REVERSING

DIABETES CLINIC
TO DEFEAT DIABETES, EDUCATE MORE
AND MEDICATE LESS

Cut
Carbohydrates

Add good fats

and proteins

Throw away sugars,

Grains &
heavily-processed
vegetable oils

TO BEGIN THE JOURNEY OF

DIABETIC REMISSION

Name:______________________________
MR No:______________________________
Narayana Nethralaya’s Reversing Diabetes Clinic is one-of-a-kind initiative by NN with
a primary goal of bringing healthy lifestyle changes through personalized diet plan or
reduced medications for patients with diabetes.
Our Reversing Diabetes Clinic consist a team of highly skilled experts including
doctors, dieticians and counsellors with adequate knowledge in the
field of medicine, along with a state-of-the-art laboratory for
all your tests under one roof.
Professional and personalized guidance along with periodic visits and
gradual withdrawal of medicines over a period of 6-12 months
with our experts ensures best results based on
the patient’s medical history.

’Low Carbohydrates and

Healthy Fats’ food habits
I am a diabetic for several years – What are the other health benefits
is this diet suitable for me? of this diet?
Yes, it is suitable. You will need to make Early studies have now shown that the
modifications to your routine and get diet can have benefits for a wide variety
adapted to it. You will see good results if of different health conditions:
you follow to the suggested plan. • Heart disease • Polycystic ovary
• Cancer syndrome
• Alzheimer’s • Arthritis
Will the diet help with weight loss disease • Allergies
and improve my blood pressure • Epilepsy • Migrane
levels? • Parkinson’s • Infertility
disease
Yes, these are the two of the main
benefits of this diet. There will be a What does the new food habits of
reduced dependence on medication, low carb-healthy fats entail?
improvements in insulin sensitivity, lower
blood pressure and improvement in good This is a very-low carb, moderate protein
and high healthy fat diet. It typically
cholesterol levels, besides others. If you
contains 70 to 75 percent fat, 20 percent
are on medication, you will need to speak
protein, and about 5 to 10 percent carbs.
to our doctor, who will be able to advise In terms of grams per day, it would be:
you on what precautions to take to • 20-50g of carbohydrate
reduce the risk of hypoglycaemia. • 60-80g of protein
• No set limit for good fat
Fats in the diet provide the majority of
Can I practice intermittent calories and no limit is set as energy
fasting on keto? requirements can vary significantly from
person to person. Good intake of
Yes, you can. It is a very useful tool to
non-starchy vegetables are preferred as
boost fat burning. However, you should these are very low in carbohydrate.
get keto-adapted first before
attempting it. Do I need to count or restrict
calories?
No, a low carb-healthy fat diet can be
eaten to satiety.
 What is the “keto flu” and how can
What are the foods to avoid? I avoid it?
Any food that is high in carbs should be Your body has always relied on glucose
limited as its primary source of energy.
Grains or starches: rice, wheat, cereals Therefore, when you cut or reduce
Fruit: most fruits except small portions carbohydrates drastically, the body’s
of berries metabolism has to resort to burning fat
Root vegetables: potatoes, sweet for energy. This period of adaptation,
potatoes which can take up to 4 weeks, can
causes symptoms similar to flu like mild
Sugary foods: soda, fruit juice,
weakness or lack of energy. Changes in
smoothies, cake, ice cream, chocolates
bowel habits, leg cramps and bad breath
Unhealthy fats: processed vegetable are other symptoms. This state is
oils, margarine
temporary and keeping yourself well
Sugar-free diet foods: sugar-free hydrated should help.
candies, sweeteners, desserts
How long does it take to get
What kind of foods am I allowed adapted to this diet?
to eat?
With a low carb diet, your body will need
You should base the majority of your to transit from burning glucose to using
meals around these foods: your body’s fat as fuel. It will take a few
Meat: chicken, red meat, pork days or weeks to get used to it. You may
Fatty fish: salmon, trout, tuna, and experience some gastrointestinal
mackerel symptoms of carbohydrate withdrawal at
Eggs: pastured or omega-3 whole eggs first, but once you become fat-adapted,
Butter and cream: grass-fed butter it will be much easier.
and heavy cream
Cheese: unprocessed cheeses like Are some tips and tricks to make
cheddar, goat, cream, blue, or it easier?
mozzarella
Although it can be challenging, the below
Nuts and seeds: almonds, walnuts, measures can make it easier
flaxseeds, pumpkinseeds, chia seeds Look at food labels and check the
Avocados: whole avocados or freshly grams of fat, carbs, and fiber to
made guacamole determine how if they can fit into
your diet.
Healthy oils: extra virgin olive oil,
coconut oil, and avocado oil Many websites, food blogs, apps, and
cookbooks also offer recipes and meal
Low carb veggies: green veggies,
ideas that you can use to build your
tomatoes, onions, capsicum
own custom menu
Some meal delivery services even offer
I’m physically active, can I still do
keto-friendly options for a quick and
a low carb-healthy fat diet?
convenient way to enjoy keto meals at
You may need to reduce your workout home.
intensity or not engage in anything that
When going to social gatherings or
demands a lot of glucose while you try to
visiting family and friends, you can
get fat-adapted. Carb re-feed days can
consider taking your own food, which
be helpful for active people who might
can make it much easier to curb
need carbs around the time of their
cravings and stick to your meal plan.
workout.
 A FAT LOT OF GOOD
GREEN ZONE: EAT PLENTY

Drinks
Green Tea | Green Coffee | Herbal Tea | Bone Broth |
Infused Water | Sugarless Coffee and Tea
Nuts
Almonds | Walnuts | Brazil Nuts | Pecans | Pine Nuts
Seeds
Flax Seeds | Chia Seeds | Pumpkin Seeds | Sunflower
Seeds | Sesame Seeds | Basil Seeds | Melon Seeds
Dairy
Cream | Butter | Cheese | Cottage Cheese | Yogurt | Curd
| Ghee | Full Fat Milk
Non-dairy alts
Coconut Milk/Cream | Nut Butters | Almond Milk |
Soy Milk
Oils (Cold Pressed Oils)
Coconut Oil | Olive Oil | Ground Nut Oil | Canola Oil |
Mustard Oil
Flour
Almond Flour | Coconut Flour | Keto Flour
Sauces
Mayonnaise | Mustard | Chutney
Sweet suppliments
Stevia | Erythritol
Vegetables
Cabbage | Cauliflower | Broccoli | Asparagus | Zucchini |
Brussel Sprouts | Egg Plant | Olives | Spinach |
Mushrooms | Cucumber | Lettuce | Onions | Capsicums |
Tomatoes | Green Leafy Vegetables | Lady’s Finger
Fruits
Avocado | Berries(Strawberries, Raspberries, Goose
berries, Blueberries) | Wood Apple | Palm Fruit | Lime |
Amla | Star Fruit | Jamun Fruit
Non-veg
Egg | Fish | Chicken | Lamb | Pork | Crab | Shrimp | Prawns
| Oysters
Others
Spices | Herbs | Pickles
 RED ZONE: AVOID

Drinks
Fruit Juices | Sports Drinks | Energy Drinks | Flavoured Milks
| Colas | Liquor | Carbonated Beverages
Grains
Cereals | Millets | Oats | Rice Cakes | Quinoa | Noodles |
Muffins | Muesli & Muesli Bars | Pasta | Energy Bars |
Semolina | Rice & Rice products | Millet & Millet products |
Wheat& Wheat products | Ragi & Ragi products
Fruits
Mango | Pine Apple | Banana | Oranges | Grapes |
Dry Fruits
Meats
Highly Processed | Nuggets | Hot Dogs
Sugar
Soft Drinks | Chocolates |Ice Cream | Pies | Pastries
Others
Flavoured Yogurt | Frozen Yogurt | Artificial Sweetners |
Anything Deep- Fried
Bakery
Bread | Buns | Biscuits | Cakes
Processed Vegetable Oils
Sunflower oil | Groundnut oil | Dalda | Palm oil
Food item Glycemic Serve size g How does each food affect blood glucose compared
index with one 4gm teaspoon of table sugar?
Basmati rice
69 150 10.1
Potato, white boiled
96 150 9.1
French fries baked
64 150 7.5

Spaghetti white boiled

39 180 6.6
Sweet corn boiled
60 80 4.0
Frozen peas, boiled
51 80 1.3
Banana
62 120 5.7
Apple
39 120 2.3
Wholemeal smallslice
74 30 3.0
Other foods in the very low
Broccoli
15 80 0.2 glycemic range would be chicken,
oily fish, almonds, mushrooms,
Eggs
0 60 0 cheese

26 TEASPOONS OF SUGAR EACH DAY 40 KILOS OF SUGAR EACH YEAR

Source: Dr. David Unwin’s
 October 2021 to July 2022

2235 No. of patients

enrolled for RDC

1331 No. of patients who

came for review

2-3kg/ Average weight loss

month

No. of patients whose

925 medications reduced to
half of the initial dosage

286 No. of patients who

were on Insulin

95 No. of patients
completely off insulin

353 No. of patients completely

off medications
 WEIGHT
LOSS
PROGRAMME

ALL YOU NEED TO WEIGH RIGHT

IS A RIGHT DIET
BODY MASS INDEX (BMI)What is your BMI range?

UNDERWEIGHT NORMAL OVERWEIGHT OBESITY

BMI < 18.5 BMI 18.5 - 24.9 BMI 25 - 29.9 BMI > 30

BODY COMPOSITION
Body composition refers to the percentage of fat, muscle and bone in the
body. It is crucial to maintain a healthy body composition besides healthy
body weight.
There are 2 types of fats - Subcutaneous and visceral.
Subcutaneous fat is the jiggly fat visible just under the skin.
Visceral fat is the one that lies out of reach beneath the abdominal wall
and surrounds the internal organs.
Body Fat Composition Analysis

Abdomen Muscles

Subcutaneous Fat
Visceral Fat
COMPLICATIONS
Overweight/ obesity/ excess
body fat composition in the body
may lead to several health
complications like diabetes,
hypertension, cardiovascular
diseases, liver diseases,
gallbladder diseases, thyroid,
osteoporosis, PCOS, cancer and
so on.

LOW CARB HEALTHY FAT DIET

Cutting down carbohydrates and increasing
good fats with adequate amount of protein
in the diet is helpful in achieving healthy
body weight and composition.

Foods to be restricted - Cereals, millets,

lentils, tuberous vegetables, sugary fruits,
dry fruits, milk, refined oils, all kinds of
sweeteners, juices, carbonated beverages,
junk foods, alcohol.

Foods to be taken - Tofu, leafy vegetables, vegetables which grow above

the ground, fruits with low sugar content, mushroom, almond, walnut, chia
seeds, flax seeds, melon seeds, sunflower seeds, pumpkin seeds, curd,
yoghurt, paneer, cheese, butter, cream, ghee, cold pressed oils, coconut,
eggs, fish, chicken, limited amounts of red meat.

WEIGHT LOSS JOURNEY

Reaching weight goals depends on about 80% dietary habits and
20% physical activity. Weight loss progression varies from
person to person. It depends on an individual’s body type,
genetics, family history, physiological state, psychological
condition, sleep pattern, physical activity and so on. One needs
to be patient and show a positive attitude towards the journey
since the results are not spontaneous but gradual.
 REVERSING DIABETES CLINIC
(Diabetes Treatment & Research Centre - with Personal Touch)
#121/C, Chord Road, Rajajinagar 1st ‘R’ Block, Bangalore-560010
Ph: 91-80-66121300-1305 Fax: 91-80-23311329
SELF MONITORING BLOOD GLUCOSE (SMBG)

Name :_____________________________________________________ Age / Sex :__________

AL AD ANY REMARKS
DATE OES AB BL BD TIME

Abbreviation Used:
OES - On Empty Stomach BD - Before Dinner
AB - 2 Hours After Food AD - 2 Hours After Dinner
BL - Before Lunch
AL - 2 Hours After Lunch
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SYMPTOMS OF HYPOGLYCEMIA AND MEASURES TO BE TAKEN

(Low Blood Glucose)

1. Excessive hunger 5. Excessive Sweating

2. Tremors 6. Cold hands and feet
3. Anxiety 7. Blurring of vision
4. Palpitations 8. Giddiness

Measures to be taken immediately :

If the situation permits, it is preferable to measure blood glucose. If it is not possible
then there is no need to worry. Go ahead with further measures.
If the symptoms are mild, take some snacks
If the symptoms are not relived in 20 to 30 minutes or if it is severe, then without
hesitation take 1-2 spoons of sugar / glucose or any sweets. If the symptoms persist
or are partially relived then repeat the step.
Contact the doctor once you have taken the above steps.
If the hypoglycemia is due to mistake in the taking meals or drugs, then correct
them
If they are correct, then reduce the dose of tablets/insulin as advised by the doctor.

(NEVER NEGLECT THE SYMPTOMS OF HYPOGLYCEMIA EVEN IF THEY ARE MILD.)

 FOOD DAIRY

DAY Breakfast Lunch Dinner Snack

7
 Disclaimer
The content of this brochure is to build awareness only and does not
represent professional medical advice. Wide options of Food items have
been suggested for the benefit of the patients. However, they should select
the items based on their medical history, source, quality and quantity of
food items to avoid blood sugar fluctuations. Patients have to visit clinic
and consult experts to develop a customized diet plan for effectively
reversing diabetes

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HOW & WHY?

REVERSING DIABETES

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NN 1 - RAJAJI NAGAR NN 2 - NARAYANA HEALTH CITY

#121/C Chord Road, 1st ‘R’ Block, #258/A, Bommasandra, Hosur Road,
Rajaji Nagar, Bangalore, Bangalore, 560 099 - India.
560 010 - India. TEL: 080-66660655
TEL: 080-66121641 / 1643

Suggested Resources
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[Link]/reversing-diabetes-clinic/
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