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Kindly suggest
Kindly suggest supplement powder to diabetic and cardiac patient had angioplasty in 2022.
Latest hba1c is 6
Echo is normal with 60% ef
Answers (19)
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Dr. Manisha Mallavarapu
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Endocrinology, Metabolism And Diabetes Specialist
7 yrs exp
Rajahmundry
See protein powder with low carbohydrate mentioned on it.
For further clarification consult an endocrinologist
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Kindly do connect and 3
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Please also mention the reason why you feel that a supplement should be given.
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Natural protein are always better . Prefer plant based protein intake and if non vegetarian ( avoid red meat)
If you still want to take protein supplements - ENSURE DIABETES XARE
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Yes there are many tyoes. It can be suggested if i come to know about your requirements , taste and food choices. How long to take and your capacity to spend depending on it i can suggest.
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No need I also have angioplasty, healthy diet with nuts n seeds, salad, fruits less oily, fried food.
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Hello. It is encouraging to see that your health markers are currently well-controlled. An HbA1c of 6% and an Ejection Fraction (EF) of 60% indicate that your diabetes and heart function are stable. When selecting a supplement powder for someone with both cardiac and diabetic history, the focus must be on high fiber, high protein, and zero added sugar.
I suggest the following guidelines for choosing a supplement:
1. Recommended Type of Supplement
Diabetic-Specific Formulas: Look for powders specifically labeled for diabetics (e.g., Glucerna, Celevida, or similar diabetic protein formulas). These are designed to have a low Glycemic Index (GI), meaning they won't cause sudden spikes in blood sugar.
Protein Source: Whey protein isolate or plant-based proteins are generally preferred. Ensure the product is "Sugar-Free" and not just "No Sugar Added."
2. Nutritional Composition to Look For
Fiber: High fiber content helps slow down glucose absorption.
MCTs & Heart-Healthy Fats: Ensure the powder contains MUFAs (monounsaturated fatty acids) and is free of trans fats to protect your heart health post-angioplasty.
Electrolytes: Ensure it does not have excessive sodium, which can impact blood pressure and cardiac workload.
3. Precautions and Usage
Kidney Function: Before starting any high-protein supplement, it is important to confirm that your kidney function (Serum Creatinine/eGFR) is normal, as chronic diabetes can sometimes affect the kidneys.
Meal Replacement vs. Supplement: It is best used as a snack or to supplement a meal rather than a total meal replacement, unless otherwise advised.
Next Steps:
I recommend a quick check of your Kidney Function Test (KFT) and Lipid Profile. If those are within normal limits, you can start a diabetic-specific protein formula once daily. Please share your recent lab reports if you have them available.
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Your current health markers are excellent—an HbA1c of 6% indicates well-controlled diabetes, and an Ejection Fraction (EF) of 60% shows healthy heart function post-angioplasty. Regarding supplement powders, they are generally not a necessity for every diabetic or cardiac patient. These are usually indicated only if you are experiencing significant weight loss, poor appetite, or have a confirmed nutritional deficiency. If you are maintaining a healthy, balanced diet, optimizing your natural food intake is always superior to using processed supplements."
Next Steps
If you feel the need for a supplement due to a busy schedule or minor fatigue, you must choose a diabetes-specific formula with a low glycemic index (like Glucerna or Celevida). Standard health drinks often contain hidden sugars or maltodextrin, which can spike your glucose levels. For cardiac health, ensuring your diet is rich in Omega-3 fatty acids and antioxidants is more beneficial than generic protein powders."
Health Tips
Before starting any powder, I recommend a quick blood test for Vitamin D and B12 levels, as deficiencies in these are very common in diabetic patients and often cause the tiredness that people try to treat with supplements. Also, ensure your daily salt and saturated fat intake remains low to protect the long-term health of your stent."
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Aapka HbA1c 6 hai aur EF 60% hai, jo achi control aur stable heart function show karta hai.
Supplement powder har diabetic aur cardiac patient ko routine me dena zaroori nahi hota. Ye tab diya jata hai jab:
• Weight loss ho
• Appetite kam ho
• Nutritional deficiency ho
Agar patient normal diet le raha hai to pehle diet optimize karna better hota hai instead of directly supplements.
Agar supplement lena hi hai to:
Diabetic-specific formulas (low glycemic index wale) jaise Glucerna type products prefer kiye ja sakte hain, jo sugar spike nahi karte.
Lekin blindly koi bhi supplement start karna sahi nahi hai, especially cardiac patient me, kyunki kuch powders me high calories ya sugar load ho sakta hai.
Best approach:
• Balanced diet maintain karein (high protein, controlled carbs)
• Regular follow-up rakhein
• Agar weakness ya weight loss ho tab hi supplement add karein
Filhaal reports ke basis par routine supplement ki clear need nahi lag rahi hai.
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Ensure diabetic
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Endocrinologist
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Your sugar HbA1c 6 and heart function look okay, but I need to check your diet, current medicines, and any deficiencies before suggesting the right supplement.
I can guide you in a simple way and suggest what is safe for you. You can book a consultation with me.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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With HbA1c well controlled at 6 and heart function (EF 60%) being normal, a supplement powder is usually **not routinely required** unless there is weakness, poor appetite, weight loss, or reduced dietary intake.
If nutritional support is needed, choose a diabetes-specific high-protein formula with low glycaemic index and added fibre rather than regular health drinks, as these are better suited for diabetic patients and help avoid sugar spikes.
At the same time, continue heart-healthy diabetic diet: adequate protein, less refined sugar, low salt, and low saturated fat, especially after angioplasty.
Please also continue all prescribed cardiac medications such as antiplatelets, statin, and diabetes medicines regularly, and discuss the exact supplement choice with your treating cardiologist/physician based on weight and kidney function.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Brisk walk 30 minutes per day
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Consult
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