Having type 2 diabetes living in Vietnam?
I have been told I have type 2 diabetes and it can be controlled by diet living in Vietnam with all the good fruit and vegetables where can I find a web site that can give me easy food guides. How much fruit can I eat and what fruits to avoid and also what calories does all food contain. thank you for your advice
This was diagnosed whilst back in the UK with in last month.
There is no one-size-fits-all diet for diabetics. In general, the foods that spike blood sugar the most are carbohydrate. That means bread, grains, oatmeal, rice, potatoes, noodles, pasta, corn. You will often hear people talking about ‘good’ unrefined carbs versus ‘bad’ refined carbs but in reality, a carb is a carb. All carbohydrates turn to sugar in the blood, so wholegrain bread is the same as a sugar donut, it all becomes pure sugar. As diabetes is about uncontrolled high blood sugars, all diabetics need to be careful in their consumption of whatever spikes blood sugar the most, i.e., all carbohydrate.
You should eat to your meter. Buy a blood glucose meter if you have not got one already. Log everything that you eat. Test 2 hours after eating. If you are under 140mg/7.8 mm/ol, then you are OK. If you are above this target, then you need to look at what you ate. Either reduce the portion, or cut it out entirely.
Everyone’s body is different. Only by testing will you find patterns that are right for YOU, and only by testing will you know how much carb you can eat. Note too that the amount of carb you can tolerate might be different depending on the time of the day (most people are more insulin resistant in the morning), the time of the month if you are female, stress, and exercise.
As to your unique challenges living in Vietnam:
I think this will be challenging. I love Vietnam and my favourite cuisine in the world is Vietnamese. BUT Vietnamese cuisine is extremely high in carbs. And diabetics cannot metabolize carbohydrate! In particular, Type 2 on diet/exercise therapy really do need to watch their carbohydrate intake. That’s going to be really difficult living anywhere in Asia.
You will find that the standard servings of rice and pho will almost certainly be too high in carbs for you to tolerate. (As measured by your post-meal readings of blood sugar.) And because carbs as a staple are ingrained in local culture, you might find it hard to eat in a way that is more blood sugar friendly.
Here’s how I adapt my Vietnamese dishes to make them diabetes-friendly:
- Pho : I don’t eat any of the rice noodles. I just have the soup, the meat and all the raw vegetables and herbs I can stuff into the bowl.
- Bun dishes : I only eat the meat part. I ask them to leave out the rice vermicelli and just have the meat with the vegetables and some of the sauce. The sauce has some sugar in it, but not as much sugar as in the rice vermicelli!
- Rice dishes : I eat them without rice. Yes, that gets me strange looks in Vietnamese restaurants, but I can’t eat rice and keep within blood sugar targets.
How much fruit can you eat? Test your blood sugar 2 hours after eating to find out.
Calories? Don’t count calories. Diabetes is not about calories, it’s about carbs. Learn how to count carbs.
Finally, you might have problems looking for information online because most of the information is tailored towards people living in Western countries and eating a Western-style diet. But you will never go wrong by trusting the data you get from your blood glucose meter. Your blood glucose meter will be your best friend. It will never lie to you
admin on July 29th 2011 in Diabetes Fruits and Vegetables