CASE STUDY & SUCCESS STORIES
Location: Assam, India
Case History: Aruna, a homemaker, has obesity grade 2. Aruna's blood report showed borderline diabetes (6.6 HbA1c) and over the range for lipid profile despite taking medications. She was on blood pressure and uric acid medications. Her daughter was worried about her general health and nutrition as she was in her late 50s, and recently, she had gained a lot of abdominal fat. Her main goals were to create a lifestyle, advise on healthy eating habits, lose weight, reduce abdominal fat and normalise her lipid profile.
Approach by the best weight loss nutritionist, Hyderabad, Telangana, India: She was 59 years old and had an insulin-resistant body type, increasing the risk of cardiovascular conditions. After discussing with her and her daughter, we discovered that she used to snack on healthy food options like fruit bowls, sprouts, and nuts throughout the day. She is a tea lover and drinks an average of 3 to 4 cups, most often after every meal. It was evident that her daily diet has a lot of refined carbohydrates and very few complex carbohydrates. She also consumed little to no protein in the fear of high uric acid. She also would consume 6-7 small meals daily, which slowed her digestion as there was little gap between each meal. All these factors were increasing her weight, abdominal fat and increased heart health risk.
Our first approach was to reduce the snacking and give her three sumptuous meals and a snack. We included all the food she was already consuming, such as fruits, sprouts, and nuts, but in a structured manner and a nutrition composition that worked for her body. We included sufficient vegetables in every meal to ensure enough fibre was involved, and she felt satiated. Adequate amounts of proteins, like eggs, chicken, pulses, cheese, etc., were added to every meal to keep her blood sugar level stable. We also educated her about how consuming healthy fat helps in fat metabolism and included sources like seeds, nuts, and ghee in her meals. We had brown rice, steel-cut oats, dahlia, and quinoa-based dishes to sort out the complex carbohydrate requirement. To ensure she enjoyed her journey, we gave a treat day meal plan on Sundays, including varieties like biryani and other East Indian dishes. We added date seeds paste, fruits, and hung curd to increase her gut health, which aids her digestion and absorption, hence lipid distribution. We taught her the importance of giving enough gaps between each meal in the day and ensured a 3.5- to 4-hour gap between each meal. This helped her cut her sugar cravings and unnecessary munching. To ensure she consumed enough vegetables, we included dishes like vegetable soups, stir-fried vegetables and salads with various dressings. We encouraged her to have light, intense lifestyle movements and suggested a few easily adaptable exercises. We counselled her on lifestyle patterns that contributed to increased weight as well. We taught the notion of weight gain in relation to elements such as age, metabolism, stress, mindful eating, meal order and water consumption.
For the first time in several years, she lost 4kg and 3 inches around her waist in 2.5 months. This was despite eating more and including all her favourite cakes and pastries. She had given them up as she was not able to lose weight. Her lipid parameters improved with a reduced dose of sugar, BP and uric acid medication. Her triglycerides reduced to 95, and her post-prandial lunch readings reduced from 178 to 117. There was a significant improvement in her cardiovascular health and overall health. She no longer craved tea and was happy drinking other alternatives like green tea, brewed tea, etc. Following our tips, she stopped craving sugar, tea and munchies between meals. She was also pleased with the inch loss seen in the body, which made her fit in her old clothes. She was mentally happier and calm. She also extended her program with us as she was very impressed with the results.
Deepika Chalasani is a Clinical Nutritionist, Mind and Body Transformation Coach and co-founder of Fit4Life India, an integrated nutrition and wellness organisation for Indians that provides complete solutions, addressing health and wellness challenges of individuals by working on their overall well-being. Deepika, the best nutritionist in Hyderabad for weight loss and online dietician, can be contacted via email firstname.lastname@example.org or Mobile +919381525943
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