Sunday, June 8, 2008

INDIAN FOOD DIET


Foods you must avoid!Salt

i. Salt

Salt is the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of inorganic salt.

ii. Sugar

Sucrose, a table sugar, provides nothing but calories and carbohydrates.

Also, you need calcium to digest sucrose. Insufficient sucrose intake might lead to calcium being leached off the bones.

Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.

iii. Fat

Excessive fat intake is definitely not a good habit.

Try and exclude fried items from your diet totally.

But, remember, you must have a small quantity of oil to absorb fat-soluble vitamins, especially vitamin E.Red meat

iv. For non-vegetarians

Try and stop the intake of red meat completely.

Try to go in for a vegetarian diet. If you cannot, decrease the consumption of eggs and poultry.

You can, however, eat lean fish two to three times a week.

v. Whole milk and productsMilk

Try to switch to low fat milk and its products like yogurt (curd).

Replace high fat cheese with low fat cottage cheese.

vi. Tea and coffee

Do not have than two cups of the conventional tea or decaffeinated coffee every day.

Try to switch to herbal teas.

vii. White flour and its products

Replace these with whole grains, wholewheat or soya breads and unpolished rice.

viii. Foods with a high glycemic index

Avoid white rice, potatoes, carrots, breads and banana -- they increase the blood-sugar levels.

Special food for diabetics

i. Bitter gourd (karela)

This vegetable contains a high dosage of 'plant insulin'. It lowers the blood-sugar levels effectively.

Have the juice of three to four karelas early morning on an empty stomach.

As a vegetable, too, it can be taken on a regular basis.

Powder the seeds of karela (measuring 1 teaspoon), mix with water and drink it.

ii. Fenugreek (methi)

It is the most common food used to control diabetes.

Gulp a teaspoonful of these seeds with a glass of water daily.

Soak the seeds overnight. Have the water in which the seeds were soaked.

You can make a chutney with methi seeds. You can also eat them sprouted, dried and powdered, or mix them in wheat flour to make chapattis.

iii. Indian blackberry (jamun)

This fruit is very effective in preventing and controlling diabetes.

Powder the stone of the fruit and eat it -- it contains glucoside, which prevents the conversion of starch into sugars.

iv. Garlic

This is used to lower blood-sugar levels.

Garlic is rich in potassium and replaces the potassium which gets lost in urine.

It also contains zinc and sulphur, which are components of insulin.

Take about three to four flakes of freshly crushed garlic daily.

v. Onion Onion

Because of its diuretic and digestive properties, onion works against diabetes.

Raw onion is more useful.

vi. Flaxseed

This is the richest source of Omega 3 fatty acids.

It helps control diabetes because it maintains the sensitivity of the cell membrane, facilitates insulin, and thereby the uptake of glucose by the cells.

Applesvii. Fibre

Soluble fibre, found in apples, kidney beans, oatmeal, soyabean, etc, help control diabetes.

These aid slow digestion and absorption of nutrients, resulting in a slow and steady release of glucose.

They soak up excess bile acids found in the intestinal tract, the same acids that are converted to blood cholesterol.

They also help empty the stomach and trigger satiety that can help Type 2 diabetics to achieve weight loss goals.

viii. Cinnamon solution

Water extracts of cinnamon have been found to promote glucose metabolism and reduce cholesterol.

You can boil cinnamon sticks in water and drink this water.

ix. Antioxidants

Diabetes is often associated with conditions like heart disease, diabetic retinopathy, immune deficiency and kidney disease.

Many are caused by free radical damage. Therefore, make sure you include antioxidants, especially vitamin C (lemons), E, selenium, zinc and chromium (Brewer's yeast), in your diet, as they have been shown to control blood sugar levels.

RECIPES FOR DIABETIC


A vegetarian diet is an inherent part of any diabetic recipe. South Indian dishes like idlis and dosa, which have very little fat content, are good for them. Idlis contain a mixture of rice and Bengal gram dal, which is soaked, ground and then allowed to ferment. As idlis are steam cooked, the question of fats do not arise. Idlis or dosas can be taken for breakfast. A little known but very good for diabetics is porridge made from ragi (nachni). The ragi is ground into flour and this flour is mixed with water and cooked for a while. A semi solid paste when mixed with buttermilk or curd is not only filling but also good to control the blood sugar levels.

In India, Khichidis, which are a mixture of rice and toor dal, are filling and acceptable for diabetics. Broken wheat cooked just like rice is another alternative. It can be eaten in the same way as rice is. However, there is nothing like the ubiquitous Indian roti, which is filling and can be prepared in many ways. Wheat flour made into a dough and rolled into rotis which can be prepared on a tava or tandoori rotis which can be made on a tandoor, bhakris and naan are nutritive and at the same time fat free. The good thing about them is that they raise the blood sugar levels very slowly. Dal is a good protein supplement and vegetables like bitter gourd, tomatoes, lettuce and other leafy greens, carrots, onions, garlic, cabbage can be prepared as dry side dishes. Sprouts are filling and are full of nutrition and should be a part of the meal. They can be cooked with salt and masala and eaten directly or mixed with the juice of lime and a pinch of salt. Both the varieties are tasty and healthy alternatives. Methi (fenugreek seeds) turmeric powder, tender mango leaves can be used liberally in diabetic recipes.

Grapefruit, jambul, apple, orange and mosambi can be made into juice. Diabetics should either eat a fruit or drink juice. While making apple juice, add milk instead of water.. Diabetic recipes include vegetable soups and salads. Vegetables like cabbage, tomato, celery, spinach, can either be cooked together or separately. To the broth of the soup add a pinch of salt and a dash of lime. It tastes wonderful. For salads, finely sliced cabbage, cucumber, capsicum, can be mixed with a pinch of salt. To this mixture add thick curd and sauté the mixture with mustard seeds. A sprig of parsley or dhania adds to the flavor.

With a little perseverance, a little patience and with the right attitude diabetics can actually enjoy the food they eat. It is not easy but at the same time it is not very difficult. Exercise, nutrition, and the correct amount of calories can a go a long way to help regulate blood sugar levels. The advantage of a vegetarian recipe for a diabetic is that diabetics can feel that they control the disease and the disease does not control them.

DIABETES



Diabetes can be caused by too little insulin (a hormone produced by the pancreas to control blood sugar), resistance to insulin, or both.

To understand diabetes, it is important to first understand the normal process of food metabolism. Several things happen when food is digested:

* A sugar called glucose enters the bloodstream. Glucose is a source of fuel for the body.
* An organ called the pancreas makes insulin. The role of insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it can be used as fuel.

People with diabetes have high blood sugar. This is because their pancreas does not make enough insulin or their muscle, fat, and liver cells do not respond to insulin normally, or both.

There are three major types of diabetes:

* Type 1 diabetes is usually diagnosed in childhood. The body makes little or no insulin, and daily injections of insulin are needed to sustain life.
* Type 2 diabetes is far more common than type 1 and makes up most of all cases of diabetes. It usually occurs in adulthood. The pancreas does not make enough insulin to keep blood glucose levels normal, often because the body does not respond well to the insulin. Many people with type 2 diabetes do not know they have it, although it is a serious condition. Type 2 diabetes is becoming more common due to the growing number of older Americans, increasing obesity, and failure to exercise.
* Gestational diabetes is high blood glucose that develops at any time during pregnancy in a woman who does not have diabetes.

Diabetes affects more than 20 million indians About 54 million Americans have prediabetes. There are many risk factors for diabetes, including:

* A parent, brother, or sister with diabetes
* Obesity
* Age greater than 45 years


* High blood pressure
* High blood levels of triglycerides (a type of fat molecule)
* High blood cholesterol level
* Not getting enough exercise

The American Diabetes Association recommends that all adults over age 45 be screened for diabetes at least every 3 years. A person at high risk should be screened more often.
Back to TopSymptoms

High blood levels of glucose can cause several problems, including frequent urination, excessive thirst, hunger, fatigue, weight loss, and blurry vision. However, because type 2 diabetes develops slowly, some people with high blood sugar experience no symptoms at all.

Symptoms of type 1 diabetes:

* Increased thirst
* Increased urination
* Weight loss in spite of increased appetite
* Fatigue
* Nausea
* Vomiting

Patients with type 1 diabetes usually develop symptoms over a short period of time, and the condition is often diagnosed in an emergency setting.

Symptoms of type 2 diabetes:

* Increased thirst
* Increased urination
* Increased appetite
* Fatigue
* Blurred vision
* Slow-healing infections
* Impotence in men

Back to TopSigns and Tests

A urine analysis may be used to look for glucose and ketones from the breakdown of fat. However, a urine test alone does not diagnose diabetes. The following blood glucose tests are used to diagnose diabetes:

* Fasting blood glucose level -- diabetes is diagnosed if higher than 126 mg/dL on two occasions. Levels between 100 and 126 mg/dl are referred to as impaired fasting glucose or pre-diabetes. These levels are considered to be risk factors for type 2 diabetes and its complications.
* Random (non-fasting) blood glucose level -- diabetes is suspected if higher than 200 mg/dL and accompanied by the classic symptoms of increased thirst, urination, and fatigue. (This test must be confirmed with a fasting blood glucose test.)
* Oral glucose tolerance test -- diabetes is diagnosed if glucose level is higher than 200 mg/dL after 2 hours (This test is used more for type 2 diabetes.)

You should also ask your doctor how often to you need your hemoglobin A1c (HbA1c) level checked. The HbA1c is a measure of average blood glucose during the previous 2 to 3 months. It is a very helpful way to determine how well treatment is working.

Ketone testing is another test that is used in type 1 diabetes. Ketones are produced by the breakdown of fat and muscle, and they are harmful at high levels. The ketone test is done using a urine sample. High levels of blood ketones may result in a serious condition called ketoacidosis. Ketone testing is usually done at the following times:

* When the blood sugar is higher than 240 mg/dL
* During acute illness (for example, pneumonia, heart attack, or stroke)
* When nausea or vomiting occur
* During pregnancy

Back to TopTreatment

There is no cure for diabetes. Treatment involves medicines, diet, and exercise to control blood sugar and prevent symptoms and complications.

LEARN THESE SKILLS

Basic diabetes management skills will help prevent the need for emergency care. These skills include:

* How to recognize and treat low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia)
* What to eat and when
* How to take insulin or oral medication
* How to test and record blood glucose
* How to test urine for ketones (type 1 diabetes only)
* How to adjust insulin or food intake when changing exercise and eating habits
* How to handle sick days
* Where to buy diabetes supplies and how to store them

After you learn the basics of diabetes care, learn how the disease can cause long-term health problems and the best ways to prevent these problems. People with diabetes need to review and update their knowledge, because new research and improved ways to treat diabetes are constantly being developed.

SELF-TESTING

If you have diabetes, your doctor may tell you to regularly check your blood sugar levels at home. There are a number of devices available, and they use only a drop of blood. Self-monitoring tells you how well diet, medication, and exercise are working together to control your diabetes and can help your doctor prevent complications.
that premeal blood sugar levels fall in the range of 80 to 120 mg/dL and bedtime blood levels fall in the range of 100 to 140 mg/dL. Your doctor may adjust this depending on your circumstances.

WHAT TO EAT

You should work closely with your health care provider to learn how much fat, protein, and carbohydrates you need in your diet. A registered dietician can be very helpful in planning dietary needs.

People with type 1 diabetes should eat at about the same times each day and try to be consistent with the types of food they choose. This helps to prevent blood sugars from becoming extremely high or low.

Persons with type 2 diabetes should follow a well-balanced and low-fat diet.

HOW TO TAKE MEDICATION

Medications to treat diabetes include insulin and glucose-lowering pills called oral hypoglycemic drugs.

Persons with type 1 diabetes cannot make their own insulin, so daily insulin injections are needed. Insulin does not come in pill form. Injections that are generally needed one to four times per day. Some people use an insulin pump, which is worn at all times and delivers a steady flow of insulin throughout the day. Other people may use a new type of inhaled insulin.

WHY SHOULD WE CONCENTRATE ON DIET IN DIABETIC

A good diet is an essential part of managing diabetes. Meals and snacks play a big role in determining an individual’s glucose (blood sugar) levels. The meal choices patients make are crucial to keeping blood glucose from spiking too high or falling too low.Diabetes mellitus is a disorder in the body's ability to break down blood sugar (glucose).

Patients can work with physicians and dietitians to create a meal plan that is well-balanced and that offers a variety of food choices. The right meal plan can help patients:

*
Prevent hyperglycemia and hypoglycemia
*
Lower blood pressure
*
Control cholesterol
*
Achieve a healthy weight and avoid obesity

People with diabetes who achieve these goals are likely to reduce the odds of suffering health problems related to high blood glucose and diabetes, including:

* High blood pressure, atherosclerosis and heart conditions
*
Diabetic neuropathy
*
Diabetic nephropathy
*
Eye diseases such as diabetic retinopathy and glaucoma
*
Diabetic coma

Diabetic neuropathy is nerve damage that can affect sensation, muscle strength or both. Diabetic nephropathy is kidney damage resulting from diabetes. It can lead to kidney failure.


A diet plan can also help patients to keep an optimal weight, which can increase the body’s ability to use insulin more effectively. Even a modest weight loss of 8 or 10 pounds can pay big dividends when attempting to manage glucose. The American College of Preventative Medicine states that efforts to prevent diabetes can be significantly enhanced by planning a diet adequate in complex carbohydrates (including fiber-rich whole grains, fruits and vegetables), moderate in protein and total fat, and restricted in saturated fat and trans fat.

Patients can greatly enhance the benefits of a well-balanced diet by adding an exercise regimen to their treatment routine, as approved by their physician. In some cases of type 2 diabetes, a combination of diet and exercise alone can allow patients to control their diabetes. In other cases, diet and exercise are an important adjunct to insulin therapy or antidiabetic agents.

Saturday, June 7, 2008

DIABETES and FOOD PHYRAMID




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