Gut-Health, Child Nutrition

Celiac Disease in Children: Gluten-Free Nutrition Guide

It is devastating for a parent to know their kid has an autoimmune disease like Celiac Disease in kids. It becomes more challenging when the condition forces the child to restrict something that is a family staple food ~ Wheat. When we discover Celiac Disease in Children, Gluten-Free Nutrition Guide is highly important. Celiac disease is an autoimmune disease that damages the intestine when gluten-rich foods are consumed. Some children can develop gluten-intolerance as a secondary condition. For example, if a child has Intestinal bowel disease, a gluten intolerance can show up, and the consumption will be restricted. Parents can start seeing symptoms as early as 6-9 months when weaning food is introduced to the baby and gluten rich foods cause digestive problems. The most challenging part is that Indians feel that if they do not give wheat to the child, the child will not get enough food. How will the child grow? How will we fill his stomach? The Bad News Yes, the food restriction seems massive. Wheat is a staple food in the north and central India. Kids often wish to eat what their family eats, hence we find it difficult to avoid it too. Also, Wheat is not exactly the restriction; gluten is. The other grains that have gluten are as follows: Common Ingredients we should check while buying foods are: Malt flavoring, malt syrup, malt extract, malt vinegar, and brewer’s yeast. We have to be careful not only while preparing food at home, but also while buying ready-made food. Awareness has been created, hence most food companies issue label warnings on their product which may contain gluten. Some products are not made of the raw material that has gluten, but are prepared in the same production line, hence, can be contaminated. That’s why checking labels should become a law. The Good news India being rich in variety, your kid still has a lot of options even to prepare roti. Nutrition, growth, and satisfying hunger are all challenges that can be easily overcome with minor planning. Nutrition Challenges The parents might continue to give gluten-containing foods if the child has celiac disease, but hasn’t been diagnosed yet. This will impose a serious challenge as the child will have digestive issues like chronic diarrhoea (often foul-smelling), abdominal pain/distension, bloating, vomiting, constipation, nausea, and gas. These challenges will lead to excessive weight loss. Hence, if you can understand the pattern, as to when the baby shows symptoms, based on that, you must visit the paediatrician and explain everything to them. Once the diagnosis is established, we can take precautionary measures. If unrestricted food is continued, the baby might face failure to thrive (poor weight gain), short stature, delayed puberty, irritability, anaemia (from iron deficiency), enamel damage on teeth, weight loss, and even neurological issues like ADHD or headaches due to malabsorption of food. Infants, toddlers, older children and teens can all show slightly different symptoms. Family Elders, Neighbours, Google and Chat GPT For some reason, elders in your family or neighbours might say, “Doctor to aise hi kehte hai, roti nahi khayega bacha to kaise chalega, khila do kuch nahi hoga”. Astonishingly, many people will believe that and continue to feed the child wheat-based products. Self-diagnosis with internet searches is another major challenge. We have to understand that some kids might have mild indigestion, and the parents might self-diagnose and create unnecessary restrictions. Mostly because gluten-free is a trend, and people say anything for likes and views. Building a Balanced Gluten-free plate To manage nutrition, our only concern is providing optimum nutrition so that the kids’ growth and development reach maximum potential. We have already discussed various cereals and grains that can be safely given to the child. That is the only replacement happening in the child’s diet. Rest remain the same. 25% cereal based foods, ~ Gluten-free as mentioned above 25% protein rich foods, ~Dairy, pulses and legumes, nuts and seeds 40% vegetables, Seasonal 10% fruits, Seasonal Healthy fats from nuts and seeds, Less visible fats from Ghee, butter, Oil Adequate water. Other important factors will include adequate physical activities, sleep and rest, playtime and education for overall development of the child. Sharing is not caring for Celiac Kids We have to educate the child now and then and make sure there is no scope for errors. Maybe the child was diagnosed with celiac at the age of 9 months and now he is 12 years old. They wish to explore recipes and talk to friends, share tiffin. They will be inclined to processed foods, a lot of which are seemingly safe, but might have traces of gluten. Your kid knows potato is allowed, but as mentioned earlier, the potato chips might have been made on a production line used for other products containing gluten. Such warnings are mentioned on food labels, but the friend might be carrying a few potato chips in their tiffin box that do not have the label. Junk food is, anyway, not good for kids, better to avoid. The teachers and caretakers also must be educated and warned. Keep in touch The most challenging time is the initial time when diagnosis is made. Regular touch with the clinical team, including the doctor and dietitian, is essential till all doubts are clear. After that, at least 6 monthly follow-ups with both doctor and dietitian will help manage symptoms and avoid trouble in the long term. Regular professional interaction will also motivate the child to follow the restrictions well. Parents can also discuss how to keep meals interesting for the children alongwith maintaining a gluten-free pattern. Stay Safe.

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Child Nutrition

Child Nutrition for Body Aches: Foods That Help

Your kid is growing every day. Sometimes you will notice slow growth, but at certain age brackets, the growth is rapid. That period is called the Growth Spurt period. Kids will be happy to grow faster, but along with it comes the pain. Growing pains are typically dull, cramp‑like leg aches that children feel in the evening or at night, often during rapid growth spurts. At this time, Child Nutrition for Body Aches & Foods That Help Reduce Growing Pains and Muscle Stress play a very important role. Growth & Development In India, ICMR‑NIN and IAP guidelines emphasize that nutrient needs are higher “per kg body weight” in infancy and childhood than in adults, so the diet must be nutrient‑dense, not just bulky. Unfortunately, parents and guardians are trying hard to fill the tummies of kids with anything they accept instead of planning healthy, balanced meals. Main stages of growth Key macronutrient needs (India‑context) ICMR‑NIN 2020 advises 0.66 g/kg/day EAR (Estimated Average Requirement) and about 0.83 g/kg/day RDA (Recommended Dietary Allowance) for most age groups. For cereal‑dominant diets with lower‑quality protein, many dietitians still recommend ~1 g/kg/day to be safe. Typical energy‑distribution pattern recommended for children: Critical micronutrients and roles Nutrient Main role in growth Important food sources Iron Hemoglobin synthesis, cognitive development; marked increase in adolescence (especially girls).  Green leafy vegetables, pulses, jaggery, fortified cereals, meat, eggs. Calcium & vitamin D Bone mineralization, growth spurt support; requirement rises sharply in adolescence.  Milk, curd, paneer, small fish, fortified dairy/non‑dairy, sunlight + fortified foods. Zinc Immune function, appetite, growth velocity; deficiency → stunting and infections.  Pulses, nuts, seeds, dairy, eggs, meat. Vitamin A Vision, mucosal integrity, immune defense; deficiency → increased infection risk and night‑blindness.  Liver, eggs, dairy, orange‑yellow vegetables, green leafy vegetables. Practical nutrition guidelines for Indian children From ICMR‑NIN Dietary Guidelines and IAP‑type recommendations: What you can emphasize in your practice Other Points in Indian Context Growth and development might not be the only reason for your child’s pains. Final Word Good nutrition is important for growth and development, and medicines are not going to give permanent solutions. Normalise visiting dietitians.

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Child Nutrition

Kids Getting Frequent Infections

Kids getting frequent infections is a big worry for parents. Noone likes to see their child suffering every now and then. Let’s discuss the challenge and what we can change to avoid this situation. Challenges with kids getting frequent infections Frequent infections mean lower weight, growth & development. Infection means the body has to fight a pathogen (disease-causing microorganism). To fight, the body needs extra energy. More energy than a child would normally use. Another problem is that a small child doesn’t understand what is happening. They give up food every time they get infections and become very cranky. Now the body is using more energy to fight the pathogens, and the child refuses to eat. Hence, lower weight and growth & development is noticed. Infections take longer to heal There are two reasons for this. The child doesn’t drink adequate water Drinking adequate water is the first rule of any infection. Kids deny that. Especially in case the child is having throat trouble. Many parents complain that the child anyway doesn’t drink enough water, making them drink during an infection becomes a bigger challenge. Child Doesn’t sleep A child who is not feeling well and hungry will be cranky and will have difficulty sleeping. Sleep and rest also play a crucial role in the healing process from illness. Parents panic Parents, espectially first time parents, panic in this situation. A stressed person finds it more challenging to adhere to a child’s emotional needs at this hour of pain and hurt. Sometimes mothers start crying themselves. Kids are emotionally attached and can feel the panic. That makes them more clingy and cranky. Solutions for kids getting frequent infections a) The solution doesn’t start when the kids get sick. It starts when the child is born. Studies have shown that during pregnancy: Then the child has better immunity as compared to peers. Studies have also shown that if the child gets 6 months of exclusive breastfeeding and then continued upto 2 years with weaning, then immunity is much better. But in this scenario too, the mother needs to take a wholesome, healthy diet. b) It has been seen that if the child is overprotected by parents, always being cleaned, not playing in parks with sand, near trees, never letting clothes get dirty, not playing with other kids for fear of infections, then the child can have lower immunity as the immune system learns as they encounter pathogens. If we do not allow the child’s immune system to encounter minor pathogens, the immune system is not ready when bigger infections hit. c) If the weaning includes mostly milk. Yes, at weaning, we should start introducing a balanced diet. The form will start with liquid, then solid, but depending on only milk is not enough after 6 months of age. IF they do not eat well otherwise, they will not eat when they are sick. If the child is eating well otherwise, there is a high chance that the recovery will be faster. d) If we do not allow the child to be active due to the fear of falling. Most parents give mobiles/ tablets to toddlers to keep the child from creating a mess, falling or when the parents are working and they do not wish to be disturbed. Physical activity makes them use their energy, sleep well and on time, and makes them hungry enough to eat well. e) If the child develops a habit of drinking water regularly, there is a high chance they will drink better during infections. That helps a lot in early healing. When the child gets sick Final Word Talk to a dietitian, not after getting sick, generally. At least 4 sessions (quarterly placed) per year are important. Get qualified guidance.

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Child Nutrition

4 Reasons that cause Stunted Growth in Kids

Are you worried about your kids stunted growth, we will discuss 4 reasons that cause stunted growth in kids. Before we jump to the points, we need to understand, these points are general. One must take expert advice with regular monitoring with a qualified dietitian. Growth is related to diet & lifestyle, hence a medical advice may not be beneficail. 1. Absence of balanced diet Kids are pickey eaters. They choose certain foods over others. They go by taste. New parents are overwhelmed and want to feed the child. Hence they provide whatever the child eats so that at least they aren’t left hungry. They also get advice, as the child grows they will learn, so it’s ok to make such choices. We must understand, food is a new concept to a small child, they will need some time and efforts to get accostomed to healthy eating. We cannot compromise on balanced diet. Obviously all nutrients are important for proper growth and development of the child. 2. Lack of Physical Activity Only eating healthy diesn’t help, the child needs to be physically active so that blood circulation is good, bones and muscles grow. Brain develops and there is overall growth and developemnt of the organ systems. Kids are getting used to screens from a very young age. I know parents and relatives gifting tablets at young age of 1.5-2 years of age too. Parents are busy, want their home to be neat and tidy, don’t want thier child to get hurt and thus screen is the solution. Please accept, your home cannot be tidy all the time with kids, and if they play and explore, they will get hurt sometimes. It’s ok. Try to keep child protective furniture, but not stop their physical activity. Take them to parks, museums, picnics, boating, treaking, whatever is posssible in you city. If both parents are working, take services from a trustworthy househelp. Let them play in mud, sand, clay, not the clay available in stores with chemical paint, actual clay. Do not take them to malls for video games, take them to places where they will have physical activity. Kids naturally wish to be energetic, you just need to create the environment. 3 Lack of sleep Growth hormone is dependant on sleep according to circadian rhythm. Tt is secreted during deep, slow-wave sleep (SWS), typically within the first few hours of sleep (roughly 11 p.m. to 2 a.m.). If the child isn’t sleeping at that time, the growth of the child will be hampered. It is common nowadays parents say that kids do not sleep at night. We have to create environment. If some family members are watching TV or mom is watching mobile in bed and expect kids to go and sleep. Early training helps, it does takes first year of infancy to develop the habit, but mostly after that it becomes settled. Family has to support the new mother. She cannot handle everything alone. the child needs to feel safe, and that will happen when mother is feeling safe and not panicked. First year post pregnancy is a vulnerable time for both mother and child. Family should take care, feed them well, and be supportive. 4. Ultra processed foods It is clearly understood, if children are filling on ultra-processed foods, they will not eat balanced meals and hence, will not have proper growth and development. Sometimes only homely meals are also not enough unless they are balanced. IF we keep giving home made fries, pakoras, tikkis, cheelas, laddues, cakes, biscuits prepared with lots of ghee, oil, butter we are still not giving balanced meals. Tummy would be full in such case, but the meals are still not healthy. Most families do not have habit of taking fruits, nuts and seeds, enough protein rich foods on daily basis. Mostly current family meal scenario is carboydrates and fats. Hence, whether junk is bought in packets or made at home, it’s still junk. Oats flour made cake still is sugary and needs a lot of fat. Why not nuts, dried fruits or fruits instead as a snack? Final Word All these are very challenging situations. In the current world scenario, it is easier to advice than follow. New parents need guidance. Take help, talk to qualified dietitian and help your kids reach genetic potential of growth.

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Child Nutrition, Gut-Health

Kids Gut Nutrition: Eat Smart Feel Better

Kids face multiple gut-health issues these days. Kids’ gut nutrition to eat smart and feel better is a very important phenomenon. An important consideration is that working parents find it difficult to manage a good schedule for kids, because Kids are kids. I recently got feedback from a working mother that discipline has actually made things easier for her and her 2 daughters (Age 2 and 9). 1. Kids are not born with Earth Schedules Yes, that’s the most challenging part. Working parents had a good schedule before kids were born. But an infant hasn’t adjusted to the circadian rhythm yet. Few wonder kids might have a good schedule from the beginning, mostly they do not. Firstly, make sure new parents get a lot of help; if the family isn’t living together, then hire help. That’s important if both parents are working. Even during the maternity leave. It actually takes a village to raise a child. If the parents are not panicked, it is easier to form schedules. Try to fix the sleep schedule by the end of the first year. Why is that important for gut-health? Let’s take the reverse situation. If a child doesn’t have a proper sleep schedule, they will sleep late and get up late. Bowel movement, breakfast, all will be late. Gut microflora starts changing that way and affects gut health. This might/ might not show a huge impact till the child starts going to school. For example, if the child clears bowel by 11 am and eats breakfast by 10 am, once school starts, the school timings will interfere with this schedule. Now the child will refuse to eat breakfast, might not eat tiffin too, and release bowel movements after coming home from school. Early schools are 1-2 hours, but this time gap increases with age. I have a 10-year-old client who releases his bowels around 9-10 am on holidays and after 3 pm on school days. So basically, he is avoiding voiding his bowels in school and holding till he returns home. That also makes him feel bloated, hence not willing to eat breakfast/tiffin. This is not one case; it is very regular among urban kids. Hence, try to make the child eat early dinner and sleep by 8:30pm-9pm. Make sure this habit is created before the schooling starts. Talk to elders/ friends/ therapists for help if you find this challenging. 1 tip would be to create a sleeping environment at the required time, tell the child songs/ stories, and they will fall asleep. If it’s a habit, there will be fewer deviations; if not, then deviations will be frequent. 2. They need to drink water By hook or by crook, you have to make them a habit of drinking water. You know your child, do whatever it takes to build that habit. Saam, daam, dand, bhed, anything. And please, it has to be water, not juice, not cola, not soups, & no milk, and lassi also does not suffice for water, tender coconut water or lemon water is still ok, and please no tea/ coffee at all. 1 tip, you drink water well, if parents have the habit, kids copy. How much water has to be given? For children 11 kg to 20 kg, the daily water requirement is 100 ml/kg for the first 10 kg and 50 ml/kg for every kg above 10 kg. For children above 20 kg, the fluid requirement is calculated as 1500ml for 20 kg and 20 ml/kg for every kg above 20 kg, but more than 2400ml of fluid should not be administered at once. Kids need fiber too! The common notion is, let them eat whatever they want, at least tummy is full. They will learn to eat healthily once they grow up. I have a friend who is in their late 20’s and had a baby recently. She said, “Meri habits to kharaab hai diet mei, mei baby ki achi daalungi” Now, since she didn’t ask for advice, I couldn’t give. But I am pretty sure the kids would also learn to eat noodles, & not salads. Final Word One can discuss a lot of points to guide kids’ gut health and nutrition. A blog is too small for the same. Connect with dietitian Anuradha and regular counselling sessions can help you fix the gut-issues.

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Weight Management

9 Ways to Break the Weight Loss Plateau

We live in the world of information, the Google world. Whatever question arises in our mind, we turn to Search engines. We often fail to check the fact that people who are writing these articles and posting on websites may not be qualified enough on the respective subject. We should break the weight loss plateau with genuine advice. Scientists who experiment on various questions of life are also never sure. In their research papers they write the shortcomings of the study, what can be other possibilities, etc. This is because, in any laboratory experiments, we can show absolute results. After all, we can make other factors constant. Meaning we can control temperature, atmosphere of the experimental area, can create vacuum too for the purpose. Although, when it comes to questions of life we cannot make other factors constant. Every human is different. We all live in different environments, weather, pollution level, families, cultures so on and so forth. Hence, when it comes to weight loss, there cannot be the same results for everyone. Due to different life situations, we reach a weight loss plateau earlier or later than others. Factors like our birth weight also matter. Uncontrollable factors in our lives make us different from each other. Hence, internet search cannot give solutions. So what can we do? 1. Take Professional advice from a qualified dietitian Remember Certified Dietitian may be a 2-month course. We must ask whether the person has at least a Master’s in Nutrition Science. A qualified dietitian can help us with different diet & lifestyle combinations, which may help in removing weight loss plateau. 2. Maintain a dairy diet dairy We might be making diet errors which we usually do not consider bad enough. Small pieces here and there. The concept of diet dairy can be an eye-opener. We must make sure to note down each bite we take. 3. Be active We workout hard for one hour and we feel it’s enough. Rest of the day we keep sitting or work in a sitting position. We must make sure to leave work for a while every hour or so, move around a bit, or stretch if possible. Use stairs, walk to the nearby stores, use public transport mostly, fetch your own glass of water, stroll post meals- these small steps will help in being active. 4. Different Individuals have different interests For exercise, one golden rule works. We must choose the one we like. In case we choose an exercise out of peer pressure or convenience, we may be bored out of it soon. If we do something that interests us, we will do it for life. 5. Take Rest We should give our muscles rest too. Keep one weekly day to rest. In case we are doing extensive workout since long time, we may change to shorter span with simpler exercises. 6. Never take fancy diets Our human system has been the same for years, in fact, the mammalian system. The liver still works the same way, eyes still see not hear, legs still walk not eat. Hence, we do not need fad diets which come and go. They may give some results momentarily but in the long run, may cause deficiencies. These deficiencies may cause multiple health issues including reaching the weight loss plateau fast. Deficiency of Vit-D, proteins, Vit B complex, etc. has been shown to cause plateau. 7. Low Carb/Protein/ Fats These never work. Our body needs energy to exercise and day to day work. And these are macronutrients for crying out loud. That means we require them much more than the exotic fruits and foods that we feel pride in eating.  We should be eating a small snack 20-30 min before exercise (in case doing it before breakfast), so that we have enough energy to work out. 8. Hormonal imbalance Sometimes any hormonal problem like PCOS, Thyroid, etc. can be the underlying cause. We must take medical help when required. Hormonal imbalance can be caused by poor lifestyle habits. Do you know, that the Scientist who won the Nobel Prize in 2017 in the medicine category won for his work on Circadian Rhythm? As per Wikipedia, “Circadian rhythms are regulated by a circadian clock whose primary function is to rhythmically coordinate biological processes so they occur at the correct time to maximize the fitness of an individual.” Light and dark influence these rhythms the most. So basically, we have to eat and sleep on time. If we do not follow such patterns the imbalances occur, causing plateau. 9. Weighing Machine Let us not emphasize too much on how much we weigh. It is a good practice to check your weight every week or month. Still, we must not be over-conscious about it. We must emphasize a healthy life more than what we weigh. A healthy lifestyle may show slow results but they will be long-term results. Being consistent is the key, following healthy patterns sometimes, and cheating sometimes does not help. What helps is regularly following: ● Balanced diet ● Good Water Intake ● Regular exercise ● Good Sleep Pattern ● De-stress, in today’s concern, de-screen too. DO NOT CHEAT A healthy lifestyle doesn’t give scope to cheat. That is because a small portion of a favourite meal can be included in a healthy lifestyle. Once we are sure we follow a healthy lifestyle daily, we can adjust a small portion of chole bhature/ bhaja sometimes. If we emphasise too much on results, we forget to “Enjoy the journey”

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Child Nutrition, Diabetes, Thyroid, & Other Hormonal Issues

Type 1 Diabetes Diet for Kids: Indian Meal Plans for Stable Blood Sugar (2026 Guide)

Introduction Managing type 1 diabetes in kids doesn’t mean boring meals—think dal-chawal with a smart twist! As a Kolkata-based dietitian, I’ve helped families stabilise blood sugar using everyday Indian foods. We have to understand Type 1 diabetes is totally insulin-dependent. Meaning the child’s pancreas aren’t able to make insulin at all. What Does Type 1 Diabetes Mean? When our body works fine our brain is in charge of Insulin. When we need energy, our cells inform the brain. The brain signals food sources or storage sources to send glucose (sugar) and pancreas for insulin. Actually, insulin is like a key. When energy reaches the door of the cell, the insulin key opens the cell door for it to let the glucose molecule enter the cell. When a child has type 1 diabetes, the pancreas does not make and send insulin to the cells. So, the lock on the cell door doesn’t open, and glucose doesn’t enter the cell to provide energy. The cell doesn’t know a glucose molecule is waiting at the door, and insulin is absent. It keeps sending signals to the brain, not having received glucose. Now the brain also doesn’t come to know the absence of insulin. So it keeps sending glucose from various sources first, then storage, and when that ends, it breaks down protein stores and converts them into glucose and keeps sending glucose. Once protein sources are exhausted, the brain starts using fat stores to convert into glucose. When the fats keep converting into glucose in this uncontrolled fashion, it leads to ketoacidosis, the classic symptom of type 1 diabetes. Since the absence of insulin was the actual problem in the first place, once it is provided through injection (or nowadays inhalers have also come, please talk to your endocrinologist regarding use), the usage of energy starts functioning systematically. Why is Type 1 Diabetes Diet Important? In the above explaination it is clear that now the control of insulin is not with the child’s brain anymore since the pancreas is not making it. Now the insulin is controlled by the endocrinologist’s brain, and they plan the doses according to height, weight, and age of the child. Although very intelligent, but the brain is now external to the child’s body. In a person whose pancreas functions normally, every time a person eats, the insulin production can manage the energy utilisation. Excess energy is stored in the liver and adipose tissue; everything works in a proper cycle. In a child with type 1 diabetes, this cycle is broken, hence the diet has to be planned according to the insulin doses designed by the medical practitioner. If we believe insulin is being given so the child can eat the way it pleases, that can be very detrimental to health. Frequent fluctuations, and as explained, ketoacidosis can occur. Is Type 1 Diabetes Scary? Unmanaged type 1 diabetes is scary and can be life-threatening. Well-Managed type 1 diabetes with diet, medical monitoring, and proper lifestyle surely gives the child a normal childhood and a healthy, long life. At OPD, we get questions like, ” Will my daughter live through, can she marry, have children, & lead a normal life?” I know these questions are coming from the bias of Indian society, but still, the answer is yes, Both Sons and daughters can marry and live a healthy married life with type 1 diabetes. The condition is regular medical monitoring, diet management and a good lifestyle. In today’s world, when chronic diseases are on the rise, these are essential for any person for a healthy, long life, otherwise even without Type 1 diabetes, people do suffer. What is Type 1 Diabetic Diet? The most important thing to understand is that every food coming from plant or dairy sources has carbohydrates. Some have more, some have less. Also, carbohydrates directly increase sugar levels. This is because, when brain signals sending of glucose, readily available carbohydrates are the first & fastest choice for the body to release glucose, as long as they are avilable body doesn’t use any other source. Earlier, a concept was created around this information, glycemic index values were given to the foods according to the ability to increase glucose in our bloodstream. People were advised to avoid high Glycemic index foods, restrict moderate ones and include low ones. But this system still didn’t regulate blood sugar levels. Why so? Even if we take low glycemic index foods only, but take too many servings together, the total of carbohydrate content in the meal increases sugar levels. Carbohydrate Counting As discussed, all dairy and plant source foods have carbohydrates, so we must count the carbohydrates in each meal. Each food group has a different amount of carbohydrate on an average basis. E.g. dairy has 12 gm carbohydrate per serving, cereal has 21-22 gm, pulses and legumes have 15 gm, fruits have varied and so on. A qualified dietitian can help you understand serving sizes for your child and carbohydrate counting so that you can efficiently balance glucose and insulin doses. Diet & Lifestyle for Type 1 Diabetes Apart from carbohydrate counting, we must ensure few more things: Final Word One can manage type 1 diabetes and lead a long, healthy life. Take help. It is a medical condition. Please do not go after quackery; so-n-so will reverse Type 1 diabetes. No, it won’t. One organ is not functioning; no quackery can make it work. Connect with me for detailed and personalised Diet plan and counseling. We will together monitor the child and learn the concepts for few months, then you will be tension free for life.

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Child Nutrition

Picky Eater Kids

Parents face challenges in feeding kids. General myth is Picky eating is a common problem in today’s world. But that’s not true. Picky eating has been challenging in previous generations too. Haven’t you faced old age people in your family who are stubborn on how they want their meal to be? The challenge here arises that now there are less helicopter moms who can keep running around the house to feed kids. They have careers and they have less time to deal with the tantrums. Oh no, I am not saying you give up on your career. Absolutely not. A working mom will set a good example for their kids and kids also get to become more self-reliant. That is a beautiful form of parenting.  Kids One gets a lot of advice from family & friends, they see a lot of information but most solutions seem to be increasing a mother’s work. Let’s discuss a few pointers that might actually help for toddlers and younger kids.  What does an infant do with any object given to it? Takes in the mouth. Of course, we can’t allow the child to consume that is unhealthy, but if it’s a clean toy, or cloth, or something which it cannot choke on, or a dirty object let them chew. Even if we are removing any object, try doing it with methods which are not instinctive reactions. Tough job, but the infant is learning from your reactions, so we must practice to control them.  Every person is born with some Taste Preferences Research has shown if a mom has happily eaten a balanced diet during her pregnancy and accepted most tastes and textures there is a high chance the child will also be acceptable to most.  The Child is observing the Environment If you make excuses, the child will too. If you say, “Mujhe to doctor ne mana kiya hai”, the child will use the same excuse on your face. Although you know it’s a lie, it’s so cute that you smile and let it go. But as the child grows they learn what excuses will work.  They will also learn Tantrums When you feel the child is more rested, tell them why they are not allowed a certain food and why you want them to eat a healthy meal.   Praise everyday food Do not make the child sit and eat an entire meal in 2 hours Let them eat with their own hands Don’t make fancy dishes frequently But let’s get real. You are working, you don’t have so much time everyday. If the child learns that special meals will be prepared for them on a regular basis, it will be a big trouble, and no they will not learn to eat roti-sabji-dal-chawal-dahi-salad of you constantly give snacks made from the same ingredients with more colour and shape. Do not give special treatment, make them habituated to eat what is being prepared for the family. That’s the only way they will learn to eat family based meals and also will not increase your work.   Occasional pampering for rewarding them is ok though. These are pointers for kids below 12 years of age, starting from weaning. Parents who take counselings with me have commented that these points in addition to all the discussions we have during counselings, have not only helped the kids but also have eased work for working parents.  Teenagers are Different But teenagers are different. The challenges that we face with teenagers are not always taste but are influenced by society, friends, cousins, social media. Few pointers for Teenagers:  Once the child is a teenager, we need to become “friendly parents”. Not exactly friends, as our role is still to help them make sensible decisions, but in more of a friendly manner.  In that case, there is a chance they will be less influenced and listen to their parents more. Psychology says, boys have more inclinations towards mothers and girls towards fathers, so use this information to your advantage.   Let them hate you sometimes. I am not saying hit them, that will scar your relationship for life. But be firm on your rightful decisions.  Sometimes, the child can actually be right. Maybe they want a recipe which is influenced but is actually healthy. But you weren’t aware of it. Accept when you are wrong. Say sorry, build trust. That goes a long way in building faith in parent-child relationships.  Good news, they are big enough to cook. Make them prepare. In fact, we should make them used to household work.  We have to understand, our helping maids are making their kids educated, our kids might not get the same facilities. If they aren’t self-reliant, it might become challenging for them.  Final Word These are a few generalised points. This is a topic on which a book can be written. Every family, child, parent has their own challenges. You are most welcome to book your personal session with Dietitian Anuradha. Click on Contact us. 

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Article, Heart Health and Blood Pressure

How a Dietitian Can Help You Manage Cholesterol Levels Effectively

High LDL cholesterol has become one of the most common ways of life in India nowadays. There is an upward push in sedentary habits, strain, and a weight-reduction plan high in refined foods and saturated fat. This keeps wholesome cholesterol levels, which has become a task for plenty. While medicines can assist, a balanced weight loss plan remains the cornerstone of cholesterol management. This is where a certified dietitian plays a critical role. A dietitian now not only helps you understand what to eat but also creates a practical, sustainable plan. It is tailored to your possibilities, lifestyle, and scientific records. Let us explore how a dietitian can guide you to manipulate cholesterol levels efficiently — using acquainted, healthy Indian food. 1. Understanding Cholesterol the Right Way Before jumping into food alternatives, a dietitian enables you to understand the distinction between “proper” (HDL) and “terrible” (LDL) cholesterol. HDL allows clear excess cholesterol out of your bloodstream, whilst LDL can deposit cholesterol in your arteries, increasing the chance of heart disease. Many human beings accept as true that averting fat altogether is the key, but that is a delusion. A dietitian courses you in identifying fats that support heart health, together with those determined in nuts, seeds, and cold-pressed oils, and spotting fat to limit, including butter, processed ingredients, and fried gadgets. 2. Designing a Personalized Vegetarian Meal Plan If you need, I also can extend this segment with sensible examples of customized vegetarian meal plans inside the identical easy, humanized fashion. 3. Encouraging the Right Types of Fats: A dietitian is not going to eliminate fats, but rather support you in selecting heart-healthy fats. These might include: Incorporating those properly-overweight assets into your daily food regimen can certainly enhance HDL (appropriate cholesterol) and decrease LDL (bad cholesterol), selling a more potent and more healthy coronary heart. 4. Boosting fiber Naturally with Indian Foods fiber plays an essential role in lowering LDL cholesterol by binding with it inside the digestive machine and lowering its absorption into the bloodstream. A dietitian can manual you in which includes the right sources of fiber out of your ordinary Indian food plan. Some exquisite alternatives encompass: 5. Balancing Portions and Optimizing Meal Timing: Portion management is a key element of managing LDL cholesterol efficiently. Even healthy meals can be counterproductive when eaten in large quantities. A dietitian enables you to recognize how much your frame virtually desires and how to distribute food during the day to keep away from overeating. Simple practices that include choosing lighter dinners — e.g., a bowl of vegetable Dalia, or veg-khichdi, idli+ veg sambhar, rice+veg-kadhi. Include salad/ soup, or 3-course soups ~ winter delights — can prevent extra calorie intake at night. Maintaining a constant ingestion sample additionally makes a difference. We should be finishing dinner at least 2-3 hours earlier than bedtime. Also, fending off past due-night time munching permits your body to process food better and helps balance levels of cholesterol. 6. Recommending Healthy Cooking Methods Indian cooking regularly includes deep-frying, however a dietitian let you adopt healthier techniques without compromising taste: Small modifications like those can have a big effect on your coronary heart fitness through the years. 7. Adding Functional Foods and Spices. Indian kitchens are wealthy in natural elements that assist healthy levels of cholesterol. A dietitian can guide you on how to consist of them in your day by day food: Incorporating those substances into your daily food provides taste, variety and also supports a heart-healthy food plan. Every meal can be a step in the direction of better health! 8. Providing Continuous Monitoring and Motivation Managing cholesterol is not a one-time effort — it is a way of life. A dietitian monitors your progress through follow-up consultations, allows you to interpret your blood reports, and makes changes when needed. They also encourage you to stay regular with dietary and lifestyle conduct like walking, yoga, and hydration. Conclusion Dietitian Anuradha does not simply provide you with a diet chart. She empowers you to construct a protracted-time period, heart-healthy relationship with food. Achieve this by using traditional Indian ingredients accurately, balancing your food, and making clever lifestyle choices. You can successfully manipulate low cholesterol and enjoy better basic fitness. With Dietitian Anuradha, you will be equipped to take care of your cholesterol levels certainly and sustainably.

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Article, Women Health Nutrition

How to Plan Your Wedding Weight Loss Diet Effectively

Organizing a wedding is among the most thrilling and emotional experiences one can undertake. Selecting the appropriate venues, vendors, and guest list is crucial, as both the bride and groom aspire to look and feel their best on this significant occasion. A primary objective? To shed a few kilos in a healthy and sustainable manner. If you are curious about how to effectively plan a weight loss diet for your wedding, the solution lies not in fad diets or leftover meals, but in providing your body with wholesome, balanced, and locally sourced foods. As a dietitian based in Kolkata, I have assisted numerous clients in preparing for their wedding day. When you walk down the aisle, you will have a comprehensive guide to achieve your ideal shape and ensure you feel confident, energetic, and radiant. 1. Establish realistic weight loss objectives Take a moment to clarify your intentions before diving into meal plans and workout routines. A healthy rate of weight loss typically ranges from 0.5 to 1 kg per week. Therefore, if you have three months leading up to your wedding, aiming to lose 5-8 kg is both achievable and safe. Steer clear of crash diets that promise quick results, as they can leave you feeling weak, lethargic, and fatigued. 2. Recognize your body’s requirements Nutritional needs vary significantly depending on factors such as age, current weight, lifestyle, and health status. Also, you don’t want to loose the glow for your wedding. A personalized approach is always preferable to mimicking a diet found online. In Kolkata, Dietitian Anuradha Sharma, seeking advice from a qualified dietitian can assist in customizing your diet to suit your body type, daily routine, and timeline. 3. Select appropriate foods – Prioritize local and seasonal options The most effective diet for your wedding does not necessitate imported ingredients or extravagant supplements. Believe it or not, the key to a healthy lifestyle is already available in your kitchen. Include: Complex carbohydrates: Rice, poha, oats, millets (including millet, jowar, ragi), and whole wheat bread offer sustained energy. Lean protein: moong dal, lentils, rajma, gram, cheese, curd, eggs, and lean cuts of chicken or fish (for non-vegetarians). Healthy fats: Incorporate mustard oil, coconut, peanuts, and ghee in moderation. Steer clear of refined oils. Fruits and greens: Ensure that at least half of your plate is filled with fresh produce—nutritious leafy vegetables such as spinach, methi, or bathua, along with seasonal fruits like guava, papaya, apples, or berries for essential nutrients, minerals, and fiber. Hydration: Begin your day with warm water mixed with Jera water or lemon. Herbal teas such as basil or ginger tea aid in enhancing metabolism. Avoid: Refrain from consuming: Deep-fried snacks (such as samosas and pakoras) Additional Chinese items (including maida, sweets, and sugar chai) Excessive amounts of white rice Refined flour products (maida-based items like naan, biscuits, and bakery goods) Carbonated beverages and packaged juices Also avoid Fad diets 4. Practice mindful eating and portion control Regardless of how nutritious your food choices may be, consuming large portions can still lead to weight gain. Utilize smaller plates to help manage portion sizes. Chew your food slowly and minimize distractions, such as screens, while eating. Adhere to the 80-20 principle: Stop eating when you feel 80% full. Avoid having late dinners; aim to complete your last meal by 8 PM. 5. Organize a meal in accordance with your program Preparing for your wedding will keep you occupied, but consuming food at irregular times can interfere with your metabolism. Adhere to three balanced meals and two light snacks. Example food plan for wedding weight loss: Early morning: hot water with lemon or soaked fenugreek seeds + nuts and seeds  Breakfast: Plain Dosa + 1 Fruit with Vegetable Upma / Moong Cheela / Coconut Chutney + add milk/ sprouts/ sattu for protein Mid-morning: coconut water + fruits Lunch: 1-2 rotis, a portion of vegetable lentils/ curd paneer, a small amount of rice, and salad Evening Snack: Lemon and Chaat Masala with Roasted Chana / chana zor garam chaat/ peanuts/ sprouts chaat Dinner: A bowl of lentil/ bean soup accompanied by light khichdi or stir-fried vegetables + corn 6. Do not overlook physical activity Although diet is crucial, physical movement aids in accelerating metabolism and enhancing your mood. An expensive gym membership is not necessary. A daily 45-minute session of walking, yoga, or dancing can suffice to burn calories and alleviate stress. 7. Beauty Sleep and stress management considerations The wedding planning process can be stressful, leading to emotional eating or sleepless nights—both of which can impact your weight. Aim for at least 7-8 hours of quality sleep and incorporate deep breathing exercises, meditation, and music therapy into your routine. 8. Maintain consistency and monitor your progress Weigh yourself weekly rather than daily. Take progress photographs and measure your body every 2-3 weeks. Celebrate small victories – feel better or more energetic in your attire. 9. Be cautious of “rapid results” Refrain from endorsing detox teas, weight loss pills, or starvation diets online. While these may yield temporary outcomes, they can lead to swelling, hair loss, and fatigue – conditions you certainly wish to avoid before your significant day! Final thoughts The objective of a wedding weight loss plan extends beyond merely looking attractive in photographs. As you embark on a new phase of life, it is about feeling confident, robust, and vibrant. With appropriate nutrition, a touch of discipline, and the guidance of a professional, you can attain your ideal physique without jeopardizing your health. If you are unsure where to begin or require a tailored plan that aligns with your schedule, preferences, and body type, seek advice from a certified dietitian in Kolkata. You deserve to feel your best, not only on your wedding day, but every day.

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