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In order to understand the Pyramid and how this will help in our understanding of the types and amounts of foods which we would eat, let us break down the Pyramid into its various components. Later when you see the Diet Charts which are based on the Exchange system, you will see that depending on the calories you would eat in a day, the meals and snacks are divided into servings or portions of these foods.
The world has more than 382 million diabetic patients and there are about 40 million Indian diabetic patients.
Farxiga™, controls glycemia in adult patients with type 2 diabetes mellitus is a once a day oral treatment along with proper diet and exercise now approved by U.S. 5 mg of Farxiga once in the morning daily with or without food is recommended in the starting. 11,000 type 2 diabetic adults which included more than 6,000 Farxiga treated patients were evaluated for safety and efficacy in 24 clinical studies in the Farxiga clinical development program. While giving Farxiga along Insulin and Insulin Secretagogues a lower dose must be considered to reduce the risk of hypoglycemia. Treatment with Farxiga in type 2 diabetic patients like pregnant women and nursing mothers must be monitored. The presentation Heart failure obesity and diabetes was be presented 31 May Daily Food Chart For Diabetic Patients In India 2009 at Heart Failure Congress 200 Diet Plans; Track Calories. Berdasarkan American Diabetes Assosiation [ADA] dianjurkan bagi penderita diabetes untuk mengasup makanan yang mengandung karbohidrat dari whole grain sayuran buah-buah dan susu rendah lemak. 5.Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Sonali Kar,Shalini Ray,Dayanidhi Meher Advances in Public Health. Samira Beiranvand,Sedigheh Fayazi,Marzieh Asadizaker Jundishapur Journal of Chronic Disease Care. This training provides completely interactive and step by step sessions, presentations, case studies and exercises.
Glucose maintenance in the body is done by the kidney which filters and consequently absorbs glucose back into blood circulation.
Proper monitoring must be done while treating patients with a background of genital mycotic infection while giving Farxiga. It would be better to use appropriate alternate treatments as no well controlled studies have been done. In a validation study of the supplementary questionnaire for diabetes diagnosis To our knowledge ethanol red wine and beer with or without alcohol. Effectiveness of foot care education among people with type 2 diabetes in rural Puducherry, India. Reducing lower leg amputations in diabetes: A challenge for patients, healthcare providers and the healthcare system.
Diabetic foot care: Self-reported knowledge and practice among patients attending three tertiary hospital in Nigeria. Feet Can Last a Lifetime: A Health Care Provider's Guide to Preventing Diabetes Foot Problems.
Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. Assessing the knowledge, attitudes and practice of type 2 diabetes among patients of Saurashtra region, Gujarat.
Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health. Profile of diabetic foot complications and its associated complications - A multicentric study from India. Education for secondary prevention of foot ulcers in people with diabetes: A randomised controlled trial.
Immediate impact of a diabetes training programme for primary care physicians - An endeavour for national capacity building for diabetes management in India. The rising burden of diabetes and hypertension in Southeast Asian and African regions: Need for effective strategies for prevention and control in primary health care settings. Glucose is re-absorbed primarily by sodium glucose co transporter (SGLT2), majorly found in kidney. Farxiga is known to increase serum creatinine and decrease eGFR more actively in elderly patients and in patients with impaired kidney.
It is also advised to use Farxiga with precautions in patients with a history of or active bladder cancer. The objective of our study was to assess the risk factors of poor diabetic foot care and to find the effectiveness of health education in improving foot care practice among diabetes patients.


15,000 with minimum work guarantee of full fee as earning after you are certified to produce acceptable quality work for us. Glucose re absorption activity is reduced when SGLT2 is selectively inhibited; consequently weight, systolic blood pressure and HbA1c are also reduced.
Gestational diabetes recipe is nested – I have a list of food combinations that really helped me in controlling blood sugar levels during pregnancy with type 2 diabetes. Signs of Diabetes care provider before you start or stop any treatment or with any questions you may have about a medical condition.
Materials and Methods: A structured pre-tested questionnaire was administered to the outpatients of a rural health center with type 2 diabetes. Diabetes along with its complications is expected to result in increasing morbidity, mortality and health expenditure due to the requirement of specialized care. I’d say his IQ is about 120 beer diabetes management agua de quiabo para diabetes tipo 2 Plasmids are small circular DNA strands generally a few thousand base pairs long.
But the number of people believes that vegan raw food diet and any raw food recipes are more harmful than useful and their risk is still very high.
Awareness regarding diabetes, care of diabetes and foot care practice ware assessed and scored.
Most of the patients above 65 years showed adverse effect like volume depletion and renal impairment when treated with Farxiga as compared to placebo. Daily Food Chart For Diabetic Patients In India i wonder if his mother had it put in the charts how to calm him (via hugs) when he started screaming.
Results: Only 54% were aware that diabetes could lead to reduced foot sensation and foot ulcers. Studies such as the United Kingdom Prospective Diabetes Study have shown that proper control of blood glucose through diet, exercise and medications prevents the development of microvascular complications. Nearly 53% and 41% of the patients had good diabetes awareness and good diabetes care respectively. People with poor knowledge and practice regarding diabetic foot care are known to have a higher incidence of diabetic foot ulcers. Low education status, old age and low awareness regarding diabetes were the risk factors for poor practice of foot care.
However, one must also remember that everything in moderation is the key for maintaining a healthy diet. Practice related to toe space examination, foot inspection and foot wear inspection improved maximally. Thus, the objective of our study was to assess the risk factors for poor diabetic foot care and to determine the effectiveness of health education in improving diabetic foot care practice in a rural outpatient setting.
We surveyed all the diabetic patients attending the weekly afternoon chronic disease clinic at our Institute Rural Health Center during March 2013.
A total of 103 diabetes patients were taking treatment at the health center at the time of the study. The calorie intake should range between 1500 and 1800 calories per day in the above-mentioned proportion. The diabetic foot care was reassessed after 2 weeks of health education.Study instrumentThe questionnaire consisted of four sections pertaining to awareness regarding diabetes, practice of diabetes care, practice of self-care of feet and feet examination details. With this diet, one also has to incorporate two seasonal fruits and at least 3 vegetables in the everyday diet. The survey instrument on diabetic feet care was modified from a questionnaire prepared from the recommendation of the diabetes UK and used in previous studies. Fruits Rich In Fibre To Be Consumed: Fruits such as apples, guava, papaya, orange, pear, etc, are rich in fibre and thus should be consumed. However, fruits like lychee, mangoes, grapes and bananas have a high quantity of sugar in them; hence, it is better to avoid such type of fruits as much as possible. Group education by flipchart display and demonstration regarding foot cleaning, drying and foot examination was also done by nursing students for all patients.
Diabetes awareness score and diabetes care score were divided into poor (0-3) and good (4-5) categories. Similarly, we divided the diabetic foot care score into poor (0-5), satisfactory (6-7) and good (8-10) categories.
Check With Your Doctor Before Consuming Dry Fruits: In India, dry fruits are usually considered as a very healthy snack but for diabetic patients, the presence of fructose in dry fruits can raise the blood sugar level. Mann-Whitney U test was used to compare the baseline foot care scores across two categories.
We used McNemar test to assess improvement in individual items of foot care practice following health education.


We used Wilcoxon test to assess change in diabetic foot care practice score after health education. Mann-Whitney U test and Wilcoxon test were used, as the scores were not following a normal distribution. Including Fibre-rich Whole Grains Is A Must: In the diet chart, whole grains like oats, millets, gram flour and other fibre-rich foods should definitely be included in the diet.
Only around half (54.4%) were aware that diabetes could cause reduced foot sensation leading to ulcers. Fibre helps in reducing down the blood sugar levels and thus is extremely beneficial in controlling diabetes. Around two-thirds (63%) of the patients were aware that diabetes could affect the various organs of the body. Only around one-third (33.0%) were especially aware that diabetes could lead to damage of the nerves. Around three-fourth (75.7%) were having their blood glucose checked at least once in 3 months. Split 3 Big Meals Into 5 Small Meals: Instead of consuming 3 big meals in a day, in a diabetic diet, it is advisable to split it into 5 small meals. This does not allow a sudden spike of sugar in the blood and also helps in maintaining a constantly regulated blood sugar level.
Opt For Lean Meat: For those who prefer a non-vegetarian diet, they should be avoiding red meat and consume seafood and chicken instead. Drink Fluids And Reduce Intake Of Alcohol: Drink a lot of fluids so as to flush out the toxins from your body. Three patients had foot ulcers with peripheral neuropathy while another three had only neuropathy.
Diabetes awareness score was found significantly higher among high-risk patients compared with low-risk patients (4.83 vs.
However, illiterates were higher among returning patients compared to those who dropped out (55.0% vs.
However, around half the patients had a poor overall knowledge regarding diabetes, which was similar to the findings of earlier studies mostly in tertiary care settings. Regular blood glucose monitoring and compliance to diet and life-style advice were found to be comparatively better. This is in line with an earlier finding that foot care and health education were least suggested by doctors.
However, footwear use was heavily skewed in favor of slippers (chappals) rather than sandals with strap, floaters or shoes which provide better support to the feet. However, absence of use of therapeutic footwear points to a deficiency in care by the health-care providers. Regular footwear inspection being done in only half of our patients was similar to the findings of the Nigerian and Saudi studies. Outdoor footwear use didn't improve as it was already high, whereas indoor footwear use didn't improve probably due to cultural reasons.
Also there was no improvement in healthy nail trimming probably because a single education session was not sufficient to introduce this habit.
Thus, diabetic foot care education should be regularly reinforced at outpatient clinic visits to be effective in the long run.We had a limitation that turnout for post-test of foot care practice was not adequate.
Furthermore, the improvement in clinical outcomes could not be studied due to the cross-sectional nature of the study. When consistently reinforced, this education is likely to result in healthy habit formation, which may prevent disability and reduce medical expenditure in the long run. Furthermore, a training program of more than 3,000 primary care physicians in India showed that information on diabetic foot care was found highly educative by participants. Thus integration of sustainable patient education at primary care level will be the most cost-effective way of reducing the burden of its complications.
We would like to acknowledge the help of doctors Aditya Gautam, Aishwarya PK, Deepak MJ, Krishin K, Surya Raj M, Tapan Gohain and Rajesh Raman for their help in data collection.



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