Medical Nutrition Diet

Medical Nutrition DIET





Dt.Shivali Gupta ,India’s most trusted and award winning dietitian, Clinical Nutritionist.
She does not believe in strict nutrition philosophies, staying unrealistically thin, or depriving yourself of the foods you love. Rather, she encourages use of food as medicine with a holistic approach.

She has five year of professional experience in health care industry -

1) Yashoda Hospital,Hyderabad
2) Virinchi International Hospital ,Hyderabad



No weight loss or gain goal but have a special requirement or a medical condition (Diabetes, BP, fatty liver, etc.) that needs specific nutrients in your diet.



So your weight is normal but you have a special requirement or a medical condition that needs specific nutrients in your diet? That includes low calorie diet, low sodium diet, low cholesterol diet, high fiber diet, food intolerance. We can help you!

A therapeutic diet is a meal plan that controls the intake of certain foods or nutrients. It is part of the treatment of a medical condition and are normally prescribed by a physician and planned by us. A therapeutic diet is usually a modification of a regular diet. It is modified or tailored to fit the nutrition needs of a particular person.


Diet in Dyslipidemia / Heart diseases:-

It refers to Deranged or abnormal levels of lipids in the blood. Excess cholesterol in the blood tends to get deposited along the intimal layer of the arteries. As these deposits , the arteries thicken and Harden and when major arteries are involved angina, myocardial infarction, strokes or paralytic attacks may occur. The lipid profile includes total cholesterol (HDL, LDL), triglycerides and HDL: Cholesterol ratio. Goal is to increase HDL levels and reduce levels of total cholesterol and triglycerides in blood.

A low fat diet is prescribed in this which decreases the amount of calories that are eaten for fat. Following this diet may help lower your blood cholesterol. High blood cholesterol is often seen in people who are overweight. High blood cholesterol may also run in families. One has to include more fiber in diet.

HIGH FAT + STESS = HEART RISK


Diet in Diabetes Management

Diabetes mellitus refers to an increase in blood sugar levels. This occurs due to deficiency of insulin in the body.

Diet plays a very important role in diabetes management as 50% of the treatment is dependent on medication and 50% on diet, exercise and lifestyle. If we consider our body as a car, diet as accelerator of the car. Better the discipline in diet less will be the accident of complication of diabetes. If uncontrolled , it can lead to severe complications affecting eyes, blood vessels and kidneys.

First line treatment of a newly diagnosed diabetic is diet and exercise and weight loss treatment, which is always on the normal nutrition needs of that person for positive health.
Our diet has three major nutrients. Carbohydrates proteins ,and Fats. All are important for us but for diabetic carbohydrates have a major role to play, as this is the nutrient that converts in to glucose in our bodies.So quantity type and spacing of carbohydrates is important which can only be decided by a dietician according to individual needs and raise in blood sugar level.


Diet in Constipation

Constipation or the irregular, infrequent or difficult passage of stools is one of the common problems faced by people of all age groups. Elimination of stools becomes difficult and painful. Common symptoms of constipation include bloating, sluggishness feeling of fullness.

Constipation could be due to reduced physical activity, Insufficient fluid intake , lowfibre intake, psychological factors long term use of laxatives.

Diet has major role to play in this condition as various fibre rich foods should be included in diet with increased fluid intake.


Diet in Kidney Disorders

Nephrotic syndrome is the inflammation of the nephron . It is characterised by a group of symptoms resulting from kidney damage and impaired nephron function. It is a disease primarily confined to the glomeruli .

It is manifested by severe oedema, generalised puffiness around the eyes, extremities, especially around ankle and feet, swelling of the abdomen, facial swelling, foamy appearance of urine, weight gain due to fluid retention, anorexia and hypertension.

It can manifest in form of ARF(acute renal failure); CRF (chronic renal failure); Dialysis or renal transplant may be needed.

Dietary modifications help to maintain a state of good nutrition, to control or correct protein deficiency , to prevent deem and to provide palatable , easily digested meals as per individual needs.


Diet in Liver Disorders

The liver is the largest and most complex organs of the body involved in multiple functioning of nutrient absorption and metabolism like proteins, carbohydrates rates and lipids besides vitamins and minerals . It is also involved in the detoxication of bacterial decomposition products , mineral poisons and certain drugs and dyes. Any insult on the liver can have direct bearing on the nutritional status of an individual.

A symptom common to all liver disease is jaundice which is a result of increased bilirubin levels in the blood. When the liver is affected by any infection, it results in the inflammation of the hepatic cells , causing hepatitis.

The basis of treatment of liver diseases is adequate rest along with dietary modifications. Dietary management helps to relieve symptoms , aids in regeneration of liver cells and to prevent further liver damage .

Diet in Gastrointestinal Surgeries/ Dental Problems

Soft diet is recommended in certain medical conditions. A soft diet contains food that are soft and easy for you to chew or swallow. These foods may be chopped, ground, mashed, pureed, and moist.
Eating soft food may help if you have problems chewing swallowing. People who have had certain type of surgery, such as head, neck or stomach surgery may need to eat a soft diet. People who have problems with their teeth or mouth may also need to have a soft diet.
One has to Avoid any foods that are hard for you to chew or swallow.

Diet in Osteoporosis

In Osteoporosis there is marked decrease in the bone mass, when bone demineralisation takes place at a a faster rate than bone mineralisation, which leads to fragile, spongy and lighter bones leading to easy fractures, with long healing time.

It is very common among women in post menopausal phase of life. Calcium and vitamin D protect against osteoporosis . High calcium intake in early years of life contibutes to greater bone strength, whereas in old age one can prevent further bone loss.

Dietary modifications include increase in the intake of calcium, phosphorous rich foods in diet with the right amount of proteins in the diet.

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