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Minggu, 10 Mei 2009

Diabetic Nutrition

A Healthy Diabetic Nutrition Plan

This original article was written by Jhye

Eating healthily includes eating right and not overeats on top of different range of foods such as vegetables, whole grains, fruits, non-fat dairy products, beans, and lean meats, poultry and fish. With the right nutrition, those who suffer from diabetes can share the same table as ordinary family members. Healthy eating lifestyle will contribute to improved well-beings of the family as well as the diabetic patient. A well plan and healthy diets can include your favorite food but take care of your cholesterol, blood pressure over and above your blood sugar level.

In the case of a diabetic patient, it is necessary to plan your meal and only select those types of food that meet your diabetic needs. A healthy meal should fit right into your schedule as well as your eating habits. Having the right meal plan will contribute to helping your blood pressure; cholesterol and blood sugar remain at an optimum level. In the choices of your diabetic meals, you can choose to examine several healthy diabetic recipes that can make you feel healthy. The recipes are easy to prepare and the ingredients are easily available as well. Healthy diabetic eating need not be dreary and take away all your favorite foods as there are many edible and healthy recipes to choose from.

Diabetes: Critical Information You Should Know

This original article was written by Dr. Stan Gardner, M.D.

Diabetes and Insulin Resistance

At the outset, we must differentiate between Diabetes Mellitus Type I and Type II. Diabetes Mellitus Type I occurs when the immune system attacks the insulin-producing cells of the pancreas (beta cells) so that an inadequate amount of insulin is secreted and blood sugar rises, with subsequent life-threatening ketoacidosis. Type II Diabetes, on the other hand, is a product of our Western society’s habit of overeating carbohydrates, especially refined carbohydrates (sugar). All carbohydrates eventually break down in the body into glucose. As the blood glucose, or sugar, rises, insulin is released from the beta cells in the pancreas. Insulin takes the glucose to insulin receptors on each cell in the body, so that glucose can enter the cell. Glycogen is the storage form of glucose which can be immediately released when the body needs more sugar. When refined carbohydrates (sugar) are ingested (cookies, candies, cakes, Twinkies, PopTarts), especially when taken without fiber, blood glucose levels rise rapidly. This rapid rise in blood sugar is followed by an overshooting of the amount of insulin released from the pancreas, causing the blood sugar to drop or fall below normal. Effects of Diabetes on the Body .

After years of these glucose swings, the cell wall thickens (there are approximately 30 trillion cells in our body), insulin receptors become less efficient at glucose delivery into cells, and insulin resistance results. By definition, insulin resistance is seen as high fasting levels of glucose and insulin. A healthy level of insulin in the fasting state is 0-5, while 5-10 is borderline. A diagnosis of Diabetes Mellitus Type II is made when the fasting glucose level is greater than 126 or 140 on two separate occasions.

To understand the effects of high glucose levels to the body, we need to understand a principle called glycosylation [iii] . Atherosclerosis (plaque buildup in the blood vessels) is the single biggest complication of diabetes. It may be due to platelet stickiness, glycosylated LDL, glycosylated red blood cells, or glycosylation of proteins in the blood vessel wall.

High insulin levels affect the body differently. High insulin also enhances sodium (salt) reabsorption from the kidney, thus promoting water retention and hypertension. High insulin levels also stimulate certain ovarian hormones that result in elevations in free testosterone, with subsequent androgen effects. Since all carbohydrates break down into sugar, we must decrease the total amount of carbohydrates coming into the body. Fruits are the next highest source of carbohydrates; their mostly fructose sugar is converted in the body into glucose. There are no carbohydrates in meats, cheese, or eggs.

Nutritional Options

There are nutritional substances that reduce insulin resistance in the body. Vitamin E at 900 IU/day improves insulin action and may prevent many long-term complications. Magnesium plays an important role in glucose management, through its effect on insulin. Magnesium levels are lowest in those patients with diabetic complications. It inhibits glycosylation of proteins. Omega 6 fatty acids offer protection against diabetic neuropathy, and omega 3 fatty acids protect against atherosclerosis and augment insulin secretion. Niacinamide may prevent development of Type I Diabetes Mellitus.

Low carbohydrate diet (no more than 60-100 grams per day).
If insulin resistance is still present with the above recommendations, add Biotin (9-16 mg/day), Glucophage (500-1700 mg/day). 6. For Type I Diabetes Mellitus, Niacinamide (1000-2000 mg/day) and insulin

This approach puts a much heavier emphasis on treating insulin resistance, the underlying cause of diabetes, rather than treating the symptoms of high blood sugar with medications like sulfonylureas that push the beta cells toward increasing insulin release, irrespective of the glucose level in the blood. More insulin is not what is needed. Less insulin resistance is needed. With this approach, we get away from the problems associated with high insulin levels. Diabetes is the end result of problems in the body that can be addressed with nutrition.

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