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  • Q&A with Australian Health Practitioners

    What diet do you recommend for ulcerative colitis / Crohn's disease and type 2 diabetes?

    Related Topics
    Crohn's Disease & Ulcerative Colitis Digestive Health Endocrinology
    What diet do you recommend for ulcerative colitis and Crohn's disease as well as type 2 diabetes? I have found eating fruit and vegies can cause me problems with my colitis as well as bread. What can I eat to ensure that I get my nutrients and vitamins and minerals?
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    Dr Kannan Venugopal

    Gastroenterologist

    I am an adult gastroenterologist working in Perth, WA. I have trained in Perth and Edinburgh, UK. After completing my speciality gastroenterology training, i have … View Profile

    Generally, there are no dietary restrictions for a patient with Inflammatory bowel disease. All patients are encouraged to eat a healthy, balanced diet which is rich in fruits, vegetables and meat. About 15-20% of patients do describe certain food intolerances, most commonly to dairy products or tomatoes. The exact reason for the same is not known, but this tends to parallel disease activity.
    if there ia a particular food intolerance that a patient notices, the advice is to try and avoid that food stuff alone for a period of time and to rechallenge, once the patient is in complete remission.

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    Dung Pham

    Dietitian

    Dung is an Accredited Practising Dietitian who currently works in Community Health and Private Practice as a HACC/CH dietitian and Health Coach. She has also … View Profile

    Given the multiple diagnosis of Inflammatory bowel disease and diabetes i would strongly recommend you seen a dietitian to provide you with a more individualised apporach to management.

    I agree with Dr Venugopal re; recommendations for a balanced healthy diet for people with both diabetes and inflammatory bowel disease. There are dietary modifications we recommend during flare ups.

    In regards to problems with fruits and bread. As expressed by Dr Venugopal there may be food intolerances. There is emerging evidence of the benefits of a low FODMAPS diet for people with inflammatory bowel disease. I have had several clients who have experienced symptom relief through this approach.  Again a dietitian with interest in this area would be your best point of call.


     

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  • John Jones

    Nutritionist

    I am an Accredited Practicing Dietitian with a passion to provide practical solutions to creating a healthy lifestyle.My interest in nutrition was born during his … View Profile

    It sounds as though you are having trouble with FODMAPs as Dung Pham has indicated. Some people with ulcertaive colitis have difficulty with malabsorption which can lead to some of the symptoms you're describing. 

    There can also be some deficiencies that result from the medication you need to take for ulcerative colitis. It is definitely worth seeing a dietitian to get some personalised nutrition advice. 

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