DIET WHAT IT REALLY MEANS!!!!!!!!

Sunday, 10 November 2013

Screen out diabetes in pre-diabetes state.

Screen out diabetes in pre-diabetes state

India is fast becoming the world diabetes capital….hence…. it is very important to screen out diabetes in pre-diabetes state.

Prediabetes is a condition where blood glucose levels are higher than normal, but not high enough to be called diabetes. It is often described as the “gray area” between normal blood sugar and diabetic levels. While in this range, patients are at risk for not only developing type 2 diabetes, but also for cardiovascular complications.

Screening
Fasting plasma glucose screening should begin at age 30-45 and be repeated at least every three years. Earlier and more frequent screening should be conducted in at-risk individuals. The risk factors for which are listed below:

- Family history (parent or sibling)
- Dyslipidemia (triglycerides > 200 or HDL < 35)
- Overweight or obese (body mass index > 25)
- History of gestational diabetes or infant born with birth weight greater than 9 lb (4 kg)
- Hypertension (systolic blood pressure >140 mmHg or diastolic blood pressure > 90 mmHg)
- Prior fasting blood glucose > 99
- Known vascular disease
- Markers of insulin resistance (PCOS)

Diagnosis
Prediabetes is usually diagnosed with a blood test:
- Fasting blood sugar (glucose) level of: 100 to 125 mg/dL

- Two hour glucose tolerance test after ingesting the standardized 75 Gm glucose solution the blood sugar level of 140 to 199 mg/dL (7.8 to 11.0 mM).

- Glycated hemoglobin between 5.7 and 6.4 percent

Levels above these limits would be a diagnosis for diabetes.
Pre-diabetes raises short-term absolute risk of Type 2 diabetes five to six fold, and in some populations this maybe even higher.

Management
Persons with prediabetes actually have the same complications as persons with diabetes—only less frequently.

The preferred treatment approach for all the abnormalities of persons in this group is intensive lifestyle management.

Intensive weight loss and lifestyle intervention, if sustained, can substantially improve glucose tolerance and prevent progression from IGT to type 2 diabetes.

Persons with pre- diabetes should reduce weight by 5-10 percent with long-term maintenance at this level. Even modest weight loss (seven to ten percent of body weight) results in decreased fat mass, blood pressure, glucose, low density lipoprotein, and triglyceride levels. A program of regular moderate-intensity physical activity for 30-60 minutes daily, at least five days a week is recommended.

ALL THE INDIVIDUAL AT RISK …..ACT NOW,,,,GO GET URSELF TESTED TODAY…..N PREVENT THIS SILENT KILLER.

Mrs Shilpa Mittal
Nutritionist and Diet Consultant
Founder Shilpsnutrilife - Diet and lifestylemakeover

Thursday, 7 November 2013

Eating too much protein and not enough carbohydrates

Eating too much protein and not enough carbohydrates.

The “low or no” carbohydrate diets are very popular and many people try to replace carbs in their diet by high protein foods. But carbohydrates are essential as they have PROTEIN SPARING ACTION.

The main function of the carbohydrate is to provide energy and the main function of protein is growth, building, repair wear n tear and thus maintain the body. But if sufficient amount of carbs are not consumed (like high protein low carb diet) proteins are used by the body for energy purpose. Proteins might be an expensive source of energy as compared to other energy sources such as carbohydrates or fats

So, adequate amount of carbohydrates in our diet supplies required energy to the body and thus proteins are spared for muscle building and repair rather for energy purposes.

Athletes cannot go on low carb, high protein diet as there are chances of losing lean body mass. Since carb will be low , amino acids will be used to provide energy. Hence in their diet carb form an essential component which will spare the protein to help in building and repair of muscles.