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DIET AND EXERCISE PATIENTS DIABETES MELLITUS

There is concern that a person with Diabetes Mellitus (DM) not be the same foods "good", because these foods can make the patient more chronic conditions. Apparently all revelation is not always true. Diabetes does not mean anti against any kind of food.

According to Dr. Endang Darmoutomo MS, a clinical nutritionists in the seminar entitled "Diabetes, Do So Now!" Siloam hospital, some time ago, although a person suffering from a disease known as "blood sugar" is, yet they continue to consume these foods.

"Because the disease is characterized by increased sugar in the blood, then you need to do is to control blood sugar itself. It is very important to prevent complications caused by increased blood sugar that can lead to decreased quality of life, "he said.

He explained that "good food" can still be consumed as long as there is a balance of nutrition in it. In a sense it must contain carbohydrate foods as much as 50 to 65 percent, 15-20 percent protein and fat between 25-30. That's not the food consumed should also contain fiber, vitamins and minerals.
"In addition, the patient must also make a meal schedule, by the exercise and take medication regularly in order to control insulin so that glucose does not accumulate in the blood," said Endang added.

In terms of diet, consider dose consumption of carbohydrates. According to dr. Ervina Karyadi, MSc., Nutritionists, there are two classes of carbohydrates, which is complex and simple. If you consume complex carbohydrates such as bread, rice, or potatoes, these substances will be decomposed into a single chain of glucose, and then absorbed into the bloodstream. Sugar levels are going up, but with a faster or a lot. If you consume a simple carbohydrate foods, such as jams, jellies, syrups, lemonade, ice cream, blood sugar levels rise quickly into the blood system.
Therefore people with diabetes are encouraged not to consume a simple carbohydrate foods. In contrast, consumption of natural fibrous sources of carbohydrates such as whole wheat bread, biscuits fiber, vegetables, nuts, and fresh fruit (low sugar levels).
Dr. David suggested to people with DM in Indonesia, using the composition of 68% carbohydrate calories, 20% fat calories, and 12% protein calories.
Basically, diabetes diet consists of 3 main meals and 3 meals between (snack) with a distance of 3 hours. For example:
• At 6:30 - eat breakfast.
• At 09:30 - snack or fruit.
• At 12.30 - lunch.
• At 15.30 - a small snack or fruit.
• At 18.30 - dinner.
• At 21:30 - snack or fruit.
Each meal in a number of small to moderate portions so as not to burden the pancreas. Diajurkan fruits, papaya, kedondong, bananas, apples, tomatoes, watermelon is not sweet. Prohibited, sapodilla, mango, citrus, rambutan, durian, grapes.
In carrying out the daily diabetic diet should adhere to dietary guidelines 3J, namely the number of calories, diet schedule, and type of food is allowed and which not.
Determination of nutritional DM patients carried out by BBR (relative weight) by the formula:
                             BB
           BBR = --------------------- x 100%
                      TB - 100 TB

Where: BW = body weight (kg)
              TB = height (cm)
Of course, to measure their own dietary restrictions that do a bit difficult without the help of a nutritionist or a doctor who treated the patient. Because there's more to other criteria that must be considered whether the lack of weight gain, mild or absence of disease, skinny or not the patient, there are complications, etc..

Separately Dr.Megah Imeyati Senduk Sp. RM, medical rehabilitation consultant explained that the most important in maintaining blood sugar rise is to perform regular exercise. A pretty good one is aerobic. Then why should exercise, as the biggest cause of death in people with diabetes are affected by stroke, peripheral vascular disease and myocardial infarction. "With the exercise of all these diseases can be tackled. In addition to the sport we can also maintain fitness as an effective prevention of these diseases as well as create increased insulin sensitivity, "said Megah.
Regular exercise is recommended for patients with DM. Dr. Sadoso Sumosardjuno, sports health expert, suggested that exercising six days a week in the portion is. Kind of like walking or aerobic exercise at least 20-45 minutes / day.
Controlled pulse of approximately 60% exceeds the maximum pulse rate - normal (not exceeding 85% of the maximum pulse rate). Between 60% - 80% of the maximum pulse rate training zone is called. Maximum pulse rate is 220 minus age (in years).
But do not forget to warm up and cooling down (gradually reduce the intensity of exercise). One to three hours before exercising to eat in moderation. If prolonged heavy exercise, it is recommended to eat a snack every 30 minutes. Also drink plenty of water (cold or not).
"Before you start exercising to know the physical condition and disease status is uncertain," said dr. David. Do not choose a sport like tennis or a sudden stop badminton. Should not exercise in air-conditioned or too hot. If you use insulin injections, blood sugar levels should be monitored in person before, during, and after exercise. If blood sugar levels over 250 mg%, sports postponed.

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