CASE STUDY & SUCCESS STORIES
Name: Renuka
Age: 55
BMI: 29.21
Location: Hyderabad, India
Case History: Renuka, a homemaker, was on 18 units of insulin in the morning and 12 units at night, and her HbA1c was at 9.7. She also had high insulin resistance. Her creatinine level was 2.1. Apart from that, she was suffering from hypertension and diabetic retinopathy, which led to poor eye health. She often felt depressed as she was not able to do her household chores all by herself, which she was comfortable doing till a few years back. Her eGFR was reduced from 49 to 27 in just one month. Her blood reports depicted poor iron levels; her lipid profile was within range, but she was on a high dose of medication. Her goal was to reduce her diabetes and creatinine levels of cholesterol, reverse her diabetic retinopathy, correct nutritional deficiencies, and get her stamina back.
Approach by the best online dietitian, Hyderabad, Telangana, India, Deepika Chalasani: As per her body needs and health goals, she needed to consume good quality protein and complex carbs to manage her insulin spikes and blood sugar levels. Since her eGFR levels were deficient, giving her a diet which supported kidney health was of prime importance. A CKD stage 3 friendly PRAL diet with recommended food items ensured that potassium and phosphorus were within the recommended range. Familiar and easy-to-digest vegetables, such as cucumbers, cabbage, and carrots, were included in her meal plan to balance fibre with nutrient density. The optimum protein-to-carb ratio was customised, which fulfilled her micronutrient needs suitable to her kidney functioning. As she is vegetarian and has protein digestibility issues, we gave her fit4life signature products that are nutrient-dense and vegan. Complex carbohydrates, fibre-rich foods and low glycemic bajrachilla, green rotis, vegan nachos, tofu, with probiotic protein viz. hung curd, omega three super seeds were given in order to control her blood sugar levels and improve her protein digestibility. Iron-rich foods like beetroot and dates were included in combinations that would not increase her sugar levels. The meal plan was designed to support her gut health as well. The gradual incorporation of a local and seasonal variety of foods was done as her mind needed to accept new additions of foods effortlessly. Overall, the approach and meal plan supported her kidney functioning, managed blood glucose levels and gut health and was customised and accompanied by constant guidance and support throughout the program.
Results: With our support, Her HbA1c levels reduced from 8.8 to 6.6. Her eGFR increased to 36 in 3 months, and her creatinine level from 2.1 reduced to 1.7 in 2 months, and in 6 months, it reduced to 1.6. Her sugar levels and insulin levels reduced to within range, and she did not require any insulin any more. In 6 months, she lost 12 kgs and has been maintaining her weight. Her diabetic retinopathy condition was corrected, and she did not require any procedure. She has seen significant improvement in her energy levels and goes about doing her daily chores. There was a significant improvement in her iron levels and other blood parameters. Her digestion issues have been resolved, and she has started accepting new foods like mushrooms and hemp, which are crucial for her health and recovery.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach and co-founder of Fit4Life India, an integrated nutrition and wellness organisation 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 or Mobile +919381525943
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