विवरण
“India'' is the Diabetes capital of the world. Diabetic patients cannot make or properly use insulin. This leads to high blood glucose, or blood sugar, levels. Healthy eating helps keep your blood sugar in your target range. It is a critical part of managing your diabetes, because controlling your blood sugar can prevent the complications of diabetes.
सारांश
- Diabetes affects a significant portion of the Southeast Asian population, with many cases remaining undiagnosed. Lifestyle modifications, especially nutrition, play a vital role in managing the condition and lowering A1C levels. Registered dietitians can contribute to improved blood parameters and overall quality of life for individuals with type 2 diabetes.
- Medical Nutrition Therapy (MNT) involves initial nutrition assessments, nutritional diagnosis, and personalized plans incorporating cultural factors. Follow-up appointments are crucial for adjusting plans and achieving set goals. While commonly perceived as detrimental, research shows a complex relationship between sugar and diabetes incidence. Starch, and certain types of sugars like fructose, need careful consideration. Resistant maltodextrins offer a promising avenue for modulating gut microbiota and improving glycemic control.
- Glycemic Index (GI) and Load (GL) play crucial roles, with low GI/GL foods being generally recommended for diabetes management. Resistant starches found in cooked and cooled potatoes, whole grains, and legumes can be beneficial. Introducing millets and alternative grains like amaranth, buckwheat, and low GI rice varieties are often recommended due to higher fiber content and micronutrients, though portion control and proper cooking methods are vital.
- Low GI sugars, often containing herbal extracts, are emerging but warrant caution due to potential side effects and overuse. American Diabetes Association emphasizes challenges with long-term sustainability of low-carbohydrate diets. Micronutrients like magnesium, zinc, and chromium play important roles in insulin regulation and reducing inflammation, and should be supplemented through diet where possible.
- Practical challenges in diabetes management include varying patient profiles and compliance levels. Superfoods like almonds, fenugreek, and cinnamon can contribute to glycemic control when used in moderation. Managing hypoglycemia involves addressing dietary factors like skipping meals and inadequate carbohydrate intake, utilizing the 15/15 rule for quick correction.
- Gastrointestinal symptoms like gastroparesis, constipation, and flatulence can be managed with portion control, chewing food thoroughly, and adjusting fiber intake. Fasting hypoglycemia can be addressed by adjusting medication, and incorporating well-timed midnight and early morning snacks. Reactive hypoglycemia requires careful evaluation of meal composition and portion sizes. Differentiating between these types is key to effective dietary management.
- Telemedicine offers opportunities for remote monitoring but requires careful consideration to avoid burnout and promote patient independence. Interdisciplinary team management, including psychologists, is essential for behavior modification and addressing eating disorders. While diabetes "reversal" may not be realistic, achieving remission through lifestyle control is attainable. Educating individuals on insulin management, including proper administration and injection site rotation, is crucial for successful outcomes.
नमूना प्रमाण पत्र
वक्ताओं के बारे में
RD.Ayesha fathima
Registered Dietitian, Diabetes Educator
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