South Indian Diabetic Diet

South Indian Diabetic Diet

South Indian Diabetic Diet

Type 2 diabetes mellitus, is fast gaining the status of a potential epidemic in India. Per the figures quoted by the Director General of Health Services (2013), the urban slums, particularly Chennai (1 out of every 3 tested) have shown an alarming increase in the incidences of diabetes. Sedentary lifestyle, poor hygiene, poor eating habits, etc. have been factors in this alarming trend. South Indians are at a bigger risk because of their overdependence on rice (staple food), tubers, choice of cooking oil, genetic predisposition, etc.
Given the preference of South Indians for rice, diabetics in this geography need to be cautious about their diet. A diabetic patient needs to restrict his or her calorie consumption to 1500 to 1800 calories per day. This calorie consumption should come primarily from high fibre, low sugar, low-fat foods.
Thumb rules for diabetes diet
Completely and strictly avoid sweets that contain artificial sweeteners, chocolates, ice-creams, jellies, etc.
Stay away from fatty foods such as ghee, butter, red meat, etc.
Eat smaller portions at frequent intervals during the day instead of large meals with long breaks in between.
Indulge in some form physical exercise routine such as cycling, walking, jogging, etc.
Avoid smoking or excessive alcohol consumption.
South Indian diet – Do’s and Don’ts
Before you decide what you should and should not eat, it is always better to consult your doctor or your dietician. You should get a list of food items that have a high glycemic index so that you can avoid them. Usage of low fat and whole grains should be on you Continue reading

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Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes

Comparative Effectiveness and Costs of Insulin Pump Therapy for Diabetes

Ronald T. Ackermann, MD, MPH; Amisha Wallia, MD, MS; Raymond Kang, MA; Andrew Cooper, MPH; Theodore A. Prospect, FSA, MAAA; Lewis G. Sandy, MD, MBA; and Deneen Vojta, MD
Evaluation of healthcare utilization and costs over 3 years for adults with insulin-requiring diabetes who transition from multiple daily insulin injections to insulin infusion pumps.
Objectives: Continuous subcutaneous insulin infusion (CSII), or “insulin pump” therapy, is an alternative to multiple daily insulin injections (MDII) for management of diabetes. This study evaluates patterns of healthcare utilization, costs, and blood glucose control for patients with diabetes who initiate CSII.
Study Design: Pre-post with propensity-matched comparison design involving commercially insured US adults (aged 18-64 years) with insulin-requiring diabetes who transitioned from MDII to CSII between July 1, 2009, and June 30, 2012 (“CSII initiators”; n = 2539), or who continued using MDI (n = 2539).
Methods: Medical claims and laboratory results files obtained from a large US-wide health payer were used to construct direct medical expenditures, hospital use, healthcare encounters for hypoglycemia, and mean concentration of glycated hemoglobin (A1C). We fit difference-in-differences regression models to compare healthcare expenditures for 3 years following the switch to CSII. Stratified analyses were performed for prespecified patient subgroups.
Results: Over 3 years, mean per-person total healthcare expenditures were $1714 (95% confidence interval [CI], $1184-$2244) higher per quarter for CSII initiat Continue reading

A BBC News Anchor Describes What It Was Like to Have a Hypoglycemic Attack Live On Air

A BBC News Anchor Describes What It Was Like to Have a Hypoglycemic Attack Live On Air

A diabetes nightmare recently became a reality for BBC news anchor Alex Ritson. On December 1, the radio announcer, who has type 1 diabetes, suffered a severe hypoglycemic attack on-air.
“As I was trying to read the script, my eyes started operating independently of each other, creating two swirling pages of words, neither of which would stay still,” he wrote about his recent experience. “And I had a strange sensation which I can only describe as my subconscious, for reasons of survival, independently trying to wrestle my life controls away from my failing conscious mind.”
Fortunately, Ritson’s colleagues were aware of his medical condition and promptly helped him consume more than a dozen packets of sugar. Within minutes, he returned to his anchor seat and shared the harrowing incident with his audience. “If someone you know has type 1 diabetes and you see them sweating, yawning or looking incredibly tired—or being uncharacteristically drunk or moody—ask them to check their sugar level,” he wrote.
Diabetes is a condition in which the body has trouble processing glucose (sugar) because the effects of insulin have been reduced.
In people with type 1 diabetes, that's because the pancreas isn't making enough insulin. In people with type 2 diabetes, that's because the body's cells have become resistant to insulin. Both types cause more glucose to end up in your blood than normal. As a result, patients—especially those with type 1—may be prescribed medicine to regulate their blood glucose levels. This can, unfortunately, cause your blood sugar level to beco Continue reading

Diabetes Insipidus (DI) vs SIADH Syndrome of Inappropriate Antidiuretic Hormone NCLEX Review

Diabetes Insipidus (DI) vs SIADH Syndrome of Inappropriate Antidiuretic Hormone NCLEX Review

SIADH vs Diabetes Insipdius! Are you studying diabetes insipidus and SIADH and find it very confusing discerning between the two disease processes? You are not alone!
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In this article, I am going to easily break down the differences between diabetes insipidus (DI) and SIADH (Syndrome of Inappropriate Anti-diuretic Hormone). I addition, I provide a lecture on how to remember the differences between the two!
Don’t forget to take the SIADH vs Diabetes Insipidus Quiz.
What is Diabetes Insipidus and SIADH?
This is where the body has a problem producing ADH (either too much or not enough). What is ADH? It is anti-diuretic hormone. This hormone is produced in the hypothalamus, and stored and eventually released in the posterior pituitary gland. In order to understand diabetes insipidus and SIADH, you MUST understand how ADH works because ADH plays an important role in both DI an SIADH.
Lecture on SIADH and DI
Key Points to Remember about SIADH and DI
Each condition is related the secretion of ADH (anti-diuretic hormone also called vasopressin) which plays a major role in how the body RETAINS water.
Each condition presents oppositely of each other (ex: in SIADH the patient retains water vs. DI where the patient loses water)—-Remember they are opposite of each other!
Diabetes Insipidus and Diabetes Mel Continue reading

New Diabetes Products for 2017: Glucometers and CGMs

New Diabetes Products for 2017: Glucometers and CGMs

For the last year, Diabetes Self-Management has been following all the new innovations and products aimed at helping to improve the lives of those living with diabetes. From the latest glucometers and monitoring systems to insulin pumps, pens, and treatments, several major advancements made their impact on the diabetes community in 2016.
When selecting some of the new products, we first talked to Gary Scheiner, MS, CDE, clinical director of Integrated Diabetes Services of Wynnewood, Pennsylvania. Scheiner, known as the MacGyver of diabetes products, has lived with Type 1 diabetes for more than 30 years. He tries out new products before recommending them to patients. “It’s important to see new products from the user’s point of view, not just from the [health-care practitioner’s] side of things,” said Scheiner.
In 2016, the pace of innovation continued to race ahead with unbelievable technology right out of a Star Trek episode. The growing use of smartphone technology and mobile applications has led to better access to blood glucose readings, general health information, and much more. Read on to learn about the newest products. We guarantee you there’s something here for everyone, whether you live with Type 1 or Type 2 diabetes.
In this installment, we look at glucometers and CGMs that have recently hit the market.
Glucometers and CGMs
With the FDA’s approval of Medtronic’s MiniMed 670G, people with Type 1 diabetes will have the option of the first hybrid closed-loop insulin pump and continuous glucose monitoring system. According to study results, the MiniMed Continue reading

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