Get advice about Managing Diabetes Ketoacidosis online from our wide range of both doctors and users. Ask a question or learn more about Managing Diabetes Ketoacidosis at Lybrate today.

Frequently Asked Questions about Managing Diabetes Ketoacidosis | Lybrate

Continue medications,
reduce the intake of potassium rich food lie, palace,methinks, banana,orange. Etc, then repeat for k+ then see.

Continue medications, reduce the intake of potassium rich food lie, palace,methinks, banana,orange. Etc, then repeat for k+ then see.

Sir, My Potassium level is 5.60 as per Hospital report dtd. 31st Dec 18. I am taking following
Istamet (50/1000) 1-0-1
Jardiance 25 mg - half-0-0
Diamicron-xr half-0-0
Prolet-R (25.2.2) 0-0-1
Roseday 10 mg. 0-0-1
clopilet-A (150) 0-0-1
Request for your advice.

Managing Diabetes Ketoacidosis

Dentist in Delhi

General Physicians in Delhi

Cardiologist in Delhi

Gynaecologist in Delhi

Psychiatrist in Delhi

Dermatologist in Delhi

Neurologist in Delhi

Urologist in Delhi

Ophthalmologist in Delhi

Sexologist in Delhi

Dentist in Mumbai

General Physicians in Mumbai

Cardiologist in Mumbai

Gynaecologist in Mumbai

Psychiatrist in Mumbai

Dermatologist in Mumbai

Neurologist in Mumbai

Urologist in Mumbai

Ophthalmologist in Mumbai

Sexologist in Mumbai

Dentist in Chennai

General Physicians in Chennai

Cardiologist in Chennai

Gynaecologist in Chennai

Psychiatrist in Chennai

Dermatologist in Chennai

Neurologist in Chennai

Urologist in Chennai

Ophthalmologist in Chennai

Sexologist in Chennai

Dentist in Bangalore

General Physicians in Bangalore

Cardiologist in Bangalore

Gynaecologist in Bangalore

Psychiatrist in Bangalore

Dermatologist in Bangalore

Neurologist in Bangalore

Urologist in Bangalore

Ophthalmologist in Bangalore

Sexologist in Bangalore

City Index

Doctor City Index

Locality City Index

Specialty Index

Specialty City Index

Health Wiki

Health Tips Index

Health Questions Index

Health Quizzes Index

Health Topics Index

Medicines Index

Ailment Index

Health Packages

Lab Test Details Index

Treatment Pages Index

Patient Support Programs

Hi,

I am Dr. Shashi N Jha, Ophthalmologist. I will talk about diabetic retinopathy. As you all know that India is known as the diabetes capital of the world. We are growing in numbers. That is the disease which can affect any part of the eye. And people have certain wrong notions which I would like to clarify. A good blood sugar level helps in controlling diabetes diseases. Complications will not come in due course of time. 

The person has to be very careful about 2 organs. The eyes and the kidneys. Though, this is the one disease which will affect any part of the body. The day diabetes is diagnosed, it is your duty and physician duty to make your report to the ophthalmologist every year for the eye check-up. Even if there is no problem in the eye. Because once the symptoms come, the disease has crossed its threshold and the treatment becomes difficult. 

After a particular stage, treatment becomes almost impossible and this is one of the leading cause of developing blindness in the world and we are catching out fast with them. So, it is my utmost request to all the diabetic patients to come and report to an ophthalmologist regularly even when you are told every time told you to come for a follow-up next time. This will help in the long run to preserve your eyesight and your faith in us. 

Thank You!

Hi, I am Dr. Shashi N Jha, Ophthalmologist. I will talk about diabetic retinopathy. As you all know that India is known as the diabetes capital of the world. We are growing in numbers. That is the disease which can affect any part of the eye. And people have certain wrong notions which I would like to clarify. A good blood sugar level helps in controlling diabetes diseases. Complications will not come in due course of time. The person has to be very careful about 2 organs. The eyes and the kidneys. Though, this is the one disease which will affect any part of the body. The day diabetes is diagnosed, it is your duty and physician duty to make your report to the ophthalmologist every year for the eye check-up. Even if there is no problem in the eye. Because once the symptoms come, the disease has crossed its threshold and the treatment becomes difficult. After a particular stage, treatment becomes almost impossible and this is one of the leading cause of developing blindness in the world and we are catching out fast with them. So, it is my utmost request to all the diabetic patients to come and report to an ophthalmologist regularly even when you are told every time told you to come for a follow-up next time. This will help in the long run to preserve your eyesight and your faith in us. Thank You!

Hi, 
 
I am Dr. Shashi N Jha, Ophthalmologist. I will talk about diabetic retinopathy. As you all know that India is known as the diabetes capital of the world. We are growing in numbers. That is the disease which can affect any part of the eye. And people have certain wrong notions which I would like to clarify. A good blood sugar level helps in controlling diabetes diseases. Complications will not come in due course of time.

The person has to be very careful about 2 organs. The eyes and the kidneys. Though, this is the one disease which will affect any part of the body. The day diabetes is diagnosed, it is your duty and physician duty to make your report to the ophthalmologist every year for the eye check-up. Even if there is no problem in the eye. Because once the symptoms come, the disease has crossed its threshold and the treatment becomes difficult.

After a particular stage, treatment becomes almost impossible and this is one of the leading cause of developing blindness in the world and we are catching out fast with them. So, it is my utmost request to all the diabetic patients to come and report to an ophthalmologist regularly even when you are told every time told you to come for a follow-up next time. This will help in the long run to preserve your eyesight and your faith in us.

Thank You!

Diabetic Retinopathy

Improving Eye Health

Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn t it be a good idea to get to know a little more so as to separate the myths from the facts?

Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad!

Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn t it be a good idea to get to know a little more so as to separate the myths from the facts? Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes. Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided. Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad!

<a href='https://www.lybrate.com/topic/diabetes' target='_blank'>Diabetes</a> is something which has become so common over the past few decades and this is said to be a cause of worry as most people don&#39;t understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn&rsquo;t it be a good idea to get to know a little more so as to separate the myths from the facts?

<ol>
	<li>Weight &amp; watch:&nbsp;One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.</li>
	<li>Packaged tricks:&nbsp;Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a>, but features a fair amount of lean <a href='https://www.lybrate.com/topic/protein-benefits-sources-and-side-effects' target='_blank'>protein</a> works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.</li>

	<li>Fruits punch:&nbsp;Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in <a href='https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects' target='_blank'>carbohydrates</a> and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad! If you wish to discuss about any specific problem, you can&nbsp;consult an <a href='https://www.lybrate.com/endocrinologist' target='_blank'>endocrinologist</a>.</li>
</ol>

Diabetes - 3 Myths Decoded!

Preventing Diabetes

Managing Your Child's Diabetes

Managing Gestational Diabetes

Living with Diabetes

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue.

Causes:
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.

Treatment:
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication.
2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process.
3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar.
4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count.
5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Women tend to develop high levels of blood sugar during their pregnancy (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from diabetes prior to their pregnancy. However, gestational diabetes, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and fatigue. Causes: Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting carbohydrates into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby. Treatment: 1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication. 2. A healthy diet consisting of whole grains, vegetables and fruits in the right proportion and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process. 3. Exercise or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar. 4. Medication, If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count. 5. Keeping the baby under close observation with the help of repeated ultrasound and other tests to record its growth and development is an essential part of the treatment plan.

Women tend to develop high levels of blood <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> during their <a href='https://www.lybrate.com/topic/pregnancy' target='_blank'>pregnancy</a> (especially within the 24th and 28th weeks), irrespective of whether they already had suffered from <a href='https://www.lybrate.com/topic/diabetes' target='_blank'>diabetes</a> prior to their pregnancy. However, <a href='https://www.lybrate.com/topic/gestational-diabetes' target='_blank'>gestational diabetes</a>, if not taken proper care of, might escalate the risks of developing diabetes in the near future for both the mother and the child, accompanied by complications in pregnancy or labor. Gestational diabetes is usually characterized by mild symptoms such as excessive urge to urinate, excessive thirst, blurred vision and <a href='https://www.lybrate.com/topic/fatigue' target='_blank'>fatigue</a>.

Causes: 
Insulin, a hormone produced by the pancreas, allows for the utilization of the glucose for energy. The food consumed is broken down by the digestive tract of the body, converting <a href='https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects' target='_blank'>carbohydrates</a> into glucose before releasing it into the bloodstream. The glucose is then absorbed by the cells to be used as an energy source. Now, at the time of pregnancy, the placenta (organ nourishing the fetus) connecting the baby to the blood supply also produces various other hormones in high levels, for instance, estrogen and human placental lactogen. Most of these hinder the normal functioning of insulin in the cells, hence raising the blood sugar count. With subsequent growth of the baby, the placenta keeps on producing more amounts of such insulin resistant hormones to an extent that they are capable of meddling with the development of the baby.


Treatment: 
1. Monitoring the blood sugar count at least four to five times a day and keeping it under control might help to ease the complication. 
2. A healthy <a href='https://www.lybrate.com/topic/healthy-diet' target='_blank'>diet</a> consisting of whole grains, vegetables and fruits in the right proportion&nbsp;and limiting sugar or other highly refined carbs meets the nutrition and fiber requirement of the body. Guard against additional weight gain during pregnancy as that hampers the entire process. 
3. Exercise&nbsp;or regular physical activities help to normalize blood sugar level by boosting glucose absorption in the cells. Furthermore, exercises also enhance the sensitivity of the cells towards insulin. This means that only a little amount of insulin production by your body would be enough for the transportation of sugar. 
4. Medication,&nbsp;If exercise and diet fall inadequate, insulin injections are often administered to control blood sugar count. 
5. Keeping the baby under close observation with the help of repeated <a href='https://www.lybrate.com/topic/ultrasound' target='_blank'>ultrasound</a> and other tests to record its growth and development is an essential part of the treatment plan.&nbsp;If you wish to discuss about any specific problem, you can&nbsp;consult a <a href='https://www.lybrate.com/gynaecologist' target='_blank'>gynaecologist</a>.

Gestational Diabetes - How It Can Be Treated?

Having a Healthy Pregnancy

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy&nbsp;or is stored for futher use. In diabetic people, the body either does not make enough insulin or&nbsp;it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes:

Type 1

This is popularly known as juvenile onset diabetes. 
Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.
People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.
Type 2

Also known as adult onset diabetes, this occurs around 35 to 40 years. The more&nbsp;common of the two types, it accounts for about 80 per cent of the diabetics.
Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.
Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control.
Sometimes, oral medication or insulin injections are also needed.
Symptoms of diabetes

Extreme thirst and hunger
Frequent urination
Sores or bruises that heal slowly
Dry, itchy skin
Unexplained weight loss
Unusual tiredness or drowsiness
Tingling or numbness in the hands or feetsymptoms of diabetes
The role of diet in diabetes
Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different  different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient.

Diabetes diet chart:

Morning at 6:  teaspoon fenugreek (methi) powder + water. 
Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits.
Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar
Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water
Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad
4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast
6 pm: 1 cup soup
8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad
10.30 pm: take 1 cup cream free milk without sugar.
When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid!

Salt: salt is&nbsp;the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of&nbsp;inorganic salt.
Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake&nbsp;might lead to calcium being&nbsp;leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc.
Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your&nbsp;diet totally. But, remember, you must have a small quantity of oil&nbsp;to absorb fat-soluble vitamins, especially vitamin E.
For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot,&nbsp;decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.
Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese.
Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas.
White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice.
Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and&nbsp;banana -- they increase the blood-sugar levels. 
Advice for diabetes patient:

35-40 minute faster walk every day.
Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.
Avoid oily food.
Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.
Do not take fast and also don t go much party.
Diabetic person should eat food slowly.
Calorific requirement:

 An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.
 An elderly diabetic but not over weight  1400 -1800 kcal.
 A young active diabetic  1800 -3000 kcal.
 Daily intake of carbohydrate: 1/10th of total calories approximately  180gm.
 Daily intake of protein: 60gm to 110gm.
 Daily intake of fat: 50gm to 150gm.

In India 61 million people are victims of diabetes. Diabetes disease is related to metabolic, in which oxidation of carbohydrates and glucose is not fully detected. Diabetes mellitus is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy&nbsp;or is stored for futher use. In diabetic people, the body either does not make enough insulin or&nbsp;it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream. The main reason is irregular meal, mental stress, lack of exercise. There are two major types of diabetes: Type 1 This is popularly known as juvenile onset diabetes. Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited. People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive. Type 2 Also known as adult onset diabetes, this occurs around 35 to 40 years. The more&nbsp;common of the two types, it accounts for about 80 per cent of the diabetics. Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it. Type 2 diabetes is usually triggered by obesity. The best way to fight it is by weight loss, exercise and dietary control. Sometimes, oral medication or insulin injections are also needed. Symptoms of diabetes Extreme thirst and hunger Frequent urination Sores or bruises that heal slowly Dry, itchy skin Unexplained weight loss Unusual tiredness or drowsiness Tingling or numbness in the hands or feetsymptoms of diabetes The role of diet in diabetes Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different different dietary chart is created. We must take special care of time and amount of food in diabetes. Here we are giving diet chart for general diabetes patient. Diabetes diet chart: Morning at 6: teaspoon fenugreek (methi) powder + water. Morning at 7: 1 cup sugar free tea + 1-2 mary biscuits. Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free milk without sugar Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or lemon water Lunch at 1: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, 1 bowl yogurt, half cup soybean or cheese vegetable, half bowl green vegetable, one plate salad 4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast 6 pm: 1 cup soup 8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad 10.30 pm: take 1 cup cream free milk without sugar. When you feel hungry intake raw vegetables, salad, black tea, soups, thin buttermilk, lemon water. Avoid it: molasses, sugar, honey, sweets, dry fruits. Foods you must avoid! Salt: salt is&nbsp;the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of&nbsp;inorganic salt. Sugar: sucrose, a table sugar, provides nothing but calories and carbohydrates. Also, you need calcium to digest sucrose. Insufficient sucrose intake&nbsp;might lead to calcium being&nbsp;leached off the bones. Substitute sucrose with natural sugar, like honey, jaggery (gur), etc. Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your&nbsp;diet totally. But, remember, you must have a small quantity of oil&nbsp;to absorb fat-soluble vitamins, especially vitamin E. For non-vegetarians: Try and stop the intake of red meat completely. Try to go in for a vegetarian diet. If you cannot,&nbsp;decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week. Whole milk and products: Try to switch to low fat milk and its products like yogurt (curd). Replace high fat cheese with low fat cottage cheese. Tea and coffee: Do not have than two cups of the conventional tea or decaffeinated coffee every day. Try to switch to herbal teas. White flour and its products: Replace these with whole grains, wholewheat or soya breads and unpolished rice. Foods with a high glycemic index: Avoid white rice, potatoes, carrots, breads and&nbsp;banana -- they increase the blood-sugar levels. Advice for diabetes patient: 35-40 minute faster walk every day. Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner. Avoid oily food. Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control. Do not take fast and also don t go much party. Diabetic person should eat food slowly. Calorific requirement: An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal. An elderly diabetic but not over weight 1400 -1800 kcal. A young active diabetic 1800 -3000 kcal. Daily intake of carbohydrate: 1/10th of total calories approximately 180gm. Daily intake of protein: 60gm to 110gm. Daily intake of fat: 50gm to 150gm.

In India 61 million people are victims of <a href="https://www.lybrate.com/topic/diabetes" target="_blank">diabetes</a>.&nbsp;Diabetes disease is related to metabolic, in which oxidation of <a href="https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects" target="_blank">carbohydrates</a> and glucose is not fully detected. Diabetes <a href="https://www.lybrate.com/doctors-for-mellitus" target="_blank">mellitus</a> is a chronic metabolic disorder in which the body fails to convert sugars, starches and other foods into energy. Many of the foods you eat are normally converted into a type of sugar called glucose during digestion. The bloodstream then carries glucose through the body. The hormone, insulin, then turns glucose into quick energy&amp;nbsp;or is stored for futher use. In diabetic people, the body either does not make enough insulin or&amp;nbsp;it cannot use the insulin correctly. This is why too much glucose builds up in the bloodstream.

The main reason is irregular meal, mental <a href="https://www.lybrate.com/topic/stress-disorder" target="_blank">stress</a>, lack of exercise.&nbsp;There are two major types of diabetes:

<h2>Type 1 Diabetes</h2>

<ul>
	<li>This is popularly known as juvenile onset diabetes.&nbsp;</li>
	<li>Here, the body produces little or no insulin. It occurs most often in childhood or in the teens and could be inherited.</li>
	<li>People with this type of diabetes need daily injections of insulin. They must balance their daily intake of food and activities carefully with their insulin shots to stay alive.</li>
</ul>

<h2>Type 2 Diabetes</h2>

<ul>
	<li>Also known as adult onset diabetes, this occurs around 35 to 40 years. The more&amp;nbsp;common of the two types, it accounts for about 80 per cent of the diabetics.</li>
	<li>Here, though the pancreas produce adequate insulin, body cells show reduced sensitivity towards it.</li>
	<li>Type 2 diabetes is usually triggered by <a href="https://www.lybrate.com/topic/obesity" target="_blank">obesity</a>. The best way to fight it is by <a href="https://www.lybrate.com/topic/weight-loss" target="_blank">weight loss</a>, exercise and dietary control.</li>
	<li>Sometimes, oral medication or insulin injections are also needed.</li>
</ul>

<h3>Symptoms of Diabetes</h3>

<ul>
	<li>Extreme thirst and hunger</li>
	<li><a href="https://www.lybrate.com/topic/frequent-urination" target="_blank">Frequent urination</a></li>
	<li>Sores or bruises that heal slowly</li>
	<li>Dry, itchy skin</li>
	<li>Unexplained weight loss</li>
	<li>Unusual tiredness or <a href="https://www.lybrate.com/treatment-for-drowsiness" target="_blank">drowsiness</a></li>
	<li><a href="https://www.lybrate.com/treatment-for-tingling" target="_blank">Tingling</a> or <a href="https://www.lybrate.com/topic/numbness" target="_blank">numbness</a> in the hands or feet symptoms of diabetes</li>
</ul>

<h3>Role of diet in diabetes</h3>

Meal of diabetic patient is depending on calories. Which decides on it s age, weight, gender, height, working etc. Depending on each person s different &nbsp;&nbsp;different dietary <a href="https://www.lybrate.com/topic/diet-chart" target="_blank">chart</a> is created. We must take special care of time and amount of food in diabetes. Here we are giving <a href="https://www.lybrate.com/topic/diet-chart" target="_blank">diet chart</a> for general diabetes patient.

<h3>Diabetes diet chart</h3>



<ul>
	<li>Morning at 6: &nbsp;&nbsp;teaspoon <a href="https://www.lybrate.com/topic/fenugreek-benefits-and-side-effects" target="_blank">fenugreek</a> (methi) powder + water.&nbsp;</li>
	<li>Morning at 7: 1 cup sugar free <a href="https://www.lybrate.com/topic/benefits-of-tea-and-its-side-effects" target="_blank">tea</a> + 1-2 mary biscuits.</li>
	<li>Morning at 8.30: 1 plate upma or oatmeal + half bowl sprouted grains + 100ml cream-free <a href="https://www.lybrate.com/topic/milk-dudh-benefits-and-side-effects" target="_blank">milk</a> without sugar</li>
	<li>Morning at 10.30: 1 small fruit or 1 cup thin and sugar free buttermilk or <a href="https://www.lybrate.com/topic/benefits-of-lemon-water-and-its-side-effects" target="_blank">lemon water</a></li>
	<li>Lunch at 1: 2 roti of mixed flour, 1 bowl <a href="https://www.lybrate.com/topic/benefits-of-rice-and-its-side-effects" target="_blank">rice</a>, 1 bowl pulse, 1 bowl yogurt, half cup <a href="https://www.lybrate.com/topic/benefits-of-soybean-and-its-side-effects" target="_blank">soybean</a> or cheese vegetable, half bowl green vegetable, one plate salad</li>
	<li>4 pm: 1 cup tea without sugar + 1-2 less sugar biscuits or toast</li>
	<li>6 pm: 1 cup soup</li>
	<li>8.30 pm: 2 roti of mixed flour, 1 bowl rice, 1 bowl pulse, half bowl green vegetable, one plate salad</li>
	<li>10.30 pm: take 1 cup cream free milk without sugar.</li>
</ul>

When you feel hungry intake raw vegetables, salad, <a href="https://www.lybrate.com/topic/black-tea-kali-chai-benefits-and-side-effects" target="_blank">black tea</a>, soups, thin buttermilk, lemon water.&nbsp;Avoid it: molasses, sugar, honey, sweets, dry fruits.&nbsp;Foods you must avoid!

<ol>
	<li>Salt: salt is&amp;nbsp;the greatest culprit for diabetics. You get enough salt from vegetables in inorganic form, so reduce the intake of&amp;nbsp;inorganic salt.</li>
	<li>Sugar: <a href="https://www.lybrate.com/medicine/iron-sucrose/health-feed" target="_blank">sucrose</a>, a table sugar, provides nothing but calories and carbohydrates. Also, you need <a href="https://www.lybrate.com/topic/calcium-benefits-sources-and-side-effects" target="_blank">calcium</a> to digest sucrose. Insufficient sucrose intake&amp;nbsp;might lead to calcium being&amp;nbsp;leached off the bones. Substitute sucrose with natural sugar, like honey, <a href="https://www.lybrate.com/topic/jaggery-benefits-and-side-effects" target="_blank">jaggery</a> (gur), etc.</li>
	<li>Fat: excessive fat intake is definitely not a good habit. Try and exclude fried items from your&amp;nbsp;diet totally. But, remember, you must have a small quantity of oil&amp;nbsp;to absorb fat-soluble vitamins, especially vitamin E.</li>
	<li>For non-vegetarians:&nbsp;Try and stop the intake of red <a href="https://www.lybrate.com/topic/meat-benefits-and-side-effects" target="_blank">meat</a> completely. Try to go in for a vegetarian diet. If you cannot,&amp;nbsp;decrease the consumption of eggs and poultry. You can, however, eat lean fish two to three times a week.</li>
	<li>Whole milk and products:&nbsp;Try to switch to low fat milk and its products like yogurt (<a href="https://www.lybrate.com/topic/health-benefits-of-curd" target="_blank">curd</a>).&nbsp;Replace high fat cheese with low fat cottage cheese.</li>
	<li>Tea and <a href="https://www.lybrate.com/topic/benefits-of-coffee-and-its-side-effects" target="_blank">coffee</a>:&nbsp;Do not have than two cups of the conventional tea or decaffeinated coffee every day.&nbsp;Try to switch to herbal teas.</li>
	<li>White flour and its products:&nbsp;Replace these with whole grains, wholewheat or soya breads and unpolished rice.</li>
	<li>Foods with a high glycemic index:&nbsp;Avoid white rice, potatoes, carrots, breads and&amp;nbsp;banana -- they increase the blood-sugar levels.&nbsp;</li>
</ol>

<h3>Advice for Diabetes Patient</h3>

<ol>
	<li>35-40 minute faster walk every day.</li>
	<li>Diabetic person should eat food between times intervals like take breakfast in morning, lunch, some snakes and dinner.</li>
	<li>Avoid oily food.</li>
	<li>Intake more fiber foods in meals. It increases glucose level gradually in blood and keeps control.</li>
	<li>Do not take fast and also don t go much party.</li>
	<li>Wear <a href="https://www.lybrate.com/health/p/best-diabetic-socks-for-men-women-syounaa" target="_blank">Syounaa diabetic socks</a> on daily basis to promote the good flow of blood and oxygen in the feet.</li>
	<li>Diabetic person should eat food slowly.</li>
</ol>

<h3>Calorific requirement</h3>

<ol>
	<li>&nbsp;An obese middle aged or elderly patient with mild diabetes 1000 -1600 kcal.</li>
	<li>&nbsp;An elderly diabetic but not over weight &nbsp;1400 -1800 kcal.</li>
	<li>&nbsp;A young active diabetic &nbsp;1800 -3000 kcal.</li>
	<li>&nbsp;Daily intake of carbohydrate: 1/10th of total calories approximately &nbsp;180gm.</li>
	<li>&nbsp;Daily intake of <a href="https://www.lybrate.com/topic/protein-benefits-sources-and-side-effects" target="_blank">protein</a>: 60gm to 110gm.</li>
	<li>&nbsp;Daily intake of fat: 50gm to 150gm.</li>
</ol>

<hr>
Update From Lybrate: Certain Diabetes nutrition products can help in the maintenance and management of diabetes.&nbsp;Check out the best <a target="_blank" class="Manual" href="https://www.lybrate.com/goodkart/vitamin-and-supplement/supplement-for-diabetic">diabetic supplements online</a> at the Lybrate GoodKart Platform.

In case you have a concern or query, you can always consult the <a href="https://www.lybrate.com/consult-privately/general-physician" target="_blank">best general physicians online</a> &amp; get answers to your question via <a href="https://www.lybrate.com/consult-privately" target="_blank">online doctor consultation</a>.

&nbsp;

Diet Chart For Diabetes Patient

Diet and Nutrition

Amazing Power of Guava Leaves ! Excellent Obesity & Diabetes Tip !

For Obesity

Guava leaves helps in weight loss as it prevents the body s complex starches from getting converted into sugars. The Carbs in our body are broken down in the liver and guava leaves prevents this process of Carbohydrates getting transformed into useful compounds.

For Diabetes

Guava leaves are also beneficial for diabetes patients. It helps in preventing the body s absorption of sucrose and maltose and thus helps in lowering blood sugar levels. Consuming Guava leaves tea regularly for more than 12 weeks can help in maintaining your blood sugar levels. It also reduces the production of insulin in the body.

Do follow for more easy to follow, kitchen & home remedies. 

Do take Personalised/Customised Diet/Therapeutic Nutrition Consultations for best results.

Regards,

Dt. Neetha Dilip.

Amazing Power of Guava Leaves ! Excellent Obesity & Diabetes Tip ! For Obesity Guava leaves helps in weight loss as it prevents the body s complex starches from getting converted into sugars. The Carbs in our body are broken down in the liver and guava leaves prevents this process of Carbohydrates getting transformed into useful compounds. For Diabetes Guava leaves are also beneficial for diabetes patients. It helps in preventing the body s absorption of sucrose and maltose and thus helps in lowering blood sugar levels. Consuming Guava leaves tea regularly for more than 12 weeks can help in maintaining your blood sugar levels. It also reduces the production of insulin in the body. Do follow for more easy to follow, kitchen & home remedies. Do take Personalised/Customised Diet/Therapeutic Nutrition Consultations for best results. Regards, Dt. Neetha Dilip.

Amazing Power of Guava Leaves ! Excellent <a href='https://www.lybrate.com/topic/obesity' target='_blank'>Obesity</a> &amp; <a href='https://www.lybrate.com/topic/diabetes' target='_blank'>Diabetes</a> Tip !

For Obesity 

Guava leaves helps in <a href='https://www.lybrate.com/topic/weight-loss' target='_blank'>weight loss</a>&nbsp;as it prevents the body&rsquo;s complex starches from getting converted into sugars. The Carbs in our body are broken down in the liver and guava leaves prevents this process of <a href='https://www.lybrate.com/topic/carbohydrates-benefits-,-sources-and-side-effects' target='_blank'>Carbohydrates</a> getting transformed into useful compounds.

For Diabetes

Guava leaves are also beneficial for diabetes patients. It helps in preventing the body&rsquo;s absorption of <a href='https://www.lybrate.com/medicine/iron-sucrose/health-feed' target='_blank'>sucrose</a> and maltose and thus helps in lowering blood <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> levels. Consuming Guava leaves <a href='https://www.lybrate.com/topic/benefits-of-tea-and-its-side-effects' target='_blank'>tea</a> regularly for more than 12 weeks can help in maintaining your blood sugar levels. It also reduces the production of insulin in the body.


Do follow for more easy to follow, kitchen &amp; home remedies.&nbsp;

Do take Personalised/Customised Diet/Therapeutic Nutrition Consultations for best results.

Regards,

Dt. Neetha Dilip.

Amazing Weight Loss and Diabetes Control with GUAVA LEAVES !

Gaining Weight

Losing Weight

Insulin like supplementary drugs for hyperglycemia
Pramlintide (symlin) is a new type of injectable drug that can help control postprandial hyperglycemia, the sudden increase in blood sugar after a meal. Pramlintide is injected before meals and can help lower blood sugar levels in the 3 hours after meals. Pramlintide is used in addition to insulin for patients who take insulin regularly but still need better blood sugar control. The fda approved this drug in 2005 for adults with type 1 and type 2 diabetes. Pramlintide and insulin are the only two drugs approved for treatment of type 1 diabetes.

Pramlintide is a synthetic form of amylin, a hormone that is related to insulin. Side effects may include nausea, vomiting, abdominal pain, headache, fatigue, and dizziness. Patients with type 1 diabetes have an increased risk of severe low blood sugar (hypoglycemia) that may occur within 3 hours following a pramlintide injection. This drug should not be used if patients have trouble knowing when their blood sugar is low or have slow stomach emptying (gastroparesis).

Insulin like supplementary drugs for hyperglycemia Pramlintide (symlin) is a new type of injectable drug that can help control postprandial hyperglycemia, the sudden increase in blood sugar after a meal. Pramlintide is injected before meals and can help lower blood sugar levels in the 3 hours after meals. Pramlintide is used in addition to insulin for patients who take insulin regularly but still need better blood sugar control. The fda approved this drug in 2005 for adults with type 1 and type 2 diabetes. Pramlintide and insulin are the only two drugs approved for treatment of type 1 diabetes. Pramlintide is a synthetic form of amylin, a hormone that is related to insulin. Side effects may include nausea, vomiting, abdominal pain, headache, fatigue, and dizziness. Patients with type 1 diabetes have an increased risk of severe low blood sugar (hypoglycemia) that may occur within 3 hours following a pramlintide injection. This drug should not be used if patients have trouble knowing when their blood sugar is low or have slow stomach emptying (gastroparesis).

Insulin like supplementary drugs for hyperglycemia 
Pramlintide (symlin) is a new type of injectable drug that can help control <a href='https://www.lybrate.com/lab-test/glucose-postprandial-blood/health-feed' target='_blank'>postprandial</a> hyperglycemia, the sudden increase in blood <a href='https://www.lybrate.com/topic/sugar' target='_blank'>sugar</a> after a meal. Pramlintide is injected before meals and can help lower blood sugar levels in the 3 hours after meals. Pramlintide is used in addition to insulin for patients who take insulin regularly but still need better blood sugar control. The fda approved this drug in 2005 for adults with type 1 and type 2 diabetes. Pramlintide and insulin are the only two drugs approved for treatment of type 1 diabetes.

Pramlintide is a synthetic form of amylin, a hormone that is related to insulin. Side effects may include <a href='https://www.lybrate.com/topic/nausea' target='_blank'>nausea</a>, <a href='https://www.lybrate.com/topic/vomiting' target='_blank'>vomiting</a>, <a href='https://www.lybrate.com/topic/abdominal-pain' target='_blank'>abdominal pain</a>, headache, <a href='https://www.lybrate.com/topic/fatigue' target='_blank'>fatigue</a>, and <a href='https://www.lybrate.com/topic/dizziness' target='_blank'>dizziness</a>. Patients with type 1 diabetes have an increased risk of severe low blood sugar (hypoglycemia) that may occur within 3 hours following a pramlintide injection. This drug should not be used if patients have trouble knowing when their blood sugar is low or have slow stomach emptying (<a href='https://www.lybrate.com/topic/gastroparesis' target='_blank'>gastroparesis</a>).

<a href='https://www.lybrate.com/topic/type-1-diabetes' target='_blank'>type diabetes</a>

Top Questions on Managing Diabetes Ketoacidosis

Sir, My Potassium level is 5.60 as per Hospital report dtd. 31st Dec 18. I am taking following Istamet (50/1000) 1-0-1 J ...