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Diabetes is also called 'Madhumeha' in Sanskrit, which literally means sweet urine. It is a disease of starvation amidst

plenty because although the blood is rich in sugar, this cannot be utilized by the body due to lack of insulin or to a

defect in the actionof insulin.

The first type of Diabetes (Type-1) is hereditary and normally manifests at an earlier age (before forty), is seen more in

men or in women during pregnancy,

Whereas the second type (Type-2) is acquired and due to wrong life style. Diabetes has strong genetic links, meaning

that it tends to run in families and can also be precipitated by some risk factors:

High blood pressure

High blood triglyceride (fat) levels

Gestational diabetes or giving birth to a baby weighing more than 9 pounds

High-fat dietHigh alcohol intake

Sedentary lifestyle

Obesity or being overweight

Aging - Risk begins to rise significantly at about age 45 years, and rises

considerably after age 65 years.

Certain diabetes risk factors like age, family history, and

ethnicity cannot be changed. However, changing other

diabetes risk factors by eating a healthier diet and increased

physical activity with or without weight loss may, help prevent

type 2 Diabetes. In addition, if you have high blood pressure or

are overweight, modifying your lifestyle habits may help in

type 2 diabetes prevention.

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DIABETES: TIME TO TAKE CONTROL

Hi friends,

India has the highest number of diabetics in the world.

Can you believe it when we tell you that you are part of a country which is the world's unchallenged diabetes capital! Well it is

true that By next year, the country will be home to 50.8

million diabetics. And the number is expected to go up to 87 million (8.4% of the country's adult population) by 2030. Very

soon almost every home will have a diabetic so it is important for everyone to know about it how to prevent it and once it

occurs, how to manage it; because diabetes is a disease where the person himself has a huge role to play in the management.

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Types of

foodPreferred Avoid

Cereals

Pulses

Vegetables

Fruits

Dairy Products

Meat products

Sugar and sweets

Oil and nuts

Beverages

All whole grains cereals such as Whole wheat, oats,ragi,

millets brown rice etc

Dals or grams with outer capsules(Skin) and Sprouts

Vegetables rich in fiber like greens, brinjal, cauliflower,

gourds, salads

All fresh, frozen fruits and dry fruits like jamun

(blue berries), pomegranate, papaya, guava, pineapple,

all berries and citrus fruits.

Skimmed milk, Unsweetened yoghurt, curd, buttermilk

Fish, chicken, egg white Boiled, steamed, grilled,

roasted, barbecue or stew

Sugar, honey, jiggery - 3-4 tsp a day

Olive, groundnut, sunflower, safflower,

Gingely oil - 25- 30 ml/day, Walnuts, pistachio, flax seeds,

pumpkin seeds, soyabean, canola oil, and cotton seed oil

Water, Buttermilk, Clear soups, Tender coconut water

Maida, polished rice, refined food products,

instant preparations.

Fried food such as vada, fried dals, chips etc.

Frying, deep frying, pickle, dehydrated vegetables.

Excess ofpotato, sweet potato, arvi, beet- root.

Too much of banana, mango, sitaphal and chikoo,

Canned, Bottled, Juice, Squash, fruit-milkshakes

Cheese, ghee, ice cream, milk cream, Whole milk,

milkshakes

Red meat, organ meat, egg yolk, frying and deep frying

Sweets prepared with oil and vanaspathi

Palm oil, coconut oil, lard, vanaspathi, refined and

processed oil. Excessive intake of cashewnuts.

Tea, coffee, aerated drinks, soda, alcohol.

Diet - A diabetic should avoid both fasting and feasting. He/she should take small frequent meals, which will avoid a

load on the pancreas. A thin diabetic can take more quantity of food but change its quality, but an obese diabetic has to

change both.

Sample diet chart- Diabetics should avoid fasting because their blood sugar can come down suddenly, leading to

fainting or even coma. Here is a sample diet that can be followed by Diabetics.

Limit the intake of Non-vegetarian food. If required you can have 2 egg whites 3 times a week, fatless chicken and less

oily fish, restricted to 1-2 times a week (preferably roasted/ grilled/ steamed).

It is also important to learn the symptoms ofhypoglycaemia(blood sugar coming down) and to deal with it quickly

when it occurs. These symptoms may be giddiness, palpitations, sweating, headache etc. In the elderly diabetic, these

warning symptoms may be blunted, so they should maintain regularity in checkups, meals and exercise as any

irregularity can cause hypoglycaemia which may not be recognized and even lead to coma.

Exercise and Weight check: Exercise is important to keep the weight under control and

also to help in more efficient utilisation of sugar. Moderate exercise should therefore, be

actively encouraged in all diabetics. 30 - 40 min of a brisk walk are ideal. You can try yoga

or some breathing exercises to beat the stress.

Body Care: Diabetics need to take care of their bodies, very meticulously and examine

themselves regularly, as many complications can be prevented from progressing, if

7.30 am Tea\coffee without sugar or cream + 2 tsp soaked methi seeds with water.

10.00 am Permitted fruits.12.00 pm Chapattis, 2 or 1 chapatti + 1\2 cup brown rice, a big cup of vegetables, a small cup of

dal (pulse), curds 1 cup (made from skimmed milk), plenty of unseasoned salads with

half cup sprouts.

3.30 pm Tea (without cream or sugar) & 2 Marie biscuits.

5.00pm Roasted or soaked chana (with skin) or two slices of plain brown bread as veg sandwich.

7.30 pm Dinner - similar to lunch. Avoid rice at night.

9.00pm A glass of skimmed milk if required / a fruit.

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Disclaimer:

The content presented herein has been prepared by the Medical Panel ofVantage Insurance Brokers Pvt. Ltd. and is for information purpose only. Vantage & Group Companies, or any person connected with

it, make no guarantee, representation or warranty, whether express or implied and accept no responsibility or liability for any direct or indirect damage / injury to health, arising from the use of the material

provided. The information provided herein is generic and persons intending to use this information should do so only under appropriate medical advice.

Dr. Geeta Sundar (MD)Health Counsel - Vantage Wellness Program

For any health related queries and feedback you may write to wellness@vantageindia.co.in

detected early. They should look out for any infections, loss of sensations etc. on their skin. Feet especially need extra

care, including regular cleaning and trimming of nails, comfortable shoes and cotton socks as loss of sensation can lead

to injury, non-healing wound and even gangrene. Infections should be immediately attended to, as not only does

diabetes increase the chances of infection, infections also increase severity of diabetes. So, don't ignore any coughs,

wounds and fevers if you are a diabetic, they could turn serious.

Regular Medication: It is important that you get regular with your medication as well as monitor your meals as per the

medication advised.

Regular Monitoring and regular check-ups: are of tremendous

significance to make sure diabetic control is maintained smoothly,

prevent complications and for adjustments in dosage of

medication.

Can diabetes be prevented?

Well, Type -1 diabetes that has a very strong genetic basis cannot

be prevented, but Type-2 that begins later in life can be prevented

by keeping weight in check, exercising regularly, and starting a

diabetic diet if there is a very strong family history. There are also a

few blood tests that can predict diabetes.

With proper care and a positive attitude, diabetics can enjoy a normal span of life.

Hopefully in the near future, we will have a permanent cure for diabetes. As of now,

let's learn to take control of it ourselves. A sweet thought indeed!

Swallowing 1 Tbsp of Methi seeds

with water on a dailybasis helps control blood sugar.