Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body. 
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

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Top 5 Things All Diabetics Must Do

Seasonal local mangoes or exotic avocado? Avocado and Mango both are rich in vitamins and minerals but which one should you choose?

Remember that the more food travels, the lesser will be nutrition. So consume seasonal & local fruits and vegetables.

Mangoes are even big yes for weight loss as it calms sugar cravings and slows down the development of fat cells.

Can I have mango if I have diabetes? Yes
Can I have mango if I have cholesterol? Yes
Can I have mango if have high bp? Yes

Remember, moderation is the key. And eat fruits on their own or first thing in the morning. Do not consume with or right after/before meals.

For all those who are concerned if mango really works for weight loss:

Your mango can help you become lean and toned, but you've got to eat it at the right time. Here's how it works: a mango, eaten with a meal, alters the ph balance or acidity of the stomach and disturbs both the glycemic index and glycemic load of your meal. When a mango is eaten on its own, exactly like the way you often eat your papaya and melon, the sugars and the micro-nutrients in the fruit are much more available to the body than they would be, when it is consumed along with, or right after a meal. So eat your mango after dinner, or have it, as some of us love to do, as aamras, with hot puris, and sure, you will be expanding that ring around your waist. 

Eat it first thing in the morning, or just after physical exercise, and it may just help you get that six pack.

If you have any further questions on issues related to nutrition or diet, ask me by clicking on 'Consult'.

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Dietitian Tip - Seasonal Local Mangoes or Exotic Avocados?

Paneer, also known as cottage cheese, is a dairy product which is made by curdling the milk with the help of lemon or vinegar and then draining the liquid. Not only is it delicious and an integral part of some of the most popular dishes of indian cuisine, it is also a very good source of calcium, protein and healthy fats that help in improving the functioning of the body.

Here are some of the surprising health benefits of this indian dietary staple: 

1. Diabetes-friendly 
The carbohydrate content is low in paneer, which makes it a very good option for diabetics. Consumption of paneer does not cause a surge in the blood sugar level as it is digested slowly by the body. 

2. Improves bone and teeth health
Protein is a good source of calcium and phosphorus that helps in improving the health of the teeth and bones in the body.

3. Helps in weight loss 
Cottage cheese is a great source of conjugated linoleic acid that helps in boosting the metabolism of the body, thus aiding weight loss. Plus, it lowers the risk of cancer by reducing the amount of bad cholesterol in the body.

4. Contains high amounts of protein 
Enriched with vegetable protein, which is the basic building component of muscles and bones, paneer is known to keep your muscles and bones in good health. Besides, the protein in paneer is essential for brain development and the development of the fetus, making it another reason why it should be a part of your diet.

5. Improves metabolism
Paneer contains high amounts fiber, which helps in improving the digestive process of the body. It also adds bulk to the stool and helps in feeling full.

6. Controls blood pressure 
It regulates blood pressure as it contains potassium, which helps in lowering blood pressure by controlling the effect that sodium has on your body. 

7. Boosts the immune system 
Paneer contains compounds that help in strengthening the immune system, thereby preventing disorders like common cold, cough and bronchial asthma.

7 Healthy Benefits of Paneer or Cottage Cheese 

Green tea has been promoted as one of the healthiest beverages around. It is made from the same kind of leaves (camellia sinensis) as generic black tea or oolong tea. The primary difference is that while processing the leaves for green tea, the withering and fermentation procedures are avoided, which helps the leaves retain more nutrients. However, green tea comes with quite a few side effects just like ordinary tea or coffee. They are:

1. Digestive problems
Since green tea is not put through the oxidation or fermentation process, the tannins present in the leaves are not removed. Tannins, can cause nausea and constipation by producing more gastric acid. Adding a little milk to your tea might help with this problem.

2. Reduced absorption of iron
Green tea contains catechins- antioxidants, which can block the absorption of iron from food. Iron deficiency has a number of negative impacts, the most threatening one being anemia where red blood cell formation is hindered. Anemia causes fatigue because sufficient oxygen is not circulated throughout the body due to low haemoglobin levels.

3. Problems with the nervous system
Green tea contains caffeine, just like tea or coffee, though its caffeine content is lower. Excessive consumption can lead to insomnia-like tendencies, heightened anxiety, frequent urination, irregular heartbeat, muscle cramps etc.

4. Risks during pregnancy
Caffeine decreases calcium content in the body, leading to weaker bones, which is an alarming symptom in an expecting mother. Also, caffeine, catechins and tannins are individually related to increased risks of miscarriage and other negative effects. Tannins and catechins passed on to breast milk can also block absorption of nutrients like proteins and fats in an infant's system.

5. Reactions with medication
Several chemical drugs are extremely reactive to the polyphenols in green tea, especially stimulant drugs like nicotine, ephedrin and amphetamine. Green tea reduces the functioning of lithium and dipyridamole. The polyphenols may also block the healing properties of the anti-cancer drug name bortezomib. Any kind of interference with your regular medication may impact your health adversely.

6. Negative impact on patients with glaucoma
The disease impairs the optic nerve and green tea increases the pressure on the eye within minutes of drinking it because caffeine accelerates intraocular pressure. The effects take more than an hour to subside.

Green Tea: SIde effects and why you may need to avoid it

How to avoid dehydration in any season. 

We assume that dehydration to the body happens only in the summer. And it’s not without a reason - Summers in India are so hot; every ounce of water in the body gets used up in the heat. A body gets dehydrated when it doesn't get enough water intake. In summer there is an added factor of more sweating i.e. losing water. Dehydration happens in all seasons and you need to hydrate yourself adequately according to the loss of water.

In winters our skin is dry, we sweat but it doesn't stay on the skin. The body feels dehydrated even if there is a marginal drop in percentage of water in body weight. We need to stay hydrated to digest food properly and for smooth functioning of all organs. When a body is dehydrated, the blood flowing through its veins become thicker and the heart needs to put a lot of effort to pump it. Irrespective of the weather or season, our body loses a minimum of eight cups of water which must be replenished.

2 ways to keep yourself hydrated:

1. Have lots of fruits: Consume more fruits and vegetables which are rich in water content. Even in winters when it is cold and we avoid drinking water instinctively; eating foods with high content of water will help.

2. Take Your Water With You: The most important thing which should be actually a year-round habit - carry your own water bottle around. Refill when needed, but if you have water available to drink, chances are that you will drink more than otherwise.





Did you know you can be dehydrated in any season?

The gastrointestinal tract is a large muscular tube that extends all the way from the mouth to the rectum in human beings. It is also called the digestive tract or alimentary canal. The muscles in this tube move the food, all the way to the stomach, from the mouth and then, due to the release of enzymes, the food is digested. The components of the gastrointestinal tract are the oesophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder etc. 

Symptoms of gastrointestinal tract problems include:

Pain
Abdominal distension
Heartburn
Bloating
Nausea
Vomiting
Constipation 
Diarrhea
Some of the most common gastrointestinal tract problems are:

Chest Pain: Also known as Gastro-esophageal Reflux Disease, this happens if the stomach acids travel back into one s esophagus. This phenomenon is commonly called an acid reflux. Often, it could occur after meals. It is quite common to experience this every once in a while. However, having these on a daily basis or at least thrice a week should not be ignored, as it could be a symptom of GERD.
Celiac Disease:  This refers to severe gluten sensitivity, a protein present in rye, wheat and barley. People who suffer from this disease are advised to avoid consumption of gluten in any form. The consumption of gluten sends the immune system on attack mode, damaging the villi which are found in the small intestine, that help to absorb nutrients from the food consumed. 
Irritable Bowel Syndrome: The feeling of discomfort and stomach pain, at least thrice a month for a prolonged period of time, maybe a symptom of IBS. What causes IBS  is unknown, but the treatment is to avoid foods which produce gas. A diet low in fats and high in fiber content is also advised. 
Hemorrhoids: Blood during bowel movements is a sign of hemorrhoids. It happens when the blood vessels present towards the end of one s digestive tract get inflamed. The causes may include diarrhea, chronic constipation, or a low fiber diet. OTC creams may give temporary relief. A high fiber diet, drinking a lot more water, and exercising regularly is advised. 
Crohn s Disease: This is an autoimmune disease in which the immune system mistakenly attacks cells in your own body. Crohn s disease is part of a group of digestive conditions called inflammatory bowel disease. Some symptoms include weight loss, rectal bleeding and abnormal pain.       
Gallstones: These are hard deposits that form in the gallbladder. They occur when there is a high amount of waste or cholesterol in your bile. Gallstones block the passage from the gallbladder to the intestines, which may result in a sharp pain felt in the upper right region of the abdomen. Medication to dissolve the gallstones or surgery is advised.
The gastrointestinal tract is very important and should be taken care of properly. Any discomfort shouldn t be ignored. 

6 Most Common Gastrointestinal Problems!

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