Diabetes is the fastest-growing disease in the world. Today 240 million are suffering in the world.
10% of the population survey says that by 2025, one in five will be people who have diabetes.
I say it is not a disease, but it is a disorder in Corbo-hydrate metabolism.
Dm is the result of improper carbohydrate metabolism. It cannot be cured 100% by any type of medicine.
But it can be controlled by medicine and exercise. By activating pancreas by doing a particular exercise
And following a strict diet system, one can lead a life like an average person. What else do you want?
Tight Control of Blood Glucose.
Tight control of the blood glucose means keeping blood glucose as close to normal as possible and avoiding blood glucose highs and lows.
Reduce the risk of complications.
Achieving and maintaining glucose concentrations as near to healthy as possible can prevent.
Defer and slow the progression of long term microvascular and macrovascular complications, reducing mortality and improving the quality of life.
Reasonable control of blood glucose can reduce complications of the eye, kidneys, and the nervous system by up to 60% amongst people with type 1 diabetes (DCCT).
The result of the 21 years long, the United Kingdom Prospective Diabetes Study (UKPDS) showed.
That high level of blood glucose is one major contributor to diabetes-related complications in people with type 2 diabetes.
It is also showed that there was an up to 35% reduction in the risk of difficulty with tight control of blood glucose.
Follow the prescribed diet, exercise, and treatment.
Your glucose control depends upon the choosing the right foods. The more you learn about how food affects your blood glucose, the more choices you will have.
To continue enjoying favorite foods, use blood glucose monitoring to learn their effects.
Exercise is an integral part of any health plan to control blood glucose levels as it makes insulin work best and lowers blood glucose.
Testing regularly around with exercise time will help you avoid blood glucose high and lows.
Medication for diabetes in the formation of tablets or insulin interacts with food, exercise, and your body’s insulin to make out your blood glucose level.
Monitoring your blood glucose regularly show the effect of food choices
Medication doses and also other changes in your everyday routine on your blood glucose levels.
Without it, your health maintenance provider may not know when and what changes are needed.
For best results, review information about blood glucose, food, exercise, and medication with your doctor.
Monitor your blood glucose regularly
Knowing your blood glucose levels daily and overtime- is the key to successful diabetes care.
Test often, as testing at different times gives different information:
Fasting: glucose tells if the insulin you make or take is controlling blood glucose overnight.
Pre-meal: glucose can help guide to make decisions about food and insulin for the next meal.
After the meal: glucose tells whether you had the right amount of insulin to cover the food you ate.
It is the test that helps you learn the most about your food choices.
Do some more tests when changing doses of diabetes medication, when changing either exercise or meal plan.
When you began to think your blood glucose is low or high, and when you are sick.
Goals for blood glucose control
Biochemical index- Normal- Goal- additional action suggested
Avg. Preprandial (mg/dl)- <11o – 90-130- <90->150
Avg. bedtime (mg/dl)- <120- 110-150 <110>180
HbA 1c (%) – <6 <7 >8
American Diabetic association (ADA2001) recommendation. your goals may be different. Ask your doctor.
In addition to testing your blood glucose yourself, it is essential to have a glycosylated hemoglobin (HbA1c) test every 3 to 4 months.
Poor control of blood glucose
Poor control of blood glucose by peoples with diabetes and the duration of diabetes is closely related to the development of diabetic retinopathy.
Diabetes is one of the major causes of acquired blindness among adults.
Poor control of blood glucose results in the lack of monitoring of blood glucose combined with adequate maintenance of diet, exercise, and therapy regime.
There is a strong association between the duration of plasma glucose levels and coronary heart disease (CHD).
Patients with diabetes mellitus have a considerably(up to 2 to 3 times) higher risk of developing congestive heart failure.
Compared with healthy subjects. Early and continued correction of hyperglycemia through regular exercise, diet, and medication.
Combined with regular monitoring of blood glucose moves to improved prospects of managing cardiovascular disease.
People with diabetes mellitus experience a wide range of symptoms related to the nervous system, including poor control of the genito-urinary function.
Unawareness of hypoglycemia and male physical dysfunction or impotence.
Various studies have established the relation between diabetes-related physical dysfunction and the duration of poorly controlled diabetes.
Peoples with diabetes often suffer from foot ulcers or mall areas of gangrene.
Which is a major leading cause of hospital admission for patients and is a costly traumatic complication of diabetes.
Education on proper foot care get together with regular monitoring and therapy, reduces the number of significant amputations in diabetes clinics.
What is Insulin
Most people don’t know anything about insulin until they learn that they or someone in their family has diabetes.
Insulin is a hormone produced by the pancreas that regulates the level of glucose in the blood.
Glucose is a pure sugar that provides energy. The human body requires a steady amount of glucose throughout the day, and that glucose comes from the foods people eat.
Insulin causes cells in the liver, muscles, and fat tissue to take up glucose from the blood and store them for later use.
When excessive insulin is used to control your blood sugar level, more glucose gets into your cells.
Glucose that your cells don’t use get accumulated as fat. Insulin at high concentration stops the use of fat as an energy source.
When insulin is low or absent, glucose is not taken up by body cells, and the body begins to use fat as an energy source.
Our objective is not to put an end to insulin, but to control it. You can do this yourself with proper meal combinations and the timing of meals.
Please note insulin is very much required has several essential functions in your body.
To control the amount of insulin released, it is essential to eat foods that do not cause a sudden spike in blood sugar.
The rate at which blood sugar level rise is based on the type of carbohydrates we eat.
We hope this has given you a simple explanation of how insulin affects fat in your body.
In our next article, we’ll discuss how certain foods cause insulin spikes and, therefore, lead to fat accumulation.
We are eating out guide for people with diabetes.
If you a diabetic or someone in your family is, going out to eat may seem like taboo, but it isn’t!
Of course, no two diabetics will have the same meal plan, but most people with diabetes need to limit fat and salt. They need to restrict calories.
And if you eat smart, you can eat healthy and nutritious as well. What’s even better if you know what you can eat, enjoy your evening even better.
Choose a fresh fruit or vegetable starter, Munch on roasted papads, or some almonds.
Avoid cream-based soups, Stay away from bread rolls and definitely from the butter.
Salted nuts, pickles, and honey-based sauces are not for you. Have a diet coke, buttermilk, or a fresh lime soda (without salt/ sugar).
Select fresh fruits/vegetable salad. Avoid creamy dressings, canned, or marinated vegetables, cured meats, seasoned croutons, cheese, etc.
Order vegetables and fruits salad dressings on the side and use a small amount of them. The secret is to ensure your stomach is half-full even before you start on the main course.
Take your pick from grilled tandoori, or roasted chicken, meat, fish, or shellfish.
Eating lots of vegetables will fill you up, But they are low on calories, so you are safe.
Go easy on the salt. Sprinkling salt on cooked foods is taboo. Avoid butter naan, parathas, casseroles, dishes with white sauce, coconut-based gravies, and honey-based sauces.
If you would like to eat at a fast-food restaurant, avoid the pickled gherkins, cheese, and sauces you are not sure of.
Desserts and diabetics don’t go together. Don’t even consider dessert unless your sugar levels are under perfect control.
In which case, you can select a fresh fruit salad. Pick fruits like apple, orange, pear, papaya, etc. that are low on sugar.
Do not opt for fruits high in sugar, like chikoo, mangoes, grapes, etc.
Eating out today is inevitable: it may be a business lunch, dinner, with friends.
Fast food joints with the kids or food from a take-away. Eating out can also be quick, easy, and fun.
But people with diabetes need to watch what they are eating. When you eat out, order only what you need and want.
You don’t necessarily have to finish enormous portions and learn how to make changes into your meal plan if the restaurant doesn’t have just what you want.