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Diet controlled type 2 diabetes. Diet-Controlled Type 2 Diabetes: Lifestyle and Dietary Changes for Prevention and Management

How can lifestyle and dietary changes prevent and control type 2 diabetes. What is the role of Mediterranean diet in managing diabetes. Can a low-fat, plant-based diet improve insulin sensitivity. How does weight gain contribute to diabetes risk. What are the recommended dietary guidelines for diabetics.

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Understanding Type 2 Diabetes and Its Global Impact

Type 2 diabetes is a chronic metabolic disorder characterized by high blood sugar levels due to insulin resistance or insufficient insulin production. The global prevalence of diabetes has been steadily increasing, with projections indicating a significant rise in the coming years. According to Wild et al., the estimated number of people with diabetes worldwide was 171 million in 2000, and this figure is expected to reach 366 million by 2030.

What factors contribute to the rising prevalence of type 2 diabetes? Several key factors include:

  • Sedentary lifestyles
  • Poor dietary habits
  • Increasing obesity rates
  • Aging populations
  • Genetic predisposition

Understanding these factors is crucial for developing effective prevention and management strategies for type 2 diabetes.

The Mediterranean Diet: A Powerful Tool in Diabetes Management

The Mediterranean diet has gained significant attention for its potential benefits in preventing and managing type 2 diabetes. This dietary pattern is characterized by high consumption of fruits, vegetables, whole grains, legumes, nuts, and olive oil, moderate consumption of fish and poultry, and limited intake of red meat and processed foods.

How does the Mediterranean diet impact diabetes risk? Research has shown that adherence to a Mediterranean-style diet is associated with:

  • Reduced risk of developing type 2 diabetes
  • Improved glycemic control in diabetic patients
  • Lower prevalence of clustered cardiovascular risk factors
  • Better overall health status, particularly in elderly populations

A study by Martinez-Gonzalez et al. found that individuals with high adherence to the Mediterranean diet had a significantly lower risk of developing diabetes compared to those with low adherence. Additionally, Panagiotakos et al. reported that long-term adoption of a Mediterranean diet was associated with better health status in elderly individuals.

The Role of Dietary Fat in Diabetes Etiology

The relationship between dietary fat intake and the development of type 2 diabetes has been a subject of extensive research. While the total amount of fat consumed is important, the type of fat in the diet also plays a crucial role in diabetes risk.

How do different types of dietary fats affect diabetes risk?

  • Saturated fats: Generally associated with increased insulin resistance and diabetes risk
  • Trans fats: Linked to higher diabetes risk and should be minimized in the diet
  • Monounsaturated fats: May improve insulin sensitivity and reduce diabetes risk
  • Polyunsaturated fats: Particularly omega-3 fatty acids, may have protective effects against diabetes

Feskins and van Dam’s epidemiological perspective highlights the complex relationship between dietary fat and type 2 diabetes etiology. They suggest that replacing saturated fats with unsaturated fats may help reduce diabetes risk.

Weight Management: A Key Factor in Diabetes Prevention and Control

Maintaining a healthy weight is crucial for both preventing and managing type 2 diabetes. Excess body weight, particularly abdominal obesity, is a significant risk factor for developing insulin resistance and type 2 diabetes.

How does weight gain impact diabetes risk? A study by Colditz et al. found that weight gain in women was strongly associated with an increased risk of developing clinical diabetes mellitus. The researchers observed that even modest weight gain (7-10.9 kg) during adulthood significantly increased diabetes risk.

What strategies can help with weight management for diabetes prevention and control?

  • Regular physical activity
  • Balanced, calorie-controlled diet
  • Portion control
  • Mindful eating practices
  • Stress management techniques

Incorporating these strategies into daily life can help individuals maintain a healthy weight and reduce their risk of developing type 2 diabetes or improve glycemic control if already diagnosed.

Plant-Based Diets: Promising Approach for Diabetes Management

Low-fat, plant-based diets have shown promising results in improving insulin sensitivity and managing type 2 diabetes. These diets typically emphasize whole grains, legumes, fruits, vegetables, and limited amounts of added fats.

How do plant-based diets affect diabetes management? A study by Barnard et al. investigated the effects of a low-fat, plant-based dietary intervention on body weight, metabolism, and insulin sensitivity. The researchers found that:

  • Participants following the plant-based diet experienced greater reductions in body weight and BMI
  • Insulin sensitivity improved significantly in the plant-based diet group
  • Glycemic control improved more in the plant-based diet group compared to the control group

These findings suggest that adopting a low-fat, plant-based diet may be an effective strategy for improving insulin sensitivity and managing type 2 diabetes.

Dietary Recommendations for Diabetic Patients

Developing appropriate dietary recommendations for diabetic patients is crucial for effective disease management. While individual needs may vary, there are general guidelines that can help improve glycemic control and overall health.

What are the key dietary recommendations for diabetic patients?

  1. Carbohydrate management: Monitor carbohydrate intake and choose complex carbohydrates over simple sugars
  2. Fiber intake: Increase consumption of high-fiber foods to improve glycemic control
  3. Protein balance: Include lean protein sources in meals to promote satiety and maintain muscle mass
  4. Healthy fats: Choose unsaturated fats over saturated and trans fats
  5. Portion control: Practice appropriate portion sizes to maintain a healthy weight
  6. Regular meal timing: Eat meals and snacks at consistent times to help regulate blood sugar levels

The American Diabetes Association provides comprehensive guidelines for medical care in diabetes, including nutritional recommendations. These guidelines emphasize individualized meal planning and the importance of considering personal and cultural preferences when developing dietary strategies.

Challenges in Dietary Compliance for Diabetic Patients

While dietary recommendations play a crucial role in diabetes management, adherence to these guidelines can be challenging for many patients. Understanding the factors that influence dietary compliance is essential for developing effective interventions and support systems.

What are the common barriers to dietary compliance in diabetic patients?

  • Limited knowledge about appropriate food choices
  • Cultural and social factors influencing food preferences
  • Economic constraints affecting access to healthy foods
  • Time constraints for meal preparation
  • Difficulty changing long-standing eating habits
  • Lack of family support or understanding

A study by Fadupin and Keshinro investigated factors influencing dietary compliance and glycemic control in adult diabetic patients in Nigeria. They found that factors such as educational level, income, and family support significantly impacted dietary adherence and glycemic control.

Strategies to Improve Dietary Compliance

To address these challenges and improve dietary compliance, healthcare providers and diabetes educators can implement various strategies:

  1. Provide comprehensive nutrition education tailored to individual needs and cultural backgrounds
  2. Offer practical cooking demonstrations and meal planning workshops
  3. Encourage family involvement in diabetes management
  4. Utilize technology-based tools for meal tracking and nutritional guidance
  5. Address psychological barriers through counseling and support groups
  6. Collaborate with community organizations to improve access to healthy foods

By addressing these factors and implementing supportive strategies, healthcare providers can help diabetic patients improve their dietary compliance and achieve better glycemic control.

The Importance of Physical Activity in Diabetes Management

While diet plays a crucial role in managing type 2 diabetes, the importance of regular physical activity cannot be overstated. Exercise is a key component of a comprehensive diabetes management plan, offering numerous benefits for glycemic control and overall health.

How does physical activity benefit individuals with type 2 diabetes?

  • Improves insulin sensitivity
  • Helps maintain a healthy weight
  • Reduces cardiovascular disease risk
  • Lowers blood pressure
  • Improves lipid profiles
  • Enhances overall well-being and quality of life

Barnard et al. emphasized the need for early emphasis on diet and exercise in the treatment of non-insulin-dependent diabetes mellitus (NIDDM). Their research suggests that a combination of dietary changes and regular physical activity can lead to significant improvements in glycemic control and overall health outcomes for diabetic patients.

Recommended Physical Activity Guidelines for Diabetic Patients

The American Diabetes Association provides specific recommendations for physical activity in their Standards of Medical Care in Diabetes. These guidelines include:

  1. At least 150 minutes per week of moderate-intensity aerobic activity, spread over at least 3 days per week
  2. Resistance training at least 2-3 times per week
  3. Flexibility and balance training 2-3 times per week for older adults
  4. Reducing sedentary time by breaking up prolonged sitting every 30 minutes

It’s important to note that individuals with diabetes should consult their healthcare provider before starting a new exercise program, especially if they have any complications or comorbidities.

Monitoring and Evaluating Diabetes Management Progress

Effective management of type 2 diabetes requires regular monitoring and evaluation of progress. This allows healthcare providers and patients to assess the effectiveness of dietary and lifestyle interventions and make necessary adjustments to treatment plans.

What are the key parameters for monitoring diabetes management progress?

  • Glycated hemoglobin (HbA1c) levels
  • Fasting and postprandial blood glucose levels
  • Body weight and BMI
  • Blood pressure
  • Lipid profile
  • Medication requirements
  • Quality of life measures

Regular monitoring of these parameters helps healthcare providers and patients track progress and identify areas that may require additional attention or intervention.

Tools and Techniques for Self-Monitoring

Empowering patients with tools and techniques for self-monitoring is crucial for successful diabetes management. Some effective self-monitoring strategies include:

  1. Blood glucose monitoring: Using home glucose meters to track daily blood sugar levels
  2. Food diaries: Keeping detailed records of food intake and portion sizes
  3. Physical activity logs: Tracking exercise duration, intensity, and frequency
  4. Weight monitoring: Regular weight checks to assess progress in weight management
  5. Mobile apps: Utilizing smartphone applications designed for diabetes management and tracking

By incorporating these self-monitoring techniques, patients can take an active role in their diabetes management and make informed decisions about their diet and lifestyle choices.

The Role of Healthcare Providers in Supporting Dietary Changes

Healthcare providers play a crucial role in supporting patients with type 2 diabetes as they implement dietary and lifestyle changes. Effective communication, education, and ongoing support are essential components of successful diabetes management.

How can healthcare providers best support patients in making dietary changes?

  • Provide clear, evidence-based dietary recommendations
  • Offer personalized meal planning guidance
  • Address cultural and socioeconomic factors that may impact food choices
  • Collaborate with registered dietitians for specialized nutrition counseling
  • Encourage regular follow-up appointments to monitor progress and address concerns
  • Offer resources for ongoing education and support

Fadupin et al. highlighted the importance of tailored dietary advice for diabetic patients in Nigeria, emphasizing the need to consider local food availability and cultural preferences when making recommendations.

Multidisciplinary Approach to Diabetes Management

A multidisciplinary approach to diabetes management can provide comprehensive care and support for patients. This team may include:

  1. Primary care physicians
  2. Endocrinologists
  3. Registered dietitians
  4. Diabetes educators
  5. Exercise physiologists
  6. Mental health professionals
  7. Pharmacists

By working together, this multidisciplinary team can address the various aspects of diabetes management, including dietary changes, medication management, and psychosocial support.

Future Directions in Diet-Controlled Type 2 Diabetes Management

As research in the field of diabetes management continues to evolve, new approaches and technologies are emerging that may further improve the prevention and control of type 2 diabetes through dietary and lifestyle interventions.

What are some promising areas of research and development in diet-controlled diabetes management?

  • Personalized nutrition based on genetic and metabolic profiles
  • Advanced continuous glucose monitoring technologies
  • Artificial intelligence-driven meal planning and decision support tools
  • Gut microbiome modulation for improved metabolic health
  • Novel food processing techniques to enhance the nutritional quality of diabetic-friendly foods
  • Integration of behavioral psychology principles in diabetes education and support programs

These emerging areas of research hold promise for enhancing the effectiveness of dietary interventions in type 2 diabetes management and may lead to more personalized and targeted approaches in the future.

The Importance of Ongoing Research and Clinical Trials

Continued research and clinical trials are essential for advancing our understanding of diet-controlled type 2 diabetes management. Some key areas that warrant further investigation include:

  1. Long-term effects of various dietary patterns on diabetes outcomes
  2. Optimal macronutrient ratios for different patient populations
  3. Impact of specific food components on insulin sensitivity and glycemic control
  4. Effectiveness of technology-based interventions in supporting dietary adherence
  5. Role of intermittent fasting and time-restricted eating in diabetes management

By pursuing these research directions, the scientific community can continue to refine and improve dietary recommendations for type 2 diabetes prevention and management, ultimately leading to better health outcomes for individuals affected by this chronic condition.

The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern

1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: Estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27:1047–53. [PubMed] [Google Scholar]

2. Giugliano D, Esposito K. Mediterranean diet and metabolic diseases. Curr Opin Lipidol. 2008;19:63–8. [PubMed] [Google Scholar]

3. Martinez-Gonzalez MA, de la Fuente-Arrillaga C, Nunez-Cordoba JM, Basterra-Gortari FJ, Beunza JJ, Vazquez Z, et al. Adherence to Mediterranean diet and risk of developing diabetes: Prospective cohort study. BMJ. 2008;336:1348–51. [PMC free article] [PubMed] [Google Scholar]

4. Sanchez-Tainta A, Estruch R, Bullo M, Corella D, Gomez-Gracia E, Fiol M. Adherence to a Mediterranean-type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high-risk patients. Eur J Cardiovasc Prev Rehabil. 2008;15:589–93. [PubMed] [Google Scholar]

5. Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C. The epidemiology of Type 2 diabetes mellitus in Greek adults: The ATTICA study. Diabet Med. 2005;22:1581–8. [PubMed] [Google Scholar]

6. Geneva: WHO; 1999. World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications. Part 1. Report of WHO consultation. [Google Scholar]

7. Report of the WHO consultation on obesity. Geneva: WHO; 1998. Prevention and Management of the Global Epidemic of Obesity. [Google Scholar]

8. Otuyelu F. Diabetic diet for the Nigerian. Niger Med Pract. 1982;3:48–51. [Google Scholar]

9. Fadupin GT, Keshinro OO. Factors influencincing dietary compliance and glycaemic control in adult diabetic patients in Nigeria. Diabetes Int. 2001;11:59–61. [Google Scholar]

10. Fadupin GT, Keshinro OO, Sule ON. Dietary recommendations: Example of advice given to diabetic patients in Nigeria. Diabetes Int. 2000;10:68–70. [Google Scholar]

11. Sofi F, Innocenti G, Dini C, Masi L, Battistini NC, Brandi ML, et al. Low adherence of a clinically healthy Italian population to nutritional recommendations for primary prevention of chronic diseases. Nutr Metab Cardiovasc Dis. 2006;16:436–44. [PubMed] [Google Scholar]

12. Kastorini CM, Panagiotakos DB. Mediterranean diet and diabetes prevention: Myth or fact? World J Diabetes. 2010;1:65–7. [PMC free article] [PubMed] [Google Scholar]

13. Colditz GA, Willett WC, Rotnitzky A, Manson JE. Weight gain as a risk factor for clinical diabetes mellitus in women. Ann Intern Med. 1995;122:481–6. [PubMed] [Google Scholar]

14. Feskins EJ, van Dam RM. Dietary fat and the etiology of type 2 diabetes: An epidemiological perspective. Nutr Metab Cardiovasc Dis. 1999;9:87–95. [PubMed] [Google Scholar]

15. Bergnman RN, Ader L. Free fatty acids and the pathogenesis of type 2 diabetes mellitus. Trends Endocrinol Metab. 2001;3(suppl):S11–9. [Google Scholar]

16. Panagiotakos DB, Polystipioti A, Papairakleous N, Polychronopoulos E. Long-term adoption of a Mediterranean diet is associated with a better health status in elderly people; a cross-sectional survey in Cyprus. Asia Pac J Clin Nutr. 2007;16:331–7. [PubMed] [Google Scholar]

17. Panagiotakos DB, Tzima N, Pitsavos C, Chrysohoou C, Zampelas A, Toussoulis D, et al. The association between adherence to the Mediterranean diet and fasting indices of glucose homoeostasis: The Attica Study. J Am Coll Nutr. 2007;26:32–8. [PubMed] [Google Scholar]

18. American Diabetes Association. Standards of medical care in diabetes-2010. Diabetes Care. 2010;33(suppl 1):S11–61. [PMC free article] [PubMed] [Google Scholar]

19. American Diabetes Association: Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications (Position Statement) Diabetes Care. 2003;26(Suppl 1):S51–61. [PubMed] [Google Scholar]

20. Barnard ND, Scialli AR, Turner-McGrievy G, Lanou AJ, Glass J. The effects of a lowfat, plant-based dietary intervention on body weight, metabolism, and insulin sensitivity. Am J Med. 2005;118:991–7. [PubMed] [Google Scholar]

21. American Diabetes Association. Standards of Medical Care in Diabetes-2008. Diabetes Care. 2008;31:S12–S54. [PubMed] [Google Scholar]

22. Barnard ND, Scialli AR, Turner-McGrievy GM, Lanou AJ. Acceptability of a low-fat vegan diet compares favorably to a step II diet in a randomized, controlled trial. J Cardiopulm Rehabil. 2004;24:229–35. [PubMed] [Google Scholar]

23. Barnard RJ, Jung T, Inkeles SB. Diet and exercise in the treatment of NIDDM: The need for early emphasis. Diabetes Care. 1994;17:1–4. [PubMed] [Google Scholar]

24. Wieland H, Seidel D. A simple specific method for precipitation of low density lipoproteins. J Lipid Res. 1983;24:904–9. [PubMed] [Google Scholar]

25. Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, et al. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362:1090–101. [PubMed] [Google Scholar]

26. Holt SH, Brand Miller JC, Petocz P, Farmakaladis E. A satiety index of common foods. Eur J Clin Nutr. 1995;49:675–90. [PubMed] [Google Scholar]

27. Nicholson AS, Sklar M, Barnard ND, Gore S, Sullivan R, Browning S. Toward improved management of NIDDM: A randomized, controlled, pilot intervention using a low-fat, vegetarian diet. Prev Med. 1999;29:87–91. [PubMed] [Google Scholar]

28. UK Prospective Diabetes Group. Intensive bloodglucose control with sulphonylureas and insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33) Lancet. 1998;352:837–53. [PubMed] [Google Scholar]

29. Wolf AM, Conaway MR, Crowther JQ, Hazen KY, L Nadler J, Oneida B, et al. Translating lifestyle intervention to practice in obese patients with type 2 diabetes: Improving control with activity and nutrition (ICAN) study. Diabetes Care. 2004;27:1570–6. [PubMed] [Google Scholar]

30. The Diabetes Control and Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med. 1993;329:977–86. [PubMed] [Google Scholar]

31. The International Expert Committee. International Expert Committee report on the role of the A1C assay in the diagnosis of diabetes. Diabetes Care. 2009;32:1327–34. [PMC free article] [PubMed] [Google Scholar]

32. Sinitskaya N, Gourmelen S, Schuster-Klein C, Guardiola-Lemaitre B, Pevet P, Challet E. Increasing fat-to-carbohydrate ratio in a high-fat diet prevents the development of obesity but not a prediabetic state in rats. Clin Sci. 2007;113:417–25. [PubMed] [Google Scholar]

33. Sjostrom CD, Peltonen M, Wedel H, Sjostrom L. Differentiated long-term effects of intentional weight loss on diabetes and hypertension. Hypertension. 2000;36:20–5. [PubMed] [Google Scholar]

34. Schroder H. Protective mechanisms of the Mediterranean diet in obesity and type 2 diabetes. J Nutr Biochem. 2007;18:149–60. [PubMed] [Google Scholar]

35. Selvin E, Crainiceanu CM, Brancati FL, Coresh J. Short-term variability in measures of glycemia and implications for the classification of diabetes. Arch Intern Med. 2007;167:1545–51. [PubMed] [Google Scholar]

36. Shai I, Schwarzfuchs D, Henkin Y, Shahar DR, Witkow S, Greenberg I, et al. Weight loss with a lowcarbohydrate, Mediterranean, or low-fat diet. N Engl J Med. 2008;359:229–41. [PubMed] [Google Scholar]

37. Lindeberg S, Jönsson T, Granfeldt Y, Borgstrand E, Soffman J, Sjöström K, et al. A Palaeolithic diet improves glucose tolerance more than a Mediterranean-like diet in individuals with ischaemic heart disease. Diabetologia. 2007;50:1795–807. [PubMed] [Google Scholar]

38. Lovejoy JC, Windhauser MM, Rood JC, de la Bretonne JA. Effect of a controlled high-fat versus low-fat diet on insulin sensitivity and leptin levels in African-American and Caucasian women. Metabolism. 1998;47:1520–4. [PubMed] [Google Scholar]

39. American Diabetes Association. Clinical practice recommendations-2007. Diabetes Management in Correctional Institutions: Diabetes Care. 2007;30(Supp 1):S77–84. [PubMed] [Google Scholar]

40. American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(Suppl 1):S62–9. [PMC free article] [PubMed] [Google Scholar]

41. Bouchard C, Tremblay A, LeBlanc C, Lortie G, Savard R, Theriault G. A method to assess energy expenditure in children and adults. Am J Clin Nutr. 1983;37:461–7. [PubMed] [Google Scholar]

42. Drewnowski A. Energy density, palatability, and satiety: Implications for weight control. Nutr Rev. 1998;56:347–53. [PubMed] [Google Scholar]

43. Duncan KH, Bacon JA, Weinsier RL. The effects of high and low energy density diets on satiety, energy intake, and eating time of obese and nonobese subjects. Am J Clin Nutr. 1983;37:763–7. [PubMed] [Google Scholar]

44. Eaton SB, Eaton SB, Konner MJ, Shostak M. An evolutionary perspective enhances understanding of human nutritional requirements. J Nutr. 1996;126:1732–40. [PubMed] [Google Scholar]

45. Esposito K, Maiorino MI, Di Palo C, Giugliano D. Adherence to a Mediterranean diet and glycaemic control in Type 2 diabetes mellitus. Diabet Med. 2009;26:900–7. [PubMed] [Google Scholar]

46. Franz MJ, Splett PL, Monk A, Barry B, McClain K, Weaver T, et al. Cost-effectiveness of medical nutrition therapy provided by dietitians for persons with non-insulin-dependent diabetes mellitus. J Am Diet Assoc. 1995;95:1018–24. [PubMed] [Google Scholar]

47. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of lowdensity lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem. 1972;18:499–502. [PubMed] [Google Scholar]

48. Garg A, Bantle JP, Henry RR, Coulston AM, Griver KA, Raatz SK, et al. Effects of varying carbohydrate content of the diet in patients with non-insulin-dependent diabetes mellitus. JAMA. 1994;271:1421–8. [PubMed] [Google Scholar]

49. Garg A. High-monosaturated fat diets for patients with diabetes mellitus: A meta-analysis. Am J Clin Nutr. 1998;67:577S–82. [PubMed] [Google Scholar]

50. Howarth NC, Saltzman E, Roberts SB. Dietary fiber and weight regulation (Review) Nutr Rev. 2001;59:129–39. [PubMed] [Google Scholar]

51. Pérez-Jiménez F, López-Miranda J, Pinillos MD, Gómez P, Paz-Rojas E, Montilla P, et al. A Mediterranean and a high-carbohydrate diet improve glucose metabolism in healthy young persons. Diabetologia. 2001;44:2038–43. [PubMed] [Google Scholar]

52. Schakel SF, Sievert YA, Buzzard IM. Sources of data for developing and maintaining a nutrient database. J Am Diet Assoc. 1988;88:1268–71. [PubMed] [Google Scholar]

53. Simopoulos AP. The Mediterranean diets: What is so special about the diet of Greece? The scientific evidence. J Nutr. 2001;131:3065S–73. [PubMed] [Google Scholar]

54. Wilson DH, Bogacz JP, Forsythe CM, Turk PJ, Lane TL, Gates RC, et al. Fully automated assay of glycohemoglobin with the Abbott IMx analyzer: Novel approaches for separation and detection. Clin Chem. 1993;39:2090–7. [PubMed] [Google Scholar]

55. Weiss R, Dufour S, Taksali SE, Tamborlane WV, Petersen KF, Bonadonna RC, et al. Prediabetes in obese youth: A syndrome of impaired glucose tolerance, severe insulin resistance, and altered myocellular and abdominal fat partitioning. Lancet. 2003;362:951–7. [PMC free article] [PubMed] [Google Scholar]

56. Sparks LM, Xie H, Koza RA, Mynatt R, Hulver MW, Bray GA, et al. A highfat diet coordinately downregulates genes required for mitochondrial oxidative phosphorylation in skeletal muscle. Diabetes. 2005;54:1926–33. [PubMed] [Google Scholar]

57. Centers for Disease Control and Prevention. Transmission of hepatitis B virus among persons undergoing blood glucose monitoring in long-term-care facilities–Mississippi, North Carolina, and Los Angeles County, California, 2003–2004. MMWR Morb Mortal Wkly Rep. 2005;54:220–3. [PubMed] [Google Scholar]

58. Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, Ruiz-Gutiérrez V, Covas MI, et al. Effects of a Mediterranean-style diet on cardiovascular risk factors: A randomized trial. Ann Intern Med. 2006;145:1–11. [PubMed] [Google Scholar]

59. Federal Bureau of Prisons. Washington, DC: Federal Bureau of Prisons; 2007. Federal Bureau of Prisons, Clinical practice guidelines: Preventive health care. [Google Scholar]

60. Goff LM, Bell JD, So PW, Dornhorst A, Frost GS. Veganism and its relationship with insulin resistance and intramyocellular lipid. Eur J Clin Nutr. 2005;59:291–8. [PubMed] [Google Scholar]

61. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2008. [Last accessed on 2010 May 18]. Centers for Disease Control and Prevention. National Diabetes Fact Sheet: General Information and National Estimates on Diabetes in the United States 2007. [Google Scholar]

62. Field AE, Willett WC, Lissner L, Colditz GA. Dietary fat and weight gain among women in the Nurses’ Health Study. Obesity. 2007;15:967–6. [PubMed] [Google Scholar]

63. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults. Findings fromthe Third National Health and Nutrition Survey. JAMA. 2001;287:356–9. [PubMed] [Google Scholar]

64. Fraser GE. Diet, Life Expectancy, and Chronic Disease. Oxford UK: Oxford University Press; 2003. Vegetarianism and obesity, hypertension, diabetes, and arthritis; pp. 129–48. [Google Scholar]

65. Trichopoulou A. Mediterranean diet: The past and the present. Nutr Metab Cardiovasc Dis. 2001;11:1–4. [PubMed] [Google Scholar]

66. US Preventive Services Task Force. Screening for type 2 diabetes mellitus in adults: US Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2008;148:846–54. [PubMed] [Google Scholar]

67. Nathan DM, Kuenen J, Borg R, Zheng H, Schoenfeld D, Heine RJ for the A1C-derived Average Glucose (ADAG) Study Group. Translating the A1C assay into estimated average glucose values. Diabetes Care. 2008;31:1473–8. [PMC free article] [PubMed] [Google Scholar]

68. Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: The Da Qing IGT and Diabetes Study. Diabetes Care. 1997;20:537–44. [PubMed] [Google Scholar]

69. Patel RB, Burke TF. Urbanization: An emerging humanitarian disaster. N Engl J Med. 2009;361:741–3. [PubMed] [Google Scholar]

70. Petersen KF, Dufour S, Befroy D, Garcia R, Shulman GI. Impaired mitochondrial activity in the insulin-resistant offspring of patients with type 2 diabetes. N Engl J Med. 2004;350:664–71. [PMC free article] [PubMed] [Google Scholar]

71. Qi L, Hu FB, Hu G. Genes, environment, and interactions in prevention of type 2 diabetes: A focus on physical activity and lifestyle changes. Curr Mol Med. 2008;8:519–32. [PubMed] [Google Scholar]

72. Abelson R. New York: The New York Times; 2010. An insurer’s new approach to diabetes; p. 14. [Google Scholar]

73. Hu FB. Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care. 2002;25:417–24. [PubMed] [Google Scholar]

74. Hua NW, Stoohs RA, Facchini FS. Low iron status and enhanced insulin sensitivity in lacto-ovo vegetarians. Br J Nutr. 2001;86:515–9. [PubMed] [Google Scholar]

75. Kendall A, Levitsky DA, Strupp BJ, Lissner L. Weight loss on a low-fat diet: Consequence of the imprecision of the control of food intake in humans. Am J Clin Nutr. 1991;53:1124–9. [PubMed] [Google Scholar]

76. Kleges RC, Kleges LM, Haddock CK, Eck LH. A longitudinal analysis of the impact of dietary intake and physical activity on weight change in adults. Am J Clin Nutr. 1992;55:818–22. [PubMed] [Google Scholar]

77. Rolls BJ. The role of energy density in the over consumption of fat. J Nutr. 2000;130:268S–71. [PubMed] [Google Scholar]

78. Zammit VA, Waterman IJ, Topping D, McKay G. Insulin stimulation of hepatic triacylglycerol secretion and the etiology of insulin resistance. J Nutr. 2001;131:2074–7. [PubMed] [Google Scholar]

79. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world-a growing challenge. N Engl J Med. 2007;356:213–5. [PubMed] [Google Scholar]

80. Ackerman RT, Finch EA, Brizendine E, Zhou H, Marrero DG Translating the Diabetes Prevention Program into the community. The Deploy Pilot Study. Am J Prev Med. 2008;35:357–63. [PMC free article] [PubMed] [Google Scholar]

81. Allain CC, Poon LS, Chan CS, Richmond W, Fu PC. Enzymatic determination of total serum cholesterol. Clin Chem. 1974;20:470–5. [PubMed] [Google Scholar]

82. Gaede PH, Lund-Andersen H, Parving HH, Pedersen O. Effect of a multifactorial intervention on mortality in type 2 diabetes. N Engl J Med. 2008;358:580–91. [PubMed] [Google Scholar]

83. Guldstrand M, Adamson U, Ahrxen B. Improved β-cell function after standardized weight reduction in severely obese subjects. Am J Physiol Endocrinol Metab. 2003;284:E557–65. [PubMed] [Google Scholar]

84. Haber GB, Heaton KW, Murphy D, Burroughs LF. Depletion and disruption of dietary fibre: Effects on satiety, plasma-glucose, and serum-insulin. Lancet. 1977;2:679–82. [PubMed] [Google Scholar]

85. Laitinen JH, Ahola IE, Sarkkinen ES, Winberg RL, Harmaakorpi-Iivonen PA, Uusitupa MI. Impact of intensified dietary therapy on energy and nutrient intakes and fatty acid composition of serum lipids in patients with recently diagnosed noninsulin- dependent diabetes mellitus. J Am Diet Assoc. 1993;93:276–83. [PubMed] [Google Scholar]

86. Mattson JS, Cerutis RD. Diabetes mellitus: A review of the literature and dental implications. Compend Contin Educ Dent. 2001;22:757–70. [PubMed] [Google Scholar]

87. Mokdad AH. The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001;286:1195–200. [PubMed] [Google Scholar]

88. Morgan SA, O’Dea K, Sinclair AJ. A low-fat diet supplemented with monounsaturated fat results in less HDL-C lowering than a very-low-fat diet. J Am Diet Assoc. 1997;97:151–6. [PubMed] [Google Scholar]

89. Jenkins DJ, Kendall CW, Marchie A, Faulkner DA, Wong JM, de Souza R, et al. Effects of a dietary portfolio on cholesterol-lowering foods vs lovastatin on serum lipids and C-reactive protein. JAMA. 2003;290:502–10. [PubMed] [Google Scholar]

90. Jenkins DJ, Kendall CW, Marchie A, Jenkins AL, Augustin LS, Ludwig DS, et al. Type 2 diabetes and the vegetarian diet. Am J Clin Nutr. 2003;78:610S–6. [PubMed] [Google Scholar]

91. Krentz AJ, Bailey CJ. Oral antidiabetic agents: Current role in type 2 diabetes mellitus (Review) Drugs. 2005;65:385–411. [PubMed] [Google Scholar]

92. Asif M. The role of fruits, vegetables, and spices in diabetes. Int J Nutr Pharmacol Neurol Dis. 2011;1:26–34. [Google Scholar]

93. Roberts CK, Vaziri ND, Barnard RJ. Effect of diet and exercise intervention on blood pressure, insulin, oxidative stress, and nitric oxide availability. Circulation. 2002;106:2530–2. [PubMed] [Google Scholar]

94. Stubbs RJ, Johnstone AM, Harbron CG, Reid C. Covert manipulation of energy density of high carbohydrate diet in ‘pseudo free-living’ humans. Int J Obes. 1998;22:885–92. [PubMed] [Google Scholar]

95. Tremblay A. Nutritional determinants of the insulin resistance syndrome. Int J Obes. 1995;19(suppl):S60–5. [PubMed] [Google Scholar]

96. Vrieze A, Holleman F, Zoetendal EG, de Vos WM, Hoekstra JB, Nieuwdorp M. The environment within: How gut microbiota may influence metabolism and body composition. Diabetologia. 2010;53:606–13. [PMC free article] [PubMed] [Google Scholar]

97. Wieland H, Seidel D. A simple specific method for precipitation of low density lipoproteins. J Lipid Res. 1983;24:904–9. [PubMed] [Google Scholar]

98. Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, et al. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362:1090–101. [PubMed] [Google Scholar]

99. Holt SH, Brand Miller JC, Petocz P, Farmakaladis E. A satiety index of common foods. Eur J Clin Nutr. 1995;49:675–90. [PubMed] [Google Scholar]

Controlling type 2 diabetes: With and without medication

Many people may wonder how to control type 2 diabetes without medications. A healthy diet and lifestyle could help people manage type 2 diabetes and other aspects of their health.

To help people keep blood sugar — blood glucose — within a healthy range, the American Heart Association (AHA) recommends:

  • engaging in weight management
  • eating a nutritious diet
  • getting regular exercise
  • stopping smoking
  • reducing stress

If making dietary and lifestyle changes do not help maintain a healthy blood sugar level, doctors may advise a person to take medications. However, if someone receives a diabetes diagnosis as an older adult and their blood sugar is only mildly elevated, medications may not be necessary.

In this article, we examine how to control type 2 diabetes without medication. We also look at the causes of type 2 diabetes and when people may need medication to manage their condition.

A 2020 study reports that healthy lifestyle practices could benefit people with type 2 diabetes or risk factors for the condition. Such measures may delay or prevent its development, as well as treat or potentially put it into remission. This method of controlling blood sugar can be so effective that the study’s authors call it lifestyle medicine.

The following healthy lifestyle practices may help reduce blood sugar levels:

1. Pursue weight management

In people with overweight or obesity, significant weight loss may reduce blood sugar from the diabetic to the nondiabetic range.

Two ways to manage weight are eating a healthy, balanced diet and engaging in regular exercise. The key to weight loss involves consuming fewer calories than the body uses for activities and physiological processes.

2. Eat a healthy diet

A healthy diet consists of eating nutritious foods in appropriate portion sizes while avoiding or limiting non-nutritious foods.

Foods for people to eat may include:

  • whole grains, such as oatmeal, brown rice, and whole grain bread
  • fruits and vegetables
  • non-fried fish that is high in omega-3 fatty acids, such as salmon and lake trout
  • lean meat, such as sirloin and white meat from chicken or turkey
  • nontropical vegetable oils, such as olive oil
  • unsalted nuts and seeds
  • legumes, such as beans and peas
  • low fat dairy products

Foods and ingredients for people to limit may include:

  • sugary foods and beverages, such as candy, cakes, jelly, honey, sodas, sweet tea, fruit drinks, and concentrated fruit juices
  • sweet food additives, such as high fructose corn syrup, dextrose, maltose, fructose, and sucrose
  • processed and fatty meats, such as bacon, hot dogs, and fatty cuts of beef and pork
  • salty foods
  • partially hydrogenated and trans fat foods, such as shortening, hard margarine, microwave popcorn, frozen pizzas, desserts, and coffee creamer
  • saturated fat, such as foods containing palm oil or coconut oil

The American Diabetes Association (ADA) recommends a diet similar to the Mediterranean diet, which focuses on:

  • fruits
  • vegetables
  • whole grains
  • nuts
  • olive oil
  • fatty fish

A 2020 review notes that following this eating plan improves blood sugar control.

3. Get regular exercise

Exercise promotes blood sugar management and burns calories, which contributes to weight loss. Physical activity also increases insulin sensitivity, which helps blood sugar to enter the cells from the bloodstream.

People should aim to get 30 minutes of moderate physical activity per day on most days, totaling at least 150 minutes each week. Experts classify a brisk walk as moderate exercise. Alternatively, 75 minutes per week of vigorous aerobic activity is equally beneficial.

4. Stop smoking

Doctors advise people to stop smoking to help blood sugar control for several reasons. Smokers have a 30–40% higher risk of developing diabetes than nonsmokers. Smoking also makes exercise more challenging.

Smoking also raises blood sugar temporarily, which poses an additional challenge in maintaining nondiabetic blood sugar levels. This increases the likelihood of a person developing complications of diabetes, such as kidney disease and nerve damage.

5. Manage stress

Research in 2019 suggests that although stress does not cause type 2 diabetes, it can worsen it. Stress stimulates the release of hormones that interfere with the body’s blood sugar regulation. It also makes a person more likely to engage in practices that make it harder to manage blood sugar, such as overeating and smoking.

One way to reduce stress involves taking a break from electronics and spending time in nature.

According to 2020 research, a person only needs medication if lifestyle practices do not put blood sugar levels in the nondiabetic range.

A doctor’s recommendation for medication for someone with type 2 diabetes may depend partly on their age when they receive a diagnosis. While many older adults with the condition have slightly higher blood sugar levels, this rarely causes problems.

On the other hand, doctors may prescribe medications to people who receive a diagnosis by the age 40 or 50. Even slightly elevated blood sugar levels can eventually lead to health problems, such as damage to nerves or blood vessels. Such damage may result in complications, such as kidney disease. The purpose of medications is to delay or prevent the harmful effects of diabetes.

According to the ADA, type 2 diabetes is progressive, making it more difficult to manage over time. Improvements in medical care enable people with the condition to live longer. However, despite the advancements, type 2 diabetes may reduce life expectancy by up to 10 years.

The effects of lifestyle practices alone on type 2 diabetes have not undergone extensive research, limiting statistics on the results of such interventions. However, a 2018 clinical trial examined the outcomes of a weight management program on 306 individuals with type 2 diabetes. After 12 months, the authors found about half the individuals who participated in the program went into remission.

Researchers cannot quantify the exact improvement that each healthy lifestyle practice may bring at this point in research. However, the outlook for people with type 2 diabetes who have a healthy lifestyle is better than those who do not.

Type 2 diabetes is a condition that involves high blood glucose or blood sugar.

The pancreas makes insulin, a hormone that enables cells to take glucose from the bloodstream for energy. In type 2 diabetes, the cells do not respond normally to insulin, called insulin resistance. As a result, the pancreas makes more insulin in an attempt to get glucose inside the cells.

After some time, the pancreas cannot keep up, and blood sugar increases, which leads to prediabetes and diabetes.

Symptoms frequently develop over several years, including:

  • tiredness
  • increased thirst and urination
  • blurry vision
  • increased hunger
  • slow healing of sores
  • numbness or tingling in hands or feet
  • weight loss without trying
  • dry skin
  • more infections than usual

Experts advise people interested in learning how to control type 2 diabetes without medications to adopt a healthy lifestyle.

Significant weight loss can help control blood sugar levels in some people. Two ways to pursue weight management involve people eating a healthy, balanced diet and getting regular exercise.

Good nutrition is vital for a person with type 2 diabetes. Some evidence suggests that a nutritious eating plan, such as the Mediterranean diet, may help control blood sugar in ways other than weight loss.

Type 2 Diabetes Diet: Do’s and Don’ts

November 14 is World Diabetes Day. One of the important points in the treatment of diabetes is diet. We tell you which foods are allowed for type 2 diabetes, and which ones are better to forget about.

A person diagnosed with type 2 diabetes manages to maintain normal blood glucose levels only with the help of a special diet. But in order to achieve excellent results in compensating for the disease, it is important to know what should not be eaten with diabetes, which foods should be limited as much as possible, and which can be consumed without restrictions. It is helpful for people with diabetes to keep a food diary to help control their diet.

What you can eat:

  • Animal and vegetable proteins (meat, poultry, fish, eggs, cheese, cottage cheese, legumes).
  • Fats of animal and vegetable origin (butter, sour cream and cottage cheese with a high fat content, vegetable oils, nuts).
  • Only slow carbohydrates (cereals, vegetables, greens).
  • Spices, spices, herbs.

What not to eat:

Products that aggravate carbohydrate metabolism disorders. These include:

  • Foods with a high glycemic index (flour, sugar, chocolate, white rice, potatoes, cooked beets, carrots, etc.). Carbohydrates in them are quickly broken down and cause sharp jumps in blood glucose.
  • Products containing lactose. It is recommended to limit the consumption of milk and liquid dairy products to 100 ml per day.
  • Fructose reduces the sensitivity of cells to insulin, which is already reduced in type 2 diabetes. Therefore, fruits, dried fruits, honey should be limited in the diet (15 g of fructose per day). For example, very sweet fruits (bananas, pears, grapes) should be excluded. It is better to give preference to berries. And use this group of products as a dessert, do not use it as an independent dish. Many snack on fruit – this is wrong.

Type 2 Diabetes Food Chart

Type of permitted product

Products

Fruit

Limited: apricots, cherry plums, grapefruits, oranges,
lingonberries, cranberries, peaches, apples, plums, sea buckthorn,
red currants, cherries, gooseberries

Vegetables

Cucumbers, broccoli, green peas, cauliflower,
lettuce, greens, zucchini, green pepper, mushrooms

Dairy products

Low-fat milk, cottage cheese, fermented milk products,
some low-fat cheese

Cereals

Soybeans, beans, peas, lentils, buckwheat, oatmeal,
pearl barley, occasional pasta

Meat and fish

Lean beef, turkey, chicken, rabbit, white
fish species

Sweet

Special diabetic products only
and very limited

Drinking

Unsweetened tea, coffee, compotes, herbal decoctions

Bakery products

Whole wheat bread

Miscellaneous

Eggs, vegetable oils

Weekly menu for type 2 diabetes mellitus

This is what an approximate diet for a type 2 diabetic looks like. Doctors recommend not to make a menu on your own, but to seek advice from nutritionists.

Monday

Breakfast: buckwheat porridge

Lunch: beef stew with vegetables

Snack: baked apple with cottage cheese

Dinner: pink salmon on vegetable pillow

Tuesday

Breakfast: barley porridge

Lunch: onion soup or beef with vegetables

Snack: cabbage salad with apple

Dinner: lean fish

Wednesday

Breakfast: millet porridge with pumpkin

Lunch: chicken fillets and cereals to choose from allowed

Snack: cottage cheese with berries

Dinner: lean fish or turkey with stewed vegetables

Thursday

Breakfast: scrambled eggs (no more than two eggs per serving)

Lunch: chicken with grits

Afternoon snack: cheesecakes

Dinner: lean beef and vegetables

Friday

Breakfast: cheesecakes

Lunch: white fish fillets in oven with ovo shami

Snack: cabbage salad

Dinner: turkey

Saturday

Breakfast: any porridge from the list of allowed

Lunch: mashed vegetable soup in a slow cooker

Snack: kiwi smoothie

Dinner: chicken or turkey with vegetables 9 0003

Sunday

Breakfast: oatmeal

Lunch: chicken soup

Afternoon snack: salad with celery and walnuts

Dinner: lean fish fillet with vegetables

Results of diet 9 0003

Proper nutrition for type 2 diabetes helps to lose weight, and thus thereby reduce the insulin resistance of cells, in other words, susceptibility to insulin.

Dieting for Type 2 Diabetes may seem tedious at first, but it will eventually become a way of life.

Diabetes is incurable, but it can be controlled and lead a full life. In patients who follow the rules and recommendations, blood sugar normalizes, the general condition of the body improves and immunity increases. A person can also get rid of extra pounds and all sorts of problems associated with diabetes.

You need to remember the main rule – food should be varied. It is important that with food a person receives vitamins and other useful substances necessary for the life of the body.

Natalya Belyaeva, dietitian:

“Type 2 diabetes belongs to the NCD group of diseases – non-communicable diseases characterized by a long duration and slow progression. By the way, in addition to type 2 diabetes, this group also includes cardiovascular diseases, oncological diseases and chronic respiratory diseases.

Nutrition as a component of a proper lifestyle in type 2 diabetes mellitus, of course, must be organized in accordance with the existing metabolic disorders – be complete, contain all macro- and micronutrients. It is important with nutrition not only to correct the disturbed carbohydrate metabolism in such patients, but also to prevent the formation of other problems “ . Diet for Diabetes | Sanatorium Gorny

Diabetes mellitus is a disease associated with a lack of insulin production by the pancreas or a violation of its recognition by receptors. Depending on the cause of the disease, diabetes mellitus (DM) is divided into type 1 diabetes and type 2 diabetes.

In addition to drug therapy for diabetes of any type, it is necessary to follow a diet.

General rules. duration of the diet.

Nutrition for diabetes is an essential component of treatment. In mild forms of diabetes, sometimes one diet is enough to reach the target blood glucose level. In more severe cases, drug therapy (oral hypoglycemic agents, insulin) comes to the rescue.

General rules of the diet for diabetes:

  • Meals should be frequent and fractional (5-6 times a day), in small portions. This will help avoid large jumps in glycemic levels.

  • Meals should be taken at the same hours. The same applies to taking hypoglycemic agents and insulin injections.

  • Strict diets and hunger strikes are prohibited

  • Cooking methods such as stewing, boiling, steaming and baking are preferred.

  • Easily digestible carbohydrates should be excluded from food (sugar, honey, confectionery, jam, bakery products, from white flour).

  • The food should contain a large amount of fiber, since such carbohydrates are absorbed more slowly and do not raise blood sugar as sharply.

  • Limit the consumption of animal fats (butter, lard, fatty meats).

  • It is desirable that the calorie content of food and the amount of carbohydrates be approximately the same on different days, this is especially important when choosing the dose of insulin.

Nutrition for type 1 diabetes:

For type 1 diabetics, it is strictly forbidden to eat simple carbohydrates. These are sugar, honey, flour, chocolate. When you eat these foods, a person’s blood sugar level rises sharply. When compiling the menu, you need to take into account the calorie content of foods and give preference to low-calorie ones. Food should be eaten often, but in small portions, 5-6 meals a day. The basis of the diet should be protein foods, fruits and vegetables.

Nutrition for Type 2 Diabetes:

In type 2 diabetes, it is recommended to normalize weight and control blood sugar levels.

With this diet for diabetes, it is necessary to completely abandon simple carbohydrates (sweets, pastries), sweet fruits (apricots, banana, grapes, cherries, pineapple, watermelon, melon).

You can only eat foods that have a low glycemic index.

Types of diets for different types of diabetes:

For diabetes, diet number 9 is recommended.

What can be done with diabetes? List of allowed products.

In diabetes diet, it is necessary to choose foods with a low glycemic index.

VEGETABLES: Tomatoes, cucumbers, cabbage, zucchini, green beans.
FRUITS AND BERRIES: Cherry, cranberry, lingonberry, pear, apple.
porridge: Barley, rice, oat, buckwheat.
MEAT: Rabbit, turkey, veal.
FISH: Low-fat river fish.

What not to do with diabetes? List of fully or partially restricted products.

DAIRY PRODUCTS: Kefir, milk.
VEGETABLES: Beets, carrots, potatoes.
GREAT: Wheat, semolina.
FRUITS AND BERRIES: Watermelon, grapes, bananas, raspberries, raisins, melon, kiwi.
MEAT PRODUCTS: Sausages, frankfurters, pork, fatty meats, first meat broths.
SUGAR FOODS: Candy, chocolate, sweet pastries, sugar.

Meal menu for diabetes (Meal plan)

Diet is very important in the treatment of diabetes. If you follow the diet, you can avoid unpleasant relapses. Food should be fractional, 5-6 times a day. If you are overweight, you need to reduce the total daily calorie content of meals.

Recipes for dietary meals for diabetes.

Sample menu for a day with diabetes:

Breakfast: Buckwheat porridge on the water. Baked apple. Unsweetened tea.

Second breakfast: Low-fat cottage cheese pancakes. Rosehip decoction.

Lunch: Fish soup. Steam cutlet with vegetables. Kissel.

Snack: Fruit salad.

Dinner: Lazy cabbage rolls. Unsweetened tea.

Nutritionists’ comments. Pros and cons of the diet.

Compliance with the diet and diet in diabetes mellitus helps to avoid an unwanted rise in blood sugar levels.

“The right choice of a sanatorium is a significant step towards the preservation and enhancement of health. “Gorny” is a resort complex that combines the experience and knowledge of Russian and Soviet balneology. The availability of modern medical equipment and innovative installations, the professionalism of the staff and love for their work will serve as a guarantee for extending longevity,” – the head doctor of the sanatorium Karaulov Alexander Olegovich.