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diabetes

Its Symptoms And Solutions

Approximately 70 million people suffer from Diabetes in India. As our doctors say, diabetes is not just a
condition but a lifestyle.Learn about diabetes, its symptoms and how best to manage your lifestyle
when you have diabetes.

 

Understanding Diabetes

Diabetes is an endocrine disorder that elevates your blood sugar levels over a prolonged period of time. It is caused by the malfunctioning of the pancreatic cells, which produce insufficient or no Insulin. It is a chronic disorder which can be managed with right medication and healthy lifestyle.

 

Deeper Dive

Managing diabetes can feel overwhelming at times. However, understanding the deeper aspects can
burst many myths and shows diabetes can be managed easily. Let’s venture out different diabetes
issues and better ways to deal them.

 

Managing Diabetes

Lifestyle changes include adopting a healthy diet and exercise plan which plays a direct role in
controlling the blood glucose levels of a person living with diabetes. It is important to deal with the stress
and emotional turmoil that comes with this diagnosis and so getting the right support and
making lifestyle changes to successfully manage this condition is imperative.

 

Diabetes And Your Personality

A research conducted on 3500 patients by a school in Westminster, USA concluded that there are two major personality characteristics in the management of diabetes are the Interactive and the
Independent personality.

 

Happy Living

A healthy diabetes diet aids in treating and controlling blood sugar level. Though everyone requires a
balanced diet to stay healthy, diabetics need to watch out the food they eat to keep an eye on spiked
blood sugar levels. Here are some healthy eating strategies which can curb diabetes.

 

Diabetes Friendly Recipes

An assortment of some yummy diabetic-friendly recipes are not bring down blood sugar levels, but are
a delight to eat. Here we bring you easy and quick recipe tricks and tips, which are easy and quick to cook.

 

Related Videos On TV

 

Diabetes Support Groups

These inspiring stories of those who have overcome Diabetes will keep you motivated

 

Food facts on starchy food 

Minimize the intake of white bread; as it is high in calories and carbs, but low in fiber, protein and nutrients. The simple starches in bread are digested so quickly that they spike your glucose levels just like sugar — and leave you hungry soon afterward. So these foods should be avoided to prevent weight gain and other health concerns like diabetes.

Limit white rice as they are less in fiber and protein but simply are loaded with empty calories. White rice is quickly digested and absorbed, making your blood sugar rise faster. White rice should be avoided if you are diagnosed with prediabetes or if your family has a history of diabetes. If rice is your staple diet try replacing it with brown rice as they are healthier and has more nutrition benefits.

Skinless white potatoes have a very high glycemic index — meaning they raise your blood sugar quickly. So, however you like your potatoes, try to incorporate their skin. The skin’s fiber will slow your digestion and keep you full longer. (You’ll benefit from potatoes’ potassium, phosphorus, and vitamins B and C, too). Try making mashed potatoes with the skin on.

Avoid processed cereals like maida as they are starchier. The more processed a grain is the more unhealthy and calorie leaden it is. Try to consume cereals which have a bigger grain size. Just for an instance atta is more nutritious and healthier than maida. Gram flour is healthier than besan.

Pasta and chips are high in starch which is digested quickly and are low in essential nutrients. You can try for a whole wheat pasta or bean pastas. Their fiber will leave you feeling full for longer. If you want to enjoy crackers, choose whole-grain varieties. Look for brands with minimal added sugar and ingredients.

4 Superfoods You Must Add to Your Daily Diet

1. Blueberries

Blueberries are rich in fiber, antioxidants, and phytonutrients. According to a study carried out at Harvard Medical School, older adults who eat plenty of blueberries (and strawberries) are less likely to suffer from cognitive decline.

2. Apples

Apples are an excellent source of antioxidants, which combat free radicals. Researchers at Florida State found that older women who started a regime of eating apples daily experienced a 23 percent drop in levels of bad cholesterol (LDL) and a 4 percent increase in good cholesterol (HDL) after just 6 months.

3. Dark leafy vegetables

Studies have shown that a high intake of dark-leafy vegetables, such as spinach or cabbage, may significantly lower a person’s risk of developing Type 2 diabetes. Spinach, for example, is very rich in antioxidants, especially when uncooked, steamed, or very lightly boiled.

4. Sweet potatoes

Sweet potatoes are rich in dietary fiber, beta-carotene (vitamin A), potassium, vitamin C, and vitamin B-6. The Center for Science in the Public Interest compared the nutritional value of sweet potatoes to other vegetables. The sweet potato ranked number one, when vitamins A and C, iron, calcium, protein, and complex carbohydrates were considered.

Healthy food in winters

Root vegetables like beets, carrots and turnips grow in plenty during winter season. Carrots are rich in beta-carotene that has exceptional health benefits to your body. Vitamin C helps can help in boosting your immunity and vitamin A is good for eye health.

Oatmeal is much more than just a convenient breakfast food; it also provides nutrients that are essential during winter. Oatmeal is high in zinc (important for proper immune function) and soluble fiber. Having an oatmeal breakfast with nuts provides you with essential nutrients and energy during winters.

Mixed vegetable or chicken soup is winter’s perfect food. But soup with minimal amount of cream and salt is more beneficial. Pair your soup with a side of 100 percent whole grain crackers. Homemade soups are the best as they are low in calories and are full of essential micronutrients that are good for health.

Cold and flu are common in winters, to prevent risk eat lots of cruciferous vegetables that boosts your defense system in winters. Broccoli and cauliflower are both high in vitamin C, which is associated with enhanced immune function. Try to buy and consume fresh broccoli and cauliflower.

Fish like salmon or tuna are good sources of vitamin D. During the winter months, when you have limited exposure to the sun, food sources containing high amounts of Vitamin D are more essential for daily intake. Vitamin D deficiency is associated with impaired growth, weakening of the bones and even the risk of heart disease. So having fish has great effects on our body during winters.

Preventing and Dealing with Prediabetes by Famhealth

Preventing and Dealing with Prediabetes

Functional medicine is a system approach which addresses the underlying cause of the disease. A functional medicine expert is a super generalist who aims to treat the body as a whole to suppress a disease condition. For an instance- A functional medicine expert will consider brain and gut connected and deals with body as a whole. Hence, functional medicine is also regarded as precision medicine.

According to Mona Johar a trained functional medicine expert-“Eating local, organic, and fresh food not only supplements good nutrition but also acts as a medicine to fight against many diseases”.

Prediabetes is a condition in which blood sugar levels are high but are not enough to be regarded as diabetes. However, if remain unchecked and uncontrolled prediabetes usually converts to diabetes.

According to Mona – prediabetes results due to the combination of genetic, environmental and unhealthy lifestyle factors.

There are no obvious signs and symptoms which can result in prediabetes, however a periodic blood test is the only method which can detect the spikes in the blood sugar levels.

It is myth that fat people are prone to diabetes. Mona says that it thin individuals are at an equal risk. She terms thin people as walking time bombs or TOFI (Thin from outside and fat from inside). Fats is not visible in such individuals, however it gets accumulated on the internal organs which leads to serious complications.

Causes of prediabetes

Prediabetes primarily results from factors such as:

  • Poor diet
  • Toxins in the environment
  • Genetics

Mona addresses most of the concerns w.r.t food to curb prediabetes In spite of having a genetic predisposition towards the disease, genetic suppression for diabetes can be achieved by:

  • Eating healthy
  • Avoiding eating foods in plastics(minimize the use of plastics)
  • Avoiding sugary foods and drinks-which shoots the blood sugar levels
  • Including whole fruits and vegetables
  • Eating foods which are low in glycemic index such as high fiber foods(green leafy vegetables, cauliflower and fruits )
  • Refraining from foods high in glycemic index (e.g potatoes)

Mona says- Rule of the thumb is that high fiber foods are low in glycemic index e.g fruits and vegetables. She emphasizes on below mentioned points to prevent or deal with prediabetes:

Eating healthy

Art of stacking-Pairing the food appropriately-Just for an instance you are eating rice and dal, club it with foods rich in fibers such as vegetables and salads. Include proteins such as tofu. Non- vegetarians can add chicken, meat or fish.

  • Consuming sweets in moderation-Try consuming sweets in moderation. Gradually reduce your sweet intake. Mona says- According to research it takes about 14 days to fully curb the craving of a particular food. So do not give your body a shock and try eating foods in moderation.
  • Avoid artificial sweetners– Mona says – Artificial sweeteners can be regarded as poison. They attack our gut microbiome and kill good bacteria, which are essential for maintaining good health.
  • Prediabetics can include dates, coconut to replace the sugar in their diet

Healthy lifestyle

According to Mona leading a active life and a 30 mins of daily physical activity can reduce the risk of prediabetes. So one must include a minimum of 30 mins work out schedule in daily regimen.

Stress

Keep stress at bay. Stress not only contributes to prediabetes condition but also contributes heavily to other lifestyle chronic conditions.

Foods recommended for prediabetics 

  • Lean proteins
  • Foods rich in chromium like brocilli
  • Foods rich in magnesium like almonds, spinach and pumpkin seeds

Karela juice is an age old Indian method which is scientifically proven to prevent diabetes and has exceptional benefits in lowering down the blood sugar levels.

Whenever you visit a restaurant it is a good idea to:

  • Take time in understanding the menu
  • Take time to order
  • Select intelligently
  • Ask questions to the server
  • Customize food
  • Avoid foods rich in sugars and carbs e.g bread basket
  • Swap few items e.g remove french fries, avoid salad dressings instead use olive oil
  • Avoid fried foods like chilli paneer
  • Avoid cheesy pizza. Customize pizza and add more vegetables
  • Share your food
  • Eat fruit bowel instead of conventional desserts

Power foods to prevent diabetes:

  • Green Tea
  • Cinnamon
  • Coriander
  • Ginger
  • Sprouted foods

To read more on Diabetes, click on the link below.

https://famhealth.in/infocus-detail/diabetes

Diabetes-Friendly Grocery Shopping Items by Famhealth

Diabetes Friendly Grocery Shopping Items

Going for grocery shopping for yourself or your loved one? Take a look at the nutritive items you must bring home and stock up your Frigidaire. Besides nutrient content, the glycemic index (GI) of a food may also help you make healthy choices. The GI measures how quickly a food will raise blood sugar. Low GI foods have a score of 55 or less, while high GI foods have a score of 70 or more. In general, lower GI foods are a better choice for people with diabetes. Foods that are both nutritious and have a low GI are helpful in managing health and blood glucose levels.

Keeping the Indian supermarket in mind we bring together some easily available items extremely beneficial for you health.

Here’s your guide:

Starchy foods:

Starchy foods are always referred Carbohydrate rich foods. This category stands very important as it provides energy to the body to perform vital actions. Whenever you are going to the supermarket next for grocery shopping make sure, a good portion of your cart contains items from this category. So, we bring you some healthy options which can help you to shop quickly. Of course the options given below are not the only options you may choose, but incorporating some or all into your diabetes meal plan may help you and partner improve the overall health. 

  • Brown rice
  • Oatmeal
  • Millet
  • Sweet Potatoes
  • Whole-Grain Bread/ Flour

Non-Starchy

This category of veggies goes a long way in satisfying your hunger and boosting your intake of vitamins, minerals, fibre, and phytochemicals. They are the lowest in calories and carbohydrates. Non starchy vegetables are highly recommended by dieticians around the globe for weight loss and diabetes management.

Here are some non-starchy veggies you may wish to bring home today.

  • Spinach
  • Cabbage
  • Carrots
  • Cauliflower
  • Cucumber
  • Brinjal
  • Red peppers
  • Capsicum
  • Lettuce

Fruits

You may choose to add non starchy low glycaemic index fruits in all your meals and snacks. They contain natural fructose which may act as a dessert after meals to satisfy your taste buds.  According American Diabetes Association guidelines, at least 4-5 servings of fruits needs to be consumed daily by people living with diabetes. They nourish the body with plenty of vitamins and fibres.

These are some options you may choose to shop today.

  • Apples
  • Berries
  • Melons
  • Oranges
  • Indian Gooseberry
  • Guava
  • Star fruit
  • Papaya

Dairy products

ADA recommends, we should include dairy products as a part of our healthy diet, as they are high in both protein and calcium.  Evidence till date suggests, that milk product consumption is associated with a reduced risk of developing type-2 diabetes. So, we are sharing a list of milk products you may wish to add in your cart. But it’s advisable to check on fats while consuming milk products.

Here are some healthy options.

  • Low fat Milk
  • Yogurt
  • Butter milk
  • Unsweetened lassi
  • Cheese
  • Paneer (cottage cheese)
  • Protein containing products

You may choose to include a variety of protein-rich foods in your diabetes meal plan.  Proteins are derived from both animals and plant origin, which are very essential for the repair and growth of human body. As you already know protein also provides energy and is an excellent source of macro nutrient known as the “building blocks of life”.

Here are some healthy choices; you may wish to take home today.

  • Beans
  • Cheese
  • Chicken
  • Eggs
  • Mushrooms
  • Tofu
  • Nuts

Nuts and Seeds

Research conducted in Louisiana State University found, that people who regularly consumed nuts have lower risks for Type 2 diabetes. So, next time, you crave for foods high in sugar and fat, you have healthier options and can choose to munch on some assorted nuts. It can be an excellent snack option as well, such as pumpkin seeds known to deliver taste and crunch, or peanuts and other seeds which are rich in protein, fibre, and good fats. They’re also a source of magnesium, a mineral that’s key to blood-sugar control because it helps cells use insulin. So, on the basis of their great benefits, we are recommending you these

  • Walnuts
  • Peanuts
  • Cashews
  • Flaxseeds
  • Pistachios
  • Pumpkin seeds
  • Almonds
  • Musk melon seeds

Oils and Fats

As you may already know, oils and fats are also a very essential part of our diet, as it provides nourishment and a major chunk of cooking is done with them. Oils and fats are a good source of vitamin E, which is important for maintaining healthy skin.

It is true that all fats are high in calories, so it is important to watch portion sizes you are consuming. But a smarter way can be adopted by opting for unsaturated healthy fats than saturated and Trans fats, while substituting the healthy fats in their place. 

Here’s a small list of Cooking oil and fats.

  • Mustard oil
  • Soya bean oil
  • Flaxseed oil
  • Olive oil
  • Coconut oil
  • Low fat butter
  • Margarine
  • Peanut butter
  • Ricotta cheese.

Herbs and Spices

The herbs and spices from our Indian sub-continent seem to be the most explored and active component in maintaining blood glucose levels.  A number of research and studies are being conducted to support this theory.

Let us find the essential spices and herbs one must have in their kitchen

  • Cumin
  • Pepper
  • Cinnamon
  • Turmeric
  • And other salt free spices
  • Ginger
  • Garlic

Beverages

As you may already know, if you are having diabetes, doctors recommend that you have to be aware of everything you eat or drink specially canned or packaged drinks which contain hidden sugars. So to prevent spiking in the blood sugar levels, American Diabetes Association (ADA) recommends choosing zero-calorie or low-calorie drinks.

Here are some options which may benefit you while consuming beverages.

  • Water (unflavoured or flavoured sparkling water)
  • Unsweetened tea
  • Unsweetened coffee
  • Sugar-free fruit juice
  • Low-fat milk

Snacks

Who doesn’t love snacks?  Everyone loves to much on snacks in between meals; there are lots of healthy choices that can be used as snack foods.  As you may already know, while taking medications you are advised to snack in between meals to avoid low blood sugar levels.

So we bring together some quick readymade snacks you can directly pick from the super market.

  • Popcorn
  • Cookies
  • Green tea
  • Nuts
  • Fruits (as mentioned above)

Remember this list is not exhaustive you may pick and choose other food items as well, according to their Glycaemic Index. This list is quick shopping guide keeping the Indian market in mind.

To read more on Diabetes, click on the link below.

Diabetes Types & symptoms

Diabetes Diet Options curated by Famhealth

Diabetes Diet Options

diabetes diet

Hello everyone! Here’s introducing everybody, to absolutely amazing diet options you may wish to choose.  We all require a break from the monotony of the diet plans we are currently following, so read on to pick your option this month. Remember before you switch to any plan or diet options, it’s always wise to check with your doctor/dietician and be doubly sure if this plan will work effectively for you.

DASH Diet

Did you know along with diabetes you can keep your blood pressure under control?

Try the DASH diet, best known for keeping high blood pressure in check; Dash diet has been one of the favourites of people with diabetes, research reveals majority of people have come on top of their condition following a blend of Dash Diet, workouts and lifestyle changes.

Diet Composition:

“It’s a plant-focused diet that’s rich in fruit, vegetables, nuts, and legumes, as well as low-fat dairy, lean meat, fish, poultry, whole grains, and heart-healthy fats,” says Sonya Angelone, RD, a consulting nutritionist and spokeswoman for the Academy of Nutrition and Dietetics. “It’s easy to follow, healthy for the whole family, and great for weight loss.”

The Mediterranean Diet

Cholesterol problem? Now no problem, follow the Mediterranean diet.

One of the favourite healthy diets followed globally by people with Diabetes and without diabetes. Mediterranean diet comprises of cooking meals with the goodness of “olive oil” to keep cholesterol at bay.

Lots of fresh, seasonal food, plenty of produce, heart-healthy olive oil, and a little wine make the Mediterranean Diet an enjoyable choice for people with diabetes, says Constance Brown-Riggs, RD, a certified diabetes educator and author of The African American Guide to Living Well With Diabetes.

This style of eating can help with blood sugar control, as well as heart disease risk, according to the American Diabetes Association.

Studies show that people are more likely to stick to this plan, “so it may help you avoid yo-yo dieting,” Smithson says.

Vegan Diet

Tried eating meals minus dairy products and meat?

The theory behind vegan diet is simple and healthy. You can cook a healthy meal without adding dairy products such as milk, cream, butter, yogurt, cottage cheese. Vegan diet also does not comprise of any kind of animal products a no-no for any meat. Research suggests, vegan diet aids in weight loss, reduces the risk of heart diseases, diabetes and cancer.

The Flexitarian Diet

Do you want to try some flexible option? Here you go

Flexitarian as the word suggests, is a concoction of two words: “flexible and vegetarian”. Wait! there’s more to eat …….Along with eating veggies one can easily flip to eating lean meat and eggs as and when required by the salivary juices in our stomach.

The term was coined more than a decade ago, “The Flexitarian Diet: Research is on our side as this diet mostly aids in losing weight, keeping healthy, building immunity  and Adding years to our lives.

Dietician Dawn Jackson Blatner says you don’t have to eliminate meat completely to reap the health benefits associated with vegetarianism – you can be a vegetarian most of the time, but still chow down on a burger or steak when the urge hits.

Vegetarian Diet

People with diabetes “Old is Gold”……..but its Famhealth we will make this extra interesting

This diet as the name suggests, comprises of vegetables, dairy products, legumes, pulses but no meat. This Diet helps in checking in blood glucose levels, obesity and keeps cardiovascular diseases at bay.

We shall share some interesting, amazing mouth-watering vegetarian recipes with you on Famhealth recipe corner. We bet you cannot resist Do check out!

Mayo Clinic Diet

“Watch your calories” and eat smartly!

This diet has been specially designed for diabetes and people with a risk of cardiovascular diseases and obesity.

We recalibrate our eating habits, breaking bad ones and replacing them with good ones with the help of the Mayo Clinic’s unique food pyramid.

The pyramid emphasizes fruits, veggies and whole grains. In general, these foods have low energy density, meaning you can eat more but take in fewer calories. Think of it this way: For about the same amount of calories you could have a quarter of a Snicker’s bar or about 2 cups of broccoli.

American Diabetes Association Carbohydrate Counting

This is not a Diet! Its traditional sense!

The famous American Diabetes Association advocates, that nothing can go wrong if you count carbohydrates you are consuming. The main purpose isn’t weight loss but consuming only the amount of low carbs which is required by the body to convert into energy form.

Carb counting is a great way to manage your blood glucose levels. Many high-carb foods also tend to be high in calories, so cutting back on them often leads to shedding pounds resulting in weight loss.

If you choose this approach, remember to ask your doctor or a diabetes educator how many carbs to eat at each meal (for example 45-60 grams per meal is an average, but your number could be different because body types and conditions are always not the same for everyone.) A lot depends on the physical activities and body requirement of the person.  “An exclusive individualized meal plan must be designed based on your nutritional requirements, caloric needs, medications, and exercise routine.

The Fertility Diet

As the name suggests, fertility diet enhances the strength of reproductive organs in the human body and increases the chances of becoming parents of offspring to manifolds.

Research is on our side, a health study conducted in USA from the Nurses which began in1976 and grew to include 238,000 female nurse participants aged 30 to 55 has shown that tweaking aspects of your diet, from fats to beverages, can increase ovulation and improve your chances of getting pregnant.

In “The Fertility Diet: Ground breaking Research Reveals Natural Ways to Boost Ovulation and Improve Your Chances of Getting Pregnant,” Drs. Jorge Chavarro and Walter Willett of the Harvard School of Public Health created a diet plan based on the study, which showed that women who consumed “good” fats, whole grains and plant protein improved their egg supply, while those who ate “bad” fats, refined carbohydrates and red meat may make fewer eggs, thereby increasing the risk for ovulatory infertility.

Fertility diet also hints that full-fat dairy products are good for fertility compared with skim milk and sugary sodas.

Ornish Diet

Want to reverse your condition? Good news follow Ornish Diet.

Research is on our side, studies have revealed that people who followed the Ornish Diet (which is essentially a vegetarian diet) for a year lost an average of 5-7 kgs, and many of them specially Prediabetes and type 2 diabetes were able to lower their dosage of diabetes medication or switch from insulin to an oral drug.

The catch, however, is that this diet may be a little too restrictive for some people, which means it could be difficult to maintain if you’re not used to eating only plant-based foods.

“Most people aren’t able to make a 180-degree turn,” Brown-Riggs says. A more flexible version, called The Ornish Spectrum, might be easier to follow.

MIND Diet

Sharpen your brains!

The MIND diet takes two proven diets – DASH and Mediterranean – and zeroes in on the foods in each that specifically affect brain health.

The emphasis is on eating from 10 brain-healthy food groups: green leafy vegetables in particular, all other vegetables, nuts, berries, beans, whole grains, fish, poultry, olive oil and wine. Meanwhile, MIND adherents avoid foods from the five unhealthy groups: red meats, butter and stick margarine, cheeses, pastries and sweets, and fried or fast food.

Keto Diet

As per NCBI Ketogenic diets may even have benefits against diabetes, cancer, epilepsy and Alzheimer’s disease.

The Keto diet emphasizes weight loss through fat-burning. The goal is to quickly lose weight and ultimately feel fuller with fewer cravings, while boosting your mood, mental focus and energy. According to Keto proponents, by slashing the carbs you consume and instead filling up on fats, you safely enter a state of ketosis. That’s when the body breaks down both dietary and stored body fat into substances called ketones. Your fat-burning system now relies mainly on fat – instead of sugar – for energy. 

While similar in some ways to familiar low-carb diets, the Keto diet’s extreme carb restrictions – about 20 net carbs a day or less, depending on the version – and the deliberate shift into ketosis are what set this increasingly popular diet apart.

The Keto diet has its roots in the decades-old therapeutic ketogenic diet. Clinically, the ketogenic diet is used in neurologic medicine, most notably to reduce hard-to-control seizures in children. Studies also suggest possible benefits in other brain conditions such as Parkinson’s and Alzheimer’s diseases.

To read more on Diabetes, click on the link below.

Diabetes Types & symptoms

Checklist & Tips for Diabetics by Famhealth

Checklist with Tips

Diabetics

For Patients

Here’s a quick guide for keeping a daily check on diabetes by patients/family and caregivers.
Self-help is the best help and we are with you.

  • Check blood sugar levels as often as recommended by your doctor. By checking your blood glucose level, you can know how food, physical activity and medicine affect your blood glucose.
  • Inspect your feet daily for cuts, injuries, blisters, infection and changes in skin pigmentation.
  • Inspect your mouth, teeth and gums. People living with diabetes often are prone to periodontal gum diseases, doctors’ advice brushing twice daily and flossing once in a week.
  • Check for infection, cuts, blisters, or colour changes all over the body including your underarms, groin area, area between toes, etc.
  • As you may be already aware, people with diabetes must avoid hot water baths as hot baths often lead to wrinkling and blisters in skin.
  • Keep your supplies close: Make an attractive kit bag and keep all the necessary medications and food items within your reach. Replenish the kit daily to keep your energy elevated, and blood glucose levels normal.
  • Last but not the least take your medications on time and at least exercise or walk for a minimum 45 minutes daily to regulate blood glucose levels.

For the Caregiver
 

  • Blood sugar check – Check or gently remind them about the blood sugar check as per doctor’s recommendation
  • Keep a record – keeping a daily record of his/her blood glucose readings, medicine schedule, exercise, meals, and how the person feels helps in managing diabetes.
  • Check the colour of the person’s legs and feet – check for signs such as swelling, warmth, redness, or pain. These may be signs of an infection so see a doctor right away as recommended by Joslin Diabetes Center.
  • Check the temperature – Cleveland clinic recommends you, to check the temperature of the water your patient is going to take a bath. Water should be just warm (not hot). Encourage usage of only mild soap such as glycerine soaps to prevent wrinkling and cutting of skin tissues.
  • Check on hydration – Drinking lots of fluids — like water, juices, caffeine-free and sugar-free drinks are very important to keeping them hydrated. So we recommend you, just try to keep reminding them.
  • Check their diet plan – Encourage them to eat small but frequent meals, If they are not following, try to encourage them to change their diet, we suggest you to eat the same food as them and encourage by following their diet.
  • Check the way they exercise – Offer to exercise with him or her to motivate them. Let them decide what they like most outside or indoor exercises always check with the doctor before starting any regime.
  • Check on their Oral hygiene – As we know, that a person with diabetes is more likely to have mouth related problems. We suggest them to brush with a soft-bristled brush after every meal, and floss at least once a week.

To read more on Diabetes, click on the link below.

Diabetes

I’m a borderline case, what can I expect ?

Have you been diagnosed with borderline high blood sugar levels? In your case the blood sugar levels recorded are higher than normal, but not high enough to be full-fledged Diabetes. This is referred to as the Prediabetes stage which can be reversed by following recommended guidelines.

During this phase, your pancreatic cells are still producing a little amount of insulin to convert carbohydrates into sugar, however, Insulin produced by the pancreas is not sufficient to remove sugars effectively, keeping the blood glucose level high.

It has been observed that people with Prediabetes may not take this condition seriously. However, research suggests that the sooner one begins to take precautions, the better are the chances of reversal of this condition.

 

 

Some quick tips

  • Make small changes and be a winner!
    • Prediabetes can eventually lead to Type 2 Diabetes; however, this development can be easily prevented. It requires small efforts and minor changes in your lifestyle. Research shows that reducing your body weight by just 5 -10 %, to begin with, makes a remarkable difference in the natural Insulin production in the body. Weight loss can also delay the onset of Type 2 Diabetes significantly.
  • Watch your portion sizes
    • Dieticians round the globe suggest having 3 main meals and 3 mini meals to have a good control of your glucose levels.
      You may choose to use smaller plates for meals to check on serving portions to begin with. The plate method advocated by ADA is specially designed for people living with Diabetes or Prediabetes. This approach advises that you fill half of your plate with fibrous fruits and vegetables; one quarter with low carbohydrates, such as brown rice or a baked potato; and the last quarter should be lean protein, like grilled fish or chicken.
  • Never skip meals
    • Eat regularly. It is always a good idea to follow a regular meal pattern and not skip meals. People who eat regular meals, beginning with healthy breakfast, are healthier, more energetic and weigh less than those who skip meals.
      Consume mini meals. Eating healthy mini meals and snacks such as fruits, multigrain bars and low-calorie preparations help you to not only control your blood sugar, but also hunger pangs and prevents you from overeating and binging.
  • Limit tobacco and alcohol consumption
    • Research suggests smoking may aggravate complications from Diabetes, such as heart diseases and may lead to nerve and kidney damage. It is, therefore, highly advisable to significantly limit or give up on smoking. 
      Alcohol consumption can have a strong impact on your blood sugar levels; they often spike blood glucose levels leading to poor diabetes management. It is a good idea to take your doctor’s advice on whether you can consume alcohol, and how much. In any case, please remember to always eat a snack or a meal while consuming alcohol to prevent fluctuations or spiking of blood glucose levels.
  • Exercise
    • Exercise is integral to a healthy lifestyle. If you have been diagnosed with Prediabetes, it is even more essential for you to have a fitness routine. 
      It is a good idea to check with your doctor before you starting any exercise program. However, a daily walk of 30 – 45 minutes usually makes a good starting point. You may also choose from a wide variety of exercise regimes such as Yoga, Pilates, Tai chi, Swimming, Dancing and Jogging.
  • Acquire as much information as you can
    • It is believed an informed person can make better decisions. Hence we urge you to make an effort to learn about food and lifestyle changes that will help you manage your condition better.
  • Take help and support from your family
    • Research suggests that it is easier to manage Diabetes more effectively with family support. Your partner, family, and friends can play a huge role in motivating you and helping you adhere to your diabetes management programme. 
      It is a good idea to check with your doctor before you starting any exercise program. However, a daily walk of 30 – 45 minutes usually makes a good starting point. You may also choose from a wide variety of exercise regimes such as Yoga, Pilates, Tai chi, Swimming, Dancing and Jogging.
  • Last but not the least
    • Always maintain a positive approach. Studies suggest that people who consider Prediabetes as a burden or stress are often unsuccessful in managing this condition. Hence, with a positive mind and attitude you can successfully control your blood glucose levels and come on top of your condition.

What I can do as family/friend of a diagnosed Prediabetes?

Studies reveal that a majority of partners and family members may be equally worried upon detection of their partner’s Prediabetes/Borderline condition. But the good news is that you and your family can play a very important role in arresting and reversing the condition. Research suggests, Partners and family members who actively take interest in managing Prediabetes/borderline condition with in their spouses have been very successful in achieving excellent results.

You may already know that Prediabetes is a warning condition, but studies are on our side saying the condition can be reversed by bringing in lifestyle changes and following low carb diets, exercise regimes and incorporating lifestyle changes.

  • Equip yourself first
    • Reading and collecting information on diabetes yourself can be very helpful for you to understand what your partner is going through physically and emotionally. You may also choose to take guidance from a certified diabetic educator or a physician to help your partner in the best possible ways.
  • Support your partner mentally and emotionally
    • Psychologists suggest that people living with Prediabetes/Diabetes undergo tremendous emotional turmoil. Feelings such as anxiety, fear, guilt, anger, frustration and denial are bound to be experienced. As a family member / partner you should try to be supporting and understanding of these emotional ups and downs. You are also advised to consult a certified diabetic educator to help you motivate your partner in dealing with this condition.
  • Participate in arresting Prediabetes/borderline condition
    • It is always easier to approach a challenge as two people rather than one. By working together not only are you motivating yourself but you are also acting as a check for the other person. Planning goals together is very helpful in attaining successful results, it is a good idea to discuss and chalk out plans mutually before starting to follow any regime for management of this condition. Research suggests that partners, who ate the same food, and did combine exercises yielded better results than self-managed programmes. 
      Reminding your partner to adhere to the Prediabetes management programme may help in controlling high glucose levels in people with Borderline conditions. You may also choose to follow “eating by the plate method” advocated by ADA and try various diets. 
      However, it is important to beware that constant nagging, complaining or forcing may backfire in managing this condition. It’s advisable to set realistic goals, and handle situations compassionately.
  • Empower and replenish yourself
    • Research shows family and partners undergo tremendous mental and physical fatigue. Remember to take care of yourself too, because you may also undergo mental and physical stress while looking after your companion. 
      Ensure that you have time for yourself and for pursuing the interests you enjoyed before Diabetes made an appearance in your life. Pamper yourself and remain cheerful. 
      It is important to strike a balance in order to manage your personal and professional life. Set realistic goals and do not give up. Eat a well-balanced healthy diet and learn different ways to cope up with stress. To know more read the below tips to manage compassion.

To read more on Diabetes, click on the link below.

Diabetes

Compliance and Checklist

Compliance and Checklist for Diabetes

Compliance and Checklist for Diabetes by Famhealth

Despite significant modern advances in diagnosis and treatment of diabetes, compliance still remains the most crucial aspect of blood glucose level control. Scientific research in National Institute Health USA, suggests “Poor glycaemic control may be reflected by both the failure of diabetes self-management by patients as well as inadequate intervention strategies by clinicians”. Hence identifying the barriers in compliance and treatment adherence is an equally important aspect for successful diabetes management.

Barriers in compliances may be due to various reasons but as per research the majority of non-compliances in diabetes management could be due to In-adequate information, Cultural differences, Religious beliefs, Family dynamics, Emotional imbalances, and sometimes poor communication skills.

According to the American Diabetes Association, The major compliance regimen for people living with Diabetes includes:

  • On time Medications:
    • Medications on time, helps you to maintain a “good control” of blood glucose levels in your body. People living with diabetes are often prescribed multiple medications for diabetes and other co morbid conditions. 
      To ease your medicinal intake you are advised to check with your doctor on the sequence of medicines to be consumed as per priority for e.g. which medications to consume before/after meals. 
      To manage and ensure medicinal compliance you are encouraged to take the help of friends/family/colleagues who can effectively remind you to take your medications on time every time!
  • Food & Nutrition:
    • According to Dr. Mona registered dietician from USA says, “Good food is good medicine and bad food is bad medicine”. You are advised to have frequent diabetes friendly meals, to reap the maximum benefits of successful diabetes management. To know more refer to our Food section.
  • Exercise regimen:
    • Regimen: Having a daily exercise regime not only helps you to stay fit and healthy, but has also helped so many people in reversing their conditions remarkably! At Famhealth exercising can never get boring! Get to know the new forms and join our community to experience fun “do it with us” exercising modules.
  • Monitoring blood glucose levels:
    • Checking your blood glucose levels timely as recommended by your doctor helps to administer the effect of food, medicines and physical activity in your body. It is almost a reflection of how well you are managing your condition. You are encouraged to take help of your partner/family member/caregivers to learn the right ways of monitoring blood glucose levels to ensure diabetes compliance.

Family/friends/caregivers play a vital role in helping a person living with diabetes to overcome all the barriers and come on top their conditions

  • Check blood sugar levels as often as recommended by your doctor. By checking your blood glucose level, you can know how food, physical activity and medicine affect your blood glucose.
  • Inspect your feet daily for cuts, injuries, blisters, infection and changes in skin pigmentation.
  • Inspect your mouth, teeth and gums. People living with diabetes often are prone to periodontal gum diseases, doctors’ advice brushing twice daily and flossing once in a week.
  • Check for infection, cuts, blisters, or colour changes all over the body including your underarms, groin area, area between toes, etc.
  • As you may be already aware, people with diabetes must avoid hot water baths as hot baths often lead to wrinkling and blisters in skin.
  • Keep your supplies close: Make an attractive kit bag and keep all the necessary medications and food items within your reach. Replenish the kit daily to keep your energy elevated, and blood glucose levels normal.
  • Last but not the least take your medications on time and at least exercise or walk for a minimum 45 minutes daily to regulate blood glucose levels.

Non adherence to the above treatment compliances often leads to frustration in families and also in doctors treating diabetes individuals

Diabetes Types & symptoms