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Insulin need not be your only option
UPASANA PANDE
India is all set to garner for itself a rather dubious honour. Health practitioners say that by 2010, it will be the world's diabetes capital. By 2015, every third diabetic in the world will be either a Chinese or an Indian. And by 2025, there will be more than 60 million diabetics in India.Don't scoff at the statistics. According to Dr S K Minocha, head of the department of Internal Medicine at Ram Manohar Lohia Hospital, "Diabetes is reaching epidemic proportions. It is only through promoting awareness through education that this epidemic can be controlled in India." People with uncontrolled diabetes are more likely to suffer from heart attacks, frequent infections, eye problems, sexual dysfunction, kidney disease and nerve damage. 75-80 per cent of Indians suffer from type 2 diabetes, which is a late onset diabetes. "It is caused by a recessive gene, which is obviously hereditary in nature. Add a sedentary lifestyle and no exercise, and you have the perfect environment for the diabetes seed to flourish," explains Dr Minocha. Tension also contributes to diabetes. Stress, whether due to a heart attack, pregnancy or even an infection, can lead to the production of hormones that increase the sugar level in the body, and thereon to diabetes, which is a permanent feature. So, what can you do to prevent diabetes in your future? Eat only when you are hungry. Small, frequent meals, with lots of fibre, are what Dr Minocha recommends. Diet, drugs and exercise are important, but more important are an ordered lifestyle and balanced food intake. Diet becomes even more vital when you consider that an increasing number of children are becoming victims of diabetes and the accusing finger is being pointed at faulty lifestyles. "Out of the 30 million diabetic patients in the country, 15 per cent are children and the prominent reasons are the colas and junk food they consume," points out Poonam Chiblani of the Homeopathic Department at Sadhu Vasvani Hospital. There being no cure for diabetes, except genetic engineering or a pancreatic implant, Dr Minocha suggests a walk of a minimum five kilometres for at least 45 minutes a day, five days of the week, but this is dependent on the weight, height and gender of the person. He suggests the emphasis be more on anaerobic exercises like swimming, cycling and walking. Those who have been advised not to exercise should control their diet or take up Yoga or meditation. Care of the feet assumes great significance for a diabetic person as the excessive blood sugar provides a good breeding ground for bacteria to grow. This can eventually lead to death of the tissue. Diabetic? Live healthyÎ
Regular monitoring is a must: Timely blood glucose tests, weight control, checks for blood lipids (fat-cholesterol, triglycerides), blood and urine tests to check kidney functions, eye and vision checks, ECGs to assess heart functions and blood pressure measurementAvoid oils, oily pickles, rich gravies, fried foods, biryanis and pulaos, creamy soups, dry fruits and nuts.Avoid sugar, jaggery, sweets and candies, pastries and cakes, ice-creams, jams and jelliesAvoid fasts; if they are unavoidable for religious reasons, try and keep it for only part of the dayIf you feel hunger pangs even after a meal, eat salad-cucumber, tomatoes, lettuce, radish, capsicum-or plain nimbu-pani without sugarExercise is of vital importanceTake good care of your feet. Even minor wounds here will take longer to heal. So never walk barefoot, use clean socks (preferably sweat absorbing cotton), avoid tight footwear, inspect your feet regularly for cuts, abrasions, blisters, sores and scratchesIf you have to travel, always carry enough insulin with you, some sugar cubes and a few snacks. Also carry along an `I Am A Diabetic' card, with all your medical particulars and an emergency contact address.Copyright © 2000 Indian Express Newspapers (Bombay) Ltd.
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