CASE STUDY & SUCCESS STORIES
Name: Swara
Age:39 years
Location: Hyderabad
Case History: Swara, a 39-year-old homemaker with a history of diabetes and hypertension, had been managing her health with medications and insulin shots. She also had migraines and hypothyroidism. Recent blood tests revealed an HbA1c level of 11.8% and a fasting blood sugar of 270 mg/dl, indicating severely uncontrolled diabetes, as these high values showed that her blood glucose levels had consistently remained elevated. The blood work also showed an elevated white blood cell (WBC) count, suggesting inflammation, which could be associated with chronic diseases like diabetes and may worsen insulin resistance, further complicating her glucose management. Her high alkaline phosphatase levels could indicate possible joint pain or even bone-related issues, which can be exacerbated by inflammation and are sometimes seen in those with prolonged metabolic issues. Finally, her significant vitamin D deficiency is notable, as low levels of vitamin D are linked to poor blood sugar control and are thought to play a role in insulin resistance, potentially aggravating her diabetes. Together, these lab findings suggested a complex interplay between her chronic conditions, inflammatory state, and nutrient deficiencies, all of which may contribute to the challenges in managing her health effectively.
In light of these findings, she wanted to address these health concerns holistically. Her goal was to regain control over his diabetes, manage her BP levels, and ultimately embrace a healthier lifestyle that would reduce or even eliminate her dependency on medications.
Approach by the best nutritionist, and dietician in Hyderabad, Telangana, India Deepika Chalasani:
A review of Swara’s dietary intake revealed a lack of dietary fiber, an essential component for stabilizing blood sugar levels. To address this, we introduced high-fiber foods, particularly low-GI fruits and vegetables, to be included in her diet as sautéed dishes, steamed, or added to curries. We also recommended limiting cooking times to 5–7 minutes to avoid overcooking, helping preserve the fiber content and essential nutrients in the vegetables.
Taking Swara’s specific health needs into account, we introduced high-quality protein sources to support her metabolic health and better manage her conditions. These included homemade paneer, egg whites, chicken, fish, and whole legumes like green moong, chickpeas (chana), chole, and black-eyed peas (lobia), along with a blend of protein powder. These protein sources offer essential amino acids and contribute to blood sugar regulation.
To further support her health goals, we incorporated complex carbohydrates into her diet, prioritizing nutrient-dense choices like quinoa, pearl millet, brown rice, and cooked hand-pounded rice. These options were selected for their low glycaemic index, which means they digest slowly and help prevent rapid spikes in blood sugar.
Quinoa, brown rice, and pearl millet are rich sources of fiber, vitamins, and minerals, making them excellent for blood sugar management and long-lasting energy. Their high fiber content slows down digestion, which helps prevent sudden spikes in blood glucose and provides a steady release of energy. Additionally, these grains offer essential nutrients such as magnesium, which supports insulin sensitivity, and B vitamins that aid in energy metabolism, further benefiting Swara’s overall metabolic health.
We also advised Swara to maintain hydration by drinking water consistently throughout the day, aiming for one glass every hour. Staying well-hydrated is crucial, as it helps regulate blood sugar levels and can alleviate migraines by preventing dehydration, a common trigger.
Additionally, we guided her in selecting fruits with a low glycaemic index and high fiber content, which are less likely to cause rapid blood sugar spikes. We recommended avoiding high-sugar fruits like mango, custard apple (sitaphal), sapota, grapes, and watermelon, as they could lead to spikes in her glucose levels.
These dietary adjustments were tailored to meet her nutritional needs, support her health conditions, and enhance her overall wellness. They align well with her goals, helping to stabilize energy levels and manage her health effectively.
Results
After four months of following the structured plan and embracing a healthier lifestyle, Swara experienced remarkable improvements in her health. The positive dietary changes enabled her to gain better control over her diabetes, as evidenced by a reduction in her HbA1c levels from 11.8% to 6.3%. This substantial decrease indicates well-regulated blood sugar levels, significantly lowering her risk of diabetic complications. In addition, her fasting blood glucose improved significantly, dropping from 270 mg/dl to a stable 88 mg/dl, reflecting consistently managed blood sugar levels.
Her vitamin D levels also increased impressively from a deficient 7.26 ng/dl to a healthy 65.83 ng/dl, which is essential for insulin function, immune support, and bone health. Additionally, her alkaline phosphatase levels normalized, declining from an elevated 104 U/L to a healthy 44 U/L, reducing the risk of joint or bone discomfort and inflammation. Together, these improvements reflect the effectiveness of a tailored diet and lifestyle plan in supporting Swara’s metabolic health, nutrient balance, and overall well-being.
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 or Mobile at +91 9381525943
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