Only a diabetic knows what goes on in the mind of another
diabetic. It is not easy dealing with diabetes. First of all it is a disease
which has no obvious symptoms. In most cases the patient is leading a fairly
healthy life and some sudden serious problem leads to the diagnosis. 80% of the contribution to the disease is from your genes. To top it all
managing sugars requires a good amount of consistency and self restraint, for
the rest of your life. At times, failure is caused due to lack of accurate
information.
http://www.joslin.org/info/fitting_sugar_into_your_meals.html
http://www.diabeticlivingonline.com/newly-diagnosed/getting-started/top-13-diabetes-food-myths?page=9&sssdmh=dm17.739983&esrc=dlowte01_13
Thorough, knowledge about the disease can help the patient
relax and look at it more objectively. Most patients think that all sweets are
off limits. Managing diabetes is not about avoiding sugars, it is about
managing your carbohydrate intake for the medication you are taking, so that
your blood sugars are under control most of the time. People try to do this for sometime
but get tired of the constant control and watch by self and family. Without
clear guidance it is not achievable in long term and therefore they rebel or
give up.
It is important to
learn to count carbohydrates in a meal so that you can substitute it for a
sweet treat once in a while. This keeps you from feeling discouraged during
your blood sugar management. In India diabetics commonly avoid sugar in tea.
But, they do not realize that a teaspoon full of sugar contains only 4-5 gms of
carbohydrates whereas the milk in the tea itself has more carbs. Of course the
milk is much more nutritional than refined sugar. But this knowledge can help
you decide if you want to reduce your milk a little and take a pinch of sugar
in your tea. Similarly one chapatti can have carbohydrates anywhere from 12 – 40
gms, depending on the size and thickness. So, stringently avoiding sugar and
gulping down loads of chapattis, dal or beans, may not be the right approach. There
is no doubt that there is difference between refined carbs and whole grains or
fiber rich carbs. All carbs are not created equal. So, always follow age old
nutritional information. But we need to strike the balance, so we can eat
healthy as well as a satisfying meal. Eating our favorite food by substituting
for some carbohydrates from a meal can help us stick to our meal plan even
better in the long run. E.g. American Diabetic Association advices meal of
45-60 gms of carbohydrates. For one meal a week, you can eat a meal free of carbs
like Grilled Chicken and Veggies (cauliflower, beans, broccoli, cabbage), then
at that meal you can eat a whole cup(about 2.5 scoops) of regular ice cream
which is approx. 35gms of carbs. And still be in your normal range.
If a patient is in denial about his disease, then this
information can ease him. He can be handled by a sensitive family member or
friend. Patient needs to be accompanied for the doctor visits and somebody
needs to take charge of the diet and medication. The whole family needs to
modify their eating patterns and diets, according to the doctor’s advice.
Eating healthy is good for all. Diabetes is a lifestyle disease and is caused
since our lifestyle has changed to a great extent from what it should have
been.
Take the patent for a walk. Say,”Let’s go for a walk
regularly”, rather than, “Why don’t you go for a walk”. Don’t leave him alone
to fight the disease. Lend him a supportive hand to live with diabetes.
Some interesting links:http://www.joslin.org/info/fitting_sugar_into_your_meals.html
http://www.diabeticlivingonline.com/newly-diagnosed/getting-started/top-13-diabetes-food-myths?page=9&sssdmh=dm17.739983&esrc=dlowte01_13
Sonal, fantastic blog. amazed in the way you have handled such a sensitive subject. I like your last para the most..keep it up !
ReplyDeleteThanks a lot for the encouragement Mallya.
ReplyDeleteGreat work Sonal! I would like more information about the diet, for my sister .Thanks for sharing the blog! Keep it up!
ReplyDeleteThanks Neha, I have other articles about meal planning for diabetes. Keep an eye on the blog.
ReplyDeleteVery good article Sonal!! I always do that only when i go to restaurants...skip the chapatis and rice but eat veggies, dal and eat my share of dessert too!! Keep up the good work!!
ReplyDeleteThat is a good approach. That way you can eat your cake and have it too.
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