My father is a serious heart patient who has been referred for CABG due to triple vessel disease with about 70% blockages. He also has diabetes and is on insulin. Recent blood sugar levels after 7 days of insulin are fasting 157 mg/dL and postprandial 112 mg/dL. His echocardiogram Doppler test shows an ejection fraction of 30%, and his uric acid is 5.8. He is on multiple heart and diabetes medicines as prescribed by the cardiologist, and CABG has been planned after one month, depending on improved sugar control. Kindly advise a suitable diet plan for diabetes and heart health, the next treatment steps after one month, and the approximate cost of CABG surgery.
He should follow a strict heart- and diabetes-friendly diet with low salt, low sugar, and low saturated fat, and avoid fried and processed foods, while consuming more vegetables, whole grains, pulses, and lean protein in small, frequent meals. Good blood sugar control before surgery is important, and his cardiologist may adjust insulin and assess heart function to optimise fitness for CABG. After one month, if sugars and overall condition are stable, he will likely undergo preoperative assessment and then CABG as planned, with close heart monitoring due to the low ejection fraction. The approximate cost of CABG in India varies widely, typically around 2 to 7 lakh rupees, depending on hospital type and complexity of the case.
