Name of the patient: Rajesh Kumar
Age/Sex: 45/Male
OPD/IPD No: OP2024/3856
Referring consultant: Dr. Meera Shah
Diagnosis: Type 2 Diabetes Mellitus with Obesity
Date: November 18, 2024
Occupation: Software Engineer
Anthropometric measurements:
Ht: 172 cm Weight: 85 kg
BMI: 28.7 IBW: 70 kg
Prakriti: VP

Type of Diet: Mixed
Habituated Food items: Daily

• Pickle, fried snacks, sweetened beverages, outside food 2-3 times/week

Timing of Consumption: Irregular
Practice of viruddha ahara: Occasional practice
Nutritional Evaluation: High Calorie Diet
Nature of Food consumed: Vataja ahara

Therapeutic Diet advices:
Nature of Diet Advised: Low calorie, diabetic diet with regular meal timing

Specific Cereals: Brown rice, Whole wheat, Jowar
Specific millets: Ragi, Baragu
Specific Pulses: Green Gram, Black gram, Soyabean
Specific oil: Olive oil, mustard oil (limited quantities)
Specific Vegetable, Roots and tubers:
All leafy vegetables
In specific: Bitter gourd, drumstick, cucumber, carrots, beans

Specific fruits: Low glycemic fruits – apple, guava, oranges
Milk and its bi-products: Skimmed milk, buttermilk
Non-veg: Egg whites, Fish (2 times/week)

Modification Advises:

1. Diet pattern: Mixed diet with emphasis on whole grains and proteins

2. Timings: Regular meals at fixed times with no skipping

3. Food quantity: Portion control using plate method

4. Nutritional analysis: 1800 kcal/day, Protein: 70g, Carbs: 225g, Fat: 60g

Formulated diet plan:

Morning drink (6am):

• Warm water with lemon and cinnamon

• Therapeutic peya: Fenugreek water

Breakfast (8.30am):

• 2 whole wheat rotis or 1 cup brown rice idli

• 1 cup vegetable sambhar

• 1 boiled egg white
  Therapeutic peya: Green tea
  

Lunch (1.30pm):

• 1 cup brown rice

• 1 cup mixed dal

• 1 cup leafy vegetables

• 1 cup yogurt
  Therapeutic peya: Buttermilk with cumin
  

Evening high tea (5pm):

• 1 fruit (apple/guava)

• 1 cup green tea

• Roasted chana (25g)
  Therapeutic peya: Jeera water
  

Dinner (8pm):

• 2 multigrain rotis

• 1 cup mixed vegetables

• Fish/tofu (100g)
  Therapeutic peya: Chamomile tea
  

2nd Example

Name of the patient: Priya Sharma
Age/Sex: 32/Female
OPD/IPD No: OP2024/4127
Referring consultant: Dr. Amit Kapoor
Diagnosis: PCOD with Hypothyroidism
Date: November 18, 2024
Occupation: Bank Manager
Anthropometric measurements:
Ht: 158 cm Weight: 72 kg
BMI: 28.8 IBW: 55 kg
Prakriti: KP

Type of Diet: Vegetarian
Habituated Food items: Weekly

• Papad, deep fried snacks, carbonated beverages, sweets

Timing of Consumption: Occasionally Irregular
Practice of viruddha ahara: Regular practice
Nutritional Evaluation: High Protein diet
Nature of Food consumed: Kaphaja ahara

Therapeutic Diet advices:
Nature of Diet Advised: Anti-inflammatory, balanced protein diet with thyroid-friendly foods

Specific Cereals: Quinoa, Wheat, Oats
Specific millets: Navane, Saame
Specific Pulses: Green Gram, Horsegram, Soyabean
Specific oil: Sunflower, Safflower (in moderation)
Specific Vegetable, Roots and tubers:
All leafy vegetables
In specific: Broccoli, cauliflower, bell peppers, sweet potato, asparagus

Specific fruits: Berries, pomegranate, pears
Milk and its bi-products: Skimmed milk, paneer
Non-veg: None (Vegetarian)

Modification Advises:

1. Diet pattern: Vegetarian with focus on selenium and iodine-rich foods

2. Timings: Strict meal timing with 3-hour gaps

3. Food quantity: Small frequent meals

4. Nutritional analysis: 1500 kcal/day, Protein: 65g, Carbs: 175g, Fat: 50g

Formulated diet plan:

Morning drink (6am):

• Warm water with apple cider vinegar

• Therapeutic peya: Tulsi-ginger tea

Breakfast (8.30am):

• Oats porridge with nuts (1 cup)

• 2 egg whites or sprouted moong (for protein)
  Therapeutic peya: Green tea with mint
  

Lunch (1.30pm):

• 1 cup quinoa or millet

• 1 cup mixed vegetables

• 100g paneer/tofu

• Raita with cucumber
  Therapeutic peya: Cumin-coriander water
  

Evening high tea (5pm):

• Mixed seeds (pumpkin, sunflower)

• 1 fruit (apple/pear)

• Herbal tea
  Therapeutic peya: Metabolic booster tea
  

Dinner (8pm):

• 2 multigrain rotis

• Stir-fried vegetables

• Dal soup
  Therapeutic peya: Cinnamon tea
  

This diet plan is specifically designed for:

• Hormonal balance

• Thyroid function support

• Weight management

• Blood sugar regulation

• Anti-inflammatory benefits

• Adequate fiber and protein intake

The plan emphasizes:

• Regular meal timing

• Anti-inflammatory foods

• Thyroid-supporting nutrients

• Limited processed carbohydrates

• Increased protein and fiber intake

• Avoiding goitrogenic foods in raw form