Dr Raj Kumar Lalwani's Diabetes and Heart Care

Diet control stays central:
Many of the aggressive prescribers of newer weight loss therapies, especially those super excited with semaglutide tend to forget that Diet regulations/proscriptions, lifestyle modifications including exercise and alcohol restriction remain crucial or are rather more crucial with the use of these newer therapies which do show their best efficacy ONLY with traditional non pharmacological measures linked with lifestyle!
So dear friends and all my loved friends on this page please keep in mind that you cannot afford to lose the focus mandated on your diet plan!
A healthy diet still must count calories and calorie density, even when you are on Semaglutide and must emphasise including fruits, vegetables, whole grains, nuts, seeds, legumes, lean meats, and low-fat dairy products with) limited consumption of processed foods. 🙏🙏 (please do send real questions only in your messages and avoid non scientific references and quotes 🙏)

A very common problem which I have witnessed in my patients is with salads , that many of the seniors and some young also tend to avoid taking adequate quantities with major meals or intermittently!
What I tell these patients I am sharing with you because at this stage I don’t want to keep my unique ideas hidden from my colleagues:😃
1. A dash of vinegar black pepper and a pinch of salt or chat masala after gently simmering (sautéed) or 10 seconds in microwave, the small bits of salad mix ,with half teaspoon of butter/ oil will make it easier for them! As per taste there are dozens of modifications possible
2. Those who find it difficult to bite or find it cumbersome or don’t have time!! To keep eating salads with every bite or in between, for them I suggest their spouses or care takers to make a paste of all the salad ingredients in a mixer jar! Just like making purée, additives as per taste and one teaspoon of this purée like salad blended in a grinder with every bite , can be easily consumed along with the food!
3. Even this paste can be gently heated , making it palatable in winter 😃Idea is to send adequate fibre in your stomach, mixed with food ! It doesn’t matter how it is done
4. A small inclusion of pineapple, orange, apple, strawberry or Yogurt/curd or just some lime and jeera will do wonders!
5. So don’t ever tell me I or our patient cannot eat salad
6. Even those without appropriate teeth to crush salads can easily be given adequate amounts as pasted mix 👍👍🙏

It is so painful!
They might not be having brains to understand how clever politicians are exploiting them, they may have lost cognitive ability to understand that plural , multiethnic multicultural India can never be overtaken by one religious group, they might have lost all the mental capabilities to appreciate that unemployment, currency value, growth indices are spiralling down and per capita debt is rocketing upward ( today’s budget shows debts increased to 190 lakh crores) and above all they may not be having a set of balls, moral values and spine firm enough to stand up against tyranny, deceit and cruel despotism BUT …surprisingly these disgusting trans@@@ , loud and equally obnoxious , can be seen debating on social media, how Ranveer Kapoor and his wife have been favoured with Filmfare awards which they don’t deserve!
Can you feel proud of being their co-citizen!

Mostly when we talk about a good diabetes control our focus remains on Diet medication and exercise!
I will share with you a secret today . the most important reason for the love and loyalty of my patients for my expertise; and it comes from something exceptional I do for them ! ….
no doubt ,staying updated and intelligently applying scientific knowledge ,for their wellbeing, helps and that is my strongest forte ,but beyond that , I have cultivated a habit of carefully LISTENING to them!
Small things bring out big clues! And believe me , the clues one gets on psychological
Distress , depression and overall mental health , if not taken care of , patients wouldn’t stay long with any doctor!

Empowering my followers should not only make them wiser but make them stand apart ,as most scientifically equipped, from all others is always my aim👍👌🙏

You can enjoy everything this Diwali if you just understand the science behind what your doctor tells you !👌👍
Most of the sweets we consume in Hindu festivals are rich in carbohydrates and sucrose- white sugar and
biggest question which is asked by every weight conscious and a diabetic patient is ,whether they can eat them ?—-and if yes —-then how much ?
Let us not forget that two things are extremely important considerations:
1. How “fast” that food item (sweet) will cause an increase in blood sugar levels?
2. “How long” that increased level and NET rise of sugars ,will persist in blood!
This “net rise” depends on How much total carbohydrates - sugars-are present in ONE PORTION served -of that item
Let us simplify things ::
Rule number one - keep in mind—
There is NO “standard portion”or one serving of any sweet more so for a diabetic!
What I mean is😪
One gulab Jamun is NOT to be considered as one serving ,for Diabetics!
Keeping in view that most sweets have a Glycemic Index of around
35-45 ,let us take an average of 40 for general use ; (slight over calculation is safer👍)
By this average every 100 grams of sweet dish will have a Glycemic load of 40( there is a formula)
BUT we do not want to have more than 10 of a glycemic load in one go as per the recommendations.that should mean 25 to 30 grams of sweet should be ok - in one go
Don’t forget this should be counted in your daily ration so deduct Half chapati for every small sweet portion you take .
Also a gap of 4-5 hours between meals ,should not be compromised in the name of festival .
And most important: low glycemic Index sugar free sweets,do contain higher glycemic loads ,so when it comes to Net Rise ,they too will be excessive loads on the system, rise in sugars will not be fast but” load” will be there ! So same 25-30 grams at a time 👍
Happy festivities to all and Enjoy
Discipline Discretion Diabetes- go together 👍🙏🌸🌸

Dear friends and colleagues I will be covering an important topic ABC of Diabetes care—tomorrow on Facebook Live at 6 PM on 31st August 2022- do join me
At

https://www.facebook.com/HALTDiabetesIndia/

HALT Diabetes Diabetes Awareness

Traditionally whenever we think of Diabetes Control we just think of Blood Glucose that too Glucose levels when we are fasting ! Just after getting up in the morning. THIS IS WRONG ! Diabetes Control means Control of Body weight , of Diet you take in terms of size and constituents being eaten and most importantly taking care that you DO NOT Smoke and stay strictly moderate with alcohol intake. Daily exercise will boost every single attempt you make in the right direction. Stay in Control it's 👍👍👍👍your life !