Counselling On :
- Home Delivery of the following supplies(Special Discounts for Registered Patients)
- Blood Glucose Strips
- Lancets and Lancing Devices
- Insulin Pens,cartridges,Insulin vials
- Weighing Machines
- BP machines
Dr Raj Kumar Lalwani’s Diabetes and Heart Care:
Diet In Diabetes:
The following Items need special care:
1. Sugar, Gur, Jaggery, Mithai /Sweets
2. Cookies, Candies, Chocolates, Sweetened Drinks/Beverages
3. Pizzas, Cakes , Rusks, Pastries, Samosa ,Kachori, Bread Pakoras
4. Wafers, Biscuits, all Sweet snacks
5. Chips-Potato- Corn-Maida/Suji, Ice creams, Burgers, Doughnuts,
6. All Bakery Products with shining tops and Crunchy-Munch Bites!
7. Desi Ghee, Chyawan Prash, Butter Chicken and like gravies, Makhni Dal
8. All Creamy Greasy Gravies, snacks , Oil/Ghee soaked paranthas or similar foods
These all are a “BIG ABSOLUTE NO” for the following categories:
Patients with Uncontrolled Diabetes/Newly Diagnosed, IF possible all Diabetics must avoid the all above.
Patients who are Obese or Overweight even if Non Diabetic
Pregnant Ladies of Indian Ethnicity
They must be restricted seriously in the following:
Patients diagnosed as Pre-Diabetes
Overweight especially more if family history of Diabetes Heart Disease or High BP is there.
Indian Women planning Pregnancy
The few who can try them “once in a while in SMALL PORTIONS ONLY’ :
Well controlled Diabetes
Normal Weight Exercising Individuals
Any person who is not a “High Risk” for Heart Disease or Diabetes
2. General Outline for Diabetes Diet:
Honestly there is NO SUCH THING AS DIABETES DIET. Moderation and Portion Control win the game for you!
Remember, Diabetes occurs when your Pancreas is not producing enough Insulin to control Blood Glucose Levels in a particular situation or throughout the day .
Any treatment for Diabetes , therefore , has to create a situation where Insulin supplies should match the demands created by your eating.
All treatments which try to improve Insulin supply part of the equation obviously are working through Medicines which stimulate Pancreas.
And obviously the effect of Medicine is not going to be under the control of your body’s organ systems. Once taken the pill will work as long as it is active in your body.
If the Insulin produced even by the pills is not enough ,naturally then your Blood Glucose will not get controlled and on the other hand if the active pill inside is producing Insulin and you miss a meal then Glucose supplies will not match the Insulin available and Glucose may go too low in your blood creating a life threatening situation called Hypoglycemia. All these issues are discussed with every patient as per the treatment plans they have,
Therefore Keep in mind the following:
1. Always follow instructions of your Diabetologist, who meticulously plans a treatment for you.
2. Take care to see that you are following the Before Meals and After Meals instructions also diligently , it means a lot in a successful treatment!
3. You must adhere to daily Timings of Meal intake and Drug Intake.
4. Your meal size and “content” should be more or less similar on day to day basis.
5. Your meal portion should be split into four/five small portions.
6. All four or five Meals should be nearly equal.
7. Each meal should be around 4 Hours away from the other meal.
8. Each meal should contain an optimum mix of cereals, lentils, veggies, greens, salads, dairy product etc. Try to see that your plate is having all colors from nature.
9. Veggies and greens should DOMINATE the plate all other things should be In nearly matching proportions.
10. Total daily consumption of food should not be allowed to exceed the prescribed quota you have from your Doctor.
11. A simple cutting down of Oils Fats and 25 to 30 percent reduction of total food you are consuming , will make you lose weight by One Kg per Week !
12. Once in a while “misadventure” or ill-timed consumption of food will not make any serious differences in your Diabetes Care though!
13. Consuming adequate water ,thin buttermilk or salads or fruits like guava, strawberries, goose/raspberries etc. can take care of any hunger left out after doing necessary restrictions !
Exercise in Diabetes:
As already mentioned, Diabetes means there is not enough matching Insulin in your blood for the Glucose you have.
Glucose keeps coming from Liver ,when you are not in FED state ,but after food consumption you get the Glucose spikes coming from your Intestines. These Glucose Spikes from food are drastically reduced by planning and MIXING your meal components and portion size as described earlier, under Diet Planning.
The other most important Lifestyle component which improves Glucose control is
Points To Remember are:
1. Fancy gadgets, dresses/gear, Gym Membership or smart technologies etc.– ARE NOT REQUIRED. Your WILL is the most important pre-requisite.
2. No specific exercise is superior to the other one, when it comes to Diabetes management.
3. Yoga CAN NOT be a substitute for Physical Exertion. It surely adds a lot other things.
4. Regularity in sessions is important.
5. Two sessions of Twenty Minutes are as good as a Forty Minute session.
6. 150 Minute a week over Five days is OK for fitness. Much more of it with Diet restriction is needed for weight loss.
7. Brisk walking, Jogging, Cycling. Swimming, Dancing etc. should be intense enough to bring out sweat from your skin.
8. GET YOUR HEART and BP EXAMINED BEFORE YOU START EXERCISING OR TRYING ANYTHING NEW.
9. Discuss the timing and duration with your Doctor who will keep in mind your medicines and Diet both , before finalizing an Exercise plan for you!
10. No two Exercise sessions should be more than 24 Hours away!
11. WHILE EXERCISING DO NOT TRY TO COPY OR COMPETE
12.Exercise has numerous other Health Benefits for Bones Muscles Reflexes Agility Mood Appetite Digestion Blood Pressure Heart etc.
Gestational Diabetes too needs Regular Exercise summarised as under: