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September 10, 2023 By Rashmi Deshpande Leave a Comment

Foods To Manage Blood Sugar Naturally

manage blood sugar

By now, we’re all aware that Diabetes is a condition in which the body is unable to control the glucose entering the bloodstream. Along with medicines, food is key to controlling it. As it is a slow progressive disorder, it makes our organs weak and affects their functioning like a slow poison. Hence, it is really important to keep our blood sugar levels under control. Let’s see how we can manage blood sugar naturally with food. 

Foods That Manage Blood Sugar Naturally 

High blood sugar occurs when your body can’t effectively transport sugar from blood into cells. If sugar levels go high, you need to add the following food to your diet. 

1. Eat More Green Leafy Veggies
Leafy green vegetables are extremely nutritious and low in calories. They’re also very low in digestible carbs, so they won’t significantly affect blood sugar levels. Spinach, kale, methi, bathua and other leafy greens are good sources of many vitamins and minerals, including vitamin C. People with diabetes have a greater requirement of vit C as it acts as a potent antioxidant and also has anti-inflammatory qualities. Increasing dietary intake of vitamin C-rich foods can help people with diabetes increase their serum vitamin C levels while reducing inflammation and cellular damage. In addition, leafy greens are good sources of the antioxidants – lutein, zeaxanthin. These antioxidants protect your eyes from macular degeneration and cataracts, which are common diabetes complications. Leafy green vegetables are rich in nutrients like Vitamin C, as well as antioxidants that protect your heart and eye health. You can add these veggies in all meals in different forms like sabji, soup, salads, in roti , paratha, chutneys etc.

2. Addition of Micronutrients
Chromium is involved in carb and fat metabolism. It also helps control blood sugar levels. Lack of chromium may predispose you to carb intolerance. Chromium rich foods include egg yolks, whole-grain products like millets, coffee, nuts, green beans, broccoli and meat (in moderation).

Magnesium-rich foods include dark leafy greens, whole grains, fish, dark chocolate, bananas, avocados and beans (not matured).

3. Reduce Carb Intake
Reduction in carb intake not more than 100grams per day, avoiding simple carbs like maida products and packet atta as well. Try to get coarse atta which has wheat husk, add isabgol in roti to reduce the spike in sugar levels after meals. Add whole grains like millets, jawar, chana, chia seeds and quinoa to your daily meals.

4. Add a Good Amount of Nuts
All types of nuts contain fiber and are low in net carbs, high in essential oils and protein to regulate sugar levels and provide nutrients.

  • Almonds: 2.6 grams
  • Brazil nuts: 1.4 grams
  • Cashews: 7.7 grams
  • Hazelnuts: 2 grams
  • Macadamia: 1.5 grams
  • Pecans: 1.2 grams
  • Pistachios: 5 grams
  • Walnuts: 2 grams

5. Add Seeds To Your Diet
These are rich in good fats, protein, dietary fibers and have the ability to reduce hunger pangs and craving for sugar. They also provide constant energy supply to diabetics.

  • Flax seeds – 1 to 2tbps per day 
  • Sunflower seeds – 2tbs per day
  • Pumpkin seeds – 2tbps per day
  • Sesame seeds – 1tbps per day
  • Methi seeds – 1 to 2tsp soaked.

Nuts and seeds can be easily added as evening snacks, in salads and to your morning breakfast too.

People with diabetes often experience low blood sugar levels. Certain medications, excessive alcohol consumption, some critical illnesses and hormone deficiencies can also cause hypoglycemia without diabetes. To fix this, you can have:

  • A small apple, banana, or orange
  • 15 grapes
  • A few prunes
  • 2 tablespoons of raisins or dates
  • 1/2 cup of juice or regular (not diet) soda
  • 1 tablespoon of honey or sugar
  • Hard candy, jellybeans, or gummy candy check on ingredients before consuming.
  • Glucose tablets or Lemon sharbat with sugar but without salt. 

These are a few foods we need to add to our diet to manage blood sugar naturally – this along with exercise for approx 30 mins a day. For more on managing blood sugar, check out Healthy Reads or consult a GOQii Coach by subscribing for Personalised Health Coaching here.

#BeTheForce 

April 19, 2023 By Tabassum Parveen 2 Comments

Should You Fast During Ramadan if You Are Diabetic?

diabetes and ramadan

Just a few days back, I was walking down a lane when I came across a person who fainted and fell before me. I got curious and learned that the man was fasting and he had recently been diagnosed with diabetes. He was given immediate medical support and revived.

This incident primarily occurred because he was unaware about the disease. He fell unconscious because the blood glucose levels of his body spiked up while fasting due to the change in medical timings and improper meals. It got me thinking if it is really safe for a diabetic to fast during Ramadan.

What Is Diabetes?

To keep it short, Diabetes is a condition where the blood sugar level is high due to the lack of Insulin – a hormone produced by the Pancreas. Insulin converts glucose into energy and supplies it to every single cell present in the body. The 3 main type of Diabetes include Type 1, Type II and Gestational.

In Type I, the Pancreas stop working and in Type II, the body produces a little Insulin or does not use it properly. This results in several health problems. Gestational Diabetes often occurs during pregnancy and it generally goes away after delivery.

Should You Fast During Ramadan If You’re Diabetic? 

During this holy month, the Muslim community observes a fast, eating only before sunrise (Suhoor) and after sunset (Iftar). They are not allowed to eat or drink anything in between. However, there is an exception towards people with medical ailments.

Diabetics and those at lower or moderate risks may choose to fast but there certainly isn’t a choice for those at higher risks. If you do choose to fast, keep an eye over blood sugar levels throughout the day. Most importantly, consult a doctor before fasting to avoid medical emergencies.

What Happens To Diabetics When They Fast?

Monitoring your blood glucose level while fasting is crucial for a diabetic. When healthy individuals consume food, Insulin is released by the Pancreas and it stores Glucose in the Liver and Glycogen in the Muscles which balance out the Blood Glucose Levels and maintain it at optimal range.

This process tends to malfunction during fasting which results in lack of Insulin in the blood, leading to either of the two conditions called Hyperglycemia or Hypoglycemia.

  • Hypoglycemia: This is a serious health condition where blood glucose levels drop below 70mg/dl. It requires immediate medical attention. If a person who is fasting feels shakiness or experiences headaches, sweating or lack of concentration, they must break their fast immediately to avoid any severe complications. Complications may range from seizures, coma to death. A bar of chocolate, a sugary drink or a small bowl of curd rice with sugar must be consumed if Blood Sugar Levels are exceptionally low. If a person breaks their fast on such an emergency, visit a doctor immediately.
  • Hyperglycemia: This occurs when your sugar levels are as high as or more than 200mg/dl.  Common symptoms include extreme thirst, tiredness, and frequent urination. In such a situation, take advice from your doctor if you should continue your fast or not. Hyperglycemia affects each part of your body. If larger blood vessels are affected, you may face risks of stroke or a heart attack. On the contrary, if smaller blood vessels are affected, then you may face issues with your eyes, nerves and kidneys.
  • Diabetic Ketoacidosis: This is a condition where Blood Glucose Levels go extremely high and a person experiences abdominal pain, rapid breathing, nausea and vomiting. It requires immediate medical attention. In such situations, it is best to consult with a doctor.
  • Dehydration: While fasting, one may experience dehydration, especially those who work outdoors under the scorching heat of the sun. Due to lack of fluids, sugar may accumulate in the system, resulting in high blood sugar levels which can make you pass urine frequently. To overcome such dehydration during Ramadan, try to drink plenty of water after Iftar till Suhoor.

Managing Diabetes While Fasting During Ramadan

Fasting during the holy month of Ramadan is an individual’s decision. It can be managed with lifestyle changes, advice from a doctor and frequent monitoring. A few things you should consider are:

1. Pre-Diabetic Health Checkup: A Health checkup and monitoring your glucose levels before the month of Ramadan is necessary. You can also try fasting before Ramadan to see if you can manage it. Check your medication timings and discuss it with your doctor if you choose to fast.

If you consume medicines at Suhoor and keep a fast the entire day, chances are that your blood glucose levels might drop. Your blood glucose levels might even spike in the evening when you break your fast due to the intake of meals. Hence, discuss your medication timings and keep a glucometer handy to avoid medical emergencies.

2. Nutrition: If you are diabetic, ensure that both your meals are balanced. Opt for low Glycemic Index foods and Complex Carbs which digest slowly. Go for high fiber foods at Suhoor to manage blood glucose levels during fasts. Foods such as oats, Talbina (barley-based dish), brown rice, pasta and a bowl of vegetable salads work best.

Sorghum (Jowar) or Pearl Millet (Bajra) flattened bread (rotis) with Curd Raita is the best choice. A glass of buttermilk is also a good option. You can have Basil Seeds Water during Suhoor as it is rich in antioxidants, protein, good fats and fiber, all of which help in controlling diabetes.

A little protein in the form of chicken, fish, beans and legumes can also be included as they keep you full for a longer period of time and get absorbed slowly. However, people with kidney problems should take extra care to increase protein intake.

During Iftar, break your fast slowly. Chew properly and consume small amounts of food at different intervals as glucose levels may spike up if you consume a large meal at once. Have a small bowl of fruit salad or a glass of lassi before heavy meals. Choose baked or grilled foods as compared to something fried and oily.

Sprouted salads, boiled chickpeas, or fruits are good options to include before you begin your meal. Don’t forget to hydrate yourself. Avoid sugary drinks or caffeinated beverages and choose fresh fruit juices such as beetroot juice or herbal iced tea.

We hope this article helps you stay healthy and maintain a fast without any complications or medical emergencies. If a medical emergency should arise, visit your doctor immediately.

If you found this article to be helpful, let us know your thoughts in the comments below. You can browse through more articles related to diabetes here.

If you need help or support managing Diabetes, join GOQii’s Diabetes Care Program. It’s India’s only diabetes program that is driven by Smart Science and Personal Coaching to improve Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PP), and reduce HbA1c levels. You can subscribe here.

#BeTheForce

January 13, 2023 By Rajashree Menon Leave a Comment

Taking Ownership Of Diabetes Through Education and Awareness

Diabetes ManagementDiya was a young girl who seemed as active as can be. She trekked, hit the gym, albeit sporadically, had a healthy appetite and as she called it, ‘lived to eat’. At 30, there was a blood donation drive and check-up in the organisation she worked at and here, she was diagnosed with diabetes. There were no other alarm bells ringing; she thought she was healthy! The doctor prescribed medications. She carried on with her life till a shooting pain in the chest made her rethink her lifestyle.

Prakash was detected with Diabetes in his late 30’s. A history of smoking, stress infused work situation, being overweight and a family history of Diabetes made a potent combination which led him to the road to Diabetes. He continued his unchecked lifestyle along with sporadic visits to the general practitioner till he found his vision blurring and a burning pain in his limbs, which made it difficult for him to sleep. Faced with diabetes complications, he knew he had to seek help from the right doctors, eat the right diet and correct his lifestyle before it was too late.

That is the scenario for most people and that is the stealthy attitude of diabetes; it creeps in and hits you. Once diagnosed, either medication is taken or not. Rarely is there a consistent follow-up. Medications tend to plateau after a while and if there is no consultation with doctors regularly, no scheduled blood tests, no nutrition assessments, no exercise patterns, it augurs for something deep and dark. This is seen as the initial concerns with diabetes control. Not everyone takes it critically. But not everyone has access to proper doctors and nutritionists.

Diabetes Is Not Taken As A Serious Disease

Consistency is key for maintaining and even reversal. Yes, in the early stages, a reversal is possible. A diabetes patient needs support, needs family and friends to assist in their journey, as it is a challenge. More than mere support, it is about adherence.

It is about breaking the habit. It is about changing habits. The first feeling when one is diagnosed is shock, helplessness, feeling of depression. As an illness, diabetes is debilitating in the long run as it has an overall effect on almost every part of the body, externally and internally. And yet, it can be controlled, and in some cases, reversed.

But now comes the challenging phase of education i.e. control and solution, and it is not easy. Besides medical advice, traditional indigenous methods are offered, and they have been helpful. Hence, understanding what goes into the treatment of diabetes is crucial.

So let’s look at the aspects of diabetes management.

1. Education

At first, you’ve got to understand the diagnosis – is it Type 1 or Type 2. Understand the various repercussions of the type of diabetes you have. Consult your doctor, read reputed websites for knowledge of diabetes and diabetes management. Listen to conventional wisdom and follow the advice of the doctors. Get on a plan.

2. Nutrition

Nutrition involves two aspects – Medication – those suggested by the doctors and home grown indigenous supplementary methods have also been beneficial. The other aspect is Food – what can be eaten, what can be paired together, and what must be avoided.

Meal composition – high protein, low carbs. Understanding foods with a high glycaemic index (foods that spike up sugar levels in the blood are to be avoided). Another important aspect is the timing of when you eat. Fad diets are not helpful and can be harmful. Sustainable, sensible eating and not temporary ‘diet eating’, one in which you can measure what you eat for a long period of time, is important.

Hydration – drinking water is extremely essential. Essentially, what you ingest can help in lowering possible future microvascular damage and other complications.

3. Control

Diabetes care needs discipline. Controlling diabetes involves complying with a proper course of medication and a healthy living construct. It is imperative that you maintain regular follow-ups with the doctor. Blood work, especially HbA1C levels must be checked every quarter to enable proper diabetes care.

Most doctors complain that follow-ups are low, if any. What has shown progress is that along with medications, the main aspect is weaving exercise into your lifestyle. Walking and light exercise has shown to have tremendous benefits in controlling and lowering HbA1C levels. Recent studies have shown that a 10-minute walk after every meal has proved as beneficial as a 30-minute walk every day.

4. Solution

So how do we control and/or reverse diabetes? Diabetes may be a global pandemic and India has the second highest number of cases, but the solution is simple! It is proper management through medication adherence, education, lifestyle changes, self-monitoring, keeping up with doctor appointments and awareness of the issues that could be faced in the future.

The first step is to take ownership of the disease. This can be achieved through awareness, which happens through education. The medical community and the Diabetes Patient Community on Social Media and other close knit communities or groups ensure that you understand what people are going through, and the solutions that are available. Holistic management of diabetes ensures that the patient with diabetes wins in the game of life. Do not panic. It is easy and definitely do-able. It is not rocket science!

If you need help or support managing Diabetes, join GOQii’s Diabetes Care Program. It’s India’s only diabetes program that is driven by Smart Science and Personal Coaching to improve Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PP), and reduce HbA1c levels. You can subscribe here: https://store.goqii.com/diabetescare

For more tips on how to manage diabetes, check out Healthy Reads.

#BeTheForce

December 7, 2022 By Jigna Sheth 13 Comments

Manage Diabetes With These Lifestyle and Nutritional Tips

manage diabetes

By this point, we are all well aware of the silent killer known as Diabetes. It is the leading cause of blindness, kidney failure, neurological and cardiovascular disorders. Diabetes Mellitus is a condition in which our body’s ability to utilize glucose from the blood lowers down. It is a disorder of carbohydrate metabolism characterized by impaired ability of the body to produce or respond to insulin. Glucose is the main source of energy to the body’s cells and insulin is a hormone (which is produced by pancreas) that controls the level of glucose in the blood.

Types of Diabetes

  1. Type 1 Diabetes referred to as Insulin Dependent Diabetes Mellitus, is a condition in which the pancreas produce little or no insulin. Such individuals require daily insulin injections. This type of diabetes generally affects children or adolescents.
  2. Type 2 Diabetes referred to as Non-Insulin Dependent Diabetes Mellitus, is a condition in which the insulin production may be normal or even high but the insulin produced is not as effective as normal insulin. This type of diabetes generally affects overweight or obese adults.
  3. Gestational Diabetes develops during pregnancy and usually disappears after giving birth. Women with Gestational Diabetes are at a higher risk of developing Type 2 Diabetes later in life.

Factors Which Cause Diabetes

In order to manage Diabetes or eliminate it from our lives, we must understand the factors that cause it.

  • Obesity: Being overweight or obese has been identified as the number one risk factor for Diabetes. In fact, 80% of people diagnosed with Type 2 Diabetes are overweight.
  • Cigarette Smoking: Cigarette smoke elevates the level of inflammation in your body. This increases the risk of diabetes in smokers as opposed to non-smokers. Smoking can also elevate the level of blood glucose in your body and hence, worsen your insulin resistance.
  • Physical Inactivity: It can increase your risk of diabetes, even if you are not overweight or obese. On the other hand, in case you are overweight or obese – physical activity can help you reduce your risk of diabetes.

Tips to Manage Diabetes

  • Medication: The first line of action to treat type 2 diabetes is anti-diabetic medications, and/or oral or IV insulin administration. Generally, insulin therapy is prescribed for type 1 diabetes. However, only medicines will not be able to control your diabetes. There are several other attached conditions, which we will discuss further.
  • Quality Sleep: Sleep is extremely important to effectively manage diabetes. Reduced sleep or insomnia can result in hormone fluctuations which in turn leads to a spike in the blood glucose levels, leading to weight gain.
  • Regular Examination: If possible, monitor blood glucose levels regularly in order to ensure that everything is under control. Medication, stress, physical activity, other illnesses and the foods we eat can all impact our blood glucose levels.
  • Stress Management: Physical or mental stress can aggravate diabetes. The degree at which stress impacts our blood glucose levels varies from one person to another. Studies show that almost all kinds of stress leads to a blood sugar spike.
  • Regular Exercise: It not only has a multifold impact on controlling and even reversing diabetes, but also helps in burning fat and maintaining an optimum weight. Practicing any kind of exercise for at least thirty minutes a day can improve insulin sensitivity, help in maintaining blood glucose levels and even diminish the risk of developing heart diseases. Brisk walking, running, cycling, dancing, swimming and biking are some of the recommended exercises that can elevate heart rate and control diabetes.
  • Quit Smoking: Smoking increases the risk of diabetes as it narrows blood vessels, raises blood glucose levels and leads to inflammations.

Nutritional Strategy to Manage Diabetes

Try these nutritional tips and strategies to manage Diabetes effectively

  • The distribution of carbohydrates, fats and protein in the diet should be such that it maintains blood glucose and reduces the risk of cardiovascular diseases
  • Replacing saturated fat with healthy fats such as avocados, nuts and olive oil can reduce insulin resistance and consume lean proteins.
  • Take small frequent meals at regular intervals. Avoid large jumbo-sized meals.
  • Keep a watch on portion size as having too much food can also lead to weight gain and related problems.
  • 1 tsp of overnight soaked Methi seeds or Methi powder should be consumed every day in the morning or can be added with food.
  • Consume more complex carbohydrates than simple sugars as they breakdown and release glucose slowly in the bloodstream.
  • Fiber rich food like whole fruits, whole cereals, whole pulses, salads, sprouts, and green leafy vegetables to be added to the daily diet. Be sure to pick whole fruits over juices.
  • Avoid prepackaged, processed and sugar sweetened beverages completely.
  • Recent study shows consumption of Moringa Leaves, fruits, seeds or powder lowers Blood Sugar levels which in turn helps in reducing Cardiovascular Diseases. Roots of Moringa are to be avoided because of the toxic content.
  • Glycemic Index (GI) of foods is important in deciding whether to include them in the diet or not. Low GI foods are to be consumed to maintain blood glucose levels.

Food Selection As Per Glycemic Index

Food Groups

 

Foods With Low GI

(Permitted in prescribed amount)

Foods With High GI

(To be restricted)

Cereals Whole wheat flour, wheat bran, bajra, jowar, oats, ragi, dalia, brown rice, barley, whole wheat pasta, multigrain & whole wheat bread. Polished rice, white bread, Sago, maida, noodles, pasta, corn flakes, puffed rice.
Pulses All pulses can be consumed moderately. –
Vegetables Green leafy vegetables, tomatoes, cucumber, radish, cauliflower, broccoli, cabbage, mushroom, onion, green beans, carrot, green peas, capsicum, gourds, parwal etc. Potato, Beet root, sweet potato, yam, pumpkin, colocasia (arbi).
Fruits Apple, guava, orange, sweet lime, peach, papaya, pineapple, pomegranate, muskmelon etc. Dates, watermelon, plum, grapes, banana, chickoo, mango, custard apple, canned fruits.
Nuts & oilseeds All nuts & oilseeds can be consumed but in moderate proportion. –
Milk & milk products Skim milk, cow’s milk, curd, buttermilk. Buffalo milk, full fat milk, cheese, cream.
Fats & oils MUFA-PUFA-SFA in the ratio 1:1:1 to be consumed but not more than 4 tsp/day.

MUFA- groundnut, mustard, linseed, olive, rice bran oil

PUFA- sunflower, safflower, soyabean, corn oil

SFA- ghee, butter, coconut oil

Vanaspati, Margarine, Mayonnaise.

 

 

 

Sugars – Sugar, honey, jaggery, sugarcane.
Snacks & desserts Roasted chana, makhana, popcorn (low fat), American corn, air fry snacks, steamed snacks. Ice cream, cold drink, pastries, patties, waffles, doughnuts, potato wafers, muffins, all fried and baked items

Diabetes is a disease which can be controlled if we are fully aware of its complications and by following strict dietary and lifestyle protocol. Our priority should be to monitor blood glucose, blood pressure and cholesterol levels and ensure they are in control on a periodic basis to avoid complications in the future.

We hope this article helps you make a shift to a healthier lifestyle and manage diabetes effectively! Leave your thoughts in the comments below! For more articles on managing Diabetes, check out Healthy Reads.

For further guidance and motivation by certified experts, join the GOQii Diabetes Care program. It’s India’s only diabetes program that is driven by Smart Science and Personal Coaching to improve Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PP), and reduce HbA1c levels. You can subscribe here: https://store.goqii.com/diabetescare

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