Initial Assessment and Measurements
📌 The session began with the dietitian informing the patient they were referred by their doctor for diabetes management, specifically controlling sugar levels.
📏 Initial steps included taking the patient's height (162 cm) and weight (80.4 kg), along with other body measurements.
⏱️ The entire initial consultation was planned to take approximately 30 minutes.

Dietary Recall and Analysis
🍎 The patient reported a diet primarily consisting of rice with dishes, roti canai, and consumed snacks like biscuits, chocolates, and ice cream while watching TV.
🍪 Specific snacks included cream biscuits and chocolates consumed after dinner.
🍗 Main dishes often included chicken or fish; the patient's usual breakfast was roti canai (roti alone or with plain roti) and sometimes curry puffs for snacks.

Carbohydrate Impact and Blood Sugar Control
🍚 Foods like roti canai, rice, and sugary items (like syrup) were identified as being high in carbohydrates, which significantly impact blood sugar levels compared to protein sources like chicken or fish.
📉 The patient's recent blood sugar reading of 11 mmol/L was linked primarily to the amount of carbohydrate consumed during meals.
🎯 Target blood sugar levels are less than 6.1 mmol/L before a meal and less than 8 mmol/L two hours after a meal, with a difference of less than 2 mmol/L.

Actionable Dietary Adjustments
⬇️ Portion control was recommended: limit breakfast/lunch to one piece of roti canai/roti and reduce afternoon tea snacks (curry puffs) from three pieces to one or two pieces.
🥤 For lunch, substitute sugary drinks with plain water, similar to what the patient already does at dinner.
💧 The patient committed to managing hunger while reducing intake by eating smaller portions and drinking water in between meals.

Key Points & Insights
➡️ The patient is motivated to manage their diet because their father is currently on dialysis, highlighting the seriousness of uncontrolled diabetes.
➡️ The immediate plan is to reduce carbohydrate-rich portions at breakfast and lunch and strictly limit high-sugar snacks like curry puffs.
➡️ Drinking plain water between meals is an agreed-upon strategy to manage hunger while adhering to the reduced portion sizes.

📸 Video summarized with SummaryTube.com on Dec 30, 2025, 07:59 UTC