Vegetarians can use paneer in place of prawn
Why HbA1c is important? People who manage to keep their HbA1c level in the normal range can delay or prevent some of the long-term health complications that diabetes may lead to.
A mere 1 % point reduction in HbA1C levels reduces the risk of:
• Deaths due to diabetes by 21%
• Heart attacks by 14%
• Microvascular complications (eye, kidney and nerves) by 37%
• Peripheral vascular complications (foot amputations) by 43%
Ref / Source: UKPDS Observational Study
Lowering your HbA1c reduces your chances of having the following health problems that can be caused by poorly controlled blood glucose:
• Foot problems e.g. ulcers & gangrene etc.
• Heart and circulation problems
• Eye problems
• Kidney problems
• Nerve damage
Did you know?
• HbA1c is a measure of three month average of your blood glucose level
• HbA1c level should be under 7.0%, but may vary from person to person depending on their clinician’s advice
• Regular checking of blood sugar level is important to manage diabetes
• Lowering HbA1c reduces the risk of diabetes-related complications
How is HbA1c test different from finger-prick test?
• While the HbA1c test is a measure of three month average of your blood glucose level, finger prick test measures its instantaneous value.
• To avoid hypo episodes, it is important to keep a track of blood sugar level. Hence, finger-prick test comes handy on a daily basis
Results from both finger prick and HbA1c tests are important for the healthcare team, to prescribe the right medication, diet and exercise.
Is your HbA1c test result too high?
There are many reasons why HbA1c can be above 7.0%. Common factors that can lead to high blood glucose levels:
• Physical inactivity
• Inadequate medication
• Infection or illness
How to reduce the HbA1c level to <7.0%
• Watch your weight
• Avoid over-eating and carbohydrate rich food. Follow diet plan as shared by dietician
• Walk at least for half an hour every day or workout at the gym 4-5 times a week
• Take regular medications
• Regularly test blood glucose level
Yield/Serves: 60 gms (1 piece)
Staying fit and healthy in a busy corporate life is difficult but not impossible. You need to maintain a healthy lifestyle that will keep you away from diseases and will also help you live a longer & healthier life. Though healthcare providers have up to date information about their patients, they usually take time to understand each patient’s history and motivation levels while delivering care. One promising solution to this challenge is the creation of health coaches by many organizations. Health coaches are trained professionals who can assess individual health needs, customize recommendations, and help patients better the health system. Robust health coaching can help enhance chronic disease management for patients at high risk. Patients who are supported to actively self-manage their own chronic illnesses have fewer symptoms and improved quality of life.
Involving patients in decision making, emphasizing problem solving, setting goals, creating action plans (i.e., when, where and how to enact a goal-directed behavior), and following up on goals of their personal healthcare management, are key features of successful health coaching methods.
It is very important for patients to take care of themselves while they are away from their health clinics. As, the doctor, nutritionists or dieticians cannot be with him/her all the time. One can be trained to manage his/her health with coaching.
During the holy month of Ramadan, people across the globe observe the spiritual practice of abstaining from food and water from dawn till dusk. Fasting can be a beneficial practice for healthy people, but may be risky for people with diabetes.
Fasting is obligatory only for healthy adults. Islamic scholars very clearly ordain that people who may put their health at risk by fasting are exempt from it. Pregnant women, lactating mothers, young children, elderly individuals or those recuperating from a serious illness need not fast during Ramadan. People with diabetic complications also fall under this category. This also includes people with poorly controlled diabetes, people with type 1 diabetes who take insulin or type 2 on a mixed insulin regimen or those who often have very high or very low blood glucose levels.
Diabetes mellitus is a metabolic syndrome that afflicts an estimated 65 million people in India. The condition needs diligent management on a daily basis, including regular monitoring of blood sugar levels, following a healthy diet and frequent medical interventions to correct high blood sugar levels. People with diabetes are usually advised against fasting as prolonged abstention from food and water will affect their blood glucose control. There are some diabetics who observe fasting by following strict safety advice from their doctors and dieticians ensuring they can fast safely.
General rule about fasting cannot be applied to all people with diabetes as the condition of each patient varies depending on multiple factors: the type of diabetes they have, the stage of progression of the condition, the level of blood sugar fluctuations they experience, and whether they are on an insulin regimen. For example, people who tend to have very high or very low blood glucose levels are not advised to fast. Similarly, patients with type 1 diabetes who have unstable disease with co-morbid conditions are also advised against fasting. Your decision on whether to go ahead with fasting or refrain from it should depend completely on your doctor’s medical advice. If you are not fit enough to fast, your doctor will explain to you in detail the potential risks of fasting. On the other hand, if they believe your condition allows you to fast, they would advise you to change your medication, adjust the levels of insulin to meet the body’s requirements during fast and recommend dietary changes and activity patterns you must follow during non fasting hours.
Insulin, an essential hormone secreted by the pancreas, plays an important role in regulating the levels of blood sugar in the body. Diabetes is caused by an insufficiency of insulin due to either lack of insulin production or because the body develops insulin resistance. The result is either hyperglycemia (high blood sugar) or hypoglycemia (low blood sugar). Hyperglycemia happens when your blood glucose levels are higher than normal. To understand the target normal range for your body, you must consult your physician. Hypoglycemia can occur when your blood sugar level falls below the acceptable limit – usually below (70 mg/dL). A wide scale epidemiological study conducted across 13 Islamic countries and published in Diabetes Care Journal in 2004 provided rough prevalence estimates of fasting among diabetic patients in these countries. The study estimated that around 43% of type 1 diabetes and 86% of type 2 diabetes patients fasted during Ramadan. Covering 12,243 individuals with diabetes who fasted during Ramadan, the study found that while the overall incidence of hypoglycemic events was low, severe hypoglycemia instances were more frequent during Ramadan, indicating a higher link between fasting and hypoglycemia.
Hypoglycemia: The risk of blood sugar level falling below threshold increases with long gaps in food intake. This is why people with diabetes are usually advised to have snacks at regular intervals and avoid delay in eating their meals. People who are taking insulin and certain tablets, are at risk of experiencing hypoglycemia during fasting. See your doctor and nutritionists about the need for adjusting your insulin dosage or other medications and diet. It is also advisable to limit your physical activity during fasting hours to preserve glucose in the body.
Hyperglycemia: Blood sugar levels may rise above acceptable limits in case the body suffers loss of fluid or dehydration. If you are not drinking water for several hours (as is required during fasting) the risk of dehydration is high; so is the risk of rise in blood sugar levels. The risk of blood sugar levels running high also increases if you overeat after breaking the fast.
Dehydration: In extreme heat, abstention from drinking water for a prolonged period of time accompanied by sweating can result in dehydration and a consequent rise in blood sugar levels leading to increased urination and thus a vicious circle. All attempts must be made to minimize the chances of dehydration. Best to stay indoors if possible during fasting, avoid exposure to heat and minimize physical activity.Ensure you consume abundant quantities of water and other replenishing fluids during the non-fasting hours to keep you going through the day.
Yield/Serves: 4 parathas
A must share for your loved ones! Recipe type: Breakfast, Brunch Cuisine: Indian Serves: 4
To prevent the complications associated with type 2 diabetes, therapy frequently also includes medications for control of blood pressure, dyslipidemia and other disorders, since patients often have more than three or four chronic conditions. Despite the benefits of therapy, studies have indicated that recommended glycemic goals are achieved by less than 50% of patients, which may be associated with decreased adherence to therapies. As a result, hyperglycemia and long-term complications increase morbidity and premature mortality, and lead to increased costs to health services. Reasons for nonadherence are multifactorial and difficult to identify.
A must share for your loved ones!
Recipe type: Brunch and Supper Cuisine: Indian Serves: 3