mango diabetes

Mango & Diabetes

Over the last 2-3 days I was getting calls from my close relatives who are diabetic that their sugar levels were spiking very high. They had a fairly well managed sugar history. Probing into detail and asking if they had done any change in their food habit recently. Indeed, she was having one mango a day after recent whats app video circulation that mangoes are good for diabetes etc etc. I was surprised and got worried how much impact can be created through such incorrect assessment of free information by recipients on the internet.
Mango is a great fruit. It provides a good source of dietary fibre and an excellent source of beta carotene(VitaminA), vitamin C and vitamin E in our diet. It has high amount of natural sugar & low glycemic Index. Large intake of mango can lead to spikes in blood sugar level. Prolonged spike in blood sugar level leads to worsening of diabetic symptoms.
As a dietitian, I recommend maximum 100-120g of mango a day which equals to 1-2 medium slice. Mango can best be consumed as a mid meal snack. Diabetics should avoid consumption of mango with their main meals.
Inclusion of mango in a diabetic person’s diet should always be under strict supervision of a diabetologist or a trained dietitian. A trained dietitian plans mango in the diet, after evenly distributing the calories in the daily meal plan and ensuring that the sugar does not spike, thus, avoiding complications which may arise due to inappropriate consumption of mango.

Photo credit : Jacqueline Brandwayn from Unsplash

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How to stick to your new year resolutions : A Food & Wellness Guide

Every year, enthusiasts around the world take their diaries and scribble a list of to-dos with the hope of making radical changes happen. Unfortunately, most resolutions fade before the new year decorations are down. We worked up some failsafe ways to help to stick with it this year:

Set realistic targets: When making a resolution, try not to override practicality with your ambition. You know yourself the best. Set targets that you are most likely to at least try and achieve. For example, trying to be a size 2 in one year when you’ve been a size 10 all your life is a far-flung idea. However, a target of losing 20 kilos in a year, especially if you are admittedly a big foodie, is realistic enough.

Make your goals specific and measurable: “I have to get thin this year” is vague. “I will lose at least 20 kilos this year” is specifically stated and therefore clearly envisioned. When you have a clear vision of where you wish to go, it is easier to carve the footsteps that will lead you to your destination.

Break your resolution into mini goals: One big goal can be too overwhelming and can set in a low morale. Break it down into smaller, achievable assignments that don’t put too much pressure on you all at a time. So, if losing 20 kilos is your big goal, spread it thin with smaller tasks like going to the gym thrice every week for a year, eating a light dinner every day, etc.

Make your goals time-specific: No goal is measurable or specific enough if not accompanied with a timeline. So if you still don’t see yourself losing 2 kilos and it’s already November that year, this is where you’ve gone wrong. Losing 20 kilos in a year will be better executed if you stick to losing 2 kilos every month.

Track your progress periodically: Once you’ve set measurable goals within a time frame, get to work, but also look back regularly to see how far you’ve come. Tracking your progress ensures that you know it when you’ve failed a particular assignment (refer to point # 2) and lets you get to the reason of it and therefore helps you avoid further goof ups.

Focus on the path more than the goal: Constantly looking at your big goal can be more depressing than motivating, because it looks like a lot to achieve. Once you’ve made yourself an effective plan for achieving your target, keep faith in it. And in yourself. Tell yourself that if you do what you need to do everyday, you’re sure to reach your goal by the end of the year, as planned.

If you fail, forgive yourself and move on: You knew right from the beginning this wasn’t easy. Therefore slip-ups are bound to occur. Get rid of the notion that you are going to get it right at the first attempt. Acknowledge and accommodate for failures. But remember to always get up and get going. This is the most important of all the clauses.

Get help: Making a change happen and sticking with it for one full year is challenging. You do not have to make it more difficult by doing it alone. Being teased for ordering salads when everyone else is gorging on burgers is a bigger torture than passing on the burger. Share your plans with family and friends so that they can be supportive and encouraging when they want to. And if you’re clueless as to why, in spite of all your efforts, you’ve reached a standstill on your weight loss journey, opt for expert help. A professionally planned diet plan and exercise chart is likely to get you speedier results.

New year resolutions aren’t, after all, much different from what we face in our everyday life, whether or not we commit ourselves to one this year. It all comes down to trying as best as you can. After all, you never fail until you stop trying, said Albert Einstein.

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Health or Success: What should be the priority?

How many times have you dashed out in the morning missing your breakfast because you were late for a meeting? Or how many times have you let your adolescent kid get away with store-bought junk food instead of a healthy meal because you just didn’t have the time to spend in the kitchen? Can you count the number of cups of coffee you’ve gulped in the office because you were stressed from work?

A small introspection into the pattern of life we lead today will reveal a simple but shocking truth: this generation prioritizes work, career, money and materialistic success over health.

The great poet Virgil once said, “The greatest wealth is health.” But it’s all in the textbooks now. Because the biggest reason we give ourselves to justify our obsession with materialism is that it is only temporary. “I will cut down on the coffee once this project is over.” “I will start having breakfast everyday once I get that promotion I’m working so hard for.” Or, “I will cook and serve my kids a balanced meal when I don’t have to do two shifts at work and when I have saved enough money.” But is it ever enough? Is there really an end to all the material validation that we seek? Is this condition really temporary?

The answer is a simple no. This rat race for wealth and success is an obsession that plagues the whole generation and one which never stops until the first major cardiac arrest or when the blood test yields a positive result of diabetes. That is when you realize how many opportunities of leading a well balanced life you have missed.

Here are a few ways our materialistic obsession has impacted our health:

  1. Working longer hours means being in stressed conditions for a longer period
  2. Excessive workload harms the work-life balance of the individual, thus preventing a wholesome life
  3. Working indoors for too long also amounts to longer hours of a sedentary lifestyle on a daily basis
  4. Prioritizing work often leads to sacrificing of important daily activities like:
  5. Timely meals
  6. Regular exercise
  • Pursuing of leisure activities and hobbies
  1. Spending quality time with friends and family
  2. A deficiency in time also leads to choice of unhealthy packaged and junk food on a regular basis
  3. A constant want for and pursuit of more is also linked with mental illnesses like depression

According to World Health Organization, “Most of the world’s population live in countries where overweight and obesity kills more people than underweight.”

It also asserts that “worldwide obesity has more than doubled since 1980”, that is, shortly after we stepped into the digital age, which has been responsible in bringing a significant change in the modern work system. (http://www.who.int/mediacentre/factsheets/fs311/en/)

It is no news that obesity is largely fostered by unhealthy, irresponsible lifestyle choices. Which in turn is encouraged by our modern day madness over materialistic gains. Sure, it is important to keep up with the fast-moving world of today, but it is equally important to partake in the rich experiences that you work hard for in the first place. Know for a fact that the means of earning your wellbeing cannot be of a greater priority that your wellbeing itself.

Interestingly, small changes integrated into the daily lifestyle have a major impact on the greater wellbeing. Here are a few pointers on achieving a healthy work-life balance:

Make a schedule and follow it to the best of your abilities: This is perhaps the most important. When you go about your day without a schedule, you tend to overwork because work has a tendency to appear urgent and important. Careful scheduling however helps you secure enough time for other healthy activities and you know exactly when to stop working.

Do the 7-minute exercise everyday: Whoever came up with that idea did a favour to all the overworked souls who complain they don’t have enough time for exercise. But when it’s only a matter of 7 minutes, it’s easier to comply and commit. Nevertheless, starting off the day with those few minutes of exercise has a profoundly positive effect on your health.

Eat clean and on time: If your main source of diet is a lot of packaged, fried or fast food, back off immediately. Unhealthy food has the worst irreversible impact on your body. Practice healthy habits like carrying your lunch to work and stocking your kitchen with healthy snack options like fresh fruits, nuts, seeds, yogurt, milk, etc. Also important is to include meal times in the afore-mentioned schedule and stick to it religiously.

Never miss breakfast: The most important meal of the day. If you are typically always rushing to work and don’t have the time for a cereal-milk-fruits routine, try whizzing up a breakfast smoothie. What’s more, you can also carry some extra smoothie to work as a snacking option. Check out our Blueberry Peach smoothie recipe here (https://foodnwellness.com/blueberry-peach-smoothie/)

Spend some time on hobbies that do not entail work or responsibilities: Listening to music, reading, or even playing with your pets help wind down the work stress. Spending time with your favorite people is also a huge stress buster. Connect with your family and for a change, take genuine interest in their life happenings to build strong bonds as well as to leave your work tangles behind.

Consult an expert on a regular basis: The whirlwind lifestyle of today does take a toll on health at some point. Which is why it is important to regularly visit someone who can help with expert knowledge on the same. A professional doctor or a certified nutritionist is your best confidant in this case.

Start and end the day with gratitude: No matter how much we achieve, it will never seem to be enough unless we treasure what we already have. Be aware of all your possessions and be grateful for them. Practice your gratitude before you begin and end each day by either making a mental note or jotting them down on paper. Successful people around the world like Oprah Winfrey, Sir Richard Branson, and Tim Ferriss attribute their success to this simple habit.

 

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What is the definition of a healthy diet?

Pretty Simple – Mix of proteins, carbohydrates, and fats, plus enough vitamins and minerals for optimal health. Science says that some of the food choices within these categories are better than others.

Are there foods you never should eat? Nothing really. If you crave an ice cream sundae occasionally, have a small one. But don’t make it a daily event. Set off the samosas at parties with healthier snacks at home. Healthy eating making right food choice most of the time.

Nutrition scientists have compiled the following list of foods you should keep to a minimum. Research suggests that eating these foods regularly can create the onset of life-threatening illnesses such as heart disease, high blood pressure, diabetes, and even some cancers.

Photo credit: Robin Stickel from Pexels

White carbohydrates. Bread, pasta, rice, cookies, cake — are best had in the whole-grain versions.
Added sugar. Irrespective of Whether it’s white granulated sugar, brown sugar, high- fructose corn syrup, corn sugar, or honey, sugar contains almost no nutrients and is pure carbohydrate. When we are eating a lot of sugar you are filling up on empty calories, causing our blood sugar to rise and fall like a roller coaster.

Research has proven that soft drinks and other sugar-sweetened beverages are the primary source of added sugar in all our diets and a major contributor to weight gain.

Dairy fat. Ice cream, whole milk, and cheese are full of saturated fat and some naturally occurring trans-fat and therefore can increase the risk of the health problems, notably heart disease. The healthiest milk and milk products are low-fat versions, such as skim milk, milk with 1% fat and reduced-fat cheeses.

Baked sweets. Cookies, snack cakes, doughnuts, pastries, and many other treats are so tempting and we can’t but hog on them, but these commercially prepared versions are packed with processed carbohydrates, added sugar, unhealthy fats, and salt.

Dietary guidelines and the American Heart Association recommend reducing sodium to 1,500 mg per day and not exceeding 2,300 mg per day. But most of us get 1½ teaspoons (or 8,500 mg) of salt daily. That translates to about 3,400 mg of daily sodium. Our body needs a certain amount of sodium, but too much can increase blood pressure and the risk of heart disease and stroke.

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Time to understand the complications of belly fat, stubborn tummies and pot bellies.

Are you struggling with Round or stubborn tummies. It’s time to take measures to reduce it or else risk metabolic complications, increased risk of cardiovascular disease and type-2 diabetes. In women, it is also associated with breast cancer and the need for gallbladder surgery. Belly fat lies deep inside the abdomen and is very stubborn in nature having been deposited for a long period of time.

Just do the simple measurement of your waistline and find out where you are. The higher the number, the greater the danger your tummy poses to your health.
• For women, a waist measurement of 35 inches or more is cause for concern.
• For men, a waist measurement of 40 inches or more could spell trouble.

The researchers say that normal-weight adults with central obesity are at two times the risk of dying earlier than individuals who are either obese or overweight. Based on the study results, the researchers have stressed the importance of adopting an active lifestyle and eating the right diet to prevent fat from accumulating around the belly.

Abdominal fats or stubborn tummies can be controlled through a mix of moderate exercise and proper dietary control. Daily physical activity of 30 to 60 minutes is a must along with correct diet. As a thumb rule, reduce fruit juice and carbonated drinks, take in complex carbs, green vegetables and reduce sugar in take.

Food n Wellness, provides wellness solutions for managing the problem with correct diet prescription and exercise routines tailor made for you. It’s time to be conscious and start taking measures to control our body or else the doctor takes charge of our bodies.

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Risk of heart disease from Diabetes

Diabetes increases the risk of heart disease by four to five times as compared to a non-diabetic person. Hence apart from blood sugar control diabetics also need to pay close attention to controlling their blood pressure and cholesterol levels.

Diabetics need to have a more stringent lifestyle control as compared to normal people. Lifestyle changes along with weight loss will lead to significant improvement in blood sugar levels.
People suffering with high blood pressure (known as hypertension) are more than twice as likely to suffer a heart attack or stroke as those with normal blood pressure. Hence diabetics need to keep their blood pressure as close to the ideal as possible, and always less than 130/80 millimeters of mercury (mm Hg).

The general dietary recommendations for diabetes will include, complex carbohydrates(like whole grain pastas, brown rice) avoid processed carbohydrates(like refined flour, polished white rice), prefer raw fruits over fruit juices, include protein (lean meat, eggs, lentils, beans, dairy), green leafy vegetables, avoid raw sugar & sweat treats.

Increasing physical activity, and losing weight—should help to lower your blood pressure. If diet and exercise alone do not bring your blood pressure into a healthy range, medications may be necessary to lower it.

Since diabetes increases your risk for cardiovascular disease, including heart attack and stroke, one should pay close attention to factors that can put you at greater risk for heart trouble. These are often referred to as the ABC’s:

  1. Haemoglobin A1c (HbA1c) blood sugar test
  2. Blood Pressure
  3. Cholesterol

 

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High Blood Pressure

Hypertension or High Blood Pressure: The silent killer

Hypertension, or an abnormally high blood pressure, is almost as common as common cold in the present times. However, this abundance is not the worst manifestation of this medical condition. It is rather the fact that it comes and stays without prior warnings, which means there are no specific symptoms to signal its presence. It is a long term medical condition and one can be affected for years without having the knowledge of it.

The fact that it does not announce its presence with symptoms makes it difficult to identify and hence treat. Some people report headaches or dizziness but these can’t be considered as symptoms directly associated with high blood pressure.

There are two categories of Hypertension:

Primary or Essential, where the cause is mostly unknown and symptoms almost absent; and

Secondary, which suggests sustained stage of the same where it is accompanied by additional signs and symptoms. These additional symptoms are of medical conditions that coexist with hypertension, that are also deemed to be the cause of it. The prevalent cause of secondary hypertension is kidney diseases, but hyperthyroidism, hypothyroidism, Cushing syndrome and other endocrine conditions are also potential causes.

Although apparently harmless initially, a prolonged state of hypertension can be damaging in two ways— increased work load on the heart, and its effect on arteries. The increase work load on the heart causes the size of tissue of the cardiac muscles to expand. As the state of hypertension progresses, the heart becomes weaker. This wear and tear ultimately leads to a plethora of hypertensive heart diseases, coronary and peripheral artery diseases, stroke and chronic kidney diseases, causing multiple organ damage.

Like in most medical conditions, hypertension too should ideally be nabbed at the primary stage before it progresses to cause additional damage to the body. Experts advise regular health check-ups to keep track of the blood pressure, especially if you have a family history of hypertension behind you. Although mostly unknown, the following have been loosely considered causes of primary hypertension:

  • Aging
  • Genetics
  • Obesity
  • Lack of exercise
  • Stress
  • Depression
  • Maternal smoking and lack of breastfeeding in women

Nutrition and exercise: The role of well-balanced lifestyle in a condition of hypertension

At the primary stage, the few causes that can be kept in check are obesity, stress, depression and poor choice of lifestyle. The role of nutritional management in keeping a medical condition of hypertension, therefore, is paramount. A gradual weight loss in overweight obese individuals and maintenance of body weight slightly below normal levels is what one should aim for when targeting hypertension at the essential level. Expert-monitored diet plans that are crafted to individual need, coupled with regular aerobic physical activity, like brisk walking and light jogging are instrumental in maintaining a healthy lifestyle so as to check the onset of complications in a medical condition that arrives unannounced but leaves behind damaging consequences.

 

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Gallstones

Gallstones are small stones, usually made of cholesterol, that form in the gallbladder. In most cases they don’t cause any symptoms and don’t need to be treated.

However, if a gallstone becomes trapped in a duct (opening) inside the gallbladder it can trigger a sudden intense abdominal pain that usually lasts between one and five hours. This type of abdominal pain is known as biliary colic.

Some people with gallstones can also develop complications, such as inflammation of the gallbladder (cholecystitis), which can cause:

  • persistent pain
  • jaundice
  • a fever

 

When gallstones cause symptoms or complications, it is known as gallstone disease or cholelithiasis.

 

 

gall

The gallbladder

The gallbladder is a small, pouch-like organ found underneath the liver. Its main purpose is to store and concentrate bile.

Bile is a liquid produced by the liver to help digest fats. It’s passed from the liver through a series of channels, known as bile ducts, into the gallbladder.

The bile is stored in the gallbladder and over time it becomes more concentrated, which makes it better at digesting fats. The gallbladder releases bile into the digestive system when it’s needed.

Causes of gallstones

Gallstones are thought to be caused by an imbalance in the chemical make-up of bile inside the gallbladder. Bile is a liquid produced by the liver to aid digestion.

It’s still unclear exactly what leads to this imbalance, but gallstones can form if:

  • there are unusually high levels of cholesterol inside the gallbladder (about four in every five gallstones are made up of cholesterol)
  • there are unusually high levels of a waste product called bilirubin inside the gallbladder (about one in every five gallstones is made up of bilirubin)

These chemical imbalances cause tiny crystals to develop in the bile. These can gradually grow (often over many years) into solid stones that can be as small as a grain of sand or as large as a pebble.

Sometimes only one stone will form, but there are often several at the same time.

Gallstones are very common. You’re more at risk of developing gallstones if you’re:

  • overweight or obese
  • female, particularly if you’ve had children
  • 40 or over (the risk increases as you get older)

Treating gallstones

Treatment is usually only necessary if gallstones are causing:

  • symptoms – such as abdominal pain
  • complications – such as jaundice or  acute pancreatitis

In these cases, keyhole surgery to remove the gallbladder may be recommended. This procedure, known as a laparoscopic cholecystectomy, is relatively simple to perform and has a low risk of complications.

You can lead a perfectly normal life without a gallbladder. Your liver will still produce bile to digest food, but the bile will just drip continuously into the small intestine, rather than build up in the gallbladder.

Who’s at risk?

Gallstones are more common if you:

  • are female, particularly if you’ve had children, are taking the combined Pill, or are undergoing high-dose oestrogen therapy
  • are overweight or obese
  • are aged 40 years or older (the older you are, the more likely you are to develop gallstones)
  • have a condition that affects the flow of bile – such as cirrhosis (scarring of the liver), primary sclerosing cholangitis, or obstetric cholestasis
  • have Crohn’s disease or irritable bowel syndrome(IBS)
  • have a close family member who’s also had gallstones
  • have recently lost weight (from either dieting or weight-loss surgery)

Preventing gallstones

From the limited evidence available, changes to your diet and losing weight (if you’re overweight) may help prevent gallstones.

Diet

Because of the role cholesterol appears to play in the formation of gallstones, it is advisable to avoid eating too many fatty foods with high cholesterol content.

A healthy, balanced diet is recommended which includes plenty of fresh fruits, vegetables and whole grains.

There’s also evidence that regularly eating nuts, such as peanuts or cashews, can help reduce your risk of developing gallstones.

Losing weight

Being overweight, particularly being obese, increases the amount of cholesterol in your bile, which increases your risk of developing gallstones. You should control your weight by eating a healthy diet and regular exercise.

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lactose intolerance

Lactose Intolerance 

We commonly hear from people of all age groups, particularly children and elderly to be complaining of abdominal discomfort after consuming milk. Some individuals are able to tolerate a small quantity while others are unable to tolerate even a small amount. This could be due to lactose intolerance.

Lactose intolerance relates to insufficiency of the disaccharidase enzyme ‘lactase’ which is found in the greatest quantity in the outer membrane of the mucosal cell of the jejunum. The degree of lactase deficiency may vary in individuals. Lack of lactase does not break down the disaccharide sugar – lactose present in milk, to glucose and galactose, it passes unchanged into the large intestines where it gets converted to lactic acid by the bacteria, which subsequently cause diarrhea and other symptoms of discomfort, distension and abdominal pain. The problem is gene related and often seen in infants and young children commonly, but may also present in adults.

Common Symptoms of Lactose Intolerance include:

Anorexia and nausea, Intestinal distention, Abdominal cramps, Gas and flatulence, severe diarrhea, Under – nutrition and loss of weight.

Diagnostic tests are available to provide information about the level and activity of the lactase enzyme. Depending on the level of activity, the dietary treatment could be planned .

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Ulcerative Colitis: Ulcer of the Colon

Ulcerative colitis is a chronic inflammatory disease of the gastrointestinal (GI) tract, called inflammatory bowel disease (IBD). Ulcerative colitis most often begins gradually and can become worse over time.

Cause of Ulcerative Colitis

The exact cause of ulcerative colitis is unknown. Researchers believe the following factors may play a role in causing ulcerative colitis:

  • overactive intestinal immune system
  • genes
  • environment

Signs and Symptoms

The most common signs and symptoms of ulcerative colitis are diarrhea with blood or pus and abdominal discomfort. Other signs and symptoms include

  • an urgent need to have a bowel movement
  • feeling tired
  • nausea or loss of appetite
  • weight loss
  • fever
  • anemia—a condition in which the body has fewer red blood cells than normal

The symptoms a person experiences can vary depending on the severity of the inflammation and where it occurs in the intestine.

People who have ulcerative colitis for 8 years or longer also have a greater chance of getting colon cancer. The longer you have had ulcerative colitis, the greater your risk

Everyone is different, (different tolerances, different likes and dislikes, different locations for their disease in the GI tract), nutritional approaches must be customized to fit every individual.

When you are in remission, you can best help yourself by eating a well-balanced diet. There is no need to avoid any particular kind of food or to follow a restrictive diet. However, there are certain foods that people find harder to digest, such as foods containing insoluble fibre, seeds and nuts, and raw fruits and veggies.

During a flare-up, you may want to modify your diet to avoid aggravating an already sensitive gut. There are certain things that you can to do help you through an acute flare up.

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