MV Hospital

Welcome to M.V Hospital for Diabetes, established by late Prof. M.Viswanathan, Doyen of Diabetology in India in 1954 as a general hospital. In 1971 it became a hospital exclusively for Diabetes care. It has, at present,100 beds for the treatment of diabetes and its complications.

Monday, May 30, 2016

Dealing with Emotional Eating:

People feel hungry due to many reasons other than a lack of food.  How many times did you feel hunger pangs when you saw a food ad on television or drove past a bakery and smelt freshly baked bread. People who eat when feeling bored, sad, stressed, excited or scared may have a hard time stopping and end up overeating.

Ways to manage emotional eating:

Make a list of activities that you enjoy doing, such as walking, reading, gardening, etc. Keep this list with you and refer to it when you get the urge to eat.
Call up a friend or family member who can take your mind off of eating.
Wait for a while. Give yourself 10 minutes. Then, after 10 minutes, if you still feel hungry, have a small portion.
Drink a glass of water or a cup of tea.  Sometimes if you are thirsty, you may mistake it for hunger.
Keep healthy snacks around, such as baby carrots, low fat crackers or cut up fruit.
Don’t deprive yourself. It’s not uncommon for people trying to lose weight to completely cut out all favourite foods, but then end up bingeing on them later. Allow yourself to have an occasional treat.
If you think your eating is due to depression, anxiety or stress, seek out help from a mental health professional.

Monday, May 23, 2016

Eating Out With Diabetes

Diabetes does not go away. It has to be managed throughout one’s life. It is not possible to prepare and eat every single meal at home,every day. Eating out is part of modern urban culture and social interaction is good for everyone. Plan ahead and order wisely and you can join friends and family on a night out.

Plan Ahead

·        Choose a restaurant which offers healthy items or call and find out if they can provide special requests.
·       Try to eat at your usual time but it does not matter if you eat later than  your regular time for one day.
·       Eat a small snack before going to a restaurant, so that you aren’t  too hungry.

Order Wisely

·        Ask the chef how the particular dish is prepared if you have a doubt.
·        Be careful of portion sizes.  You can always eat the required quantity and pack the rest.
·        Order healthy food.
·        Substitute French fries with boiled vegetables.
·        Avoid crumbed or fried foods, or foods with heavy sauces or gravies.
·        Try grilled or boiled fish or poultry, and without butter.
·        Avoid alcohol.
·        If you eat at a buffet, fill up your plate with vegetables.
·        The trick is to choose foods you really like and make substitutions to accommodate them. For example, if you love the bread, have it but remove potato from the menu. Share a dessert with others and take a walk after the meal.

Enjoy life with diabetes.

Wednesday, May 18, 2016

What to Do if You Have Pre-diabetes


What is pre-diabetes?

It is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as diabetes.

What is the difference between Diabetes and Pre-diabetes?

When fasting blood glucose level is 126 mg/dl or greater on two separate occasions, then you have diabetes. If you have symptoms of diabetes and your blood glucose level is equal to or greater than 200 mg/dl, and a second test shows the same high blood glucose level, then also you have diabetes.

People who have Fasting Blood Glucose between 100-125 mg/dl are said to be having impaired fasting glucose. If a Glucose Tolerance Test shows blood glucose between 140-199 mg/dl after 2 hours, you have impaired glucose tolerance.Both these are medical terms for  ‘pre-diabetes.’

People with pre-diabetes are at increased risk of developing type 2 diabetes within ten years unless they have a healthier lifestyle where they lose weight and are physically active.

Who should be screened for  pre-diabetes? 

Screening for pre-diabetes is recommended for overweight adults who are 45 years or older and those less than 45 years who are overweight and who have one or more of the following risk factors:
Lead a sedentary lifestyle
Have IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
Have a family history of diabetes
Are members of certain ethnic groups (including Asian, African, Hispanic, and Native American)
Had gestational diabetes or birth weight of child was  more than 9 pounds
Have high blood pressure
Have an HDL cholesterol level (the “good” cholesterol) of 35 mg/dl or lower and/or triglyceride level of 250 mg/dl or higher
Have polycystic ovary syndrome
Have a history of vascular disease

If you have pre-diabetes diabetes reduce your risk through weight loss and increased moderate-intensity physical activity, such as walking 30 minutes a day.

What Should I Eat?
  •   How much you eat is more important than ‘What you eat’. 
  •   Lose the extra Kilos if you are overweight. 
  •   Consult a dietitian for how much and what to eat at each meal.
  •   Control portion size. 
  •   Choose food that has less fat.A gram of fat adds 9 calories when compared to that of a gram each of carbohydrate or protein which provide 4 calories.
  •   Eatbroiled food, not fried.
  •   Use less oil when cooking.
  •   Eat more white meat and fish and avoid red meats.
  •   Eat less of meat and more of vegetables, fruit and whole grain.

 Having diabetes or pre-diabetes does not mean that you can't eat certain foods.  You will only increase your craving for these foods and feel miserable . Instead concentrate on losing weight if you are overweight, reducing portion sizes, and planning for those occasions when you can eat a small piece of cake or a sweet.

Thursday, May 12, 2016

Are You at Risk?

1. Diabetes is much more common among certain ethnic groups such as Africans, Hispanics, Native Americans,and  Asians than among Caucasians.

2. The risk for Type 2 diabetes generally increases after 45 years.

3. Being overweight or obese is another major risk factor, especially if the extra weight is around the waist.

4. Other risk factors include: many cases of Type 2 diabetes in the family, (people who are less than 45 years can develop Type 2 diabetes if it runs in the family and if they are obese),being physically inactive, high blood triglycerides and/or low HDL cholesterol  in the blood, high blood pressure, incidence of gestational diabetes or pre-diabetes.

Having these risk factors does not  necessarily mean you will get diabetes, but it does require you  to be screened regularly.

Monday, May 2, 2016

Prevent Dehydration

The summer season is here, and with it, the high temperatures. Conditions such as diabetes, fever, heat exposure, too much exercise, vomiting, diarrhoea, and increased urination can increase the risk of dehydration.

Prevention is the Best Medicine:

 •    Plan ahead and take extra water to all outdoor events and work areas where increased sweating, activity,and heat will increase loss of fluid from the body.

•    Avoid exercising and going outdoors during the very hot part of the day. Plan outdoor activities early mornings or after sunset when it is cooler.

•    Keepsufficient drinking water available.

•    Avoid  drinkingalcohol when it is very warm because alcohol increases water loss and reduces your capacity to sense early signs associated with dehydration.

•    Wear light-colored and loose-fitting clothing if you go outdoors when it is hot. Carry  something to fan yourself with.

•    Break up your exposure to hot temperatures. Find shady areas and allow yourself to cool between exposures. It will help reduce the effects of high heat exposure.
     

Monday, April 25, 2016

10 Hidden Facts about Diabetes

1.


About a third of all people with diabetes do not know they have the disease.
2.


Type 2 diabetes often does not have any symptoms.

3.







Type 2 diabetes is the more common form. Only about five percent of all people with diabetes have type 1 diabetes.

4.










If you are at risk, type 2diabetes can be prevented with moderate weight loss  and 30 minutes of physical activity (such as brisk walking) each day.

5.A person with diabetes can have the same food as that which is recommended for people without diabetes but with a few changes in portion size and carb content.

6.







Diabetes is the leading cause of blindness in adults.

7.









People with diabetes are at greater risk for heart disease than those without diabetes.

8.









Good control of diabetes reduces the risk of developing complications and if complications have set in, it also prevents them from getting worse.
9.

Bariatric surgery can reduce the symptoms of diabetes in obese people.

10.









Diabetes is expensive to treat. So prevent it. Change your life style. 




Friday, April 15, 2016

Types of Millet

MANJUSHA R MENON ( Dietitian )
RANJINI T C ( Dietitian )
MV Centre for Diabetes
Bengaluru









Sorghum or Jowar,is cultivated widely across Maharashtra, Madhya Pradesh, Uttar Pradesh, Haryana, Andhra Pradesh, Tamil Nadu and Karnataka and in parts of Rajasthan.

Sorghum has high nutritional value. It is rich in potassium and phosphorus and also has a good amount of calcium with smaller amounts of iron,zinc and sodium. It also contains
high levels of unsaturated fats, protein, and fibre.Itcan be used as a means of reducing micronutrient malnutrition globally. Including sorghum regularly to the diet of pregnant women helps them achieve requirements for minerals and vitamins in their diet.

Sorghum is predominantly starchy and the protein content is comparable to that of wheat and maize.It has more antioxidants than blueberries and pomegranates. Sorghum helps to improve metabolism.











Bajra, Sajje or Pearl Millet is known the world over as bird food. In India it is usually grown in Rajasthan, Gujarat and Haryana because it can adapt well to nutrient-poor, sandy soils in low rainfall areas. 

This millet is known to possess phytochemicals that lower cholesterol. It also contains folate, magnesium, copper, zinc, and vitamins E and B- complex. It has a high energy content when compared to other flours. It is also rich in calcium and unsaturated fats. Pearl millet is a rich source of phosphorus, which plays an important part in the structure of body cells. Consumption of pearl millet helps reduce the risk of Type 2 diabetes. Being a good source of magnesium, it acts as a co-factor in a number of enzymatic reactions.











Varagu or Proso Millet is one of the most nutritious and delicious of millets and is  also known as broom corn or common millet. Itcan be grown in many soil types and climatic conditions.The grains contain a comparatively high percentage of indigestible fibre. They contain high amounts of polyphenols, an antioxidant compound, and are low in fat. Kodo millet inhibits glycation and cross-linking of collagen and is considered good for people with diabetes










Ragi or Finger millet is a rich source of calcium and the  proteinhas a well-balanced essential amino acid composition. It also provides Vitamin A, Vitamin B,a good amount of iron and other minerals such as phosphorous. It is a popular millet especially in Southern India and has good antioxidant properties when compared to other common Indian foods. In Karnataka  it is mostly prepared into ragi balls, popularly known as ragimudde, made into flatbreads, leavened dosa and unleavened rotis. Its high fibre content also checks constipation, high blood cholesterol and intestinal cancer.











Thinnai or Foxtail millet is a gluten free grain and the second most commonly grown millet. Foxtail millets are high in iron content and are totally pest-free. Theycan be used as anti pest agents when storing delicate pulses such as green gram. They also control blood sugar and cholesterol levels & increase HDL cholesterol.











Barnyard milletis high in fibre content, phosporous and calcium and has a low glycemic index. Thus it is a must in a diet for people with diabetes.  Regular intake of this millet protects against cardiovascular disease.







 


Saamai or Little millet is grown throughout India and is a traditional crop of Karnataka. It is generally consumed as rice and any recipe that requires rice as an ingredient can be prepared using this millet. Like other millets, this is also a rich source ofiron and fibre and has high antioxidant activity. It is good for people with diabetes and those with diseases related to the stomach.

Millets Nutrition Facts per 100gms:














Source
1. ‘Millets in Your Meals’ – a NABARD publication.
2. ‘The 200 Super Foods That Will Save Your Life’ by Deborah A. Klein, M.S (registered dietitian)
Still to come … Interesting Millet Recipes




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