Diabetes: Type 1 & Type 2


Type 1 diabetes is also called insulin-dependent diabetes. It used to be called juvenile-onset diabetes, because it often begins in childhood.

Type 1 diabetes is an autoimmune condition. It’s caused by the body attacking its own pancreas with antibodies. In people with type 1 diabetes, the damaged pancreas doesn’t make insulin.

Maintaining a healthy diet is important for type 1 diabetes management. A type 1 diabetes diet is designed to provide maximum nutrition, while also monitoring intake of carbohydrates, protein, and fat.

People with type 1 diabetes need to monitor their blood sugar levels. Without proper diet, exercise, and insulin therapy, a person with type 1 diabetes could experience health complications.

Dietitian can help you come up It’s easy to reach for fast food and other processed foods when you’re short on time and money.

However, these foods offer minimal nutrients and are high in fat, sugar, and salt. Planning meals ahead of time and grocery shopping regularly can help cut down on any “emergency eating with meal plans and create a diet that works for you in the long term.

An important aspect of any diabetic diet is consistency. To maintain blood sugar levels:

  • don’t skip meals
  • try to eat around the same time each day
  • pay attention to food labels



Type 2 diabetes is a chronic condition that affects the way your body metabolizes sugar (glucose) — an important source of fuel for your body.

With type 2 diabetes, your body either resists the effects of insulin — a hormone that regulates the movement of sugar into your cells — or doesn’t produce enough insulin to maintain normal glucose levels.

Type 2 diabetes used to be known as adult-onset diabetes, but today more children are being diagnosed with the disorder, probably due to the rise in childhood obesity. There’s no cure for type 2 diabetes, but losing weight, eating well and exercising can help manage the disease. If diet and exercise aren’t enough to manage your blood sugar well, you may also need diabetes medications or insulin therapy.

Type 2 diabetic diet include complex carbohydrates such as brown rice, whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and lentils. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries.

Foods with a low glycemic load (index) only cause a modest rise in blood sugar and are better choices for people with diabetes. Good glycemic control can help in preventing long-term complications of type 2 diabetes.

Protein provides steady energy with little effect on blood sugar. It keeps blood sugar stable, and can help with sugar cravings and feeling full after eating. Protein-packed foods to eat include beans, legumes, eggs, seafood, dairy, peas, tofu, and lean meats and poultry.

Listen To What My Patients Say

  • Kalashree Bandekar
    I had consulted her during my pregnancy. She gave me a very practical diet plan which could be easily incorporated into my schedule and availability. Her dietary advice helped me sail through a wel nourished pregnancy with no excess weight difficult to shed off post partum with me back to my original weight post partum. Her daily nutrition whats app updates are something i look forward to! Highly recommended!
    Kalashree Bandekar
  • Tehzeeb Mohammedi
    My experience with Shilpa Joshi was amazing and still amazing, yes the best dietician I know since I have kidney issues which is a kind of chronic kidney disease... Because of the medication I was suffering from diabetes and her diet plan and constant assistant help me to control my diabetes... She gives you proper guidance in terms of food and does not deprives you from the food and dishes you like to eat... The best I like about her is you can reach out to her at any time...
    Tehzeeb Mohammedi
  • Mr. Trehan
    Blood tests showed signs of high sugar. Medical tests confirmed this and moreover detected our child as a T1D. Doctors gave their best to administer dosages and ensure that we understood the Dos and Don’ts. Here comes the game changer — The right Nutritionist. I am really thankful to Dr Shilpa Joshi for accepting our request to Administer our child’s journey from the hba1c of 14.4 to 7.1. Initially we were confused why we were not given any meal plans, but with time we really understood her method — 1) It’s a deficiency 2) Cook and make your child eat anything and everything (healthy) 3) Carb counting 4) Transparency is the key 5) Make your child eat out 6) leading a normal life Importantly we realised that we ourselves were eating an imperfect diet and there was an urgent need of a nutritionist like Dr. Shilpa Joshi.
    Mr. Trehan
  • Dr. Varsha Khatry
    I have known Dr.Shilpa Joshi for years and have collaborated with her on numerous scientific initiatives at Abbott Nutrition , Pfizer and now Roche Diabetes Care. She has commendable knowledge and deep understanding in Diabetes Care. We recently had a scientific initiative for Roche Diabetes Care India employees as a part of the "Live Well" program and all employees really enjoyed the talk by Dr. Shilpa which she delivered with great energy , passion and engaged the audience with her knowledge and way of oration. I am always glad to see her continuous desire to cascade her knowledge and expertise !!
    Dr. Varsha Khatry
    Country Medical Director, Roche Diabetes Care India Pvt. Ltd.
  • Suniana More
    I was having GDM around 6th month of pregnancy and I was referred to Joshi ma'am for diet as I was not willing to take medicines to control sugar. The diet she prescribed was easy to follow and with 10days the sugar was normalized. I continued the diet plan till my delivery. It helped me to Maintain the weight too.
    Suniana More
  • Saloni Suri
    I am a type 1 diabetic who has done the carb counting course with Shilpa Joshi, RD Post my learning sessions with her I find myself better equipped to manage my BSL's. The key to managing Type 1 diabetes is understanding the impact of the food you eat on your sugar levels. Shilpa explains it well as her knowledge base is vast and experience is exemplary. She is a teacher who understands you and advises you on a food plan best suited to your lifestyle.
    Saloni Suri
  • Deepika Lalwani
    2 years ago when I came back from my holidays I was falling sick very often sometimes with a headache nausea frequent thirst hunger and the urge for frequent urination so my doctor told me to go for a full check-up and to my surprise my blood sugar was about 500 fasting and I was prescribed medications to bring my blood sugar under control but still my fasting sugar would go up to 145 and post meals to about 175 till I met Shilpa Joshi, RD under whose guidance and a proper diet my fasting sugar is always under 100 and post meals maximum to 130 but I am under no medication for diabetes at all ,a well-controlled diet and exercise actually reversed my diabetes
    Deepika Lalwani
  • Urjita Sheth

    I have faced the issue of being overweight since I was a child and there was never an explanation for it as to why was I gaining so much weight. Thereafter the issues piled up so much that it messed up with my menstruation cycle. A few years later a word came in my life “PCOS” which went onto become the answer to my every problem but doctors and dietician had no solution to it other than me starving myself, losing my glow and hair along the way and losing weight the wrong way until Shilpa Joshi, RD was introduced to me. For years I followed diets like they were some sort of punishment for me but with Shilpa’s diet, it is like I finally found solutions to my every problem while still eating the most healthy but the most stomach filling food. The diet not only helped me lose weight but also helped me with my menstruation cycle, my skin glow and my hair shine. For the first time, the diet has become a part of my lifestyle and a part of my daily diet other than just following it for the sake of weight loss.

    Urjita Sheth
  • Sankalp Shah
    I have been living in US/Canada for the last decade and working in Diabetes- so as my mum's control deteriorated I began to worry anticipating comorbidities. I strongly believe that the right diet is crucial for bringing control to T2 patients. Knowing fully well that patient adherence is strongly linked to the patient understanding I was looking for a credible dietitian with the ability to explain concepts to someone like my mother (very basic understanding of the disease state and limited attention span). This is when my colleague, a former president of the ADA recommended that I take my mum to see Shilpa in one of my trips to Mumbai. Shilpa Joshi, RD explained the basic diabetes principles, the impact of Carbs on Glucose levels, and gave her a diet based on her glucose readings that were simple, flexible and very local. My mum still goes to her for quarterly follow-ups and has seen better results. I would strongly recommend anyone to Shilpa
    Sankalp Shah
  • Madhvi Vaswani Chhabra
    Shilpa Joshi, RD was referred to me after I was diagnosed with Type 1 Diabetes at the age of 30. Right off the bat she was immensely comforting and reassuring that my life is going to go back to the way it was. Through the course of 5 sessions, she taught me how to count carbohydrates and how to accurately determine my carb-insulin ratio. She also focused on the characteristics of a lot of Indian foods for which you can’t readily find information online. Through these sessions and a few follow up ones, she has geared me into tackling the daily food decisions that come with Type 1 Diabetes without overthinking it. She’s comforting, approachable and always available when you need her. I am grateful to have met her and am better off because of it.
    Madhvi Vaswani Chhabra

    Dr Shilpa Joshi maam is awesome at her work.
    She explained things from basic.
    I got amazing results after using her teachings in practical life! She literally cleared our doubts/queries/silly questions.
    She has so much of knowledge and experience.
    Every single penny is worth it.
    Appreciate her efforts! She is the Best!
  • Dr. Sana Rehan Shaikh
    Dr Shilpa Joshi Maam I really enjoyed attending your workshop on Gestational Diabetes Mellitus.The best part of the session is that she makes each and everyone sort their query and only then moves forward.She makes it so relatable by sharing her experience and examples. HIGHLY RECOMMEND HER WORKSHOP!
    Dr. Sana Rehan Shaikh
    Nutritionist / Clinical Dietitian / Certified Diabetes Educator
  • Indrayani Pawar
    Learning from Shilpa Madam is an experience in itself. Her immense knowledge of the subject along with her vast experience of so many years makes the learning more impactful. The course materials are easy to understand and practical. The best part is the Shilpa madam shares a lot of practical secrets that she has experienced with her patients during the course adding on to our knowledge which helps a lot when we handle a patient with that condition. I have been a part of almost all the online courses offered, and the highly recommend Carbohydrate counting, PCOS management, and GDM management. The time invested in online learning with Shilpa Madam is worth it!
    Indrayani Pawar
    Consultant Clinical Dietitian, Khar Hinduja Mumbai
  • Sindhu S., M.Sc.,RD., Consultant Clinical Nutritionist, Nuyoga, Milestones Clinic for Children and Diabetic Care India Cochin
    Choosing through the various webinars and e-conferences during this lockdown period was becoming really confusing and I was initially skeptical about attending Shilpa Madam’s virtual workshops. But now all I do is look forward for more of her workshops. I really appreciate her teaching technique and her insights on practical facts and real life scenarios. I got the opportunity to attend three of her workshops so far which were very informative and useful as the content is up to date and concentrates on the current trends in the field of clinical nutrition and dietetics. Thank you Shilpa Madam for coming up with this idea of reaching out to dietitians and nutritionists like me and providing the platform for a real learning experience!
    Sindhu S., M.Sc.,RD., Consultant Clinical Nutritionist, Nuyoga, Milestones Clinic for Children and Diabetic Care India Cochin
  • Chittranjan Yadav
    Diet in diabetes; most people think - No sugar , No sweet , No rice , No potatoes, even the practicing Dieticians feel diabetic diet what's the rocket science involved it's easy and they provide the same diet plan for all, infact diet plan for type- I and type - II are almost same and the results are pathetic. Then I decided to go in detail about insulin therapy and diet planning for diabetics and found it was completely different and i suggest, it should be a mandatory session for all clinical dietitians who deal with diabetes. I thank Dr. Shilpa Joshi who given the comprehensive education and Practical application with all essential calculations for planning a result oriented diet plan according to insulin therapy. We long for more such sessions.
    Chittranjan Yadav
    HOD- Nutrition & Dietetics RKCH, Raipur Chhattisgarh
  • Mrs. Amita Tambekar, RD, CDE
    Mrs. Shilpa Joshi, RD & CDE conducted a carbohydrate counting training workshop for the practicing dietitians of Surat in December 2018. The workshop was not only very informative but also backed with recent scientific evidence. The practical tips that she gave helped all the dietitians to implement the medical nutrition therapy principles into the practice. The topics like types of insulin, how to plan meals based on the different insulin regimen, carbs exchanges, calculations of ICR, SF etc.were very well explained by her. She simplified the complicated subject & that surely made things easier for all the dietitians.I thanked her for conducting such educative workshop which is the result of her years of experience with us. The workshop is definitely worth attending & gives very practical solutions to the day to day problems faced by the people with diabetes. I strongly recommend it to all the practicing dietitians.
    Mrs. Amita Tambekar, RD, CDE
  • Prashant Menon
    Thank you very much for the extremely interactive and practical session on ‘Right Nutrition Choices’ taken by you at our Exeltis HO at Mumbai. The program was telecast LIVE to our Chennai Office and Plant as well, where we had more than 100 colleagues witnessing the very simplistic method in which you elaborated pointers on the right nutrition and risk factors. The comments I have received about your session has been very encouraging and more importantly they loved the practical approach that you brought about in your slides. Many ‘quick wins’ that you highlighted have already being put into action by a few of my team members, which speaks of the impact your session had. Thanks once again and Congratulations for the effort. Keep spreading this message in the lucid style that you bring into your sessions.
    Prashant Menon
    Managing Director, Exeltis India
  • Patient
    Learning from Shilpa Madam is an experience in itself. Her immense knowledge of the subject along with her vast experience of so many years makes the learning more impactful. The course materials are easy to understand and practical. The best part is the Shilpa madam shares a lot of practical secrets that she has experienced with her patients during the course adding on to our knowledge which helps a lot when we handle a patient with that condition. I have been a part of almost all the online courses offered, and the highly recommend Carbohydrate counting, PCOS management, and GDM management. The time invested in online learning with Shilpa Madam is worth it!
  • Ashok Thakkar
    First time I visited Shilpa Joshi, RD in Jan 2018 my weight was 92.7 kgs and I had high blood pressure and cholesterol.She made the necessary change in my diet and suggesting walking since I was not much into physical activity.I lost 3 kgs in the first month and with regular follow-up and necessary changes in diet plan based on my weight loss I lost 15 kgs in 10 months. Now I weigh 77.7 kgs ideal for my height of 5 ft 10 inch. My Blood pressure and cholesterol are normal now and am feeling very energetic. I would like to thank Shilpa Joshi, RD for patiently guiding me to healthy food habits and teaching real mantra to maintain weight rather than going for a fancy diet.
    Ashok Thakkar
  • Hamir Asher
    I was appr 97 kgs when I started seriously thinking about weight loss. I took up to playing badminton, to begin with, and as a result, lost 7 kgs in the next few months. While I continued to play, the weight loss stopped. I got a recommendation to consult Shilpa Joshi, RD and that would turn out to be a key trigger for me. The key issue she had was to ensure that I have enough energy to play and also reduce calorie intake to ensure weight loss. She ensured that the diet plan will provide me enough energy to continue to play and also lose weight. The diet plan involved eating normal stuff which is available at all households and no powder or food was recommended which was a quick fix or medicine to burn fat. I am happy to say that today I weigh 80 kgs, have enough energy to continue playing my sport and also eat enough to fill my stomach. All credit to Dr. Joshi to have helped me in achieving this goal."
    Hamir Asher
  • Dipti Raut
    I am Dipti Raut from Mumbai, I used to be 92 kg. Health issues were my primary reason and hence I decided to lose weight. Firstly I consulted dietician so that I could plan a proper diet. And I was so lucky that I got the best dietician, who helps you to lose weight by making you eat and stay healthy, thanks a lot Shilpa Joshi, RD ma'am. Along with gym sessions, I also started reducing carbohydrates in my diet. I lost weight gradually but steadily and went down to 72kg. I think what worked is a combination of sustained and regular exercise with a healthy diet. It was not a miracle but my discipline and support from family, dietician, and friends that yielded results. Hard work with true dedication is always rewarded with delicious fruit.
    Dipti Raut
  • Dr. Nishita Rana

    Shilpa Joshi, RD is a highly knowledgeable Dietician. She has been guiding me from past two years for peg tube feeding. Very few Dieticians can give their best advice about peg feeding on opd basis. Her knowledge about nutrition, diet in relation to tube feeding patients is highly appreciable. Her recommendations would mainly focus on balanced diet, proper calorie counts and home preparations as much as possible. Thank you for keeping us on healthy track!

    Dr. Nishita Rana
  • Mark Carneiro

    After I was diagnosed with Crohn’s disease, I found that the simplest of meals affected me adversely. I decided to see a dietitian that would me with my diet while my body healed. Shilpa Joshi, RD was highly recommended by a well-renowned doctor. As I got to know Shilpa, I began to realize the depth of her knowledge about nutrition, diet, and exercise. She has a strong desire to find different ways to help patients be healthier and to solve difficult health problems. I was impressed with her drive to find holistic, healthy ways to help our bodies heal and to prevent further problems. With Shilpa’s program I learned how to understand the food I eat and how my body works with this food. Shilpa did not restrict my eating habits but showed me how to read labels and introduce healthier things into my diet. I am grateful to Shilpa for having helped me on my path to recovery. I would highly recommend consulting Shilpa Joshi, RD for all your dietary needs.

    Mark Carneiro
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