
Holistic approach to type-2 diabetes management and the role of lifestyle factors
Some people in India are genetically predisposed to developing type 2 diabetes, which is exacerbated by lifestyle factors including lack of exercise and eating an unhealthy diet. Healthy dietary habits, maintaining a healthy weight, and getting adequate exercise, are some of the factors that can help to prevent type 2 diabetes. In most people with Type 2 diabetes, the pancreas does not produce enough insulin (a hormone critical for transporting blood sugar into cells) and cells respond poorly to insulin and take in less sugar (insulin resistance). Eating a healthy diet is an important strategy to prevent and manage type 2 diabetes.
Even small changes in dietary habits can lead to significant, long-term health benefits. In India, eating almonds every day has been a time-honoured tradition. The wisdom of this practice is supported by a wealth of recent scientific studies. The latest Dietary Guidelines released by the ICMR-NIN, recommended the regular consumption of nuts like almonds as part of a balanced diet. Almonds are recognized not only as an excellent source of natural plant-based protein but also as a nutritious, healthy snack that contributes to overall well-being.
Two studie s by the National Diabetes, Obesity, and Cholesterol Foundation (NDOC), designed to ascertain the impact of simple changes to an individual's diet, found that consumption of 20 grams of almonds before each major meal benefited blood sugar control both in the short-term (over three days) and in the long term (over three months) among Asian Indians with overweight/obesity and prediabetes. The three-month intervention reversed prediabetes in nearly one-quarter of the participants.
The study results must be viewed in the context of the overwhelming array of associated risks and complications—heart attack, stroke, kidney damage, limb amputation, blindness, and nerve damage—that diabetes brings with it. More than 60% of people with pre-diabetes are likely to convert to diabetes in a span of five years. Moreover, 50% of people are unaware of their diabetic status, further increasing chances of these complications.
There's yet another pertinent reason for caution. Asian Indians—characterized by tendency for abdominal adiposity, higher waist circumference, lower BMI, and greater insulin resistance—are more prone to developing diabetes. It is also well documented that obesity increases diabetes risk. A seminal study conducted on overweight and obese Asian Indian adults found that eating 43 grams of almonds daily for 12 weeks reduced insulin resistance, improved insulin sensitivity, and helped control blood glucose levels. The people eating almonds achieved significant reductions in body weight, body mass index (BMI), and waist circumference over the intervention period and lowered their total cholesterol. Overtime, these changes could reduce the risk of diabetes and other cardiometabolic diseases.
Rich in natural sources of some of the essential nutrients, almonds are a smart and satisfying food not only for blood glucose control but also to boost intake of key nutrients. A typical 28 grams serving has 13 grams of unsaturated fat and just 1 gram of saturated fat. They make for a good snacking choice as they are also a rich and natural source of plant protein, dietary fiber, monounsaturated (good) fat, Vitamin E, magnesium, and phosphorus. Their daily consumption is known to decrease the intake of carbohydrate calories and even help in lowering the blood sugar impact of carbohydrate foods, which affects fasting insulin levels.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles

Mint
9 hours ago
- Mint
AIIMS says no link between covid jabs and sudden deaths among young adults
Doctors at Delhi's All India Institute of Medical Sciences (AIIMS-Delhi) have refuted claims linking Covid-19 vaccines to sudden deaths in young adults in the country. This comes in the backdrop of recent claims by Karnataka Chief Minister Siddaramaiah stating that covid vaccines were linked to sudden deaths due to cardiac arrest among young adults in the state's Hassan district. The country's premier medical institution announced that its studies have found no such connection, instead attributing these tragic incidents primarily to lifestyle factors such as smoking, high blood pressure, and stress. Senior AIIMS doctors emphasized the crucial role these vaccines played in saving lives during the pandemic, noting that the studies are ongoing to determine the causes of sudden unexplained deaths. Researchers at AIIMS's pathology department are currently undertaking genomic studies to find the unexplained causes of death in approximately 25% of cases involving young individuals, where no apparent cause was initially identified. The pharmaceutical industry has also vouched for vaccine safety and debunked doubts over efficacy. Dr. Abhishek Yadav, additional professor in the department of forensic medicine at AIIMS, detailed two studies conducted by his department. A retrospective analysis from 2018 to 2022, comparing pre- and post-Covid data, found "no surge in the sudden cardiac deaths in the cases which were reported in the department". A second, ongoing study, initiated in 2023 in collaboration with the Indian Council of Medical Research (ICMR) and slated to continue for another year and a half, aims to gather more samples for scientifically validated results. This study has so far examined approximately 230 death cases, collecting family history, performing genomic and DNA level studies, and utilizing virtual autopsies. Dr. Yadav stated that this second study has also 'not found any link between covid vaccine and sudden deaths.' The research categorized cases into two age groups: 18-45 years and 45-65 years. Dr. Yadav said that coronary artery disease was identified as the most common historical factor, with over 50% of these cases linked to lifestyle factors and substance abuse, such as alcohol and smoking. The pathology department of AIIMS is continuing genomic studies on the remaining 25% of unexplained cases. Dr. Sudheer Arava, a professor in the department of pathology at AIIMS, explained that the study of 230 young individuals brought to the forensic department found heart attack to be the most common cause of death (50%), often linked to lifestyle risk indicators like high blood pressure, cholesterol, stress, and obesity. 'In 25% of cases, no identifiable cause of death was determined, and researchers are exploring potential molecular alterations. An interim report submitted to the ICMR indicates that nearly 50% of the deaths studied were due to heart attacks, with further research ongoing.' Dr. Sanjay Rai, professor at the department of community medicine at AIIMS, stated that the Covishield vaccine (developed by Oxford–AstraZeneca) showed an efficacy of 62.1%. He highlighted that various regulatory authorities have approved 37 different Covid-19 vaccines, with the World Health Organization (WHO) approving approximately 12, utilizing diverse technologies. For instance, Bharat Biotech's Covaxin uses a traditional technology, while Covishield and Russian Sputnik V are based on an adenovirus vector. Globally, over 13 billion vaccine doses have been administered, with countries like the United States completing fourth doses. The WHO now recommends vaccination for everyone aged six months and above, particularly with vaccines effective against newer variants. Dr. Karan Madan, associate professor in the department of pulmonary medicine, affirmed that Covid-19 vaccines were "highly effective and instrumental in lowering mortality rates during the pandemic". He emphasized their role as the "sole possible measure to save lives" at the time, providing "immense advantages" in preventing excess deaths. Dr. Madan also referenced a study on sudden cardiac deaths that found "no clear association" with vaccine usage. Sudarshan Jain, secretary general of the Indian Pharmaceutical Alliance (IPA), underscored India's role as a knowledge-driven sector, accounting for 60% of global vaccine production. He stated that Covid vaccines were "well documented and rigorously tested as per regulatory processes," warning that "misinformation and distortion of facts endanger public health and undermine the trust built on science and patient care globally". The Indian Vaccine Manufacturers Association also said that all Covid-19 vaccines in India received Emergency Use Authorization based on extensive preclinical and human clinical trial evaluations, showing positive results for safety, efficacy, and immunogenicity. Covid infections have been on a declining trend after showing a steady increase in the past few weeks. On Thursday, the country's active caseload dropped to 1,290 from 1,691 cases, with no deaths reported in the last 24 hours. The total number of Covid-19-related deaths this year stands at 146. The current spread is linked to Omicron sub-variants NB.1.8.1 and LF.7.


NDTV
13 hours ago
- NDTV
'Caution Not Anti-Science': Siddaramaiah On Covid Vaccine-Sudden Death Claim
New Delhi: Karnataka Chief Minister Siddaramaiah has responded to Biocon Ltd Executive Chairperson Kiran Mazumdar-Shaw's suggestion that he acknowledge the science behind vaccine development, rather than engage in retrospective blame. The chief minister shot back, "Seeking answers is not retrospective blame. It is the duty of a government that values every life." Siddaramaiah had fired the first shot with his post on X on July 1 that the state government ordered a study to find the reasons behind sudden deaths among young people in Karnataka, and whether Covid vaccines could have any role in them. This had prompted the reaction from the Biocon chief, who pointed out that the chief minister's claim that the vaccines were hastily approved was "factually incorrect and contributed to public misinformation". On Thursday, Siddaramaiah doubled down on his claim. "As Chief Minister, I have a duty to respond to the genuine concerns of people who have lost loved ones unexpectedly. When parents lose their young children or families lose breadwinners without warning, seeking clarity is not misinformation; it is an act of governance rooted in empathy," he said. "Scientific caution is not anti-science. Many peer-reviewed studies (such as Nature, Circulation, Journal of the American College of Cardiology) have discussed myocarditis and cardiac arrest risk, particularly among young adults post-vaccination. Publicly funded stakeholders must acknowledge both the benefits and the potential risks without fear or favour. "When I said 'hastily', it reflects the unprecedented speed of emergency rollouts globally without complete long-term data, acknowledged even by WHO and global regulatory agencies, who termed it a 'calculated risk' during a pandemic. Haste is not a sin when saving lives, but acknowledging potential unintended consequences is wisdom," Siddaramaiah said in a long post on X. As Chief Minister, I have a duty to respond to the genuine concerns of people who have lost loved ones unexpectedly. When parents lose their young children or families lose breadwinners without warning, seeking clarity is not misinformation; it is an act of governance rooted in... — Siddaramaiah (@siddaramaiah) July 3, 2025 On Wednesday, the Union Health Ministry dismissed the Karnataka chief minister's comment, saying extensive studies by the Indian Council of Medical Research (ICMR) and the All India Institute of Medical Sciences (AIIMS) have conclusively established no linkages between coronavirus vaccines and sudden deaths. Studies by the ICMR and the National Centre for Disease Control (NCDC) also affirm that Covid-19 vaccines in India are safe and effective, with extremely rare instances of serious side effects, it said. Sudden cardiac deaths can result from a wide range of factors, including genetics, lifestyle, pre-existing conditions, and post-covid complications, the ministry had said in a statement.


Hans India
14 hours ago
- Hans India
Holistic approach to type-2 diabetes management and the role of lifestyle factors
As a country, we are dining out and ordering in like never before. Convenience aside, the salty snacks and sugary desserts that get delivered to our doorstep in less than 30 minutes, come with consequences. Sheela Krishnaswamy, Wellness & Nutrition Consultant shares that an exhaustive, decade-long study published in Lancet in 2023, found that 101 million people in India are living with diabetes and another 136 million people could be living with pre-diabetes. Some people in India are genetically predisposed to developing type 2 diabetes, which is exacerbated by lifestyle factors including lack of exercise and eating an unhealthy diet. Healthy dietary habits, maintaining a healthy weight, and getting adequate exercise, are some of the factors that can help to prevent type 2 diabetes. In most people with Type 2 diabetes, the pancreas does not produce enough insulin (a hormone critical for transporting blood sugar into cells) and cells respond poorly to insulin and take in less sugar (insulin resistance). Eating a healthy diet is an important strategy to prevent and manage type 2 diabetes. Even small changes in dietary habits can lead to significant, long-term health benefits. In India, eating almonds every day has been a time-honoured tradition. The wisdom of this practice is supported by a wealth of recent scientific studies. The latest Dietary Guidelines released by the ICMR-NIN, recommended the regular consumption of nuts like almonds as part of a balanced diet. Almonds are recognized not only as an excellent source of natural plant-based protein but also as a nutritious, healthy snack that contributes to overall well-being. Two studie s by the National Diabetes, Obesity, and Cholesterol Foundation (NDOC), designed to ascertain the impact of simple changes to an individual's diet, found that consumption of 20 grams of almonds before each major meal benefited blood sugar control both in the short-term (over three days) and in the long term (over three months) among Asian Indians with overweight/obesity and prediabetes. The three-month intervention reversed prediabetes in nearly one-quarter of the participants. The study results must be viewed in the context of the overwhelming array of associated risks and complications—heart attack, stroke, kidney damage, limb amputation, blindness, and nerve damage—that diabetes brings with it. More than 60% of people with pre-diabetes are likely to convert to diabetes in a span of five years. Moreover, 50% of people are unaware of their diabetic status, further increasing chances of these complications. There's yet another pertinent reason for caution. Asian Indians—characterized by tendency for abdominal adiposity, higher waist circumference, lower BMI, and greater insulin resistance—are more prone to developing diabetes. It is also well documented that obesity increases diabetes risk. A seminal study conducted on overweight and obese Asian Indian adults found that eating 43 grams of almonds daily for 12 weeks reduced insulin resistance, improved insulin sensitivity, and helped control blood glucose levels. The people eating almonds achieved significant reductions in body weight, body mass index (BMI), and waist circumference over the intervention period and lowered their total cholesterol. Overtime, these changes could reduce the risk of diabetes and other cardiometabolic diseases. Rich in natural sources of some of the essential nutrients, almonds are a smart and satisfying food not only for blood glucose control but also to boost intake of key nutrients. A typical 28 grams serving has 13 grams of unsaturated fat and just 1 gram of saturated fat. They make for a good snacking choice as they are also a rich and natural source of plant protein, dietary fiber, monounsaturated (good) fat, Vitamin E, magnesium, and phosphorus. Their daily consumption is known to decrease the intake of carbohydrate calories and even help in lowering the blood sugar impact of carbohydrate foods, which affects fasting insulin levels.