Effective Diet plan for diabetic patientMedisys Kart
Diet Plays major role in diabetes. If you are not taking your diet properly and eating foods that should be avoided then it can be dangerous. So we are sharing some of the diet tips for diabetic patient in ppt so that you can eat right food and get rid of diabetes.
Effective Diet plan for diabetic patientMedisys Kart
Diet Plays major role in diabetes. If you are not taking your diet properly and eating foods that should be avoided then it can be dangerous. So we are sharing some of the diet tips for diabetic patient in ppt so that you can eat right food and get rid of diabetes.
Diet does not substitute drugs but it is considered a complementary therapy.
The goals of dietary advice are:
To prevent or manage some medical conditions
To maintain or improve health through the use of appropriate and healthy food choices
To achieve and maintain optimal metabolic and physiological outcome
The food exchange list refers to the food items on each list which may be substituted with any other food item on the same list. A grouping of commonly consumed foods according to similarities in composition so that the foods may be used interchangeably in diet planning.
Diet does not substitute drugs but it is considered a complementary therapy.
The goals of dietary advice are:
To prevent or manage some medical conditions
To maintain or improve health through the use of appropriate and healthy food choices
To achieve and maintain optimal metabolic and physiological outcome
The food exchange list refers to the food items on each list which may be substituted with any other food item on the same list. A grouping of commonly consumed foods according to similarities in composition so that the foods may be used interchangeably in diet planning.
A ketogenic diet is a very low-carbohydrate way of eating that delivers moderate amounts of high-quality dietary protein and high amounts of healthy dietary fat. This reduction in carbohydrate intake helps the body shift toward a state that promotes the breakdown of fats (from the diet and your body) to produce ketone bodies and enter a state known as “ketosis.”
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
2. ❑According to WHO , not more than 50% of the
calories should come from the carbohydrates .
❑ And it is not a lesser known fact that an Indian diet
consists of as much as 80% of carbohydrates
2
3. General Guidelines
Promote mindful eating
patterns
• Choose complex
carbohydrates
• Restriction of fats and oils
• Increase intake of fiber -
rich foods
• Weight management
Avoid skipping meals or fasting
Take Small and frequent meals
Fixed meal timings
7
4. Diet For The Pre-Diabetics
Prefer :
Vegetables
Fruits
wholegrain
lentils and
beans
low fat dairy
Nuts
Avoid :
highly salted
food
sweets
sugar drinks
alcohol
10
5. Pattern of distribution of calories for a
diabetic patient
% of total calories Provision for
20 Breakfast
35 lunch
15 Late evening feed
30 Dinner
18
6. Sample diet plan for an average
Indian man ( 1500 kcal , 24hours)
• Morning : 6-7 am (5%)
a) 1 cup of tea ( 50kcal)
• Breakfast : 8-9 am (10-13%)
a) 1 medium sized bhakhri or 1 katori poha (103kcal)
b) Milk ½ glass
(120kcal)
20
7. Mid morning : 11.00 am
(12 -15% ; 173kcal )
a) Fruit : 1 medium sized – apple , orange ,
guava ( 58kcal )
b) Boiled / sprouted pulses – ½ katori (45kcal)
c) Nuts – ½ serving (70kcal)
8. Lunch ( 1 – 2 pm ) ( 30% ; 459kcal )
a) Salad – tomato 50 gm , cucumber 50gm ,
onion small : 1 plate
b) Green leafy vegetables : 1 katori – karela ,
cauliflower , tinda etc .
c) Dal : 1 katori
d) Curd / vegetable raita
e) Chapati without ghee : 2 medium sized
f) Oil usage : 1 teaspoon full
22
9. Evening ( 5 .00 pm ) ( 2-3% ; 86 kcal )
a) Tea without sugar : 1cup
b) Marie biscuit : quantity -2
c) Roasted chana : ½ katori
23
10. Dinner ( 8-9 pm ) ( 40% ; 535 kcal )
a) Salad : 1 plate
b) Green leafy vegetables : 1
katori
c) Other vegetables : 1
katori
d) Chapati without ghee : 2
medium sized
e) Khichadi without ghee : 1
katori
f) Dessert - milk based with
fruit : 1 katori
g) Oil : 1 teaspoon full
24
11. Before sleep ( 2% ; 50kcal )
a) Milk without sugar : ½ cup
25
12. NON VEGETERIAN
• Mid morning
✓ 2 boiled egg whites
instead of sprouts
• Lunch
✓ 1 Tandoori chicken
instead of green leafy
vegetables and curd
27
13. Foods to be substituted
1. More homemade and less processed .
2. Use less salt .
3. Millets – Ragi/Jowar/Bajra ( rich source of Mg – helps in starch
digestion and manages insulin action) over wheat ( whole grains )
4. Lesser consumption of Rice and potatoes (make up a significant
portion of indian food) and substitute it with oats and lentils .
5. To fight sugar cravings : consume whole fruit , dates and sugar
free chewingum .
6. Low fat dairy (cow milk, milk + water) instead of buffalo milk.
7. Citrus fruits instead of high sugar fruits (mango , banana or
chikoo) [ GI of whole fruit like orange = 40 while GI of the fruit
juice = 50]
8. Roasted and baked foods instead of deep fried foods.
9. Dark chocolate instead of milk chocolates
10. Instead of cookies and chips choose nuts for snacks (trail mix
almonds and other nuts plus a few pieces of dark chocolate )
29
14. Glycemic index ??
It is an international standard scale used to
measure food’s rate of sugar release ;
Lower the GI , Lower the rate of sugar release
and hence sudden sugar spikes are prevented
30
15. Low GI Foods (55 or less)
• 100% stone-ground whole
wheat bread
• Eggs
• Oatmeal , muesli
• Pasta, barley
• arhar dal , black gram , channa
dal , urad dal , white kidney
beans
• broccoli , cauliflower , cabbage
, cucumber , eggplant , onion ,
capsicum , spinach , tomato
and carrots
• Apple , oranges , pears ,
Cherries , grapefruit , plums
• Milk ( fat free , skimmed ) , soy
High GI (70 or more)
• White bread
• Honey
• Table sugar
• Corn flakes, instant
oatmeal
• macaroni and
cheese
• pumpkin
• popcorn
• melons and
pineapple
• Plain ice cream
• Raisin
31
16. Foods which should be
preferred - SUPERFOODS
1. Fenugreek seeds (methi seeds) – lowers blood glucose by enhancing
starch & carbohydrate digestion
2. Bitter gourd (karela) – 3 naturally active glucose lowering substances-
charantin, vicine, insulin like polypeptide P and lectin-appetite lowering.
3. Succulents and easy available - Tomatoes
4. Gooseberry ( amla )
5. Fruits such as Strawberries – as an antioxidant .
6. Seeds of fruits (watermelon, jaamun, muskmelom) – immense nutrients.
7. citrus fruits like oranges and grapes – source of fibre .
8. Brown rice – antioxidant selenium and Mg
9. Cinnamon – lowers insulin resistance
10. Nuts like walnuts – omega 3 rich ( other nuts : almonds , cashew ,
pistachio)
11. Oats – very high fiber content
12. Chickpeas and Spinach – rich protein sources
13. Diabetic Atta ( soya flour and gram flour )
33