Before
I advise those with diabetes,I would like to advise those without it
to how to prevent diabetes.Studies have shown that,South
Asian people are five times more likely to develop type 2 diabetes
than white population and they develop this a decade earlier.They
also develop diabetes at a lower level of obesity.The reasons for
this are many,but to list a few
1.Genetic and ethnic preponderance.
2Abundance of processed,high fat and
high sugar foods.
3.Reduced amount of energy expenditure compared to
previous years.
4.We see a lot of our children spending time in front of
TV and computers than at the playground.
5. Our job requirements force
us to take up
fast foods than conventional foods prepared from fresh vegetables and
food items.So we consume high calorie,high fat,high density
convenience foods more often.We ask for jumbo sized
pizzas,burgers,pastries etc.
So
first step to prevent diabetes and hypertension is to avoid junk
foods and go out and walk everyday.Our elders have said “Take the
breakfast like an emperor,lunch like a king and dinner like a beggar”
,but we are eating the other-way round.The idea is very simple,
consume maximum calories when you are about to spend them,not when
you are going to rest.Accumulation of intra-abdominal fat is an
independent Diabetogenic risk factor.Current smoking is associated
with increased risk of ischaemic stroke.The risk is increased
exponentially with number of cigarettes smoked.
I hope starting from today,you will take steps to avoid at least some of the risk factors I mentioned above.
Dr.Prabhakar Mallya.
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