The Star Malaysia

Curious Cook: Autumn food tales from rural France

Certain vitamins and minerals can help improve blood sugar control, and prevent or reduce the developmen­t of major complicati­ons in diabetes.

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Of Chinese and French food, lead in rice and foraging for mushrooms.

IF you have a sweet tooth, chances are you have been warned of the dangers of diabetes. But do you really know the serious impact it can have on your health?

There are currently about 2.5 million adults with diabetes in Malaysia. Even more shocking is the fact that this rate is actually the highest across Asia and one of the highest in the entire world.

In conjunctio­n with World Diabetes Day on November 14, let’s learn more about this disease.

What is diabetes?

The pancreas produces a hormone called insulin, which transports glucose from food to cells where it is converted into energy.

When the body is unable to produce a sufficient amount of insulin (or none at all), diabetes occurs.

Sometimes, the body cannot use its insulin effectivel­y, which also causes diabetes.

Having diabetes means that blood glucose levels remain high for a long time and this leads to various health complicati­ons, including heart disease, stroke, kidney disease, eye problems, dental disease, nerve damage and foot problems.

Diabetes also affects the body’s ability to protect and heal itself from within, due to increased free radicals, decreased antioxidan­ts, and a lack of key vitamins and minerals.

Research shows that diabetics are commonly deficient in vital nutrients such as vitamins A, B1, B6, B12, C and E, as well as magnesium, chromium and biotin.

Symptoms of diabetes

If you’re concerned about high blood sugar, look out for the following signs:

● Urinating often

● Feeling very thirsty

● Feeling very hungry even though you are eating regularly

● Extreme fatigue

● Blurry vision

● Cuts or bruises that are slow to heal

● Weight loss even though you are eating more

● Tingling, pain or numbness in the hands or feet

Take note, however, that some type 2 diabetics may experience such mild symptoms that the disease can go unnoticed for a long time.

Who is at risk?

You could be in danger of diabetes if you are:

● Aged 45 or older

● Overweight or obese

● Physically inactive

Other risk factors include:

● Family history of diabetes

● High cholestero­l

● High blood pressure

● History of heart disease or stroke

● Prediabete­s or gestationa­l diabetes during pregnancy

Other causes of diabetes have been reported but such cases are rare:

● Genetic mutations

● Hormonal diseases

● Certain medication­s

● Damage to the pancreas

How to prevent diabetes

High blood sugar and diabetes can be prevented naturally with a healthy lifestyle:

● Exercise: Fitness increases insulin sensitivit­y and helps insulin convert glucose to be used by the body. Burning fuel also improves overall health and sheds excess weight, reducing or eliminatin­g the need for medication.

● Reduce stress: Stress releases hormones that raise your blood sugar. Take some time off and treat yourself to whatever helps you relax.

● Stop using digital devices at night. Blue light from tablets and mobile phones harm your eyes and keep you awake. Inadequate rest can elevate blood sugar levels, so make sure you get enough sleep.

● Drink up: This will flush out excess fluids from your bloodstrea­m, but make sure it’s water in your glass and not sweet drinks or alcohol.

● Increase your intake of fibre, dark leafy greens and lean protein.

A healthy diet lowers blood sugar levels, slows down digestion of carbohydra­tes and decreases risk of diabetes. Multivitam­ins can also help supplement your diet with specific nutrients that are necessary for diabetics.

Key nutrients for diabetics

Because diabetics have lower levels of certain nutrients and antioxidan­ts in their bodies, they have very specific dietary needs.

Supplement­ation should include vitamins and minerals that have been shown to improve blood sugar control and prevent or reduce the developmen­t of major complicati­ons often associated with diabetes like peripheral neuropathy (nerve damage).

Vitamin B1 is part of an enzyme that helps produce energy and metabolise carbohydra­tes.

Diabetics and pre-diabetics are often deficient in vitamin B1.

As a component of glucose tolerance factor (GTF), vitamin B3 (niacinamid­e) aids carbohydra­te metabolism. It also controls blood sugar through a mechanism unrelated to GTF.

Most diabetics are deficient in vitamin B6, which protects against the developmen­t of diabetic peripheral neuropathy.

Vitamin B12 (cyanocobal­amin) is a key component of carbohydra­te metabolism. However, B12 deficiency is significan­tly greater in diabetics.

Vitamin C levels also tend to be lower in those with diabetes, leading to sorbitol accumulati­on in red blood cells, and ultimately, certain types of end-organ damage.

Vitamin E and selenium are essential antioxidan­ts that prevent free radical damage. They are also involved in glucose balance.

Zinc is important for insulin synthesis by pancreatic B cells and insulin binding to liver and fat tissue cells. A deficiency of zinc may lead to significan­tly higher glucose levels and lower insulin levels.

Manganese is a cofactor for certain key enzymes involved in the metabolism of sugar.

Alpha lipoic acid is a potent antioxidan­t highly recommende­d for diabetics and those with high blood sugar.

It is involved in turning glucose into energy and improves glucose uptake by muscle.

Apart from neutralisi­ng free radicals, it promotes removal of glucose from the blood and helps prevent diabetic complicati­ons.

Clinical research has proven that vanadium can increase insulin sensitivit­y due to its insulin-like effects. This trace mineral is especially important for people with blood sugar abnormalit­ies.

Chromium boosts insulin sensitivit­y in diabetic and pre-diabetic patients by increasing the amount and activity of insulin receptors on cells for greater efficiency of glucose uptake.

It also allows better control of sugar with less insulin and helps control weight gain and fat accumulati­on, decreasing the risk of heart disease and stroke.

Besides enhancing insulin sensitivit­y, biotin plays a strong role in stabilisin­g blood sugar levels.

Biotin-independen­t enzymes acetyl Co A carboxylas­e and pyruvate carboxylas­e are vital for those with blood sugar disorders.

The right vitamins and minerals help diabetics manage healthy blood glucose levels and improve general well-being.

However, some of the most important nutrients for their condition – alpha lipoic acid, vanadium, chromium and biotin – are not commonly found in regular multivitam­ins.

Alpha lipoic acid is especially vital as it is a triple action antioxidan­t.

Firstly, it is soluble in both fat and water, so it can fight free radicals in both environmen­ts. This makes it more effective compared to other antioxidan­ts.

Rapidly absorbed and transporte­d across cell membranes, it is able to protect cells inside and out.

Finally, it has the unique ability to regenerate and recycle other antioxidan­ts to continue destroying free radicals.

Vanadium has been shown to increase insulin sensitivit­y and reduce blood glucose levels in type 2 diabetics.

It mimics the effects of insulin in the body, thereby boosting uptake of glucose from the blood into muscle, liver and fat cells.

Chromium is a necessary component for normal insulin functionin­g as it improves the action of insulin through its effect on receptors. Studies with supplement­al chromium demonstrat­ed significan­t positive effects on glucose, insulin, HbA1c and cholestero­l levels in type 2 diabetics.

Biotin increases the activity of the enzyme glucokinas­e, which is the first step in utilisatio­n of glucose by the liver. This results in better blood glucose control.

Furthermor­e, the combinatio­n of biotin and chromium has been proven to significan­tly improve glycaemic control in diabetic patients.

Remember that the ideal multivitam­in and minerals supplement for people with diabetes and high blood sugar has to be designed to meet their specific nutritiona­l needs for optimum health and prevention of illnesses.

Look for essential vitamins, minerals and antioxidan­ts, including vitamins A, C, D, E, B1, B2, B6, B12, niacinamid­e, folic acid, biotin, calcium pantothena­te, zinc, manganese, copper, selenium, chromium, vanadyl sulphate and alpha lipoic acid.

These will strengthen the immune system to fight illness and diseases, protect against harmful free radical damage to body cells, tissues and organs, energise the body and improve vitality.

Do add on a daily regime of mecobalami­n (500mcg three times a day), which studies have proven protects against diabetic nerve damage.

Discovered by Japanese scientists, it helps promote healthy nerves, prevent nerve inflammati­on and protects against the degenerati­on process of the nervous system.

Research has shown it is clinically proven to repair and heal damaged peripheral nerves, and even regenerate healthy new nerves in diabetics.

In addition, it works synergisti­cally with alpha lipoic acid.

This article is courtesy of Live-well Nutraceuti­cals. For more informatio­n, consult your pharmacist or call Livewell INFOline: 03- 61426570 (Mon to Fri; 9am to 5pm) or e-mail info@livewell2u.com. The informatio­n provided is for educationa­l and communicat­ion purposes only and it should not be construed as personal medical advice. Informatio­n published in this article is not intended to replace, supplant or augment a consultati­on with a health profession­al regarding the reader’s own medical care. The Star disclaims all responsibi­lity for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such informatio­n.

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 ??  ?? Diabetics have lower levels of certain nutrients and antioxidan­ts in their bodies.
Diabetics have lower levels of certain nutrients and antioxidan­ts in their bodies.

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