Diabetes Diet

Eat the Right Carbs(carbohydrate) and high fibre foods Carbohydrates are an essential source of energy, fibre and micronutrients. Carbohydrates are present in

cereals like rice, wheat, ragi, bread, pasta etc
starchy vegetables like potatoes, yam colcasia
fruits, sweets, sugar and dairy products

Foods that contain little or no carbohydrates include meats, poultry, fish, egg, non starchy vegetables and fats.Carbohydrates get converted into blood glucose quickly and thereby increase the blood glucose level. Therefore the quantity and quality of carbohydrate consumed is important. Hence it is essential to choose low carbohydrate foods .

It is better to prefer complex carbohydrates and high fiber foods like whole grains, whole pulses and non starchy vegetables as it delays digestion and helps for a better glycemic control.

Choose low glycemic index foods

Glycemic index(GI) is a value assigned to foods based on how slowly or how quickly a food raises the blood glucose levels. The GI is not related to whether the carbohydrate is simple or complex. The GI measures the rise in blood glucose levels caused by a measured quantity of a particular food. Carbohydrates in low GI foods gets metabolised slowly and cause a lower and slower rise in blood glucose levels. High GI foods are rapidly absorbed and cause a large rise in blood glucose levels. Examples of low, medium and high GI foods are as follows

Low GI: Greens and Green leafy vegetables
Moderate GI: Whole grains, Brown rice, Legumes, Dhals, Dr.Mohan’s Brown rice, Dr.Mohan’s High fibre rice etc
High GI: White fully polished rice, Sugar, Jaggery, White bread, Maida etc

Follow a Healthy Diet

Diabetes control depends to a great extent on following the right/ healthy diet. Knowing what to eat and what not to eat is extremely important. Healthy diet helps to prevent wide fluctuations of blood glucose levels .Diabetic diet does not mean that one has to starve or have a bland diet. You can enjoy your favourite foods and take pleasure from meals without feeling hungry or deprived.To eat healthy

Eat 4 meals (Breakfast, Lunch, Evening snack & Dinner) a day
Eat at the same time every day
Eat the right quantity of food
Eat more vegetables
Eat less fat and salt

The key point is that people with diabetes do not need a special food. Learn to watch on portion sizes and do not eat high calorie foods

Dietary fibre is a type of carbohydrate that is found in plant-based foods. It is not absorbed or digested by the body,but plays an important role in maintaining good health. There are two types of dietary fibre – soluble fibre and insoluble fibre

Soluble fibre- found in fruits and vegetables
Insoluble fibre- found is whole grains and whole pulses.

Fibre is not digested or absorbed like other starches, it slows the absorption of sugar and has less of an effect on increasing blood glucose levels
Fibre helps to improve insulin sensitivity
Foods high in soluble fibre plays a major role in reducing blood cholesterol and low-density lipoprotein, or “bad,” cholesterol levels
Having diabetes can increase the risk of cardiovascular disease. Evidence shows that increasing the intake of fibre, especially  whole grains help to reduce the risk of cardio-metabolic diseases (this includes cardiovascular disease, insulin resistance and obesity) and colo-rectal cancer
Dietary fibre absorbs fluid and increases the bulk of waste matter, making the stools softer and easier to pass
Increasing dietary fibre also helps to promote weight loss and maintenance.High-fibre foods tend to be more filling than low-fiber foods.  A high-fiber food tends to take longer time to eat and to be less “energy dense,” which means the calories are less for the same volume of food.

It prevents blood sugar fluctuations

Individuals with diabetes may be on tablets or insulin or both. Hence it is essential to follow a 4 meal pattern to prevent wide fluctuations of blood glucose. This will also help in reducing the next meal portion

Small frequent meals help to control the portion size of each meal. On contrary if any of these meals are missed or skipped it increases the appetite and leads one to consume a large portion size for the following meal

Fill half of your plate with vegetables and greens, one fourth with whole grams and pulses (if non-vegetarian pulses & non-vegetarian food) and the remaining one fourth with cereals (whole grains) like unpolished/minimally polished rice, Dr.Mohan’s brown rice, high fibre rice or wheat. Watch your portion sizes.

Type 1 Diabetes Mellitus (T1DM) is one of the most common endocrine and metabolic conditions in childhood. Despite having Type 1 diabetes, a person can lead a healthy life provided the treatment is adhered. There is no need to panic after the diagnosis as there are number of children with Type 1 Diabetes with lot of potential and leading a healthy life irrespective of the duration of diabetes.Do not restrict on any of the routine activities, i.e-do not get scared of going to school.

To overcome fear, follow the below mentioned guidelines and tips and learn to live with type 1 diabetes.

Follow the medicines as suggested by your Diabetologist
Do not stop insulin or try any alternative treatment
Self-monitor your blood glucose levels
Have a periodic review and keep adjusting your insulin
Follow the diet as suggested by your Dietitian
Do not restrict your physical activity

Do not look this as a social stigma. Sharing experiences is a powerful way to learn to manage diabetes hence talk to other persons with a similar disorder. The diabetes care team is there to help meet all your medical needs and support
You spend almost 35 hours per week at your school, so managing diabetes at school is very important.Fluctuations of blood sugars can affect the ability to learn. Hence it IS important that school staffs are educated, equipped and available to support the child

Preparing for School

Many schools have little experience caring for a student with diabetes and may not know what is involved in diabetes management. It will take some time for the school to get used to caring for your child, just as it took some time for the child’s parents and the child as well.Talk to the school administrators and all staff members about what diabetes means for the child.Make sure the child always has everything required to manage diabetes at school.

Healthy snack
Glucose tablets
2 juice boxes (up to 15g of carbohydrates)

Tips for School Staff and Parents

Share helpful information about diabetes with school personnel.
Link the school to a diabetes educator who can help to train and educate teachers and other school personnel about diabetes.
Discuss the Diabetes Medical Management Plan provided by your child’s health care provider and work together to develop a plan for school including:

Blood glucose checks
Insulin administration
Snacks and meals
Emergency situations or when glucagon is needed

Describe the child’s usual symptoms of hypoglycemia and hyperglycemia. 
Provide updated phone numbers. Develop a plan for when you should be called.
Talk about what to do in an emergency. Make sure a trained school staff member know when and how to manage hypoglycemia.
Provide diabetes management materials and equipment that should be kept at school.
Work together with friends and school administrators to gather and distribute training information