Category Archives: Diabetes Health Tips

  • 0

OATS IN OBESITY

OATS IN OBESITY

As the soluble fiber of oats is digested, it forms a gel, which causes the viscosity of the contents of the stomach and small intestine to be increased. The gel delays stomach emptying making you feel full longer which helps with weight loss. New research suggests that children between ages 2-18 years old who have a constant intake of oatmeal lowered their risk of obesity. The research found that the children who ate oatmeal were 50% less likely to become overweight, when compared to those children that did not eat it. consumption of oats also improves lipid profile and liver functions along with abdominal fat distribution.

credits: escapefromobesity.net

OATS RECIPES

1] Oats Vegetable Soup

Ingredients:
Oats – 4 Tbsp
Green Beans – 15
Carrot – 1
Green Peas – 1/4 Cup
Sweet Corn – 1/4 Cup
Milk – 1/2 cup
Pepper powder – 1/2 tsp
Salt to taste
Sugar – 1/4 tsp
Cilantro /Coriander Leaves

Method:
1. Wash and cut carrots and green beans into small pieces and cook them in a pressure cooker until you hear 2 whistles. The vegetables should be half cooked. Heat 1/2 cup of water in a vessel or pan. Transfer the cooked vegetables to this vessel. Also add green peas, sweet corn and allow cooking for 5 min.
2. At this stage, add oats and cook for 5 more minutes. Once you add the oats, the whole mixture turns a bit thick. If needed add 1/4 cup of water to the mixture and keep stirring so that the oats do not turn into lumps and these oats are cooked well.
3. Now add pepper powder, sugar and salt and heat for a minute. Finally add milk and stir once and boil the mixture for a minute more. Oats Vegetable Soup is now ready to serve. If needed garnish with coriander leaves.

2] Oats Sandwich

Ingredients:
Brown Bread Slices: 4
Oats: 4 tbsp
Green chilly: 1 tsp
Tomato: 1/2 no finely chopped
Onion: 1/2 no finely chopped
Green peas: 1/8th cup cooked
Carrot: 1 small finely chopped
Pepper powder:1 tsp
Garam masala powder:1 tsp
Salt to taste
Oil: 1 tsp

Method:
1. Cook the oats in boiled water for 10 minutes and strain and keep aside. Cut the onion, tomato, green chilly finely. Grate the carrot. Now in a pan fry the finely chopped onion, tomato, green chilly and the grated carrot. Once the carrot is cooked, add the cooked peas.
2. Now add the pepper powder and garam masala powder. Finally add the cooked oats and mix well. Add salt according to your taste finally. Remove the pan from flame.
Add chutney and stuff the above preparation between the slices and toast till brown.
3. Cut into pieces. Serve with ketchup.

3] Strawberry oats smoothie

Ingredients:
Strawberries: 2 tbsp finely chopped
Honey: 2 tsp
Oats: 1 tbsp
Skimmed milk: 150 ml

Method:

1. In a deep pan, boil 1/ 2 cup water and add the oats. Mix well and cook for about 2-3 minutes and remove from the flame and keep aside to cool.
2. Add the strawberry, milk and honey, mix well and blend in a mixer till smooth. Pour into individual serving glasses and keep in the refrigerator. Serve chilled.

Ms. JAYTI SHAH
Dietitian & Clinical Nutritionist

Haut Diabetes Care


  • 0

  • 2

Best Way To Take Insulin At Home

Many long standing Type 2 diabetes patients and Type 1 diabetes patients need to take daily insulin injections at home for maintaining their blood sugar level under control. Insulin is available in market in two injectable forms:  insulin vials or insulin pen (use & throw flex pen or re-fillable pen with cartridges).

insulin-

credits – e-diyabet.com

Where to inject insulin (Sites) ?

Insulin is injected subcutaneously, i.e just below the skin in fatty tissue. If insulin is injected deeper in muscles then it may get absorbed quickly and can lead to low sugars. Insulin should not be given in scars, moles, varicose veins, sites with broken blood vessels etc. as it may alter its absorption. Insulin injection site must be rotated each time to avoid lypodystrophy (Atleast take insulin injection an inch apart from previous site).

Sites where you can take insulin injection :

  1. Abdomen : this is the most preferable site for self administration since absorption of insulin is quicker and predictable. You can take insulin atleast two fingers width away from belly button.
  2. Thigh : This is second best site after abdomen for self administration of insulin injection. Top and outer aspect of thigh is preferred. Avoid injecting insulin on inner side of thigh.
  3. Arms : Normally when somebody else is administrating insulin to diabetes patient it can be given on outer back aspect of arm away from shoulder and elbow in fatty tissue.
  4. Buttocks : Upper outer padded part (wallet area) is preferred spot.

How to take or inject insulin ?

Insulin is stored in refrigerator  (In door shelf or tray but not in ice box part). Take insulin vial or pen out of refrigerator and allow it to come to room temperature (10-15 mins). Mix insulin via rolling insulin vial in your palms, do not shake insulin vial. Bolus and premix insulin should be taken before food (Regular insulin like actrapid and huminsulin R or premix like human mixtard 30/70 or huminsulin 30/70 should be taken 20-30 mins before food, Incase of rapid acting analogues like Humalog, Novarapid, Novomix 30, Humalog 25/75 etc can be taken just prior to meal)

Steps to follow for injecting insulin via Insulin vial

  1. Wash your hands thoroughly before taking insulin.
  2. Hold the syringe in upright position (Needle on top) and pull the plunger down until the tip of the plunger reaches the measurement equal to the dose you will inject.
  3. Remove cap of insulin vial & syringe, push the needle into the stopper and push the plunger down. The air replaces the amount of insulin you will withdraw.
  4. Keeping the needle in the vial, turn them upside down. Pull the plunger down until the black tip of the plunger reaches the correct dosage on the syringe.
  5. If there are bubbles in the syringe, tap it gently and the bubbles will rise to the top. Push the syringe to release the bubbles back into the vial. Pull the plunger down again until you reach the correct dose.
  6. Keep insulin vial down and hold a syringe like a pen
  7. Pinch the skin and Insert the needle at a 90-degree angle.If you are injecting into a site with less fat, injecting at a 45-degree angle is fine. Push the plunger all the way down and wait for 10 seconds before removing the needle.

Watch the video for more detail understanding of insulin vial & syringe administration technique :

video credits : CEMM

Steps to follow for injecting insulin via Insulin pen :

  1. Wash your hands thoroughly before taking insulin.
  2. Clean the site with cotton where insulin is injected.
  3. Remove the top cover part of insulin pen and attach needle to insulin pen by rotating it on upper side.
  4. Fix the number on dial on bottom side of pen equivalent to dose of insulin you need to inject. (normally 1 click = 1 unit)
  5. Pinch the skin and insert the needle at a 90-degree angle. Press the bottom part button of the pen till the dialer resets to Zero Again.
  6. Hold it for 10 secs till complete amount of insulin gets injected.
  7. Loose the skin and remove needle slowly.

Watch the video for more detail understanding of insulin pen administration technique :

video credits : diabetes.co.uk

 

If you get any problems while self administration of insulin, consult your diabetes specialist immediately. Improper administration of insulin may lead to complications like hypoglycemia, lypodystrophy etc.

If you like my article please share it with your friends and family.

Awareness is prevention!


  • 0

Self Monitoring of Blood Glucose – SMBG Chart Free Download

Self monitoring of blood glucose (SMBG) is very crucial for those diabetics who are on insulin or on certain oral anti-diabetic drugs which can cause hypoglycemia. To achieve best glycemic control it is essential to know how your daily blood glucose levels are fluctuating in entire day.

It is easier for a diabetes specialist to adjust drugs or to adjust insulin dose if good SMBG record is maintained by the patient.

Normally we check fasting and 2 hr post prandial blood sugar levels in lab for routine follow up. There is bright chance of sugar excursions in the other post meal readings which gets unnoticed.  Even in case of HbA1c or Glycated hemoglobin test we get an average result of blood glucose of last 3 months.

In practice I have seen several patients who had fasting and post prandial blood glucose lab tests in normal range but HbA1c levels below 7 is not achieved because they might have high blood sugars in other post meals which has got unnoticed.

To achieve best blood glycemic control it is important to control blood sugar levels within normal limits during entire day and not just fasting or post breakfast levels.

SMBG CHART :

 

 

Self Monitoring of Blood Glucose Chart (SMBG) Free Download

Self Monitoring of Blood Glucose Chart (SMBG) Free Download

Interpretation of SMBG Chart :

In the above image of SMBG chart I have mentioned 7 point charting system where you can fill your blood glucometer readings which you take on several spots in an entire day.

Seven Points includes :

  1. Fasting or before breakfast reading
  2. 2 hrs after breakfast
  3. before lunch
  4. 2 hrs after lunch
  5. before dinner
  6. 2 hrs after dinner or bedtime
  7. At mid night 3.00 AM

This seven point SMBG charting approximately covers entire day glucose fluctuations to some extent (ofcourse  not as accurate as CGMS).

I have also mentioned a comment column in the above SMBG chart where you can note down change in food or change in insulin dose or any other changes that you have made which probably caused unusual readings like for example if Hypoglycemia occurs at before lunch reading and you have skipped breakfast or had very little snack at breakfast you can mentioned that.

You do not need to check daily all the 7 points, you can check any one or 2 points randomly depending upon your sugar control.

More uncontrolled blood sugars requires more frequent SMBG glucometer monitoring.

Monitoring of blood glucose at home in case of diabetic pregnancy or gestational diabetes is also important where frequent monitoring and SMBG charting of glucometer readings helps a lot to patient.

Download SMBG chart in PDF format below and take print of it.

DOWNLOAD SELF MONITORING OF BLOOD GLUCOSE CHART FOR HOME HERE :

SMBG CHART

I hope this article will help you to control your blood sugar levels more efficiently.

If you find that some of the post meal or pre meal readings are high or low, please consult your diabetologist with SMBG chart to adjust your medication or insulin dosage.

If you like my article please share it with your friends and family.

Awareness is prevention!

Related Posts Plugin for WordPress, Blogger...

Register For Blog Updates

Follow Us on Social Media


Dr Nikhil Prabhu


Book Appointment