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Preventing diabetes, living with diabetes, and diabetes diet

Translated by Parkson Wong

(Chinese version ¿}§¿¯fªº¹w¨¾¡BÄá¥Í¡B¶¼­¹©y§Ò  by Dr. Hung-Ying Shih, was published on EHVA Newsletter (23), Sept. 2003)

Diabetes patients should wear comfortable shoes

Calluses are common foot problems. Calluses form on the bottom of the foot when constant pressure is applied to a certain area often with the addition of friction. Diabetes patients have a slow metabolism and weakened immune system, so when calluses form, it is very easy to get infected and difficult for calluses to heal. Therefore, diabetes patients should try to prevent the forming of calluses by wearing comfortable shoes; sneakers are a good choice.

Diabetes patients should abstain from smoking and drinking

Both nicotine and alcohocan raise the blood sugar level, and both are harmfuto diabetes patients. Nicotine is carcinogenic (can cause pancreas cancer); nicotine and carbon monoxide from smoking can also lead to hardening of the blood vessels. Alcohocan irritate the pancreas and inhibit the secretion of protein digestive enzymes, causing protein to accumulate and blocking the pancreas duct. When the pancreas duct is blocked, calcium deposits can form pancreas stones. One vitafunction of the pancreas is to produce insulin. Thus anything that harms the pancreas wilmake diabetes worse, so diabetes patients should avoid smoking and drinking.

Diabetes diets

More and more people are becoming diabetic. According to the American Diabetes Association, 2200 new patients are diagnosed with diabetes everyday. Diabetes has become the 5th killing disease in the world. Another alarming trend is that the onset of diabetic symptoms in patients is happening at an earlier age. Research has not found any food that can effectively cure diabetes. However, research has found that a careful, controlled diet can prevent or delay the onset of diabetes. Diet is an integrapart of how patients live with and manage diabetes.

Food industry researchers have discovered the following constituents usefuin controlling diabetes:

  • Dietary fiber: fiber can lower blood cholesterolevel, and is helpfuin maintaining a constant blood sugar level. Fiber can slow down the release of food from the stomach into the smalintestine, hence slowing down the absorption of sugar into the blood stream.
  • Resistant starch: resistant starch is one of the major discoveries in the past 20 years. Resistant starch is made from edible starch and its derivatives. Resistant starch does not get metabolized by the body and wilnot turn into sugar and be absorbed into the blood stream. Moreover, resistant starch is a very good water binder and emulsion stabilizer. Therefore it can slow the process of food being released from the stomach into the smalintestine. The slow release helps the body maintain a more constant blood sugar level. When starch absorbs water, it swells, keeping diabetic patients from getting hungry as easily.
  • Chromium: As a cofactor in insulin utilization, chromium plays an important role in regulating the blood sugar level. Chromium may also play a role in the flux of glucose into cells and glycogen synthesis, hence lowering the blood sugar level.
  • Biotin: Biotin is a kind of vitamin B. Research also believes that biotin can help regulate blood sugar level.

Base on these researches, some commercially available products are: Glucema from Abbott Laboratories (for diabetic people) and Choice DM Series from Bristol-Myers Squibb (for diabetic care). Both products have dietary fiber, resistant starch, chromium, and biotin as their main ingredients.

Researchers started to look for foods rich in these ingredients and found that they are abundant in seeds, vegetables, and grains. Some examples are:

  • Seeds and herbs: black sesame seeds, cinnamon, fenugreek.
  • Beans: smalred bean (¨ª¤p¨§)
  • Leafy vegetables: water spinach (kong xin cai/on choy,ªÅ¤ßµæ), young Chinese toon leaves (xiang chun, ­»ÝÏ)
  • Kelp: spirulina
  • Melon and fruit vegetable: winter melon, pumpkin, bitter melon, tomato, peanut.
  • Root vegetable: scallion, burdock root/niu pang (¤ûã®), water caltrop/ling jiao (µÙ¨¤), yamaimo (¤sÃÄ), jicama (¨§Á¦), qu ruo (ßÉãÀ), lotus root.
  • Grains: barley, oat, buckwheat

Or, we can list them in different categories:

  • Staple food: barley, wheat, buckwheat, oat, yamaimo, jicama, pumpkin.
  • Side dishes: burdock root (niu pang), ling jiao, qu ruo, peanuts, tomatoes, bitter melon, winter melon, on choy (kong xin cai), xiang chun, smalred bean, lotus root.
  • Food supplement: spirulina
  • Pummelo is one of the few fruits that can help stabilize the blood sugar level. Pummelo is also rich in vitamins and minerals, which can help combat heart diseases and obesity.

With some carefuselection and formulation, a diet could be designed using these foods to help diabetic patients controtheir blood sugar level.

Emotion and diabetes

Many people know that mood swings can increase the blood sugar level. Therefore, controlling emotionaups and downs is vitato the diabetic patients. The mind can affect the body. TraditionaChinese Medicine suggests that ¡§worry affects the stomach/spleen (digestive system), anger affects the liver (detoxification system), sorrow affects the lungs (respiratory system), fear affects the kidney (reproductive/urinary system), and fright affects

the heart (circulatory system).¡¨ For diabetes patients, any negative emotion can make the situation worse. In TraditionaChinese Medicine, diabetes is related to the stomach and kidney. TraditionaChinese Medicine also stated that, ¡§anger causes the qi to reverse and rise, causing it to congest in the chest, impacts the circulation¡K results in creation of heat, which affects muscles, leads to diabetes.¡¨ Diabetes patients should controtheir temper and try to live a peacefulife.


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EHVA Recipe

Shitake mushroom with mustard Green

Ingredients: Fresh Shitake Mushroom 10 (medium) Vegetable Stock 5 cups
Mustard Green 12 oz Soybean Sprouts 1 ½ lb
Olive oi ½ Tbsp Dried Shitake 10 large
Seasoning: Ginger juice 2 Tbsp Water 8 cups
Soy sauce 1 Tbsp Salt 1 tsp
Preparation:
  1. Vegetable Stock: Boil cups of water in a large pot. Add washed soybean sprouts, dried Shitake mushroom. When it boils again, turn heat to medium high, add salt. Cook for 1 hour. Turn off heat. Drain and save the liquid.
  2. Preheat oven to 350 degree F.
  3. Wash mustard green. If the green is big, slice it lengthwise.
  4. Remove the stem of fresh shitake mushroom. Use a brush to clean the shitake. (Do not rinse with water to preserve the flavor.)
Procedure:
  1. Brush ginger juice, soy sauce on the mushroom skirts. Brush a little olive oion the mushroom cap.
  2. Boithe vegetable stock. Cook mustard green in the vegi stock for 1 minute 45 seconds. Take out the mustard green, drain, and place it on a plate.
  3. Place the mushroom cap up side down in the oven. Bake for 4 minute 30 seconds.
  4. Arrange baked mushroom caps on top of the mustard green. Ready to serve.
Servings: 6 persons
Seasoning: Sodium: 153.4 mg/serv Oil: 1.25 ml/serv Sugar: gm/serv
Note: It's best to consume the dish shortly after it's prepared in order to appreciate the naturadelicacy of the shitake mushroom and mustard green. Shitake can boost one's immunity. Mustard green is one of the few vegetables with warm nature. Vegetarian should eat mustard green often.

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EHVA Recipe

Seaweed Roll with Yama-imo

Ingredients: Seaweed (Nori) Sheet 6 (large) Cooled, Cooked long 3 bowls
¡@ Fresh Yama-imo 14 oz grain brown rice
Seasoning: Lemon juice 4 tsp Honey 2 Tbsp
¡@ Salt ½ tsp White pepper powder 1/8 tsp
Procedure:
  1. Peel and wash fresh yama-imo.
  2. Preparation of yama-imo paste:
    Cut 7 oz yama-imo into smalpieces. Place cubed yama-imo on a plate. Cover the plate and put it inside the rice cooker. Add 1 cup of water in the outer pot. Cook untithe yama-imo is done.  Use blender to grind the cooked yama-imo into paste. Mix with 1 Tbsp honey, ¼ tsp salt, 2 tsp lemon juice and 1/8 tsp white pepper powder. Set aside the yama-imo paste.
  3. Preparation of yama-imo sticks:
    Cut 7 oz yama-imo into long sticks. Place yama-imo sticks on a plate. Mix the sticks with 1 Tbsp honey, ¼ tsp salt and 2 tsp lemon juice. Cover the plate and put it inside the rice cooker.  Add 1 cup of water in the outer pot. Cook untiyama-imo is done.
  4. On the nori sheet (with rough side up), spread a thin layer of cooked brown rice (half a bowl). Press the rice down a little. Spread yama-imo paste on top of the rice. Place yama-imo sticks in the middle of the nori sheet. Make it into a seaweed roll. Cut each rolinto 6-8 pieces.
Servings: 6 persons
Seasoning: Sodium: 196 mg/serv Oil: ml/serv Sugar: 5.3 gm/serv

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EHVA Recipe

Lightly Stir-fried Snap Peas

Ingredients: Snap peas 1 lb Water 1 1/2cup
Olive oi 1/4 tsp
Seasoning: Salt 1/8 tsp
Procedure:
  1. Wash snap peas. Trim the ends.
  2. Bring water to a boiin a large pan. Blanch snap peas for 2 minutes. Rinse with cold water, drain and set aside.
  3. In a large pan, add ¼ tsp of olive oiand the snap peas. Turn to high heat, stir fry for 10 seconds. Add 1/8 tsp of salt, mix well. Turn the heat off. Ready to serve.
Servings: 6 persons
Seasoning: Sodium: 49.17mg/serv Oil: 0.2 ml/serv Sugar: gm/serv
Note: Add olive oiand snap peas in the pan before it is heated.

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Please send your tax-deductible donation to Evergreen Healthy Vegetarian Association (EHVA). Thank you!

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ÃC±i¥Ó¥Ó¡BFrank Lin& Grace Lin¡B¸¯®aÄ_¡B§õ¼y²»/Á¦wµØ¡B³¯¾ð¥\¡BªÂÆg¡BJerry & Ruby Wei¡BµL¦W¤ó36¡BÅUÄõ¬Ã¡BTony Wun¡VYu Lin & Bella C. Lin¡BJie Chen & Wen-Jung Hsu¡BAmerican Cancer Society¡BµL¦W¤ó35¡BMing & Mou Yan¡B¿½­Û¯q¡B»Â²Q¯Â¡B¶À­§¤¯/±ç¯u·®¡BLloyd S McKee & Ying-Wen Ku¡B¨F±Ó¡BVoice of Chinese Medicine Foundation¡B
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3085 Lawrence Expressway, Santa Clara, CA95051-0713
¹q¸Ü,¶Ç¯u¡G866-841-9139 ext 3537#
ºô§}¡Ghttp://www.ehva.org
¬¥§üÁF³sµ¸³B: 8513 Elm Circle, City of Buena Park, CA 90620
¹q¸Ü¡G714-827-4925
·s¦Ë³sµ¸³B¡G ·s¦Ë¿¤¦Ë¥_¥«µØ¿³µó79¸¹,Taiwan, ROC
¹q¸Ü¡G03-553-5380
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¥x¥_³sµ¸³B¡G P. O. Box 94-35, Taipei, Taiwan, ROC
¹q¸Ü¡G02-2940-6824
¶Ç¯u¡G02-2944-9757

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