan for what they will eat and how much of it. Rather than thinking certain foods are forbidden, it is more effective meal planning to reduce a portion of potatoes to allow a small portion of a treat, such as chocolate cake. Talk to a dietician and get a plan that suits your tastes.
Dr. Jacob Mirman
Internal Medicine 34 years experience
Yes: However, the diet may be different for different diabetics. For example, overweight type 2 diabetics should lose weight which often cures their diabetes. In almost all cases of diabetes decreasing the amount of carbohydrates will help you control your blood sugar.
Dr. Nisha Chellam
Internal Medicine 31 years experience
Absolutely: It should not be called a diet but healthy eating and healthy lifestyle. This is the cornestone of management of diabetes. Eating high vegetable diet, less processed foods, staying on your feet moving and managing stress all help with good control of the disease. Medications only can fine tune this.
Dr. Mila McManus
Family Medicine 21 years experience
Absolutely!: Diabetics are at increased risk for developing many other diseases and should follow a strict diet of meat, fish, non-starchy vegetables, nuts, olives, seeds. Diabetics should moderate intake of fruits, grains (oats, wheat, etc), and baked goods. Diabetics should avoid pasta, cereals, sugar, and artificial sweeteners.
Dr. Sahba Ferdowsi
General Practice 18 years experience
Great answer. Wishing you'all the best
Feb 16, 2012
Dr. Andrew Rhinehart
Diabetology 29 years experience
Yes but...: Every person with diabetes should see a registered dietitian and preferably one that is a certified diabetes educator (cde) for individualized meal planning. The "but" is this...What you will find is that a "diet" for someone with diabetes is truly just eating healthy, which we all should be doing regardless of whether we have diabetes or not!
Dr. Barbara A Majeroni
Specializes in Family Medicine
Yes: The current recommendation is for a consistent carbohydrate diet, meaning you eat about the same amount of carbohydrates every day. In type 2 diabetics who are overweight, calorie restriction may also be helpful.
Dr. Theodore Caspe
Family Medicine 40 years experience
Yes: Avoid sweets, carbs, and overeating. Must learn how to count calories.
Dr. Randy Baker
Holistic Medicine 40 years experience
ABSOLUTELY!: Diet is the cornerstone of treating and in some cases even reversing diabetes. Diet is best individualized with professional help, but emphasizing whole foods & minimizing starches (sugars, grains, potatoes, sweeter fruits) is a good start. Gabriel cousens md has done pioneering work on nutrition & diabetes and i strongly advise my diabetic patients to read his book there is a cure for diabetes.
Dr. Kenneth Adler
Family Medicine 40 years experience
Yes. A healthy one.: We used to recommend a specific diet for diabetics. Now the diet we recommend is the one we recommend for nearly every one. Eat more fruits and vegetables, more grains, leaner cuts of meat, smaller portions of meat, more fish, and avoid sweets, refined carbohydrates etc. Avoid fast food and junk food. The american heart association diet is a good example of this.
Dr. Mary Ann Block
A Verified Doctoranswered
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Yes, an eating plan: Certain foods that are high in refined carbohydrates such as sugar can make it more difficult for someone with diabetes to keep it under good control.
Dr. Kevin Griffiths
Specializes in Nephrology and Dialysis
No Doubt: Type 2 diabetics is all about diet. If a diabetic indiviual has a diet high in protein and vegetables and low in carbohydrates, then their diabetes will be better controlled. The lower your weight, the less likely you will need medictaions to treat their your diabetes. Therefore an excellent diet is the best way in managing diabetes.
Dr. Robert Keller
Emergency Medicine 40 years experience
Yes: The american diabetes diet has been developed over much time and research. In my opinion it is a great diet for everyone. America is undergoing an epidemic in diabetes and the ada diet is one way to decrease the risk of elevated blood sugars.
Dr. Jason Campbell
Family Medicine 16 years experience
Absolutely!: Dietary management of diabetes can provide significant results and studies have shown that even just a 7% weight loss can reduce medication need. I encourage all my patients to start by just examining what they are currently eating and then make a plan to weekly improve dietary choices over 6-8 weeks until they arrive at a diet they are comfortable with and can manage daily.
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
Maggot therapy: Maggot therapy can be very helpful as well.
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
Full workup: It may be diabetes get a full workup asap!
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
No bridge: In your case dental implant supported crowns are the best choice.
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
Negative pressure: Negative pressure can cause bleeding and graft dislodgment.
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
Tooth: Teeth decay. There is tooth under a crown. Not flossing or brushing properly , high carb diet, high bacterial load, poorly fitting/sealed crowns can all lead to tooth decay under a crown.
Dr. Alex Shvartsman
Cosmetic Dentistry 25 years experience
Needs an adjustment: The retained is probably rubbing your gums.
Dr. S. jay Bowman
Orthodontics 36 years experience
Seek opinion: Teeth that are moving forward is a concern. Seek an opinion with an orthodontic specialist to determine the cause and explore options for improving your smile and keeping that way.
Dr. S. jay Bowman
Orthodontics 36 years experience
Why?: Why not get an orthodontist involved? Is there fear that the professional fees will be too high or treatment too complex? A specialist orthodontist is the right person for evaluating your situation and providing the greatest number of options as solutions to your situation. It is important to seek options and opinions with the experts.
Dr. Melissa Young
Internal Medicine 9 years experience
Yes: Not necessarily a weight loss diet, but a healthy low to moderate carbohydrate diet if one is of normal weight. Naturally if overweight, then total calories also need to be restricted.

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A member asked:

Is my baby allergic to my diet?

2 doctor answers4 doctors weighed in
Dr. Roy Benaroch
Pediatrics 27 years experience
No: Probably not. There are a lot of myths about diet, but it is truly unusual for babies to have an allergic reaction to anything in mom's diet. With the possible, single exception of cow's milk, no other item in mom's diet has been conclusively shown to trigger a reaction in babies (and even cow's milk would be rare.).
A member asked:

How does my diet affect my baby?

3 doctor answers6 doctors weighed in
Dr. Lawrence Rosen
Pediatrics 28 years experience
It depends: Some babies are very sensitive to what moms eat while breastfeeding, others are not. Some foods (dairy, soy, certain cruciferous vegetables) may cause gas or intestinal distress in some babies. Caffeine may overstimulate certain babies, as well. A healthy diet full of fresh fruits and vegetables, water, lean proteins and whole grains, can promote health in your baby.
A 46-year-old member asked:

What are some effective diet pills?

1 doctor answer4 doctors weighed in
Dr. Samuel Sadow
Bariatrics 48 years experience
Yes: Fda approved diet pills are only prescribed under your doctor's care and for short times only. Tenuate and Phentermine are the safest, but have certain contraindications. If you think you need a diet pill you likely need a good weight loss physician to prescribe a program for you. Most people fail in dieting because they're not being well supervised and get discouraged.
A 43-year-old member asked:

Why do people go on starvation diets?

1 doctor answer4 doctors weighed in
Dr. Seema Patel
Holistic Medicine 27 years experience
Too lose weight: Starvation diets are used by many patients to rapidly lose weight. They do not cause any sustainable weight loss and are very unhealthy.
A 47-year-old member asked:

What 's the definition of a low-carbohydrate diet?

1 doctor answer1 doctor weighed in
Dr. Bennett Werner
Cardiology 44 years experience
<20%: All foods are made up of carbohydrates, proteins, and fats. Current recommendations for adults are diets composed of 45-65% carb, 10-35% protein, and 20-35% fat. Low carb is usually understood to mean <20% carb but can just mean a restriction in carb content. For the skinny on good nutrition, surf over to: http://www.Cnpp.Usda.Gov/publications/dietaryguidelines/2010/policydoc/policydoc.Pdf.

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