You can win the bat­tle against di­a­betes

On World Di­a­betes Day, Dr Mohsin Wali, for­mer physi­cian to the Pres­i­dent of India, tells us how we can pre­vent and re­verse di­a­betes with life­style changes

Hindustan Times (Lucknow) - Live - - My City - Shara Ashraf n shara.ashraf@hin­dus­tan­

Di­a­betes isn’t a se­ri­ous dis­ease. Avoid in­sulin as it has harm­ful side ef­fects. If you are tak­ing in­sulin, you don’t re­ally need a life­style makeover. How many times do you hear friv­o­lous state­ments like these about di­a­betes? Al­though it’s be­com­ing shock­ingly com­mon, di­a­betes re­mains one of the most mis­un­der­stood diseases. Dr Mohsin Wali, the for­mer physi­cian to the Pres­i­dent of India, helps us sep­a­rate facts from fic­tion, some­thing that of­ten leaves us con­fused.


In type 1 di­a­betes, the body can­not pro­duce in­sulin, while in type 2, the body pro­duces ex­ces­sive in­sulin, but it fails to act over the cells to bring down sugar level. Type 1 di­a­betes is en­crypted in the genes, and one needs to man­age it in a healthy way. Type 2 di­a­betes, the most com­mon form of di­a­betes, can be pre­vented and re­versed if you work hard on it.


Type 2 di­a­betes is one of the fastest grow­ing dis­or­ders in the world. Shock­ingly, India is set to be­come the di­a­betes cap­i­tal of the world by 2050. “Stress, faulty eat­ing habits, obe­sity and seden­tary life­style has led to this situation. In­dian diet is gen­er­ally high is car­bo­hy­drates, which is a con­trib­u­tor. Chil­dren as young as 12 are be­com­ing di­a­betic. Also, ear­lier, it was be­lieved that di­a­betes is the dis­ease of the well fed, but now it is preva­lent even in ru­ral ar­eas, and the un­der­priv­i­leged are get­ting af­fected, too. The rea­sons could be grad­ual ur­ban­i­sa­tion, a stress­ful life and no time or in­cli­na­tion to work out,” says Dr Wali.


When di­a­betes is de­tected for the very first time, al­most 1/3rd of the pan­creas is al­ready dam­aged. “That is why, work­ing hard to­wards pre­ven­tion is very im­por­tant. It is a dis­ease that is dan­ger­ous for your en­tire body, from the root of the hair to the tip of the toe. Ev­ery sin­gle or­gan of your body gets im­pacted,” says Dr Wali. Di­a­betes makes you prone to heart at­tack and stroke. It can cause in­fec­tions in the most vi­tal or­gans such as kid­neys, pan­creas, heart and eyes. It can also lead to early cataract, den­tal prob­lems, acne, hair fall, vagi­nal in­fec­tions, ner­vous sys­tem dis­or­ders, and im­po­tency.


Di­a­betes pre­ven­tion must start dur­ing child­hood. “Inculcate dis­ci­pline in chil­dren. Get­ting up early, sleep­ing on time, ad­e­quate phys­i­cal ac­tiv­ity (at least 30 min­utes ev­ery day, 5 days a week), cut­ting down on junk food and hav­ing a bal­anced/ healthy diet can go a long way in pre­vent­ing the dis­ease.


Di­a­betes can be con­quered with the help of anti-di­a­betes drugs and in­sulin and life­style man­age­ment un­der the su­per­vi­sion of your fam­ily doc­tor with the con­sul­ta­tion of a di­a­betol­o­gist.


Make changes to your diet for a bet­ter to­mor­row. Cut down on car­bo­hy­drates, and con­sume ad­e­quate amounts of fi­bre and pro­tein. Switch to brown rice, and re­move white flour and re­fined sugar from your diet. Have fruits such as pome­gran­ate, peaches, wa­ter­melon, pa­paya, co­conut, or­anges and pears. Ask your doc­tor about the ideal por­tion of fruit to have. Avoid pro­cessed fruit juice. Avoid mar­malade, jam, ice­cream, choco­late, pas­tries, cakes, potato, ba­nanas, grapes, red meat, heavy gravy and oily food. Do not smoke, as it ag­gra­vates the dam­age to pan­creas. Also try and avoid al­co­hol. Stress is the big­gest trig­ger for di­a­betes. De-stress by prac­tic­ing yoga, deep breath­ing, and get­ting ad­e­quate sleep. Yoga poses like Halasana, dha­nurasana and vrik­shasana are ben­e­fi­cial. In­crease your in­take of an­tiox­i­dants. Have amla (In­dian goose­berry). Add turmeric pow­der to your glass of milk. Also have black gram, karela (bit­ter gourd), me­thi (fenu­greek), kalonji (nigella seeds) and herbs such as gud­mar leaves, as they are ben­e­fi­cial in man­ag­ing blood sugar.

India is set to be­come the di­a­betes cap­i­tal of the world by 2050. We are head­ing to­wards a se­ri­ous health dis­as­ter. Stress, faulty eat­ing habits, obe­sity and a seden­tary life­style has led to this situation DR MOHSIN WALI, PHYSI­CIAN & CAR­DI­OL­O­GIST

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