The Best Foods To Eat To Reverse Diabetes

I have extract a table from Dr Joel Fuhrman's book (The End of Diabetes) concerning the best foods to consume in order to reverse diabetes and weight loss.

They are : raw greens, cooked greens, mushrooms, eggplant, onions, tomatoes, cauliflower, beans, nuts and seeds, lower-sugar fruits.

"So for maximizing weight loss and reverse diabetes, the trick is to use beans as your primary starch source. Eat some beans in a salad or soup with lunch and again with a green vegetable for dinner.Eat other non-bean, starchy foods such as squash, green or split pea, water-cooked steel-cut oats, black (wild) rice, or wheat berries in small amounts with breakfast or as part of dinner vegetable casserole, but do not eat them as the main volume of food with the meal....." said the writer. To avoid gas, chew the beans properly.

Foot Examination Using Biothesiometer

For those who suffer from diabetes, you must have your feet being examined on a regular basis. This is because most diabetics tend to get foot infection and neuropathy (especially around the leg and feet). Usually it is done by testing if the patient can feel the pain of a prick or a touch of cotton wool or vibration of a turning fork. These useful technique has limitation. Therefore, other method is used i.e. using the biothesiometer.

To check whether your feet still have the sensitivity, usually a biothesiometer is used. This meter comes with a meter and detect vibration perception thresholds(VPTs) . This meter will emit vibration when it is applied to specific points on your feet. Once you feel the vibration at the point, you have to tell the paramedic who conduct the investigation and  the paramedic will record it. 6 points are targeted on each foot.

The test takes a few minutes only. If your feet is okay, the reading is around 0-15.  If the reading 15-25, you have mild neuropathy, 25-40 severe neuropathy and 40-45 total disfunction.

"Overall if a person has a high biothesiometer reading (eg. 40 volts) and cannot feel the monofilament, there is a high risk of developing neuropathic ulceration especially if some of the other risk factors listed above are also present. For these individuals, intensive footcare education is required. On the contrary, if a person has a low biothesiometer reading (eg.10 volts) and can feel the monofilament, the risk of neuropathic ulcer is low, especially if none of the other risk factors are present. For these individuals, only simple footcare advice is required."

Result of the investigation

 A test had been made by a diabetic patient at HSNZ Kuala Terengganu, From the result, it can be seen that these two feet are still okay (7.16 and 7.8)

A Man With Carbuncle

Today, I witnessed a 41-year old man with a carbuncle on his back.  He came to the wound care centre HSNZ for dressing. This is the first time I see such a big carbuncle. Being a diabetic himself, he has a tough time waiting to heal his wound.

The End of Diabetes- The Eat To Live Plan to Prevent and Reverse Diabetes by Joel Fuhrman M.D.

I have the opportunity to read this book written by Dr Fuhrman, published in 2013 by Harper Collins.  He is proposing those who suffer from diabetes to change their diet. He said, "Specifically, if type 2 diabetes is well managed with exercise and superior nutrition, there will be many benefits: no highs or lows in blood sugar; reduction in medication; need for insulin is eliminated; normal, lean and stable body weight;normal life span, without complication and reversal of diabetes and prevention of diabetes-related complication".

For further detail, have time to read this book...you will find interesting idea to reverse diabetes and it is proven in his program. Go for more vegetable in your diet.

Non starchy Vegetables

Artikel ini dipetik dari American Diabetes Association homepage untuk bacaan anda. Bagi pesakit diabetes, disyorkan makan banyak "non starchy vegetables" bagi mengawal gula dalam darah anda.

Eat more! You don't often hear that when you have diabetes, but non-starchy vegetables are one food group where you can satisfy your appetite.

Vegetables are full of vitamins, minerals, fiber, and phytochemicals—and with so few calories and carbohydrate, everyone can enjoy more!

There are two main types of vegetables—starchy and non-starchy. For this section, we are going to focus only on the non-starchy vegetables.

Starchy vegetables like potatoes, corn and peas are included in the "Grains and Starchy Vegetables" section because they contain more carbohydrate.

What are the Best Choices?

The best choices are fresh, frozen and canned vegetables and vegetable juices without added sodium, fat or sugar.

• If using canned or frozen vegetables, look for ones that say low sodium or no salt added on the label.
• As a general rule, frozen or canned vegetables in sauces are higher in both fat and sodium.
• If using canned vegetables with sodium, drain the vegetables and rinse with water. Then cook the rinsed vegetables in fresh water. This will cut back on how much sodium is left on the vegetables.

For good health, try to eat at least 3-5 servings of vegetables a day. This is a minimum and more is better! A serving of vegetables is:

• ½ cup of cooked vegetables or vegetable juice
• 1 cup of raw vegetables

Tips for Carb Counters
Generally, non-starchy vegetables have about 5 grams of carbohydrate in ½ cup cooked or 1 cup raw. Most of the carbohydrate is fiber so unless you eat more than 1 cup of cooked or 2 cups of raw at a time, you may not need to count the carbohydrates from the non-starchy vegetables.

Tips for the Plate Method
Enjoy the colorful variety of vegetables to brighten your plate. With half of your plate filled with vegetables, your options are endless for delicious combinations. If you are still hungry after the food on your plate is gone, try having a salad with a low-calorie dressing to satisfy your appetite and get an extra serving or two of vegetables in at the same time.

Tips for using the Glycemic Index
You can enjoy the wide variety of vegetables using the glycemic index. Almost all vegetables contain very little carbohydrate and have very low GI value. Enjoy!

Common Non-starchy Vegetables

The following is a list of common non-starchy vegetables:

• Amaranth or Chinese spinach
• Artichoke
• Artichoke hearts
• Asparagus
• Baby corn
• Bamboo shoots
• Beans (green, wax, Italian)
• Bean sprouts
• Beets

• Broccoli
• Brussels sprouts
• Cabbage (green, bok choy, Chinese)
• Carrots
• Cauliflower
• Celery
• Chayote
• Coleslaw (packaged, no dressing)
• Cucumber
• Daikon
• Eggplant
• Greens (collard, kale, mustard, turnip)
• Hearts of palm
• Jicama
• Kohlrabi
• Leeks
• Mushrooms
• Okra
• Onions
• Pea pods
• Peppers
• Radishes
• Rutabaga
• Salad greens (chicory, endive, escarole, lettuce, romaine, spinach, arugula, radicchio, watercress)
• Sprouts
• Squash (cushaw, summer, crookneck, spaghetti, zucchini)
• Sugar snap peas
• Swiss chard
• Tomato
• Turnips
• Water chestnuts
• Yard-long beans

Source:http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/non-starchy-vegetables.html

How Much Sugar Is In Your Food?

Berikut adalah berita dari Medicalnewstoday yang saya petik untuk anda semua. Kita semua memerlukan gula untuk hidup. Tanpa gula sel-sel di dalam tubuh kita akan mati tetapi berlebihan gula memberi risiko yang lain pula. Risiko yang dimaksudkan ialah kerosakan gigi, obesiti dan type2 diabetes. 

Pakar pemakanan di Amerika mengesyorkan jangan ambil gula lebih dari 13 camca sehari. Artikel ini juga memberi kiraan kandungan gula dalam 100 gm coklat, minuman dalam tin, bijirin, buah-buahan atau pencuci mulut (dessert). Coklat mempunyai kandungan gula yang tinggi. Contoh 44 gm chocolate bar kandungan gula persamaan dengan 5.75 camca gula. Rupa-rupanya coklat, minuman dalam tin, buah-buahan dan dessert mempunyai kandungan gula yang tinggi. Berwaspadalah anda semua.

Selamat meneruskan pembacaan anda...........

With people living ever more frantic and fast-paced lives, we can often lose track of which essential and non-essential nutrients we consume. Sugar is vital for good health, without it all the cells in our body would come to a halt and perish. However, too much sugar raises the risk of several diseases and conditions, including rotting teeth, obesity and type 2 diabetes.

These days we're all being warned to cut down on our sugar consumption. But, sometimes we can be unaware of just how much sugar is in the food that we are eating.

To help you, we have listed some common everyday foods and drinks, together with their sugar content..

What is sugar?

Sugar is a simple carbohydrate that belongs to a class of chemically-related sweet-flavored substances. It comes in many different forms. The three main types of sugar are sucrose, lactose, and fructose.Even though our cells need sugar (glucose) to survive, consuming too much of it can cause numerous different health problems. Added sugar contains no beneficial nutrients and in excess only contributes to tooth decay, diabetes, and obesity.

The American Heart Association (AHA) have said that added sugars "contribute zero nutrients" and are just empty calories "that can lead to extra pounds, or even obesity, thereby reducing heart health."

Being aware of the existing and added sugar contents of the foods and drinks we consume is vital for our health - even more so today because so many products have sugar added to them.

The AHA currently recommends that men consume no more than 150 calories from added sugar per day, and women 100 calories.

Nutritionists strongly recommend against consuming more than 13 teaspoons a day.

Sugar content in common foods and drinks

To help you keep track of how much sugar you're consuming we've listed some common everyday foods and drinks, together with their sugar content. Some of these may surprise you:

How much sugar do chocolates and candy contain?

With high sugar content, chocolate should always be viewed as an occasional treat.

• Milk chocolate bar (44g) - 5.75 teaspoons of sugar
• Snickers bar (57g) - 7 teaspoons of sugar
• Milky Way bar (58g) - 8.5 teaspoons of sugar
• Marshmallows (100g) - 14.5 teaspoons of sugar
• Caramel piece (10g) - 1.7 teaspoons of sugar
• Butterfinger bar (60g) - 6.9 teaspoons of sugar
• Dove chocolate bar (37g) - 5 teaspoons of sugar
• Starburst packet (45 grams) - 5.5 teaspoons of sugar
• Twix bar - 2.75 teaspoons of sugar
• M&Ms packet (45 grams) - 5.75 teaspoons of sugar
• Boiled sweets bag (100 grams) - 11.5 teaspoons of sugar

How much sugar do soft drinks contain?

Soft drinks often contain a high amount of sugar.

• Coca cola (one can) - 7 teaspoons of sugar
• Red Bull (one can) - 7.5 teaspoons of sugar
• Lemonade (one glass) - 5.5 teaspoons of sugar
• Orange squash (one glass) - 2.5 teaspoons of sugar
• Hot chocolate (one mug) - 4.5 teaspoons of sugar
• Fruit smoothie (one glass) - 3.5 teaspoons of sugar

A study published in Circulation, the journal of the American Heart Association, identified a link between drinking more than one soft drink a day and increased risk of developing heart disease and diabetes.

How much sugar do breakfast cereals contain?

*(per 100 grams)

Froot Loops are said to contain 106 times more sugar than Shredded Wheat.

• Alpen - 5 teaspoons of sugar
• Cheerios - 1.1 teaspoons of sugar
• Corn Flakes - 2.4 teaspoons of sugar
• Cocoa Krispies - 9.6 teaspoons of sugar
• Froot Loops - 10.6 teaspoons of sugar
• Raisin Bran - 7.8 teaspoons of sugar
• Frosted Flakes - 8.9 teaspoons of sugar
• Honey Smacks - 14 teaspoons of sugar
• Rice Krispies - 2.5 teaspoons of sugar
• Special K - 3 teaspoons of sugar
• Wheaties - 3.8 teaspoons of sugar
• Trix - 8 teaspoons of sugar
• Lucky Charms - 9 teaspoons of sugar
• Rice Chex - 2 teaspoons of sugar
• Wheat Chex - 2.6 teaspoons of sugar
• Corn Chex - 2.8 teaspoons of sugar
• Honey Nut Cheerios - 8.25 teaspoons of sugar
• Reese's Puffs - 8.9 teaspoons of sugar
• Golden Grahams - 8.8 teaspoons of sugar
• Cocoa Puffs - 9.3 teaspoons of sugar
• Cookie Crisp - 8.7 teaspoons of sugar
• Shredded Wheat - 0.1 teaspoons of sugar
• Cocoa Pebbles - 8.6 teaspoons of sugar
• Banana Nut Crunch - 4.7 teaspoons of sugar

In June 2012, researchers from Yale Rudd Center for Food Policy & Obesity revealed that even though cereals aimed at kids had become more nutritious, cereal companies (such as Kellogg, General Mills, and Post) had increased their advertising spending considerably. Cereal advertising aimed at children increased by 34% between 2008 and 2011.

Marlene Schwartz, deputy director of the Rudd Center, said:

"While cereal companies have made small improvements to the nutrition of their child-targeted cereals, these cereals are still far worse than the products they market to adults. They have 56% more sugar, half as much fiber, and 50% more sodium.

The companies know how to make a range of good-tasting cereals that aren't loaded with sugar and salt. Why can't they help parents out and market these directly to children instead?"

How much sugar does fruit contain?

Fruits contain fructose, a type of sugar. Fresh fruit have no "added sugar", but as you can see below, their levels of sugar range from 1 teaspoon per 100 grams in cranberries to 4 teaspoons in grapes.

*per 100 grams

Bananas contain approximately 3 teaspoons of sugar (fructose).

• Mangos - 3.2 teaspoons of sugar
• Bananas - 3 teaspoons of sugar
• Apples - 2.6 teaspoons of sugar
• Pineapples - 2.5 teaspoons of sugar
• Grapes - 4 teaspoons of sugar
• Lemons - 0.6 teaspoons of sugar
• Kiwi fruit - 2.3 teaspoons of sugar
• Apricots - 2.3 teaspoons of sugar
• Strawberries - 1.3 teaspoons of sugar
• Raspberries - 1 teaspoon of sugar
• Blueberries - 1.7 teaspoons of sugar
• Cranberries - 1 teaspoons of sugar
• Tomatoes - 0.7 teaspoons of sugar

How much sugar do cakes and desserts contain?

A medium slice of carrot cake contains approximately 3 teaspoons of sugar.

• Banoffee pie (1 medium portion) - 4.25 teaspoons of sugar
• Carrot cake (1 medium slice) - 3 teaspoons of sugar
• Custard (1 medium portion) - 3.25 teaspoons of sugar
• Chocolate mousse (1 medium portion) - 3 teaspoons of sugar
• Cornetto (1 cone) - 3 teaspoons of sugar
• Donut (1 jam doughnut) - 3.5 teaspoons of sugar
• Fruit pie (1 medium portion) - 3.5 teaspoons of sugar
• Fruit cake (1 medium slice) - 5 teaspoons of sugar
• Muffin (one chocolate chip muffin) - 4.75 teaspoons of sugar
• Ice cream (1 scoop) - 3 teaspoons of sugar
• Rice pudding (1 portion) - 3.75 teaspoons of sugar
• Sponge cake (1 medium slice) - 5.5 teaspoons of sugar

(source:http://www.medicalnewstoday.com/articles/262978.php

Diabetic Peripheral Neuropathy (Sakit Saraf akibat dari Diabetes)

Berikut adalah artikel yang diterbitkan oleh akhbar Berita Harian Malaysia keluaran 1 Jan 2012 yang jelas memaparkan penyakit ini. Harap pembaca mendapat manfaat dari artikel ini.

• 50% pesakit diabetes tempatan yang disahkan mengidap diabetes dalam 6-10 tahun yang lalu mengalami painful diabetic neuropathy. Sangat penting untuk menguruskan kesakitan ini (jika berlaku)
• Pesakit dinasihat mendapatkan pemeriksaan neurologi dari doktor bagi mengenalpasti punca dan setakat mana kerosakan saraf

Menderita sakit saraf
Oleh Suzan Ahmad

2012/01/01

pDPN belenggu pesakit kencing manis, perlu sesuaikan diri tahan sakit neuropati

INDIVIDU yang mengalami sakit saraf akibat diabetes selalunya menderita tanpa rawatan berikutan sifatnya yang sukar untuk didiagnosis. 

Keadaan ini menyebabkan pesakit lebih rela belajar menyesuaikan diri untuk hidup dengan menahan kesakitan dalam diam sepanjang hayat. Masalah yang menyakitkan akibat diabetes ini dikenali sebagai painful diabetic peripheral neuropathy (pDPN) atau lebih dikenali sebagai sakit saraf akibat diabetes.

pDPN adalah keadaan di mana pesakit diabetes mengalami kesakitan seperti pedih seperti dicucuk pin dan jarum atau seperti terkena tusukan pada kaki dan tangan.

Satu daripada lima pesakit diabetes menanggung penderitaan ini dan bilangan mereka terus meningkat. Disebabkan kesakitan ini dianggap peribadi, sukar mengenal pasti pDPN. Inilah yang menimbulkan cabaran dalam proses rawatan. Selain itu, kesedaran terhadap kesakitan neuropati amat kurang, lebih-lebih lagi apa yang dimaksudkan dengan neuropati periferi. 

Menurut Profesor Bahagian Neurologi, Pusat Perubatan Universiti Malaya (PPUM), Profesor K.J Goh, sistem saraf periferi atau peripheral nervous system (PNS) adalah satu daripada dua cabang utama sistem saraf. Satu lagi ialah sistem saraf pusat atau central nervous system (CNS) yang membentuk otak dan saraf tunjang. 

Saraf dalam PNS menyambungkan CNS kepada organ deria seperti mata dan telinga serta organ badan yang lain misalnya otot, saluran darah dan kelenjar. 

“Pesakit menanggung kesakitan neuropati apabila satu dan lebih banyak saraf mereka rosak. Banyak faktor menyumbang kepada kerosakan saraf. Ia boleh berpunca daripada gangguan, penyakit atau keadaan. pDPN adalah satu contoh kerosakan saraf disebabkan keadaan iaitu diabetes,” katanya kepada Sihat. 
Antara gejala kesakitan neuropati termasuk kesakitan seperti terkena tusukan dan kepedihan, menggelenyar atau rasa kebas. 

“Untuk melakukan diagnosis neuropati periferi, pesakit akan menjalani beberapa pemeriksaan neurologi untuk mengenal pasti punca dan sejauh mana kerosakan saraf,” tambah Prof Goh. 
Sementara itu, Profesor Perubatan dan Pengarah Kampus Universiti Sains Malaysia (USM) Kelantan, Datuk Dr Mafauzy Mohamed, pula menjelaskan pesakit diabetes tidak sepatutnya hidup dengan menanggung kesakitan. 

“Kesan neuropati periferi akibat diabetes amat buruk dan sangat menyakitkan. Kesakitan ini menyukarkan kehidupan harian sebaliknya pengurusan kesakitan secara berkesan membolehkan pesakit yang mengalami keadaan ini membaiki kualiti hidup,” katanya. 

Mengikut Tinjauan Kesihatan dan Morbiditi Kebangsaan Edisi Ketiga yang dikendalikan pada 2006, penularan diabetes meningkat kepada 14.9 peratus berbanding sedekad lalu di mana kadar penularan diabetes hanya 8.3 peratus. 
Mengikut rekod, penularan diabetes di Malaysia meningkat hampir dua kali ganda dalam tempoh 10 tahun lalu. Ini adalah kadar yang lebih cepat daripada ramalan Persekutuan Diabetes Antarabangsa. Perangkaan ini adalah selari dengan peningkatan dua kali ganda masalah berat badan berlebihan atau obesiti di kalangan penduduk. 
Seramai 50 peratus daripada pesakit tempatan yang disahkan menghidap diabetes dalam enam hingga 10 tahun yang lalu didapati mengalami pDPN. 

“Semua data penyelidikan menunjukkan kes diabetes global dan tempatan. Lama kelamaan penularan penyakit ini akan menyebabkan kerosakan saraf yang pasti akan menimbulkan komplikasi. Oleh itu, adalah penting untuk membantu pesakit diabetes menguruskan kesakitan yang ditimbulkan oleh komplikasi diabetes,” tambahnya. 

pDPN boleh menyebabkan kesakitan yang amat sangat. Kesan penyakit ini sering menyukarkan pesakit untuk berjalan, tidur, bekerja dan menjejaskan mood dan aktiviti harian mereka. Disebabkan kesakitan adalah begitu subjektif dan menyentuh peribadi, pDPN selalunya kurang dilaporkan serta dirawat. 

Seramai 58 peratus pesakit tidak menyedari bahawa kesakitan yang dialami mereka adalah disebabkan oleh diabetes. Justeru, pesakit diabetes perlu mendapatkan nasihat doktor dalam memilih rawatan yang betul untuk membantu menguruskan keadaan mereka yang menyakitkan. 
April tahun lalu, Akademi Neurologi Amerika (AAN), Persatuan Perubatan Saraf Otot dan Elektrodiagnostik Amerika dan Akademi Perubatan Fizikal dan Pemulihan Amerika mengeluarkan laporan bersama yang menggariskan rawatan paling berkesan untuk melegakan kesakitan saraf akibat diabetes. 

Menurut garis panduan itu, Pregabalin adalah satu-satunya rawatan tahap A yang disyorkan, berasaskan bukti kukuh yang menunjukkan Pregabalin berkesan merawat kesakitan saraf akibat diabetes. 

Blood Glucose Meter

Blood Glucose Meter, juga dikenali sebagai glucometer ialah alat yang digunakan bagi menyukat kandungan glukosa dalam darah seseorang. Bagi mendapatkan setitik darah dari seseorang untuk tujuan ini, jari telunjuk akan dicucuk dengan jarum khas bagi mendapatkan darah. Darah ini akan di masukkan dalam strip yang telah dimasukkan dalam meter tersebut. Selepas beberapa saat, bacaan dibuat oleh meter ini dan keputusan diperolehi.

Contoh glucometer  set. Dari kiri: strip, lancet dan meter.

Di dalam pasaran memang terdapat berbagai jenis glucometer ini dengan harga yang berbeza-beza. Yang penting ialah meter yang boleh memberi bacaan yang tepat serta tahan lama dan strip yang harganya rendah.

Bagi pengidap diabetes, dinasihatkan anda semua mempunyai sebuah glucometer dan peranti (jarum, lancet, alcohol swab dan strip) bagi menjalankan aktiviti menyukat kandungan glukosa dalam darah pada waktu-waktu tertentu.

Basuh Kaki

Pada waktu kecil dulu, bila ada mimpi buruk mak ada kata, "Tulah.... tak basuh kaki ketika nak masuk tidur". Inilah kepercayaan masyarakat kita yang sering diucapkan oleh kebanyakan ibu di zaman dulu. Basuh kaki ada kebaikannya kerana membersihkan kaki dari sebarang kekotoran.

Sekarang pula,  jika anda mengidap diabetes, basuh kaki dengan sabun sebelum tidur adalah satu kemestian. Garis panduan Penjagaan Kaki yang diterbitkan  Kementerian Kesihatan Malaysia memberi "arahan " kepada semua pesakit agar menjaga kaki mereka sebaik-baiknya termasuk  membasuh dengan sabun dan mengeringkannya dengan melapkan dengan tuala kecil yang bersih.

Berapa ramai di antara pesakit mengamalkan basuh kaki ini? Sila jawab.......

Note: Diabetic patients must wash their feet with soap and dry it with a clean towel before going to bed daily- Footcare Guideline by  Ministry of Health, Malaysia, Dis 2012.

Logo Persatuan Diabetes Malaysia Yang Baru

Pada 16 Jun 2013, logo Persatuan telah bertukar dan nama juga ditukar kepada Diabetes Malaysia saja. Ini selaras dengan perubahan nama persatuan seluruh dunia. Persatuan mempunyai moto yang baru iaitu Support, Educate, and Care . Lihatlah logo DM yang baru berbentuk bulatan, berwarna biru muda dan seekor burung terbang di tengah. Tahun 1981 adalah tahun penubuhannya di Malaysia. Bagi Cawangan Terengganu, kami akan letakkan nama Terengganu di bawah, di luar bulatan.

Diabetes Foot Ulcer Yang Mengerikan

Saya berkesempatan melihat seorang pengidap diabetes yang sedang menderita kerana diabetic foot ulcer (DFU). DFU ini menyerang pengidap diabetes tanpa belas kasihan akibat dari ketidak pekaan pesakit itu terhadap komplikasi diabetes yang dihidapinya.

Saya bertanya kepadanya berapa lama dia mengidap diabetes ini. Dia menjawab, dia mendapat penyakit ini sejak 10 tahun lalu ketika usianya baru 40 tahun.

Saya tanya lagi bagaimana boleh jadi begini hingga kaki kanannya teruk sekali. Dia menjawab," Dua bulan lepas, saya membeli jagung rebus yang masih panas. Saya letak dekat kaki saya ketika memandu untuk pulang ke rumah. Keesokan hari, kaki ini jadi gelembong."

Daripada penjelasan cikgu lelaki ini, saya pasti telah berlaku kerosakan saraf yang jelas kerana dia tidak rasa panas pun apabila kakinya tersentuh dengan jagung rebus yang masih panas itu. Kini padahnya sudah jelas.

Inilah komplikasi diabetes........

Tulang tumit kaki sudah  dapat dilihat dengan jelas.

Saya tertanya-tanya mengapa keadaan boleh berlaku? Di mana silapnya? Adakah pesakit tidak pantang dalam pengambilan makanan dan minuman, tidak makan ubat/cucuk insulin seperti diarahkan  atau pihak hospital tidak menasihatinya atau tidak mengesan pesakit telah mengalami kerosakan saraf yang teruk dan memberi kaunselling secukupnya?

Bagi mereka yang belum mengidap penyakit ini, bersyukur kepada Tuhan. Jaga makan, utamakan sayuran, ikut panduan yang dikeluarkan oleh Kementerian Kesihatan Malaysia, sentiasa bersenam dan elak stres yang berpanjangan.

Bagi mereka yang sudah mendapat diabetes, anda boleh mengurusnya dengan pengambilan makanan yang disyor oleh dietician, bersenam (berenang, berjalan pantas, naik turun tangga berkali-kali, aerobic, menyapu sampah, basuh kereta dan lain-lain lagi). Dapatkan pemeriksaan mata, gigi,  darah (blood glucose, lipid, kolesterol dll), kaki  secara berkala. Sentiasa periksa blood glucose dan berusaha untuk mencapai tahap blood glucose yang unggul. Tindakan ini bukan saja bergantung kepada ilmu dan maklumat yang telah diperolehi tetapi juga disiplin diri yang kuat dan kesungguhan yang tinggi.