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Fighting Childhood Obesity with Food
Childhood obesity is becoming common these days. Eating unhealthy and less nutritious food is a major contributing factor. India has the second largest number of obese children in the world and it is estimated that by 2025 this number is estimated to grow by 70 million. On one hand many children in our country are deprived of right amounts of foods, on the other hand some children are facing obesity as a major concern.
According to Mona – “Childhood obesity results primarily due to limited or no outdoor activity, high calorie intake and irregular eating habits of children.”
In Indian society a chubby child is regarded as healthy. Whereas a chubby child does not mean that the child is healthy.
Childhood Obesity Complications
Childhood obesity can lead to serious complications such as:
- Heart disease
- Diabetes
- Autoimmune disorders
- Cancer
- Arthritis
- High blood pressure
Mona says- “Childhood obesity is not a result of genetics, whereas it is actually a result of parent’s behavior, if parents are eating unhealthy the child will mimic the same and ultimately becomes obese as his/her parent.”
Right Food for Obese Children
- Pay attention to breakfast-A poor breakfast affects child’s concentration and results in poor performance especially in schools. Feed the child early with well balanced foods which includes proteins, complex carbohydrates.
Mona does not recommend low fat food in children as the process of making a low fat food involves extracting the fat content and replacing it with refined carbohydrates to make it palatable. Refined carbohydrates are bad for the health and causes obesity.
- Moderation is the key-Whenever you take your child food. Moderation is the key make the child eat in small portions and feed his with a small snack, preferably with nuts, so that the child eats in small amounts.
- Macro balanced diet- Child’s diet must contain a rich supply of carbohydrates, fats and proteins, which makes a healthy macro balanced diet.
Mona says- “Combine the foods to make it more nutritious and healthy. Example-If you are giving aloo parantha to child club it with yogurt and butter to make it more nutritious. Instead, try giving a vegetable parantha like gobhi or mooli parantha.”
- Sit with your child and ask for his preferences – It helps the child to be involved. Suggest him with healthy options. Educate him about the right food.
Food During Exams
As parents we feed the child with whatever food he/she asks for especially during the exam time. Mona says -It is important to replace high carbohydrate food with foods rich in phytonutrients, omega- 3 fatty foods, extra virgin olive oil, and antioxidants.
These foods supplement optimum nutrition and improve the performance of the child. Foods high in carbohydrates kill gut micro biome.
Value of Rainbow Food
Mona suggests eating rainbow foods at an early age to all children. This includes eating different colored fresh fruits and vegetables. This supplies children with essential phytonutrients, vitamins and minerals. Eating unprocessed foods, fatty fish (a rich source of omega-3), and cereals aids healthy nutrition in children
Power Food-Simple and Easy Early Breakfast Recipe
Berry smoothie- Make simple smoothie which contains flax seeds, berries, yogurt and little bit of honey. This is an ideal food for kids, as it contains good combination of macros.
Foods to Completely Avoid
Below is the list of some foods which are to be completely avoided
- Cold drinks
- Packed foods
- Processed foods
Foods to be Given to Children in Moderation
- Cookies
- Cakes
- Pastries
Food Essential for Growth and Development
Mona says- “Calcium is one mineral essential during early development years. Maximum calcium requirement is there during 9-18 years of age. 1000 mg/day is the essential requirement of the child during this phase.”
Foods rich in calcium are
- Dairy
- Green leafy vegetables
- Almonds
To read more on Obesity, click on the link below.
Obesity
Obesity is a multifaceted health disorder that affects both adults and children. Being obese not only affects the overall persona of an individual but also increases the risk for many health concerns. An obese person is at a higher risk of developing health conditions like diabetes, heart disease, stroke, arthritis, breathing problems, and some cancers.
Statistics have revealed that obesity is a major factor contributing factor for metabolic syndrome and type 2 diabetes mellitus (T2DM) among Asian Indians. Various factors contribute towards making an individual obese. Some major factors which contribute towards obesity are environment, family history and genetics, metabolism or the way your body converts food and oxygen into energy, and individual’s lifestyle. Besides these factors certain medical conditions also leads to obesity. Scientists are also trying to understand that some chemicals in the environment may be playing in the growing obesity problem.
Recent guidelines have revealed that 10-15% of Indian population would fall under the obese category and would need appropriate management. Purpose of these guidelines on countrywide basis projects an alarming situation of T2DM and cardiovascular disease.
Some startling facts about obesity:
- According to a recent survey conducted worldwide: India has second highest obese children in world.
- Followed by China India ranks second in childhood obesity with the incidence of China with 15.3 million and India with 14.4 million.
- According to National Family Health Survey in 2018 –In past one decade the number of obese people has doubled.
- According to a latest publication in a medical journal-“The Lancet” –Currently there are 30 million obese Indians and by 2025, this number is expected to pass 70 million.
- Did you know lack of sleep increases the chances of obesity- If you do not sleep enough you produce Ghrelin, a hormone that increases your appetite and hence adds extra pounds to your body.
- India the third most obese country in the world – According to a study published in a medical Journal Lancet- India is just behind US and China in this global hazard list of top 10 countries with highest number of obese people.
- Latest Survey reveals that technology addiction too is adding to obesity amongst young adults and children in India. Television, computers and video games at the cost of sports and physical activity, causing sedentary life style are prime causes of obesity among young ones.
- Surprisingly but true-Globally, Obesity causes more deaths than malnutrition -Worldwide, obesity is one of the top five leading causes of death. It results in greater than 2.8 million deaths every year.
What is the need for new guidelines for obesity among Asian Indians?
New guidelines have been proposed in view of alarming situation of obesity among Indians. These guidelines have been prepared by 100 medical experts all across the country hailing from the backgrounds of internal medicine, diabetes, metabolism, endocrinology, nutrition, cardiology, exercise physiology, sports medicine, bariatric surgery and representing reputed medical institutions, hospitals, government funded research institutions. The very need for these guidelines has been enumerated below:
- In view of increasing trend in frequency of obesity and related metabolic diseases, there is dire need of effective interventions in obesity
- As Asian Indians manifest a higher risk of cardiovascular risk factors and T2DM at lower levels of obesity, the appropriate obesity diagnosis should be based on lower level of weight for height than in non-Asian Indian populations.
- Current obesity international guidelines are not appropriate for Asian Indians. Moreover, WHO has authorized local governments and scientists to decide on the localized guidelines for the Asian Indians.
- If appropriate diet, exercise, drug and surgery are employed at lower levels of obesity, nearly 15% of the adult population of India (nearly 5-7 crore people) will show improvement in obesity coupled with reduced risk of diabetes and cardiovascular disease.
How obesity is diagnosed among Indians?
Three parameters which are used to measure obesity are body mass index BMI, waist circumference WC and waist-to-hip circumference ratio (WHR). The most accepted method to define thinness and fatness is BMI, a ratio of weight in kilograms divided by height in meters squared (kg/m2).
What are the cut offs for BMI and WC in defining obesity among Asian Indians?
After a major consensus among scientists below table has been prepared to depict the obesity among Asian Indians:
| Classification | BMI(kg/m2) | |
| Principal cut-off points | Cut-off pointsfor Asians | |
| Normal range | 18.5 – 24.9 | 18.5 – 22.9 |
| 23.0 – 24.9 | ||
| Pre-obese | 25.0 – 29.9 | 25.0 – 27.4 |
| 27.5 – 29.9 | ||
| Obese (Class I) | 30.0 – 34.9 | 30.0 – 32.4 |
| 32.5 – 34.9 | ||
| Obese (Class II) | 35.0 – 39.9 | 35.0 – 37.4 |
| 37.5 – 39.9 | ||
| Obese (class III) | ≥40.0 | ≥40.0 |
Source: Adapted from WHO 2004 and recent guidlines
What does recent guidelines say about WC and WHR cut offs in defining obesity?
Research has revealed that abdominal obesity is associated with higher risk of diabetes and cardiovascular disease when compared with generalized obesity. Cardiovascular disease is associated with increased amounts of excess abdominal adipose tissue, both intra-abdominal adipose tissue (IAT) and subcutaneous adipose tissue (SCAT). In view of this a joint discussion and consensus among scientists concluded the WC cut off among Asian Indians as defined below:
- Action level 1: Men: 78 cm, women: 72 cm. Any person with WC more than these levels should refrain from gaining weight and adopt healthy lifestyle to prevent the risk of any of the cardiovascular risk factor.
- Action level 2: Men: 90 cm, women: 80 cm. Individuals with WC above this should seek medical help so that obesity-related risk factors could be diagnosed and handled.
What are the causes of obesity?
Obesity could be genetic, behavioral and can also result due to the hormonal changes in the body. Obesity occurs when you take in more calories than you burn through exercise and normal daily activities. Your body stores these excess calories as fat. Some medical conditions also result in obesity such as Prader-Willi syndrome, Cushing’s syndrome, and other diseases and conditions. The main reasons for obesity are either sedentary lifestyle or eating unhealthy such as junk foods at wrong intervals.
What are the risk factors that can contribute to obesity?
Obesity usually results from a combination factors, including:
- Genetics. Genetics may also play a role in how efficiently your body converts food into energy and how your body burns calories during exercises.
- Family lifestyle. Family members share common eating habits. Obesity runs mostly in families as common eating habits of eating fatty foods contribute to obesity.
- Inactivity. If you are inactive throughout the day, you are more prone towards obesity. Certain diseases like arthritis also result in decreased mobility and hence inactivity
- Diet. A diet rich in fats and less minerals and vitamins can result in obesity
- Medical problems. In some people, obesity can be traced to a medical conditions like Prader-Willi syndrome, Cushing’s syndrome and other conditions. Medical problems, such as arthritis, also can lead to decreased activity, which may result in weight gain.
- Medications. Some medicines such as antidepressants, anti-seizure medications, diabetes medications, antipsychotic medications, steroids and beta blockers also make the person obese
- Social and economic issues. Research has shown that weight gain can be linked to social and economic factors.
- Age. As we grow in age a decreased physical activity and lower metabolic rate can result in obesity.
- Sleep deprivation. Not getting enough sleep or getting too much sleep can cause changes in hormones which may lead to an increase in appetite. You may also crave foods high in calories and carbohydrates, which can contribute to weight gain.
What are the complications associated with obesity?
A number of health problems arise if you are obese. Some of the diseases which you may encounter include:
- High triglycerides and low high-density lipoprotein (HDL) cholesterol
- Type 2 diabetes
- High blood pressure
- Heart disease
- Stroke
- Cancer
- Breathing disorders, including sleep apnea, a potentially serious sleep disorder in which breathing repeatedly stops and starts
- Gallbladder disease
- Gynecological issues such as infertility and irregular periods
- Erectile dysfunction and sexual health issues
Quality of life-If you are obese you are most likely to suffer from other issues, which can severely affect the quality of life. Some common problems which arise due to obesity include depression, disability, sexual problems, shame and guilt, social isolation, and poor performance at workplace
How can you prevent obesity?
You can take some below-mentioned steps to prevent obesity:
- Exercise regularly. Exercises such a fast walking and swimming for 150 to 300 minutes in a week can prevent obesity
- Eat healthily. Eat low-calorie, nutrient-dense foods, such as fruits, vegetables, and whole grains. Refrain from foods which are high in fat content.
- Monitor your weight regularly. Keep an eye on your weight at regular intervals as it can help you to assess your weight regularly
What are the recent guidelines on physical activity?
According to joint decision among scientist below is the list of guidelines about physical activity in combating obesity and associated health concerns:
- Physical inactivity should be refrained as much as possible
- Pro active medical consultation is recommended for those with chronic conditions or those who are symptomatic
- Inactive people must switch on to physical activity
- Brisk walking (walking at an intensity wherein an individual finds speaking difficult but not impossible) should be encouraged
- On an average a total of 60 minutes of physical activity like aerobic activity, work-related activity and muscle strengthening activity should be included daily
- For additional and greater health benefits, adults can increase their aerobic physical activity to 300 minutes (5 hours) a week of moderate-intensity, or 150 minutes a week of vigorous-intensity aerobic physical activity
- Yoga should be included; however, more research is needed to fully explore its benefits
- Children should undertake at least 60 min of outdoor physical activity. Screen time (television/computers) should be less than 2 hrs a day.
What is the treatment of obesity?
The treatment of obesity includes a combination treatment from a dietitian, behavior counselor or an obesity specialist. Recent guidelines suggest identifying and treating the underlying cause of obesity, lifestyle modification, pharmacological treatment like ant-obesity drugs along with lifestyle modification, and if needed surgical treatment is advisable in treating obesity.
Scientists have concluded that anti-obesity drugs should be prescribed in combination with dietary and lifestyle changes as a part of comprehensive weight loss program. Also, drug treatment should be monitored on an ongoing basis for efficacy as well as safety. In general, anti-obesity drugs should be administered for BMI above 27 kg/m2 or a BMI above 25 kg/m2
Anti-obesity drugs which are recommended to treat obesity are sibutramine, orlistat should be used as a second line therapy. At times metformin and exenatide can be used under special clinical conditions.
What is the surgical treatment for obesity?
Over the past few years bariatric surgery has come out as an option for obesity reduction. Bariatric surgery involves an alteration in the digestive system by reducing the gastric volume or by changing the path of food bolus which can lead to malabsorption. According to current international guidelines below are the guidelines for bariatric surgery:
- Current International Guidelines: BMI above 35 kg/m2, or BMI above 40 kg/m2.
- For Asian Indians: BMI above 32.5 kg/m2
Various surgical options are available under the umbrella of surgery which includes:
- Restrictive Procedures like Adjustable gastric banding (LAGB) & sleeve gastrectomy
- Combined Procedures like Roux-en-Y Gastric or Bypass (RYGBP)
- Malabsorptive Procedures like Bilio-pancreatic diversions (BPD)
- Experimental Procedures like ileal interposition
- Duodeno-jejunal bypass and other implantable pulse generators.
Pros and Cons are associated with above mentioned procedures; however, it is upon the physician to decide that which surgical treatment is best suited for the particular patient.
Having a positive attitude towards weight loss and employing various changes in lifestyle such as exercising and eating a well-balanced diet can help you to lose weight. Nevertheless, obesity remains a rampant problem even in developing nation like India. Appropriate interventions are required in a timely manner to combat this problem to prevent other major health concerns.
Obesity Support Groups
These inspiring stories of those who have overcome Diabetes will keep you motivated
Food as Medicine
As Hippocrates rightly said centuries ago – “Let food be thy medicine and medicine be thy food.” Here we bring you a realm where our food and nutrition expert Dr. Mona Johar tells us about treating food as medicine in a very easy and simple way.
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Diabetes food myths and facts
Myth: People with diabetes should never have sweets!
Truth: Good news folks! People with diabetes can have sweets occasionally. American Diabetes Association advocates that desserts and sweets are to be relished and consumed on special occasions and festivals albeit, your blood glucose level are under control and you are taking prescribed medicines regularly.
Myth: People with diabetes cannot have juices.
Truth: People with diabetes can very much enjoy fresh juices, but they definitely need to avoid canned and packed juices because of its added sugar content and high glycaemic values.
Myth: People with diabetes cannot have fruits.
Truth: People with diabetes should offcourse have fruits keeping in mind the glycaemic indexes. According to National Institute of health, USA fruits are a very good source of fibres and vitamin C “ascorbic acid”. All citrus fruits are rich source of vitamin C which boosts our immune system to fight against common diseases.
Myth: A big NO-NO to potatoes
Truth: People with diabetes may have potatoes (baked, grilled or steamed) in meals. Potatoes are to be ideally consumed, along with non-starchy vegetables and salads.
Myth: Diabetes diet is a very strict diet
Truth: A Diabetes diet is one of the healthiest diets, and has no hard and fast rule. Diabetes diet can be even followed by people without diabetes. You may select from a variety of options like the Mediterranean, flexitarian, vegan, Ornish to know more refer to Diet options in Famhealth.
Myth: Say no to all carbohydrates and yes to proteins
Truth: Yes carbohydrates do turn into sugars, but having overload of proteins and no carbs may lead to fatigue and cardiovascular diseases. Having more of proteins eventually leads to accumulation of fats in the body leading to cardiovascular diseases. ADA suggests, making a smart choice of having low carbohydrates will keep you energetic and prevent you from feeling low and tired.
Myth: Diabetes diet does not contain eggs, as they contribute to high cholesterol levels in the body
Truth: People with diabetes may have eggs, as eggs are a good source of protein and vitamin D. ADA says, “What really matters is the way it is cooked”. Boiled eggs with yolks removed can be consumed, to ensure that it does not aid to cardiovascular complications.
Myth: You can eat whatever you want if you are taking medications
Truth: This is one of the major myths associated with diabetes. Medications only help you to convert sugar to energy, but if you supplement your body with more than required amount of food then, it will lead to spiking of blood glucose levels and poor diabetes management.
To read more on Diabetes, click on the link below.
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.
Eating Strategies for Weight Loss & Diabetes by Famhealth
7 Smart Eating Strategies To Lose Weight And Reverse Diabetes
1. Keep a Diary:
One of the smartest ways to begin with, is to record what you are eating throughout the day. Leading dieticians all-round the globe recommends maintaining your own small diary, to keep a check and analyse the food items you are consuming. Studies in the U.K confirm, people who maintained food records lost extra amount of weight, than people who didn’t record.
2. Watch your food labels:
Picking up a fruit juice can? Or your favourite soft drink? You’re advised to read the nutritive label. Knowing the calorie content and glycaemic index can get a little cumbersome, but research suggests, awareness of the calorie content and high sugar levels help people living with diabetes in keeping away from harmful food items which may spike their blood glucose levels.
3. Start with a good breakfast:
Research is on our side, starting the day with a good breakfast powers you with high energy and helps you maintaining your blood glucose levels throughout the day. The old saying “breakfast like a king” stands correct if you choose low carb breads & cereals, fresh juices, boiled eggs, nuts, oats, yogurt, cheese, milk and not to forget your medicines.
4. Eat by the plate method
Eating by the plate method advocated by ADA recommends, filling half of your plate with non-starchy fruits and vegetables, one fourth of your plate with lean proteins like grilled fish or chicken and the balance with low carbs. This is a popular model which not only aids in weight loss, but also keeps the blood glucose levels on check.
5. Carb counting
Carbohydrate counting, also called carb counting, is not a diet plan, it is a meal planning strategy for people with type 1 or type-2 diabetes. Carbohydrate counting involves keeping track of the amount of carbohydrate in the foods you eat each day.
Carbohydrates are one of the main nutrients found in food and drinks and it is very important. Completely cutting down on carbs may lead to fatigue and restlessness. One must choose wisely and replace with diabetes friendly and healthy low carbs.
According to National Institute of Health USA, healthy carbohydrates, such as whole grains, fruits, and vegetables, are vital part of a healthy eating plan because they provide both energy and nutrients, such as vitamins and minerals, and most importantly fibre. Fibre can help you prevent constipation, lower your cholesterol levels, and control your weight.
Unhealthy carbohydrates are often food and drinks with added sugars. Although unhealthy carbohydrates can also provide energy, they have little to no nutrients and they often spike your blood glucose levels leading to poor diabetes management.
6. Eat more small meals
People with diabetes should eat 4-5 small meals during the day instead of three larger meals, says the American Diabetes Association (ADA). Eating small meals allows replenishment along with slower, continuous absorption of food, which prevents you from cravings and hunger pangs. Among the benefits are also decreased blood sugar levels after meals, reduced insulin requirements during the course of the day, weight loss and lower blood cholesterol.
7. Always stock up your refrigerator:
Stocking up your refrigerator with healthy food items is more or less like keeping your supplies ready. This prevents you from eating high calorie and sugary food items in times of hunger. You may choose from a wide variety of fruits, nuts, cheese, and low carb multigrain breads and protein shakes to quickly make minimeals and avoid binging.
To read more on Diabetes, click on the link below.
Just Detected
Being diagnosed with diabetes can be an overwhelming experience In fact, it can be a major life stress for many people. This is especially true as most chronic conditions and progressive diseases can prove to be quite challenging to manage emotionally.
If you or your family are feeling anxious and disheartened, you should know that it is natural to feel that way. You should also know that you are not alone, and that 70 million other people in India are living with Diabetes. This is a condition that needs to be “managed”.
In brief, Diabetes is characterized by high blood glucose levels that result from defects in the body’s ability to produce enough insulin, and at times no insulin is produced at all. Insulin is required to remove sugars and toxins from our system, and when they do not get flushed out, they tend to accumulate, resulting in high blood glucose levels.
You will be happy to know there are countless cases of people who have reversed their condition simply by making changes in their daily lives, especially when it comes to food, exercise and stress management. With some precautions and care, we are confident that you too can be a winner.
Remember, with a clear plan, appropriate guidance, right (and on time) medications, timely tests and appropriate modifications to your lifestyle you can not only overcome your condition but stay on top of it. To know more, please refer to our Let’s Understand section
Remember, we are here to help you in your endeavour to stay focussed and on target!
Some quick tips that the American Diabetes Association and other bodies recommend that you should follow:
- Find a good doctor
- We recommend seeking the advice of a specialist, in this case an ‘endocrinologist’ or ‘diabetologist’ who can help and direct you with a constructive plan of action. Check with your doctor if you have to repeat your tests.
- Acquire as much information as you can
- An informed person can make better decisions. Therefore, it is essential for you to get to know more about food and other lifestyle changes that will help you manage better. Newly-diagnosed people are frequently advised to control blood sugar levels by following a healthy nutrition plan along with a regular exercise regime. To know more, read recommended diets and exercise plans for people living with diabetes.
- Seek help and support from your family
- Research suggests that with family support one can manage diabetes much more effectively than running self-managed programmes. Your partner, family, and friends play a huge role in motivating you and helping you adhere to your diabetes management programme.
- Make your own plan:
- As you may already know, food plays a very important role in diabetes management. An ideal diabetes meal plan consists of low carbs, low sugar, lean proteins and high fibre diet. You may choose from a wide variety of Diabetes meal plans available to you. Before you start following one, you are advised to check with your doctor or dietician regarding the amount of calories you need to take in a day/week, according to your BMI and physical activity rate.
You may also seek a dietician’s advice to put together a plan that works best for you
- As you may already know, food plays a very important role in diabetes management. An ideal diabetes meal plan consists of low carbs, low sugar, lean proteins and high fibre diet. You may choose from a wide variety of Diabetes meal plans available to you. Before you start following one, you are advised to check with your doctor or dietician regarding the amount of calories you need to take in a day/week, according to your BMI and physical activity rate.
- Check on Alcohol and tobacco 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 smoking.
Alcohol consumption can have a strong impact on your blood sugar levels, not to mention liver-related disorders. 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 meal while consuming alcohol to prevent fluctuations or spiking of blood glucose levels.
- 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 smoking.
- Medicines – on time, every time!
- One of the most crucial aspects of Diabetes management is to take your medication regularly and avoiding skipping meals. The medical explanation is that medicines and food have a direct role in keeping “good control” of blood glucose levels.
If your doctor has advised you to take Insulin then please DO NOT skip your shots. Many people fear pain or scarring resulting from the Insulin shots, and the good news is that one can learn the right, less painful ways of taking Insulin. Refer to our “Insulin section” for more details.
In fact, in order to keep your blood glucose levels in control, you should eat small meals more frequently and consult a dietician to plan the best possible meal plan for you.
- One of the most crucial aspects of Diabetes management is to take your medication regularly and avoiding skipping meals. The medical explanation is that medicines and food have a direct role in keeping “good control” of blood glucose levels.
- Indulge yourself. Take extra care of your teeth to keep gum diseases at bay
- While it is true that you have to follow a strict plan, talk to your doctor about rewarding yourself once in a while.
However, do keep in mind the fact that you have to keep up with your basic health and hygiene requirements. Do brush your teeth at least twice a day, as people living with Diabetes tend to have frequently-returning gum infections. You should also floss your teeth once a week and see a dentist at least twice a year. Inform your dentist if your gums bleed or get swollen to have the concerns addressed at the earliest.
- While it is true that you have to follow a strict plan, talk to your doctor about rewarding yourself once in a while.
- Be careful about Wounds
- Take your wounds seriously, do go and see a doctor immediately if you feel your wounds are healing slowly, or not healing at all as high blood sugar can reduce blood flow, damage nerves and delay healing. It is essential to take care of your foot as minor cuts and blisters can lead to serious infections. Infact people living with Diabetes should also monitor for tingling or loss of sensation in the hands and feet.
- Last but not the least
- With a strong determination and sincere effort, one can easily control Diabetes and enjoy living life like never before.
Join the support community for family and friends of people living with Diabetes, a unique platform to share, help and bring a change in the lives of families and people living with Diabetes.
- With a strong determination and sincere effort, one can easily control Diabetes and enjoy living life like never before.
What can I do as a family/friend of a newly diagnosed loved one ?
As a partner or caregiver, it is understandable that your feel anxious and concerned on hearing the diagnosis of Diabetes.
Please be assured that there is no cause for concern as this is a condition that can be managed with a little care and diligence. You may need to play a pivotal role in the management of the condition for your partner or a loved one and therefore, you would need to be supporting and considerate. Research points to high success rates for diabetics that have had the support of a spouse or family member.
- No need to panic
- While Diabetes is considered a lifelong “chronic” condition, there is no need to panic as it can be managed with lifestyle and diet changes. Please be caring and supportive as your partner/family member may have to depend on you to make the required changes and live a long and healthy life
- Participate
- It is a good idea to actively participate in your partner’s plans and health goals. By working as a team your support is implicit. Set reminders to take medication on time, learn how to inject insulin, figure out what food items work and what don’t. Set realistic goals, and learn the fine art of encouraging without nagging.
- De-stress yourself
- Diabetes can impact the whole family and not just the person living with the condition. In order to avoid the caregiver fatigue syndrome, it is a good idea to spend some time for you. Take timeout to pursue your own goals and keep up with your friends and associates outside of the Diabetic circle.
To read more on Diabetes, click on the link below.
Erratic Glucose Levels
High, fluctuating or unmanageable blood glucose levels can be an overwhelming experience. If you have been living with Diabetes for some time now, you would have seen some variation in your blood glucose levels, despite your best efforts. While you and your partner/family may find this alarming or even frustrating, you need to look at the cause beyond the symptom.
Erratic sugar levels occur when either the body is not producing insulin at all or the glucose is accumulating in the body. Other factors, such as harsh weather, stress, hormonal changes, and the lack of physical activity could also cause erratic blood glucose levels. Food intake and sleeping patterns also play a pivotal role in erratic blood glucose levels. Research suggests that lack of sleep or oversleeping also affects blood glucose levels in the body.
If you have been living with diabetes for over a decade, there may be a possibility of you becoming insulin resistant. Whatever may be the case, we urge you to remain calm and reach out to your doctor immediately. Your doctor may change your medication or insulin dosage according to your current blood glucose levels.
When to worry
While it is true that there are situations that are beyond your control and these lend themselves to spikes in the glucose levels in your body, most of the time, a one-off surge is not a cause of concern. However, you do need to be watchful and keep track to see if there is a pattern to the surges as well as the triggers.
It would help if you can share these observations with your doctor in order to review your treatment plan and required modifications, if any. It is possible that depending on your specific case, the doctor may advise you on how to proceed and be more vigilant with your daily/ pre-meal blood glucose readings.
As per the guidelines set internationally, if your blood glucose levels exceed 300mg/dl for a prolonged time and refuse to dip inspite of best efforts, you need to contact your doctor immediately as high blood glucose levels over a long duration may impact the functioning of other vital organs. You may want to discuss this in detail with your doctor.
What I can do as family/friend of an erratic glucose level person ?
We understand as a partner you may become anxious due to your partner’s unmanageable erratic glucose levels. But don’t give up! Identify the key triggers which are leading to spiking of the blood glucose levels in the body.
Sometimes conditions like allergens, harsh weather, stress, anxiety, depression and uncontrolled binging may also lead to erratic glucose levels. However consult with your doctor, your doctor may alter medications and suggest insulin to control erratic blood glucose levels in the body.
Research also hints people living with diabetes for more than a decade tend to develop insulin resistance, which may cause fluctuating uncontrolled blood glucose levels. As a partner you are recommended not to ignore high erratic blood glucose levels and immediately discuss the best possible ways and plans to control blood glucose level with your doctor.
To read more on Diabetes, click on the link below.
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.
- Dieticians round the globe suggest having 3 main meals and 3 mini meals to have a good control of your glucose levels.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
To read more on Diabetes, click on the link below.