CASE STUDY & SUCCESS STORIES
Name: Rajeev
Age: 50 years
Location: Dubai
Case History:A 50-year-old consultant, with a high-stress job that required frequent travel and an erratic lifestyle, had been living with type 2 diabetes since 2012. Recently, he was diagnosed with grade 3 fatty liver. His blood work revealed a high HbA1c level of 10.4%, indicating poorly controlled diabetes. The combination of uncontrolled diabetes and fatty liver significantly increased his risk of cardiovascular disease. Consequently, he sought a comprehensive plan to reverse his type 2 diabetes, manage his grade 3 fatty liver without losing weight as over the years he had lost significant weight and his current BMI is 21, and improve his overall health markers.
Approach by the best nutritionist, and dietician in Hyderabad, Telangana, India Deepika Chalasani:
After reviewing Rajeev’s health needs and considering his high-demanding job, we made several adjustments to his dietary pattern. We ensured his CPF ratio to be 50: 20: 30 throughout the 3 months while ensuring that we cater to his taste buds. We incorporated more fibre into his breakfast and lunch through the addition of well-cooked vegetables, which can be sautéed, steamed, or stir-fried which ensured that he was able to complete his meal. Additionally, we included low glycaemic index (GI) fruits such as apples, pears, pineapples, plums, oranges, kiwis, berries, cherries, and muskmelons, along with seeds like flaxseeds, chia seeds, sunflower seeds, and pumpkin seeds to ensure there were reduced insulin spikes. Greek yogurt was also included to provide essential probiotics for gut health. We educated Rajeev about the importance of the glycaemic index and instructed him to avoid high GI fruits, such as mangoes, sapotas, grapes, watermelons, and bananas, as they can cause rapid spikes in blood sugar levels, which are not ideal for managing diabetes. These changes aim to improve his overall blood sugar control, promote gut health, and support long-term metabolic well-being.
As Rajeev is a vegetarian, we incorporated sources such as homemade paneer, tofu, whole dals like moong, rajma, chole, and lobia, along with hung curd and yogurt., we included pea protein powder in the form of a shake to help with post work out strengthening and meet his daily protein needs. Protein is crucial for managing conditions like type 2 diabetes and fatty liver, as it helps stabilize blood sugar levels by slowing carbohydrate absorption and preventing rapid insulin spikes. Additionally, protein supports muscle mass, which is essential for maintaining metabolic rate and insulin sensitivity, while also aiding in tissue repair and reducing fat accumulation in the liver key factors in effectively managing both diabetes and fatty liver.
An Indian always loves their carbohydrates, and as Rajeev is a south Indian, We carefully incorporated complex carbohydrates into Rajeev's diet to ensure stable blood sugar levels after meals. These included dosas and chillas made with millets, quinoaUpma, brown ricepulao, south Indian delicacies such as bisibelle bath made with millets, and millet stuffed vegetable rotis made from ragi, bajra, or rajgira, to increase fibre content. Additionally, we included vegetable soups and one pot broth meals in his dinner to provide extra vitamins, minerals, and fibre. We taught Rajeev to enjoy his favourite starchy vegetables and tubers such as carrots, beetroots, radishes, sweet potatoes, raw bananas and potatoes, as they could lead to rapid spikes in blood glucose levels. Complex carbohydrates, being digested more slowly, help maintain steady blood sugar levels, making them ideal for managing diabetes. Whole grains like quinoa, brown rice, and millet are fibre-rich, further supporting blood sugar control and digestion. The added vegetables in rotis increase fibre intake, which aids in better blood sugar regulation. Soups contribute essential nutrients and fibre, promoting satiety and digestive health. Avoiding starchy vegetables and tubers helps prevent sharp insulin spikes, as these foods typically have a higher glycaemic index, which can elevate blood sugar quickly.
We educated Rajeev on the importance of staying hydrated and advised him to drink 1-2 glasses of water as soon as he wakes up, followed by 1 glass of water every hour throughout the day to maintain optimal hydration. Proper hydration is essential for overall health, as it helps regulate blood sugar levels, supports digestion, and aids in the elimination of toxins. Drinking water regularly throughout the day helps maintain hydration and can prevent unnecessary snacking. Additionally, we guided him on the best methods for preparing vegetable curries and protein-rich dishes. Instead of frying, vegetables should be sautéed or steamed to preserve their nutrients and minimize unhealthy fats. Protein sources like homemade paneer with low 2% fat can be cooked in bulk and stored in the freezer to ensure consistency in his protein intake. Cooking methods like sautéing and steaming preserve the nutrients in vegetables and proteins while reducing the intake of added fats, making meals healthier. Preparing protein-rich foods like paneer in bulk ensures that Rajeev can easily meet his daily protein requirements without the risk of missing essential nutrients.
These dietary adjustments were made to meet Rajeev's nutritional needs and improve his overall health, while aligning with his demanding lifestyle and health objectives. By modifying his eating schedule and incorporating convenient, on-the-go meal options to ensure he managed his client meetings and business trips, we aimed to strike a healthier balance between his high-pressure work environment and his personal well-being, ensuring that both his professional responsibilities and health goals were effectively supported.
Results
In just three months, his HbA1c improved dramatically, dropping from 10.5 to 6, all without diabetic medication, as advised by his healthcare provider. His fasting blood sugar levels, monitored in the second and third months using a CGM, consistently stayed between 90–100 mg/dl, while his post-meal readings remained well-controlled within the range of 120–150 mg/dl. Alongside these improvements, he gained muscle mass and strength, lost several inches around his belly, and significantly reduced both visceral fat and overall body fat percentage. His progress has earned praise from both his cardiologist and endocrinologist, who were highly pleased with the results.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach, and co-founder of Fit4Life India, an integrated nutrition and wellness organization for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being.
Deepika, the best nutritionist in Hyderabad for weight loss and online dietician can be contacted via email at deepika.chalasani@gmail.com orMobile at +91 9381525943
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