Diabetes

Description

Diabetes Miletus is one of the rapidly emerging endocrinal disorder globally, in which blood glucose or blood sugar levels is found to be elevated to higher than normal levels in the body. This usually happens because of no or insufficient amount of insulin produced by your pancreas. Insulin is a hormone secreted by pancreas which helps in converting the body’s glucose into the form of energy and because of malfunctioning of pancreas the body is unable to utilize the produced insulin.

Symptoms that are observed in people having diabetes are

  • Excessive thirst

  • Frequent urination

  • Increased appetite

  • Dry mouth

  • Tiredness

  • Blurred vision

  • Tingling of hands, feet

  • Dry & itchy skin.

The exact cause of diabetes is unknown. But factors such as family history, overweight, physical stress, high blood pressure, injury of pancreas, age and history of gestational diabetes may increase the risk of diabetes.

Types of diabetes

Type – 1

Type 1 diabetes is caused when body’s immune system starts attacking pancreas and results in no production of insulin. This is also known as “juvenile diabetes” or “insulin dependent diabetes” depending upon the age and onset of people living with diabetes. People with type 1 diabetes have to take insulin every day. Children (age) need support from their parents/ teachers/ nurses.

Type – 2

In type 2 diabetes either pancreas makes insufficient amount of insulin or body is incapable of utilizing the produced insulin due to the phenomenon called Insulin resistance. Majority of people diagnosed with endocrine disorder of insulin origin usually are from the type 2 category. With the increase in diabetic cases, it is evident that the onset of this condition can occur at any age but people above 40 are more prone to type 2 diabetes. People around the globe are managing type 2 diabetes effectively by complying to a combination of medicines, balanced diet along with daily physical activities.

Prediabetes

In prediabetes, blood sugar levels are slightly raised and higher than normal, but yet not as high enough to fall under any diabetes category. Prediabetes increases the risk of progressing into type 2 diabetes in the next 5-7 years almost in 90 percent cases. If not arrested at the right time the gradually accumulated levels of glucose in the blood may result in serious problems. It can directly affect your eyes, kidneys, nerves and heart. Unmanaged diabetes can also lead to strokes and removal of limb in some extreme cases.

This category is also known as “borderline diabetes” and people who take necessary precautions and already start with low glucose balanced diet along with exercises often delay or prolong the disease for as long as 10-15 years. Read more to know the right way to deal with borderline diabetes.

Gestational diabetes

High blood glucose levels detected during pregnancy is known as gestational diabetes. Usually gestational diabetes with minimal management will go on its own after post-delivery. However, in some cases the onset starts from gestational diabetes with an increased risk of life-long type 2 diabetes later in their life.

LADA (Latent autoimmune diabetes in adults)

Latent autoimmune diabetes is slow progressing form of auto immune diabetes (type1) which is often lately detected and misdiagnosed even by medical practitioners because people with LADA exhibit the symptoms of type 1 and type 2 both.

Usually, due to misdirected diagnosis people with latent autoimmune diabetes do not take insulin for several months, even upto years leading to a chronic progression of this disease. Researchers believe and give LADA a special category of type 1.5 diabetes which requires insulin therapy to manage this condition. Extensive research is in progress globally to establish the best way to treat LADA. However, presently LADA can be managed effectively by controlling blood glucose levels along with low carbohydrate diet, losing excess body weight, exercising regularly and complying with oral/injectable diabetes medications. But as your body gradually loses its ability to produce insulin, you'll eventually depend on insulin shots.

Global and indian data

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Myths & Facts

Myth – Consuming sweets in excess amounts is the main cause of diabetes.

Fact – This is one of the common myths among everyone. Consuming high sugar foods doesn’t make you diabetic in one 1-2 days. Diabetes is caused when your body is not producing insulin in required amounts for a certain span of time. Factors such as lifestyle, stress and genetics may trigger the onset of diabetes. However, after getting detected with diabetes consuming these kinds of foods are restricted as these foods will only spike your blood sugar levels unnecessarily.

Myth – People with diabetes should bid bye to sugar completely.

Fact – No, like everyone people may consume sugar but in very little (permissible) amounts. Because even normal food contains natural sugars, one should consume a balanced diet which includes sugar in minimal amounts. Further, one should remember to carefully monitor their carbohydrate and sugar intake as it is important in managing diabetes because of its potential impact on blood glucose levels, or sugar levels. According to medical experts, people with diabetes can still have sweets & chocolates in certain occasions as long there are managing diabetes well.

Myth – When you are taking diabetic medication you can eat whatever you want.

FactTaking diabetes medication doesn’t mean that you have free reign to eat what you want or as often as you want. Along with the consumption of prescribed medicines, one should follow healthy diet in order to keep your sugar levels in control. Regular eating of unhealthy foods or oversized portions may avert your medication from doing its job.

Myth – life will not remain same after diabetes, such as travelling, holidays and sexual life will be badly affected

Fact – With the medical advances, life after diabetes can be equally healthy & enjoyable. There are travelling kits available online or a store near you where you can stock up all your diabetes medicines/insulins/ pens and cartridges so that diabetes does not come in your way of travelling and holidays.

As far as sexual life is concerned, majority of people with diabetes have a healthy sexual life without any medical intervention. However, both men and women may experience sexual dysfunction if diabetes is not managed properly. Good news is that good control of blood sugar levels not only helps in proper hormones secretion but also lowers the problems of erectile dysfunction in men and lubrication/arousal dysfunction in women. In case of any sexual dysfunction do not hesitate to speak with your doctor.

Myth – Once I have diabetes, I will have to take insulin injections

FactIf your sugar levels are under control with oral medications and lifestyle changes you are not required to switch over to insulin. However, if your sugar levels are erratic and uncontrolled despite oral medicines then your doctor may insist to put you on insulin injections to save from other co-morbid conditions due to diabetes. With special reference to people with type1 diabetes, they have to be on insulin supply externally as their own body stops producing insulin.

Myth – People with diabetes are more prone to illnesses.

Fact – This is not true. People with diabetes are not more prone to colds or other illnesses. The truth is that any illness along with diabetes can make the management of blood glucose levels difficult, which may result in severe illness or infection. Prevention of illnesses such as flu is particularly important and therefore flu shots are advisable for diabetic patients.

Myth – Diabetic patients cannot play sports or exercise

Fact – This is a complete myth. There are numerous world-famous sportsperson’s who are living with diabetes and doing exceedingly well in sports. Even more, it is compulsory for people with diabetes to exercise regularly in order to maintain weight, blood glucose levels and live a healthy life for at least (45mins- 60mins). However, there are some factors which should be considered before taking part in sports and undertaking heavy exercise regimes because of episodes “hypoglycaemia” (sudden dip in blood sugar levels). If you are feeling tired, blurred vision and fatigued don’t force yourself immediately stop and take rest and still if you continue to feel the same pop in a sugar candy or reach out to the nearest clinic.

Myth – Obese people are more likely to develop type 2 diabetes.

Fact – Yes, being overweight is one of the risk factors for developing not only diabetes but also other ailments such as arthritis & heart problems. But there are other risk factors along with obesity which play an important role such as lack of physical activity, diabetic- family history, ethnicity, and age which makes a person more susceptible to faulty or no secretion of insulin. Unfortunately, the myth that obesity is the key factor of diabetes is not true for many people as people weighing normal or slightly overweight can also contract type1 & type 2 diabetes. Hence alone obesity cannot be blamed.

Myth- Children with diabetes cannot lead a normal life just like other children

Fact- Children with juvenile diabetes can very much live a normal life just like other children, they just need to be informed about their condition. There school teachers, staff members and nurses need to be kept informed about their Do’s and don’ts. Additionally, medicines/injectables, candies and 3 small tiffin’s need to be provided to them so that they do not face hypoglycemic events (sudden low blood glucose levels). Daily moderate physical activities and sunshine will always keep them fit and healthy.

Myth – Diabetic patients have more chances to get blind and leg amputated

Fact – Research hints that diabetes is one of the leading causes of blindness and many amputations each year. However, if people with diabetes can maintain controlled levels of blood pressure, glucose, weight and quit alcohol & smoking then they will have increased chances of living a complication free life. One can also reduce their risk of blindness and amputation by attending routine diabetic health check-ups every 3-4 months. Important point is that any unhealed wounds and blurry vision or hazy vision are to be notified to a doctor immediately for avoiding irreversible medical conditions.

Myth – Fruits are healthy, so people with diabetes can consume fruits as much as they like

FactFruits contain natural sugars, carbohydrates, and they do raise blood glucose levels. Glycaemic index of each fruit needs to be taken into consideration when choosing them. However, some fruits like mango, banana, grapes papaya are to be consumed in moderation only, as they have slightly higher glycaemic indexes. Exceeding moderated amounts will lead to spiking of blood sugar levels which is harmful in diabetes management.

Test to be done

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Treatment/Top drugs

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Preventive home tips

Preventive home tips

Diabetes is a lifelong condition and it is easy to say that it can be managed well. We all know that lifelong conditions require high amount of self-control, discipline and medicinal compliance along with managing blood sugar levels as recommended by the doctor. However, there are some excellent home care tips by which we can prevent conditions from exponentially getting worse and unmanageable.

Easy Tips to manage symptoms of diabetes

Frequent urination

Frequent urination with special reference to nocturnal urination are one of the most primary observed symptoms of diabetes. This is because the excessive deposition of glucose in the blood of a diabetic person, urges them to urinate more often than people with normal blood glucose levels, as the kidneys are forced to get rid of the excess deposited sugar and toxins. Due to this condition, the volume and frequency of urination increases.

Tip to manage:

  • Limit foods & beverages with diuretic properties (substances that increase urine output) such as tea, green tea, coffee, parsley & beer. Specifically, not exceeding 40ml per day

  • Incorporate Kegel exercises in daily routine, these exclusive exercises are known strengthen weakened or affected bladder and pelvic muscles.

  • Schedule water intake to avoid over hydration and frequent urination.

  • Do not exceed more than 1.5 glasses of water (120 ml) within an hour.

  • Try & drink limited quantity of water after 9 pm this will limit night time urination and promote sound sleep.

Unusual thirst

Excessive sugar deposition in blood of a diabetic person is responsible for the unusual thirst & feeling of dehydration, which makes them feel thirsty all the time. Additionally, frequent urination and excessive thirst are often coupled together as co-existing symptoms. Simultaneously, as the water intake increases the output also increases.

Tips to manage:

  • Incorporate watery fruits and vegetables in diet like cucumber and watermelon they not only replenish fluids in the body but also provide fibrous component too.

  • Infuse slices of lemon and few leaves of mint in water and sip it on throughout the day. This has dual benefits; one is it has ability to manage thirst and secondly, this water can effectively detox the accumulated toxins too.

  • Avoid snacking on salty or spicy processed foods, which further aggravates thirst and raises blood sugar levels.

  • Drinking chilled water actually increases more thirst while it gives a sigh of relief. Hence it is advised to lower the consumption of chilled water and beverages and drink more fluids in room temperature to quench adequate amount of water requirement in the body.

  • Dry mouth and chapped lips are to be moisten with frequent sips of lukewarm water in a cup which can hugely help to reduce dry mouth and thirsty conditions in people with diabetes.


 

Fatigue

During endocrine disorders such as diabetes, people may feel tired or fatigue. However, there is difference between tiredness and fatigue. People often mistake tiredness with fatigue, while tiredness goes away after adequate resting and fatigue remains even while you have rested properly.

Fatigue in diabetics is primarily caused due to the swing from spiking of blood sugar levels such as too high or too low levels of glucose in blood, or some other medical co-existing conditions. The person may experience dizziness, blurred vision, blackouts and extreme tiredness. The above symptoms often disrupt normal day to day functioning hence, to avoid fatigue and hypoglycemic events (sudden dip in blood glucose levels) the below tips can come very handy.

Tips to manage:

  • Keep a check on carbohydrate intake and avoid simple carbohydrates as much as possible such as white rice, refined flours and bakery items.

  • Including cardio exercises in daily regime with sustainable levels of activity can help in managing fatigue to a greater extent. Caution; you are recommended not to overdo vigorous exercises such as running, gymming and weightlifting.

  • Avoid late night dinners as they may result in a buildup of excess sugar levels in the blood.

  • Combat fatigue and tiredness by sipping a glass of water as sometimes dehydration may result in fatigue and tiredness.

  • Make sure to have at least 8 to 9 hours of sleep, to avoid tiredness and fatigue.

  • Keep a candy, glucose powder always handy & ready in case of sudden hypoglycemic events (dip in sugar levels).

  • Lifestyle changes such as early waking up patterns along with yoga or brisk walking in the morning has hugely helped people with diabetes to overcome fatigue and lethargic feeling.

Recommended exercises/physiotherapy

Exercise will make the body to utilise insulin effectively and increases insulin sensitivity. Moderate activity on daily basis in diabetic patients is known to increase insulin sensitivity and boost up metabolism.

Aerobic: Exercises are the most recommended exercises for people with diabetes as they are known to increase insulin sensitivity and helps the body to utilise produced insulin effectively. Also, they can effectively manage stress hormones like adrenaline and cortisol. The most commonly advised aerobic exercises are

Walking: Brisk walking for about at least 30 minutes a day has been proved to reduce high glucose levels effectively. In addition, brisk walking can also improve heart health, posture and can improve metabolic rate. If your tiredness/ fatigue is not letting you to brisk walk, a normal walk for about 2 to 3 kms per day is generally recommended. A point to be mentioned is most people claim that they are unable to walk because of fatigue, but it should be noted that, exercising/ walking regularly increases stamina and reduces fatigue.

SWIMMING: Swimming is one of the best aerobic exercises, which is mostly underrated, but if practiced and implemented on regular basis, it is one of the best exercises, which can keep all diabetes related complications at bay. In the initial days of practice, it is advised not to stretch more than 10 minutes but after proper implementation of this into daily routine, the time span can be increased to 30 minutes a day. Swimming can be done for 3 to 4 days a week. But as a precautionary note, it is advised to let the coach/ guard know that you are diabetic and always keep a diabetic friendly snack handy.

YOGA:Yoga is one of the simplest and easy ways to keep blood glucose levels in control. Yoga is not merely asanas, it’s a connection between body and concentration ability. It not only improves physical health, but also improves mental stability along with overall health. To some extent, it can aid in weight loss thus helping diabetics in shedding extra pounds which facilitates the regulation of sugar levels.

Aasanas mostly recommended:

Vrikshasana(tree pose)

Naukasana( boat pose)

Dhanurasana (Bow pose)

Halasana (Plough Pose)

Ardha Matsyendrasana (Half Twist Pose)

Kapalbhathi

https://timesofindia.indiatimes.com/life-style/health-fitness/fitness/4-yoga-poses-for-diabetes/articleshow/44924046.cms

DANCING: The word exercise itself is tiresome, but have you ever thought of incorporating dancing as an exercise in your daily routine? Dancing is one of the best aerobic exercises, which can burn up to 150 to 200 calories in just 30 minutes. In addition, a playlist with catchy beats will never let you feel tired during the exercise. Different dance forms like Zumba, salsa, bhangra are being recommended by leading doctors worldwide to control various health complications including diabetes.

JUMPING ROPE: Many of us believe in hitting the gym at least thrice a week is the only option left to us, to regulate metabolism. But we often deny jumping rope, which was one of our childhood games. Jumping rope has been proven to rev up metabolism, thus keeping a check on blood glucose levels. Always start with minimal counts and gradually increase the number and duration. Jumping rope also improves cardiovascular health.

https://health.clevelandclinic.org/5-best-exercises-for-people-with-diabetes/

http://www.diabetes.org/food-and-fitness/fitness/types-of-activity/what-we-recommend.html

Herbal medicine(Ayurveda)

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Top best/worst foods

Maintaining blood sugar level is easier said than done especially when you have been maintaining it for five years and more. But the only way to success in managing the condition better is “timely consumption of right and well- balanced foods”. The most essential to control blood sugar levels.

It has been observed that people with diabetes have an increased risk of developing other diseases such as (Hypertension, Thyroid, Heart diseases, Liver diseases, PCOD, Kidney disorders and Cancer)

So, here’s a list of foods which may help to maintain good control of blood glucose levels. However, point to be noted even eating the below foods in excess amounts may lead to spike in sugar levels along with high calorific intake which may contribute to weight gain making the body prone to other co-morbid conditions.

Fatty fish/Omega supplements- We call them fatty fish because they contain generous amounts of omega 3 fatty acids (EPA & DHA). Tuna, salmon, mackerel, sardines, herring & Hilsa, Vetkki, Rawas, katla and Rohu comes under Indian freshwater fatty fish. EPA is good for skin and DHA is extremely beneficial for brain and eye function.

For vegetarians with diabetes flaxseeds, pumpkin seeds and omega supplements are good sources of omega 3 to support good functioning of heart, liver, intestines, and skin.

Egg- As we know that egg is the richest & inexpensive source of high biological value protein as compared to other protein sources. Eggs are one of the highly nutritious food that also contains some further beneficial nutrients such as vitamin A, D, K, lutein, selenium, potassium, biotin, choline and folate.

Diabetic person should consume 1 whole egg or 2 egg whites daily, but they are recommended not to exceed more than 1 whole egg. This is because maintaining sugar levels as well as cholesterol level is very valuable for person suffering from diabetes, as egg yolk contains high amount of cholesterol that raises the risks of various cardiovascular disease.

Nuts- Nuts are super foods that are highly beneficial for all when consumed in moderation. They contain lots of dietary fibers which absorb the carbs slowly and reduces the risk of hyperglycemia and hypercholesterolemia. Though they are slightly expensive but are packed with plenty of powerful nutrients such as protein, unsaturated fatty acids, vitamins especially Vitamin E, minerals magnesium.

For people living with diabetes unfortunately, consuming all kinds of nuts in more than required amounts is not a wise decision. Some nuts like almonds, walnuts, pistachio, cashew nuts and peanuts when consumed in excess specially the fried & salty form can spike sugar levels and do more harm than good. Hence, 10g of each variety or 10-12 in number mixed nuts is the max allowed in each day.

Berries/Blueberries- Blueberries have many valuable effects for overall health, especially in diabetes. Blueberries contain fiber, Vitamin C, E, K, potassium, magnesium, iron, calcium, folate & antioxidants. The glycemic index of 100 gm blueberries is almost half of one, single potato. Blueberries also reduce bad cholesterol, triglycerides, abdominal fat, hypertension and the risk of cancers. However, in India blueberries are subject to availability only during specific seasons only.

Oats/Dalia- Dalia is also called broken wheat, it is very delicious, nutritious, and quick to prepare meals. We can make it as per our choice and taste like sweetened with milk & nuts, salty, spicy with lots of vegetables and pulses. It contains extensive amounts of fiber, carbs, vitamins and minerals (manganese, magnesium, iron etc). Dietary fiber in it helps to reduce the risk of heart diseases, obesity, constipation, cancer etc.

Broccoli- Broccoli is a highly nutritious cruciferous vegetable it is loaded with antioxidants, a good source of fiber, Vitamin A, B, C, E, K, iron, potassium, zinc, magnesium, calcium and a sulfur-containing plant compound sulforaphane. Raw broccoli has more sulforaphane than cooked one but having said that raw broccoli can also be harmful to take directly because of microscopic pests and unknown pesticides. You are highly recommended to sauté and boil broccoli in all forms before consumption. Broccoli never elevates blood glucose levels don’t have high impact on blood sugar, and they are integral for diabetic person.

Fenugreek seeds- These tiny seeds are filled with many essential nutrients that have useful benefits in various chronic health conditions such as diabetes mellitus, hypertension, heart diseases, digestive problems and cancer.

Fenugreek seeds are rich source of soluble fiber, vitamins, minerals and antioxidants, it helps to boost breastmilk production in lactating women and testosterone levels in men people with diabetes can consume either 1-2 teaspoon orally in direct or in powder form. Fenugreek seeds dipped in water especially overnight is also highly beneficial for people who cannot consume it seeds/powder directly. You are recommended not to exceed more than 1-2 teaspoon per day as it can cause stomach upset.

Chia seeds- Chia seeds are low in carbs & high in fiber which helps in reducing blood sugar, high blood pressure levels, and further it prevents from constipation and inflammation. Chia seeds are also good sources of protein, calcium, phosphorus, manganese, iron, omega 3 and antioxidants. Hence, consuming chia seeds thrice in a week (not more than 1-2 teaspoon in water, curd and smoothies.

Beans- Beans are miraculous power food which are low in carbohydrates & best choice for diabetics without any complications. Beans are a must for vegetarians because of their high protein quality and low glycemic index. These are also the rich source of lean protein, dietary fiber, potassium, magnesium, iron & vital vitamins. Nutritional constituents of beans vary from one variety to other depending upon topography.

Sattu- Sattu is made by combination of 3 portions of roasted Bengal/ground gram (Chana) and 1 portion of whole wheat (geehu). It is highly rich in fiber and low in glycemic index. This is one of the cheapest readily available summer drinks famous in rural and semi-urban area to cool down the body and especially have many health benefits especially for diabetics. High amount of fiber in sattu helps in constipation, digestion, acidity, detoxify the body, reduces the risk of cancer, diabetes and heart disorders.

Worst foods

  1. Sugar- This is a myth that a diabetic person should completely be off sugar. Sugars are not only added in tea, milk and sweets but they are also naturally found in foods. There are 2 types of sugars simple and complex sugar. Both sugars belong to the carbohydrate family. Simple sugars like table sugar, fruit sugar, milk sugar etc and complex sugars like sugar presents in fibrous vegetable, legumes and whole grains. However, consumption of complex sugar is better than simple sugars because they have more nutritive properties along with slow glucose release in the blood than compared to simple sugars.


 

  1. Bakery items/ Refined flour- Refined white flour also known as “maida” in the local market. All necessary nutrients such as protein, fiber, vitamins and minerals are lost during the making & processing of “maida”. Refined flour is found to be very high in glycemic index and food products such as cakes, pizza, cookies, burgers made from it release rapid and huge amount of sugars or glucose into our bloodstream which spike blood sugar levels highly. Pancreas secrete insulin (an hormone) to keep blood sugar at safe levels, however, if insulin levels are faulty then the body undergoes hyperglycemia (high blood sugar levels).


 

Regular consumption of refined flour food items forces the pancreas to do extra efforts in producing insulin making it very difficult for people with diabetes to digest food easily. Additionally, the frequent intake of products like cakes, puffs, pastries, pizza, noodles, Maggie, biscuits lead to weight gain imposing risk of uncontrolled diabetes and cardiovascular diseases.


 

  1. Artificial sweeteners- We often rely and depend on commercially available sweeteners, but did you know very few artificial sweeteners are approved by FDA (Food and drug administration) for daily consumption? They can do more harm than good if taken daily without knowing about them. Some of them are found many times sweeter than normal sugar & needed in very small amounts to make foods taste sweet. Hence before you buy any sugar replacing sweeteners check the origin (chemical or plant), labels and calorific counts before consuming. It is recommended to buy products which are plant based and natural in constituency. To be noted that fizzy drinks, packed fruit juices, sauces, and candies may contain artificial sweeteners which pose to be sugar friendly.


 

  1. Fast foods with preservatives- The truth that fast foods like pizza, burger, sandwich, biscuits, noodles etc. all are not only high in calories, sodium(salt), sugar (processed carbohydrates), fat (trans and saturated fat) but also low in essential nutrients such as fibers, vitamins & minerals.

Habit of eating fast food majorly can lead to diabetes, heart disorders, hypertension and obesity. Here are some popular food preservatives used in making these processed foods such as monosodium glutamate, sodium nitrite, artificial sweeteners, Sodium benzoate etc which are very harmful for the nervous system and overall functioning of the body.

Recipes

Sprouty tikki/ cutlet

Ingredients

Green Moong Sprouts- 2cups

Brown chana sprouts- ½ cup

Onion- 1 medium (finely chopped)

Spring Onion Greens- ¼ cup finely chopped

Ginger-garlic paste- 1tsp

Green Chilli- 1 finely chopped

Coriander leaves- 1 tbsp chopped

Coriander Powder- 1tsp

Garam masala powder- ½ tsp

Black pepper- ½ tsp

Turmeric powder- ½ tsp

Black salt- ½ tsp

Salt- ½ tsp (as per taste)

Cooking oil for shallow frying

If needed use corn flour/ gram flour to bind paste.

Methods-

  1. In a big bowl add whole moong and chana soak overnight with enough water or for 5 hrs.

  2. Drain all the water and keep it in a muslin cloth or in an airtight box for 4-5 hrs.

  3. Transfer soaked sprouts in a blender jar, blend the sprouted moong and chana along with little water and make smooth paste.

  4. Shift it in a bowl and add all the ingredients combine well.

  5. Take small portion of paste and roll out into small ball then press it by palm to give tikki shape.

  6. Make all the tikki to use same method.

  7. Heat non-stick flate pan with very little oil place all the tikki’s and cook till they turn golden brown in color from both the sides.

  8. Serve hot with green homemade chutney. Avoid sauce, pickle or any processed chutneys.


 

Fruit salad with seeds- (Find image)

(Preparation time- 10-15 mins)

Ingredients

Red/green apple- ½ (roughly chopped)

Pomegranate seeds- ½ cup

Pineapple- 1 slice(chopped)

Pears- ½ (chopped)

Fresh guava- ½ (chopped)

Papaya - only 4-6 small pieces or 1 slice (optional)

Kiwi- ½ (peeled & chopped)

Strawberries- ½ cup (chopped roughly)

Black berries- ½ cup

Blueberries -5-7 (little ripped) (optional)

Sesame and flaxseeds- 1-2 tsp

Pumpkin- sunflower seeds- 1-2 tsp

Chat masala- 1tsp (Optional)

Rock/black salt- 1tsp

Method

  1. Remove seeds from the fruits such as apple, papaya, pear, blueberries.

  2. Roughly cut all the fruits and transfer it to a big bowl.

  3. Add pomegranate seeds and sprinkle chaat masala (if using) and salt, toss well.

  4. Add fresh curd if desire or serve directly.


 

(Fruits to be avoid- Portion size of any fruit should be restricted by the person living with type 1 diabetes. 100-120 gms per day of suggested fruits is considerable for diabetic person whose sugar level is less than 200mg/dl. OR Diabetic person who is having maintained blood sugar level or less than 200 mg/dl can consume 100-120 gms of suggested fruits. If blood sugar level is more than 300mg/dl than all fruits even suggested fruits also should be totally avoid for specific period of time.

Fruit juice spike blood sugar level quickly which can lead to hyperglycemia or can provide bad effects to other organs. So please avoid any fruit juice especially if sugar level is more than 150mg/dl.

Suggested fruits- Apple, plum, peaches, pears, orange, musambi, kiwi, avocado, all berries. Papaya, pineapple, watermelon in moderation amounts or 1 medium slice in a day.


 

Karela lemon juice with an exciting twist

(Preparation time- 45-50 mins)

(find image) only getting karela juice pics

Ingredients-

Bitter gourd (karela)- 1 medium

Red/green apple (roughly chopped)- 1 medium (1 cup)

Lemon juice- 2-3 tsp

Cucumber- ½ cup (chopped)

Mint leaves- 8-10 leaves

White salt- 1-2 tsp (to marinate)

Black/ rock salt- 2 pinch for juice

Black pepper- 2 pinch

Water as required

Method-

  1. Peel roughly the bitter gourd green outer skin (if desire) and wash properly.

  2. Remove all the seeds (if they hard) from inside and cut remaining part into small pieces.

  3. Marinate with salt and lemon juice keep it aside for 25-30 mins.

  4. Wash marinate bitter gourd with fresh water for 2-3 times. Strain all the water.

  5. Now combine all the ingredients in a blender along with 1 cup of water. Blend it properly.

  6. Strain the juice to remove all the solid parts. Serve chilled juice in a glass with ice cubes.


 

Chicken soup