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Cardio Diabetes Medicine 2017                                   585







                              Medical Nutrition Therapy in Cardiodiabetes





                                                   Dr. AKHILESH VERMA

                                                         MBBS MD Medicine
                                                     Senior Consulting Physician





                 Abstract :
                 WHO, world health statistics report 2016 shows isch-  amount will not only help to manage the blood sugar
                 emic heart disease contributed 12.4% for total deaths   but will also lower the cholesterol and blood pressure
                 in India. Data  confirms India’s overwhelming non-  . American Diabetes Association suggest control the
                 communicable  disease  burden. Non  communicable   carbohydrate intake to control the blood sugar.
                                                                                                               2
                 diseases in both sexes is rampantly going up in In-  A  cardiodiabetic diet encourages  to eat more  fresh,
                 dia and hence need to discuss about role of diet as   whole foods and less saturated fat and salt. The role
                 therapy in cardiodiabetes.
                                                                    of diet as a therapy is discussed in different scien-
                  A medical nutrition  therapy  in cardiodiabetic en-  tific studies but mostly western and paucity of them
                 courages  to eat more  fresh,  whole  foods  and less   taking indian diet and with perspective of food habits
                 saturated fat and salt.  The  role  of  diet  as  a  therapy   of Indian. The diet plan discussed here incorporates
                 is discussed in different scientific studies.      basics of both diabetics and heart health from indian
                                                                    as well as western standpoint.
                 The diet plan discussed here incorporates basics of
                 both diabetics and heart health from  indian as  well   To improve  cardiac health more  nutrients rich food
                 as western standpoint.Small change in cooking hab-  such as fruits , vegetables, whole grains, low fat dairy
                 its  will  give  good  result.  So,  forget  frying  foods  and   items, poultry, fish and nuts should be used in diet..
                 cook healthier by using steam,  broil, roast and  grill   Limiting the  intake of food high in calories  and  so-
                 as alternatives.                                   dium like  fried  snacks, papad,  pickels  and all  fast
                                                                    food, will  be useful.Faulty lifestyle  unhealthy  diet,
                 In general nutritional recommendation for cardiodia-  physical  inactivity, smoking, tobacco  chewing and
                 betes is controlling
                                                                    alcohol are major contributing factors for rise in the
                 portion size, limiting consumption of saturated trans-  cardiodiabetes.
                 fat and amount of
                                                                    Probability of developing  heart  disease  and  stroke
                 carbohydrates  to achieve healthy body  weight.  The   is  twice  in  diabetics, as  compared  to nondiabetics.
                 ABC  Strategy  in the nutritional  therapy  will  be  A   Dietary modification not only helps managing blood
                 Awareness  of  sugar,  B-  Balance of  the salt  and C   sugar but will also play pivotal role in lowering cho-
                 Control of the body weight.                        lesterol and blood pressure too, The write up will dis-
                                                                    cuss about common myths and wrong practices and
                 Keywords:                                          dietary habits of Indian culture and ethnics.
                 Cardiodiabetes, diet therapy, medical nutrition    WHO, world health statistics report 2016 shows isch-
                 Cardiodiabesity  is  a hybrid  term  used  to define  and   emic heart disease contributed 12.4% for total deaths
                 describe the well-known relationship between type-2   in India. Data  confirms India’s overwhelming non-
                 diabetes  mellitus,  obesity,  metabolic syndrome  and   communicable  disease  burden. Non  communicable
                 cardiovascular disease.  The  term  cardiodiabesity  is   diseases in both sexes is rampantly going up in In-
                 not only  useful  to describe  this framework  but also   dia and hence need to discuss about role of diet as
                 to highlight the need to consider all the risk factors   therapy in cardiodiabetes..
                 and health  outcomes combined in clinical  practice.   1  Lifestyle modification is key to primary prevention as
                 Eating right type of food, at right time and with right   well  as included in all  stages  of treatment  strategy


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