Monday, June 9, 2008

Food And Diabetes...!!

Diabetes....In Your Hand!!!

Diabetes Mellitus unlike debilitating disease tuberculosis was present among or confined to th4e so called well bread society. The recent increase in the incidence of diabetes even not so well –to-do sections of society is something to be viewed seriously.The current trend of the disease in India or else where attributed to the changing life styles and increased intake of processed food in daily life. When everything else fails mother nature doesn’t. Hence there has been an ever increasing demand for natural agents for the management of chronic elements as no ailment is no longer completely curable.
Insulin is a harmone produced by islets of Langerhans cells in pancreas and this harmone is implicated to play a vital role in the metabolism of carbohydrates and utilization of glucose.Diabetes is characterized by a defective synthesis of insulin.
Base on the mode of onset and the extent of damage to the insulin producing cells diabetes is clinically classified into 2 types.Type first is termed as DDM and NDDM second.
Purva roopa(prodormal symptoms)
Excessive sleep, fatigue, apathy, lack of pleasure, excessive growth of nails and hairs, sweet taste in the mouth, dryness of the palate and throat ,thirst, attraction to cold objects, greasiness of feet ,honey like urine
C S Ni 4/47, S S Ni 6/5 ,A H Ni 10/38-39

General Features
Excessive urination and turbidity

S S Ni 6/6, A H Ni 10/7
Complications
Reccurent infections,development of carbuncles,excessive thirst are some of the symptoms for which the disease person reports to a medical person.
Sushrutha --- Constipation as a commonly observed complication as the body of the diseased person is loaded with fatty tissue, hence they do not respond to common purgation is usual doses. Physiologists attribute this complication to the involvement of autonomous nervous system.
Charaka—Thirst diarrhea fever burning sensation debility anorexia indigestion abscess etc are complications.
Diabetic Diet
Diet plays very important role in the management of DM.A strict regimen of diet should be initiated to bring down body weight if obese. The first step is preparing dietary regimen, is to map out a time table of the patients routine including a description of usual meals. This is an essential step which is too often ignored. The total daily requirement of calories must next be decided.
The diet must be nutritionally adequate for the patients needs and it must therefore estimated for each individual patients.
Types of diet ---2

1.Measured –in which the amount of food to be eaten at each time of the day is specified.
2.Unmeasured-in which the patient is given a list of foods grouped in 3 categories.
Food with high sucrose content which is to be avoided altogether like sugar, sweets, jam ,cakes, fruits like mangoes ,grapes, jackfruit and dates etc.
Foods containing carbohydrates in the form of starch like bread, biscuits,custard ,milk ,potatoes ,peas, cereals ,pulses etc.
Foods to be eaten as desired like white meat, fish, boiled eggs ,lemon juice and tomato soup.
Vegetables which can be taken as desired are bitter guard ,fenugreek leaves and seeds, knolkol, beans ,cabbage ,Brussels, sprouts, broccoli, cauliflower ,spinach, pumpkin, French beans, onions, mushroom ,cucumber, tomato, onion raddish, barley, ladies finger ,mustard leaves ,coriander leaves.
Fruits like jambu, grape, goose berry, lemon ,melons, coo cuts, black bill berry ,strawberries, orange, papaya etc.

Cereals pulses which can be used are

Ragi –
Ragi kanji with butter milk in the morning is a diet in diabetes.
Ragi is very wholesome ,highly proteinious and nourishing.Ragi is said to be more nutritious than wheat

Masha/black gram
It is a demulcent and cooling as weel as nutritious of pulses.Blachgram baked on steam is a night diet for diabetes.

Mudga/Moomg

he ripe green coloured pulse is eaten boiled whole or split and used as dal.it is parched with butter and made into spice balls. It is given to relieve thirst. Soup made of is a good diet for diabetic patients with enlarged spleen and liver and after prolonged illness.

Chana/Bengal gram

The rise in insulin levels was decreased after Bengal gram dal(red beans),kidney beans,wheat and rice as compared with dextrose.Bengal gram being the most effective in this respect.More over Bengal gram decreased the mean peak insulin rise by 70.5%,red kidney being by 68.2%,wheat by 48.6%,rice by 47.4%
But potatoes increased the mean peak insulin rise by 33%

Bitter guard
It contains a fixed oil an insulin like peptide ,glycocides(mormordin and charantin),the peptide is known to lower sugar levels in the blood and urine.
25ml of bitter guard juice should be taken twice daily in empty stomach.
Dry powder of karela seeds 2-3grams taken twice daily.

Thingalavare/French beans
Powder acts as hypoglycemic,reducing blood glucose levels in the treatment of diabetes.

Gorikayi/Cyamopsis psoralioides
Pods and seeds stabilizes sugar levels in blood and is useful in prediabetic conditions and in the early stages of late onset diabetes.

Lasuna/Garlic
It reduces cholesterol,helps in circulatiry disorders such as high blood sugar level makes it a useful dietary addiction in late onset diabetes.

Palandu/onion
It boasts a long list of medicinal actions,diuretic ,antibiotic,anti inflammatory ,analgesic expectorant.It also has hypoglycemic actions(extract will increase insulin like activity of the plasma)

The effect of the juice of garlic and onion on glucose utilization was studied in rabbits by using the glucose tolerance test.The hypoglycemic effect was compared with that of tolbutamide and hypoglycemic effect of glucose feeding as assessed by the maximum percentage and fall in blood sugar.

Fenugreek/Curry leaves/Jamoon/Bamboo shoots
Fenugreek administration increases plasma insulin levels in- vivo,its major amino acid 4 hydroxy-insuline stimulates insulin secretion from perfused pancreas in in-vitro.
Blood sugar lowering effect of fenugreek in NIDD was seen after taking powdered fenugreek seeds when taken twice daily for 12 mionths continuiously showed significant blood sugar lowering effect in the established cases of NIDD.The powdered seeds soaked in water reduced the subsequent post prondial glucose levels.


Yava/Barley
Barley a good cholesterol- lowering source of fibre.
Manufacturers sell a “Green Food” supplement made of barley grass. They bill it as an immune system booster, an antioxidant,a chlorophyll source and a preventive agent and are for cancer,diabetes,arthritis,heart diseases and many other ailments.
The grains vitamin and amino acids rich husk polished to produce ‘pearl’ barley, the form in which most people consume it ( the husk fiber material remains in it,)

Draksha/Grapes
Taken orally as a dietary supplement for its active components(procyanidolicoligomars)PCO’s or pro-arthocyanidin can protect against tumor formation, improves circulation ,control peripheral vascular diseases, control diabetic retinopathy and fight the breakdown of collagen which can occur with aging and a number of inflammatory collagen diseases.

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