MV Hospital

Welcome to M.V Hospital for Diabetes, established by late Prof. M.Viswanathan, Doyen of Diabetology in India in 1954 as a general hospital. In 1971 it became a hospital exclusively for Diabetes care. It has, at present,100 beds for the treatment of diabetes and its complications.

Monday, June 20, 2016

Why are some groups more susceptible to Type 2 Diabetes mellitus?

Is the body’s natural reaction to stress increasing the risk of T2DM?

The result of genetic inheritance, lack of physical activity , poor nutrition and family history of the same have all been regarded as risk factors for T2DM .  However, researchers are of the opinion that the environment seems to play a bigger role than the genetic connection.

“There’s substantial evidence to demonstrate the environment we live in has direct impacts on our health,” says exercise physiologist Rebecca Hasson, PhD, director of the Childhood Disparities Research Laboratory at the University of Michigan.

Stress is not only created due to work related problems or personal relationships.  There are  other stress creating factors such as poverty, discrimination and unfavourable surroundings which can also be a cause for T2DM.

 In times of stress, a hormone called ‘cortisol’ is released as part of the ‘fight or flight ‘ response.It increases the blood glucose in the body, influences cells to oppose insulin’s signals to absorb and store blood glucose so that it is available for muscle activity, and increases the craving for high calorie foods.

 “Cortisol is a biomarker of stress,” Hasson says. “If you don’t, or can’t run away—you’re late for school, you can’t pay your bills you’re always in this high-alert situation, whether or not you’re conscious of it.”

When cortisol levels are consistently high but there’s no physical activity to alleviate the effects of chronic stress, the consequences may contribute to Type 2 Diabetes.The higher the level of cortisol,the higher is the  insulin resistance.The insulin-producing beta -cells wear out because of the insulin resistance , causing Type 2 diabetes.

So, stress makes people ill. Groups that are more susceptible to poverty, discrimination, or unhygienic surroundings are more likely to be exposed to cortisol and its bad effects.
“Overall, ethnic minorities have much higher cortisol levels and exposure than whites,” Hasson says.
Hasson is working with 150 obese children between ages 14 and 18 to measure the links between stress, race, and type 2 diabetes risk directly.

The teenage years, Hasson says, are a “perfect biological and social storm” where school, family, and neighborhood stresses pile on to already raging hormones.

“If there are ethnic differences in the stress pathways, that could help guide our intervention,” Hasson says. “We’d have to start asking ourselves how we can reduce stress in their lives.”

Monday, June 13, 2016

Don’t Skip Breakfast

It is an important meal

Breakfast is an important meal for everyone, and especially so  for people with Type2diabetes. People with Type 2 diabetes who skip breakfast tend to have more problems controlling  their blood glucose levels.

If a person with diabetes misses  breakfast, it can result in  increased fat storage and weight gain. Studies have shown that people who skip breakfast are more likely to be overweight.
A healthy breakfast replaces energy stores that burn off during the night . People who do not eat breakfast may have lower energy levels  in the mornings.
By skipping  breakfast you become very hungry by mid-morning  and  begin to look around for anything to snack on .The next meal is gobbled down  so quickly that you end up  overeating. This causes an immediate spike in blood sugar.  In the long run , this leads to weight gain and increasing the risk of developing diabetes-related complications.

Following  the recommended  quantity of carbohydrate per meal plan , regulates carbohydrate intake while missing a meal makes  it more difficult to  maintain blood glucose levels.

 Also, take care what you eat for breakfast  A typical  Indian breakfast can have  very  high calorie and carbohydrate content  if you do not choose wisely.

Monday, June 6, 2016

What is a Diabetes Diet?

Just diagnosed with diabetes? Are you wondering what changes  you need to make to your diet? As mentioned many times, there's no special diabetes diet.

Healthy eating habits are needed to manage diabetes. You will take some time to get used to the planning and the cooking but if you learn fast you can get good blood glucose control.

There is no standard meal plan. So do not copy what another person with diabetes eats. Plans vary from person to person. The crux of the matter is to control portions, control your blood glucose level and eat a variety of nutritious food.

There are diabetes educators and dietitians at MVH who can help you make an eating plan that fits your needs.

Here are some basic guidelines.

  Eat whole grains instead of refined, processed grain products. Use wheat bran to increase fibre.
       •      Add millets to your diet.
        • Include a variety of vegetables and fruits.
        • Eat lean meats, like chicken and fish . Limit red meats to once a week.
        • Try to eat more fish, as it has heart-healthy fats.
         Use monounsaturated oils, such as olive oil, rice bran oil, sun flower oil for cooking.
         Eat meals at fixed hours.
         Eat slowly and chew your food well.
        • Drink water instead of fizzy drinks and sweetened fruit juices.
        • Reduce the amount of fats and foods with sugar such as cakes and pastries and desserts.

A healthy diet coupled with regular exercise, can help you lose weight, and keep your blood sugar levels under control.

Monday, May 30, 2016

Dealing with Emotional Eating:

People feel hungry due to many reasons other than a lack of food.  How many times did you feel hunger pangs when you saw a food ad on television or drove past a bakery and smelt freshly baked bread. People who eat when feeling bored, sad, stressed, excited or scared may have a hard time stopping and end up overeating.

Ways to manage emotional eating:

Make a list of activities that you enjoy doing, such as walking, reading, gardening, etc. Keep this list with you and refer to it when you get the urge to eat.
Call up a friend or family member who can take your mind off of eating.
Wait for a while. Give yourself 10 minutes. Then, after 10 minutes, if you still feel hungry, have a small portion.
Drink a glass of water or a cup of tea.  Sometimes if you are thirsty, you may mistake it for hunger.
Keep healthy snacks around, such as baby carrots, low fat crackers or cut up fruit.
Don’t deprive yourself. It’s not uncommon for people trying to lose weight to completely cut out all favourite foods, but then end up bingeing on them later. Allow yourself to have an occasional treat.
If you think your eating is due to depression, anxiety or stress, seek out help from a mental health professional.

Monday, May 23, 2016

Eating Out With Diabetes

Diabetes does not go away. It has to be managed throughout one’s life. It is not possible to prepare and eat every single meal at home,every day. Eating out is part of modern urban culture and social interaction is good for everyone. Plan ahead and order wisely and you can join friends and family on a night out.

Plan Ahead

·        Choose a restaurant which offers healthy items or call and find out if they can provide special requests.
·       Try to eat at your usual time but it does not matter if you eat later than  your regular time for one day.
·       Eat a small snack before going to a restaurant, so that you aren’t  too hungry.

Order Wisely

·        Ask the chef how the particular dish is prepared if you have a doubt.
·        Be careful of portion sizes.  You can always eat the required quantity and pack the rest.
·        Order healthy food.
·        Substitute French fries with boiled vegetables.
·        Avoid crumbed or fried foods, or foods with heavy sauces or gravies.
·        Try grilled or boiled fish or poultry, and without butter.
·        Avoid alcohol.
·        If you eat at a buffet, fill up your plate with vegetables.
·        The trick is to choose foods you really like and make substitutions to accommodate them. For example, if you love the bread, have it but remove potato from the menu. Share a dessert with others and take a walk after the meal.

Enjoy life with diabetes.

Wednesday, May 18, 2016

What to Do if You Have Pre-diabetes

What is pre-diabetes?

It is a condition in which blood glucose levels are higher than normal, but not high enough to be classified as diabetes.

What is the difference between Diabetes and Pre-diabetes?

When fasting blood glucose level is 126 mg/dl or greater on two separate occasions, then you have diabetes. If you have symptoms of diabetes and your blood glucose level is equal to or greater than 200 mg/dl, and a second test shows the same high blood glucose level, then also you have diabetes.

People who have Fasting Blood Glucose between 100-125 mg/dl are said to be having impaired fasting glucose. If a Glucose Tolerance Test shows blood glucose between 140-199 mg/dl after 2 hours, you have impaired glucose tolerance.Both these are medical terms for  ‘pre-diabetes.’

People with pre-diabetes are at increased risk of developing type 2 diabetes within ten years unless they have a healthier lifestyle where they lose weight and are physically active.

Who should be screened for  pre-diabetes? 

Screening for pre-diabetes is recommended for overweight adults who are 45 years or older and those less than 45 years who are overweight and who have one or more of the following risk factors:
Lead a sedentary lifestyle
Have IFG (impaired fasting glucose) or IGT (impaired glucose tolerance)
Have a family history of diabetes
Are members of certain ethnic groups (including Asian, African, Hispanic, and Native American)
Had gestational diabetes or birth weight of child was  more than 9 pounds
Have high blood pressure
Have an HDL cholesterol level (the “good” cholesterol) of 35 mg/dl or lower and/or triglyceride level of 250 mg/dl or higher
Have polycystic ovary syndrome
Have a history of vascular disease

If you have pre-diabetes diabetes reduce your risk through weight loss and increased moderate-intensity physical activity, such as walking 30 minutes a day.

What Should I Eat?
  •   How much you eat is more important than ‘What you eat’. 
  •   Lose the extra Kilos if you are overweight. 
  •   Consult a dietitian for how much and what to eat at each meal.
  •   Control portion size. 
  •   Choose food that has less fat.A gram of fat adds 9 calories when compared to that of a gram each of carbohydrate or protein which provide 4 calories.
  •   Eatbroiled food, not fried.
  •   Use less oil when cooking.
  •   Eat more white meat and fish and avoid red meats.
  •   Eat less of meat and more of vegetables, fruit and whole grain.

 Having diabetes or pre-diabetes does not mean that you can't eat certain foods.  You will only increase your craving for these foods and feel miserable . Instead concentrate on losing weight if you are overweight, reducing portion sizes, and planning for those occasions when you can eat a small piece of cake or a sweet.

Thursday, May 12, 2016

Are You at Risk?

1. Diabetes is much more common among certain ethnic groups such as Africans, Hispanics, Native Americans,and  Asians than among Caucasians.

2. The risk for Type 2 diabetes generally increases after 45 years.

3. Being overweight or obese is another major risk factor, especially if the extra weight is around the waist.

4. Other risk factors include: many cases of Type 2 diabetes in the family, (people who are less than 45 years can develop Type 2 diabetes if it runs in the family and if they are obese),being physically inactive, high blood triglycerides and/or low HDL cholesterol  in the blood, high blood pressure, incidence of gestational diabetes or pre-diabetes.

Having these risk factors does not  necessarily mean you will get diabetes, but it does require you  to be screened regularly.

Tip of the Week

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