Thursday 10 May 2018

How to count carbohydrate grams in your diet if you are on insulin

Counting and balancing your carbohydrate (or carbs) intake is very important for a diabetic person. The best doctors in Green Park say that counting carbohydrates can help in maintaining blood sugar levels in the optimum range. Clinics in Green Park often ask their patients to count their carbs.

Why should you count carbs?
  • It allows you to keep your blood sugar level in check.
  • It helps you to adjust the amount of insulin he or she takes since it is based on the gram weight of the carbohydrates you consume.
  • The ratio of insulin to carbohydrate for every person is universal.
How should you count the carbohydrates in every meal?
Internal Medicine Specialist - You should know the type of carbohydrates present in the food you eat. This includes even the smallest snacks you eat (example: a slice of bread or a spoon of sauce). Most packaged food has labels or tags indicating the value of carbohydrates, proteins and so on. Even carbohydrate guides are used by many people.

In the food that is not packaged, you must know the standard portions of carbohydrates which 15 grams in each serving is usually.
Example: If your doctor has suggested you take 1 unit for every 10 grams of carbohydrates, and you calculate a consumption of 50 grams of carbohydrates, you must take 5 units of insulin. Using such calculations, you can keep the ratio of your insulin to carbohydrate in check.

Things to keep in mind:
  • You must ensure you count every portion you consume. The packets usually give you the value of carbohydrates in grams per serving, but you might end up having more than one portion. In such cases, you need to consider the weight of every portion.
  • Eat more proteins and fat as they do not raise the blood sugar levels much.
  • Exercise reduces the amount of insulin one may require.

A caregiver daily checklist for diabetes care from diabetes specialist in Green Park

Every caregiver must follow this checklist for their diabetes patient. This checklist is given by the best doctors in South Delhi. It is also followed by the best clinics in South Delhi.

This checklist is a compact set of rules and daily activities that diabetic people must follow. Caregivers should always keep such a list handy, so things do not slip out of their minds. It is given by a Diabetes specialist in Green Park.
  • Keeping the blood sugar levels in check: Even though this goes without saying, it is the most important point in the whole list. Taking hourly blood glucose level checks and balancing it out with exercise and complementary meals is what the caregiver should focus on.
  • A gap between food and exercise: When the patient wants to exercise, he or she must wait at least for an hour after consuming food to do so. Packing glucose tablets and plenty of water is necessary.
  • Reduce stress: Stress can have a huge impact on the blood levels of the patient. Activities to reduce stress (like meditation) can be done to take care of this.
  • Use of soft bristled brush: Diabetic persons are usually prone mouth infections like fungal and gum diseases. Using soft brushes after every meal and flossing is great.
  • Check for ingrown toenails: Ingrown toenails can cause a huge amount of infections and if ignored, swelling and redness start to appear.
  • Use of mild soap: Only mild soaps should be used while bathing to avoid dry skin. Foot soaking should be avoided.
  • Moisturize: A good foot cream approved by doctors should be used between the toes, on the base of the foot and on the sides.
  • Pay attention to the cuts: Small cuts on the feet can lead to grave problems for diabetic people.
  • Use of proper footwear: Specially designed footwear should be used even while walking around the house.
  • Drink lots of fluids: Increasing fluid intake (only hydrating, sugar and caffeine free) is great.

This checklist will help most caregivers and improve the condition in households with diabetic persons. 

Source : https://sites.google.com/site/physicianingreenpark/a-caregiver-daily-checklist-for-diabetes-care-from-diabetes-specialist-in-green-park

Wednesday 9 May 2018

Tips to take care of your feet in Diabetes

The number of diabetic people in India are only increasing with each passing day. It is a leading cause of all sorts of foot amputations as well. This article also includes the advice given by the best doctors in Delhi to avoid foot amputations. 
There are reasons for this:
  1. Reduced blood flow: Diabetic patients have a reduced blood flow to their feet and an accelerated flow throughout blood vessels and major and minor pathways. This leads to narrowing the blood vessels and in turn, reducing the blood circulation in the feet of the patient. The best clinics in South Delhi have read into this matter.
  2. Neuropathy: Most long-term diabetic persons suffer from nerve damage (sensory-motor and autonomic neuropathy). The loss of sensation in the feet usually leads to numbness and ignorance of the injuries in the feet. Repeated, traumatic pain in the feet lead to amputations in the feet. A lack of sweating is also seen in the feet and it leads to dryness and cracks in the feet which in turn lead to infections.
  3. Loss of Arc: Usually, diabetic patients lose their normal foot arc. Claw toes or Hammer's toes also make appearances in usual cases. In majority cases, forward displacement of fat cushion under the first metatarsal head is seen while some have rocker bottom deformity. All this results in abnormal weight distribution and later on, change in the foot shape. Corns and callosities are also seen. Due to the change in foot shape, the usual footwear does not fit properly and causes more injuries than usual.
  4. Slowed healing: Neutrophils are a type of white blood corpuscles who’s working is impaired in diabetic patients. Thus, they heal slower than other people and pass on infections faster.
Diabetes specialists in South Delhi suggest a few ways to take care of your feet:
  • Keep your blood sugar level in the safe range.
  • Check for blisters and redness
  • Use footwear specially designed for diabetic patients
  • Moisturize your feet
  • Avoid smoking
  • Cut toenails and maintain hygiene
  • Use cotton/wool socks
  • Be physically fit and active
  • Do not sit cross-legged for a long time
  • Remove small particles like stones from footwear before wearing them.

Sunday 6 May 2018

Diabetes health tips on eating fruits before meals from Diabetes Specialist in Delhi

Fruits are abundant in fibers, micro nutrients, and vitamins. They also carry fewer calories and so make you feel full very soon. Fruits with a high glycemic index or the ones that easily digest in the stomach should be avoided by diabetic persons is what the general physician suggests as they increase the blood sugar. The best clinics in Delhi also suggest that one must have raw, fresh fruit instead of having juices (fresh or preserved). This is because having one glass of juice is equivalent to having 2-3 fruits and thus consuming more sugar.

When sitting for a meal, we do most of the consumption in the initial 20 minutes. So, the Diabetes Specialist in Delhi suggests that diabetic persons should have a fruit before a meal, so it results in less consumption of food during the meal. Less consumption of food results in reduced calories and loss of weight. Colorful fruits like berries are high in antioxidants like B-carotene and lycopene. High blood sugar levels associated with diabetes cause damage to blood vessels, retina, nerves and other pathways. The reaction between oxygen radicle species and these antioxidants minimize tissue damage.

So which fruits should you eat if you are diabetic?
All berries (strawberries, blueberries, etc.) are rich in antioxidants and vitamins and should be consumed. Peaches are also recommended as they are rich in Vitamin A and C. They are rich in Potassium and fibers as well. Apples are good for consumption while they are had without being peeled. Oranges (rich in Vitamin C, fibers and folate), Apricots (rich in Vitamin A and low in carbohydrates), Pears (rich in potassium and fibers) and Guava (rich in Vitamin A).

Thus, eating such fruits before every meal will help in lowering blood sugars and will surely help you in losing weight. Making this a habit will prove to be a boon for diabetic patients. Hope this helped!

Source : https://physicianingreenpark.page4.me/_blog/2018/05/07/9-diabetes-health-tips-on-eating-fruits-before-meals-from-diabetes-specialist-in-delhi/