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Diabetes is a metabolic condition where there is persistant high blood sugar. This can only be controlled and not cured. The hallmark in management of diabetes is Diet, Exercise and Drugs. A change in life style and eating habits is essential to overcome it.
Diet
A diabetic’s diet should have Flexibility, Moderation, Variety and Regularity. (as described by William Cullen)
In this book we have provided various recipes, which will enable you to have variety in your diet.
 FACTS AND FALLACIES IN DIABETES
Monitoring Diabetes
What is monitoring diabetes?
Frequent testing of urine and blood to determine whether the blood glucose levels are normal or not is called monitoring of diabetes.
URINE EXAMINATION FOR SUGAR AND ACETONE
Benedict’s Method: Equipment: Test tuble, ink filler, Benedict’s Qualitative Reagent, Burner, Test tube Holder.
METHOD: Take a clean test tube and attach to holder. Pour ablut 5 ml of Benedict’s solution and heat thoroughly. With an ink filler add about 8 drops of urine into the tube and heat again. Put off the flame. Note the colour of the solution. Blue indicates normal, Green = + : Yellow = ++ : Orange = +++: and Brick Red = ++++.
DIASTIX: Dip the Diastix strip in urine and take it out. After 30 seconds compare with colour chart and note percentage (%) as per enclosed chart.
KETODIASTIX: In addition to testing Glucose in the urine, this strip can also test acetone in the urine. The methodology is the same as above
BLOOD TESTING
Frequent tests should be made for blood sugar. Ideally results should be near 120 mg% while fasting: and less than 180 mg% for 2 hours after food (Post Prandial blood sugar). This can be performed in the laboratory or at home by using glucosemeter (capillary blood glucose). Blood sugar testing should be done once in a month. It should be done more frequently if necessary to check if diabetes is under control.
GLYCOSYLATED HEMOGLOBIN (GHb)
This is a test which can be performed as advised by your physician, in addition to urine and blood sugar. This test indicates overall control of diabetes in the past 2-3 months.
SERUM FRUCTOSAMINE
This is a relatively new test which indicates overall control of diabetes in the past 2-3 weeks.
“YOU CONTROL IT, LET IT NOT CONTROL YOU”
 PREVENTION OF DIABETES
 HYPOGLYCAEMIA (Low Sugar) (‘HYPO’ or ‘REACTION’)
 HYPERGLYCAEMIA – (High Blood sugar)
 FOOT CARE
 FOODS TO BE AVOIDED
Foods that Can be taken liberally
Clear Soups, Plain Coffee or Tea, Skimmed Butter Milk, Unsweetened lime Juice, Sodawater, Gelatin (Unsweetened), Pepper water (Rasam), salted pickle (no oil), flavouring extracts, Tomato juice – 1 small glass, RawVegetable Salads. Seasoning like Onions, Mint, Pepper, Coriander, Curry Leaves, Ginger, Mustard and spices.
Vegetable Guide:
GROUP A : No limit to quantity : Green leafy vegetables, Plantain flower and stem, Ladies finger, Brinjal, Cucumber, Cauliflower, Cabbage, Drumstick, Karamani (Cow Peas), Onion, Raddish, (Pink and White), Broad Beans, French Beans, Cluster Beans, Snake Gourd, Ash Gourd, Bottle Gourd, Ridge Gourd, Pumpkin, Bitter Gourd, Capsicum, Knool-khol, Kovaikai, Chowchow or Tinda.
GROUP B : To be included once a week : (When Blood Sugar is under good control.)
Carrot, Double Beans, Peas and Butter Beans.
GROUP C : To be included once a month; when Blood sugar is under good control.
Beetroot, Potato, Colocassia (Sepankelangu) Green Plantain, Yam or Karunakelangu, Tapioca, Jackfruit seeds.
FRUITS ALLOWED:
Any one per day. Whole small sized fruit or ½ of a big one.
Sweet Lime, Orange, Apple, Hill variety Banana, Guava, Pear, Watermelon or Muskmelon = One piece (200gms.). Papaya = One Piece (150 gms), Green Grapes = 8 or 10.
OIL
Use refined oil for cooking purpose (Eg. Gingelly Oil, Sunflower oil).
Any grams in form of Sundal or sprouts can be taken every day.
 DIET PATTERN - STANDARD DIABETIC DIET CHART
 STANDARD DIABETIC DIET PATTERN MORNING MEAL PATTERN
NON-VEGETARIAN ALLOWANCE:
Egg 1 or Fish – 100 gms or Chicken -2 pieces or Mutton-4/5 pieces.
 EATING OUT
 FOODS
ALCOHOL
DO NOT CONSUME ALCOHOL.
DIABETES AND ALCOHOL NEVER GO WELL WITH EACH OTHER.
IF HABITUATED: Use Alcohol only when you are out with friends or at a party and only if you are obligated to drink. Use alcohol in the quantity allowed by your doctor and only if your blood sugar level is under control. NEVER drink on an empty stomach. Don’t drink and drive, especially if you have to drive alone in the night.
 TRAVEL
 JAUNDICE DIET FOR DIABETICS
 RENAL DIET GENERAL INSTRUCTIONS
 SEMISOLID DIET IN DIABETES
 REDUCING DIET - GENERAL INSTRUCTIONS
 REDUCING DIET
 MENU – FOR SEVEN DAYS OF THE WEEK
 GENERAL INSTRUCTIONS
 EXCERCISE
 CALORIE RECKONER OF SOME COMMON FOODS
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