Professional Documents
Culture Documents
Vol 6 No 2
60
Annual testing
www.diabeteshealth.co.in
June - July 16
MISSION
Editor
Dr A G Unnikrishnan
Publisher
W P Vasandani
Editorial Consultants
Dr M K Mandal
Mr Vandan Agarwal
Dr Imtiaz Hasan
Dr Rajesh Javherani
Dr Vedavati Purandare
Dr Anjali Bhatt
Dr Manish Bothale
preventive measures
Dr Reina Khadilkar
Dr Abhijit Joshi
Dr Ashok Gavande
Foot Care Specialist:
K V Kavitha
Diet & Nutrition:
Gauri Kukade
healthcare management
Priya Chaudhari
Fitness & Lifestyle:
Gouri Ambardekar PT
Assistant Editor
Sunila Kelkar
Sub Editor
Spandana Birajdar
Designer
Milind Joshi
This magazine provides general news, opinions, information and tips for
health and well-being pertaining to Diabetes. It is advisable to consult with
a practicing physician before making any changes to your healthcare
routine. The views expressed in the articles are of the authors, and not of
the Publisher. No representation is made or warranty given (either
expressed or implied) as to the completeness or accuracy of the
information contained. Readers should verify the information and
wherever necessary consult with their doctor before they act on it. Diabetes
Health does not necessarily endorse the products advertised in the
magazine and accepts no liability for any direct or indirect loss arising
from the use of the information and the material contained in the
magazine.
Contacts:
Editorial :
Sunila Kelkar
editorial@diabeteshealth.co.in / 020 6683 9777 Ext: 714
Advertising :
Dr Ashok Gavande
advt@diabeteshealth.co.in / 022 6635 5600 Ext: 106
Just diagnosed
I'm 22 years old and
was recently diagnosed
with Type 1 Diabetes.
On reading your
April-May'16 issue, I
found that the
magazine focuses
on Type 2
Diabetes. I would
be grateful if you
could share
more
information on
Type 1
Diabetes. I
also feel that
the language
should be made simpler for
patients to understand the disease
and motivate them to overcome it.
Shikha Gupta, Mysore
Dear Shikha,
We will certainly try to bring you more
information on Type 1 Diabetes. In
our next issue do check out our expert
view on Type 1 Diabetes. Also, if you
do have specific questions drop us an
email anytime!
- The DH team
- The DH team
Dr A G Unnikrishnan
Editor
COVER STORY
Testing is important
10
PEOPLE
Coming to terms with your diagnosis
36
Being responsible!
DIABETES CARE
Managing Diabetes in your day-to-day life...
42
EDUCATION
62
30
NUTRITION
Eat smart, eat healthy and enjoy life!
50
Recipes
46
News
74
75
FITNESS
56
61
DIAB-E-TECH
A special column detailing the latest technology to
improve fitness
Health Predictions
Health Bytes
alth
iabetes He
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REGULAR
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JUN-JUL 16 DIABETES HEALTH 05
NEWS
Statins therapy
NEWS
NEWS
Protein power
Diets high in proteins have shown beneficial
effects on maintaining glucose levels in
short-term trials; and thus, have been
suggested as potential strategy in people
with Type 2 Diabetes. However a new study
published in the American Journal of
Epidemiology has shown that increased
intake of protein, especially animal
protein, increases the risk of Type 2
Diabetes. The study investigated a total of
4,146,216, of which 15,580 cases developed
Type 2 Diabetes. The intake of total, animal
and vegetable protein was calculated for
each individual. It was observed that
participants who consumed a greater
amount of animal protein were at a higher
risk of Type 2 Diabetes, whereas the intake
of vegetable protein reduced the risk of
Type 2 Diabetes. Also, substituting
vegetable protein for an equal exchange of
Pain treatments
COVER STORY
A silent killer
Mr Shah (name changed) had Diabetes for
many years, but since last year he had
severe cramps in his feet while walking. He
also experienced numbness or tingling
sensation in his legs and feet.
Mr Fernandez (name changed) has had
Diabetes for three years. He recently found
out that his neighbour had a silent heart
attack. The idea of a silent heart attack
sounded frightening.
Mrs Tripathi (name changed) had gestational
Diabetes which later led to a diagnosis of
Type 2 Diabetes. A routine urine test has
shown the presence of slightly higher levels
of albumin (protein).
Often times, there is a misconception
amongst people who have Diabetes - all you
HDL Cholesterol
ECG/ Treadmill test
HbA1c - <6.5 %
Hemogram
Vitamins B12, D3
BMI test
The measurement called Body Mass
Index(BMI) is ordinarily used to find out if
someone is underweight, a healthy weight,
or overweight. BMI takes into account your
weight and height and is in general, a good
indicator of how much body fat you have.
This is a key factor to determine whether or
not your weight is likely to affect your health.
The easiest way to measure body fat and
gauge obesity is to calculate body mass
index (BMI).
Monofilament test of
the feet
This inexpensive test determines
whether the person is at the risk
of developing a neuropathic
ulcer. During testing, a filament
is pressed on specified parts of
the foot. As the filament bends
it exerts a pressure of 10 grams
on the area of the foot where it
has been pressed. Lack of
resulting sensation indicates
that the person has lost
sensation in that part of the
foot.
Blood Tests
HbA1c
One of the most important
interventions in Diabetes
treatment is early diagnosis and
rapid corrections of blood sugar,
and more importantly
diagnosing the pre-diabetic
population (those with borderline blood
sugars but not in the diabetic range). The
HbA1c is a blood test which gives average
blood sugars of past 3 months. It can never
be overemphasized that a person with
Diabetes should regularly check his or her
HbA1c and maintain it at a level as advised
by the doctor. If done every 3-6 months it
gives information regarding the blood sugar
control and indicates if patients have
regularly been taking medicines.
Normal: <5.7 per cent
Pre Diabetes: 5.7-6.4 per cent
Diabetes: > 6.5 per cent
The advantage of HbA1c test is that it can
Serum Creatinine
Serum creatinine blood test indicates how
well your kidneys are working. Creatine is a
compound that is made primarily in the liver
and then transported to the muscles. It
functions as an energy source for muscle
activity. Once in the muscle, some of the
creatine is spontaneously converted to
creatinine. The amount of both creatine and
creatinine depend on muscle mass, so men
usually have higher levels than women.
Creatinine is one of the substances that
kidneys normally eliminate from the body.
High levels of creatinine may indicate that
your kidney is damaged and not working
properly. Your doctor may order a blood test
to assess your creatinine levels if you show
signs of kidney disease. These symptoms
include:
fatigue and tiredness
loss of appetite
swelling in the face, ankles or
generalized swelling all over the body
lower back pain near the kidneys
Urine test
Microalbuminuria urine test
The blood vessels in the kidney filter waste
from the blood and this waste is expelled
from the body in form of urine. Proteins are
normally retained in the bloodstream by the
kidneys. When these blood vessels are
damaged, it may cause excess of protein
(albumin) to spill in the urine. Albumin
excretion in urine increases in patients with
ECHO test
An echocardiogram is a test that uses sound
waves to create pictures of the heart. The
picture and information it produces is more
detailed than a standard X-ray image. There
is no exposure to radiation during an
echocardiogram. It is a non-invasive and
painless procedure.
Echo also can pinpoint:
heart muscle that aren't contracting well
because of poor blood flow or injury
blood clots inside the heart
fluid buildup in the pericardium (the sac
around the heart)
Structural abnormalities in the heart
valves
problems with the aorta (The aorta is the
main artery that carries oxygen-rich
blood from your heart to your body)
flow of blood through your heart's
chambers and valves (in case of Doppler
echocardiogram)
Stress test
Stress tests are tests performed to
determine the amount of stress that your
Biothesiometry test
Biothesiometer is an instrument which aids
the podiatrist (foot specialist) to detect early
nerve damage. It delivers minute but
identifiable vibration to the feet. During
testing, a probe is placed on the big toe. The
probe which is controlled by a dial can be
made to vibrate in varying intensities. The
person being tested has to indicate whether
s/he is able to feel the vibration and the
reading on the dial at that point is then
recorded. The reading is in the range of
0-50 volts. The reading is lower for younger
To conclude
For health check-ups to be meaningful there
are three important factors:
Tests need to be conducted with a target
in mind based on a person's age, gender,
health concerns.
Testing must be conducted within
established international guidelines in
recognised laboratories.
Unnecessary testing ought to be avoided
to lower harm through radiation. Also,
appropriate medical counseling must be
made available to every patient to
correctly interpret test results and
determine the further line of treatment.
Try and make the most of your check-up so
that it benefits you. Keeping these simple
points in mind will enable you to manage
your time better as well as benefit from the
consultation. Also, remember that doctors
are here to help you lead a better life so be
as honest as you can during your visit.
The importance of
thyroid function tests
Thyroid is a butterfly shaped organ located
in the front of the neck, just below the voice
box and weighs just about 15-25 grams in
adults. It is an organ which is active even
before birth and has a specific role and
function to play. The thyroid gland is
involved in regulating the metabolism in the
human body by producing hormones that
facilitate energy production. These principal
hormones include T3 (triiodothyronine) and
T4 (thyroxine). These hormones are required
EXPERT VIEW
Dr A Velumani
discusses why the
commonly
prescribed thyroid
function tests
matter.
Testing
Reliability
The blood hormone tests are considered to
be reliable and are the first step in diagnosis.
However, interpretation of the results
become very important and an experienced
endocrinologist is required. Levels of free
and bound hormones need to be studied
taking into consideration the symptoms,
history and current medications and
conditions if any.
Pre-test preparation
The pre-test preparation for thyroid depends
on the category of the test recommended. In
case of blood tests, no fasting is required if
only the levels of thyroid hormones are
going to be tested. However, in case of nonblood tests like iodine uptake and thyroid
scan, fasting is necessary.
Limitations of TFT
TFTs are a reliable tool for
assessing thyroid
dysfunctions; however, there
is a possibility that their
values could mismatch due
to:
the levels of T3, T4 and TSH influencing
each other. Therefore abnormality in one
level becomes an early indicator
ingestion of thyroid related drug, recent
radioiodine therapy or surgery
thyroiditis or presence of other
non-thyroidal illness
syndromes like T3 toxicosis, TBG
deficiency, Familial Dysalbuminemic
Hyperthyroxinemia, Low T3 syndrome,
etc.
involvement of drugs like anabolic
steroids, glucocorticoids, phenytoin,
propranolol, lithium, amioderone etc.
the test being performed during the long
transition period from normal to
abnormal or vice versa.
Also, mismatched values in levels of T3, T4
and TSH can indicate multiple conditions
like near past or near future illness, presence
of sensitive or lethargic thyroid feedback
mechanism, influence of drugs, etc.
To conclude
People with Type 1 Diabetes need to test for
antibodies (anti-TPO) and TSH every year. In
case of people with Type 2 Diabetes, a TSH
test must be conducted once every five years
after a positive diagnosis. However, routine
screening for thyroid dysfunction in people
with Diabetes helps in diagnosing thyroid
abnormalities. An early diagnosis will always
result in timely medical intervention thereby
lowering the risk of any resulting
complication.
Dr A Velumani is the Chairman, Managing Director and
Chief Executive Officer of Thyrocare, a fully automated
diagnostic laboratory in more than 2000 cities/towns in
India and internationally.
Being
responsible!
Mr Jagadish Mirji shares with Spandana Birajdar the impact
Diabetes has made in his life.
PEOPLE
Name: Jagadish Mirji
Age: 62 years
The change
Initially, my diet was the same except for
eating sweets. Diabetes felt like a small
hurdle that I would cross over with ease. For
the first few days, I watched what I would eat
and walked for about 30 minutes a day. As
the years went by I started getting lax with
my diet and exercise. I still had the care free
My diet
The first step that I took was to modify my
diet completely and start walking. It was not
easy to go off sweets and fried foods
completely since it is my weakness. But yes,
My advice
Your family is your biggest strength, you can
only look after them well if you take the
initiative and look after yourself well. Live for
yourself first and things will automatically fall
in place. Today I'm happy with myself
because all these years I have provided well
for my family. I feel content and there is no
other better feeling than being gratified with
yourself. Take care of yourself and do your
best to look after yourself well. Discuss your
concerns with family and friends and you will
be amazed how everyone will always be
there to help you. In the end, good support
from friends and family, especially your
spouse makes living with Diabetes a much
easier journey.
TESTING
ROOM
C-Peptide Test
How is it measured?
A blood test, after 8-12 hours of fasting, will
reveal C-peptide levels in the blood.
Simultaneously the blood sugar levels will
also be measured.
Normal Range:
0.8-3.1 ng/mL (nanograms/millilitre)
Interpretation of values:
High values - Generally indicate that high
levels of insulin is produced in the body to
tackle high blood sugar levels and may be
due to:
Type 2 Diabetes since it is caused by
insulin resistance
Why is it done?
For each molecule of insulin secreted there
is a molecule of C-peptide; hence, it gives an
indirect measure of the insulin secreted by
the pancreas.
DIABETES CARE
Cellulitis explained
Infection of the skin and the structures
below (subcutaneous tissue) is known as
cellulitis. Usually cellulitis starts as a result of
entry of bacterial organisms into the broken
skin either through cuts, abrasions or skin
diseases like fungal infections. The
Treatment
To conclude
The results and outcome of necrotising
fasciitis are not very good. It is therefore
imperative to identify this trivial looking
problem at the start and nip it in the bud.
Like any other illness, more so in this, it
always helps to reach the hospital at the
earliest sign of infection. Regular inspection
of the feet and hands, identifying injuries or
skin problems, proper footwear, proper foot
care and above all, strict control of blood
glucose levels by regular check-ups will
prevent this life-threatening complication.
Although it looks unassuming, cellulitis is a
danger lurking under the skin and must be
stopped in time by proper care and
treatment.
Usually a simple
scratch, a fungal
patch, even a
blister acts like
an entry point
for organisms to
find their way
into the skin and
multiply rapidly
leading to
cellulitis.
Lixisenatidea promising
option
Dr Ameya Joshi discusses the advantages of once a day injection for people
with Type 2 Diabetes.
Lixisenatide is a glucagon like peptide-1
(GLP-1) mimetic recently approved for use in
India in combination with oral anti-diabetic
drugs or basal insulin for treating Type 2
Diabetes in adults whose blood glucose
levels are not well controlled on these
treatments alone. It is administered by
subcutaneous injection once daily.
EDUCATION
Diabetes. GLP-1 receptor agonists are
derived from gut hormones and may be
used as a secondary therapy when other
medications fail to sufficiently lower blood
glucose levels. Pre-clinical studies also
suggest that GLP-1 receptor agonists have
the potential to preserve pancreatic islet bcells, which may help to provide more stable
metabolic control long term. They are
approved by European association for study
in Diabetes as well as the American Diabetes
Association, but are not advised for
treatment of people with Type 1 Diabetes.
GLP-1 receptor agonists are known to lower
glucose, reduce risk of hypoglycaemia (as a
result of their glucose-dependent action)
and promote weight loss.
Initiating therapy
Lixisenatide is available in injectable prefilled pen form. The starting dose of
Lixisenatide is 10 microgram per day for two
days and then 20 micrograms per day. The
'treatment initiation pack' contains a twoweek supply of 10 microgram doses (green
pre-filled pen) and a two-week supply of 20
micrograms (purple pre-filled pen).
Source: Diabetes.org
Advice to readers
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NUTRITION
How it helps?
Diabetes
Garlic increases insulin release and regulates
blood sugar levels in your body, especially if
you have Diabetes. It aids in lowering blood
sugar levels and may be used (under
doctor's supervision) by people with
Diabetes in addition to their regular regime
of insulin and special diets. Researchers
have found that certain compounds in garlic
such as allicin, allyl propyl disulfide and Sallyl cysteine sulfoxide work by increasing
the amount of insulin in the blood by
blocking the liver's inactivation of insulin,
making more insulin available to the body. A
study published in the Journal of Medicinal
Food found that garlic was highly effective in
increasing one's insulin content in the body
and improved glucose tolerance.
While more research is still required to know
the full extent of garlic's effectiveness. People
with Diabetes may benefit by taking moderate
Blood pressure
Heart disease
With age, your arteries tend to lose their
ability to stretch and garlic can help
maintain their elasticity. Garlic can help
lower the risk of heart disease by lowering
total LDL 'bad' cholesterol. A 2000 study
published in the journal Annals of Internal
Medicine found the effect of garlic on total
cholesterol levels in people with elevated
levels and it was observed that garlic
moderately reduced cholesterol levels. It also
Cancer
Garlic's anti-cancer properties
are due to the presence of allyl
sulphides. Diallyl sulphide
found in garlic inhibits the
transformation of PhIP (a type
of compound that has been
associated with increased
incidence of breast cancer)
into carcinogens.
Anaemia
Food Value
(100gm edible portion)
Nutrient
Energy
Protein
Carbohydrate
Fat
Calcium
Iron
Phosphorus
Vitamin C
value
149kcal
6gm
33gm
0.5gm
30mg
1.3mg
310mg
13mg
The healthiest
way of
cooking garlic
Toothache
It can help relieve toothaches due to its
antibacterial and analgesic (pain relieving)
properties.
Asthma
Garlic has been found effective in reducing
the severity of asthmatic attacks.
Chest Diseases
Garlic has proved to be highly effective in
certain diseases of the chest. It has been
found to reduce fetidity of the breath in
pulmonary gangrene. It is also used as
remedy in the treatment of pneumonia
and tuberculosis.
Recommendation
It is recommended that adults consume
no more than one clove two or three
times a day
Children can have one quarter to one half
a clove once or twice a day.
Gauri Kukade is a certified nutritionist.
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FITNESS
Erika Gebel Berg discusses whether physical activity is the best medicine.
Glucose on the go
Muscle contractions have a powerful effect
on how the body processes glucose, the
original biofuel. The muscles are the major
consumer of glucose during exercise. It's not
surprising since they do most of the work. In
each cell, muscles store dense packets of
glucose, accounting for around 2,000
calories worth of energy throughout the
body, according to Sheri Colberg-Ochs, a
professor of exercise science at Old
Dominion University in Virginia, USA. "[This
energy] just stays there unless you contract
the muscle.
During exercise, the muscles deplete their
individual glucose reserves. To help restock
their glucose supplies, the muscles change
in two important ways: They become more
sensitive to insulin, a hormone that escorts
glucose from the bloodstream into body
cells, and they also start to absorb glucose
on their own, independently of insulin. This
second pathway created during exercise is a
boon for anyone with Type 2 Diabetes, which
is marked by insulin resistance. "When the
body is at rest, it has one mechanism for
getting glucose out of the bloodstream. That
Muscle up
If you keep at it and incorporate resistance
training into your routine, exercise can
provide additional opportunities to help with
blood glucose control by building muscle.
"Over the long term, there can be a change
in muscle composition that can favour
getting glucose into the cells," says Ronald
Sigal a professor of medicine, kinesiology,
cardiac sciences and community health at
the University of Calgary in Canada. "Also,
over time, there are changes in body
composition that can help glucose uptake,
such as an increase in muscle mass.
Weight is made up of more than just
pounds; the relative amounts of muscle and
fat, how much fat is inside the muscle and
Weighty debate
If one's goal includes losing weight, picking
the appropriate exercise program gets more
complicated: The effect of exercise on body
weight is one of the most controversial areas
of research. In principle, weight loss is
simply a matter of energy balance: Burn
more calories than you eat and you'll lose
weight; eat more calories than you burn and
you'll gain. So it would seem to make sense
that shedding calories via workouts should
spur weight loss, but research hasn't
consistently supported that conclusion. To
lose weight, research suggests that up to an
hour a day may be necessary, far more than
the 150 minutes a week of moderate
exercise that has been shown to improve
blood glucose levels. "The amount a person
has to exercise to lose the amount they want
to lose may be considerable," says Sigal.
Exercise alone doesn't seem to help people
drop much weight unless they also limit how
many calories they consume. The problem
may be that exercise increases hunger and
it's all too easy to offset the calories burned
in an hour long sweat session with a single
muffin. Yet, most successful long-term
weight-loss programs have an exercise
component. This suggests that exercise is a
key part of weight maintenance. In a large
national study, 90 per cent of participants
who had lost 30 pounds or more and kept
the weight off for over a year exercised an
average of seven hours a week.
Blood glucose, heart health and weight
MEDICINE
CABINET
Know your medicine one dose at a time!
By Dr Vedavati Purandare
Premix insulin
Mechanism of action
Advantages
Side-effects
rapid acting
Weight gain
long/intermediate acting
premixed
Premix insulin combines rapid and
long/intermediate acting acting insulin types
in various proportions like 50:50, 30:70.
For e.g. premixed insulin 30:70 is a
combination of 30 per cent rapid acting
insulin and 70 per cent intermediate acting
insulin. The long acting insulin controls
blood sugar (blood glucose) throughout the
day. The rapid acting insulin controls blood
sugar after the meals.
Rx
Premix insulin is administered in the form of
subcutaneous injections. This insulin
injection is available in the form of vial/
syringe and cartridge for pen device. It
appears milky white.
Caution
You should not take premix insulin if you are allergic to insulin premix or to any of
the ingredients of the medication
have low blood glucose (hypoglycaemia)
DIABETES CARE
Family ties
Experts say that while genetics plays a big
role in Type 2 Diabetes, the increase in the
number of cases has little to do with
heredity. On an evolutionary time scale, the
past few decades are barely the blink of an
eye. This epidemic isn't caused by genes,
says Jose Florez, a researcher at the Broad
Institute and Harvard Medical School and
Future applications
Even if researchers could identify all of the
genes that increase Diabetes risk, it's not
clear that the information would be all that
helpful in terms of predicting who will get
Type 2 Diabetes. Mark McCarthy, a geneticist
at the University of Oxford in England, says
we already have a pretty good set of
indicators. Family history, BMI [body mass
index], and ethnicity are all much stronger
predictors right now, he says. There are
many different things that impinge on
individual risk, and the prediction we get
from genes is not that strong. (Ethnicity
isn't the same as genetics, McCarthy points
out: Ethnic groups sometimes share genes,
but also share cultural norms, favourite
foods, and other factors that go above and
beyond genetics.)
If doctors already have effective ways to
predict who's at higher risk for Type 2, why
sink more money and time into genetic
Family tree
Most Type 1 cases seem to occur in
isolation. Only 10 per cent of patients have
a family history. Type 1 tends to come out of
the blue, says Janelle Noble, a geneticist at
Children's Hospital Oakland Research
Institute. People don't expect it, and parents
Joined forces
Unlike Type 2, where dozens of different
genes can all make small contributions to
In a lighter vein
Pressing this
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helps me burn 10
extra calories!
TheDiabetesHealthQuiz
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(b) False
(b) False
3. People who are obese are more likely to develop Type 2 Diabetes.
(a) True
(b) False
(b) Type 2
(b) Peas
(c) Lentils
(d) Broccoli
8. A person with Diabetes should avoid foods that are high in (a) Fat
(b) Carbohydrates
(c) Sodium
(b) Type 2
(c) Gestational
10. Eating small frequent meals helps manage blood sugar levels better.
(a) True
Name:
Age:
Tel:
Email:
Mailing address:
Occupation:
Mobile:
(b) False
To participate:
Fill up the quiz and your details.
Scan this page and mail it to:
Editorial@diabeteshealth.co.in
Workout
powerhouse!
Gouri Ambardekar shares her view on ellipticals.
An elliptical trainer or a cross-trainer is a
stationary exercise machine. It is used to
simulate stair climbing, walking or running
without exerting pressure on the joints (your
feet never leave the pedal). It gives a good
total body workout as it exercises all the
major muscle groups.
DIAB-E-TECH
Advice to readers
A few points to keep in mind when using the
elliptical Posture - Do not slouch while working out
on a cross trainer it makes your work out
easier and thus ineffective.
Keep your spine straight and your abdominal
muscles firm. Poor posture will lead to lower
back pain and muscular imbalances.
Avoid workout plateau/Keep changing the
resistance levels - By not doing so, no
matter how long you work out you will not
see the desired results and your workout will
plateau. When working out you should feel
the resistance to push and pull during each
stride. Continue at a moderate pace and
stop when the workout gets over exhausting.
Enter your information accurately - Most
machines are calibrated for a 70 kg person.
By personalizing your information you will
get a more accurate calorie reading.
Do not use only your forefoot - Most
people use only their forefoot to propel
forward instead of planting the entire foot on
the pedal and putting their weight on the
heel. This puts a lot of pressure on the
forefeet. It is best to sit back on your heel so
that it allows the large muscle groups to
work out harder.
Ergonomical design - Although many are
available in the market not all may be
necessarily good. I always advise people to
choose the ones which are well
ergonomically designed. Machines that are
poorly designed depend excessively on the
user's leg power increasing the speed of the
Advantages of ellipticals
include:
It provides a good cardiovascular
total body workout.
It involves movement of the entire
body simulating walking or running.
Raises your heart rate and keeps it
up for an extended period of time
improving your aerobic fitness level.
Aerobic exercises help decrease the
risk of Type 2 Diabetes and manage
your blood sugar levels better if you
have Diabetes. Besides the health
benefits, ellipticals are a fun way to
get a good workout as it improves
your mood and reduces your stress
levels.
It not only builds strength and
muscle endurance in the lower body
(the quadriceps, hamstrings, glutes
and calves) but also works on your
upper body (arms, chest and back)
when you actively use the handles.
The more the muscles work, the
more calories you burn.
movement of handles. As a result, the
person feels no resistance while working out
and only flows with movement of the
machine. Hence it is very important to
choose the machine that offers a
harmonious combination of arm and leg
exercise in the correct ratios.
Physiotherapist rating
Effectiveness in weight loss 3.8
Ease on joints 4
Patient rating
Effectiveness in weight loss 4
Ease on joints 4
JUN-JUL 16 DIABETES HEALTH 71
DIABETES
and
ME
Do you have a diabetes story to tell?
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Diabetes Health
2nd prize:
Diabetes Health
T-shirt
Baked Chicken
Parmesan
Cutlets
Ingredients:
4 chicken breast pieces
1/2 cup grated Parmesan cheese
1/2 teaspoon garlic powder
1 teaspoon dried parsley leaves
Salt and pepper as per taste
1 cup beaten egg whites seasoned with
salt and pepper
2 cups toasted whole wheat bread
crumbs
Method:
1. Preheat the oven to 350 degrees. Mix the
Parmesan cheese, garlic powder, parsley
leaves, salt and pepper.
2. First dip the chicken in the egg whites
making sure it is well coated. Then roll
them over in the bread crumbs mixture
By Gita Jaishankar
Cream of
Vegetable
soup
Serves - 2
Ingredients:
By Priya Chaudhari
30 gm carrot
30 gm cabbage
30 gm broccoli
Protein: 5.5 gm
20 gm zucchini
Fat: 6 gm
20 gm cauliflower
Carbohydrate: 12 gm
Fibre: 1.5 gm
Method:
1. Chop all the vegetables.
2. Crush garlic.
3. Take 1 tsp oil in a pan, add garlic, cut
vegetables, and stir fry. Keep aside.
4. Take remaining oil in a pan add wheat
flour. Roast it till brown.
5. Add milk, stir continuously to avoid
lumps.
6. Add stir fried vegetables and water as
per the required consistency.
7. Add salt, pepper, basil and oregano.
Answers to
3. Metabolic syndrome is a constellation of d: All of the above (high blood pressure, blood
sugar and triglycerides) - increasing your risk of
heart disease, stroke and Diabetes. Having just one of
these conditions doesn't mean you have metabolic
syndrome. However, any of these conditions increase
your risk of a serious disease.
4. A 30-minute walk three times a week is adequate
amount of exercise for a patient with Diabetes.
b: False - Studies have that shown people with
Diabetes who want to lower their blood sugar levels
and stay physically fit should walk 30 minutes at
least five days a week. Also, if you are pressed on
time then you can break your fitness routine by doing
three 10 minute walks on a given day. The aim
should be to do 150 minutes of workout each week.
5. Maintaining good oral health is a must in people
with Diabetes.
a: True - People with Diabetes are at special risk for
periodontal (gum) disease, an infection of the gum
and bone that hold the teeth in place. Periodontal
disease can lead to painful chewing difficulties and
even tooth loss. Good blood glucose control is the key
to controlling and preventing mouth problems. Daily
brushing and flossing, regular dental check-ups and
good blood glucose control are the best defense
against the oral complications of Diabetes.
2. People with Type 2 Diabetes have b: Excess blood sugar - Insulin resistance is a
condition in which the body produces insulin but
does not use it effectively. When people have insulin
resistance, glucose builds up in the blood instead of
being absorbed by the cells, leading to prediabetes or
Type 2 Diabetes. Over time the beta cells fail to keep
up with the body's increased need for insulin. Without
enough insulin, excess glucose builds up in the
bloodstream, leading to prediabetes, Diabetes and
other serious health disorders.
Lucky winners
1st prize:
1 year subscription of
Diabetes Health
2nd prize:
Diabetes Health
T-shirt
Taurus
Leo
Virgo
Nandita reads the cards exclusively for the Diabetes Health magazine.
Libra
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Pisces
HEALTH BYTES
A little about me
My diet plan
Advice to readers
Fortunately Diabetes does not run in
my family. But I'm aware about the fact that Diabetes is
on the rise and that people really need to start taking
care of themselves. People often feel that once they are
diagnosed with Diabetes they need to cut out food
groups from their diet but that's not true, you just need
to watch your portion size. Physical activity and diet are
the two main pillars in managing your Diabetes well.
So if you start eating right and exercising then you
have won half the battle. Every little effort counts and
small changes go a long away to make a difference. So
stay healthy and stay happy.
Every issue of Diabetes Health has real-life health stories of
both people with and without Diabetes. Send your stories to
editorial@diabeteshealth.co.in