Diabetes DIET Regime Available Online

When the masses are affected by diabetes then a good DIET regime can help. So, specialists have put their brains on this aspect to prepare a DIET plan that can be beneficial for all. The diabetes DIET plan is made available online so that patients can have an easy access to the chart. It is possible to get it downloaded or a physician may personally mail it to a patient after consultation.

This opportunity has opened scope for people so that they can regulate their daily routine, in-order, to manage diabetes. Patients can also find online help and consult doctors for remedy. The idea of dietary regime is to reach a body-weight balance, prevent complications, maintain lipid balance and hormonal balance. It suggests appropriate nutrition to people so that they can fight back malnutrition that is quite common in diabetes patients. The idea is to maintain a balanced diet by adjusting timing and personal daily routine of the patient. Diet plans are prepared by Diabetologists after constant monitoring of patients.

DIET charts are given out to patients who are in need of it. They just have to look for online support as it is on internet that they can find everything from the comfort of their home. The online team of diabetologists, dietitians, and fitness trainers ensure that a person gets everything needed and a holistic treatment is extended for the problem that one is facing.

The chart is detailed with precautionary measures stated. The diet list includes routine about breakfast, lunch and dinner. It tells what food to take and how much quantity to consume. This is an everyday diet scheme and works for all patients suffering from diabetes. However, for the ones having critical problem, consultation with online doctors is a must. They will tell the patient what specifics to adhere to and what preventive measures are needed to inhibit the growth of the disease.

Best part about the online platform is it is possible to share problems with doctors discreetly. The physician then can assess symptoms, problems and medical history and eventually give the much needed advices and recommendations. At-least, a patient can find a second advice and it is a good way to ascertain that the treatment a person is undergoing is the best.

Food is a natural habit and differs from person to person. At RxOcean, we understand what this means and so modify the recipe of a patient rather than asking to completely change the food habit. There is no need for a patient to take up a completely new recipe. The idea is not to put someone on a crash diet. Hence, more emphasis is laid on migration from uncontrolled diet to controlled diet. It results in sustained weight loss without any side effects.

Retention capacity of body increases and sugar level remains stable once the intake of diet takes place on a controlled basis. This can be attained by complying with diet rules mentioned on the chart list. Timely detail of diet consumption is mentioned and it keeps people with diabetes healthy.

Living with Diabetes

Diagnosis of diabetes may disturb the normal life of person and his whole family. Elevated blood sugar levels must be brought down within the normal range with the help of appropriate medications, proper diet modifications and certain lifestyle modifications. But there are certain things which are to be taken care of, from the minute when the occurrence of diabetes is confirmed.

 

Prognosis of Diabetes:

Diabetes can increase the risk of occurrence of co-morbidities as follows:

* Cardiovascular problems
Neurological problems
Renal problems
Foot ulcerations
Muscle wasting etc.

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Living with diabetes:

Reduction of risk of the above mentioned complications and leading a healthy life would be the primary focus when it comes to the management of diabetes management. The following are few points which should be taken care of to lead a normal life with diabetes.

–> Track your weight:

Even though weight loss and muscle wasting may be noted in certain cases during onset of diabetes, maintenance of appropriate weight is a big deal for diabetics. Obesity is one among the major issues associated with diabetes and so maintain a track record about your BMI (Body Mass Index) to be on safer side and to reduce the risk of complications.

–>Diet modifications:

Reduce the intake of high calorie (like refined cereals), high sugary(like sweets, chocolates) and high fat foods(like deep fried items).
Intake of high fiber foods (like whole grains, vegetables) should be increased.
Meals should be taken in small and frequent intervals (5-6 times/day) in order to avoid fluctuations in blood glucose levels.
Drinking adequate fluid in order to avoid dehydration is mandatory.

–>Routine physical activity and active lifestyle:

Physical activity should be a part of daily routine and staying active throughout day is extremely important.

–>Quit smoking and excessive alcohol intake:

Smoking and excessive alcohol intake would have significant impact on blood glucose levels and may aggravate the severity of condition.

–>Do not miss your appointment with your diabetes-care team:

Meeting endocrinologist to know the required dosages of medicines required in frequent intervals and nutritionist/dietician to monitor dietary practices is very important.

–>Overcome myths about diabetes:

There are certain common myths regarding diet management of diabetes as follows which shouldn’t be believed.

Myth: Diabetics should take special foods on market.

Fact: Normal foods made at home can be eaten by diabetic people with certain restrictions.

Myth: Diabetics should not eat fruits at all.

Fact:Fruits are good source of certain vitamins, minerals and fiber. Low glycemic index fruits (like guava, citrus fruits etc) can be consumed in moderation.

Myth: Dairy products shouldn’t be consumed by diabetic people.

Fact: Dairy products are good sources of calcium and protein and so can be consumed by diabetic people in prescribed limits.

Living a normal life with diabetes is quite easy with proper understanding about the facts and myths related to it.

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Diabetes And Diet Management

The silent killer, diabetes mellitus or diabetes, in which a person has elevated blood sugar levels, is one among the most prevalent chronic disorders since globally (as of 2012) nearly 346 million people are diabetic. The increase in blood sugar levels may be due to either the inadequacy of insulin production or non-response of body cells to the insulin produced. The classical symptoms of diabetes are polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).

Types of Diabetes Mellitus:

  1. Type 1 diabetes:

In this type of diabetes, the body fails to produce insulin and so the person would be in a position to inject insulin or wear an insulin pump. This type of diabetes was previously known as ‘Insulin dependent diabetes mellitus’ (IDDM) or ‘juvenile diabetes’.

  1. Type 2 diabetes:

This form of diabetes occurs as a result of, a condition in which the body cells fail to utilize insulin properly (insulin resistance) or there would be insulin deficiency. This type of diabetes was previously known as ‘Non-Insulin dependent diabetes mellitus’ (NIDDM) or ‘adult-onset diabetes’

  1. Gestational diabetes (GDM):

GDM occurs in pregnant women without previous occurrence of diabetes. This type of diabetes usually resolves after delivery.

Other types of diabetes mellitus include congenital diabetes (due genetic defects of insulin secretion), cystic fibrosis-related diabetes, steroid induced diabetes (due to high doses of steroid induced) and several forms of monogenic diabetes.

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Management of diabetes mellitus:

Management of diabetes is focused mainly on keeping blood glucose levels under control or close to normal range without causing either hypo or hyperglycemia. This can be achieved by a combination of appropriate medications, diet and certain lifestyle modifications.


Nutritional management:

Nutritional care and proper dietary practices are often said to be the foundation of diabetes care. According to American Diabetic Association,(ADA, 2012), the following are the recommendations for nutritional management of diabetes.

Carbohydrates:

  • Carbohydrate content of the diet for diabetic people should provide less than 60–70% of energy intake. However, the metabolic profile and need for weight loss also should be considered when determining allowances.

  • Foods containing complex carbohydrate (coarse cereals, millets and whole grains) should be included in a diabetic diet. People with diabetes should be encouraged to choose a variety of fiber-containing foods such as legumes, fiber-rich cereals (>5 g fiber/serving), fruits (like guava, apple etc) and vegetables (like green leafy vegetables, ladies finger etc).

  • Since the glycemic effects of carbohydrates must be taken care of, the total amount of carbohydrate in meals or snacks is more important than the source or type of carbohydrates.

  • Non-nutritive sweeteners can be used within limits as suggested by the Food and Drug Administration (FDA).

  • Individuals who are on intensive insulin therapy should adjust their pre-meal insulin doses based on the carbohydrate content of meals as per the practitioner’s suggestion.

Protein:

  • Protein should constitute around 15-20% of total energy intake of diabetic persons. This can vary depending upon the renal function of the person.

  • High protein foods like legumes, pulses etc should be included in the diet.

Dietary Fat:

  • Less than 10% of energy intake of diabetic person should be derived from saturated fats. For individuals (i.e., persons with LDL cholesterol ≥100 mg/dl) saturated fat intake must be even more lowered to <7% of energy intake.

  • Dietary cholesterol (foods like red meat) intake should be <300 mg/day. For individuals (i.e., persons with LDL cholesterol ≥100 mg/dl) it should be <200 mg/ day.

  • Intake of trans- unsaturated fatty acids (deep-fried foods) should be minimized.

  • Two to three servings of fish (per week) should be recommended for dietary n-3 polyunsaturated fat.

  • Polyunsaturated fat rich foods (like flax seed, walnut etc) intake should be ∼10% of energy intake.

Micronutrients (Vitamins and Minerals):

  • Routine intake of vitamin or mineral supplements is generally not recommended for people with diabetes except in cases of people with inadequate food consumption or other special needs.

  • Daily vitamin and mineral requirements should be obtained from a nutritionally-balanced diet.

Dietary and life-style modification tips for diabetes management:

  • Small frequent meals must be taken in order to maintain the proper blood glucose levels.

  • Adequate fluid intake is recommended (1.5-2 lit/day) in order to prevent dehydration.

  • Rice or starchy food intake must be restricted to once a day. High sugary foods must be avoided.

  • Whole fruits must be eaten instead of fruit juices.

  • Physical activity must be a part of daily routine and should remain as active as possible.

  • Alcohol intake and smoking must be limited. According to ADA (2012), if individuals choose to drink alcohol, daily intake should be limited to one drink for adult women and two drinks for adult men. One drink is defined as 12 oz of beer, 5 oz of wine, or 1.5 oz of distilled spirits.

Medical nutrition therapy for diabetic people should be individualized, with consideration and preferences given to the individual’s usual food and eating habits, metabolic profile, treatment goals, and desired outcomes. Dietary treatment or practices must be followed under the guidance of a registered dietician (RD). Medication, dietary restrictions and life-style modifications must be strictly followed in order to cope up with the effects of diabetes and to lead a disease-related stress free life.

Obesity, Diabetes and Weight Loss

In case one is obese and is suffering from type 2 diabetes , losing weight can definitely help. Some patients after losing weight can easily get off insulin and other medications. Weight loss also helps in lowering the blood sugar and improves overall health.

As a number of health issues like High BP, Low BP, Liver, Kidney problems etc can crop up for people suffering from diabetes hence when on a diabetes weight loss plan, it’s important to work closely with doctor or diabetologist and a dietitian / dietician. While dieting, blood sugar, insulin, and medications need special attention and should be constantly monitored by the diabetologist.

Cutting back on just one meal can affect the delicate balance of blood sugar, insulin, and medication in body hence it’s important to work with an expert when on diet so as to ensure that blood sugar and glucose levels are in control. Doctors suggest cutting 500 calories a day, which is considered to be safe for people suffering with diabetes.

Calories should be cut across the board i.e. from protein, carbohydrates, and fat. People with diabetes should maintain a healthy ratio of carbs, fat, and protein in their diet. The ideal ratios (for energy derived from food) are as under:

* 50% to 55% from carbs
* 30% from fat
* 10% to 15% from protein

One needs to be very careful with carbohydrates in diet because carbohydrates have the biggest effect on blood sugar, since they are broken down into sugar early in digestion. Eating complex carbs (whole-grain bread and vegetables, for example) is good because they are absorbed more slowly into the bloodstream thus cutting the risk of blood sugar spikes. (White bread should be avoided, Whole wheat bread is better than white bread. Adding little peanut butter can be beneficial )

Simply cutting lots of carbohydrates which is a common dieting strategy can be dangerous in case of diabetics. When body doesn’t have carbs to burn for fuel, metabolism changes into what’s known as ketosis i.e. body starts buring fat instead of carbs. In case of Ketosis, people feel less hungry and eat less than usual but long-term ketosis can cause health problems. Ketosis decreases oxygen delivery to the tissues, which puts stress on eyes, kidneys, heart, liver. That’s why the low-carb, high-protein Atkins diet is not really safe for people with diabetes. Diabetics need to try to stick with a more balanced diet so your body can handle nutrients without going into ketosis.

Although given the benefits of losing weight in case of diabetics are immense but it is not that easy to achieve weight loss goals for diabetics. Looking at all the above listed complications it is a must that people suffering from Diabetes are under the constant supervision of a diabetologist and a nutritionist.

Dadima’s Home Remedies for Diabetes

1) Bitter Gourd – Karela. This vegetable can be had as often as one can. People also recommend having its juice to reduce blood sugar levels.
2) Amla: Amla is a rich source of vitamin C and is considered to be effective in controlling diabetes. Its affects along with that of Bitter gourd juice have been widely studied in Ayurveda. Along with Bitter gourd juice it helps pancreas secrete more insulin.
3) Basil Leaves: Tulsi Leaves along with neem leaves and belpatras are also advised to patients of diabetes. Ten tulsi leaves, ten neem leaves along with ten belpatras can be had with a glass of water early morning on an empty stomach.
4) Fenugreek seeds in various forms is also advised to people with Diabetes. Some people recommend having two teaspoons of powdered Fenugreek seeds with milk and some suggest to swallow Two teaspoons of seeds.
5) Shilajit along with juice of stone apple is also considered good for Diabetes
6) Fresh fully grown curry leaves if had every morning continuously for 3-4 months have also shown to cure diabetes due to hereditary and obesity.
7) Jamun and powder of its seed is also recommended for Diabetes
8)Gurmar is also said to have shown good results in lowering blood sugar. This herb can be an excellent substitute for oral blood sugar-lowering drugs in Type 2 diabetes. Even Onion and garlic are considered to have significant blood sugar lowering action.

Although all the above are widely publicized dadima’s diabetes cure but enough research data on the efficacy of these doesn’t exist. People should continue taking their medicines along with these so that their sugar levels don’t shoot up. It is very important to control stress. Avoid fatigue, and emotional upsets. Stresses create anxiety that send damaging hormones racing through your system. Exercise can be used to control stress. Exercise is one of the most effective ways to prevent diabetes and controlling blood sugar levels.