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1 |
Why is it necessary to control my blood sugar
levels? |
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Better control means better health. If your blood
sugar is low, you may become cranky, tires,
confused, shaky or sweaty. This is a condition
called hypoglycemia. If this condition prolongs; it
can even lead to death. However, if you are thirsty,
urinate a lot or have blurred vision, your blood
sugar may be much too high. If this condition is
left untreated it can damage all the major organs of
the body & finally lead to Diabetic coma. |
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2 |
Why is diet important for Diabetes? |
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Diabetes mellitus in particular is easier to control
when your weight is normal; in BMI terms between 20
& 24. It is estimated that at least 80% of people
newly diagnosed with Diabetes mellitus are
overweight. Dietary advice is essential if weight
loss is to be achieved. Also a healthy diet will
help your blood pressure & reduce your
cardiovascular risk. |
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3 |
Is there a special diet
for Diabetes? |
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There is no such thing as a Diabetic diet.
Although diabetes means you will always need to
take that little extra care about what you eat,
a healthy diet is what is recommended for all
people. All foods have an energy value –
Carbohydrates, Protein & Fat intake have an
effect on blood sugar levels & the food groups
containing these macronutrients require
attention.
BiteRite is thus formulated choosing foods that
have a balanced effect on the blood sugar. The
quantities of food groups in each meal have also
been planned accordingly. |
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4 |
Can I still have sugar in
my diet? |
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Perhaps the best news in the new nutrition
guidelines is, “Scientific evidence has shown
that use of sucrose (table sugar) as part of the
meal plan does not impair blood glucose control
in individuals with type 1 or type 2 diabetes.”
Wait! Before you rush
out & eat a triple scoop of ice cream take
another look at this statement.
What the experts are saying is that
sugar should be part of a well-balanced meal
that contains protein, fat & carbohydrates. A
high sugar food should not be eaten alone as a
snack because it can send blood glucose levels
soaring. As part of a well-balanced meal
however, sugar (in place of other carbohydrate)
does not have a bad effect on post-meal blood
glucose levels. |
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5 |
What effect does food have
on blood glucose level? |
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The blood glucose is at its lowest in the
fasting state and it rises with food. There are
numerous factors that influence the Glycemic
response. The level and timing of the rise is
related to the nutrient content of consumed
food. Consumption of carbohydrates from whole
grain, fruits, vegetables and low- fat/ skimmed
milk is preferred over the consumption of sugar
or white bread that causes a sharp rise of blood
glucose and then a sharp fall. Consumption of
carbohydrates from fruits and vegetables are
richer in fiber, vitamins, minerals and
photochemical all of which would blunt the peak
rise in blood glucose and slower the rate.
Consumption of fatty meals such as pizza or
burgers would cause a delayed and prolonged rise
of blood glucose. A protein rich meal would not
affect the blood glucose level. |
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6 |
Are calories important in
a diabetic regime? |
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There is a common myth that people with
diabetes need to watch their calories more than
an average person. This is only partly correct.
Everyone’s calorie intake should be appropriate
for the level of activity, regardless of whether
diabetes is present. The difference is that
people without diabetes still have the capacity
to overcome excesses in their diet by producing
extra insulin to maintain blood sugar at normal
levels. So your calorie needs reducing only if you need
to lose weight – BMI is above 25. |
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7 |
What is the Glycemic
Index?
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The Glycemic Index is a
numerical Index that ranks carbohydrates
based on their rate of glycemic response
(i.e. their conversion to glucose within
the human body). Glycemic Index uses a
scale of 0 to 100, with higher values
given to foods that cause the most rapid
rise in blood sugar. Pure glucose
serves as a reference point, and is
given a Glycemic Index (GI) of 100. |
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8 |
Why is the Glycemic Index Important?
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Your body performs best when your blood sugar is
kept relatively constant. If your blood sugar drops
too low, you become lethargic and/or experience
increased hunger. And if it goes too high, your
brain signals your pancreas to secrete more insulin.
Insulin brings your blood sugar back down, but
primarily by converting the excess sugar to
stored fat. Also, the greater the rate of increase
in your blood sugar, the more chance that your body
will release an excess amount of insulin, and drive
your blood sugar back down too low.
Therefore, when you eat foods that cause a large
and rapid glycemic response, you may feel an
initial elevation in energy and mood as your
blood sugar rises, but this is followed by a
cycle of increased fat storage, lethargy, and
more hunger!
Although increased fat storage may sound bad
enough, individuals with diabetes (diabetes
mellitus, types 1 and 2) have an even worse
problem. Their bodies inability to secrete or
process insulin causes their blood sugar to rise
too high, leading to a host of additional
medical problems.
The theory behind the Glycemic Index is simply
to minimize insulin-related problems by
identifying and avoiding foods that have the
greatest effect on your blood sugar.
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9 |
How Glycemic Load Improves
the Glycemic Index ? |
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Although most candy has a relatively high
Glycemic Index, eating a single piece of candy
will result in a relatively small glycemic
response. Why?
Well, simply because your body's glycemic
response is dependent on both the type AND the
amount of carbohydrate consumed. This concept,
know as Glycemic Load, was first popularized in
1997 by Dr. Walter Willett and associates at the
Harvard School of Public Health. You can control
your glycemic response by consuming only low-GI
foods and/or by restricting your intake of
carbohydrates. |
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10 |
Some vegetables appear to
have a high Glycemic Index.
Does this mean a person with diabetes should
avoid eating them?
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Definitely not, because, unlike potatoes and
cereal products, these vegetables are very low
in carbohydrate. So, despite their high GIycemic
Index, their glycemic load (GI x carbohydrate
per serving divided by 100) is low. Vegetables
contain only small amounts of carbohydrate but
loads of micronutrients and should be considered
as "free foods". Eat them all you like!
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11 |
Do I need to eat low
Glycemic Index foods at every meal to see a
benefit?
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No, because the effect of a low Glycemic
Index food carries over to the next meal,
reducing its glycemic impact. This applies to
breakfast eaten after a low Glycemic Index
dinner the previous evening or to a lunch eaten
after a low Glycemic Index breakfast. This
unexpected beneficial effect is called the
"second meal effect". But don't take this too
far, however. Its recommended that you aim for
at least one low Glycemic Index food per meal.
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12 |
Does the Glycemic Index
increase with serving size? If I eat twice as
much, does the Glycemic Index double?
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The Glycemic Index always remains the same, even
if you double the amount of carbohydrate in your
meal. This is because the Glycemic Index is a
relative ranking of foods containing the "same
amount" of carbohydrate. But if you double the
amount of food you eat, you should expect to see
a higher blood glucose response - i.e., your
glucose levels will reach a higher peak and take
longer to return to baseline compared with a
normal serve.
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13 |
How can I make sure I have
a good diet regime? |
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If you have diabetes, you should have access
to a qualified dietitian through your GP or
Diabetic doctor. Your dietitian will help you
work out your daily calorie needs, taking into
account your age, lifestyle, work and activity
levels. Most of all, your dietitian will help
you understand the relationship between what you
eat & what you need.
Be a BiteRite member & gain the benefits of
Diabetes education. This program also takes care
of how many calories you need to eat each day?
What foods you should include as well as how
many food servings. |
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14 |
What are the guidelines of
healthy eating for diabetics? |
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a) Eat regular meals.
b) Cut down on high sugar foods.
c) Pay attention to the amount & type of fat in
your diet
d) Eat 5 - 8 portions of fruit & vegetables a
day
e) Cut down on salt intake (precaution for
hypertension)
f) Drink only moderate quantities of alcohol
(only 2 units per day). |
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15 |
Is it true that I cannot eat bananas & grapes? |
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No. All
fresh fruits & vegetables
are extremely good for you
they are high in fiber, low
in fat & packed with
vitamins & minerals. You
should aim to eat 5 - 8
portions of fresh fruits &
vegetables per day (ask your
dietitian what is one
portion size). This will
help to reduce risk of heart
disease, cancer & improve
overall balance of food.
Fresh fruit is a perfect
snack. |
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16 |
What is the best way to lower
triglyceride levels? |
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a) Reduce dietary fat intake, especially
that from butter, cheese, red meat, coconut oil
& palm oil. But balance intake through fats from
olive oil, canola oil, sunflower oil, almond,
walnuts & pecans. This is because a very low fat
diet can raise triglyceride levels.
b) Do any form of cardiovascular exercise –
jogging, walking, cycling or swimming
c) If you are overweight, lose weight.
d) Cut down on egg yolk & shellfish –
cholesterol-containing foods. |
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17 |
How can I lower my LDL (bad) & raise my
HDL (good) cholesterol levels? |
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a) Stop smoking
b) Get to & stay at your ideal body weight
c) Exercise regularly – 4 to 6 days in a week.
d) Cut back on meat, cheese, milk, butter,
coconut & palm oil intake.
e) Read labels carefully so as to not consume
foods with Trans fatty acids (margarine,
partially hydrogenated vegetable oil).
f) Cut back on shrimps, shellfish & eggs.
g) Consume enough of olives, olive oil, fish,
dry nuts & dried seeds.
h) Visit your doctor & dietitian for routine
check ups on a monthly basis. |
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18 |
Is the BiteRite menu available without
the entire health package? |
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The BiteRite menu is available without the
package, however, control of merely the diet is
not enough or effective. It is essential that
you get the right amount of exercise. Without
one of these elements, the BiteRite system is
weak; therefore NMC has devised the best result
customized for your needs in the BiteRite
solution, providing you with proper schedules
for exercise and keeping you constantly updated
on new progresses and a better way of living. |
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19 |
Will I lose weight continuously through
BiteRite? |
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BiteRite along with a good exercise schedule
can ensure steady weight loss. The maximum
reduction in weight will be experienced in the
first month when BiteRite is followed as a means
to loose weight (without other lifestyle
modifications.) Thereafter, the effects will
plateau. Hence, exercise, along with the
BiteRite menu is an essential complementary tool
to loose weight. |
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20 |
Why is BiteRite available through
hospitals? |
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Expert advice will ensure the best guidance
for BiteRite, which is why it is also available
through the Diabetologist and Nutritionists.
Every person is different which means every
persons requirement from BiteRite will vary. It
is up to the doctors concerned to consider this
and treat every individual with the utmost care
and fragility. |
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21 |
I am lactose intolerant .Can I still have
BiteRite? |
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Yes .No problem! Although milk products are
included in the current menu, our expert
nutritionists / dieticians can plan personal
menu for you. |
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22 |
What are the benefits of exercise? |
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Exercise may help control your weight and
reduce blood sugar. It also reduces your risk of
heart attacks and may help control blood
pressure. Exercise can also reduce stress and
improve your overall self-esteem as well as your
health. However though exercise is a good way of
reducing your risk of complications people
respond in different ways to exercise. It is
therefore not possible to make a general
recommendation on a suitable program of
exercise. |
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23 |
What are the risks of exercising? |
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The main risk associated with exercise is
hypoglycemia. Exercise changes the way the body
reacts to insulin and with regular exercise you
may develop hypoglycemia after exercise. If you
have circulatory problems or neuropathy your
feet may develop blisters or ulcers. Consult
your doctor if you have ischaemic heart disease
Checklist for exercise
• Talk to your doctor about the right
exercise for you.
• Check your blood sugar level before
and after exercising.
• Check your feet for blisters or sores
before and after exercising.
• Wear the proper shoes and socks.
• Drink plenty of fluid before, during
and after exercising.
• Warm up before exercising and cool
down afterward.
• Have a snack handy in case your blood
sugar level drops |
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24 |
What is the difference between
BiteRite Community Member and a BiteRite Member? |
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A BiteRite
Community Member is enrolled in The
BiteRite Plan where he/she can avail all
the benefits of the BiteRite Saving
Schemes. Apart from this you will have
sound health as you will be consuming
balanced meals appropriate for your
body. A BiteRite Member is unable to
avail all the above mentioned valuable
services unless he or she upgrades to
being a BiteRite Community Member.
However, A BiteRite Member can have all
access to information on nutritional and
growth towards a healthy lifestyle,
which is the BiteRite style! |
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