Friday, August 9, 2013

DIABETES AND LIFESTYLE CHANGES



                          
Diabetic diet is not a matter of deprivation or avoidance but of healthy eating habits. Genetic susceptibility appears to play a powerful role in the occurrence of type 2 DM, but the current epidemic likely reflects marked changes in lifestyle. Decreased physical activity and increased energy consumption have together promoted obesity, which is a strong risk factor for diabetes.
                            Nutrition is an integral component of prevention, delayed onset and management of diabetes.

Goals of diabetes management:

  • Provide a nutritionally sound meal
  • Attain and maintain blood glucose levels in the normal range as far as possible
  • To attain and maintain desirable weight
  • To maintain healthy levels of blood fat i.e.cholestrol and triglycerides
  • To prevent long term complications of diabetes
 Healthy eating;
  • 60% of the calories should come from carbohydrates
  • 12%-20% from protein
  • 20% -35% from fats
  • Food should be distributed equally throughout the day
  • Choose foods from all food groups in all major meals
  • Choose foods high in fiber as it slows digestion and gives a feeling of satiety
  • Total fat and saturated fat should be limited, some amount of fat is essential for important body functions and it also helps slow gastric emptying.
  • Whole grains should be chosen over refined cereals like sooji, sago, white bread, maida
  • Whole dals have a very low GI index and should be included daily
EXERCISE:
·         Exercise helps diabetics lower blood glucose
·         It helps the body use insulin better
  • Exercising helps one control weight, develop lean muscle and reduce body fat
  • Maintain adequate level of physical activity so as to achieve fitness and a negative energy balance
  • 30 to 45 min of brisk walk daily is recommended

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