Diabetes management

[gangadharan_nair]

* Avoid single high concentrated meals.

* Small frequent meals, more times in a day.

* Do not consume food at night.

* Food high in fibre content like vegetables, whole pulses, fruits, etc.

Ideal combination of diabetic diet should be:--

Carbohydrates: 55-60%.

Fat: 30%.

Proteins: 15-20% (0.8g /kg /body wt).

Fibres 40 g/day.

DIABETIC DIET

Do not eat at all:--

Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar.

Eat in moderation:--

Bread, chapatis, oat porridge, cornflakes (No sugar), Cheese, butter, Noodles or spaghetti, macroni, Thick soups, Milk & milk products, Chicken,lean meat, fish.

Take unrestricted:--

* Salads (cucumber, tomato, onion, raddish, salad leaves).

* Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).

* Fruits (except banana, chockoo or mangoes).

* Sprouted beans and pulses.

* Marie biscuit (with less sugar).

* Clear soups, Lemon juice, Buttermilk

Exercise (brisk walking) daily for about 30 minutes.

Check your post prandial blood sugar (PPBS) daily. Your PPBS level should be less than 140 mg/dL.

Periodical tests to be conducted by a diabetic patient.

A: HbA1c. HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows

how well you are controlling your diabetes.

B: Control your high Blood pressure, if any. Normal blood pressure- <120/80 mmHg.

C: Control your blood Cholesterol: Normal cholesterol < 200 mg/dL. LDL <100 mg/dL HDL > 40 mg/dL Triglyceride < 150 mg/dL.

D: Diabetic education. Dental check-up should be done in every six months.

E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.

F: Foot examination (Diabetic neuropathy and diabetic foot ulcers)

G: Glucose monitoring. Fasting or postprandial blood sugar may be checked daily and avoid foods that elevate blood sugar.

H: Health maintenance immunization against influenza and pneumococcal pneumonia.

I: Indications for specialty care. Heart, kidney and liver should be checked periodically by concerned specialists.(Once in a year).

* Overall, the risk for death among people with diabetes is about twice that of people of similar age without diabetes.

* Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.

* The risk for stroke is 2 to 4 times higher among people with diabetes.

Sources:--

en.wikipedia.org/wiki/Diabe...

nlm.nih.gov/medlineplus/dia...

en.wikipedia.org/wiki/Aerob...

en.wikipedia.org/wiki/Anti-...

en.wikipedia.org/wiki/Diabe...

[vps_123]

good piece of information

[gangadharan_nair]

High fat diet is expensive. Poor people could not afford high fat diet. Some advocate high fat diet from vegetable sources. More knowledge about diabetes mellitus can reduce morbidity and mortality. The amount of carbohydrates has to be adjusted according to the individual requirements and to prevent overweight. 55 to 60% of carbohydrate is recommended by the medical professionals. Physical exercise and anti-diabetic medication are essential for the control of diabetes. Some diabetic patients are hesitant to adopt anti-diabetic medication or insulin therapy in spite of high blood sugar.

Please note that I am not a medical professional.

[ROZARIO in reply to gangadharan_nair]

I take ISTAVEL 100mg tabs before B.F instead of Insulin

[Hidden]

"

55 % to 60 % carbs for a nominal diet of 2400 calories comes to 330 to 360 gms of carbs.." Sir, NO WAY!.

We should all look at the diets recommended by various eminent minds, like ATKIN's diet,

( Induction phase -20 gms of carbs), to the much maligned Dr.Ornish diet which is Carbs 55% / Fat 20% /Proteins 25%.

The Atkins Diet, is a low-carbohydrate diet promoted by Robert Atkins. Atkins used the study to resolve his own overweight condition. The Atkins diet involves limited consumption of carbohydrates to switch the body's metabolism from metabolizing glucose as energy over to converting stored body fat to energy(ketosis).The most recent version of the diet incorporates the most recent advances in science but keeps the basic framework same. There are four phases of the Atkins diet: induction, ongoing weight loss, pre-maintenance and lifetime maintenance.

In the induction phase ( two weeks), it is intended to cause the body to quickly enter a state of ketosis. Carbohydrate intake is limited to less than 20 net grams( he introduced the concept of :net carbs=carbs-fiber) per day

Dr. Ornish’s diet is basically a low fat prescription, Carbs 55% / Fat 20% /Proteins 25%, with a variable aim; "Can be tailored to losing weight, preventing or reversing diabetes and heart disease, lowering blood pressure and cholesterol, and preventing and treating prostate or breast cancer". Dr Ornish’s diet is more tilted towards some of the recommending authorities thinking.

The claim: It’s scientifically proven to make you “feel better, live longer, lose weight, and gain health.”

How does the Ornish Diet work?

Through his 2007 book The Spectrum, Dean Ornish—a professor of medicine at the University of California, San Francisco, and founder of the Preventive Medicine Research Institute —lays out your nutrition, exercise, stress management, and emotional support options as a guide toward achieving any goal, from weight loss to preventing or reversing chronic diseases.

On nutrition, Ornish categorizes food into five groups from most (group 1) to least (group 5) healthful.

Dr.Ornish and a team of researchers were the first to show that heart disease, beyond being stoppable, can also be reversed, without drugs or surgery, through changes in diet and lifestyle. In a randomized trial of 48 heart-disease patients published in 1990 in The Lancet, the Ornish program to reverse heart disease reversed artery blockages after one year—and continued to do so after five years. The changes were highly meaningful when compared to a control group, whose condition worsened at both points. The diet has also been shown to lower blood pressure and decrease both total and “bad” LDL cholesterol.

Can it prevent or control diabetes?

Very likely. .Prevention: Being overweight is one of the biggest risk factors for type 2 diabetes. If you need to lose weight and keep it off, and an Ornish diet helps you do it, you’ll almost certainly tilt the odds in your favor.

Control: Because you develop your own plan on the Ornish diet, you can ensure that what you’re eating doesn’t conflict with your doctor’s advice. Ornish’s basic principles of emphasizing whole grains and produce and shunning saturated fat and cholesterol are right in line with American Diabetes Association guidelines.

Dr.Bernstein’s recommendation is 30gms of carbs/day for diabetes people. Having said, let us understand the context under which various diets wer suggested; ( Forget ADA, It is not a reference for me...)

The contexts are over weight/ obesity, overwieight /heart problem, and ‘ALSO suggested ‘ to diabetes people , “since this diet will address the overweight/obesity “ problem which is one of the major reasons for diabetes”, to quote Dr. Ornish. For diabetes people, "Ornish diet helps you do it, you’ll almost certainly tilt the odds in your favor". Why throw mud at Dr.Ornish?

Understanding various diet regimes ( I have left out DASH here) and their context would make it more verbose and only suitable for a serious reader. So my TAKE is…….

My COMMENTS: I will go with Dr. Bernstein , a symbol of courage suffering from Type I since the age of 12 years living his seventh decade after diagnosis of diabetes.

A 'DIABETES' DIET SUGGESTED BY A DIEBETIC PERSON............

I rest my case…………………..

[Hidden in reply to Hidden]

Yep, I go with Dr. Bernstein as well.

[BHAGATSINGH in reply to Hidden]

Sir what about those who are not obess and areslim but have type 2 diabetes?

[Hidden in reply to BHAGATSINGH]

I feel Dr Bernstein can be a starting point for our thought process...

We should continue to eat what we normally eat but with following restrictions

Carbs 20 %- Proteins 20-25 %, -Fat 55-60% ( HPLF or LPHF values) Keeping 2400 kcalories as referenece, this comes to either 120-120-205 gms or 120-150-190 gms of individual macro nutrients.

Keep in mind that we should include necessary micro-nutrients as supplements like Omega 3, chromium (atleast 1000 mcg /day) and recommended quantities of vitamin E.

A food revolving around all vegetables, nuts, cream, white eggs, soya, broccoli, olive oil, cheese, tofu soya and some specific fruits in moderate quantities should do wonders for your health.

[Hidden in reply to Hidden]

What's wrong with the yolk of the egg ?? I eat eggs with the yolk and have had no problem at all.

[Hidden in reply to Hidden]

Please have a look at my latest blog on eggs...

It will answer some of your questions.

[Hidden in reply to Hidden]

Thanks, but could you give the URL for your blog ?? I would be very interested in reading it.

[Hidden in reply to Hidden]

OK, I managed to find it. I'll go through it shortly. Thanks again.

[Hidden in reply to Hidden]

I am sorry but you have not convinced me not to eat the yolk of eggs. Saturated fat is not bad for health, it is trans fat that is bad. Regards.

[gangadharan_nair in reply to Hidden]

Diabetic patients have high cholesterol level (Dyslipidemia) in general. Some say that consuming yolk will increase your cholesterol level further. Others say that it is not harmful. This topic is a medical controversy. To be on the safe side, it is better not to consume egg yolk.

[Hidden]

On the dot again, medfree

[csjhawar]

Right. Either we better know about a thing or otherwise be silent. We should not misguide. I m also a non-professional but dont give any suggestion which may be weird. Whatever written should be authenticated.

[BHAGATSINGH]

Sir 1000 salutes on this valuable blog

[gangadharan_nair]

As far as I understand, no research studies have been conducted on long term implications (say 10 or 20 years) on low carb high fat diet.

50% of diabetic patients suffer from heart attacks. Low carb low fat diet is healthy for the heart.

[Hidden in reply to gangadharan_nair]

It is about 22 years since low carbs high fat diet has been advocated and researched.,at least in the new , modern version which we are discussing.

Earlier versions date back to 1970s.

The food industry fought tooth and nail against THIS DIET since it shook their foundation..... and to an extent they have been successful in putting a sense of fear in people's mind.

If I tell some body "Egg is Good"... the first response is"Oh. NO.. Cholestrol.."

It will take some more time for people to get PROPERLY INFORMED.

This forum is doing a great job..... in EDUCATING people and disseminating correct information....

[Hidden]

Thanks for the Link.

It will take some more time for people to understand that increasing INSULIN to control BS is NOT the solution.

The solution is following a DIET which needs less and less Insulin,

REDUCE YOUR DEMAND FOR INSULIN....

[Hidden]

Thanks, medfree. I will check out Dr. Attia right away. Thanks again.

[gangadharan_nair]

Foods to be avoided:--

* Refined starch products like corn flour, commercial jelly products, custard powder, arrow root powder, sago, etc.

* All shell fishes like prawns, clams, lobsters, oysters, shrimps, etc. Red meats like mutton, beef, pork, organ meats like liver, kidney, brain. Processed meats such as sausages, bacon and pickle meatand fish, canned fish.

* Fruits like avocadoes, banana, sweetened cherries and dates, raisins etc, Fruit juices , tender coconut water..

* Whole milk and its products, cream, ice cream, pudding, condensed milk, etc. Burfi, peda, gulabjamun, rasagolla, etc.

* Butter, ghee, vanaspathi, Dalda, blended vegetable oil, coconut, palm oil, all fried and oily foods.

* Avoid coconut milk, nuts like almonds (badam), cashewnut etc.

* Sugar, jaggery, honey, glucose, jam, jellies, laddu, payasam, Halwa, cake, sugar added biscuits, pasteries, etc.

* Aerated drinks like pepsi, cola, Thumps-up, etc. Proprietory drinks like Horlicks, Bournvita, Complan, etc. Alcohol, wine, peer, etc.

[gurpreetnibber]

LIFE IS NOT GOOD IN DIABETIC CASE.THIS DISEASE IS MORE DANGER THAN CANCER AND AIDS.I FEEL VERY DEPRESSED TO KNOW THAT A DIABETIC PERSON HAS NOT A LONG LIFE.

[gangadharan_nair in reply to gurpreetnibber]

If you have diabetes, you have an increased risk of developing depression. And if you have depression, you have a greater chance of developing type 2 diabetes.

Sources:--

google.co.in/#sugexp=crnk_t...

[gurpreetnibber]

thanks sir ji.KINDLY SUGGEST SOME HOME MADE REMEDIES FOR WEAKNESS.OR ANY GOOD MEDICINE IN AYUERVEDA ,HOMEOPATHY OR IN ALLOPATHY..KINDLY SUGGEST THAT IS ASHAVGANDHA,SHILLAJIT IS BENEFIT FOR US.

[gangadharan_nair in reply to gurpreetnibber]

Please clarify "weakness". Is it erectile dysfunction? Tadalafil is a PDE5 inhibitor marketed in pill form for treating erectile dysfunction (ED) under the name Cialis.

Other Indian brand names are Amore 36 (Chemo Biological), Filda (Intas), Tadacip (Cipla), Tadalis (Ajantha Pharma) and Tazzle (Reddy's Lab).

You should try to reduce high blood sugar by diet, exercise and anti-diabetic medication.

Consult your doctor before taking this medication.

Please note that I am not a medical professional.

Sources:--

en.wikipedia.org/wiki/Tadal...

nlm.nih.gov/medlineplus/dru...

[gangadharan_nair]

Foods to be allowed in limited quantity:--

* Cereals such as wheat, rice, ragi, oats, rava, etc. Noodles, macroni, biscuits, bread, bun made without sugar.

* Fish, chicken (skin removed), egg white, (egg yolk 1-2 per week). All pulses and dhal (eg:-- peas, soya, lentils, etc.) Tofu.

* Root vegetables such as potatoes, sweet potatoes, colocasia,

* Skimmed milk and its products, low fat milk and its products, cheese with less than 10% fat eg:-- cottage cheese, paneer.

* All saturated oils (canola, olive, groundnut, refined oil like sunflower, safflower, corn, soya, bean, mustard, gingily)

* Puddings and custards made without sugar.

* Tea/ coffee.

Sources:--

en.wikipedia.org/wiki/Saffl...

en.wikipedia.org/wiki/Coloc...

[gangadharan_nair]

85% of cholesterol is manufactured by the liver. The rest 15% comes from the dietary cholesterol.

Source:--

health.howstuffworks.com/di...

[dhini]

Aged 40, now diagnosed. I'm an active person exercise 2 hours in morning. My issue is that fasting levels is around 90-120. Then after breakfast say 3 dosa or 4 chapathi with curry PPBS spikes to 160 sometime to 200!. I don't know why this much high is happening. After lunch, rice with fish curry or even beef curry it is back to 120-140. Why is this ???

Can you explain why this much spike after a light breakfast. One thing noted is that when having one boiled egg white after morning exercise before breakfast ,it reduce PPBS to 120!!