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What is it? Causes and Types Symptoms and Complications
Who's at Risk?
Western Treatments
Traditional Chinese Treatments
Diet and Diabetes
Blood Glucose Test
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Dietary Guidelines
Foods and Herbs Commonly Used in the Treatment of Diabetes
Grains and Legumes
Vegetables and Fruits
Herbs
Animal and Sea Products
Anyone with diabetes needs a carefully planned diet. Although the general advice for most diabetics are similar, individual needs do differ slightly, depending on the type of diabetes and other factors such as body weight, how physically active the person is, the timing and type of insulin injections and of the diabetic's sensitivity to insulin and other drugs. Often, a reduced-sugar or low-calorie diet is recommended.
Until the 1970s, diabetics were advised to follow a high-fat and low- carbohydrate diet. However, since then, increasing evidence has linked high-fat diets with heart disease and emphasized the benefits offered by carbohydrates in reducing coronary risk. The ability to control blood glucose levels in diabetes by eating foods that are rich in carbohydrates has also been recognized. Today, recommendations for diabetics are based on a diet that is high in complex carbohydrates, high in fiber and low in sugar and fat.
The aims of such a diet are to stop immediate symptoms, often through diet and exercise alone in cases of non-insulin-dependent diabetes mellitus (NIDDM), and reduce the risk of hypoglycaemia (low blood sugar), which mainly affects those with insulin-dependent diabetes mellitus (IDDM). These diets are also designed to avoid the long-term complications associated with diabetes--heart disease, eye problems and kidney failure. They apply equally to children and teenagers with diabetes.
Dietary Guidelines
Treatment always involves a carefully controlled and healthily balanced diet that restricts the patient's intake of simple carbohydrates and reduces concentrated sugar and sugary drinks.
There are general dietary guidelines that diabetes sufferers can follow to help keep their blood sugar levels under control:
Avoid being overweight. Make sure you eat a balanced, healthy diet based on complex carbohydrates such as unrefined grains, vegetables and beans. If you do need to lose weight, see your doctor or nutritionist to formulate a diet tailored to your needs.
Eat regular meals and avoid late-night eating. Small, frequent meals (four or five daily) help to stimulate insulin production.
Eat more starchy, high-fiber foods such as whole-grain bread, beans, peas and lentils. All of these foods cause only a gradual rise in blood sugar because the fiber content slows down the release of glucose. Nutritionists have also identified chromium, zinc and manganese as factors which control blood sugar levels. These minerals are removed in the refining process which produces white flour, white sugar, refined salt, and many highly processed foods. In whole grains, these minerals reside in the bran.
Cut down on sugary sweetened soft drinks, cakes, confectionery and chocolate. The sugar is absorbed quickly and therefore causes blood glucose levels to rise more rapidly. Eat lots of fresh fruit and vegetables for soluble fiber and vitamins. Fruit makes an ideal snack, but beware of eating very sweet fruits such as grapes or mangoes; or acidic, sour flavored fruits such as lemons and grapefruits in large amounts because of their effect on your blood sugar level. If you do eat tinned fruit, choose those canned in natural juice rather than syrup. Dried fruits such as dates are a concentrated form of sugar and so should only be consumed in small quantities.
Cut down on greasy and fatty foods (meats, eggs, cheese, butter, excess oil, nuts and seeds) and avoid denatured foods (refined flour and sugar, synthetic fats such as margarine and shortening), which stress the liver, weaken the spleen-pancreas, and aggravate the diabetic's increased risk of coronary heart disease. However, to maintain a balanced diet, make sure that you have portions of meat, eggs or cheese as part of at least two of your meals each day. Keep the portions small, and remember that fish and pulses are alternative sources of protein.
Limit salt and salty foods, because of the diabetic's increased susceptibility to high blood pressure. Be aware of hidden salt in many tinned, smoked and processed foods.
Keep alcohol consumption at moderate levels, remembering that low-sugar diet beers and lagers tend to have a high alcohol content.
Chew thoroughly. Chewing properly improves nutrient assimilation particularly with complex carbohydrates, whose digestion begins with saliva. Thorough chewing is essential for their complete breakdown so that adequate minerals and other nutrients are absorbed.
Drink water, or sugar-free drinks.
Foods and Herbs Commonly Used in the Treatment of Diabetes
Eating a wide sampling of foods and herbs from the following list strengthens the pancreas, regulates blood sugar, and at the same time improves the fluid metabolism. Diabetics should choose one or more of these foods and herbs daily as part of a primarily vegetarian diet of unrefined grains, vegetables, legumes, fruits, herbs, and a limited amount of nuts and seeds.
Grains and Legumes
barley
bean curd and soy products
chick-pea
fresh corn
hyacinth bean
kidney bean
millet
mung bean
oats
pea
peach kernel
rice
sweet rice
whole wheat and its bran
Vegetables and Fruits
asparagus
avocado
bitter gourd
calabash
carrot
coconut
grapefruit
guava
kiwi fruit
lemon
mulberry fruit
pear
plum
radish
sweet potato
spinach
turnip
water chestnut
watermelon
wax gourd
Herbs
alismatis rhizome
black plum
Chinese gall
Chinese yam
common reed rhizome
dandelion
dogwood fruit
fleece flower root
ginseng
java brucea fruit
kudzu vine root
large leaf gentian root
magnolia vine fruit
mutan bark
ophipogon root
ox-knee root
rehmannia root and prepared rehmannia root
trichosanthes root
tuckahoe
windweed rhizome
wolfberry bark
wolfberry fruit
Animal and Sea Products
beef
chicken and black-bone chicken
cow's milk and goat's milk
cow stomach
mutton
pork kidney
pork pancreas
sparrow
abalone
clam
loach
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