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Diabetes mellitus is a nutritional disorder,
characterised by an abnormally elevated level of blood
glucose and by the excretion of the excess glucose in the
urine. It results from an absolute or relative lack of
insulin which leads to abnormalities in carbohydrate
metabolism as well as in the metabolism of protein and
fat.
Diabetes is a disease known to the medical world since
time immemorial. Its incidence is, however, much higher
at present than ever in the past. This is especially true
in case of more advanced countries of the world due to
widespread affluence and more generous food supply.
The most commonly used screening tests are the
determination of the fasting blood glucose level and the
two-hour post-prandial, that is after a meal. The normal
fasting blood sugar content is 80 to 120 mg. per 100 ml.
of blood and this can go up to a level of 180 mg. per 100
ml. of blood two hours after meals. Anything above these
norms can be termed diabetic levels.
Diabetes occurs in all age groups, from your infants to
the elderly. The greatest incidence occurs in middle or
older aged persons. It is estimated that 80 to 85 per
cent of all individuals with diabetes mellitus are 45
years of age or older.Symptoms
The word
diabetes is derived from the Greek word meaning "to
siphon ; to pass through," and mellitus comes from
the Latin word "honey". Thus two characteristic
symptoms , namely, copious urination and glucose in the
urine give the name to the disease. The normal volume of
urine passed daily is about three pints, but in the
diabetic condition it can vary from eight to forty pints.
The urine is of a pale colour, has an acidic reaction and
sweetish odour. The quantity of sugar present in it
varies from two to forty grams per ounce, the total per
day in many cases reaching as much as two lbs. in 30
pints of urine.
A diabetic feels hungry and thirsty most of the time,
does not put on weight, though he eats every now and
then, and gets tired easily, both physically and
mentally. He looks pale, may suffer from anaemia,
constipation, intense itching around the genital organs,
palpitations and general weakness. He feels drowsy and
has a lower sex urge than a normal person.
Causes
Diabetes has
been described by most biological doctors as a
"prosperity: disease, primary caused by systematic
overeating and consequent obesity. Not only is the
overeating of sugar and refined carbohydrates harmful but
also of proteins and fats, which are transformed into
sugar if taken in excess and may result in diabetes. Too
much food taxes the pancreas and eventually paralyses its
normal activity. It has been estimated that the incidence
of diabetes is four times higher in persons of moderate
obesity and 30 times higher in persons of severe obesity.
Grief, worry and anxiety also have a deep influence on
the metabolism and may cause sugar to appear in the
urine. The disease may be associated with some other
grave organic disorders like cancer, tuberculosis and
cerebral; disease. Heredity is also a major factor in the
development of the disease. It has been rightly said,
"Heredity is like a cannon and obesity pulls the
trigger. "
Dietary
Treatment
Any
successful method of diabetes treatment should aim at
removing the actual cause of the disease and building up
the entire health-level of the patient. Diet therapy is
the basis of such a treatment. The primary dietary
consideration for a diabetic patient is that he should be
strict lacto-vegetarian and take a low-caloric, low-fast,
alkaline diet of high quality, natural foods. Fruits,
nuts and vegetables, whole meal bread and dairy products
form a good diet for the diabetic. These foods are best
eaten in as dry a condition as possible to ensure
thorough ensalvation during the first part of the process
of digestion.
Cooked starchy foods should be avoided as in the process
of cooking the cellulose envelops of the starch granules
burst and consequently the starch is far too easily
absorbed in the system. The excess absorbed has to be got
rid of by the kidneys and appears as sugar in the urine.
With raw starchy foods, however, the saliva and digestive
juices in the small intestine regulate the quantities
required to be changed into sugar for the bodys
needs. The unused and undigested portion of raw starchy
foods does not become injurious to the system, as it does
not readily ferment.
The diabetic should not be afraid to eat fresh fruits and
vegetables which contain sugar and starch. Fresh fruits
contain sugar (fructose) which does not need insulin for
its metabolism and is well tolerated by diabetics. Fats
and oils should be taken sparingly, for they are apt to
lower the tolerance for proteins and starches. Emphasis
should be on raw foods as they stimulate and increase
insulin production. For protein, home-made cottage
cheese, various forms of soured milk and nuts are best.
The patients should avoid overeating and take four or
five small meals a day rather than three large ones.
The following diet should serve as a guideline .
Upon
arising : A glass of lukewarm water with
freshly squeezed lemon juice.
Breakfast
: Any fresh
fruit with the exception of bananas, soaked prunes, a
small quantity of whole meal bread with butter and fresh
milk.
Lunch
: Steamed or
lightly cooked green vegetables such as cauliflower,
cabbage, tomatoes, spinach, turnip, asparagus and
mushrooms, two or three whole wheat chappatis according
to appetite and a glass of butter-milk or curd.
Mid-afternoon
: A glass of
fresh fruit or vegetable juice.
Dinner
: A large
bowl of salad made up of all the raw vegetables in
season. The salad may be followed by a hot course, if
desired, and fresh home-made cottage cheese.
Bedtime
snack : A glass of fresh milk.
Flesh foods find no place
in this regime, for they increase the toxaemic condition
underlying the diabetic state and reduce the sugar
tolerance. On the other hand, a non-stimulating
vegetarian diet, especially one made up of raw foods,
promotes and increases sugar tolerance. Celery,
cucumbers, string beans, onion and garlic are especially
beneficial. Cucumbers contain a hormone needed by the
cells of the pancreas for producing insulin. Garlic has
proved beneficial in reducing blood sugar in diabetes.
Recent scientific investigations have established that
bitter gourd (karela) is highly beneficial in the
treatment of diabetes : It contains an insulin -like
principle, known as plant-insulin which has been found
effective in lowering the blood and urine sugar levels.
The diabetic patient should take the juice of three or
four bitter gourds daily in between meals for positive
results.
The patients should avoid tea, coffee and cocoa because
of their adverse influence on the digestive tract. Other
foods which should be avoided are white bread, white
flour products, sugar, tinned fruits, sweets, chocolates,
pastries, pies, puddings, refined cereals and alcoholic
drinks.
The most important nutrient in the treatment of diabetes
is manganese which is vital in the production of natural
insulin. It is found in citrus fruits, in the outer
covering of nuts, grains and in the green leaves of
edible plants. Other nutrients of special value are zinc,
B-complex vitamins and poly-unsaturated fatty acids.
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