Wednesday, 26 March 2014

Prevent Diabetes in Children

Act before it’s too late for your Child to avoid Diabetes


A child doesn’t develop diabetes on its own. It could be more of the genetic factors, their food eating habit which comes from their parents and also the active/ passive lifestyle example which their parents set in front of them.

There is no doubt on the enormous love we shower on our children’s. But, the cruel truth is, we are the one responsible for our child to lurk in the danger of living a diabetic life. We give or strive to give our children the best education, the best place to live and work hard to fulfill their needs, wants and sometimes demands too.

A few years ago, the only possibility of a child being diabetic was type 1 or juvenile-onset diabetes; type 2 diabetes was very rare in children. Not anymore. The fast changing lifestyle, exposure to varied eating habits, stress, family history, ethnicity and our problems with insulin resistance are leading to young children getting affected by both type 1 and type 2 diabetes. How can you prevent this risk to your child’s health? 

Let’s first understand what exactly happens in type 2 diabetes: 
  • Our digestive system breaks down carbohydrates into blood sugar glucose
  • Pancreas creates a hormone called insulin to lead glucose from the blood vessels into the cells of the body which is used as energy in our body
  • In case of type 2 diabetes, the cells in a child's body become resistant to the effects of insulin and thus glucose builds up in the bloodstream
  • Eventually, this accumulating glucose reaches at dangerous levels in our body
  • As time passes, our body progressively becomes less able to handle all the glucose in the blood vessels
  • The high blood sugar can then lead to diabetes complications, such as heart disease, blindness, kidney failure and many other complications

Now, we know how type 2 diabetes affects our body, but are there any external factors also which puts a child riskier and prone to diabetes? We are afraid but the answer is, YES:
  • If you have family history of diabetes
  • Being overweight puts you at increased risk
  • Female gender is comparatively riskier than male
  • Certain ethnicity like Asian, African, Latin and African/Asian-American groups are largely more prone to diabetes

Above all, the single largest risk factor for a child to get affected by type 2 diabetes is excess weight. An obese child has more than double risk of being affected by diabetes. The obvious reason for a child to get obese at such young ages is the fast food culture which categorically can be called as unhealthy food. Add it up with the complete lack of interest in physical exercises or the indifference attitude for participating in outdoor games, the culture which we owe to our technological advances in the form of video and online games, excessive time spending on internet and televisions. Our food and lack of exercises shows the upsetting side effects in form of abdominal weight. Such obesity patterns increases the chance of insulin resistance and thus type2 diabetes. Of course, the tendency to inherit the diabetic risk from parents and largely affected through our genes is also one of the main reasons for young children to suffer from diabetes.

As a medical specialist actively engaged in diabetes treatment for decades, I can very well understand the parents concern for their loved ones. Obviously, as a parent they will never want their child to go through this awful disease. 

So, what symptoms or signs you should watch out for to avoid the onset of diabetes?

My first suggestion is to become completely aware and understand the risk associated with diabetes. Understand that only a proactive measure can help you safeguard yourself and your beloved child to avoid type 2 diabetes. Secondly, note that the symptoms of type 2 diabetes in children develop very slowly making it almost impossible to detect the disease in the initial stages itself. However, you may notice one or more of the following symptoms:
  • Unexplained weight loss
  • Fatigue
  • Heavy breathing
  • Dryness in mouth
  • Blurred vision
  • Itchiness on skin
  • Increased hunger or thirst, even after eating
  • Numbness or tingling sensation in the hands or feet
  • Frequent urination
  • Slow healing of sores, cuts or bruises
As I’ve mentioned earlier, my first suggestion to parents is to be aware of the basic know how of diabetes among children. Your knowledge can help to start early and take proactive steps in helping your child to avoid the diabetes.

During my interactions with many of the diabetic patients I have come across a simple yet profound query. The patients have been concerned about their children’s health and they wish to know if their child will also become diabetic in future. The answer to this question is what I’ve tried to summarize in our portal: www.Grass-Diabetes.com

Singhal Diabetic Clinic - A trusted name in diabetic prevention which is serving for over two decades
Over two decades of our services to diabetic patients through Singhal Diabetic Clinic located at Haridwar, has made us thinking of the health status of current generation. Today’s lifestyle clubbed with your genetic composition i.e. your family’s history of diabetes, the threat of diabetes will be one of the major concerns. As the old saying goes, prevention is better than cure, your knowledge towards your own body and the lifestyle you chose determines your future. You are welcome to explore and know more about your risk of diabetes by getting your personalized report on the risk of diabetes because of your genes and lifestyle. If you have any queries, we will be pleased to assist you.
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Yours,
Dr. M Singhal
Phone: +91-1334-224625 | Mobile: +91-9837178358

Tuesday, 18 March 2014

Foot Care in Diabetes

Putting Your Best Foot Forward in Diabetes



Question:
Do you know the MOST COMMON REASON FOR HOSPITAL ADMISSIONS AMONG PEOPLE WITH DIABETES?
Answer: FOOT PROBLEMS

Yes, most people suffering from diabetes visit the hospital when foot problem starts affecting their quality of life. It is very clear that the footwear you choose plays a very important role in fighting this disease. Any loss of feeling, joint motions, foot deformities such as flat feet, claw toes, risk of ulceration and amputation etc. should be considered when choosing right footwear. So where do you wish to start with? How, about checking this quick list:
  • Choose a good shoe -  It helps in proving the healing time for foot ulcers and also reduces the risk of re-ulceration
  • Your footwear shouldn't be tight while walking
  • Your footwear should be comfortable - Ensure that toes are free to move and there is space for your feet to breathe
  • Your footwear should provide adequate support to the ankle
  • Avoid high heels - Heel height of 1 inch or less is ideal. 
  • Having your shoe’s tongue to be foam padded, helps in increased comfort
  • Since your both feet are not identical, it is always advisable to try each shoe individually 
  • Your footwear’s outer sole should be tough and the inner sole should be smooth
  • The front part of your footwear should be wide, it helps in having space in between fingers and eventually helping us to avoid fungal infections
  • Always try to wear cotton socks with your shoes/ sandals to reduce friction between foot & footwear
  • Don’t walk barefoot even when you are indoor
  • People suffering from diabetic neuropathy, footwear should be purchased in the evening, as during evening the foot is enlarged and swollen up as compared to the size in morning. This way you can avoid buying tight footwear
  • Avoid shoes which has toe straps, metal eyelets and wavy shapes
  • Always wash your feet with warm water and then dry them well after washing
  • Stop Smoking! If you are a smoker smoking further increases the risk of poor blood circulation




It is observed that, most people unknowingly tend to wear ill-fitting shoes, but the ill effects of wearing an incorrect shoes size is a matter of concern for people suffering from diabetes. A simple blister can mark the starting of a serious problem. A number of   different kinds of foot problems that can occur in people with diabetes include bunions, corns, calluses, hammertoes, fungal infections, dryness of the skin, and ingrown toenails.


Why exactly Diabetes affects the Feet?
Both type 1 and type 2 diabetes causes damage to blood vessels and peripheral nerves that can result in problems in the legs and feet. Two main conditions responsible for the increased risk of foot problems in people with diabetes are: 
  • Peripheral artery disease (PAD) means that there is narrowing or occlusion by atherosclerotic plaques of arteries outside of the heart and brain. Diabetes is a known risk factor for developing PAD. The signs and symptoms of PAD relate to a decreased delivery of oxygen to the lower legs and feet. In severe cases, the lack of oxygen delivery to tissues can result in ulcers and even tissue death.
  • Peripheral neuropathy refers to damage to the peripheral nerves directly as a result of diabetes. Symptoms of peripheral neuropathy include decreased sensation in the nerves of the legs and feet, making it difficult to perceive injuries due to lack of feeling. It can also cause the muscles of the feet to work improperly, leading to misalignment of the foot that can put pressure on certain areas of the foot.

It's Better to Be Safe than Sorry.
Visit www.Grass-Diabetes.com to know your risk of diabetes.

While we write these articles to spread awareness and get connected with people seeking their queries for diabetes, most often we start pondering that what problems are most prevalent for people suffering from diabetes. Issues like, Sex, Stress, Heart stroke, foot care etc. are a few concerns which affects the life of a diabetic patients.

Lately, we have been thinking that as a diabetes management professionals providing prognostic report on the risk of Type 2 diabetes for non-diabetic people, why do we keep writing articles for issues concerning those who are suffering from diabetes? Well, than we found that the situations here were difficult to answer once you have acquired the disease due to your lack of understanding. Our intention is not to scare you but present the facts of diabetes and help you to strengthen your determination against diabetes.

Singhal Diabetic Clinic - A trusted name in diabetes prevention. Serving over two decades.
Over two decades of our services to diabetic patients through Singhal Diabetic Clinic located at Haridwar, has made us thinking of the health status of current generation. Today’s lifestyle clubbed with your genetic composition i.e. your family’s history of diabetes, the threat of diabetes will be one of the major concerns. As the old saying goes, prevention is better than cure, your knowledge towards your own body and the lifestyle you chose determines your future. You are welcome to explore and know more about your risk of diabetes by getting your personalized report on the risk of diabetes because of your genes and lifestyle. Visit us at www.Grass-Diabetes.com

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If you have any queries, feel free to contact us:

Yours,
Dr. M Singhal
Phone: +91-1334-224625 | Mobile: +91-9837178358

BEST & WORST Food for Your Diabetes

Just identify them right

Best & Worst Food for Diabetes

Having diabetes makes you aware and knowledgeable about what you eat, how you eat, how you exercise, how to tackle your stress. In general, you are evolved and are more aware about your life once you are diabetic. Although Grass-Diabetes.com deals in helping you to avoid diabetes we are equally concerned about people who suffer from diabetes.

The most commonly asked question from a diabetic is what to eat and what not to? Since the food you eat affects the glucose level in your blood, it is imperative that you should know about your food & dietary habits. Knowing what to eat is quite confusing, but just makes an attempt to break your food in food groups and then learn the best and worst choices from each food group.

The food groups and their worst & best options for diabetic are given in their respective preferences:
  
BREADS & GRAINS
BEST
WORST
Whole-grain flours: Whole wheat flour
White flour
Whole grains: Brown rice
Processed grains, such as white rice
Cereals containing whole-grain ingredients and little added sugar
Cereals with little whole grain and lots of sugar
Whole-grain bread
White bread


VEGETABLES
BEST
WORST
Fresh vegetables, eaten raw or lightly steamed, roasted, or grilled
Frozen vegetables, lightly steamed
Canned vegetables with lots of added sodium
Vegetables cooked with lots of added butter, cheese, or sauce
Dark Green Leafy vegetables
Pickles (Avoid if you need to limit sodium; otherwise, pickles are a good choice)
Non Starchy Vegetables: Baby Corn, Beans, Bean sprouts, Beets, Cabbage, Carrots, Cauliflower, Cucumber, Eggplant, Mushrooms, Onions, Peppers, Green Salads, Sprouts, Tomato, Turnips,

- -


FRUITS
BEST
WORST
Fresh & Seasonal fruits
Canned fruit with heavy sugar syrup
Sugar-free or low-sugar jam or preserves
Regular jam, jelly, and preserves
100% fruit juice or low-carb juices
Fruit punch, fruit drinks, fruit juice drinks, sweetened soda
Common Fruits: Apples, Apricots, Banana, Berries, Cherries, Dates, Dried Fruit, Grapes, Kiwi, Mango, Orange, Papaya, Peaches, Pears, Pineapple, Plums, Strawberries, Watermelons

- -


MEAT & OTHER PROTEINS
BEST
WORST
Baked, broiled, grilled, or stewed meats
Fried meats
Lower-fat cuts of meat
Higher-fat cuts of meat, such as ribs
Low-fat cheeses
Regular cheeses
Skinless breast of chicken
Poultry with skin
Baked, broiled, steamed, or grilled fish
Fried fish
Baked or stewed beans
Beans prepared with butter
Best Protein Choices: Dried Beans, Seeds, Peas & Dals, Nuts, Fish & Seafood, Egg white or Whole eggs,

- -


DAIRY FOODS
BEST
WORST
Skimmed milk
Whole milk
Low-fat curd
Regular curd
Low-fat cottage cheese
Regular cottage cheese
Low-fat ice creams
Regular ice cream


FATS, OILS, AND SWEETS
This food group contains lots of calories but very little nutritional value. Eating such food items as snacks in large quantities can lead to weight gain, making it harder to keep diabetes under control, so try to select and eat them wisely:

BEST
WORST
Baked potato chips, baked corn chips, puffed rice, or corn snacks
Fried snacks such as potato chips, corn chips
Vegetable oils
Butter
Air-popped or calorie-controlled popcorn
Butter-flavored stove-top popcorn
Healthy Fats - Monosaturated Fats: Canola Oil, Almonds, Cashews, walnuts, peanuts, Olives, Olive oil, Peanut butter, Sesame seeds (Til), Rice Bran Oil, Corn Oil, Cottonseed Oil, Soybean oil, sunflower oil. Omega 3 Fatty Acids like Soybean products, Salmon fish, Flaxseed (Alsi). Note: Nuts are good for health but are high in calories, if you are trying to reduce weight, try to limit their consumption
Unhealthy Fats - Saturated Fats: Butter, High fat meats such as- regular meat, hot dogs; full-fat cheese, cream, ice cream, whole milk, cream sauces, regular chocolates, Palm oil, Coconut Oil, Poultry Chicken. Avoid Trans Fat such as chips, crackers, muffins, cookies, cakes, French fries etc.


BEVERAGES
Some beverages contain lots of carbohydrates while providing very little nutrition, thus making it easy for beverages to contribute to weight gain. Here are some best-choice and worst-choice examples. 

BEST
WORST
Water, unflavored or flavored sparkling water
Regular sodas
Light beer, small amounts of wine or non-fruity mixed drinks
Regular beer, fruity mixed drinks, dessert wines
Unsweetened tea (add a slice of lemon)
Sweetened tea
Coffee, black or with added low fat milk and sugar substitute
Coffee with sugar and cream
Hot chocolate
Flavored coffees and chocolate drinks
Sport drinks
Energy drinks
Low fat milk
Whole Milk
100% fresh fruit juices
Canned or juices with preservatives & added sugar





Alcohol in very moderate quantity has little effect on blood glucose control and doesn't have negative effect on heart disease risk. So, what is moderate quantity?

-  Women shouldn't have more than 1 drink per day
-  Men shouldn't have more than 2 drink per day

One Drink is equal to:
-       300-350 ML of Light Beer
-       150 ML of Wine
-       40 ML of Vodka or Whiskey etc.




Recommendation from www.GRASS-DIABETES.com
A FEW BEST PICKED FOODS FOR DIABETES

ü  Dark Green Leafy Vegetables
ü  Sweet Potato (Shakarkand)
ü  BEANS (Rajmas)
ü  Oranges, Lemons, Mosambi
ü  Strawberries, Blueberries etc.
ü  Fat Free Milk & Curd
ü  Whole Grains
ü  Nuts

We have tried our best to categories the common foods, but if you think we have missed anything in particular and you wish to know whether it is good or bad for you just let us know. Well, you can also contact us to know the details of quantity which is good or bad for your overall health. We at Grass-Diabetes believe in DEED - Diet - Exercise - Education - Drugs to handle the onslaught of diabetes. Be proactive and help your loved ones in your family to avoid diabetes.

If diabetes is preventable, just avoid it.

Over two decades of our services to diabetic patients through Singhal Diabetic Clinic located at Haridwar, has made us thinking of the health status of current generation. Be it the fast paced lifestyle lived by our younger friends or the life lived by middle aged generation under tremendous physiological career pressure, all this takes its toll on their health. If this lifestyle is clubbed with your genetic composition i.e. your family’s history of diabetes, the threat of diabetes will be one of the major concerns. As the old saying goes, prevention is better than cure, your knowledge towards your own body and the lifestyle you chose determines your future. You are welcome to explore and know more about your risk of diabetes by getting your personalized report on the risk of diabetes because of your genes and lifestyle. Visit us at www.Grass-Diabetes.com

*********************************************************************************
If you have any queries, feel free to contact us:

Yours,
Dr. M Singhal
Phone: +91-1334-224625 | Mobile: +91-9837178358