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1 year ago

Dear Vishal, Thank you for the question

WHO has given different BMI (Body mass index) classifications to categorise adults into different weight categories. BMI is a simple index of weight-for-height. It can be considered as a 2^nd level indicator of overall health.

It can be calculated using a simple formula of BMI = Weight (kg) / Height (m²)

Following is the WHO BMI Classification

18.5 to 24.9 - Normal

Less than 18.5 - Underweight

25 to 29 - Overweight

Above 30 - Obese

As per WHO BMI (Body Mass Index) classification, a person weighing less than 18.5 kg/m2 is considered underweight.

Diabetes mellitus is a chronic metabolic disorder that prevents the body to utilise glucose completely or partially. It is characterised by raised glucose concentration in blood and alterations in carbohydrates, protein & fat metabolism. Various factors like genetics, sedentary lifestyle, acute stress etc., can cause diabetes. Type 1 diabetes is an autoimmune disorder and can occur due to genetics or environmental factors such as infections, acute stress etc.

Management of any type of diabetes requires diagnosis and further assistance from specific health care professionals. Kindly contact your health care professional for further guidance.

Here are a few dietary tips to help manage Diabetes

• It is recommended to have low GI (Glycaemic index) foods. Simple sugars should be restricted since they are easily absorbed and have high glycaemic index. Some of the Low GI foods include green leafy vegetables, green beans, apples, orange, pear, wheat, millets, pulses, lentils etc (keep in mind the potassium value of the foods to maintain a low potassium diet).

• High protein intake helps to increase insulin production & promote satiety. Pulses, lentils, eggs, lean meat, paneer etc., are a good source of protein.
• Combination of oils is preferrable. Include monounsaturated (MUFA) & Polyunsaturated (PUFA) containing oils like sunflower oil, ground nut oil, Gingelly oils.
• Increase intake of whole grains and legumes and limiting the intake of saturated fats helps in improving insulin sensitivity and reduces the risk of diabetes independent of weight loss.
• Include fiber from foods such as whole grains, millets, multigrains, seeds, nuts like almonds, walnuts, groundnut, vegetables and fruits like apples, oranges, papaya etc.
• Limit intake of fruits such as pineapple, mango, dates, pears etc, as they have high Glycemic Index.
• Avoid fasting for longer teams, regular meal timings should be practiced
• Seek professional guidance to understand the type of insulin, adjustments of meals around prescribed insulin and meal timings.

Celiac disease which also known as ‘gluten - sensitive enteropathy’ is an autoimmune disorder caused by a reaction to gliadin which is a component of gluten. It is important to avoid gluten free foods as a cornerstone management of Celiac disease.

Here are few tips to manage Celiac disease/ Gluten intolerance

• Avoid consumption of cereal grains and other food products made from whole wheat, barley, oats, rye etc., as they contain gliadin.
• Include rice, corn, potato, millets, and soybean, arrowroot and amaranth seeds in daily diet. Products made out of these foods can be a part of daily diet for an individual who is diagnosed with celiac disease
• While grocery shopping carefully read labels to avoid food products that have gluten and hence look out for words such as ‘made from whole wheat’, ‘contains traces of wheat’, and mention of other ingredients that contain gluten or cross contamination with wheat. Choose products that are labelled ‘gluten free’, ‘made from millets’, ‘made with soybean’, etc.

The causes of underweight or unintended weight loss can be due to genetics, inadequate food intake, stress, hormonal imbalance, malabsorption or other underlying health condition which may require medical assistance.



An ideal weight management program such as weight gain involves lifestyle management including dietary modification, regular physical activity, hydration and good sleep cycle. With any weight gain diet, changes take time to reflect as your body requires sufficient time to adapt to the changes in order to show results.

 

A high calorie and high protein diet is recommended for weight gain. Daily protein requirement should ideally be followed as 0.8-1g protein per kg body weight. Some of the sources of high protein include pulses, lentils, curd, soybean, eggs, lean meat, nuts & seeds etc.

Here are few guidelines that can be considered for weight gain & general digestive health.

• Have a Diversified Balanced Diet that includes all the food groups (keep in mind the foods to avoid for management  gluten intolerance) in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning.
• Maintain a positive energy balance where the calorie intake should be more than the energy expenditure.
• Do not skip meals. Eat small frequent meals.
• Three major meals a day with healthy nutritious snacks in between is preferred.
• Try to increase the serving size and portion size gradually and systematically
• Include energy dense foods, keeping in mind the daily needs.
• Add healthy fats from nuts and seeds.
• Include protein sources (plant and/or animal sources) such as lentils, curd, lean meat, egg etc.
• Include prebiotics such as banana, soyabean etc., good sources of probiotics like yogurt, buttermilk etc., to maintain a healthy gut.
• Deep fried foods to be restricted. Method of cooking like baking, grilling, boiling, steaming is preferable over deep frying with excess fat/ oil.
• Try to limit the foods like caffeine, spices, raw onions etc.
• Food should be eaten slowly and chewed well as fast eating provokes gastric feeding reflex.
• Avoid lying down immediately after your meal consumption
• Indulging physical activity can help in increasing the appetite and give a feeling of hunger.
• Try to follow a good sleep regimen that is in terms of both quantity and quality

Check  out the link below for more information on Celiac Disease- https://www.aashirvaad.com/article/Celiac_disease.html

For further diagnosis and assistance kindly contact your specialized health care professional or a Gastroenterologist.

For a customised and personalised meal plan for specific conditions, please contact your Health care professional.

Hope we have answered your query.

Wishing you a great day ahead

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