Our expert says:
I am sorry to hear that you are having problems with your diabetes and that you have had a heart attack. If you have not yet consulted a clinical dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area), then please make an appointment ASAP. If you do have a clinical dietitian who has worked out a low-fat, low-glycaemic index (GI) diet for you that takes all your specific needs into account (type 2 diabetes, raised blood fat levels, weight gain), then you need to return to her/him and discuss this weight gain and how your individual diet and/or medications can be changed. It is essential that you are under the guidance of a dietitian and go for regular checkups. Click on 'Diet' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Once you have your blood insulin and blood glucose levels under control again and are losing weight, discuss what kind of gentle exercise you are allowed to do with the dr who is monitoring your type 2 diabetes and heart health. If the dr gives permission you may be able to go for a walk every day for 30 min to help with insulin and blood glucose control. But only do exercise if the dr gives permission!
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