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Medical Nutrition Therapy in Diabetes Remission

13 Nov, 2018

Shabana Mohamed Sameer

A lot has been talked about diabetes worldwide and in India, the country with the second highest incidence of diabetes in the world. Diabetes is a disease characterised by high blood glucose concentrations resulting from defects in insulin secretion, insulin action or both.


India represents 49 percent of the world’s diabetes population, with 72 million cases in 2017. Diabetes type-2 is the most common. The risk factors of diabetes are overweight, sedentary lifestyle, obesity, physical stress & heredity.


Medical Nutrition therapy is integral to total Diabetes care & management. To integrate Medical Nutrition therapy effectively into the overall management of Diabetes requires a co-ordinated team effort, including Dieticians & Nutritionist. Medical Nutrition therapy is an individualized approach with effective nutrition self management education.


A statement issued by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) recently points to greater chances of ‘diabetes remission’ in Type 2 diabetic patients. Medical Nutrition therapy combined with active lifestyle can help in diabetes remission, a much positive ray of hope for millions of people living with the condition.




                   The preferred terms in carbohydrate are starch, fibre (complex carbohydrate) & sugar (simple carbohydrate). Food that contains carbohydrates from whole cereals, fruits, vegetables & low fat milk are important components of a healthy diet.  High carbohydrate diet is likely to elevate serum Triglyceride level. Hence Carbohydrate is to be maintained about 60 – 65% of total calories.


Low carbohydrates are recommended for Diabetes patient. Complex carbohydrates are better than simple carbohydrates




           A diet in high protein is good for the health of diabetes because it helps in tissue repair. Proteins do not raise blood sugar during the absorption which is a case in carbohydrate absorption and it does not raise calories as fats do.

Foods allowed: pulses, milk & milk product, Fish, chicken, Egg




Low fat diet increases insulin binding and also reduces LDL & VLDL level and reduces the incidence of atherosclerosis which is common in Diabetes.


There is evidence from the general population that foods containing omega 3 fatty acids are beneficial, and two or three serving of fish per week are recommended. Flax seeds, walnut, canola oil, sardines,chia seeds  are rich in omega 3 fatty acids.




    Dietary fibre and complex carbohydrate benefit Type 1 & Type 2 diabetes with diet lower insulin requirements, increase peripheral tissue insulin sensitivity, decrease serum cholesterol and triglyceride values, and lower BP.


Whole cereals,Vegetables, fruit, Legumes, Methi seed (contain mucilaginous fibre) are excellent sources of fibre foods.


Vitamin & Minerals:


                       Vitamin supplements help to overcome oxidative stress and deficiency.

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