diabetes care Archives

January 13, 2023 By Rajashree Menon Leave a Comment

Taking Ownership Of Diabetes Through Education and Awareness

Diya 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

August 23, 2022 By Parveen Nake 3 Comments

What Gestational Diabetes Can Do To You & Your Unborn Child

We all know about Diabetes Mellitus to some extent as Diabetes Mellitus is a chronic metabolic disorder that prevents the body from utilising glucose completely or partially. It is characterised by raised glucose concentration in the blood and alterations in carbohydrate, protein and fat metabolism. But have you ever heard of Gestational Diabetes or Pregnancy Diabetes?

Gestational Diabetes is a high blood sugar (glucose) condition that develops during pregnancy and usually disappears after giving birth. It can happen at any stage of pregnancy, but is more common in the second or third trimester. Insulin requirements goes up one to three times in pregnancy. During normal pregnancy the level of plasma insulin is raised by the action of placental hormones thus placing a burden on the insulin secreting cells of the pancreatic islets. The pancreas may be unable to meet these demands in women genetically predisposed to develop both types of diabetes. Long term studies show that some 80% of women with gestational diabetes ultimately develop permanent clinical diabetes requiring treatment.

What Causes Gestational Diabetes?

The causes of Gestational Diabetes is not known clearly yet. Some, but not all women with gestational diabetes are found to be overweight before getting pregnant or have a family history of diabetes. It is more common in Native American, Alaskan Native, Asian and Black women, but white women may develop it due to poor lifestyle.

Are There Tests to Determine it?

Oral glucose tolerance test (OGTT) is a confirmatory test. The OGTT measures blood glucose after you fast for at least 8hours. Firstly, the blood sample is drawn in fasting state. Then, 75g of glucose dissolved in 250-300 ml of water is given, Lemon juice may be added for flavour and to prevent nausea. Then the blood specimens are collected every 30mins for 2-3 hours after the administration of glucose.

High blood glucose levels at any two or more blood test times – Fasting, 1 hour, 2 hours or 3 hours – mean you have Gestational diabetes.

Complications During Pregnancy

If blood sugar is not controlled, it can lead to problems for both maternal and foetal health. Uncontrolled diabetes during the first trimester of pregnancy increases the risk of abortions and congenital malfunctions in the foetus. Some of the major consequences are:

High Blood Pressure (Preeclampsia): Preeclampsia is a potentially dangerous pregnancy complication characterised by high blood pressure. Due to the high blood pressure levels of the mother, the protein in urine spikes up and swelling in fingers and toes and lower body persists. High blood pressure can be harmful to both – the mother and the unborn baby. It might lead to the baby being born early and also could cause seizures or a stroke (a blood clot or a bleed in the brain that can lead to brain damage) in the woman during labour or delivery.
An Extra Large Baby: Uncontrolled Diabetes in the mother causes the baby’s blood sugar to be high. The baby tends to “overfeed” and grows extra-large. Besides, causing discomfort to the mother, it can lead to problems during delivery causing prolonged labour pain which might need a C-section to deliver the baby. The baby can be born with nerve damage due to pressure on the shoulder during delivery.
Low Blood Sugar (Hypoglycaemia): People with diabetes who take insulin or other medications can develop blood sugar that is too low or hypoglycaemia. Low blood sugar can be very serious and even fatal if not treated quickly.

How to Manage Gestational Diabetes

The main modes of treatment of Gestational Diabetes include:

1. Eating a Healthy Diet: Dietary measures are an essential part of the treatment of diabetic patients whether they are on diet alone or on metformin drug or insulin. Carbohydrate restriction impairs insulin sensitivity and reversed by high carbohydrate diet but it needs to be maintained between 60-65% of total calories. So include more complex carbohydrates or polysaccharides like Multi-grain flour, Oats, Muesli, Granola, Amaranth, Bajra, Ragi, Quinoa, etc. Studies have shown that raising carbohydrates does not adversely affect the fasting blood glucose levels, glucose tolerance or insulin requirements provided that total calories are not increased.

Along with carbs, include more protein-rich foods like pulses and lentils, Rajma, Soya Bean, peas, beans, peanuts, milk and dairy products like yogurt, buttermilk, paneer, eggs, chicken, etc. to ensure weight gain and prevent osteomalacia during pregnancy. Inclusion of fibre like fruits and green leafy vegetables are must as it improves glucose metabolism without increasing insulin secretion. It increases the intestinal transit-time, delay gastric emptying slow glucose absorption.

2. Drugs or Insulin Treatment: Metformin or Insulin therapy is the accepted medical management of gestational diabetes. Insulin is the first drug of choice and metformin can be considered after 20 weeks of gestation. Insulin must be taken without delay if it is suggested by the doctor.

3. Exercise: Stay Active to help keep your blood sugar under control. Exercise regularly – before, during and after pregnancy. Moderate exercise such as brisk walking for 30mins a day for 5 times a week is a good goal to set.

4. Monitoring Blood Sugar Often: Be aware that your blood sugar can change very quickly, becoming too high or too low depending on what you eat and how much you exercise and your growing baby’s blood sugar also varies several times during the day. Check your blood sugar level as often as directed by the doctor and any time you have symptoms.

By adopting these measures one can enjoy a healthy Antenatal period. 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), reduce HbA1c levels and let you win gold! You can subscribe here: https://store.goqii.com/diabetescare.

#BeTheForce

July 13, 2022 By GOQii 4 Comments

9 Diabetes Friendly Grains Beyond Brown Rice

Diabetes is one of the most prevalent conditions throughout the world. Be it Type 1, Type 2 or Gestational. As soon as we realize that we have Diabetes, we immediately start controlling our sweet tooth in order to keep our sugar consumption under control. But apart from cutting down on sweets and adding less sugar to your tea/coffee, it is also extremely important to understand that we have to limit our calorie intake and add foods which have a low glycemic index to our diet.

Low Glycemic Index foods are those which take a longer time to get digested and therefore, release the sugars in our blood at a slow pace. This, in turn, prevents sudden spikes in blood sugar levels. So if you’ve been replacing your white rice, which has a high glycemic index, with brown rice, there are some other diabetes friendly grains you can explore.

9 Diabetes Friendly Grains You Can Consume

Amarnath: Gluten free, high protein (15-18%), a great source of calcium, fiber, iron, potassium, and many other vitamins and minerals.
How to cook: Add 2 cups water to 1 cup amaranth grain, bring to a boil, and then simmer for 15-20 minutes.
Foxtail millet: Gluten-free, high in dietary fiber, Low Glycemic index, reduces the levels of triglycerides, LDL and VLDL, magnesium present in millets is a co-factor in various enzymes involved in the secretion of insulin and metabolism of glucose in the body
How to cook: Pressure cook 1 cup of foxtail millet with 2.5 cups water and 1/2 tsp salt for three whistles. Turn off the flame.
Quinoa: Highest protein content, gluten-free, rich in fiber, iron, and magnesium. It is easy to cook as well.
How to cook: Pressure cook 1 cup of quinoa with 2.5 cups water for three whistles. Simmer for 5 minutes and turn off the flame.
Kodo Millet: High fiber and energy content and tastes like rice. Kodo Millet contains Copper, deficiency of which impairs sugar tolerance. Research has identified anti-diabetic compounds i.e. Quercetin and Phenolic acids which are present in Kodo Millet.
How to cook: Pressure cook 1 cup of Kodo Millet with 2.5 cups water and 1/2 tsp salt for two whistles. Turn off the flame.
Buckwheat: High in magnesium, phytonutrients, and dietary fiber and is gluten-free as well.
How to cook: Add 2 cups water to 1 cup buckwheat grain, bring to a boil, then simmer for 20 minutes.
Little Millet: Low cholesterol, gluten-free, high in protein and dietary fiber.
How to cook: Pressure cook 1 cup of little millet with 2.5 cups water and 1/2 tsp salt for two whistles. Turn off the flame.
Barnyard Millet: Gluten-free, has the highest fiber and iron content of all the millets.
How to cook: Pressure cook 1 cup of Barnyard Millet with 2.5 cups water and 1/2 tsp salt for two whistles. Turn off the flame.
Barley: High in soluble fiber which prevents the carbohydrates from getting absorbed too quickly and raising blood sugar levels. Low glycemic index and high in magnesium as well.
How to cook: Pressure cook 1 cup of Barley with 3 cups water for about 25 minutes after the first whistle.
Rye: A very good source of dietary fiber, phosphorus, magnesium, and vitamin B1. It’s a rich source of magnesium too.
How to cook: Soak 1 cup of rye grain for about 2 hours. Combine the grains with 4 cups of water in a pan, bring to a boil, simmer, close with a lid and cook for about 45 minutes.

There you have it! 9 diabetes friendly grains that are great alternatives to white rice or in case you want to switch from brown rice. Before making any dietary changes, consult a doctor or your nutritionist for further guidance and in case you have any allergies.

We hope this article helps you! Do leave your thoughts in the comments below. For more on managing diabetes, check out Healthy Reads.

Let’s #DefeatDiabetes and #BeTheForce

June 28, 2022 By Sophia Lashkari 3 Comments

Can Okra Control Blood Sugar Naturally?

Locally, Okra is known as Bhindi (Hindi) or Lady’s Finger. I am sure, besides all the delicious recipes, you might have also heard that Okra can control blood sugar naturally. So, is it scientifically true? Let us explore!

How Does Okra Control Blood Sugar?

To avoid the suspense, let us just say that the magic is in the seeds of Okra. In Turkey, roasted Okra seeds have been used as a traditional medicine. It’s these seeds that have shown results in lowering blood sugar levels in studies done. Also, it is shown to prevent diabetes associated complications as it lowers HbA1c levels.

Okra, or rather the seeds of Okra are alpha- glucosidase in nature and the gum contains insoluble fiber. They inhibit the carbohydrate metabolizing enzyme and hence, prevent the release of sugar in the blood stream.

What’s The Best Way To Consume Okra Seeds?

You need to split the Okra in two and soak it in water overnight. Next morning, squeeze the gum (the mucilage in water) and seeds into water. Drink this water on an empty stomach early morning every day. You need to consume it this way because the researches done support intake in this form. It isn’t clear if the cooked form holds similar blood sugar control benefit.

One precaution you need to take here is that if you’re just going to have these Okra Seeds water without dietary control and lifestyle medications, it alone isn’t going to work miraculously in controlling blood sugar levels. It has to be coupled up with a complex carbohydrate rich diet with good fiber intake from salads and control on simple refined carbohydrate meals. And surely exercise as well!

Besides health benefits in lowering blood sugar, Okra is also rich in A and B Complex Vitamins, and helps in lowering lipid levels too.

We hope this article helps you! For more on managing Diabetes, check out Healthy Reads.