How to manage diabetes without medication

What is diabetes?

Diabetes is a serious disease, which is detrimental if left untreated. It is characterized by above-normal blood sugar levels with disturbances of carbohydrate, fat and protein breakdown resulting from defects in insulin secretion, action or both. When poorly managed, diabetes may lead to heart disease, poor vision, kidney failure, loss of limbs, stroke, erectile dysfunction and, more. The risk factors of diabetes increase with age.

What are the types of diabetes?

There are two main types of diabetes: type 1 and type 2. Both types of diabetes are chronic diseases that affect the way your body regulates blood sugar. In type 1 diabetes, insulin is not produced by the body. People with type 1 diabetes rely on insulin for blood sugar control. In type 2 diabetes, insulin is produced by the body, but the body cannot utilize insulin to regulate blood sugar levels. People with type 2 diabetes are insulin resistant.

How common is diabetes?

Diabetes is the 4th main leading cause of death in the world. In 2019, an estimated 1.5 million deaths were directly caused by diabetes. In Kenya, the prevalence of diabetes is 3.3% and, more than 8,700 deaths were attributed to diabetes in 2015, almost all under 60 years of age. It has been projected that this rate shall increase to 4.5% by 2025.

Can diabetes be cured or reversed?

Although there is no cure for diabetes, studies [1, 2, 3] indicate that it is possible to reverse type 2 diabetes at early stages by reducing dietary energy intake. Diabetes can be prevented, controlled or even reversed with just FOOD! Here are 5 ways on how you can reverse diabetes using dietary and lifestyle interventions.

1. Portion your food.

Managing type 2 diabetes can be a real challenge, especially when deciding what and how much to eat. There is evidence that diets that are high in fibre,  of plant-based varieties, are the most efficient in the management of type 2 diabetes.

The core perspective that comes into play when making food choices among diabetics is the glycemic index and the type of food. In order to maintain blood sugars within the normal range, diabetics should eat colourful fruits and vegetables, about 5-7 servings daily.

Foods from proteins sources should be taken moderately, about 115g per serving or palm-size when taking animal protein. Carbs should be as low as possible, an equivalent amount of proteins.

When choosing carbs and starches, avoid highly refined foods like bread, pasta, white flours and sweeteners. Instead, substitute white foods with whole foods. Generally, aim to fill your plate halfway with vegetables, ¼ with proteins and the other ¼ with starches.

2. Eat Plant-based protein-rich foods.

Protein is an essential nutrient found in meat, legumes and nuts. When the correct types of proteins are taken in the right quantities, they can help in controlling blood sugars. However, high protein intake can have mixed reactions for people with type two diabetes, suggests a study in the American Journal of Epidemiology.

A diet that contains too much animal protein may also increase the risk for type 2 diabetes. In controlling type two diabetes, diets with plenty of plant-based proteins should be eaten. They can modestly decrease the risk of type 2 diabetes.

People who are living with diabetes should treasure proteins of plant-based origin and limit the intake of animal protein, especially animal fat.

Some of the proteins that will naturally control the blood sugars are beans, lentils, chickpeas, soybeans, tofu, nuts, seeds, fish and poultry. These proteins should be given higher preference by people living with diabetes.

3. Eat a handful of nuts 30 minutes before a meal to prevent blood sugar spikes

Do you know that just a handful of nuts taken 30 minutes before the main meal helps in preventing blood sugar spikes?

Nuts are loaded with healthy fats that help to preserve health. They are also low glycemic foods that improve markers of insulin sensitivity and various blood lipids, without adverse effects on LDL cholesterol. The amount of carbohydrates in nuts is very limited making them effective in controlling blood sugars.

Nonetheless, they are a high source of fibre. Fibre slows down the digestion process reducing instant spikes of blood sugar after meals.

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Normally, blood sugars begin to rise 15-30 minutes after taking a meal. This happens only if your meal is exclusively carbohydrates.

The speed and level of the increase depend on the type of carbohydrates and other nutrients found in the foods you eat, as well as on your body’s ability to manage your blood sugar levels.

That is why taking nuts 30 minutes before the main meal may help in regulating your blood sugars, consequently preventing spikes.

A few nuts that should be highly considered by diabetics are walnuts, almonds and cashew nuts.

4. Opting for whole grains for managing diabetes 

Whole grains are unprocessed foods. They are complete grains with kernels, fibre and endosperm. Eating whole grains is a smart way to help prevent blood sugar spikes.

The fibre component in whole grains, which is also a form of carbohydrate, is not digested by the body, hence doesn’t raise blood sugars. High fibre foods also take longer to digest, they, therefore, tend to have a delayed impact on the blood sugars, making them raise gradually. In addition, fibre adds more bulk to your diet, making one full for quite a long time.

Some of the whole grains that should be highly considered by diabetics include kidney beans, butter beans, black beans, lentils, quinoa, green grams, Chickpeas, sorghum and cowpeas.

5. Exercising to normalize blood sugar levels

Physical activity is one of the ways to achieve a healthy lifestyle. Exercise helps control blood sugar spikes by increasing the sensitivity of your cells to insulin.

Exercise also causes muscle cells to absorb sugar from the blood, helping to lower blood sugar levels. Both high intensity and low-intensity forms of exercise have been found to reduce blood sugar spikes.

Some forms of exercise that diabetics can engage in to regulate their blood sugars are brisk walking, running, hiking, dancing, swimming, aerobics and more.

Take away

Incorporate these five action points in your daily diet to jumpstart your type 2 diabetes management. Take one simple action every day for the best result.

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