Consumption of fiber rich foods, drinking plenty of water, and regular physical exercise are the best ways to control diabetes.

Consumption of fiber rich foods, drinking plenty of water, and regular physical exercise are the best ways to control diabetes.

I think the following of a designed lifestyle is most important for a diabetic patient along with treatment and food. It is not possible to follow all of the disciplines and rules but have to try to follow most of them. I also have same opinion as Dr. Arvind Singh already mentioned.

Diabetes control: What is most important - treatment, food or following of designed lifestyle?

All of them are equally important.

Microvascular (ie, eye and kidney disease) risk reduction is accomplished through control of glycemia and blood pressure; macrovascular (ie, coronary, cerebrovascular, peripheral vascular) risk reduction, through control of lipids and hypertension, smoking cessation, and aspirin therapy; and metabolic and neurologic risk reduction, through control of glycemia.

Read some interesting scientific research articles.

Article The Lifestyle Intervention for the Treatment of Diabetes stu...

https://www.ncbi.nlm.nih.gov/pubmed/27595918

Article Prospective association of a genetic risk score and lifestyl...

Article The Look AHEAD Trial: Implications for Lifestyle Interventio...

Article The Lifestyle Intervention for the Treatment of Diabetes stu...

A diabetes diet simply means eating the healthiest foods in moderate amounts and sticking to regular mealtimes. A diabetes diet is a healthy-eating plan that's naturally rich in nutrients and low in fat and calories. Key elements are fruits, vegetables and whole grains.

Some interested research articles.

Article The prevention and control the type-2 diabetes by changing l...

Article Diet and lifestyle-related factors associated with Apathyani...

Article The effect of weight management interventions that include a...

https://www.ncbi.nlm.nih.gov/pubmed/29364620

To control the Diabetes

* Primary Prevention: 5-10% weight loss

*Secondary Prevention: achieve metabolic control with 60-70% calories from mono unsaturated fat and carbohydrate

*Tertiary Prevention: Restrict sodium, potassium and other nutrient to reduce end organ damage

Macronutrient Recommendations

In General:

Carbohydrate: should Reduce adverse postprandial effects by

– Fiber carbohydrates, Low Glycemic Index & Resistant Starch

– Sugars & Refined Carbohydrate, (NOT Simple Versus Complex)

Fat : reduce the insulin resistance & body weight effects by increase

*Fish and Omega3 fatty Acids While reduced Poly, Saturated Fatty Acids

Type 2 diabetes epidemics continues to grow. It affects millions of human population globally. When diabetic patients enter into late stages, they may triger complications that are very harmful to patients. Thus early diagnosis is the most important thing. Food, life-style and drug can improve the physiological condition of patients. Combined healthcare may be the most effective way for disease control and managements. Of course, drug choice and dosing must be made by experienced clinicians and nurses. Frequency blood glucose testing will be useful for therapeutic selection.

All of these factors are extremely important for controlling diabetes, about your question: Is it possible to follow all of them? Yes, this is possible but not all at the same degree at all time, sometimes you can follow one or two factors more than other/others.

An experiment was conducted in British Columbia on American natives with diabetes. A switch from today's diet to traditional diet for a few months was attempted. Those that followed the recommendations "got rid" of diabetes and threw out their pills.

There is a video on youtube about this called "My Big Fat diet".

Dear Dr. Aparna Sathya Murthy,

Whwn I take Chappati roti (made from whole grain wheat in home), the PP sugar level shows much lower than the boiled rice meal. Can we conclude that whole wheat is better than rice?

Taking of monosaccharides and oil-fried fiids also have some increasing effects, definitely.

Now I am taking my food a devided manner, never a high quantity together. It definitely contains high fibre carbohydrates. It is having some very good effects.

But in the present lockdown stage, perhaps due to low calorie loss at outdoor work, tendency of increase in PP sugar is found.

Intake of excess protein to replace carbs may create other problems like detrimental effect on kidney. It is also not possible for many vegetarians.

I want to know more in these aspects from the experts.

Dear dr Aparna,

is not much philosophizing here.

Thanks to the excellent ESC guidelines from 2019,,

ESC Guidelines on diabetes, pre-diabetes, and cardiovascular diseases developed in collaboration with the EASD: The Task Force for diabetes, pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and the European Association for the Study of Diabetes (EASD)" who is availabile on the https://academic.oup.com/eurheartj/article/41/2/255/5556890 , everithing is clear

Best regard Miroslav

There is no such thing as control. Control diminishes the individuals' self-reliance because it insinuates that THEY did something wrong and could not "control" their blood glucose levels. Stress can impact blood glucose levels and these are stressful times. Finding ways to relax and slow down breath will undoubtedly help with management of blood glucose levels. When you give people too much to do at once, they can become overwhelmed, especially if they have limited resources or limited access to healthy food. Therefore, I am of the mindset that there is no ONE SIZE FITS ALL method that works for all people with diabetes, but instead a person-centered approach works best. The most important things to do is ask "what can you do now" and focus on that one thing as a first step. If they say, I can walk 30 minutes everythday, then that is a good starting point. If they say, I'm ready to change my eating patterns, then start there. Let the individual set the goal or goals, which creates self-empowerment and align with doing what they can do given their current circumstances. Setting S.M.A.R.T. goals is a great tool for goal success. Specific, Measurable, Achievable, Relevant, and Timely.

I have expressed my views in 2018 which I submit here with for your kind perusal

Diabetes is a hereditary in the family & due to the working face of our body the patient may not take disease in a serious manner & as such it can also said that the diabetes is silent killer .

A patient should take care of his body & it is must that he should follow certain physical exercise to avoid the over weight ,& should avoid ,smoking,at any cost ,in the food habit he should take utmost care should avoid all the sweet , the most oily food ,which may also help him to control his cholesterol .

This is my personal opinion

Lifestyle can be the key to preventing diabetes in young people, and in people with diabetes it is important to take into account all the factors to improve their situation and prevent other secondary chronic diseases.

Dear Dr. Miroslav Mitrovic ,

The article is very good and some predictions are obtained basing on the analysis of data (of different individuals with different level of blood parameters related with Diabetes).

It is an elaborate article and will be helpful to the physicians.

Regards,

Focusing on type 1 diabetes mellitus, I believe that those indicated are equally important factors: adequate treatment, diet, physical activity, lifestyle, ... But I think that the most important thing since the child, youth or adult debuts with diabetes Type 1 is a close relationship between the patient and the endocrine, leading the specialist to know how the patient reacts to treatment, how diet specifically affects him or how a certain physical activity influences his glucose level. All this information will lead the patient, with the help of the doctor, to arrive at a life design that approximates what we call "normal". In any case, the parents (in case we are talking about a child), or the patient himself (when we talk about adults), should always be alert to hypo or hyperglycemia. All this works, in general, well, but then there are states of anxiety, child development, ... that go beyond this theoretical framework.

In my opinion, life-style modification (diet, physical activity and good psycho-social behaviours) are the best first-approach to prevent and even treats Diabetes mellitus type II (DM-II). Secondly, if only life-style modification is not sufficient, pharmacological treatments are necessary. Today my drugs are very effective to reduce and treat diabetic symptomatology (including metformin, GLP-1 agonist and SGLT-2 inhibitors.

Recently, the 3-meal pattern diet (3-Mdiet) have a good success to treat DM-II.

Physical activity is a good way to improve muscle insulin sensitivity (resistance + endurance exercise).

I am a nutritionist and even DM-II patients for 10 years, today my therapy consist only in diet and constant physical activity and my metabolic biomarkers are balanced.

What is most important - treatment, food or following of designed lifestyle?

It depends on the type of diabetes, Type 1 requires regular use of insulin in addition to either food or following a designed lifestyle. Thus, insulin use is the most important. Type 2 if discovered early enough can be reversed with food and lifestyle modifications, following of designed lifestyle thereby becoming most important.

Is it possible to follow all of them?

Yes it is possible, but requires good understanding of the combined management so that the individual can adjust his/her medication with respect to daily food intake and activity level.

If yes, how?

For instance, a sedentary individual who takes an average of 150g carbohydrates per day and thus is on anti-diabetic drug and daily insulin dose of 60IU after a sliding scale trial. This individual can actually modify his/her diet to about 90g carbohydrate per day, and introduce an exercise regimen of 20min after each main meal while on these medications. However, this requires the individuals understanding of the management, so as to adjust the drug doses gradually with respect to the current lifestyle. And over time, can possibly do with just food and lifestyle changes without drugs to maintain a normal blood sugar range.

helathy food and life style

Major lifestyle changes in your eating, sleeping patterns, besides regular walking and timely intake of medicine.

Really, it is a balance of all of the above mentioned factor plus daily sport.

Very needed discussion. I also think all factors should be balanced.

In diabetes type two, I suggest the most important thing is to avoid sugars, in particular fructose and galactose, from sugar cane, sugar beet, sweet fruit, corn syrup, agave and milk. The human body did not evolve having to deal with much fructose or galactose. If you eat starch, it breaks down to glucose. Glucose increases leptin, and hunger subsides. If you eat fat, cholecystokinin is produced, and hunger subsides. If you eat fructose or glucose, you remain hungry.

Blood sugar control involves magnesium, chromium, vitamin B3, potassium, manganese, vanadium and the B vitamin biotin. Vegetables provide magnesium and potassium. Parsley provides vanadium. However, those with bipolar disorder should avoid vanadium.

Eat vegetables rather than fruit. Eat cheese rather than milk. Have a one course savoury meal. If you need a snack, eat nuts. Exercise outside in sunshine in clean air. Do a kind of exercise that you enjoy, in good company. Otherwise you are unlikely to keep it up.

Food and lifestyle both matter, but avoiding sugars comes first.

Kindly go through this recent publication about diabetes treatment

Controlling blood sugar through diet, oral medications, or insulin is the main treatment. Regular screening for complications is also required.

I would also suggest traditional Ayurvedic recommendations (time-tested ancient Indian science).

Hope the following papers could be useful:

Article Diet and Lifestyle Guidelines for Diabetes: Evidence Based A...

Article Yoga: As an adjunct therapy to trim down the Ayurvedic drug ...

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Dr. Longo also investigated that fasting led to an new-building of beta-cells in the pankreas that could secrete insulin again. That phenomenon was seen in both diabetes types.

Next to that I would avoid added sugars or sweeteners in food and drinks, eat fullcorn, avoid wheat, eat daily salads for lunch and in general implement legumes, nuts, seeds.

Insulin remains the mainstay of treatment for patients with type 1 diabetes. Insulin is also important therapy for type 2 diabetes when blood glucose levels cannot be controlled by diet, weight loss, exercise, and oral medications.

https://www.medicinenet.com/diabetes_treatment/article.htm

The 16 Best Foods to Control Diabetes

Fatty Fish. Fatty fish is one of the healthiest foods on the planet. ...

Leafy Greens. Leafy green vegetables are extremely nutritious and low in calories. ...

Cinnamon. Cinnamon is a delicious spice with potent antioxidant activity. ...

Eggs. Eggs provide amazing health benefits. ...

Chia Seeds. ...

Turmeric. ...

Greek Yogurt. ...

Nuts....

https://www.healthline.com/nutrition/16-best-foods-for-diabetics

The traditional texts saying "Annam Parama Ousadham" which means "Food is the best Medicine" as proper food habits acts as elixir and prevents illness.

Todos son importantes. La terapia médica nutricional es la más acertada. Involucra trabajar en equipo con médico endocrinólogo, médico deportólogo, nutricionista. Realizar talleres educativos. Enseñar uso de Apps para automonitoreo

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A combination of all of them - treatment, food or following of designed lifestyle - is required for effective management of diabetes

A person should, above all, eat a low carb diet and take their insulin when necessary. If they do this the rest should follow.

Listen to your doctor. Some people believe that they know better than the trained professionals and end up doing far more harm than good.

All are important and complement each other. Willingness and awareness are key helping factors to make that happen in addition to doctor’s advice. Healthy balanced lifestyle is crucial and feasible with determination and comittment.

Take a look for this paper

Article Prescription patterns and costs of antidiabetic medications ...

Try to cut back on the amount of carbs you eat. Type two diabetes is caused by insulin resistance and you can re-train your body to react to insulin.

If you have diabetes it is important to watch your diet.

lifestyle and diet