Confussion

Q:

How can I combine a diabetic diet and a diet for Cumiden? I am finding it impossible.

Amy Campbell

A:

Coumadin (warfarin) is a medicine that is used to help prevent blood clots, heart attacks and stroke. There isn’t really a “diet” for Coumadin, but there are some foods and beverages that can prevent this medicine from working properly, specifically foods that are high in vitamin K. These foods include the leafy green vegetables, like spinach, kale, Brussels sprouts, collard greens, parsley, broccoli and cabbage; green tea, and some over-the-counter meal-replacement drinks. Taking Coumadin doesn’t mean that you can’t ever eat these foods; the goal, however, is to be consistent about eating them. This means that if you enjoy eating, say, leafy green vegetables, you should aim to eat them on a regular basis. Doing so helps your healthcare provider better regulate your Coumadin dose. In terms of your eating plan for diabetes, most foods high in vitamin K are actually quite low in carbohydrate, so they have little effect on your blood glucose levels. I’d suggest meeting with a dietitian to discuss your eating plan for diabetes as well as foods that are okay to eat while taking Coumadin. A dietitian will help you develop a meal plan that can work for both.

November 4, 2012 at 3:31 am