Shashikiran Umakanth, MD
Shashikiran Umakanth, MD

@shashikiranu

13 Tweets 8 reads Dec 16, 2023
Let's talk about managing diabetes effectively.
There are 4 key pillars to keep in mind:
1• Balanced diet
2• Physical activity
3• Adequate sleep
4• Appropriate medication
Read this thread for a quick review 🧵
#DiabetesCare #Pillars
Pillar 1: Balanced diet
A balanced diet is crucial in managing diabetes. It's not just about cutting sugar; it's about eating a variety of nutrients in the right proportions.
#DiabetesDiet #BalancedDiet
Carbohydrates impact blood sugar levels significantly. But they are needed for energy - not in their simple form as in sugar!
Opt for complex carbs like whole grains - they release glucose slowly and avoid high blood glucose.
#LowGI #ComplexCarbs
Don’t forget the power of fiber!
Fruits, vegetables, and whole grains help in controlling blood glucose levels. Use them judiciously.
#FiberRichDiet
Pillar 2: Physical Activity
Regular exercise helps maintain a healthy weight, reduces blood sugar levels, and enhances insulin sensitivity.
#ExerciseIsMedicine #MovementIsMedicine
Aim for a mix of cardio and resistance training. Flexibility and balance improve with yoga, important in preventing falls and their complications diabetes.
Daily brisk walking for just 30 minutes can make a big difference.
#StayActive
Brisk walking is very good.
Walking with a speed of about 120 steps per minute (short steps are good), so that you are not very comfortable to talk while walking.
If 120 steps per minute is not possible, then as much as possible for your capacity.
#BriskWalking #120steps
Pillar 3: Adequate Sleep
Lack of sleep can affect blood sugar levels and insulin sensitivity. Aim for 7-8 hours of quality sleep each night.
#SleepWell #Insomnia
Create a sleep-friendly environment.
Limit screen time before bed and try to stick to a regular sleep schedule. Use your bed only for sleep and related activities. Avoid using screens while in bed.
#HealthySleep #LimitScreenTime
Pillar 4: Appropriate Medication
Medication is often necessary for diabetes management. Always follow your doctor's advice and never self-medicate. Metformin is a good start for most.
#MedicationAdherence
Understand your medication.
Know how they work, how to take, potential side effects, and how they interact with food and other medicines.
#SafeMedication
Regular monitoring is key.
Keep track of your blood sugar levels to understand how well your diabetes management plan is working.
#BloodSugarMonitoring
Remember, managing diabetes is a lifelong commitment.
Stay informed, stay motivated, and always seek support when needed.
#DiabetesAwareness

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