Diabetes Nutritional Gains from Healthy Whole Grains (糖尿病营养-从整个五谷获取健康)

Diabetes Nutritional Gains from Healthy Whole Grains (糖尿病营养-从整个五谷获取健康)

Moss Greene has written an article on the benefits of Whole Grains.  In this article, she has quoted some statistics from Harvard Medical School such as:

1.     Those who ate the least amount of whole grains had 60% higher incidence of type 2 diabetes than those who ate the most whole grains.

2.     Physically active obese men who ate the most whole grains developed 52% less diabetes, even though they were extremely overweight.

3.     And two other research studies of women and whole grains confirmed these Harvard Medical School findings – healthy whole grains provide protection against diabetes and other degenerative diseases!

Once contracted diabetes, greatly increase the risk of:

·         Blindness,

·         Kidney failure,

·         Limb amputation,

·         Erection problems,

·         Heart attack or stroke,

·         And also nerve damage.

Healthy whole grains are high fiber low glycemic foods that help keep blood sugar balanced and insulin working properly:

1.     Whole grains help to prevent constipation,

2.     Reduces your risk of cardiovascular disease,

3.     Offers protection against some forms of cancer,

4.     Helps protect you from developing type 2 diabetes,

5.     And eating more whole grains helps you to live longer.

The above information is extracted from the article, Diabetes Nutritional Gains from Healthy Whole Grains, by MOSS GREENE

Personal experience – Besides healthy diets, one must be physically active and exercise regularly to minimize the risk in contracting diabetes.

Foods NOT Suitable for Diabetic {Update#1} (食物不适于糖尿病患者)

Foods NOT Suitable for Diabetic {Update#1} (食物不适于糖尿病患者)

All updates are highlighted in YELLOW

Fresh Fruits (新鲜水果)

One should include more fruits and vegetables in his diet.  Take note of these high sugar contents of fruits

1.     Durian – I am avoiding durian.  However 1-2 seeds are fine

2.     Mango – One slice is fine

3.     Watermelon – Because of its high water content and thus easier to be absorbed into the blood system, it tends to raise the glucose level faster.

4.     Fruit juices – How many fruits to get one glass of juice but can you eat the same amount of fruits given the same time.  High concentration of sugar will kill.

Refined grains or starchy foods (被提炼的五谷或上了浆食物)

1.     White Rice

2.     White bread

3.     Yellow noodles – high in sodium and colorings

One should chose slow release carbohydrate items such as whole-meal or multi grains bread

Saturated and trans fats (饱和的和trans油脂)

Cut down on saturated fats and switch to low fat diet:

1.     Avoid butter and use olive oil spread

2.     Instead of taking normal cheese, take low fat and low salt cheese

3.     Chose fish (Salmon and Mackerel are good source of Omega 3) and lean meat

4.     Steam or grill instead of deep frying

5.     Most salad dressing is high in fat and calories

6.     Avoid deep fried food like fried chicken and French fries.  They will increase your bad cholesterol which will increase your risk of heart disease.  Potato is one type of starchy vegetables.

7.     Cakes are loaded with sugar and sodium which will spike your glucose level.

Salts / Sodium (盐 / 钠)

High consumption of salts may lead to a raise in blood pressure resulting in diabetes, stroke or heart disease. Instead of salt, use herbs and spices to flavor the food.

Sugary Foods (含糖的食物)

1.     Honey

2.     Sweets

3.     Ice cream

4.     Condensed milk

5.     Any cereals coated with sugar

6.     Diabetic jam – Tend to come with high carbohydrates

7.     Other forms of sugars (糖的其他形式) –

Sucrose, Maltose, Dextrose, Fructose, Glucose, Galactose, Lactose, High fructose corn syrup, Glucose solids

Matters to Note (应注义事项):

1.     The above diet may not be applicable to an end stage kidney failure patient. Please refer the section on end stage kidney failure. (上述饮食可能不是可适用的对末端阶段肾衰竭患者)

2.     Exercise and meals in regular intervals are important to maintain a good glucose level. (锻炼和饭食在正则区间是重要维护一个好葡萄糖水平)

3.     Buy a glucose meter reading device to monitor pre and post meal glucose level so that you are aware of which food is not suitable for you. (买葡萄糖计算机监测前和膳食以后葡萄糖水平，以便您知道哪食物不适用于您)

Feel free to drop me a note if you need any recommendations.

Updates:

·           Oily food will distort the 2-hours post meal glucose reading as the oil will block the sugar after a meal.  Don’t be surprised / happy to see that the glucose level remains at an acceptable range after eating a plate of Char Kway Teow when a post meal reading is conducted.  Econ bee hon is another good example.  Besides oily, it is high in cholesterol.

·           This section is applicable to a diabetic who is on hemodialysis at the moment.  At this stage, end stage organ failure, the organ is not working and thus the insulin does not have much effect.  From my personal experience as well as talking to other dialysis patients, one has to adjust (reduce) the insulin dosage to prevent hypoglycaemic (I was not informed by previous Endocrinologist).  Another surgeon even suggests ceasing the insulin injection.  One may have a very good reading of HbA1c at this stage but the reading may not be representative at all.  My HbA1c reading during dialysis is as good as perfect but now I know it meant nothing.

Eat More Chicken, Fish and Beans than Red Meat

Individuals who had organ transplant, the chances of having high cholesterol levels are much higher than the rest.   Besides medications and exercise, eating the right diet is important.   Red meats have more cholesterol and saturated fat than chicken, fish and vegetable proteins such as beans.  I am suggesting either boiling or steaming your dishes.

Here is the original article, Eat More Chicken, Fish and Beans than Red Meat, by American Heart Association.

Blood Test Report & Creatinine {Update#4} (验血报告&肌氨酸酐)

Blood Test Report & Creatinine {Update#4} (验血报告&肌氨酸酐)

I mentioned in Update#3 that C2 (峰值) and Creatinine (肌氨酸酐) blood test was taken on 30 June which is two months after the surgery.  Relevant actions had taken place after the results.

Date	Peak (UG/L)	Creatinine	Cyclosporine Taken
30 June 2014	1695	103	150 mg - OM 150 mg – ON (reduction in OM)
17 June 2014	1704	108	175 mg - OM 150 mg – ON (reduction in ON)
13 June 2014	667	112	175 mg - OM 175 mg – ON (No actions taken)
9 June 2014	1274	113	175 mg - OM 175 mg – ON (reduction in ON)
3 June 2014	Not Tested	108	Existing Dosage: 200 mg - OM 175 mg – ON

I did not do anything unusual in the manner of taking my drugs as compare to my earlier post “Post-Transplant Medications” (我没有做什么异常以服我的药方式):

1.     I always take my drugs on time (我总是准时服我的药)

2.     I take my drugs with HL milk for better absorption and for my daily calcium intake (我使用HL牛奶服药达到更好的吸收和完成部分每日钙的需求)

Do take note that renal doctor DID NOT adjust the dosage on the basis of test results alone.  There are other indicators that he will review before making the final and crucial decision. (注意à 肾脏医生没有根据单独测试结果调整剂量。他在做出最后和关键的决定前将回顾的其他显示。)

Most important of all, this is the first time that Phosphate level has reached the acceptable range since the surgery.

Blood Test Report & Creatinine {Update#3} (验血报告&肌氨酸酐)

Blood Test Report & Creatinine {Update#3} (验血报告&肌氨酸酐)

1.5 Months since my surgery, let’s review my Cyclosporine Peak test result, also known as C2 (峰值), and Creatinine (肌氨酸酐).  Relevant actions had taken place after the results.

Date	Peak (UG/L)	Creatinine	Cyclosporine Taken
17 June 2014	1704	108	175 mg - OM 150 mg – ON (reduction in ON)
13 June 2014	667	112	175 mg - OM 175 mg – ON (No actions taken)
9 June 2014	1274	113	175 mg - OM 175 mg – ON (reduction in ON)
3 June 2014	Not Tested	108	Existing Dosage: 200 mg - OM 175 mg – ON

I did not do anything unusual in the manner of taking my drugs as compare to my earlier post “Post-Transplant Medications” (我没有做什么异常以服我的药方式):

1.     I always take my drugs on time (我总是准时服我的药)

2.     I take my drugs with HL milk for better absorption and for my daily calcium intake (我使用HL牛奶服药达到更好的吸收和完成部分每日钙的需求)

Do take note that renal doctor DID NOT adjust the dosage on the basis of test results alone.  There are other indicators that he will review before making the final and crucial decision. (注意à 肾脏医生没有根据单独测试结果调整剂量。他在做出最后和关键的决定前将回顾的其他显示。)

C2 was taken on 21 June and will be taking on 30 June.  I will post the results after my review with the renal doctor. (C2被采取了6月21日，并且被采取6月30日。我在与肾脏医生回顾以后将张贴结果)