Thursday, March 26, 2009

Diabetes Diagnosing, why early?

I had spent 60 years in India till I came to this Island recently, I used to hear that India has been pronounced as diabetic capital of the world. This was almost authentic, coming from various medical organizations at national and international level. It is estimated to between 10 to 15% incidence in urban areas. If we take the absolute figures out of the 1 billion and odd population, it is definitely number one in the world. I do not know whether we should be proud of this dubious distinction.

After coming over here, I have seen few things very obvious. Entire cultivable land is filled with sugar cane and nothing but sugar cane. People are very disciplined, and at the same time fun loving. It is a five day working week and after 4 pm you cannot expect any body to work, it is even difficult to find shops open. The incidence of diabetes here is between 20 to 25%. It is unbelievable! Is there any connection between Ubiquitous presence of sugar cane and extremely high incidence of diabetes.

With this I want to proceed to the next discussion on diabetes.

I know many of you are very keen to know about “How to diagnose Diabetes Mellitus?” But before that, there is this all important question we need to ask first “Why to diagnose Diabetes and why early?”

There are clear and proven advantages to the individual and the family when diabetes is detected at the early stage. Even before Diabetes manifests in some form, or before the body gives us signals about the presence of this disorder, we stand to be at advantage, if we take pro active steps towards diagnosing early.

Almost all chronic diseases like Diabetes Mellitus, Hypertension, Heart disease, Cancers etc run sub clinically for quite some time before our body sends out signals or show early symptoms. By that time it may be late to achieve control and by then, our body would have had some damage done already.

If we look at the major contributing factors for diabetes, we can point fingers at obesity, hypertension, stress and other modern lifestyle activities. Plus, a very important factor being family history. If a person has a family history of diabetes, with parents or grand parents known to be diabetic, he or she is a potential diabetic. It means he or she can become a diabetic any time.

Being a potential diabetic and not taking measures to prevent, is like detecting the presence of a rat in the house only after the riot. We need not wait till the damage is done, to start corrective measures.

Which is why we should diagnose / detect or look for the presence of Diabetes at early stage. Early detection can be easily done through periodic or annual check up. Through regular and periodic checks, the earliest warning signals can be detected so that steps can be taken by that potential diabetic to postpone or prevent the occurrence.

Hence there is a great need for regular Annual health checks for all the people above 30 years of age.

But on the other hand, although diabetes is believed to be genetic, there is no guarantee that it cannot occur in other individuals. Because of the high and increasing incidence of Diabetes among all the populations of the world. Nowadays it is seen to occur in individuals where it is not known to be in the family.

As we already saw, below are the Types of Diabetes:

1. Type 1 Diabetes/childhood Diabetes/Insulin dependent Diabetes
2. Type 2 Diabetes/Adult Diabetes/Maturity onset Diabetes in young (MODY).
3. Gestational Diabetes-that occurs only during pregnancy.

I would be talking more about how to Diagnose - Type II / Adult Diabetes / "Maturity onset Diabetes in young" and its nature.

Classical symptoms:
Poly urea – frequent urination
Poly phasia – frequent hunger
Poly dypsia – frequent drinking (Excessive thirst)

By the time these classical symptoms appear, it is very sure the diabetes must have established in the body and some organs must have been damaged already.

Apart from the above, you can also look out for these are other symptoms & Signs:

Giddiness, tingling and numbness in the palm and soles, itching in some parts of the body, loss of weight, gaining weight, lung infections especially tuberculosis, fungal infections in the female genitalia, itching and fissures in the tip of the skin of male genitalia, any wound in the body not healing in time, blurring of vision and diminishing vision.

Some other signs & symptoms :- That like symptoms one may notice fatigue, weakness and loss of appetite, Red swollen and tender gums, gum infections, loosening of teeth and infections in the mouth.

Among some sections of Indians, there is a belief that if there is tingling in the palms, they are going to get some money, but infact it may be the hint given by the body to indicate that he a diabetic.

Diabetes has no racial or religious or regional discrimination or sexual discrimination but ladies have an additional risk of becoming diabetic during pregnancy (Gestational Diabetes) Also the dietary habits of certain regions makes the inhabits prone to diabetes sooner than others. For example people who have excessive consumption of Tapioca, are at higher risk of developing the disorder than others.

But let me again reiterate, Diabetes is not a disease, but a metabolic disorder. If one gets awareness and knows how to prevent, it can be controlled.

Now that we know that the sub clinical diabetes can slowly damage almost all the organs of the body, we can be sure our body will give out hints or signals about the imminent occurrence of the overt Diabetes.

But in our so called fast life, we tend to ignore these symptoms and some times hush them with self medications.

During my collage days, there was a saying among the medicos, “If one knows fully about syphilis, he knows full medicine”.

But now that the incidence of syphilis has almost come down to zero, the saying is applicable to Diabetes.
We can confidently say that “If one knows fully about Diabetes, he knows full medicine”.

Because the diabetes affects all systems of the body and spares nothing. It affects the family system and social system also.

And, I used to say that “A diabetic should know more than what a doctor knows about diabetes”
It means a Diabetic should ultimately become a doctor whether a doctor becomes a Diabetic or not, for better living.

In the coming sessions, we will see about how to clinically diagnose diabetes.

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Source: Written for Spice your Life, by Dr. Nagarathnam Jetty, MBBS,DPH,DIH,FIAOH.

Monday, March 16, 2009

An Introduction to Diabetes ~ What is Diabetes?

I know its been a while since the first article on the introduction and I haven't made any progress with the topics. I am sure with this post, I will progress more in covering most of it.

Source: Written for Spice your Life, by Dr. Nagarathnam Jetty, MBBS,DPH,DIH,FIAOH.

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What is Diabetes?

Diabetes is a metabolic disorder. Metabolism is the way the body uses digested food for growth and energy. Glucose is the end product of our food after all the processes of ingestion, digestion, assimilation and absorption. Which means anything that is consumed, finally breaks down into glucose, the form of sugar in the blood.

Glucose is the main source of fuel for the body and is required for the production of energy. Once digestion is over, next comes the process known as the assimilation. After the digestion process, the glucose that passes into the bloodstream needs to be utilized by cells for growth and energy. To aid the glucose getting into the cells, we require a hormone called the insulin. Insulin is a hormone produced by the pancreas (islets of Langerhans), a large gland behind the stomach.

In normal conditions, the pancreas automatically produces the right amount of insulin required for our body to absorb the glucose. In the diabetics, however, the pancreas either produces little or no insulin and in some cases there is insulin resistance and hence the glucose is not utilized. In that situation, glucose builds up in the blood, overflows into the urine, and passes out of the body in the urine.

Thus, the body loses its main source of fuel even though the blood contains large amounts of glucose.

Before we proceed to know how to diagnose, lets take a brief look at the types of diabetes prevalent.

What are the types of diabetes?

The three main types of diabetes are

* type 1 diabetes
* type 2 diabetes
* gestational diabetes

Type 1 Diabetes

Type 1 diabetes is an autoimmune disease. Humans have a great Immune system to fight infection. But when this system turns against and starts attacking, especially the insulin producing beta cells, it results in type 1 diabetes. When this happens, the pancreas produces little or no insulin. A person diagnosed with type 1 diabetes must take insulin daily to live.

We do not know exactly why and what causes the body’s immune system to attack the beta cells, but they believe that autoimmune, genetic, and other environmental factors, could attribute to this condition.

Type 2 Diabetes

Type 2 diabetes is the most common form of diabetes. We can easily say about 90 to 95 percent of people with diabetes have type 2. The major contributing factors for this form of diabetes is most often associated with older age, family history of diabetes, obesity, history of gestational diabetes, physical inactivity, and certain ethnicities. About 80 percent of people with type 2 diabetes are overweight.

In the case of type 2 diabetes, the pancreas is usually producing enough insulin, but for unknown reasons the body cannot use the insulin effectively, a condition called insulin resistance. When this happens over a period, insulin production decreases gradually. As in the type 1 diabetes, in type 2 too, glucose builds up in the blood and the body is not able to make efficient use of its main source of fuel.

Gestational Diabetes

Some women develop gestational diabetes late in pregnancy. Although this form of diabetes usually disappears after the birth of the baby, women who have had gestational diabetes have a 40 to 60 percent chance of developing type 2 diabetes within 5 to 10 years. Maintaining a reasonable body weight and being physically active may help prevent development of type 2 diabetes.

In the coming articles, we will see more about How to diagnose and other facts related to Diabetes.

Though most of it may sound very technical, I have tried writing in a style that can be understood by everybody.

I want everybody who reads this be benefited, to take action and act accordingly!

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Looking forward to your feedback and suggestions.

Tuesday, March 3, 2009

The Diet Solution Program

So just what is The Diet Solution Program? As you probably know most of the new fad diets focus on removing primary food composition categories; that is, fats, carbohydrates, or proteins. Even though most of these can reduce weight, disrupting your body's metabolism and nutrition can only lead to stress, hunger and fatigue. If you have found yourself starving when losing weight only to fall off and gain it back then The Diet Solution Program is the diet for you.

Weight loss answer for dietingThe author, Isabel De Los Rios, has found a refreshing answer to this problem - namely, a diet solution program that focuses on an easier lifestyle change with the added benefit of nutritional value. A certified nutrition, exercise and lifestyle coach, Isabel De Los Rios is owner of New Body – Center for Fitness and Nutrition in New Jersey. In her book, she has brought together the best of her background in sports nutrition and physiology with a focus on metabolism type to create an actionable natural weight loss guide that really makes sense.
So, how does her program work? Her basic dieting concept is that with the right foods, you can eat sizable quantities and lose weight at the same time. Most dieters decrease their overall food intake so much when they want to lose weight that they do lose some pounds, then quickly level off. At that point, they have no choice but to eat even less food, which triggers starvation mode and makes losing weight and feeling good very difficult, if not impossible.

The Diet Solution Program is a full 180 pages of background, inspiration, food & nutrition information - as well as menus, charts and journal templates. It is a complete guide that changes your thinking about food, metabolism and the simple preparation steps you need to lose weight naturally.

The basic breakdown of the book is this:
Section 1 - Focuses on meal planning in order to get the best results for your own metabolism diet type as well as a personal program for success describing the three steps to weight loss.

Section 2 - Specifically dives into very detailed information on what to eat and what to avoid - basically, good vs. bad foods. Plus, she has immediate action steps to remove or change your daily habits. Packed with over 50 recipes in 61 pages, she defines all of the requirements and recommendations for good food in your diet.

Section 3 - Encompasses all the tools to measure your own metabolism type such as Dietary charts (such as glycemic index, food portions) and data, meal journal templates, as well as full calendar example of menus for breakfast, snacks, lunch, and dinner.

Frankly, this book is a welcome relief to the current set of dieting guides on the market today. The only criticism of this guide is something that is, in my opinion, just a lifestyle choice - that is, as much as I know the author wants to promote good nutrition, there really isn't any section devoted to modern lifestyle choices you can make while at work or on the road.

It would be great to have some additional options such as less expensive non-organic market choices, fast food alternatives, and work-arounds when you can't get the recommended choices. Our busy lives make it difficult to get organic foods or plan out our lunches at work. It would have been nice to see a section of some options for those on the run. However, that kind of planning is really something you can easily develop on your own using this guide.

All in all this is a highly recommended dieting guide - it focuses on balanced foods, nutrition, and proper health to lose weight naturally. Order The Diet Solution Program today!

Friday, February 20, 2009

Easy Aloo Paratha and Masala Poha ~ Breakfast ideas for Toddlers!

Since the boys take both breakfast and lunch to their school, deciding on the dishes has become even tough. To add to that, their teacher has asked us to feed them half of their breakfast at home and pack the rest to the school. This way they eat their full and also learn to eat on their own. So while packing their boxes, I also make half of it to be feed while they wait for their auto to come.

Few of the breakfast they like a lot is the Chapatis and Masala Poha. And since they like chapatis, I thought I could get some potato into it to make it more filling. This is very simple and unlike the regular Aloo paratha where you got to stuff it with masala, this is blended into the dough. It makes it easy to prepare and more tasty and soft to eat. I try to make this atleast once a week for their breakfast.

The other dish that they seem to like is the Masala poha made with beaten Rice. This is also a milder version made specially for the young ones. So it becomes a double work for me, when I decide to serve this for the adults in the family. But I guess its worth the effort that they like to eat this.

Aloo Paratha

Ingredients Needed:

Wheat flour / Atta - 1 cup
Boiled Potatoes - 2 medium
Salt to taste
Milk - 1/2 cup
Chili powder - 1/4 tsp or less
Ghee / Butter 1/2 tsp
Water as required
Oil for frying

Method to prepare:

Pressure cook the potatoes till they are tender. Mash it to a fine paste using potato masher or food processor.

In a wide vessel, take wheat flour, mix salt, chili powder and ghee. Then add the potato paste to the flour and knead well. Slowly add the milk and knead to a soft dough. Add water if needed.

Let it rest for 10 mins.

Then divide into equal balls and roll out into small rotis.

Heat a pan and cook the rolled out rotis over hot pan on both sides, sprinkling oil/ghee.

The cooked chapatis are very soft as the potatoes are blended into it.

Masala Poha

Ingredients Needed:

Beaten Rice / Atukulu - 1 cup
Onions - 1/2
Curry leaves - 2 -4
Turmeric powder a pinch
Green chilies - 1 small
Salt to taste
Oil - 1 tsp
Mustard seeds - 1/4 tsp or less

Method to prepare:

Wash Beaten rice in water, and soak for 5 mins.

Drain it in a sieve. Meanwhile chop onions into big squares and slit chilies into half.

Heat a pan with oil and splutter mustard seeds. Then saute onions till they are pink along with curry leaves and chilies. Then add salt and turmeric powder.

After 2 mins, add the drained poha into the pan and combine well. Simmer for 5 mins, till its all mixed.

Chopping the chilies into half and onions as squares makes it easy to be parsed!

Of course the poha won't taste good if curry leaves or onions are not added. But we can always remove them when the babies don't like them!

Tuesday, February 10, 2009

Masala Peanuts ~ Healthy Snacks!

I can go on and on on this wonderful snack that never fails to tempt me or excite me. Many fond memories come rushing in when this comes to mind. The many vacations that we went along with our family friends. This for sure was something Amma would pack for the journey. The long or short train journeys become an adventure and these lovely masala peanuts would sure accompany those. Peanuts have also been very important to our menu and Dad just simply loves this. So Amma always used to make this very often.

I was in for a surprise after marriage, as I came to know that its hubby dear's favorite too. Athamma said she always has a batch ready for his request. Maybe its in the genes or whatever, my kids also love these peanuts. And when hubby dear wanted something to munch, this is what came to mind. Making it, I was recollecting all those days back when this was made at home. Hubby really enjoyed this snack and I made sure I get this recorded too.



Ingredients Needed:

Fresh Ground nuts/ Peanuts - 1 cup
Besan / Gram flour - 1/2 cup
Rice Flour - 1 tbsp
Salt to taste
Fresh Garlic - 4 -5 cloves
Chili powder - 1 & 3/4 tsp
Turmeric powder a pinch
Water enough to make a stiff dough
Jeera powder a pinch (opt)


Method to prepare:

Wash the peanuts and let it drain.

In a bowl, take the peanuts, besan, and all the spices. Mix well. By now you will have a thick batter coating the peanuts. If needed add some water. else you can fry it as such.

Heat oil in a kadai, when its piping hot, drop the peanuts into the oil. Turn when its cooked on one side.

Drain them to kitchen towel and store it in a air tight container.

Sending this to Alka for her Just for you event, since I made it specially for my hubby.


Since I feel this is an healthy snack on a moderation, sending a bowl to Rachna too for her Healthy bite event. Hope she feels this is healthy too.

And finally to Susan for her MLLA - 8th helping, since this uses both besan and peanuts! Hope the ladies like this!

Saturday, January 31, 2009

Microwave Paneer Cheese Rolls!

Well I had lot of plans for making something interesting and elaborate in microwave this month for my Microwave Easy Cooking event hosted by dear Raji. She did send a gentle threatening mail, saying afterall its my event, and I got to send her an entry...Ok, I know I have been kind of held up with lot of other things, that I hadn't been able to do things that I planned. I guess it happens to the best of us, so I can be excused. But how can I ignore her note, knowing well I got to pinch in!

Anyway brainwave for this roll came from the fact that Peddu loves bread and I was kneen on introducing him to Cheese. I had already given Paneer cubes and he liked it. When I show him bread, he is ready to eat it anytime. That is his love for bread. And he loves Jam and Sauce. Chinnu doesn't like neither. Konda loves both. Well I have a choice I know, so I decided to do this roll, that I normally do with either Jam or Potatoes.



Coming a bit early home today, I went along to pick them from school. The boys were elated seeing me, and we all happily took a ride back home. I knew I had to do something nice for them to munch on, so decided to do this immediately. Its very simple and there is really no recipe for this. You can let your imagination take charge!

Ingredients Needed:

Fresh Bread slices - 4
Cheese cube -1
Paneer - 150 gms
Salt to taste
Chili powder - 1/4 tsp
Pepper powder - a pinch
Oil - 1 tsp
Butter/ Ghee - 1 tsp

Method to prepare:

Fresh bread works out fine for this, as you need to roll them out flat using the rolling pin. Trim the ends if you must, most times I leave them on.

In a microwave bow, crumble the paneer, add the salt, spice powders, Oil and micro for 20 secs. The paneer will get soft but well mixed with spices.

Once you have the bread all rolled out plain, top it with the paneer and grated cheese. From one end, roll it tight, covering the paneer.

Brush the bread with ghee, micro on wire rack for 1 min.

Serve hot with sauce!

Peddu loved this a lot, am sure I am going to experiment a lot with the stuffing to suit toddlers

Sending this to Raji @ Rak's Kitchen, who is hosting the MEC themed on Paneer this month. Sorry Raji for such a late entry, hope you like this and make it for your lil one!

Thursday, January 15, 2009

Calorie F.A.Q. - Not All Calories Are The Same

Q. Is calorie a bad word?

A. No, it’s not bad—just misunderstood! Most people who use the word calorie simply don’t know what it means. Also, in my experience, most people to go pale at the mere mention of the word. Based on those facts alone, I would eliminate calorie from the English vocabulary if I could.

Proper diet solution program caloriesQ. Why is calorie such a misunderstood word?

A. The American public has been told, time and time again, that people who consume more calories than their bodies burn will gain weight. As I explain in The Diet Solution: Start Eating and Start Living, this statement is only partially true. All calories are not created equal; calories consumed from healthy foods and unhealthy foods are quite different.

Q. What exactly is a calorie, then?

A. According to Merriam-Webster’s Collegiate Dictionary (11th edition), a calorie is “a unit equivalent to the large calorie expressing heat-producing or energy-producing value in food when oxidized in the body.” In plain English, a calorie is a unit of energy released from the food you eat to power the body.

Q. How are calories “burned”?

A. The body needs energy from food—calories—to perform many functions, the most obvious of which are physical activity and exercise. However, the body also requires energy to function at the most basic level: to breathe, digest food, and maintain organs and systems.

Q. How many calories should I eat each day?

A. The short answer is “enough.” The calories you consume must provide enough energy for your body to perform all necessary functions and activities—and bring about optimum health. The long answer is that the number of calories needed varies from person to person and depends on weight, foods consumed, sleep, stress and activity levels, age, and a long list of other factors that affect metabolism. In The Diet Solution: Start Eating and Start Living, I provide a calorie equation to help you estimate, according to these factors, how many calories you should consume to lose weight or maintain weight. It also includes charts to help you choose the right sources of those calories to support your efforts.
Q. Is it possible to eat too few calories?

A. Believe it or not, yes! The most serious problem with low-calorie diets is that although they may bring about weight loss, they also can cause serious health problems. One common side effect of low-calorie diets is muscle breakdown, which can occur when the body doesn’t consume enough calories from protein. Especially vulnerable is the heart, a muscular organ. If a person does not consume an adequate amount of calories each day, the heart muscle begins to break down, possibly leading to serious cardiac conditions (e.g., cardiac atrophy).

Q. What are the consequences of following low-calorie diets off and on over time?

A. Low-calorie diets typically do not supply enough energy to keep organs and systems healthy. In effect, they can lead to malnourishment. For clients who have repeatedly followed such diets, I recommend high-calorie meal plans that will provide their organs with adequate fuel to repair themselves and regain healthy function. Most of my clients are surprised, at first, to see how much food they can consume on a healthy weight-loss diet—not to mention the high level of health that they can achieve.

Stay tuned for Part 2...

You can learn much more about losing weight, living healthy, and great food in The Diet Solution Program.