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Replies to Queries -- Diabetics By Mumtaz Khalid Ismail
From: Ashis Das
Question: I usually dine at 10 p.m. so I don't take any bedtime milk. I usually run a stressful life. I'm spending my days with severe mental strain, presently I have to take alprazolam (trika 0.25) to sleep at night. In this condition suddenly I started feeling week and, as per one of my doctor friend, I tested my blood which gave a fasting blood sugar level of 281. He suggested me exercise, dieting and medication (glucobay 50: acarbose group). I believe this is my chance of reducing my weight and getting thin, although I don't look heavy. Would you please suggest me what to do?Ans: See Ashis, every one goes through rough patches of life. How to over come this is more important. As your doctor rightly pointed out the general weakness is due to your diabetic state. In diabetics due to inadequate quantity or quality of insulin, carbohydrate metabolism is impaired. This lead to a state of starvation in diabetic even though their blood sugar is high since it can not be utilised. Now by doing exercise religiously your life will become organised. This will help you to regularise your sugar as well as to come out of your present mental state. About diet, reduce calorie intake. Take diet 30 kcal/kg (ideal weight).
From: Lata anand
Question: I'm pregnant and running in 30 weeks and my due date is September 5th.I got gestational diabetic, so I would like to know that. (1).Does paneer contain sugar (lactose) (2).4 tbs of (roasted bengal gram flour) how much contain carbohydrate and protein ? (3).what else should I eat to make my blood sugar down (please suggest Indian food)? (4).Does yogurt has same quantity of lactose as much as milk has it ?Ans: 1). All milk and milk products contain lactose, yoghurt has the same caloric value as milk from which it is prepared even though 40 percent of the lactose may have been converted to lactic acid. But there is no harm for a diabetic in taking in small quantities. 2). 4 tbsp (80gms) of roasted bengal gram contains 18 gms of protein and 46.4 gms of carbohydrate. 3). Increase high protein containing food such as sprouts, dhal and whole wheat food products. Include plenty of green leafy vegetables.
From: Philip George
Question: Have read in some book that dates are good for Diabetics. Do you agree?Ans: I do not agree with dates been given to diabetic patient. Dates are advised for lean constipated patients because of their laxative effect. As they are rich in calories they should be avoided by the diabetic and obese. Dried dates are a good source of calcium and iron.
From: AnuRaji
Question: I am 8 months on my family way and the baby is due mid august. I have got gestational diabetics. Will that remain forever? Doctors say I might get into diabetics as I am having high blood sugar. Currently on a diet and taking 3 shots of insulin everyday for the past 2 months of pregnancy.Ans: Once your pregnancy is over, your blood sugar levels usually will return to the level that was present before you became pregnant. If you were not a diabetic before pregnancy then once you give birth your diabetic will not be there (most of the time), but you have a higher risk of getting diabetes in later life. From your treatment history you seem to be having more than mild degree of diabetics. May be your diabetics status have been unmasked during pregnancy.
From: S. Sampath
Question: I'm 52 years old: I weigh 88 Kgs & height 162 cms. I'm a very strict Vegetarian & I am in the threshold of becoming a diabetic. I'm quite afraid as to how I'm going to solve my health problem. So far, I'm having normal health, blood pressure etc. Of course, I'm obese, from my childhood. Please advise me & I shall follow things alright.From: Syed Taher Ali Suhail
Question: I am writing from Jeddah, KSA. I am married with 2 children, finally I have understood and realised the need to loose weight. I am sleeping for only 6 hours. I intend to take vacation in Jan. 2001. When I arrive in India, I want to look slim & trim so that I do not have this Diabetic botheration. Because the doctor told me that your diabetes is in early stage, the only cure is that you loose weight and Could you please give me in detail my calorie chart with what things to eat and what-not-to-eat. The only form of exercise is bi-cycling for 20 minutes everyday.Ans: Avoid too much of carbohydrates and fats. Include plenty of leafy vegetables and raw salads in your diet. Drink 10 - 12 glasses of water every day. Refined flour preparation should be avoided and include whole wheat flour. Fruits such as water melon, musk melon, papaya, pineapple, oranges should be taken liberally. You should also do some form of exercise like aerobics, swimming or brisk walking to burn up your calories.
From: D.M. Kulkarni
Question: Whether dry fruits are allowed for diabetes?. I am 80 years old and my wife also suffering from diabetes. Latest sugar reports for me is 251 pp and her sugar is 321pp. Her age is 74. What diet we should prefer to control/or to bring the excess sugar to normal level. Ayurvedic medicines are taken daily in consultation with family doctor.Ans: Dry fruits are not allowed for diabetes since they contain high level of fat and concentrated source of energy. Both of you are having a very high blood sugar. Diet should provide good sources of protein and green leafy vegetables. Include raw vegetables other than cooked vegetables in both your meals. Avoid fried foods.
From: Prasanna nair
Question: My mother is a diabetic. Would be great if you could suggest a good regime for her, diet and exercise wise, so that she can control her sugar level. She has lost a lot of weight recently, and looks sick and tired. Her weight was in the 70-75 kg range. She also had a healthy glow when I last met her. Looks quite tired and drawn right now.Ans: Your mother is not following a proper diabetic diet. That is the reason her blood sugar is not under control. Her weight has to be reduced to 55kg and also what she is following is not nutritious balanced diabetic diet. Ask her to go for regular walk if she can't do any other exercise. Include lot of salads in her diet. Instead of her white bread let her have brown bread for breakfast along with bran cereal porridge. Stop her mid morning samosa. Let her have any fruit such as citrus or apple. Mid evening along with her tea she can have marie biscuit or cream cracker or digestive 3 nos. Let her include lots of green leafy vegetable for both her meals. She can have a cup of milk at bed time. Include sprouted pluses which enhances vitamin C and niacin. Fenugreek seeds can be sprouted and used in the salad.
From: Chinthamani Manikandan
Question: I am 5 feet 1 inche and weight 64kg. I often get hand and neck pain. I am having a one year old child. When i was pregnant i had gestational diabetes at the end of eigth month. I want to know whether it is a temporary one. or else i may get in the future.(2).am i over weight.(3).any medicines for my hand pain.Ans: You have a greater chance of developing diabetes at later stage since you had during your pregnancy. You are 10 - 12 kg excess weight. Your pain may be due to wrong posture neck or may be having mild problem of spine. Consult your family physician for expert opinion.
From: Patel Atul M
Question: My mother is 80 year old and takes three times injections for her diabetic condition. She has arthritis therefore walking problem. However, she is very alert and active and looks much younger for her age. My question is she loves rice and we kind of tell her to go easy on rice. Then I see that your lunch menu includes rice. Is that okay? Also what is the vegetarian variety that are high in protein we have in our Indian food?Ans: An helping of rice is allowed to a diabetic of normal weight. A thin diabetic may have it every day. Those who are fond of rice can exchange their ration with chapathi. Brown rice is better. Pulses are important in Indian diet. They supply a fair quantity of protein in a vegetarian diet. Soya bean provides a good quantity of protein. It provides 43.2gms of protein for 100 gms.
From: Aubrey D'Souza
Question: I am not a diabetic. But I have to restrict my diet because my FBS is top of the normal 111.Therefore Doctor has asked me to take Foods with a LOW GLYCAEMIC INDEX. I have list for Western type foods but no list of Indian foods. Perhaps you can send me one?Ans: Some of the food items which contains low glycaemic index are soya beans, chana dhal, peach, plum, pear, grapefruit, skim milk, yoghurt, fructose
From: H.N.Luthria,
Question: borderline diabetic. Controlling by diet can I eat a little jaggery sweet dishFrom: Mina-kabra
Question: I want to know if I take a piece of sweet some time is it harmful. diabetic was detected 6months back.Ans: Yes you can have once in a while. But it should be reduced from your daily calorie allowance for that day.
From : Noor Ahmed
Question: Can the diabetic patients use onions? in the form or raw or more in cooking curry? please let me know. And also to get strength what should we eat and how much? I use one dianel tablet in the morning and one in the evening. And take one glucofed tablets before lunch and dinner. Please advise what should be taken for strength.Ans: Yes, you can have onions in any form. Take a balanced diet for diabetics.
Is there a difference in the amount you can eat if you are insulin dependent in your computation for calorie evaluation?
Ans.: Yes, there is difference in calorie consumption for insulin dependent diabetics. It will depend on what is your sugar level, how much insulin you are taking, your weight and age.
Question: if diabetics feel hungry always after short period of time then What should she do?
Ans.: Can have buttermilk or lime juice with out sugar or raw vegetables or low calorie high fibre snacks.
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