Foods NOT Suitable for Diabetic (食物不适于糖尿病患者)

Fresh Fruits (新鲜水果)

One should include more fruits and vegetables in his diet.  Take note of these high sugar contents of fruits

1.     Durian – I am avoiding durian.  However 1-2 seeds are fine

2.     Mango – One slice is fine

3.     Watermelon – Because of its high water content and thus easier to be absorbed into the blood system, it tends to raise the glucose level faster.

4.     Fruit juices – How many fruits to get one glass of juice but can you eat the same amount of fruits given the same time.  High concentration of sugar will kill.

Refined grains or starchy foods (被提炼的五谷或上了浆食物)

1.     White Rice

2.     White bread

3.     Yellow noodles – high in sodium and colorings

One should chose slow release carbohydrate items such as whole-meal or multi grains bread

Saturated and trans fats (饱和的和trans油脂)

Cut down on saturated fats and switch to low fat diet:

1.     Avoid butter and use olive oil spread

2.     Instead of taking normal cheese, take low fat and low salt cheese

3.     Chose fish (Salmon and Mackerel are good source of Omega 3) and lean meat

4.     Steam or grill instead of deep frying

5.     Most salad dressing is high in fat and calories

6.     Avoid deep fried food like fried chicken and French fries.  They will increase your bad cholesterol which will increase your risk of heart disease.  Potato is one type of starchy vegetables.

7.     Cakes are loaded with sugar and sodium which will spike your glucose level.

Salts / Sodium (盐 / 钠)

High consumption of salts may lead to a raise in blood pressure resulting in diabetes, stroke or heart disease. Instead of salt, use herbs and spices to flavor the food.

Sugary Foods (含糖的食物)

1.     Honey

2.     Sweets

3.     Ice cream

4.     Condensed milk

5.     Any cereals coated with sugar

6.     Diabetic jam – Tend to come with high carbohydrates

7. Other forms of sugars (糖的其他形式) – Sucrose, Maltose, Dextrose, Fructose, Glucose, Galactose, Lactose, High fructose corn syrup, Glucose solids

Matters to Note (应注义事项):

1.     The above diet may not be applicable to an end stage kidney failure patient. Please refer the section on end stage kidney failure. (上述饮食可能不是可适用的对末端阶段肾衰竭患者)

2.     Exercise and meals in regular intervals are important to maintain a good glucose level. (锻炼和饭食在正则区间是重要维护一个好葡萄糖水平)

3.     Buy a glucose meter reading device to monitor pre and post meal glucose level so that you are aware of which food is not suitable for you. (买葡萄糖计算机监测前和膳食以后葡萄糖水平，以便您知道哪食物不适用于您)

Feel free to drop me a note if you need any recommendations.

Osteoporosis and Calcium (骨质疏松症和钙)

A high percentage of kidney transplant patient will develop Osteoporosis – A reduction in bone mineral density and thus increase the risk of fracturing.  Such bone loss and fractures even higher for those patients with insulin-dependent diabetes mellitus.  (肾脏移植患者的高百分比将患骨质疏松症 – 对骨头矿物密度的减少和因而增加破碎的风险。这样骨头损失和破裂更高那些病人的有胰岛素依赖糖尿病。)

In accordance to Johns Hopkins Medicine, following behaviours increase your chance of getting osteoporosis (约翰霍普金斯医学的依照，以下行为增加您的得到骨质疏松症的机会):

1.     Not consuming enough calcium, vitamin D, potassium or protein (不进食足够的钙、维生素D、钾或者蛋白质)

2.     Not exercising regularly (不经常运动)

3.     Smoking cigarettes (抽烟)

4.     Overuse of alcohol (过度使用酒精)

5.     Long-term use of such medications as glucocorticoids, some antiseizure drugs and overuse of aluminum-containing antacids (长期用途的这样疗程象glucocorticoids、和过度使用一些antiseizure铝包含的抗酸剂药物)

6.     Eating disorders that reduce your body weight (饮食失调)

Taking calcium-rich foods like milk and soya products can grow strong bones to protect against osteoporosis developing later (吸收象牛奶和大豆产品的钙丰富的食物可能生长强的骨头以防止受到后期骨质疏松症). 

Vegetables:
1.  Kai Lan (Kale)

2. Chinese and English Spinach (菠菜)

3. Chye Sim (菜心)

4. Long and French bean (长和扁豆)

5. Broccoli (绿花椰菜)

Fish:
1. Salmon (鲑鱼)

2. Cooked Sardine once a week (1 sardine = 190mg of sardine) {煮熟的沙丁鱼每星期一次(1个沙丁鱼沙丁鱼=190mg)}

3. Ikan Bilis soup and eat the ikan bilis

Others:
1. High calcium but low fat milk such as HL Milk (高钙，但是低脂牛奶例如HL Milk)

2. Four tea-spoons of milk powder (四个茶匙奶粉)

3. Wholemeal bread (全麦面包)

4. Packed soy milk (包装的豆奶)

5. Exposed your hands to sunlight for 10 minutes between 10am to 3pm

6. Palm full of almond or peanuts daily (每日吃小部分杏仁或花生)

Matters to Note (应注义事项):

·      Routine screening such as Yearly Assessment of Bone Density (逐年评估对骨头的密度)

·      Should not take all calcium (vitamin D) at one time as the body can only absorb 500mg ONE TIME (不应该一次采取所有钙(维生素D)，身体只吸收500mg一次)

10 Important Facts About Vitamin K That You Need to Know

10 Important Facts About Vitamin K That You Need to Know

Foods to Avoid for LIFE {Update#1} (手术后一辈子不能吃的东西)

Any updates will be highlighted in YELLOW

1.     All types of ginseng (所有参类 - 人参, 高丽参, 花旗参等)

2.     Bird nest (燕窝)

3.     Hashima (雪蛤膏)

4.     Ganoderma lucidum (灵芝)

5.     Royal jelly (蜂王浆)

6.      Deer-horn (鹿茸)

7.     Individual packed Chinese medicine which the ingredients is not known (个体包装了成份不被认识的中医)

8.     All types of pomelo / grapefruit  (柚)

9.     Vitamins A & E supplements (维生素A & E补充)

Pre-Transplant Preparations {Update#1} (移植前必须准备事项)

Pre-Transplant Preparations (移植前必须准备事项) {Update#1}

Any updates will be highlighted in YELLOW

Background (背景): I'm a diabetic for many years and was on dialysis prior to the operation (在手术之前, 我是一个糖尿病患者并且是在透析).

I believe the following factors will contribute to the successful surgery as well as a faster healing process (我相信以下因素将造成手术的成功以及一个更加快速的恢复过程).

My diet during dialysis period (我的饮食在透析期间):

1. Two to four egg white daily (每日两到四个蛋白)
2. Consume beef for lunch during dialysis day (在透析日，午餐食用牛肉)

Two weeks before surgery (在手术前的两个星期):

1.          Six egg white daily (每日六个蛋白)

2.          Consume beef and fish daily (每日吃牛肉和鱼)

At all times (一直):

1. No smoking (禁烟)
2. No drinking ( 禁酒)
3. Exercise for 3-4 times weekly (每周锻炼3-4次)

To assess one's health conditions and to pass the hospital's Review Committee, following medical check-ups are necessary (医疗检查):

1. Echocardiography (回波绘图仪 - 用超频率音响检查心脏)
2. Treadmill Stress Test (踏车压力测试)
3. CT Scan Iliac Arteries and Veins (CT扫描髂动脉和静脉)
4. CT Coronary Angiogram & Calcium Score (CT冠状管造影术&钙比分)
5. Gastroscopy (胃镜检查)
6. Tissue Typing & Antibody Identification (组织键入&抗体证明)

Matters to Note (应注义事项):

After the surgery, one should not undertake another major surgery.  Prior to the surgery, one should:

1.  Have a dental checkup and fix all necessary teeth filings

2.  Any concerns from the CT Scan, they should be resolved prior to the surgery

3.  Do not undertake blood transfusion prior to the surgery (不要在手术之前输血)