Compliance and Checklist

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

Diabetes Recipe – Mediterranean Veggie Wrap

Preparation :10 Minutes

Cooking :10 Minutes

Serves :4

Ingredients

4 cups mixed green leaves (cabbage/lettuce/spinach)
½ large cucumber
1 cup chopped tomato
½ thinly sliced red onion
½ cup crumbled cheese
1 tablespoon balsamic vinegar
1 tablespoon olive oil
1 clove garlic minced garlic
¼ teaspoon black pepper
4 light tomato-flavour oval multigrain wraps
2/3 cup hummus

Directions

In a large bowl combine all the greens, cucumber, tomato, and red onion and cheese. In a small bowl whisk together vinegar, olive oil, garlic and black pepper. Pour dressing mixture over greens mixture. Toss to combine
Spread each wrap about 2 & ½ tablespoon of Hummus. Top each with 1/4^th of dressed greens mixture roll up and serve immediately.

Nutrition Facts
Make 4 servings (Amount per serving)
Calories (Kcal)	269
Protein (g)	16
Carbohydrates (g)	35
Total Sugars (g)	3
Cholesterol(mg)	3
Total fat (g)	12
Sodium (mg)	574

Note

Remember to manage your portion sizes. Recommended portion size should not exceed 2 servings/helpings. Consuming diabetes friendly recipes in inappropriate portion sizes may lead to spiking of your blood glucose levels.

For more related recipes, click the link below.

Diabetes

Diabetes Recipe – Baked Lemon Fish With Tomatoes

Preparation :15 Minutes

Cooking :20 Minutes

Serves :4

Nutrition Facts
Makes 4 Serving (Amount per serving)
Protein (g):	39
Carbohydrates (g):	6
Total Sugars (g):	5
Dietary Fibre (g):	3
Total Fat (g):	9
Saturated Fat (g):	2
Sodium (mg):	253

Ingredients

1 onion thinly sliced
1 clove garlic, crushed
2 sprigs fresh thyme
720 g (6 oz) thick white fish fillets, skin and bones removed
Freshly ground black pepper
1 lemon thinly sliced
4 tomatoes cut into wedges
2 bay leaves
1 tbsp olive oil
3 tbsp white wine
½ cup (125ml) salt-reduced chicken stalk
1 tbsp chopped fresh parsley

Directions

Preheat the oven to 200 ℃
Spread the onion, garlic and thyme sprigs in roasting pan that will be large enough to hold all the fish fillets, with a little space in between. Place the fish on the top and season well with freshly ground black pepper
Arrange the lemon slices over the fish and scatter the tomatoes and bay leaves around the fish. Combine the olive oil, wine and stock and pour over the fish.
Bake the fish for 20 Minutes.

Note

Remember to manage your portion sizes. Recommended portion size should not exceed 2 servings/helpings. Consuming diabetes friendly recipes in inappropriate portion sizes may lead to spiking of your blood glucose levels.

For more related recipes, click o the link below.

Diabetes

Papaya And Coconut Smoothie

Nutrition Facts
Makes 2 servings(Amount per Serving)
Calories (Kal)	205.4
Protein (g)	4.6
Carbohydrates (g)	32.9
Total Sugars (g)	20.4
Dietary Fibre (g)	4.1
Fat (g)	7.7
Saturated Fat (g)	5.6

Serves: 2, Time taken: 5 minutes

1 Ripe papaya, peeled, seeded and cut into chunks

2 Oranges, juiced

½ Banana, cut into chunks

90g/3 oz silken tofu

60ml/2 fl oz (4tbsp) Coconut milk

1 tsp grated root ginger

Steps:

Put the papaya, orange juice, banana, tofu, coconut milk and root ginger into the blender.
Blend until smooth and serve immediately. (This is also very refreshing on a hot day if you freeze the papaya chunks and banana first)

Note: Papayas are particularly rich in vitamins C and are also a useful source of antioxidants and fibre. They also contain an enzyme called papain which breaks down protein. In Chinese medicine, papayas have traditionally been given to those who find it difficult to digest protein-rich foods.

The combination of papaya, orange juice and banana delivers quite a high glycemic load, which is why we have added some tofu. It would be wise to eat a protein food alongside this too, such as poached and scrambled eggs without the toast, or a piece of fish.

For more related recipes, click o the link below.

Diabetes

Diabetes Recipe – Hearty Chicken Stew

Preparation :25 Minutes

Cooking :27 Minutes

Serves :4

Ingredients

2 teaspoons olive oil
4 skinless, boneless chicken thigh cut into 11/2-inch pieces (1 pound)
4 medium carrots, thinly sliced (2 cups)
2 stalks celery, thinly sliced (1 cup)
2 medium spring onion, thinly sliced (2/3 cup)
3 cloves garlic, minced
2 cups chicken broth
1 medium round red potato, cubed (3/4 cup)
1 cup frozen cut green beans
¼ teaspoon ground black pepper
½ cup fat-free milk
1 tablespoon flour
Cracked black pepper

Directions

Heat oil over medium flame. Add chicken, carrots, celery, spring onion, and garlic. Cook and stir for 5 to 8 minutes or until chicken is brown on all sides and vegetables are cooked. Stir in chicken broth, potato, green beans and ground black pepper.
Bring the broth to boiling; reduce heat. Simmer, covered, for 20 to 25 minutes or until vegetables are tender and chicken is no longer pink.
Meanwhile, in a small bowl whisk together milk and flour until smooth. Stir mixture into cooked stew mixture. Return to boiling; reduce heat. Cook and stir about 2 minutes or until mixture is thickened. Serve the stew into four bowls. Sprinkle each serving with cracked black pepper.

Nutrition Facts
Make 4 servings (Amount per serving)
Calories (Kcal)	269
Protein (g)	27
Carbohydrates (g)	24
Total Sugars (g)	8
Cholesterol(mg)	108
Total fat (g)	8
Sodium (mg)	462

Note

For more related recipes, click the link below.

Diabetes

Diabetes Recipe – Chiang Mai Chicken Curry

Diabetes: Chiang Mai Chicken Curry by Famhealth

Nutrition Facts
Makes 4 servings (Amount per Serving)
Calories (kcal)	518.8
Protein (g)	48.9
Carbohydrates (g)	26.9
Total Sugars (g)	4.4
Dietary Fibre (g)	3.1
Fat (g)	24.9
Saturated Fat (g)	10.1

For the curry paste: 2 tsp Coriander seeds

1 tsp Cumin seeds

3 Cloves

2 Cardamom pods

1 Star anise

5 Dried long red chillies, deseeded, soaked and drained

Pinch of salt

3 tbsp Lemongrass, chopped

5cm/2” piece fresh root ginger’ chopped

1 tsp Turmeric

4 Shallots, chopped

6 Garlic cloves, peeled and chopped

For the curry: 1 Organic, free-range chicken, about 1.6 kg/3½ lbs

2 Garlic cloves, peeled

2 cm/1” piece Fresh ginger root, peeled

2 tbsp Coconut oil

12 Shallots, peeled

2 tbsp Cashew nuts

2 tbsp Fish sauce

Water or chicken stock to cover

Steps:

First, dry the coriander seeds, star anise, cumin seeds, whole cloves and cardamom pods in a small dry pan until fragrant. When cooled, remove the cardamom seeds and discard the pods. Grind the spices in pestle and mortar. Combine these with the other curry paste ingredients and mix to a paste either in a mortar or in a food processor.
Wash the chicken, joint into 8 pieces and remove the skin. Mash the garlic cloves and ginger to make a paste. In a large pan, heat the coconut oil and fry the garlic and ginger paste until golden. Add the curry paste and chicken and simmer for several minutes, turning frequently. Add the whole shallots and cashew nuts. Season with fish sauce. Cover with stock or water and simmer for at least 30 minutes, or until the chicken is tender.

Note: The combination of chicken and nuts gives this dish a very high magnesium content (125g per serving). Magnesium is key mineral for diabetics: and it has been shown that people with low magnesium are at higher risk of type 2 diabetes.

For more related recipes, click o the link below.

Diabetes

FOOD INDISCIPLINE

The Importance And Essentials
Of Healthy Diet

Good nutrition is extremely important as it is the fuel that
keeps the body healthy. Good food discipline includes not just eating the
right kind of food but also at the right time. It also includes good
habits with regard to buying, cleaning and storing food, correct
preparation of food to maximize the health benefits. A big part of
food discipline is avoiding foods that harm the body, like preserved
foods which have added salt and preservatives. Avoiding addicting
substances like alcohol is also a part of good food discipline.

FOOD INDISCIPLINE

Why is it important to have a healthy diet?

A well balanced diet can help in preventing obesity, reduce diseases like arthritis, heart diseases, type two diabetes, certain cancers and also prevent mood swings.
Our diet also provides certain vital nutrients likevitamins and minerals which are required in small quantities for good health.Lack of minerals like iron can cause anaemia. Lack of vitamins can cause diseases like night blindness, weakness of bones, bleeding problems and nerve pains.

What are the essentials of a good diet?

A good diet should provide energy in the form of calories. These depend on lifestyle and gender. Most women need between 1500-2000 Kcal per day and men might require 2500-3500 Kcal per day.
A well balanced diet should consist of protein (meat, eggs, legumes), carbohydrates (bread, cereal, potato), fats (oils, butter) as well as minerals (milk, meat, green leafy vegetables), vitamins (fruits, vegetables, meat, eggs) and water.

How can I prevent food indiscipline?

Keeping in mind some simple lifestyle habits can help in avoiding food indiscipline.

Avoid temptation- Avoid keeping junk food like chips and colas at home. That way, even if temptation strikes, you’ll be forced to choose healthier options like fresh fruits and salads.
Stock up on fresh produce and cook from scratch at home- Making food from scratch at home and carrying the same as lunch to office or school helps to develop the taste of fresh food. It is also healthier as you can avoid harmful preservatives in tinned and canned foods, like nitrates and excess salt.
Keep water at hand- Many a time, we mistake thirst for hunger pangs or food cravings. Keeping a glass of water handy can help us remember to keep sipping through the day.
Avoid excess dieting- Many people indulge in crash dieting or avoid food groups. This can be unhealthy in the long run. It’s best to have a balanced diet with all food groups in moderation. One can avoid fried foods and keep a check on portion sizes to control weight.
Healthy plating- A healthy plate should have protein like meat, fish, eggs or pulses on one fourth, one fourth should have whole grains and the balance should have healthy salads with low calorie dressings like olive oil or lemon.
Keep one meal as a cheat meal every week- This helps to prevent bingeing through the week.
Shop healthy- It’s always better to avoid food shopping if you’re hungry- you’ll be more likely to buy unhealthy foods. Plan your meals in advance, make a grocery list and shop accordingly. This way you’ll always have the ingredients for healthy meals at hand and there will be enough variety to avoid boredom
Use technology- There are many smart devices that can help to make food tastier and healthier. From air fryers to popcorn makers, technology can help in preparing healthy, delicious meals.
Indulge in healthy snacking- The urge to snack between meals is commonly seen in children. Keep carrot sticks, fruits and popcorn along with lemonade ready to avoid unhealthy snacking.
Eating out- To avoid bingeing at parties and while eating out, have a light snack, like soup or a salad, before attending the event. Opt for roasted and grilled food along with healthy salads and choose fruits for dessert.
Correct storage of food is also important. It’s always advisable to refrigerate perishables like milk, eggs and freeze meats as these can otherwise transmit bacteria that cause food poisoning.

Source

https://www.webmd.com/children/kids-healthy-eating-habits

https://www.livestrong.com/article/545644-self-discipline-in-eating-and-exercising

https://www.medscape.com

Tag: Healthy recipes

Compliance and Checklist