"You don't have to eat potatoes, rice and sweets in diabetes"

 "You don't have to eat potatoes, rice and sweets in diabetes"

People with diabetes often hear that 'you can eat it, you can't eat it, you shouldn't eat sweets'. As soon as the problem of diabetes appears, the patient is worried about having to stop eating.

Don't eat rice, don't eat potatoes, don't eat sugar and don't eat food made from flour. Now what? This is causing mental stress to the patient. In this case, because of diabetes, rice and potatoes should not be eaten? What is the reason for the increase in the problem of diabetes in young people? Diabetes and hormone specialist Dr. Edited excerpt from online journalist Sumitra Luitel's conversation with Deepak Malla:

It is heard that people with diabetes should not eat rice and potatoes. Is that so?

No doctor should tell a patient not to eat potatoes and rice. To control diabetes, lifestyle should be changed along with food. Eating a few potatoes a day does not mean that the patient's condition will worsen. On the day of eating potatoes, if you do not eat other carbohydrate foods, you will get a balance if you eat protein and fiber foods.

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People with diabetes should not eat potatoes, rice and sugary foods. Sometimes a small amount can be eaten. Do not eat potato-based dishes. Foods with a very small amount of potatoes can be eaten. But it is better to eat after measuring the sugar level.

Are there things that should not be eaten?

There are also things that diabetic patients should not eat. Things that should not be eaten are cigarettes, alcohol, tobacco, etc. In addition, rice, potato and sugary food can be eaten, so the daily potato dish, jerry raspberry should not be eaten, sometimes a small amount can be eaten.

Do not eat sweet food and outside food?

During any festival or family gathering, Gulia is made as food at home. At that time, other members of the family eat with pleasure and diabetic patients are told not to eat this and not to eat that. In this case, the patient's sugar increases due to the worry that I will not be able to eat. Therefore, sometimes very little sweet food can be eaten.

Someone's birthday has been celebrated at home, everyone has eaten cake, but even a person with diabetes can eat a piece of cake, dance for a while and be happy and not let the calorie expenditure of sugar increase. But if everyone eats the cake and goes to sleep with the stress of not being able to eat it, the sugar may increase the next day.

It is better for people with diabetes to eat food prepared outside the home. Preference should be given to fresh food cooked at home. It is not known what is mixed in sweets and packaged foods made outside the home and how they are made. But in home-made food, you know what has been added to it, and you can also estimate that if you eat this food in such quantity, sugar will not increase.

Don't eat fruit?

Diabetic patients can eat all kinds of fruits, but the quantity should be adjusted. But eating fruits with high glycemic index (a substance that increases blood sugar levels) such as mangoes, bananas, melons, and sweet potatoes in large quantities increases the sugar level. Therefore, eating less of these fruits is beneficial for the patient. It is just an illusion that one should not eat fruits.

Is it beneficial to eat bread instead of rice?

Most people with diabetes eat roti instead of rice or rice. Reduce the amount of carbohydrates in food. Rice and bread contain almost the same amount of sugar, which does not help to control diabetes.

Whatever you eat rice, roti, dough, you have to adjust the quantity and eat little. If you don't eat rice but eat 5-6 rotis in one meal, diabetes will increase instead of being controlled. So no matter what you eat, you should measure the calories and eat it. Rice, bread should be eaten less and vegetable salad should be eaten more.

Brown and brown rice are said to be good for diabetics, right?

Compared to white rice, the glycemic index of brown and brown rice is slightly lower. Therefore, brown and brown rice are somewhat better than white rice. But if there is only white rice in the house, if there is no brown rice, white rice can be eaten in small quantities. You can't eat a lot of brown rice because it's good, you have to eat it in moderation.

How important is it to check the daily sugar level?

Diabetic patients should make it a habit to check their sugar level daily. If the sugar level is checked daily, it is easy to control. During the sugar check, when the sugar level is high, the food can be eaten a little more.

Even if you don't exercise with food?

Controlling diabetes is not only about food, but also about exercise. You should walk briskly for 45 minutes daily, five days a week. They can do housework or other exercises for two days. By doing this, obesity is controlled and diabetes too.

Because of diabetes, it is important to avoid eye, kidney and heart problems by changing lifestyle and taking medicine.

Now it is said that the problem of diabetes has started to appear from the age of 20-22 years.

Recently, the problem of diabetes has been seen in young people from the age of 20-22 years. Earlier it was called diabetes as a disease that appears after 40-50 years.

Schools were closed for two years due to the lockdown due to Corona. Students could not go to school. They ate, read and slept sitting in one place at home. Due to which the problem of obesity has increased a lot. Due to this, the problem of diabetes has increased in the youth.

Another reason for increasing the problem of diabetes among young people is foreign employment. After going abroad, food and environment are different, separation from family, debt stress. It has also increased the problem of diabetes. How many people have come back with diabetes.

Diabetes has also increased due to laziness. Nowadays, due to working at home, using vehicles to go somewhere, and playing games on mobile phones etc., there is less physical activity due to which the risk of diabetes has increased in the youth.

Earlier there were many people who came with eye, kidney and heart problems due to diabetes. But now there is access to check for diabetes, so the complications caused by diabetes are less.

Can you quit medicine by changing your lifestyle?

Some say that I don't sleep, drink, smoke, and am not fat. They tell me how I got diabetes. But apart from all these reasons, diabetes can also be due to genetics. Even if you had diabetes at some point like during pregnancy, you can develop diabetes. This problem can also occur in those taking heart, cholesterol and high blood pressure medications.

If you start taking medicine, you have to take it for the rest of your life, so there are patients who do not want to take medicine. You don't need to start taking medicine as soon as it appears, you can control diabetes by changing your lifestyle. In the beginning, if the sugar level is 300 to 400, then medicine should be started. Medicines reduce other risks that can be caused by diabetes. If the amount of sugar is reduced by changing the medicine and lifestyle, then the medicine can be stopped.

If you stop taking the medicine and eat wildly again, adopt the old lifestyle of not exercising and do not follow up with the doctor, you may have to take medicine again if your sugar level increases.

What to do to prevent diabetes?

To prevent diabetes, one should maintain weight according to height, pay attention to healthy eating, do not smoke and drink alcohol and exercise daily. Also, reducing stress, eating plenty of vegetables, fruits and fibrous foods reduces the risk of diabetes.

"There is also a need to discuss the mental health of teachers"

"There is also a need to discuss the mental health of teachers"

  Recently, there are many problems related to mental health in school students. This affects their ability to acquire skills and knowledge. At times, public awareness programs on mental health are targeted at students.

But the mental health of the teachers who teach the same children is not given much attention. Teachers may also be stressed by personal problems such as their home affairs and career. The effect of which can be seen in their work. It can have a direct impact on students' teaching and learning.

In this case, don't teachers need training on human health? How important is it to discuss the mental health of teachers? What is the teacher's health condition? In this context, psychiatrist Dr. Edited excerpt of online journalist Manisha Thapa's conversation with Vasudev Karki:

How important is it to discuss the mental health of teachers?

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Children are the foundations of the future. Teachers are the creators of children's future. Therefore, if the creator is not mentally healthy, the society of the future will not be prosperous. Therefore, it is very important to take care of the mental health of both children and teachers.

In the context of Nepal, there are many mental health programs targeting children and students. But by focusing on teachers, the discussion about mental health is reduced.

On the other hand, some time ago in America, there was a survey about the mental health of teachers. According to which 27 percent of the teachers were suffering from depression. In a prosperous country like America, teachers are going through mental problems like depression, but in a country like Nepal, the government has not been able to provide even the necessary services and facilities that teachers should get. It can be attributed to the recent teachers' movement. Even if only the teachers present in the movement are studied, 50 percent of them may have problems like depression.

In this case, if the mental condition of the teacher is not good, how can the children like the little buds get quality education from the education given by them? Therefore, it is very important to discuss the mental health of teachers.

Teachers have their own problems. Family matters, financial matters or various things are also making them stressed. Is the side-effect of such stress in the classroom or not?

If the teacher himself is in a stressful situation, its side-effect is completely falling in the classroom. A person who is mentally stressed may also have anxiety and depression. Due to stress, symptoms such as sleeplessness and dizziness may appear in them. How can he teach in the classroom who has not slept all night? On top of that, a teacher who is going through depression may have anger, impulses, and thoughts playing in his mind, and a teacher who comes to the classroom with a stressed mind either does not want to teach and is forced to teach.

Also, even a small mistake by a student in class can cause anger in the teacher. The result may be activities such as scolding and beating students. There are many examples of incidents of beatings by teachers from time to time. This can affect the mental health of not only the teachers, but also the students studying there. Not only that, the teacher may not be able to share enough knowledge as needed, which affects the students' learning.

How does the mood of teachers affect children?

If someone greets you with a smile when you go somewhere, the atmosphere is different. The same principle applies in the classroom. If the teacher looks cheerful and energetic, then even the students who are sitting in the classroom will get energy and vigor. They can easily absorb what is taught. They do not feel that the class is over.

But there is a lot of stress going on in the teacher's mind. He has no energy, no energy and comes with an angry face. And, if they are always presented in the same way in the class, students may not like to read, find it difficult to concentrate, and may not like to ask questions that they do not understand. Some teachers are kind enough to vent their anger on students due to the personal stress of homework. In this case, students are afraid to even sit in class. The class atmosphere is also negative.

All students consider their teachers as the storehouse of knowledge. Children consider teachers as their role models and they dream of being like teachers. Students follow not only the teacher's teaching but also their behavior. The direct effect on the students' emotional state and learning environment also depends on the teacher's presentation.

Even if the student is not scolded or beaten, some behavior of the teacher has a direct effect, right?

 

First, it was said that small punishments should be given to the students to make them level and discipline them. If you don't do your homework, if you make noise in the classroom, if you don't obey, you will get beaten up. But now the idea that students should not be beaten will have a more negative impact on children. Most teachers believe that the classroom should be child-friendly. However, activities such as not encouraging, not responding, and discouraging the students for their extracurricular activities in the class can have a negative effect on the student's mentality. Not only that, because stressed teachers cannot teach well, students also cannot learn well.

If the teacher himself is depressed or sad, can he cover it up and teach the students properly?

If the teacher himself is sad, he cannot cover it up. Even if they want to, they cannot teach the students properly. No matter how much the teacher tries to hide his indifference, it can be seen in his behavior.

What kind of mental problems can teachers have?

Depression, anxiety and stress are the most common psychological problems among teachers. Some teachers are not even able to experience that they have mental problems. But in their behavior, the symptoms of mental problems are visible and if the problem becomes dominant, the behavior may change. After which students and colleagues around can also notice.

How to make the teacher mentally healthy and emotionally strong?

In order to make them mentally healthy and emotionally strong, their stress can be reduced by giving them the wages that schools and colleges deserve, understanding the problems of teachers from time to time, not giving them unnecessary pressure from the administration, encouraging them when they have done a good job.

Also, it is important for the teacher to have a discussion program with the counselor at school from time to time, so that they can openly discuss the mental stress they have.

It is necessary for the government to conduct mental health awareness programs in all teaching areas and to train teachers on modern education. This can increase the intellectual capacity of the teachers and can also increase their passion for teaching.