“Lets Take Control Of Diabetes Now”

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4. Keep healthy. One of the best measures for checking ones fitness is to keep tabs on your sensitive blood parameters. In the case of Diabetes the important parameters one must monitor are -

BMI maintain an ideal weight for your age /height and activity
Blood sugar: FBS should be between 70-110 mg/dl and PPBS not more than 120 mg /dl
HbA1c: should be ideally checked every 3 months and should not exceed 7%
Blood pressure: should be maintained at 120-130 /80 mm of Hg
Lipids: maintain within limits: total cholesterol < 200mg/dl, LDL <100mg/dl HDL >40- 50 mg/dl , TGL <150mg /dl

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20 September, 2011 | Sonali Mehta | Reply

News Bulletin on 20th Sept 2011. The UN General Assembly has adopted a political declaration on the prevention and control of non-communicable diseases such as diabetes, heart ailments and cancer which together kill some 36 million people annually, the World Health Organization (WHO) said Tuesday.
According to a statement by WHO - "Governments agreed on the need for global targets to monitor these diseases and their risk factors like tobacco use, unhealthy diet, physical inactivity and the harmful use of alcohol, They have been asked to integrate policies to reduce non-communicable diseases into health planning and national development agendas.”
The UN General Assembly has asked WHO to develop a framework for monitoring global progress and to prepare, before the end of 2012, recommendations for a set of global targets to monitor trends and assess the progress in countries to reduce the impact of these diseases.
However, success will depend on the engagement of non-health sectors such as finance, agriculture, transportation, urban development and trade, it added.
"The declaration is a clear signal that global leaders acknowledge the devastating impact of non-communicable diseases worldwide and that they are committed to reducing it. The next step is to act on those commitments," it added.

19 April, 2011 | Vijayalakshmi Iyengar | Reply

New guidelines for Diabetics focus on customizing care.
New guidelines for comprehensive health care for type 1 & 2 Diabetes was issued recently by The American Association of Clinical Endocrinology (AACE). They emphasized that the need of the hour is a personalized approach to achieve and maintain blood glucose levels and prevent hypoglycemia in diabetic patients. The guidelines which suggest a HbA1c level of 6.5% suggest that this can only be achieved by taking into account certain basic parameters such as:
• The patients risk factors for complications
• Co morbid conditions
• The psychological, social and economic status.
The guidelines also emphasized that along with addressing hyperglycemia they should also look into the CV risks (Cardiovascular) and that there should be a simultaneous education on life style modification. It would positively help if physicians advised prediabetic patients on the importance of good physical activity, to abstain from smoking, have sufficient sleep but more important understand the value of medical nutrition therapy
Source: http://www.medscape.com/viewarticle/740876?sssdmh=dm1.680564&src=nldne
Vijayalakshmi Iyengar
Sr Dietitian, Nutritionvista.com

19 November, 2010 | Vijayalakshmi Iyengar | Reply

Researchers have documented significantly low usage of statins in type 2 diabetic patients receiving antihyperglycemic agents. Type 2 diabetics are at increased risk for cardiovascular disease, and the use of statins is widely recommended in current treatment guidelines for type 2 diabetic patients regardless of their lipid levels, based on American Diabetes Association (ADA) recommendations .

15 November, 2010 | Vijayalakshmi Iyengar | Reply

A not so sweet news on World Diabetes Day!! According to International Diabetes Federation,India has the worlds largest number of diabetics-over 50.8 million. Diet compliance was also most disregarded. Many patients according to a survey said they had given up eating sweets but were clueless about eating foods with low GI or GL especially in the rural or fringes of urban areas. Staple diet was rice or ragi (as ragi mudde) both of which had a high GI and mainly root vegetables instead of green vegetables.
Clearly education on correct diet, diet practices and important of physical activity will make a big big difference if taken up as a crusade by the Medical and para medical fraternity or The Government Health Ministry.

20 November, 2010 | Sangeetha Narayana Swamy | Reply

I agree with you Viji ma'am, many diabetics assume that by just avoiding sugar and sweets they can control the blood glucose levels. The state government's, health department should come up with educative material in the local language which can be given to the patients in rural areas. Also the local public health center should organize workshops and talks by doctors and dietitians who can speak the local language. Only such initiatives will help the diabetics in the rural areas to take control of their diabetes.

15 November, 2010 | Poonam | Reply

A recent study in Delhi found a clear link between diabetes and Vitamin D deficiency, which was prevelant in 58% of the diabetics studied as compared to 33% non diabetics. So far, incorrect lifestyle, bad eating habits and a genetic predisposition were thought to be responsible for diabetes.
30 minutes of exposure to UV B rays of the sun is recommended, in addition to a vitamin D rich diet to take care of daily requirements.

13 November, 2010 | Sangeetha Narayana Swamy | Reply

On World Diabetes Day, all the diabetics and their family should pledge to Eat healthy, exercise regularly, help their dear ones to monitor the blood glucose levels regularly and also get their diabetic profile tests done once a year. This is what we need to practice to keep the disorder under control. Take contol of your diabetes and do not let it take control of your body and mind.

23 August, 2010 | Geetanjali Kelkar | Reply

Many studies have found that diets high in fruits and vegetables reduce the risk of heart disease and cancer. But a recent study suggests that consuming spinach and other green leafy vegetables may reduce type 2 diabetes risk due to high content of polyphenols and vitamin C that are potent antioxidants and also magnesium. The study postulates that the eating 1 and 1/1/2 serving of green leafy vegetables per day reduces the risk of type 2 diabetes by 14%. This study is published in the recent issue of British medical journal.

28 June, 2010 | Ananya | Reply

I agree with you Sangeetha, my mother in law is type-2 diabetic for past 3 years, along with medication, her proper diet regime in terms of time, quality and quantity of food and regular walks have played a pivotal role in keeping her blood glucose under control. Just taking prescribed medicine is not enough, one has to take care of diet and exercise too.

26 June, 2010 | Sangeetha Narayana Swamy | Reply

Dear Rohit,

In Diabetes Management, diet play a pivotal role in the control of blood glucose levels. Proper and well planned diet along with a regular physical activity helps in the control of sugar and prevents further complications of diabetes. In a diabetic meal plan - time, quality and quantity of food is very important. It is advised to take small and frequent meals instead of three large meals, no fasting or feasting, consuming healthy snacks instead of high fat or sugary snacks helps.

Regards,
Sangeetha Narayana Swamy,
Senior Dietitian,
NutritionVista.com

26 June, 2010 | Rohit | Reply

One can see lot of type-2 diabetics around cribbing that they have family history of diabetes so they became diabetic too. I agree, family history of diabetes is a risk factor, but at the same time there are other factors too, which along with risk of family history are contributing to development of this disease.
Nobody can modify family history, but many lifestyle modifications are there like having small frequent meals, having healthy balanced diet, doing adequate physical activity regularly, avoiding smoking and limiting alcohol intake which can go a long way in preventing diabetes.
Prevention is always better than cure, one can always work on modifiable risk factors and prevent onset of many lifestyle related disorders.

08 March, 2010 | Vijayalakshmi Iyengar | Reply

Hello Aditi
As you know Carbohydrate foods are broken down to glucose to give us energy, however not all carbohydrate foods are the same. The glycemic index or GI therefore indicates this difference by ranking carbohydrates according to their effect on our blood glucose levels.The best way to maintain health and keep a check on the fluctuations or rise of blood sugar is by choosing foods low on GI and high in fiber. It also helps us reduce risk of heart disease and aid weight loss.
Examples of foods with low GI are
Oats,Whole wheat,brown rice, Muesli,Chick pea/ garbanzo beans, most beans and peas almonds, whole and skimmed milk,plain curd/yogurt,cauliflower,tomatoes, cabbage,mushroom ,all berries, cherries etc to name a few.
Thank you
NutritionVista Team

08 March, 2010 | Geetanjali Kelkar | Reply

Hello Sarasen,

Cinnamon contains biologically active substances that mimic insulin and may help in lowering post prandial rise in blood glucose. However, recent research on cinnamon supplementation on blood glucose levels has shown equivocal results. Further research on benefits of cinnamon and blood glucose are essential

Geetanjali Kelkar
Dietician online
Nutrition Vista

07 March, 2010 | sarasen | Reply

How does cinnamon helps in reducing post prandial blood glucose

24 February, 2010 | aditi | Reply

Hello,This is Aditi,from Delhi.I wanted to know what is glycemic index,and which foods have low glycemic index.

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Tags: Chronic Lifestyle Diseases, Diabetes, Diabetes Management, Diabetes Prevention, Diet, Eat Healthy, Gestational Diabetes, Healthy Lifestyle, Pre-Diabetes, Screening, Type 1 Diabetes - Juvenile Diabetes, Type 2 Diabetes - Insulin Dependent Diabetes

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