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Tufts OCW material is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported License. Just as the right intake of food can make it easier to manage diabetes, the wrong food (or the bad food in this reference) can worsen the condition and upset your health for long-term adverse effects. Since you need carbs for energy, you would better resort to the more favorable food in this category such as whole grains (like brown rice).  The complex carbs get absorbed more slowly than the simple ones. As per the American Diabetes Association, diabetics may substitute protein and fat items for carbohydrates but should avoid high-fat items and saturated fats. Foods in this category are canned vegetables having excessive added sodium, vegetables cooked with excessive butter (or sauce), canned fruits having excessive sugar syrup, regular jam (until the portion is small), fruit punch and fruit juice drinks.
Snacks fried in fat like potato chips and corn chips, pork rinds, lard, hydrogenated vegetable shortening, butter, regular mayonnaise, butter-flavored stove-top popcorn, etc.
While certain amount of sweetness should remain in life, diabetics mainly need to limit the amount of sweet foods they eat. But you should keep a watch if you are eating honey, fruit juice, canned fruit in syrup, pastries, candy and sugared cereal. Besides, they can easily add to your weight and possibly provide no sound reason to include them in the diet. If you are including carbonated beverages, check for the nutrition content (micronutrients).
You cannot be expected to completely refrain from all recommended food items when others in around you are having them (especially when it comes to your favorite food).
Experts suggest a food pyramid, which diabetics can adhere to, in order to maintain good health and reduce the possibility of long-term complications. When I was medical student in 1959, we were taught that normal range of Fasting Blood Sugar (FBS) is 80 to 120 mg%. In the past 50 years, recommended FBS level range has been revised downwards to 80 to 110 mg% by many Diabetes Associations and Diabetologists. Remember that BS levels in any individual are constantly fluctuating depending upon food, medicine, and activities.
It is now generally agreed upon that Type 1 diabetes is because of inability in our body to produce insulin. However, it seems that tendency to suffer from type 2 diabetes is probably predestined with hereditary and other similar factors. The medical practitioner should provide ongoing advice for patients to avoid frank type 2 diabetes. Test Blood sugar levels often enough for you to be aware what diet and exercises are good for you.
Try and eat fresh locally grown fruits and vegetables only; most of your calorie requirement should come from such fresh plant based diet.
About MeI practiced orthopedic surgery for over 30 years and managed a private hospital of 200 beds for 15 years. Use of images for any purpose including but not limited to research, commercial, personal, or non-commercial use is prohibited without prior written consent.
Schizophrenia is a syndrome, a collection of symptoms and signs that go together and continue over time. There are likely to be many causal factors involved, including genetic vulnerabilities and important environmental and social influences. A recent national epidemiological survey conducted in Australia indicates that there is a wide range of outcomes in people with schizophrenia, varying from minimal or no disability across the spectrum to severe, continuous illness with major disability.
In Australia, approximately 1 in 100 people have or will develop schizophrenia during their lifetime and it is usually life-long.
Schizophrenia ranks among the top 10 causes of disability in developed countries worldwide.
Many of those affected do not receive medical help in the early stages and as a result may not access appropriate treatment for two or more years from the first onset of symptoms.
Schizophrenia is characterised by a retreat from reality with delusion formation, hallucinations, emotional dysregulation and disorganised behaviour. It is a major cause of suicide – up to 50 percent of people with schizophrenia attempt suicide, 5 percent complete suicide. There is, as yet, no known cause or cure, but many people with schizophrenia are able to live stable and productive lives with the help of regular medication, psychosocial interventions and support.
With our aging population, chronic diseases like skin conditions, diabetes, and other vascular diseases are becoming increasingly common.  They can cause severe emotional and physical distress to patients and their families. A wound is defined as an injury where the skin is torn, pierced, punctured or cut either as a result of an infliction or a surgical incision.
Chronic wounds do not involve any external bleeding.  However, they are just as serious as open acute wounds.
For the majority of us, healing is a simple and rapid process, and although a wound might leave a visible scar, it is not associated with persistent pain and distress.  However, in the elderly, healing is a long and painful process that adversely affects quality of life.
Slower healing is a result of decreased blood flow and a reduced rate of cell turnover in the epidermis.
The entire wound healing process is a complex series of events that start as soon as an injury occurs and continue to work for several days, months, or years, depending on the severity of the wound.


The first stage called the inflammatory stage begins immediately and lasts for two to five days. The second stage called the epitheliazation stage is where the skin starts to regrow underneath and heal the wound.
The third stage called angiogenesis begins soon after the epitheliazation and is characterized by new blood vessels growing underneath the new skin to replace the old injured blood vessels. The last stage called remodeling is when the scab that covers the wound comes off and the scar become noticeable.  The scar tissue protects the site of the wound and the healing is complete.
As people grow older, they become more susceptible to the risk of dementia, diabetes, and vascular diseases and are at a high risk of developing chronic wounds. These wounds are often complicated by pain and infection, forcing seniors to stay in hospitals or nursing homes for a long time. Because of being in hospital or health care centers, seniors have limited mobility and are unable to change position while seated or in bed, so they are also at a risk of developing bedsores.
Most home health care agencies provides in-home assistance for wound care for those seniors residing in their homes and aging in place. InnomomImportance of Mobile Compliant, SEO optimized Websites for Eldercare Service Providers. The choice of food becomes considerably significant when you are diabetic because there are many foods which can potentially deteriorate your health or make it difficult to control blood glucose level which is an essential requirement of diabetic management. Keeping away from triggers and potentially harmful elements is one of the best ways to manage long-term complications of diabetes.
The glycemic index is a system of ranking food based on their affect on the blood sugar levels. For diabetics, it is better to resort to the non-meat sources of protein instead of the high-fat sources of protein. High-fat sources include pork, beef, higher-fat parts of meat (like ribs), fried meat, poultry with skin, turkey, seafood and fried fish.
But when the natural nutritional content of the food is disturbed, it can be potentially harmful. Being high in glycemic index, sweet foods can turn faster into sugar and can be potentially harmful to your body parts also.
The regular beer, fruity mixed drinks, dessert wines and even sweetened tea can also create trouble for diabetics. Carbonated beverages, which can be good to the taste buds, should have a careful inclusion in your diet.
Usually, foods eaten in restricted quantities coupled with effective diabetic management and care should not be problematic.
The above foods are usually found to be at the peak, meaning ones which you should shop less for. Presently though, the consensus seems to be that FBS at even 110 mg% is also high and that it should be below 100 and some even suggest that it should be below 90 mg%. If we test a large number of non-diabetic persons for their FBS, it turns out to be 84 to 89 mg% on an average.
He is a staunch believer of keeping the blood sugar as low as possible (all experts do not agree with him because of risks of low blood sugars). Bernstein was born, the longevity of type 1 diabetics was considered to be less than 50 years. However, the label of being frank diabetic may probably be avoided for a long period of time and hence the possibility of complication reduced substantially. However, all day long many suggest that the blood sugar levels should be constantly kept below 100 mg% to prevent many complications by means of diet control, exercise and medications. It is a life long condition and the medical providers can advise and guide you but cannot be with you all the time. Most fall in the middle of the spectrum where it is possible to lead satisfying lives in the presence of partial recovery with treatment. Research suggests that schizophrenia may be a developmental disorder resulting from alterations in the maturation of the nervous system.
Rates of schizophrenia are very similar from country to country but with small regional variations. There are also more subtle signs that develop over time – slow decline in mental function and social relationships leading to personality change, social isolation and occupational disability. People with schizophrenia have 2.5 times the death rate of the general population, and life expectancy is reduced by up to 18 years.
If one of a pair of identical twins has schizophrenia, the likelihood of the other twin also developing the illness is about 50%. An acute wound generally proceeds through an orderly and timely reparative process resulting in sustained restoration of anatomic and functional integrity. Meanwhile, a chronic wound, on the other hand, is the one that does not heal in an expected way and in a predictable amount of time. This kind of wounds involves damage to the skin tissue and extensive damage to underlying tissues. They can cause damage to the underlying organs and result in internal bleeding.  This kind of wounds is often prone to tetanus infection and should be immediately treated by a doctor. These cause two kinds of wounds, one at the site of entry and one at the site of exit, and are generally called through and through.


Seniors tend to have significant comorbidities and are on multiple medication regimes that significantly impact healing. In this stage, the wound begins to heal from inside and the body starts to repair the affected tissues.
This stage lasts for a few weeks.  During this stage, the edges of the wound start growing closer and binding, as the new skin begins to develop.
At this time, the health care providers must take adequate steps in diagnosing chronic ulcers and optimizing medical treatment.  They also should emphasize the importance of nutrition and proper wound care for the management of all chronic and acute ulcers and wounds.
Assisted living facilities and CCRCs may also include wound care services as part of the service plan. A food that is bad for diabetics is better kept at bay than regretted (later) for the lust of taste buds or sheer ignorance. This reading can make you better aware of the potentially worst and bad food choices which should be avoided in diabetes. White rice can be a staple food in many places, forming a major part of cooking, like in Indian cuisine.
Many fruits and vegetables, which are otherwise low in fat and sodium, can be unfit for consumption after being canned.
Low glycemic index foods release glucose slowly and steadily and can better control blood glucose levels. Soda and energy drinks are two bad components of a diabetic diet because these can dehydrate you. However, do not take this as medical advice and have an exchange of ideas with your doctor.
Yet another observation is that those with FBS nearer to 84 are less likely to develop type 2 diabetes than those their FBS nearer to 89 mg%. With better understanding of diabetes, availability of different kinds of insulin, easy availability of BS meters and many other factors like lower Infant Mortality Rate, antibiotics and better nutrition, the longevity of type 1 diabetes has increased to almost 60 to 70 years.
Even after that one can remain a “Diet controlled diabetic” and hence not needing any medications except keeping a strict diet and exercise regimen with weight control and exercises.
It very likely represents a group of psychiatric conditions that, at present, cannot be clearly distinguished from each other and appear to overlap with other psychiatric conditions and with normality.
By learning more about these changes we may be able to better understand the causes of schizophrenia and devise new treatments. This suggests that while genetic factors are important, there is clearly scope for environmental and social factors to contribute as well. Due to decreased immunity, poor nutrition, and comorbid medical illnesses, they are also at a higher risk for skin and soft-tissue infections. During this stage, the wound typically continues bleeding and the blood clots begin to form at the surface of the wound.
Almost all ulcers and wounds can be properly cared for with wound healing diagnosis and management. While a limited intake coupled with appropriate diabetic care and monitoring may not be harmful, there should be no generous eating of white rice. By choosing the non-meat sources, you can   reduce the fat content of diet and manage diabetes in a better manner. This indicates that the individual can delay development of frank type 2 diabetes by taking appropriate measures. He was lucky to have been born just after bovine insulin was found, which he was treated with. He is obviously doing something right to keep himself active and healthy and reaching almost 80 years of age. In other words, it has “fuzzy boundaries” which make it very difficult to define and study. Other foods in similar category are doughnuts, soda, white bread, white flour, processed grains and French fries which should be avoided.
Diabetics have an increased risk of heart disease and consuming saturated fat in excess can be damaging.
While we sometimes speak of schizophrenia as if it were a clearly defined disease, it is important to remember that this is not the case and that we are merely using a convenient short-hand language. When the complications of diabetes are delayed, overall incidence of morbidity will also be decreased. He is now coming to 80 years old and though has retired from teaching he is still practicing and presents a webinar on this subject on last Wednesday of every month.



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