Dietary Management of Diabetes Mellitus in India and South East Asia
Ambady Ramachandran
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorChamukuttan Snehalatha
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorVijay Viswanathan
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorAmbady Ramachandran
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorChamukuttan Snehalatha
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorVijay Viswanathan
Diabetes Research Centre, M.V. Hospital for Diabetes and WHO Collaborating Centre for Research, Education and Training in Diabetes, Royapuram, Chennai, Tamil Nadu, India
Search for more papers by this authorAbstract
Dietary modifications play a major role in the management of diabetes mellitus. It is generally accepted that a high-carbohydrate, high-fiber, low-fat diet with calorie restrictions is the ideal diet. Among the South East Asian populations, as the composition of the prescribed diet is very similar to the usual diet, its acceptance and adherence by the diabetic subjects is fairly easy. Dietary prescription should aim to optimize both glycemia and plasma lipids to help prevent the long-term vascular and other diabetic complications. Meal planning with food items of low glycemic index with inclusion of plenty of fresh vegetables is advisable. Avoidance of obesity from childhood should be a long-term goal. Constant motivation through nutrition counseling and education in an appropriate way will help in achieving dietary targets. The younger generation should be given education regarding a healthy diet which will help reduce the occurrence of nutritional deficiencies and obesity, and delay or prevent the onset of diabetes.
References
- 1 Frank LL. Diabetes mellitus in the texts of old Hindu medicine (Charaka, Susruta, Vaghbata). Am J Gastroenterol 1957; 27: 76.
- 2 Joslin EP. Development of the present treatment of diabetes. J Am Diet Assoc 1949; 25: 213.
- 3 ICMR. National Institute of Nutrition. Hyderabad–Annual Report 1985–86, pp 105–35.
- 4 Shobana R, Snehalatha C, Latha E, Vijay V, Ramachandran A. Dietary profile of urban south Indians and its relation with glycaemic status. Diabetes Res Clin Prac 1998; 42: 181–6.
- 5 Viswanathan M. High carbohydrate diet in diabetes. J Diabetes Assoc India 1968; 8: 353–60.
- 6 Viswanathan M, Snehalatha C, Ramachandran A, Mohan V. Rapid control of diabetes with high carbohydrate diet and combination of glibenclamide and phenformin. J Diabetes Assoc India 1978; 18: 119–23.
- 7 Viswanathan M, Ramachandran A, Mohan V, Snehalatha C. High-carbohydrate, high fiber diet in diabetes. J Diabetes Assoc India 1981; 21 (suppl): 90–6.
- 8 Viswanathan M, Mohan V, Ramachandran A, Snehalatha C, Anderson JW, Long-term experience with high carbohydrate high fiber diets in Indian diabetic patients. Diabetologia Croat 1984; 13: 163–74.
- 9 Viswanathan M, Snehalatha C, Ramachandran A, Mohan V. High-carbohydrate diet in diabetes: long-term experience. In Proceedings of the International Diabetes Federation Congress, Vienna. Amsterdam: Excerpta Medica, 1979; p 84.
- 10 Viswanathan M, Snehalatha C, Ramachandran A, Mohan V, Shobana R. Effect of a calorie-restricted, high carbohydrate, high protein, low fat diet on serum lipids: a follow-up study. J Assoc Phys India 1978; 26: 163–8.
- 11 Susheela L, Shyamsundar R, Ramachandran A, Mohan V, Viswanathan M. Favourable alterations in serum total/HDL and LDL/HDL cholesterol ratios after glucoregulation in newly diagnosed NIDDM. Diabetologia Croat 1983; 12: 17–33.
- 12 Viswanathan M, Snehalatha C, Ramachandran A, Mohan V. Effect of high-carbohydrate, high fiber diet on immunoreactive insulin level in diabetes. J Diabetes Assoc India 1983; 23: 45–8.
- 13 Carpo PA, Reaven G, Olefsky J. Postprandial plasma glucose and insulin responses to different complex carbohydrates. Diabetes 1977; 26: 1179–83.
- 14 Crapo PA, Kolterman OG, Waldeck N, Reaven GM, Olefsky JM. Postprandial hormonal responses to different types of complex carbohydrate in individuals with impaired glucose tolerance. Am J Clin Nutr 1980; 33: 1723–8.
- 15 Vinik AI, Jenkins DJA. Dietary fiber in management of diabetes. Diabetes Care 1988; 11: 160–72.
- 16 Viswanathan M, Ramachandran A, Mohan V, Snehalatha C. Effect of ingestion of natural food fiber on glucose tolerance and plasma immunoreactive insulin response. Biomedicine 1980; 1: 43–6.
- 17 Holt S, Heading RC, Carter DC, Prescott LF, Tothill P. Effect of gel fiber on gastric emptying and absorption of glucose and paracetamol. Lancet 1979; 1: 636–9.
- 18 Morgan LM, Goulder TJ, Tsiolakis D, Marks V. Alberti. KGMM The effect of unabsorbable carbohydrate on gut hormones: modification of postprandial GIP secretion by guar. Diabetologia 1979; 17: 85–9.
- 19 WHO Study Group. Diabetes Mellitus. Technical Report Series 727. Geneva: WHO, 1985; p77.
- 20 Boctor DL, Jenkins DJA. Trends in dietary management of diabetes mellitus: an update. In KGMM Alberti, LP Krall (eds), The Diabetes Annual, Vol 6. Amsterdam: Elsevier Science, 1991; pp 105–36.
- 21 Ihle BU, Becker GJ, Whitworth JA, Charlwood RA, Kincaid-Smith PS. The effect of protein restriction on the progression of renal insufficiency. N Engl J Med 1989; 321: 1733–77.
- 22
Rosman JB,
Meijer S,
Sluiter WJ,
Ter Wee PM,
Piers Becht TP,
Donker AJ.
Prospective randomized early trial of dietary protein restriction in chronic renal failure.
Lancet
1984; ii:
1291–6.
10.1016/S0140-6736(84)90818-3 Google Scholar
- 23 Vijay V, Snehalatha C, Varadharani MP, Nair BM, Jayaraman M, Ramachandran A. Prevalence of albuminuria among vegetarian and nonvegetarian south Indian diabetic patients. Indian J Nephrol 2002; 12: 73–6.
- 24 Stacpoole PW, Alig J, Ammon L, Crockett SE. Dose–response effects of dietary marine oil on carbohydrate and lipid metabolism in normal subjects and patients with hypertriglyceridaemia. Metabolism 1989; 38: 946–56.
- 25 Raheja BS. Indian diet—diabetes and its complications. IDF Bull 1988; 33: 14–7.
- 26 Snehalatha C, Sivasankari S, Satyavani K, Vijay V, Ramachandran A. Postprandial hypertriglyceridaemia in treated type 2 diabetic subjects—the role of dietary components. Diabetes Res Clin Pract 2000; 48: 57–60.
- 27 Ramachandran A, Vinitha R, Megha Thayyil, Sathish kumar CK, Sheeba L, Joseph S, Vijay V. Prevalence of overweight in urban Indian adolescent school children. Diabetes Res Clin Prac 2002; 57: 185–90.
- 28 Snehalatha C, Vijay V, Ramachandran A, Cut-off values for normal anthropometric variables in Asian Indian Adults. Diabetes Care 2003; 26: 1380–84.
- 29 Shobana R, Indira P, Ramachandran A, Mohan V, Viswanathan M. Effectiveness of patient education in a multilingual, multiliterate population. J Med Assoc Thai 1987; 70 (suppl 2): 219–22.
- 30 Bajaj JS. Dietary therapy: principles and practice. Diabetes Health Care: Trainers' Manual for Allied Health Professionals. Srinagar: Vishwanatha Press, 1982; pp 34–7.
- 31 Shobana R, Premila L, Shyamala P, Mohan V, Ramachandran A, Viswanathan M. Assessment of background knowledge of diabetes mellitus in diabetic patients. J Diabetes Assoc India 1989; 29: 70–3.