Refreshing or Risky? The Hidden Dangers Lurking in Your Favorite Summer Drinks

When summer hits, we see ads everywhere featuring Bollywood stars promoting colas and packaged fruit juices. These drinks look refreshing, but have you ever thought about what they do to your health? With rising cases of diabetes and other lifestyle diseases in India, it's important to understand how these sugary drinks impact our well-being.

Why Are Colas and Packaged Juices Harmful?

Most colas and packaged juices are loaded with sugar, preservatives, and artificial additives that can harm your body.

• Too Much Sugar: One glass of cola or packaged juice has about five tablespoons of sugar! This can spike blood sugar levels and increase the risk of diabetes.
• Unhealthy Additives: These drinks often contain harmful preservatives and artificial colors, which can cause hyperactivity, migraines, and even asthma. The high acidity in colas can also damage your teeth.
• Cancer Risk: Some studies suggest that drinking sugary beverages regularly may increase the risk of cancer, especially breast cancer.

The Truth About Packaged Juice

The packaged juice industry in India is growing fast, with brands promoting their products as “natural” and “healthy.” But in reality, many of these juices contain added sugars and artificial flavors. Always check labels—words like "fruit drink" or "fruit cocktail" usually mean it’s not 100% juice!

Healthier Alternatives for Summer

Instead of sugary drinks, try these:
✅ Eat fresh fruits—they have natural sugars and fiber.
✅ Drink water, coconut water, or homemade lemon water.
✅ Read labels carefully before buying packaged drinks.

Final Thoughts

Colas and packaged fruit juices may seem like the perfect summer drink, but they come with serious health risks. In a country where diabetes is on the rise, making better choices isn’t just about personal health—it’s about a healthier future for everyone.

So next time you feel thirsty, skip the sugary drinks and go for something natural instead!

Dr Manohar K N

MD, DNB, MNAMS,  
Triple FRCP (Edinburgh, Glasgow & London), 
FEAC - Fellow of Euro-Asian Academy of Cardiology 
Fellow of RSSDI, Fellow Diabetes India
www.drmanoharkn.com/

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Eating  rice,  does really matters for diabetics ?

  Billions of people around the world eat rice  every single day for multiple meals  .scientific studies shows that it provides about 20% of the world’s calorie intake  and  is also one of the most cultivated and consumed cereals worldwide. It is composed of starch, which is an important source of  energy, hypoallergenic proteins, and other bioactive compounds with known nutritional functionalities. Noteworthy is that the rice bran (outer layer of rice grains), a side-stream product of the rice milling process, has a higher content of bioactive compounds than white rice (polished rice grains). Bran functional ingredients such as γ-oryzanol, phytic acid, ferulic acid, γ-aminobutyric acid, tocopherols, and tocotrienols (vitamin E) have been linked to several health benefits. 

Now the discussion would be whether  People with diabetes can eat rice as part of a healthy diet?  Research inputs  can justify the above as ,  the type of rice , combination with rice , portion size all matters in incorporating rice as a staple meal in diabetes meal plate. 

Data from the large multinational prospective cohort study of 21 countries show that in the overall PURE cohort, higher consumption of white rice is associated with an increased risk of diabetes, which was most marked and driven by the strong association seen in South Asia.

A meta-analysis by Hu et al. (which included data on 352,384 participants with 13,284 incident diabetes from four studies in China, Japan, U.S., and Australia), showed that each extra serving of white rice (equivalent to about 150 g of cooked rice) increased the risk for diabetes by 11%. 

With the above research data it is evident that polished white plain rice will not be a good choice for diabetes control but we have  strategies to help you enjoy your mealtime while minimizing the potential glucose swings when rice is a  staple food 

Eating smaller portions, choosing whole and unpolished grains, and pairing rice with other nutritious foods can minimise post meal blood glucose. 

Portion size

Eat smaller portions of rice. A good rule of thumb is to stick to a measured cup  per meal as per your weight and sugar control.

Rice Type

Choose a variety of rice that is low in carbs and has a low GI score. 

Parboiled rice has a medium GI and can be a better alternative to white rice. 

Other choices would be  unpolished or whole-grain rice varieties like brown rice , red matta rice, rajmudi , brown basmathi  etc over processed white rice. 

Pairings

Pair rice with proteins like  steamed fish,lean meat ,egg whites,sprouts, soya , low fat panner, whole legumes etc , high fibre  vegetables, and other healthy fats like peanut butter , small amount of desi ghee, olive oil , nuts and seeds .

Combining rice with beans can be helpful because the fiber  and protein in beans can help prevent blood sugar levels from rising rapidly after a meal. 

Other considerations 

Spread their intake of rice and other carbs evenly throughout the day.

Take into account any sauces and other accompaniments that may contain extra sugar or carbs.

Discuss specific individual carbohydrate needs with a doctor or dietitian.

Eating vegetables first, then protein source (eggs, lean meat, soya chunks, pulses etc)  and rice last can contribute in lower post-meal glucose levels. Keep in mind that everyone with diabetes can respond differently to the same food.

Cook rice, cool it and reheat it, this method increases resistant starch and reduces the absorption there by controlling postprandial blood sugar. 

The bottom line

People living with diabetes and those with pre diabetes can include rice as part of a healthy balanced eating pattern by considering above points. Periodical reviews with healthcare professionals will help in portion sizes and other nutritional guidelines as per your blood reports , weights , medications etc. Eat rice judiciously as per your diabetes control.

Dr Suman R

Consultant Diabetologist .
Madhumeha Diabetes Center
Shop No, 375, 42nd Cross Road
opp. Vijaya Bank, 8th Block, Jayanagar
Bengaluru, Karnataka 560070.

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Can Jackfruit Be Part of a Diabetes-Friendly Diet?

Managing diabetes requires a comprehensive approach that includes mindful dietary choices. One of the most common myths surrounding diabetes management is related to fruit consumption. Among these, jackfruit often raises questions—should it be included in a diabetic meal plan or avoided? Known for its unique flavor and impressive nutritional profile, jackfruit holds both potential benefits and challenges for those with diabetes. Let’s explore its impact and how it can fit into a diabetes-friendly diet.

Potential Benefits of Jackfruit for Diabetes Management

Several studies suggest that jackfruit may offer health benefits for individuals managing diabetes:

1. Rich in Fiber – The high fiber content in jackfruit, especially in its raw form, helps slow down sugar absorption into the bloodstream, reducing the risk of blood sugar spikes.

2. Antioxidant Properties – Jackfruit is packed with antioxidants that help reduce oxidative stress and inflammation, both of which are linked to diabetes complications.

3. Improves Insulin Sensitivity – Some research indicates that jackfruit extracts may enhance insulin sensitivity, potentially lowering the risk of insulin resistance and type 2 diabetes.

4. Anti-Inflammatory Effects – The anti-inflammatory properties of jackfruit may help mitigate inflammation, a key contributor to diabetes-related health issues.

Nutritional Profile of Jackfruit (Per 100 grams, as per NIN)

• Calories: 55 kcal

• Carbohydrates: 14.2 g

• Protein: 1.7 g

• Fiber: 1.5 g

• Fat: 0.6 g

• Vitamin C: 22.6 mg

• Potassium: 739 mg

Understanding Jackfruit’s Glycemic Impact

The glycemic index (GI) of jackfruit varies depending on its ripeness:

• Ripe Jackfruit: Has a higher GI, meaning it can cause a rapid rise in blood sugar levels.

• Unripe (Raw) Jackfruit: Has a lower GI and is a better choice for those managing diabetes, as it releases glucose more gradually.

How to Incorporate Jackfruit into a Diabetes-Friendly Diet

If you’d like to enjoy jackfruit while managing diabetes, consider these methods:

1. Eat it in Moderation – Enjoy fresh jackfruit in controlled portions, ideally as part of a balanced meal or a fruit salad.

2. Use It in Cooking – Raw jackfruit can be added to curries, stews, and stir-fries, enhancing fiber intake and slowing glucose absorption.

3. Try Jackfruit Flour – Jackfruit flour serves as a gluten-free alternative in baking and cooking, offering a lower GI substitute for refined flours.

Final Thoughts

Jackfruit can be part of a diabetes-friendly diet when consumed in moderation and in its raw form. Its fiber, antioxidants, and anti-inflammatory properties may offer health benefits, but overconsumption can lead to blood sugar spikes. Always consult your healthcare provider before making significant dietary changes, and monitor your glucose levels regularly to ensure safe consumption.

Mrs.Aneetha
Consultant Nutritionist

Madhumeha Diabetes Center

Shop No, 375, 42nd Cross Road

opp. Vijaya Bank, 8th Block, JayanagarBengaluru, Karnataka 560070

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Can Skipping Meals Help Regulate Blood Sugar?

 

Can Skipping Meals Help Regulate Blood Sugar?

Skipping meals is a practice that some people adopt for various reasons, including weight loss or lifestyle choices like intermittent fasting. However, when it comes to blood sugar regulation, especially for individuals with diabetes, the effects of skipping meals can be quite nuanced. Here’s a detailed look at the potential benefits and risks of skipping meals in relation to blood sugar control.

Potential Benefits of Skipping Meals

1. Intermittent Fasting:
• Improved Insulin Sensitivity: Some studies suggest that intermittent fasting may enhance insulin sensitivity, allowing the body to use glucose more effectively.
• Reduced Overall Caloric Intake: Skipping meals can lead to fewer calories consumed overall, which may help with weight management—a critical factor in blood sugar control.
2. Metabolic Benefits:
• Resting Digestive System: Allowing periods without food can give the digestive system a break and may improve metabolic health over time.

Risks of Skipping Meals

1. Blood Sugar Spikes:
• Overeating Later: Skipping meals can lead to increased hunger, which may result in overeating during subsequent meals. This can cause significant spikes in blood sugar levels.
2. Hypoglycemia:
• Risk for Diabetics: For individuals on insulin or certain diabetes medications, skipping meals can increase the risk of hypoglycemia (low blood sugar), which can lead to symptoms such as dizziness, confusion, and fainting.
3. Increased Cravings:
• Desire for Unhealthy Foods: Missing meals may lead to cravings for high-sugar or high-carb foods, making it challenging to maintain stable blood sugar levels.
4. Mood and Energy Levels:
• Impact on Well-being: Skipping meals can affect mood and energy levels, potentially leading to irritability or fatigue, which may indirectly influence eating habits and blood sugar control.

Individual Variability

• Personal Response: The impact of skipping meals varies greatly among individuals. Some people may find it beneficial for managing their blood sugar, while others may experience adverse effects.
• Type of Diabetes Matters: Those with Type 1 diabetes or those on specific medications need to be particularly cautious about meal timing and consistency.

Best Practices

1. Consult Healthcare Professionals: Before making any significant changes to your eating habits, it’s essential to consult with a healthcare provider or registered dietitian who understands your individual health needs.
2. Focus on Balanced Meals: Instead of skipping meals entirely, aim for balanced meals that include a mix of carbohydrates, protein, and healthy fats to promote stable blood sugar levels.
3. Monitor Blood Sugar Levels: If you choose to experiment with meal timing or skipping meals, closely monitor your blood sugar levels to understand how your body responds.

Conclusion

While some individuals may find benefits in skipping meals or practicing intermittent fasting for blood sugar regulation, it is not universally effective and carries potential risks. A balanced approach that emphasizes consistency in meal timing and composition is generally more effective for maintaining stable blood glucose levels. Always prioritize personalized strategies by working closely with healthcare professionals to ensure optimal management of your health.

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Overview of Guillain-Barré Syndrome (GBS)

Guillain-Barré Syndrome (GBS) is a rare but serious autoimmune disorder that affects the peripheral nervous system. It occurs when the body's immune system mistakenly attacks the nerves, leading to muscle weakness, numbness, and in severe cases, paralysis. The condition can be life-threatening, particularly when it affects respiratory muscles. Recent reports indicate a concerning rise in GBS cases in India, particularly in Pune and Maharashtra, leading health authorities to investigate the situation thoroughly.

Current Situation in India

As of late January 2025, 127 suspected cases of GBS have been reported across India, with 101 confirmed cases in Pune alone. This includes one suspected death attributed to the syndrome. The Maharashtra health department has mobilized a Rapid Response Team to investigate the sudden increase in cases and determine any potential links to recent viral outbreaks or environmental factors.

Demographics

• Age Distribution: The affected individuals range from young children to older adults, with notable cases across various age groups:
  • Below 9 years: 19 cases
  • 10-19 years: 15 cases
  • 20-29 years: 20 cases
  • 30-39 years: 18 cases
  • 40-49 years: 12 cases
  • Above 50 years: 43 cases

This wide age distribution suggests that GBS can affect anyone but may be more prevalent among older adults.

Symptoms and Diagnosis

The initial symptoms of GBS typically include:

• Weakness and tingling in the legs, which can progress rapidly to the upper body and arms.
• Loss of reflexes.
• Difficulty walking or climbing stairs.
• Severe pain or cramping in the muscles.
• Double vision or difficulty with eye movements.
• Difficulty speaking or swallowing.

Symptoms often develop over days or weeks and can vary significantly from person to person.

Diagnosis

Diagnosis is primarily clinical and relies on a thorough medical history and neurological examination. Key diagnostic criteria include:

• Recent history of infection (viral or bacterial).
• Progressive weakness.
• Atypical reflexes.

Additional tests such as nerve conduction studies and lumbar puncture (to analyze cerebrospinal fluid) may be used to confirm the diagnosis. The Brighton Working Group criteria are often recommended for diagnosing GBS effectively, especially in resource-limited settings like India.

Causes and Triggers

While the exact cause of GBS remains unclear, it is often preceded by infections. Common triggers include:

• Campylobacter jejuni, a bacterium linked to food poisoning.
• Viral infections such as influenza, Zika virus, cytomegalovirus, and COVID-19.
• Recent vaccinations (though this is rare) or surgeries may also be associated with GBS onset.

Environmental Factors

Experts suggest that seasonal changes and increased viral infections could contribute to the rising incidence of GBS cases observed in Pune. Additionally, factors such as pollution, dietary changes, and stress may play a role in triggering autoimmune responses.

Treatment and Management

Currently, there is no specific cure for GBS; however, treatments aim to reduce symptoms and speed recovery. Common interventions include:

Intravenous Immunoglobulin (IVIG)

IVIG therapy involves administering high doses of immunoglobulin intravenously. This treatment can help reduce the severity of symptoms and hasten recovery by modulating the immune response.

Plasmapheresis

Plasmapheresis is a procedure that removes antibodies from the blood plasma. This treatment is particularly effective in severe cases of GBS and can lead to quicker recovery when administered early.

Supportive Care

Supportive care is crucial for managing complications associated with GBS:

• Physical Therapy: Rehabilitation plays a vital role in recovery. Physical therapists work with patients to improve mobility, strength, and coordination.
• Respiratory Support: In severe cases where respiratory muscles are affected, patients may require mechanical ventilation.
• Pain Management: Pain relief through medications or alternative therapies can significantly improve quality of life during recovery.

Prognosis

The prognosis for individuals with GBS varies widely. Many people experience significant improvement within weeks to months; however, some may have lingering symptoms such as weakness or fatigue for years. Early diagnosis and treatment are critical factors that influence recovery outcomes.

Conclusion

The rise of Guillain-Barré Syndrome cases in India highlights an urgent need for increased awareness among healthcare providers and the general public. Prompt medical intervention can significantly impact patient outcomes. Ongoing investigations by health authorities aim to understand better the causes behind this surge and implement effective treatment strategies.

Dr Manohar K N

MD, DNB, MNAMS,  
Triple FRCP (Edinburgh, Glasgow & London), 
FEAC - Fellow of Euro-Asian Academy of Cardiology 
Fellow of RSSDI, Fellow Diabetes India
www.drmanoharkn.com/

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