To Health, Nutrition, and Diabetes Indian Foods - American
96
© American Association of Physicians of Indian Origin Photographs by Amish Thakkar; Cover page designed by Ranjita Misra To Health, Nutrition, and Diabetes Indian Foods: AAPI’s Guide
Transcript of To Health, Nutrition, and Diabetes Indian Foods - American
Indian Foods: AAPI’s Guide
© American Association of Physicians of Indian Origin Photographs by Amish Thakkar; Cover page designed by Ranjita Misra
Indian Foods: AAPI’s Guide To Nutrition, Health and Diabetes
By
The Subcommittee of the Public Health Committee of AAPI
Nirmala Abraham Theja Mahalingaiah
Padmini Balagopal Suraj Mathema
Rita (Shah) Batheja Ranjita Misra
Nimesh Bhargava Chhaya Patel
Sharmila Chatterjee Sudha Raj
Keya Deshpande Nirmala Ramasubramanian
Madhu Gadia Janaki Sengupta
Karmeen Kulkarni Geeta Sikand
Allied Publishers Private Limited New Delhi l Mumbai l Kolkata l Chennai l Nagpur
Ahmedabad l Bangalore l Hyderabad l Lucknow
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@,&0!LM!?33%33+2'!N-6&!=+3>!According to the NHLBI guidelines, assessment of excess weight involves using three key measures:
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The BMI is a measure of your weight relative to your height and waist circumference measures abdominal fat. Combining these with information about your additional risk factors yields your risk for developing obesity-associated diseases.
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What is Your Risk?##
1. Body Mass Index (BMI)#BMI is a reliable indicator of total body fat, which is related to the risk of disease and death. The score is valid for both men and women but it does have some limits. The limits are:#
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Use the BMI calculator <http://www.nhlbisupport.com/bmi/bmicalc.htm> or tables to estimate your total body fat. The BMI score in the following shows how to rate the weight status. FOR INDIANS Normal BMI is <23
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2. Waist Circumference#
Determine your waist circumference by placing a measuring tape snugly around your waist. It is a good indicator of your abdominal fat (another predictor of your risk for developing risk factors for heart disease and other diseases). This risk increases with a waist measurement of over 40 inches in men and over 35 inches in women #
The table, Risks of Obesity-Associated Diseases by BMI and Waist Circumference, <bmi_dis.htm> provides you with an idea of whether your BMI combined with your waist circumference increases your risk for developing obesity associated diseases or conditions.#
3. Other Risk Factors#
Besides being overweight or obese, there are additional risk factors to consider.
Risk Factors
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4. Assessment#
For people who are considered obese (BMI greater than or equal to 30) or those who are
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overweight (BMI of 25 to 29.9) and have two or more risk factors, the guidelines recommend weight loss. Even a small weight loss (just 10 percent of your current weight) will help to lower your risk of developing diseases associated with obesity. Patients who are overweight, but do not have a high waist measurement, and have less than 2 risk factors may need to prevent further weight gain rather than lose weight.##
Talk to your doctor to see if you are at an increased risk and if you should lose weight. Your doctor will evaluate your BMI, waist measurement, and other risk factor for heart disease. People who are overweight or obese have a greater chance of developing high blood pressure, high blood cholesterol or other lipid disorders, type 2 diabetes, heart disease, stroke, and certain cancers. Even a small weight loss (just 10 percent less than current weight) will help to lower the risk of developing those diseases.
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EXCHANGE LISTS FOR INDIANS WITH DIABETES
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• D*(#&4+,0,4#,-42#&;)(1#)&46%-7#),#2,31#802*%+%&-#
Some other factors that can affect Health • :-+43.(#&)#4(&*)#WX#75*9#,;#;%'(1#(>(12.&29#Y0,4(#71&%-*C#'(&-*#Z#>(7()&'4(*#&1(#1%+0#*,31+(*##• B&-2#[;&*)E#;,,.*#&1(#0%70#%-#;&)C#*&4)#&-.\,1#*37&19#Q%5%)#,1#&>,%.#;1(T3(-)#3*(#,;#*3+0#;,,.*##• :;#2,3#0&>(#0%70#'4,,.#81(**31(C#1(*)1%+)#)0(#3*(#,;#*&4)C#*&4)2#;,,.*#4%6(#1(734&1#+0%8*#&-.#8%+64(*##• G&46#),#2,31#802*%+%&-#&',3)#2,31#534)%@>%)&5%-#&-.#534)%@5%-(1&4#*3884(5(-)*9#• ]&>(#,3)%-(#+0(+6@38#'4,,.#4%8%.#4(>(4*9#
DIABETES CAN BE MANAGED! TAKE CONTROL! YOU CAN DO IT!!
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What Can I Eat To Manage My Diabetes? ?'&/@* 7$.'<A1*B'(/@*
5'0$%)/1CB'<@* D%/1/"(*E/):2(@*
K,,.*#;1,5#.%;;(1(-)#*,31+(*#+&-#'(#+,5'%-(.#),#5&6(#38#&#'&4&-+(.#5(&49#N,31#8(1*,-&4#5(&4#84&-#*0,34.#'(#.(*%7-(.#),#*3%)#2,31#4%;(*)24(9#N,31#5(&4#84&-#/%44#*377(*)#*(1>%-7*#,;#(&+0#;,,.#71,38#&)#(>(12#5(&49#G0(#.%;;(1(-)#;,,.#71,38*#&-.#(J&584(*#,;#,-(#*(1>%-7#%-#(&+0#;,,.#71,38#&1(#&*#;,44,/*^#?V4(&*(#-,)(#)0&)#>&43(*#&1(#&881,J%5&)(A
FG* GRAINS/BEANS/STARCHY VEGETABLES###H9)(2$-(*'../.*#'(1*$%*$)01I@#_`#*(1>%-7#*3884%(*#&',3)#`a#75*#b]cC#"#75*#81,)(%-#&-.#UX#+&4,1%(*d#M1(&.^#`#*4%+(# O,,60%#b0&88&)0%^#`@!S#/%.(#
e%+(^# 13 #+38# Y0(&)C#b,1-C#c&)*C#V,)&),^#f#+9#?+6.A#
V,8+,1-^#"#+38*# g1((-#V4&%-)&%-\V(&*^#f#+38#
=>%&4^#f#+38# V,0&^#f#+38#
O&5'&1^#f#+38# M(&-*\Q(735(*^#f#+38#?`WX#+&49A#
b,,6(.#-,,.4(*\*,,h%^#f#+38# :.4%^#`####F&&-^#i#USjWS#
e%+(#;4,31^#W#G'*89## Y0(&)#;4,31^#W#f##G'*8#
2. MEAT & MEAT ALTERNATIVES — VERY LEAN
# _`#*(1>%-7#*3884%(*#k#75*#81,)(%-C#X@`#75*#;&)#&-.#"a#+&4,1%(*d#b0%+6(-C#)316(2#?*6%-4(**#/0%)(#5(&)A^#`#,H#G3-&#%-#/&)(1C#;4,3-.(1^#`#,H# Q,/@;&)#+0((*(^#`#,H#
l77#/0%)(*#,-42^#W# $0&4m^f#+38#?+,,6(.A#
O01%58#?V1&/-*A^#`#,H# m?&4*,#*3884%(*#`a#75*#b]c## Q,/@;&)#G,;3^#"#,H# &-.#`WX#+&4,1%(*#&881,J%5&)(42A#
MEAT & MEAT ALTERNATIVES — LEAN
_`#*(1>%-7#*3884%(*#k#75*#81,)(%-C#"#75*#;&)#&-.#aa#+&4,1%(*d#b0%+6(-C#)316(2#?*6%-4(**#.&16#5(&)A^#`#,H#G3-&#%-#,%4^#`#,H# Q(&-#4&5'C#8,16C#'((;^#`#,H#e(734&1#+,))&7(#+0((*(^#`\I#+38#b0((*(*#/%)0#"#75*#;&)#,1#4(**^#`#,H#
MEAT & MEAT ALTERNATIVES — MEDIUM FAT _`#*(1>%-7#*3884%(*#k#75*#81,)(%-C#a#75*#;&)#&-.#ka#+&4,1%(*d#l77#^#`# K1%(.#;%*0#81,.3+)#^#`#,H#e%+,))&#+0((*(#^#i#+38# Q&5'#?1%'#1,&*)C#71,3-.A^#`#,H#
G,;3^#I#,H###########G(58(0^#i#+38# O,2#5%46^#`#+38#
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MEAT & MEAT ALTERANTIVES —HIGH FAT
_`#*(1>%-7#*3884%(*#k#75*#81,)(%-C#U#75*#;&)#&-.#`XX#+&4,1%(*d#e(734&1#+0((*(^#`#,H# b0%+6(-\)316(2#0,)#.,7^#`#?`X\4'A#V(&-3)#'3))(1^#`#,H#?n#`#;&)#(J+0&-7(A#O&3*&7(^#`#,H# `o#V&-((1^#`#,H#
3. VEGETABLES (no fat added)
_`#*(1>%-7#*3884%(*#a#75*#b]c#&-.#W#75*#81,)(%-#&-.#Wa#+&4,1%(*d#
g1((-*^#K(-371((6#4(&>(*#f#+389#g1((-#'(&-*^#f#+38#
b&''&7(#b&34%;4,/(1^#f#+38# g,31.*^#f#+38#
M1%-h&4^#f#+38##G,5&),^#f##+38# b+&8*%+35^#f#+38#
Y0%)(#1&.%*0C#+0,/@+0,/C#`\W#+38C##.135*)%+6C#,61&^#f#+38#
O&4&.#@#`#+38#
4. FRUITS (Serving size varies)
_`#*(1>%-7#*3884%(*#`a#75*#b]c#!X#+&4,1%(*d#
M&-&-&^#f#+38# =884(C#c1&-7(^#`#?*5&44A#
######Q&17(#V(&1##f# B(4,-*^#`#+38#
B&-7,^#f#+38# K1(*0#73&>&^#f#+38#
#b&--(.#;13%)^#f#*5&44#
5. MILK AND MILK PRODUCTS
_`#*(1>%-7#*3884%(*#`W#75*#g]cC#U#75*#81,)(%-p#`<a#75*#;&)p##qX@`aX#+&4,1%(*d#Y0,4(\*6%55(.\4,/#;&)#5%46^#`#+38##
# #M3))(15%46#&-.#+31.*#?),-(*#,1#/0,4(A^#`#+38#`o#V&-((1^#`#,H#
6. FATS and OILS
_`#*(1>%-7#*3884%(*#a#75*#,;#;&)#&-.#Ia#+&4,1%(*d#b,,6%-7#,%4^#`#G*89#b,+3-3)C#71&)(.^#W#G'*89##F3)*#,1#*((.*^#`#G'*89#B&17&1%-(^#`#G*89#
mG12#),#3*(#3-*&)31&)(.#,%4*#4%6(#,4%>(#,%4#%-*)(&.#,;#*&)31&)(.#;&)*#4%6(#'3))(19###&-.#70((9#=>,%.#;1(T3(-)#3*(#,;#;1%(.#;,,.*#mL((8#,%4*C#*&4)#&-.#*37&1#3*(#),#%-%535#=.&8)(.#;1,5#lJ+0&-7(#Q%*)#;,1#B(&4#V4&--%-7#?`qqaA#&-.#)0(#l)0-%+#O(1%(*#,-#)0(#:-.%&-@V&6%*)&-%#b3%*%-(#'2#=5(1%+&-#$%()#=**,+%&)%,-#&-.#=5(1%+&-#$%&'()(*#=**,+%&)%,-#?`qq!Ap#B,.(1-#F3)1%)%,-#%-#](&4)0#Z#$%*(&*(C#r:::)0#l.9##l.9#M2#O0%4*C#B9c4*,-C#s9=9#Z#O0%6(C##B9#Q(&#Z#K('%7(1#b,9?`qqIA#
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What Can I Eat To Manage My Diabetes? !"#$%&'()$"*'".*,-)./0)"/1*$"*(2/*31)'"4!".)'"*5-)1)"/*
_!"#$%#&'%(#)*+,#+,%#,%-.#"/#0"&1#.,0'*2*34#34(#(*%+*+*34d##
A sample format for an Individualized Meal Plan as per Your Physician and Dietitian
N,7&\lJ(1+%*(^# G%5(^#c)0(1#1(734&)(.#1,3)%-(*^# G%5(^#
B(&4\K,,.#g1,38# O(1>%-7*# b]cm#?75*A# V1,)(%-#
?75*A# K&)#?75*A# b&4,1%(*#
M1(&6;&*)# # # # # #
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B%.@5,1-%-7# # # # # #
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Q3-+0# # # # # #
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B%.@=;)(1-,,-# # # # # #
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$%--(1# # # # # #
# # # # # #
# # # # # #
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F%70)#O-&+6# # # # # #
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mb]c#t#b&1',02.1&)(p#75*#t#g1&5*p##,H9t#,3-+(p#)*8#t#)(&*8,,-p#G'*8#t#G&'4(*8,,-p#WU@"X75*#t#`#,H9C#U#,H#t#`#+38p#"#)*8#t#`G'*8p#W#G'*8#t#`#XHp#+6.#t#+,,6(.9#
#50# # # 6%7*%)%(##$0#Y&0%.&#L&15&442#BO9#e$9#b$l#V&.5%-%#M&4&7,8&4C#BO9#M9l.9#e$9#b$l# # L&15((-#L346&1-%#BO9#e$9b$l#
YknIkv ¢UTkkv SSSSSm`]roQgm`]roQgm`]roQgm`]roQgm`]roQg Aùkv lTkZkglÇkP Aù@Tkv Avù l\kZkv ‘Zkk BkkTkk Fkklc.?.l#kZkTk .^kg Xkk@PmZk XkkvHkTk Avù Wkk@v Ykx bkoFkTkk.f .^kg lTkRvr#k
(¢UTkv Mk‘K@ Zkk XkkvHkTk AùPkr U@kYk#kr Aùm bk\kkc bkv \kx)• S>m`]roQ>g #k@m@ Aùm ^kc ¢^kbQkk cwä HkWk #k@m@ ¢UTkm Hkê@P Avù ¢Tknbkk@ £Tbknl\kTk
PwZkk@ Tk Aù@ {ÉÉxÉÉ ckv! BkkZkv cn. XkkvHkTk bkv #knCk@ (#k@Aù@k) Aùkv lTkAùk\kä C\koAùkvHki bkv #k@m@Aùkv PkAùP ÉkRkTk Aù@Tkv Avù l\k. £Tbknl\kTk Aùm ¢k^k#ZkAùPk ckvPm cw‹ £Tbknl\kTk ¢kw@ @‘PYkx C\knAùkvHki Aùk ¢Ck@ LmAù bkTPn\kTk Tk ckv Pkvä ck£U@C\kk£rbkmlYkZkk (HZkkRk #knCk@) Zkkck£UkvC\kk£r bkmlYkZkk (AùYk ¤±ÉbÂ÷ M±ÉÚEòÉäºÉ) ckv HkkPm cw‹
• BkkvHk bkv Zkc bkklWkP ckv FknAùk cw lAù ¢kfBkkxä CknRkv‰ä @‘P^kklclTkZkkx Ykx ckvTkv ^kk\km PAù\kmVúkx(WkmYkkl@Zkkx) bkv WkFkTkv Avù l\k. @‘P Ykx #knCk@ (#k@Aù@k) Aùm lTkZkglÇkP YkkÇkk Aùk ckvTkk¢k^k#ZkAù cw‹
• Mk‘K@ Avù U@kYk#kr bkvä S>m`]roQ>g PQkk W\kM C\knAùkvHki \kv^k\k Aùkvä lTkSkkrl@P XkkvHkTk ´ªÉÊHò+ÉvÉÉÎ{iÉ näùJÉå ÊSÉjÉ XkkvHkTk ^ZkkZkkYk PQkk R^kk£Zkkf RvAù@ lTkZkglÇkP lAùZkk Hkk bkAùPk cw‹
• XkkvHkTk Ykx lXkÆkPkä Avù\k@mHki Aùm YkkÇkk lRTkFkZkkr PQkk #k@m@ Aùk ^kHkiTkä ¢kUAvù #k@m@ YkxC\knAùkvHki \kv^k\k Aùkv ÉkXkkl^kP Aù@Pv cy‹ AùkWkkvrck£M}vK Zkn‘P XkkvHkTk W\kM C\knAùkvHki Aùkv WkNjkPv cy‹ SɤÉÔ PQkk ÉkkvKmTk Aùk¢lSkAù bkv^kTk Xkm #k@m@ Avù ^kHkiTk Aùkv WkNjkPk cw‹
• S>m`]roQ>g Aùv ¤Pk@ FkNjk^k Aùkv bkYkIkTkv Avù l\k. ÉklPlRTk BkkZkk cn¢k XkkvHkTk PQkk C\knAùkvHki \kv^k\k Aùkv TkkvK Aù@TkkFkklc.‹
• ¢UTkv Mk‘K@ Avù U@kYk#kr bkv ¢UTkm lRTkFkZkkr Ykx ^ZkkZkkYk Aùkv ¢UTkm lRTkFkZkkr Aùk lcbbkk WkTkkTkk Fkklc.‹• ¢UTkv XkkvHkTk U@kYk#krAùPkr Aùm bk\kkc bkv l^klXkÆk ÉkAùk@ Avù XkkvHkTk P’^kkx Aùm HkkTkAùk@m WkNjkTkm Fkklc.‹XkkvHkTk Aùkv PwZkk@ Aù@Tkv ¢kw@ UAùkTkv Avù NgCk• æ^Zkkx Aùkv ¢gAnùl@P Aù@Tkv bkv ¤TkAùm UkwlìAùPk WkNj HkkPm cw‹ P@c-P@c Aùm Rk\kkx Aùkv ¢gAnùl@P êU Ykx RvBk Aù@ YkTk
¢kTk†TRP ckvPk cw!• bk†WHkZkkx Aùkv AùYk UkTkm Ykx SɤÉﻃ UAùkTkk Fkklc.‹ Fkk^k\k PQkk bk†WHkZkkx Aùkv UAùkPv bkYkZk ¤TkAùk UkTkm Tkc{ VvúAùTkk
Fkklc.‹• ¢lSkAù ^kbkkZkn‘Pä TkYkAùmTkä VúkbK VnúMä PQkk HZkkRk ÉkkvbkvbK XkkvHkTk Aùk AùYk bkv AùYk ¤UZkkvCk
Aù@Tkk Fkklc.‹• lTkSkkrl@P bkYkZk U@ QkkvMjk-QkkvMjk Aù@Avù Aù£r Wkk@ BkkTkk Fkklc.‹¢lSkAù YkkÇkk Ykx UvZk URkQkr ¢kw@ #kná Hk\k Ê{ɪÉå• lRTk Ykx AùYk bkv AùYk G: bkv ¢kL lCk\kkbk UvZk Hk\kÖUkTkm UmTkk Fkklc.‹ bkkRk UkTkm bkWkbkv ¢FGk
@cPk cw‹ FkkZkä AùktVúm PQkk AvùVúmTkZkn‘P P@\k URkQkkv‰ Aùk AùYk bkv AùYk ¤UZkkvCk Aù@Tkk Fkklc.‹• ¢UTkv Mk‘K@ Avù U@kYk#kr Avù lWkTkk #k@kWk Aùk bkv^kTk Tk Aù@x‹b^kkbQZk bkYWk†TSkP ¢TZk HkkTkAùkl@Zkkf• lRTk Ykx 50 Ck|kYk @v#kvRk@ XkkvHkTk BkkTkk Fkklc.‹ lG\kAvù bklcP ¢Ækä WkmTbkä PQkk bk†WHkZkkx Ykx ¢lSkAù @v#kk ckvPk cw‹• WkkHkik@ Ykx ÉkFkl\kP VúkbK VnúM BkkTkv Ykx ^kbkkä TkYkAù PQkk FkmTkm Aùm ¢lSkAùPk ckvPm cw‹ £bkl\k. £TkAùk AùYk bkv AùYk
¤UZkkvCk Aù@Tkk Fkklc.‹• ¢lSkAù @‘PFkkU Aùm lWkYkk@m Ykx TkYkAù ¢kw@ TkYkAùmTk BkkTkk Hkwbkv lAù lFk¶bk ¢kw@ ¢kFkk@ Aùk AùYk ¤UZkkvCk Aù@Tkk Fkklc.‹• ¢UTkv Mk‘K@ bkv UoG Aù@ cm Yk\Kml^kKlYkTk~bk ¢kw@ Yk\Km lYkTk@\k +xÉÖ{ÉÚ®úEòÉä Aùk £bPvYkk\k Aù@Tkk Fkklc.‹ lAùbkm +É{ÉEäò
JÉÚxÉ Eäò SɤÉÔ ºiÉ®ú xÉä¨ÉÒ VÉÉÆSÉ Eò®ú ±ÉäxÉÉS>m`]roQ>gS>m`]roQ>gS>m`]roQ>gS>m`]roQ>gS>m`]roQ>g Aùkv lTkZkglÇkP lAùZkk Hkk bkAùPk cw‹ lTkZkgÇkOk Aù@xä +É{ÉEäò ¤ÉºÉ EòÒ ¤ÉÉiÉ cy‹
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S>m`]roQ>gS>m`]roQ>gS>m`]roQ>gS>m`]roQ>gS>m`]roQ>g Aùkv lTkZkglÇkP Aù@Tkv Avù l\kZkv ‘Zkk BkkTkk Fkklc.?
TkkYk: lRTkkgAù :Eèò±ÉÉä®úÒÖlRTk: ^kHkTk :
bkgPnl\kP ¢kck@ WkTkkTkv Avù l\k. XkkvHkTk Ykx l^kl#kì P’^kkx Aùk bkYkkZkkvHkTk ckvTkk Fkklc.‹ ¢kUAùk ^Zk†‘PCkP BkkTk-UkTk ¢kUAvù@cTk-bkcTk Avù NgCk Avù ¢Tknbkk@ ckvTkk Fkklc.‹ XkkvHkTk ZkkvHkTkk Aùkv lTkYTkl\klBkP XkkCkkx Ykx l^kXkklHkP lAùZkk Hkk bkAùPk cw‹lTkYTkl\klBkP ¤Rkc@Okkx Avù çk@k ½þ¨É ºÉ¨ÉZÉ ºÉHäò ½èþ cw lAù l^klXkTTk P@c Avù XkkvHkTk bkYkockx Ykx bkv AùkwTk bkk XkkvHkTk lAùbk bkYkZkAù@Tkk Fkklc.‹ (SZkkTk @cv lAù Zkv YkkÇkkZkx \kCkXkCk cy)
1å Rk\kxÖVúl\kZkkfÖbKkFkrZkn‘P bk†WHkZkkf (FkWkmr ¢kw@ Pv\k @lcP)(1 XkkvHkTk Aùk .Aù XkkCk \kCkXkCk 15 Ck|kYk AùkWkkvrck£M}vK 3 Ck|kYk ÉkkvKmTk .^kg 80 Avù\k@mHki)
MWk\k @kvKm 1 KnAùMjk bkoBkm FkUkPm 1-6ï FkkwMjm)Fkk^k\k 1Ö3 AùU Ckvcofä ¢kvK~bkä ¢k\ko 1Ö2 AùUXknTkv cn. YkAù£r Avù RkTkv 3 AùU AùÃkk Avù\kkÖYkK@ : ¢kSkk AùU.vl^k\k : 1Ö2 AùU Ukvck 1Ö2 AùUbkkYWk@ : 1Ö2 AùU JÉä¨É/¡ò±ÉÒ 1Ö2 AùU (120 Awù\k@mHki)PwZkk@ bkvlYkZkkg TZkoM\kvbkÖbkoHkm : 1Ö2 AùU £K\km : 1 TkkTk : 1/4 8ïø2ïFkk^k\k Aùk ¢kKk : 2 WkMjk FkYYkFk Ckvcof Aùk ¢kKk : 2½ WkMjm FkYYkFk
2å Ykkgbk .^kg Ykkgbk Aùk +Éı]õ®úxÉäÊ]õ´É (¢lP AùYk FkWkmr Zkn‘P)(1 lcbbkk bkkP Ck|kYk ÉkkvKmTkä 0-1 Ck|kYk FkWkmr PQkk 35 Avù\k@mHki RvPk cw!)
YknCkmr KAùmr (’^kFkk@lcP bkVvúR Ykkgbk):1 ¢kwgbk AùYk ^kbkk ^kk\kk UTkm@ : 1 ¢kwgbkKoTkk .^kg $\kk£TM@ YkFGm UkTkm Ykx 1 ¢kwgbk Rk\k : 1Ö2 AùU UAùm cn£rRkv ¢OMkx Aùk bkVvúR lcbbkk (Zkc Rk\k \kCkXkCk 15 Ck|kYk AùkWkkvrck£M}vK~bk PQkkl#k@YU (ÉkkvTbk) : 1 ¢kwgbk 120 Avù\k@mHki RvPm cw)AùYkFkWkmr ^kk\kk KkvVoú 3 ¢kwgbk
Ykkgbk .^kg Ykkgbk Aùk +Éı]õ®úxÉäÊ]õ´É (AùYk FkWkmr Zkn‘P)(1 lcbbkk bkkP Ck|kYk ÉkkvKmTkä 3 Ck|kYk ^kbkk PQkk 55 Avù\k@mHki RvPk cw!)
YknCkmr KAùmr (’^kFkk@lcP MkAùr KkgCk Ykkgbk): 1 ¢kwgbkKoTkk YkFGm Pv\k Ykx : 1 ¢kwgbkAùkvKvHki Fkmbk 1Ö4 AùU UTkm@lHkbkYkx PmTk Ck|kYk PAù ^kbkk ckv : 1 ¢kwgbk
Ykkgbk .^kg Ykkgbk Aùk +Éı]õ®úxÉäÊ]õ´É (YkSZkYk FkWkmr Zkn‘P)
(1 lcbbkk bkkP Ck|kYk ÉkkvKmTkä 5 Ck|kYk ^kbkk PQkk 75 Avù\k@mHki RvPk cw!)
1 ¢gMk : 1 l@AùkvKk FkmHk : 1Ö4 AùUKkvVoú : 4 ¢kwgbk KvYVú 1Ö4 AùU bkkvZkkWkmTk Aùk RoSk : 1 AùUP\km cn£r YkFGm 1 ¢kwgbk XkvMj Aùk Ykkgbk (XknTkm cn£r l@WWk AùmYkm) 1 ¢kwgbk
68
Ykkgbk .^kg Ykkgbk Aùk +ÉÄ\kK}kTkvlK^k (¢lSkAù FkWkmr Zkn‘P)
(1 lcbbkk bkkP Ck|kYk ÉkkvKmTkä 8 Ck|kYk ^kbkk PQkk 100 Avù\k@mHki RvPk cw!)
@vCkn\k@ UTkm@ : 1 ¢kwgbk maugaI- / TkI-, haÐT D,aga : 1(10/pa]MD,)YkofCkVú\km Aùk Yk‘BkTk 1 ¢kwgbk (—1 ^kbkk Aùk lcbbkk)bkkbkvHk : 1 ¢kwgbk 1% UTkm@ : 1 ¢kwgbk
3å bk†WHkZkkf lWkTkk ^kbkk Avù
(1 lcbbkk 5 Ck|kYk AùkWkkvrck£M}vKä 2 Ck|kYk ÉkkvKmTk PQkk 25 Avù\k@m RvPk cw)
c@mYkvQkm Aùm UlÅkZkkf 1Ö2 AùU c@m Vúl\kZkk 1Ö2 AùU
WkTR CkkvXkm .^kg Voú\k CkkvXkm 1Ö2 AùU
Aù+o 1Ö2 AùU WkyCk\k 1Ö2 AùU
KYkkK@ 1Ö2 AùU l#kYk\kk lYkFkr 1Ö2 AùU
bkVvúR Yko\kmä YkofCkkä zXkMm 1Ö2 AùU
4å Vú\k (JÉÉxÉäEäò ʱÉB iÉlÉ Ê½þººÉ ä PWRm\k ckvPv @cPv cy)
(1 lcbbkk 15 Ck|kYk AùkWkkvrck£M}vK PQkk 60 Avù\k@m RvPk cw)
Avù\kk : 1Ö2 AùU bkvWkä bkgP@k : 1 (GkvKk)
WkMjm Tkk#kUPm 1Ö2 AùU P@WkoHkk PQkk Bk@WkoHkk 1 AùU
GkvKk ¢kYk : 1Ö2 PkHkk ¢YkêR 1Ö2 AùU
5å RoSk .^kg RoSk ʨɱÉÉ =i{ÉÉnù
(1 lcbbkk 12 Ck|kYk AùkWkkvrck£M}vK 8 Ck|kYk ÉkkvKmTkä 1 bkv 5 Ck|kYk ^kbkk PQkk 90-150 Avù\k@m RvPk cw)
\kbbkm Zkk Rcm : 1 AùU
1-10 UTkm@ : 1 ¢kwgbk
6å ^kbkk .^kg Pv\kZkn‘P
(1 lcbbkk 5 Ck|kYk ^kbkk PQkk 45 Avù\k@m RvPk cw)
Pv\k 1 FkYYkFk (FkkZk^kk\km) bkoBkv bkvYk Aùk WkmHk 2 WkMjm FkYYkFk
Yk‘BkTk Zkk ¨ÉÉMÉÇÊ®úxÉ : 1 FkYYkFk (FkkZk^kk\km)
* Yk‘BkTk Zkk Dkm Aùm WkHkkZk Hkwbkv Aùm HkwPoTk Aùk Pv\k Aùk ¤UZkkvCk Aù@Tkk Fkklc.‹ P\kv XkkvHkTk Aùk ¢lSkAù ¤UZkkvCk
Tkc{ Aù@Tkk Fkklc.‹
* Pv\kä TkYkAù PQkk FkmTkm Aùk ¤UZkkvCk AùYk bkv AùYk Aù@Tkk Fkklc.‹
.‘bkFkxHk l\kbK Vúk@ Ykm\k ¶\kklTkgCk (1995) ¢kw@ ¢vQkTkmA bkm@mHki ¢kvTk R £TMmZkTk UklAùbPkTkm EÚòʺÉxÉ¢Ykv@mAùTk Mk£rK ¢#kkv#km.#kTk .gM ¢Ykv@mATk MkZkkWkvKmbk ¢#kkv#kmv.bkTk (1996)
¨ÉÉäb÷xÉÇ ¤ªÉÚÊ]õ¶É º´ÉɺlªÉ Ê´É ¤ÉÒ¨ÉÉ®úÒ ¨Éå iÉä®ú½þ ÉÉÄ ºÉƺ´ÉÉ®úhÉ ºÉ±ÉÉnù ¶ÉÒ±ºÉ, ½þ É +Éä±ÉVÉ VÉä +Éè®ú ¶ÉÉ<{É ½þ É Ê±ÉªÉä ´Éä ¡äòʤɮúEò¨{ÉäxÉÒ (1994)
69
YknIkv ¢UTkkv Sm`]roQ>gSm`]roQ>gSm`]roQ>gSm`]roQ>gSm`]roQ>g Aùkv lTkZkglÇkP Aù@Tkv Avù l\kZkv ‘Zkk BkkTkk Fkklc.?.l#kZkTk .^kg Xkk@PmZk XkkvHkTk Avù Wkk@v Ykx bkoFkTkk.f .^kg lTkRvr#k
(¢UTkv Mk‘K@ Zkk XkkvHkTk AùPkr U@kYk#kr Aùm bk\kkc bkv \kx)
¢kUAvù Mk‘K@ .^kg bkcl^k#kvakekkx Avù ¢Tknbkk@ b^klTkZkkvlHkP ¢kck@ Aùk TkYkoTkk
ZkkvCkkÖ¢XZkkbk : bkYkZk:¢TZk xÉä ÉÒ EòÉ¨É : bkYkZk:
XkkvHkTkÖBkk< bkYkoc XkkvHkTk Aùk XkkCk AùkWkkvrck£M}vK(Ck|kYk) Ék|kvKmTk (Ck|kYk) Fk@Wkm (Ck|kYk) Avù\kkv@m
Eò±Éä ÉÉ
YkSZk bknWkc
YkSZkk/ XkkvHkTk
YkSZkk/
@kP Aùk XkkvHkTk
@kP Aùk +±{ÉɽþÉ®ú
Anù\k
28-30 Ck|kYk [ 1 ¢kwg#k; 8 ¢kwg#k [ 1 AùUä 3 FkYklFkZkkf [ 1 FkYYkFk; 2 FkYYkFk [ 1 ¢kwg#k
Padmini Balagopal, MsS. B.Ed., RD.CDE
Hindi Translation done byVanita Manchanda, MS.RD.
70
English version Reviewed by
Wahida Karmally, MS.RD.CDEKarmeen Kulkarni, MS.RD.CDE
1
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2
«Ú«Ú- ÈÚß ÚßÈæßÞÔÚ SÛ¾ÚßÅæ¾Úß«Úß- ÔÚ}æàÞn¾ÚßÆÇsÚÄß «Û«æÞ«Úß ÈÚáÛsÚ·æÞOÚß?
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OÛÀÄÂÞÑé / ¦«Ú N }ÚàOÚ N
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fÞÈÚ«ÚOÚÃÈÚßOæQ @«ÚßVÚßyÈÛW ÈÚáÛsÚ·æÞOÚß. ¬ÈÚß½ ®ÚÃ~ El¥ÚÆÇ OÚ×ÚVæ OæànoÁÚßÈÚ GÅÛÇ AÔÛÁÚ VÚß®Úâ ÑæÞÂÁÚ·æÞOÚß. A ÉÉ Ú VÚßM®ÚâVÚ×Ú
ÔæÑÚÁÚßVÚ×Úß ÈÚß}Úß¡ JM¥Úß ElOæQ ÑÛOÛVÚßÈÚÎÚßo AÔÛÁÚ ®ÚÃÈÚáÛy¥Ú D¥ÛÔÚÁÚzæVÚ×Úß Oæ×ÚWÈæ. (ÑÚà Ú«æ N @M¥Ûf«Ú @×Ú}æVÚ×Úß).
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·æÃsé N JM¥Úß }ÚßMsÚß Jy Ú®Û~ N 1 - 6” @VÚÄ
@«Ú- N 1/3 @×Ú}æ¾Úß ¶loÄß VæàÞ© , (·æM¥Ú¥Úߧ) eæàÞ×Ú, KméÓ, AÄàVÚsæu N 1/2
®Û®éOÛ«é% N 3 @×Ú}æ¾Úß ¶loÄß ·Û×æOÛ¿ß/¶mÛ{N1/2 @×Ú}æ¾Úß ¶loÄß
@ɾÚßÅé N 1/2 @×Ú}æ¾Úß ¶loÄß @ÈÚÄPQ N 1/2 @×Ú}æ¾Úß ¶loÄß
ÑÛM·ÛÁé N 1/2 @×Ú}æ¾Úß ¶loÄß @ÈÚÁæOÛ×Úß/ ¦Ê¥Ú×Ú Û«ÚÀ N 1/2 @×Ú}æ¾Úß ¶loÄß
(120 OÛÀÄÂVÚ×Úß)
ËÛÀÉVæ/ÁÚÈæ N 1/2 @×Ú}æ¾Úß ¶loÄß BtÇ N 1 «Û«é N 8”x2”
@PQÕlßo N 2 mæÞ¶Åé ÚÈÚß Ú VæàÞ© Õlßo N 2 1/2 mæÞ¶Åé ÚÈÚß Ú
2. ÈÚáÛMÑÚ ÈÚß~¡}ÚÁÚ AÔÛÁÚ ®Ú¥Û¢Ú%VÚ×Úß - ~ÞÁÚ OÚtÈæß Oæู«Ú¥Úß
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OæàÞØ, lP% ( ÚÈÚß%ÉÄÇ¥Ú ×ÚÈÚáÛMÑÚ) N 1 L«éÓ
lßÀ«Û ÉßÞ«Úß (¬Þ«ÚÆÇ), Ú®Ú°mæ ÉßÞ«Úß N 1 L«éÓ OÚtÈæß Oæà ¹«Ú ·æÞÑé N 1 L«éÓ
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ÒVÚt N 1 L«éÓ * (@M¥Ûdß 15 VÛÃM OÛ·æà%ÞÔæçsæÃÞmé,
120 OÛÀÄ J¥ÚWÑÚß}Ú¡¥æ)
mæàÞ®Úâ (ÑæàÞ¾Úß ·æÞÑéNOÚtÈæß Oæà ¹«Ú¥Úß) N 3 L«éÓ
OÚtÈæß Oæู«Ú¥Úß
(JM¥Úß ®ÛÄß N 7 VÛÃM ®æãÃÞnÞ«é(protein), 3 VÛÃM Oæà¶ß¹ (fat) ÈÚß}Úß¡ 55 OÛÀÄÂVÚ×Úß
(calories))
OæàÞØ, lP% ( ÚÈÚß%ÉÄÇ¥Ú OÚ®Úâý° aÛ¾æß¾Úß ÈÚáÛMÑÚ) N 1 L«éÓ
lßÀ«Û ÉßÞ«Úß (Hzæ|¾ÚßÆÇ)N1 L«éÓ OÚßÂ, ÔÚM¦, ¥Ú«Ú¥Ú ÈÚáÛMÑÚN1 L«éÓÓ
OÛmæeé ·æÞÑé (ÑÛ¥Û) N 1L«éÓ
3 VÛÃM @¢ÚÈÛ OÚtÈæß Oæà¶ß¹ BÁÚßÈÚ ·æÞÑé : 1 L«éÓÓ
ÑÛ¨ÛÁÚy Oæู«Ú¥Úß
(JM¥Úß ®ÛÄß N 7 VÛÃM ®æãÃÞnÞ«é (protein),5 VÛÃM Oæà¶ß¹ (fat) ÈÚß}Úß¡ 75 OÛÀÄÂÞVÚ×Úß
(calories))
ÈÚáÛmæo N 1 L«éÓ OÚÚÂ¥ ÉßÞ«Úß N 1 L«éÓ
OÚßÁÚß (·é ÁæàÞÑéo, VèÃMsé) N 1 L«éÓ
ÁÚOæàÞmÛ ·æÞÑé N 1/4 @×Ú}æ ¶loÄß mæM®æ N1/4 @×Ú}æ¾Úß ¶loÄß N
ÑæàÞ¾ÚáÛ ÔÛÄß N 1@×Ú}æ¾Úß ¶loÄß mæàÞ±Ú³â N 4 L«éÓ
3
}ÚßM¶ Oæู«Ú¥Úß
(JM¥Úß ®ÛÄß N 7 VÛÃM ®æãÃÞnÞ«é (protein), 8 VÛÃM Oæà¶ß¹ (fat) ÈÚß}Úß¡ 100
OÛÀÄÂVÚ×Úß (calories)
^æÞÑé (ÑÛ¨ÛÁÚy) N 1 L«éÓ OæàÞØ/lP% ÔÛmésÛVé N (10/®èMsé)
«æÄOsÚÚÅæOÛ¿ß ·æzæ| N 1 L«éÓ (+1 Oæà¶ß¹ GOéÓ^æMeé)
ÑÛÑæÞeé N 1 L«éÓ 1% ®Ú¬-ÞÁé N 1 L«ÚßÓ
3. }ÚÁÚOÛÂVÚ×Úß (OæึÄÇ¥Úߧ)
(JM¥Úß ®ÛÄß N 2 VÛÃM ®æãÃÞnÞ«é (protein), 5 VÛÃM OÛ·æà%ÞÔæçsæÃÞmé (CHO)
ÈÚß}Úß¡ 25 OÛÀÄÂVÚ×Úß (calories)
ÔÚÒÁÚß }ÚÁÚOÛ N ÈæßM}ÚÀ¥Ú ÑæàÞ®Úâý° N 1/2 @×Ú}æ¾Úß ¶loÄß #N ÔæÑÚ ÔÚßÁÚßØOÛ¿ß N
1/2 @×Ú}æ¾Úß ¶loÄß
OæàÞÑÚßVÚsæu, OÛƱڴ´ÇÈÚÅé N 1/2 @×Ú}æ¾Úß ¶loÄß N OÚßM¶×ÚOÛ¿ß/ÑæàÞÁæOÛ¿ß N 1/2
@×Ú}æ¾Úß ¶loÄß
¶¥Ú«æÞOÛ¿ß N 1/2 @×Ú}æ¾Úß ¶loÄß N mæàÈÚáÛÀmæà N 1/2 @×Ú}æ¾Úß ¶loÄß
¥æàsÚu ÈæßyÒ«ÚOÛ¿ß N 1/2 @×Ú}æ¾Úß ¶loÄß N ¸Ø ÈÚßàÄMW N 1/2 @×Ú}æ¾Úß ¶loÄß
«ÚßVæXOÛ¿ß, ·æMsæOÛ¿ß N 1/2 @×Ú}æ¾Úß ¶loÄß N }ÚÁÚOÛÂ ÑÚÅÛsé N 1 @×Ú}æ¾Úß ¶loÄß
4. ÔÚyß|VÚ×Úß (ÉÉ Ú @×Ú}ÚVÚ×ÚÆÇ)
(JM¥Úß ®ÛÄß N 15 VÛÃM OÛ·æà%ÞÔæçsæÃÞmé (CHO) ÈÚß}Úß¡ 60 OÛÀÄÂVÚ×Úß (calories)
·Û×æÔÚyß| N 1/2 @×Ú}æ¾Úß ¶loÄß ÑæÞ¶ß, ÈÚßàÑÚM¸ N 1 (_OÚQ¥Úß)
¥ÚàsÚu ®æÞÁé ÔÚyß| N 1/2 OÚÄÇMVÚt/ OÚÁÚ¶àd N 1 @×Ú}æ¾Úß ¶loÄß
ÈÚáÛÉ«ÚÔÚyß| N 1/2 @×Ú}æ¾Úß ¶loÄß ®æÞÁ×æÚ N 1/2 @×Ú}æ¾Úß ¶loÄß
OÛÀ«é ÈÚáÛt¥Ú ÔÚyß| N 1/2 _OÚQ OÛÀ«é
5. ÔÛÄß ÈÚß~¡}ÚÁÚ AÔÛÁÚ
(JM¥Úß ®ÛÄß N 8 VÛÃM ®æãÃÞnÞ«é (protein), 1-5 VÛÃM Oæà¶ß¹ (fat), 12 VÛÃM
OÛ·æà%ÞÔæçsæÃÞmé (CHO), ÈÚß}Úß¡ 90-150 OÛÀÄÂVÚ×Úß (calories))
ÔÛÄß (OæูÄÇ¥Ú/ÑÚÊÄ°Oæู«Ú/®Úã~%Oæู«Ú) N @×Ú}æ¾Úß ¶mæoÄß
ÈÚßfgVæ ÈÚß}Úß¡ ÈæàÑÚÁÚß N 1 @×Ú}æ¾Úß ¶loÄß 1% ®Ú¬ÞÁéN 1 @×Ú}æ¾Úß ¶loÄß
6. Gzæ| ÈÚß~¡}ÚÁÚ Oæู«Ú ®Ú¥Û¢Ú%VÚ×Úß
(JM¥Úß ®ÛÄß N 5 VÛÃM Oæà¶ß¹ (fat) ÈÚß}Úß¡ 45 OÛÀÄÂVÚ×Úß (calories)
@sÚßVæ Gzæ| N 1 ^ÚÈÚß^Ú N }æMW«ÚOÛ¿ß (ÔæÁ榥Úߧ) N 2 mæÞ¶Åé ^ÚÈÚß^Ú
¸ÞdVÚ×Úß N 1 mæÞ¶Åé ^ÚÈÚß^Ú N ÈÚáÛd%«é / ÈÚ«ÚÑÚ°~ }Ú߮ڰ N 1 mæÞ¶Åé ^ÚÈÚß^Ú
• ÑÛ¨Ú´ÀÈÛ¥ÚÎÚßo @«éÑÛÀ^ÚßÁæÞmæsé Oæู«Ú Gzæ| (AÆÈé Gzæ| }ÚÁÚÔÚ¥Úߧ) ¶ØÒ N
ÑÛÀ^ÚßÁæÞmæsé Oæู«Ú (}Ú߮ڰ, ·æzæ|¾ÚßM}ÚÔÚÈÚâ ) ¶ØOæ OÚtÈæß ÈÚáÛt. OÚÂ¥Ú ~Mt¾Úß«Úß-
AVÛVÚ ~«Úß-ÈÚâ¥Ú«Úß- }Ú °Ò.
• Gzæ|, D®Úâý°, ÈÚß}Úß¡ ÑÚOÚQÁæ¾Úß«Úß- A¥ÚÎÚßo OÚtÈæß ¶×ÚÒ.
Adapted from Exchange List for Meal Planning (1995) and the Ethnic Seies on the Indian - Pakistani Cuisine byAmerican Diet Association and American Diabetes Association (1996); Modern Nutrition in Health & Disease, XIIth
Ed. Ed. By Shils, M.Olson, J.A. & Shike, M. Lea & Febiger Co. (1994)
4
«Ú«Ú- ÈÚß ÚßÈæßÞÔÚ (sÚ¾ÚáÛ¸ÞnÑé) SÛ¾ÚßÅæ¾Úß«Úß- ÔÚ}æàÞn¾ÚßÆÇsÚÄß «Û«æÞ«Úß ~«Ú-·æÞOÚß?
¦«Ú®ÚÃ~ AÔÛÁÚ¥Ú ¶×ÚOæ¾Úß ¾æàÞd«æ¾Úß ®Úno¾Úß ÈÚáÛ¥ÚÂ
¾æàÞVÚ/ ÈÛÀ¾ÚáÛÈÚß N ÑÚÈÚß¾Úß N
B¬-}ÚÁÚ ¥æç¬OÚ OÛ¾Úß%OÚÃÈÚßVÚ×Úß N ÑÚÈÚß¾Úß N
@×Ú}æVÚ×Úß N 8 L«éÓ = @×Ú}æ¾Úß ¶loÄß ; 3 nÞ ^ÚÈÚß^æ = 1 mæÞ¶Åé ^ÚÈÚß^Ú ; 2 mæÞ¶Åé ^ÚÈÚß Ú = 1 L«éÓ
}æàOÚ N 28-30 VÛÃM = 1 L«éÓ
Translated By :H.N. Nagaraja and D. S. ShankarColumbus, Ohio, USAJuly 2002
Reviewed byWahida Karmally, MS, RD, CDEKarmeen Kulkarni, MS,RD,CDE
El/AÔÛÁ Ú
VÚßM®Úâ
AÔÛÁÚ/
@×Ú}æ
OÛ·æà%ÞÔæçsæÃÞmé
(CHO)
®æãÃÞnÞ«é Oæà¶ß¹
(protein)
OÛÀÄÂVÚ×Úß
(calories)
BY Padmini Balagopal, MS, B.Ed, RD, CDE
(fat)
±ÚÄÔÛÁÚ
ÈÚߨڴÀ·æ×ÚW«Ú ±ÚÄÔÛÁÚ
ÈÚߨÛÀÔÚ-¥Ú El
ÑÚMeæ¾Úß D®ÚÔÛÁÚ
ÁÛ~þÚß El
ÁÛ~þÚß D®ÚÔÛÁÚ
GÅÛÇ ÑæÞÂ
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2. ª«sWLixqsª«sVV ª«sVLji R¶VV ª«sWLi}qs-»R½LRi xmsµy-LóRi-ª«sVVÌÁV (N]ª«so* ÛÍÁ[¬s)(I-NRP-˳Ø-gRi-ª«sVVÍÜ[ 7 úgSª«sVVÌÁ úF¡ÉÔÁ-©±s, 1 úgSª«sVV úN]ª«so* ª«sVLji¸R¶VV 35 NSùÌÁ-LkiÌÁV ÌÁÕ³ÁLi-¿RÁV-©«sV)
N][²T¶/ÈÁLjiä ª«sWLixqsª«sVV (¿RÁ-LRiøª«sVV ÛÍÁ[¬s ¾»½ÌýÁ ª«sWLixqs-ª«sVV)iM 1 K©«sV=¿Á[xms (ÈÁVù©«s/Fný¢Li²R¶-L`i)iM 1 K©«sV= úN]ª«so* »R½NRPVä-Q\®ªs©«s ÀdÁÇÞiM 1K©«sV=¾»½ÌýÁ úgRiV²ïR¶VM 2 xmsxmsöV* M 1/2 NRPxxxmsoö (NRPxmsöV)
(*15 úgSª«sVVÌÁ zmsLi²T¶x msµy-LóRiª«sVV ª«sVLji¸R¶VV120cNSùÌÁ-LkiÌÁV ÌÁÕ³ÁLi-¿RÁV-©«sV)
L]¸R¶VùÌÁVM 1K©«sV= úN]ª«so* »R½NRPVä-Q\®ªs©«s ÉÜ[xmso M 3 K-©«sV=ÌÁV
ª«sWLixqsª«sVV ª«sVLji R¶VV ª«sWLi}qs-»R½LRi xmsµy-LóRi-ª«sVVÌÁV (úN]ª«so* »R½NRPVä-ª«s)(INRP ˳ØgRi-ª«sVVÍÜ[ 7 úgSª«sVVÌÁ úF¡ÉÔÁ-©±s, 3 úgSª«sVVÌÁ úN]ª«so* xmsµy-LóRiª«sVV ª«sVLji¸R¶VV 55 NSùÌÁ-Lki£qs ÌÁÕ³ÁLi-¿RÁV-©«sV)
N][²T¶ ª«sWLixqs-ª«sVV, ÈÁLjiä ª«sWLixqsª«sVV (¿RÁ-LRiøª«sVV ÛÍÁ[¬s FsLRiVxmso ª«sWLixqs-ª«sVV)iM K©«sV=ÈÁVù©«s ©«sW®©sÍÜ[M 1 K©«sV= ÛÍÁ[»R½ ª«sVÈÁ©±s, ÕdÁ£mns ÛÍÁ[NRP F¡L`iä iM 1K©«sV=ª«sWª«sVVÌÁV NSÛÉÁÇÞ ÀdÁÇÞ iM 1/4 NRPxxxmsoö (úN]ª«so* »R½NRPVä ÀdÁÇÞ 1 K©«sV=
ª«sWLixqsª«sVV ª«sVLji R¶VV ª«sWLi}qs-»R½LRi xmsµy-LóRi-ª«sVVÌÁV (®ªsVV-»yµR¶V úN]ª«so*)(INRP ˳ØgRi-ª«sVVÍÜ[ 7 úgSª«sVVÌÁ úF¡ÉÔÁ-©±s, 5 úgSª«sVVÌÁ úN]ª«so* xmsµy-LóRiª«sVV ª«sVLji¸R¶VV 75 NSùÌÁ-LkiÌÁV ÌÁÕ³ÁLi-¿RÁV-©«sV)
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3
ª«sWLixqsª«sVV ª«sVLji R¶VV ª«sWLi}qs-»R½LRi xmsµy-LóRi-ª«sVVÌÁV (úN]ª«so* FsNRPVä ®ªs©«)(INRP ˳ØgRi-ª«sVVÍÜ[ 7 úgS. úF¡ÉÔÁ-©±s, 8 úgS. úN]ª«so* xmsµy-LóRiª«sVV ª«sVLji¸R¶VV 100 NSùÌÁ-Lki-£qs)
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3. NRPWLRi-gS- R¶VÌÁV (©«sW®©s/úN]ª«so* ÛÍÁ[¬s)(INRP ˳ØgRi-ª«sVVÍÜ[ 5 úgS. zmsLi²T¶ xmsµy-LóRi-ª«sVV. 2úgS. úF¡ÉÔÁ©±s ª«sVLji¸R¶VV 25 NSùÌÁ-Lki-£qs)
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6. ©«sW®© ÌÁV ª«sVLji R¶VV úN]ª«so* xmsµy-LóRi-ª«sVVÌÁV(INRPä ˳ØgRi-ª«sVVÍÜ[ 5 úgS. úN]ª«so* ª«sVLji¸R¶VV 45 NSùÌÁ-LkiÌÁV DLi²R¶V-©«sV)
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®ªs©«sõ ®©s[¼½NTP ÊÁµR¶V-ÌÁVgS JÖÁª±s ©«sW®©s ÍØLiÉÓÁ AL][-gRiù-NRP-LRi-ª«sVgRiV ©«sW®©s-ÌÁV, úN]ª«so* xmsµy-LóRi-ª«sVV-ÌÁ©«sV ªy²R¶-ª«s-ÌÁ-¸R¶VV-©«sV.©«sW®©s-ÌÁV, úN]ª«so* xmsµy-LóRi-ª«sVV-ÌÁV, DxmsöV ª«sVLji¸R¶VV ¼d½zms xmsµy-LóRi-ª«sVV-ÌÁ©«sV -ds\ÛÍÁ-©«sLi»R½ »R½NRPVä-ª«sgS ªy²R¶-ª«s-ÌÁ-¸R¶VV-©«sV.
(\|ms xqsW¿RÁ-©«sÌÁV 1996 @®ªsV-Lji-NRP©±s A¥¦¦¦LRi xqsLixqós ª«sVLji¸R¶VV @®ªsV-Lji-NRP©±s ²R¶¸R¶V-ÛËÁ-ÉÔÁ£qs xqsLixqós ª«sVLji¸R¶VV 1994 ztsQÍÞ=»R½µj¶-»R½-LRiVÌÁV úgRiLiµ³R¶-NRP-LóRi-Q\ÛÍÁ©«s ®ªsVV²R¶L`iõ ©«sWùúÉÓÁ-xtsQ©±s B©±s {¤¦¦¦ÍÞò @Li²`¶ ²T¶{qs-|qs-£qs, 13ª«s Fs²T¶-xtsQ©±s ÌÁ Aµ³yLRi xmspLRi*-NRP-\®ªsV-©«s--s)
4
Padmini Balgopal, MS.B.Ed., RD.CDETelugu Translation by :A. Narasimha Reddy, MD, FACG, FACP
English version Reviewed byWahida Karmally, MS.RD.CDEKaremeen Kulkarni, MS.RD.CDE
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· jtpHf;f Kbahj epiyapy;> cq;fs; kUj;Jtuplk; fye;jhNyhrpj;j gpd;Ng kJ ghdj;ij mUe;jNtz;Lk;.
EPpSXjûRl Tô§dÏm úYß £X AmNeLs:· md;whlk; Fiwe;jJ 20 fpuhk; msT ehHr;rj;J clypy; NruNtz;Lk;. NjhYld; $ba KO
gaW> jhdpa tiffs;> mtiu tiffs; kw;Wk; gr;irf; fha;fwpfs; ehHr;rj;J epiwe;jitfshFk;.
· gy ~Jupj| czT tiffs;> mjpf nfhOg;G> cg;G kw;Wk; / my;yJ rHf;fiu epiwe;jitaha; cs;sd. ,JNghd;w
czT tiffis mbf;fb gad;gLj;Jtijf; Fiwj;Jf;nfhs;sTk; my;yJ jtpHf;fTk;.
· cq;fSf;F mjpf ,uj;j mOj;jk; ,Uf;Fkhdhy;> cg;G gad;gLj;JtijAk;> tof;fkhd rpg;];fs; kw;Wk;
CWfha;fs; Nghd;w cg;G NrHe;j czTg; nghUl;fisg; gad;gLj;JtijAk; Fiwj;Jf; nfhs;sTk;.
· gy itl;lkpd; rj;J kw;Wk; fdpkr;rj;J khj;jpiufs; kw;Wk; lhdpf;Ffs; cl;nfhs;tJ Fwpj;J cq;fs; kUj;Jtuplk;
fye;J NgrTk;. xt;thik ,Ue;jhy; ,J fl;lhak; nra;aNtz;ba xd;whFk;.
· ,uj;jj;jpy; nfhOg;G msit jtwhky; gupNrhjpj;Jg; ghHf;fTk;.
NodLûW úSôûVd LhÓlTÓjR ØVt£ úUtùLôsL! EeL[ôp Nô§dL Ø¥Ùm!!
79
80
G]Õ NodLûW úSôûVd LhÓlTÓjÕYRtÏ Sôu Guù]u] EiQXôm?
ngaH : ,d;iwa Njjp :
fNyhupfs; / xU ehisf;F : jw;Nghija vil:
gy;NtW Mjhuq;fisr; NrHe;j czTg; nghUl;fis xd;WNrHj;J xU ruptpfpj czitj; jahupf;fyhk;. cq;fs;
tho;f;ifKiwf;Nfw;wthW cq;fs; nrhe;j czTj;jpl;lk; mikj;Jf;nfhs;sg;gLjy; Ntz;Lk;. xt;nthU Ntis
cztpYk; xt;nthU czTj;njhFg;gpd; gupkhwy; msit cq;fs; czTj;jpl;lk; Nahrid toq;Fk;. gy;NtW
czTj; njhFg;Gfs; kw;Wk; xt;nthU czTj; njhFg;gpYk; toq;fg;glf;$ba gupkhwy; mstpd; vLj;Jf;fhl;Lfs;
gpd;tUkhW! (,e;j kjpg;gPLfs; Njhuhakhdit vd;gij ftdj;jpy; nfhs;sTk;)
1 . Rô²VeLs/TVßLs/UôÜfNjÕs[ LônL±Ls (nfhOg;Ngh my;yJ vz;nzNah NrHf;fg;glhky;)
(1 gupkhwy ;(serving) czT> 15fpuhk; khTr;rj;J> 3 fpuhk; Gujk; kw;Wk; 80 fNyhupfis
mspf;fpwJ)
nuhl;b : 1 Jz;L nea;As;s rg;ghj;jp : 1-6|| mfyk;
muprp NrhW : 1/3 Nfhg;ig NfhJik> Nrhsk;> Xl;];> cUisf;fpoq;F:1/2 Nfhg;igNrhsg;nghup : 3 Nfhg;ig thiof;fha; /gl;lhzp : 1/2Nfhg;igmtpay; : 1/2 Nfhg;ig mty; : 1/2 Nfhg;igrhk;ghH : 1/2 Nfhg;ig gaW/jhdpaq;fs; : 1/2 Nfhg;ig(120 fNyhup)rikj;j E}Ly;];/uit:1/2Nfhg;ig ,l;yp : 1 ehd; nuhl;b : ¼ 8||X 2||
muprp khT : 2 Nkirf;fuz;b NfhJik khT : 2½ Nkirf;fuz;b
2 . UôªNm Utßm UôªNj§tÏl T§Xô] EQÜLs -kpf nky;ypaJ
(1 gupkhwy; czT> 7 fpuhk; Gujk;> 0-1 fpuhk; nfhOg;G kw;Wk; 35 fNyhupfis toq;FfpwJ)
Nfhopf;fwp> thd;Nfhopf;fwp (Njhyw;w nts;is khkprk;) : 1 mTd;];
^dh jz;zPUld;> Fiwe;j nfhOg;G ghy;fl;b : 1 mTd;];
jl;ilahd kPd; : 1 mTd;]; nte;j gUg;G* : ½ Nfhg;ig
Kl;ilapd; nts;isf;fU : 2
,uhy; : 1 mTd;]; *(Vwf;Fiwa 15 fpuhk; CHO (rHf;fiur;Fiwe;j nfhOg;G NjhG : 3mTd;]; rj;Jk;) 120 fNyhupfisAk; toq;FfpwJ)
UôªNm Utßm UôªNj§tÏl T§Xô] Uôtß EQÜLsþùUpVÕ
(1 gupkhwy; czT> 7 fpuhk; Gujk;> 3 fpuhk; nfhOg;Gr; rj;;J 55 fNyhupfis
mspf;fpwJ)
Nfhop> thd;Nfhopf;fwp (Njhyw;w khkprk;) : 1 mTd;];
vz;nzapy; nghupj;j kPd;: 1mTd;];
nky;ypa nfhOg;Gs;s Ml;Lf;fwp> gd;wpf;fwp> khl;Lf;fwp : 1 mTd;];
fhl;Nl[; ghyhilf; fl;b : ¼ Nfhg;ig
3 fpuhk; my;yJ mjw;F Fiwe;j nfhOg;Gs;s ghyhilf;fl;b : 1 mTd;];
UôªNm Utßm UôªNj§tÏl T§Xô] Uôtß EQÜLsþªRUô] ùLôÝl×Pu
(1 gupkhwy; czT> 7 fpuhk; Gujk;> 5 fpuhk; nfhOg;Gr; rj;J kw;Wk;; 75
fNyhupfis mspf;fpwJ)
Kl;il : 1 tWj;j kPd; : 1 mTd;];
upf;Nfhl;lh Ml;L khkprk; (tWj;j
ghyhilf;fl;b : ¼ Nfhg;ig khHngYk;G) : 1 mTd;];
NjhG : 4 mTd;];
nlk;ng ; (Tempeh) (,e;NjhNdrpa Nrhah ghy; : 1 Nfhg;igGuj czT) : ¼ Nfhg;ig
81
UôªNm Utßm UôªNj§tÏl T§Xô] Uôtß EQÜLsþA§L ùLôÝl×Pu
(1 gupkhwy; czT> 7 fpuhk; Gujk;> 8 fpuhk; nfhOg;Gr; rj;J
kw;Wk; 100 fNyhupfis mspf;fpwJ)
rhjhuz ghyhilf;fl;b : 1 mTd;]; Nfhop / thd;Nfhopf;epyf;fliy ntz;nza; : 1 mTd;]; fwp `hl; lhf; : 1 (10/ lb)(+ xU nfhOg;G gjpYzT) 1 % gd;dPH : 1 mTd;];
rhN][; : 1 mTd;];
3, LônL±Ls (ùLôÝl× úNodLlTPôRÕ)
(1 gupkhwy; czT> 5 fpuhk; rHf;fiu khTr;rj;J> 2 fpuhk; Gujk;
kw;Wk; 25 fNyhupfis mspf;fpwJ)
gr;irf;fPiu> nte;jaf; fPiu : ½ Nfhg;ig gr;ir mtiuf;fha; : ½ Nfhg;igKl;ilf;Nfh];> fhypgpstH : ½ Nfhg;ig Riuf;fha; : ½ Nfhg;igfj;jupf;fha; : ½ Nfhg;ig> Flkpsfha; : ½ Nfhg;ig
jf;fhsp : ½ Nfhg;ig nts;is Ks;sq;fp> ngq;fðH
KUq;iff;fha;> fj;jupf;fha; : ½ Nfhg;igntz;ilf;fha; : ½ Nfhg;ig
Nryl; (salat) : ½ Nfhg;ig
4, TZ YûLLs: (T¬Uô\p A[Ü UôßTÓm)
(1 gupkhwy; czT> 15 fpuhk; rHf;fiu khTr;rj;J> 60 fNyhupfis
mspf;fpwJ)
thiog;gok; : ½ Nfhg;ig Mg;gps;> MuQ;R : 1 (rpwpaJ)
Ngupf;fha; ngupaJ : ½ Nfhg;ig jHg+rzp : 1 Nfhg;ig
khk;gok; : ½ Nfhg;ig nfha;ahg;gok; : ½ Nfhg;iglg;ghtpy; milf;fg;gl;l gotif : ½ Nfhg;ig
5. Tôp Utßm Tôp ùTôÚhLs
(1 gupkhwy; czT> 12 fpuhk; rHf;fiu khTr;rj;J> 8 fpuhk; Gujr; rj;J
1-5 fpuhk; nfhOg;Gr; rj;J> 90-150 fNyhupfis mspf;fpwJ)
ntz;nza; vLf;fhj / ntz;nza; vLj;j / Fiwe;j nfhOg;Gs;s ghy; : 1 Nfhg;ig
NkhH kw;Wk; japH (ntz;izaw;w my;yJ ntz;izAs;sit) : 1 mTd;];
1% gd;dPH : 1 mTd;];
6. ùLôÝl×Ls Utßm GiùQnLs
(1 gupkhwy; czT> 5 fpuhk; nfhOg;Gr;rj;J kw;Wk; 45 fNyhupfis mspf;fpwJ)
rikay; vz;nza; : 1 Njf;fuz;b Njq;fha; JUty; : 2 Nkirf;fuz;b
Ke;jpup> ghjhk; nfhl;ilfs; my;yJ nfhOg;gw;w ntz;nza; : 1 Njf;fuz;b
gUg;Gfs; : 1 Nkirf;fuz;b
* nfhOg;G epuk;gpa ntz;iza; kw;Wk; nea; Nghd;wtw;wpw;Fg; gjpyhf nfhOg;G ,y;yhj Mypt; vz;nza; Nghd;w
vz;nza;fisg; gad;gLj;jg; gofTk;.
* tWj;j czT tiffis mbf;fb gad;gLj;Jtijj; jtpHf;fTk;.
* vz;nza;fs;> cg;G kw;Wk; rHf;fiu gad;gLj;Jtijf; Fiwj;Jf;nfhs;sTk;.
mnkupf;f cztpay; rq;fk; kw;Wk; mnkupf;f ePupopT Neha; ghJfhg;G rq;fj;jhy; (1996) ,e;jpa-ghfp];jhdpa rikay;
Kiw Fwpj;J jahupf;fg;gl;l czTj;jpl;lk; (1995) kw;Wk; ,dtop fl;LiufspypUe;J vLf;fg;gl;lJ.
\py;];> vk;. Xy;rd;> J.A. & \pfh MfpNahuhy; vOjp vk;. yP & /nggp[H fk;ngdp epWtdj;jhy; ntspaplg;gl;l khlHd;epa+l;up\d; ,d; n`y;j; & brPr]; (1994) XIII tJ gjpg;G.
82
G]Õ NodLûW úSôûVd LhÓlTÓjÕYRtÏ Sôu Guù]u] EiQXôm?
Mrpa-,e;jpa rikay; Kiw Fwpj;j jfty;fSk;> topfhl;b newpKiwfSk;
(jq;fs; kUj;JtH kw;Wk; cztpay; ty;Yeupd; mwpTiug;gb gad;gLj;jTk;)
(cq;fs; kUj;JtH kw;Wk; cztpay; ty;Yeupd; mwpTiuf;Nfw;g nray;gLj;j
Ntz;ba xU jdpegH czTj; jpl;lj;jpw;fhd khjpupg; gbtk;)
Nahfhrdk; / gapw;rp : fhy Neuk; :
kw;w xOq;FKiwg; gapw;rpfs; : fhy Neuk; :
CHO = fhHNghi`l;Nul;> gms = fpuhk;fs; oz = mTd;];>
tsp = NjePH fuz;b> Tbsp = Nkirf;fuz;b ckd = Ntfitj;j28-30 fpuhk; = 1 mTd;];> 8 mTd;]; = 1 Nfhg;ig
3 Njf;fuz;b = 1 Nkirf;fuz;b> 2 Nkirf;fuz;b = 1 mTd;];
Padmini Balagopal, MS.BEd., RD.CDE English version Reviewed by
Tamil translation done by Wahida Karmally, MS.RD.CDE Suguna Lakshmi Narayanan, MS.RD Karmeen Kulkarni, MS.RD.CDE
nkhj;jk;
,uTr; rpw;Wz;b
,uT czT
gpw;gfy; czT
kjpa czT
Kw;gfy; czT
fhiy czT
czT/ve;j tif msT khT Gujk ; nfhOg;G fNyhupfs;(fpuhk;) (fpuhk;) (fpuhk;)
MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?
Xkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkk
(PkYkk@k MkvAK@ PkQkk MkZk vKm#kmZkTkTkm RvBk@vBk TkmFk v ^kkUk@^kkTkm YkklcPkm PkQkk YkkCk rR#k rTk)(PkYkk@k MkvAK@ PkQkk MkZk vKm#kmZkTkTkm RvBk@vBk TkmFk v ^kkUk@^kkTkm YkklcPkm PkQkk YkkCk rR#k rTk)(PkYkk@k MkvAK@ PkQkk MkZk vKm#kmZkTkTkm RvBk@vBk TkmFk v ^kkUk@^kkTkm YkklcPkm PkQkk YkkCk rR#k rTk)(PkYkk@k MkvAK@ PkQkk MkZk vKm#kmZkTkTkm RvBk@vBk TkmFk v ^kkUk@^kkTkm YkklcPkm PkQkk YkkCk rR#k rTk)(PkYkk@k MkvAK@ PkQkk MkZk vKm#kmZkTkTkm RvBk@vBk TkmFk v ^kkUk@^kkTkm YkklcPkm PkQkk YkkCk rR#k rTk)
l MkZkkWkvKmbk ¢Uko@Pkk £TbZkn\kmTkTkk Ak@Okv QkkZk Gvå £TbZkn\kmTk ¢kck@Ykkg \kmSkv\k #kAr@k (BkkgM)
YkkgQkm #klAPk §PUkTTk A@^kk YkkKv Hæ@m Gvå ¢kck@Ykkg \kmSkv\k bkkA@ ¢Tkv #k@m@Ykkg §PUkTTk QkPkk
£TbZkn\kmTk ^kFFkvTkm bkYkPkn\kk Tk H]^kkZk Pkkv \kkvcmYkkg bkkA@Tkng Uk|YkkOk ^kSkm HkZk Gvå %Zkk@v
\kkvcmYkkg bkkA@Tkng Uk|YkkOk ^kSkm HkZk PkvTkv ck¥Uk@ C\kk¥bkvYkm¢k Acv Gv ¢Tkv DkKm HkZk PkvTkv
ck¥Ukkv C\kk¥bkvYkmZkk Acv Gvå
l @mbkFkr ÿk@k HkOk^kk Yk]vGv Av Ak]ÆUko krA \kkvcmYkkg bkkA@Tkng Uk|YkkOk Hk]^k^kkQkm ¢kgBkä
AmMTkmä @APk^kklcTkm¢kvä ¥PZkklR ©Uk@ QkPkm MkZkkWkvKmbkTkm YkkLm ¢bk@ ¢KAk^km #kAkZk Gvå
l ¢k YkkKv PkYkk@k MkvAK@Tkm TkH@ cvL] MkZkkWkvKmbk ¢Tkv \kkvcmYkkg bkkA@Tkng Uk|YkkOk MkZkvKm#kmZkTkTkm bk\kkcQkmä ¢kck@
(FkkvQkk UkkTkv)ä ^ZkkZkkYk PkQkk ¢kwakSkkvTkm Hæ@ @cv Gvå
l Bkkv@kATkkv Uk|Ak@ (bKkFkrä Fk@Wkm)ä KkvK\k Av\k@mä Uk| kplûkä PkQkk #k@m@Tkng ^kHTk bk^kvr §Uk@ \kkvcmYkkgTkm bkkA@Tkkv ¢kSkk@ Gvå
Ak@Tkkv ñkZkM}v@ ^kk]kv Bkkv@kA Bkk^kkQkm \kkvcmYkkg bkkA@ ^kSkv Gvä ^kSkk@v Uk|YkkOkYkkg Uk|kvKmTk PkQkk Fk@WkmQkm UkOk ^kHTk ^kSkv Gvå
l \kkvcmYkkg QkPkk bkkA@Tkk Vv@Vk@kvTkv bkk@m @mPkv HkOk^kk YkkKv R@@kvH \kmSkv\kk Bkkv@kATkm PkvYkH \kkvcmYkkgTkk bkkA@Tkk Uk|YkkOkTkm
RwlTkA TkkvgSk @kBk^km ¢PZkgPk Hæ@m Gvå
l MkvAK@Tkm bk\kkc Uk|YkkOkv R@@kvH ^ZkkZkkYk A@^kkv Hæ@m Gvå
l PkwZkk@ Bkkv@kATkk UkvAvK ¢Qk^kk MWWkk¢kvYkkg #kng #kng Gv Pkv HkOk^kk YkkKv PkvTkk §Uk@ \kCkkMv\kk \kvWk\kkv ^kkgFk^kkTkm Kv k UkkM^km
Hæ@m Gvå ¢k WkkWkPkYkkg MkZkvKm#kmZkTk Hæ@m YkRR A@m #kAv Gvå
Bkkv@kA Zkk vCZk @mPk v @k gSk^kkTkm @mPk:Bkk v@kA Zkk vCZk @mPk v @k gSk^kkTkm @mPk:Bkk v@kA Zkk vCZk @mPk v @k gSk^kkTkm @mPk:Bkk v@kA Zkk vCZk @mPk v @k gSk^kkTkm @mPk:Bkk v@kA Zkk vCZk @mPk v @k gSk^kkTkm @mPk:
l VOkCkk^kv\kk HnRk HnRk ALkv]Ykkg UkkvakA PkP^kkv ^kDkk@v Uk|YkkOkYkkg ckvZk Gvå
l #kkAkXkkÆ QkkvMk UkkOkmYkkg WkkV^kkTkkå WkkVv\kk #kkAXkkÆ PkQkk XkkPkYkkgQkm UkkOkm MkNm Tk TkkBk^knå
l @mVk¥Tk A@v\kk TkkbPkkä ^kSkk@v YkmLk^kk]kv Av ^kSkk@v Fk@Wkm^kk]m (Dkmä Pkv\k) ^kkTkCkm¢kv
¢kvGm Bkk^kkTkm ¢Qk^kk PkvTkkQkm Ro@ @cv kkTkng
l QkkvMng QkkvMng lR^kbkYkkg bkYkZkbk@ 5-6 ^kBkPk Bkk^kngå
Fkk vBBk n g UkkOkm ¢Tk v Uk | ^kkcm ^kSkk@ v \k v ^k n g ?Fkk vBBk n g UkkOkm ¢Tk v Uk | ^kkcm ^kSkk@ v \k v ^k n g ?Fkk vBBk n g UkkOkm ¢Tk v Uk | ^kkcm ^kSkk@ v \k v ^k n g ?Fkk vBBk n g UkkOkm ¢Tk v Uk | ^kkcm ^kSkk@ v \k v ^k n g ?Fkk vBBk n g UkkOkm ¢Tk v Uk | ^kkcm ^kSkk@ v \k v ^k n g ?
l R@@kvH 6-8 C\kkbk bkkRn ¢Tkv FkkvBBkn UkkOkm Ukm^kngå UkkOkm bkkwQkm ^kSkk@v bkk<gå ^kSkk@v
Uk|YkkOkYkkg ¢kä AkvVm PkQkk bkkvMkQkm Ro@ @cv kngå
l Rk< MkvAK@Tkm @Hk ckvZk Pkkv H \kv kkvå
#k@m@Tk v ¢bk@ A@^kk^kk]m ¢TZk WkkWkPkk v ?#k@m@Tk v ¢bk@ A@^kk^kk]m ¢TZk WkkWkPkk v ?#k@m@Tk v ¢bk@ A@^kk^kk]m ¢TZk WkkWkPkk v ?#k@m@Tk v ¢bk@ A@^kk^kk]m ¢TZk WkkWkPkk v ?#k@m@Tk v ¢bk@ A@^kk^kk]m ¢TZk WkkWkPkk v ?
l R@@kvH 20 Ck|kYk HvK\kkv @vbkk^kk]kv Bkkv@kA (Vk£Wk@) \kv kkvå ¢kBkng ¢TkkHä ^kKkOkk FkOkkä
PkQkk #kkAXkkÆ YkkgQkm ^kSkk@v Uk|YkkOkYkkg @vbkk (Vk£Wk@) Yk]vå
l DkOkm PkwZkk@ ^kkTkCkm¢kv (VkbK VnM) Ykkg BkkgMä YkmKng PkQkk Fk@Wkm ^kSkk@v Uk|YkkOkYkkg ckvZk Gvå ¢k^km ^kkTkCkm¢kvQkm Ro@ @cv kng
¢Qk^kk Wkcng Tkc{ Bkk^kngå
l W\kM Uk|vbk@ ^kSkk@v @cvPkng ckvZk Pkkv YkmLng Tkc{ Hv kng Bkk^kngå ¢QkkOkkä UkkUkM ¢Tkv WkKkKkOkm ^kvV@Qkm Ro@ @cv kngå
l Akv¥ Bkkv@kA Uk|PZkv ¢v\kÆr ckvZk Pkkv ^kmKkYkmTkTkm Ckkv]m¢kv YkkKv PkYkk@k MkvAK@Tkv Bkkbk UkoG^kngå
MkZkkWkvKmbk AkWkoYkkg \k¥ #kAkZk Gv! AkWkoYkkg \kkv ! PkYkv Hæ@ Pkv A@m #kMkZkkWkvKmbk AkWkoYkkg \k¥ #kAkZk Gv! AkWkoYkkg \kkv ! PkYkv Hæ@ Pkv A@m #kMkZkkWkvKmbk AkWkoYkkg \k¥ #kAkZk Gv! AkWkoYkkg \kkv ! PkYkv Hæ@ Pkv A@m #kMkZkkWkvKmbk AkWkoYkkg \k¥ #kAkZk Gv! AkWkoYkkg \kkv ! PkYkv Hæ@ Pkv A@m #kMkZkkWkvKmbk AkWkoYkkg \k¥ #kAkZk Gv! AkWkoYkkg \kkv ! PkYkv Hæ@ Pkv A@m #k
83
MZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?
(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)
TkkYk: ¢kHTkm Pkk@mBk :TkkYk: ¢kHTkm Pkk@mBk :TkkYk: ¢kHTkm Pkk@mBk :TkkYk: ¢kHTkm Pkk@mBk :TkkYk: ¢kHTkm Pkk@mBk :
¢vA lR^kbkYkkg Bkk^kkTkm Aw\kv@m: ¢kHTkng ^kHTk :¢vA lR^kbkYkkg Bkk^kkTkm Aw\kv@m: ¢kHTkng ^kHTk :¢vA lR^kbkYkkg Bkk^kkTkm Aw\kv@m: ¢kHTkng ^kHTk :¢vA lR^kbkYkkg Bkk^kkTkm Aw\kv@m: ¢kHTkng ^kHTk :¢vA lR^kbkYkkg Bkk^kkTkm Aw\kv@m: ¢kHTkng ^kHTk :
bkYkPkkv\k ¢kck@Ykkg TkmFkvTkk DkKAkvTkkv bkYkk^kv#k QkkZk Gvå PkYkk@m @cvOkm-A@Okm Uk|YkkOkvä MkZkvKm#kmZkTk UkkbkvQkm bkYkHkv Av bk^kk@vå
WkUkkv@v ¢Tkv bkkgHv #kng #kng Bkk^kkTkng kSkk DkKAkvYkkgQkm QkkvMkv QkkvMkv ¢kck@ \kv kkvå R@vA DkKAYkkgQkm ¢vA bk^kk‘CkTkkv RkBk\kkv TkmFkv Uk|YkkOkv
Gv (TkkvgSk A@kv RkBk\kk Pk@mAv):
1å¢TkkH1å¢TkkH1å¢TkkH1å¢TkkH1å¢TkkHÖFkOkkFkOkkFkOkkFkOkkFkOkkÖ^kKkOkk^kKkOkk^kKkOkk^kKkOkk^kKkOkkÖbKkFkmr #kkAXkkÆ (Dkm PkQkk Pkv\k ^kCk@):bKkFkmr #kkAXkkÆ (Dkm PkQkk Pkv\k ^kCk@):bKkFkmr #kkAXkkÆ (Dkm PkQkk Pkv\k ^kCk@):bKkFkmr #kkAXkkÆ (Dkm PkQkk Pkv\k ^kCk@):bKkFkmr #kkAXkkÆ (Dkm PkQkk Pkv\k ^kCk@):
(1 bk^kk‘Ck ¢vK\kv \kCkXkCk 1Uk Ck|kYk AkWkkvrck£M}vKä 3 Ck|kYk Uk|kvKmTkä 80 Av\kv@m)
Wk|vM : 1 b\kk¥bk bknAm @kvK\km : 1-6''"" Ckkv]
XkkPk : 1Ö3 AUk Sk§ä YkAk¥ä WkKkKk : 1Ö2 AUk (¢kv@bk )
UkkvUkAkTkr 3 AUk ^kKkOkkä AkFkk Av]kä 1Ö2 AUk
¢k^kmZk\k : 1Ö2 AUk Ukky¢k : 1Ö2 AUk
bkgXkk@ : 1Ö2 AUk ALkv]ÖRk] : 1Ö2 AUk (120 Av\kv@m) #kgDkv\km AkgÆ
¢Tkv bUkCkvKm 1Ö2 AUk £M\km : 1
TkkTk : 1Ö4 8""ø2"" FkkvBkkTkm \kkvK : 2 FkYkFkk
Sk§Tkkv \kkvK : 2-1Ö2 FkYkFkk
2åYkk gbk - Fk@Wkm l^kTkkTk n g :åYkk gbk - Fk@Wkm l^kTkkTk n g :åYkk gbk - Fk@Wkm l^kTkkTk n g :åYkk gbk - Fk@Wkm l^kTkkTk n g :åYkk gbk - Fk@Wkm l^kTkkTk n g :
(1 bk^kk‘Ck ¢vK\kv 7 Ck|kYk Uk|kvKmTkä 0-1 Ck|kYk Fk@Wkm ¢Tkv 35 Av\kv@m)
FkmATkÖKAmr (FkkYkMm l^kTkkTkng bkVvR Ykkgbk) : 1 ¢kwgbk
KnTkk (UkkOkmYkkg) V\kk£TM@ YkkG\km : 1 ¢kwgbk
\kkv VvK FkmH-1 ¢kwgbk ,MkTkkv VAPk bkVvR XkkCk : 2
Rk]* : 1Ö2 AUk (@kgSkv\km) #k|mYUk : 1 ¢kwgbk
(*15 Ck|kYk AkWkkvrck£M}vK) PkkvVn (UkTkm@) \kkv VvK : 3 ¢kwgbk
(¢Tkv \kCkXkCk 120 Av\kv@m Yk]v Gvå)
Ykk gbk-Qkk vMm Fk@Wkm^kk]n g :Ykk gbk-Qkk vMm Fk@Wkm^kk]n g :Ykk gbk-Qkk vMm Fk@Wkm^kk]n g :Ykk gbk-Qkk vMm Fk@Wkm^kk]n g :Ykk gbk-Qkk vMm Fk@Wkm^kk]n g :
(1 bk^kk‘Ck ¢vK\kv 7 Ck|kYk Uk|kvKmTkä 3 Ck|kYk VvK ¢Tkv 55 Av\kv@m)
FkmATk-KAmr (FkkYkMm l^kTkkTkng Mk¥ Ykkgbk) : 1 ¢kwgbk
KTkk Pkv\kYkkg : 1 ¢kwgbk \kvYWkä UkkvArä Wkm< (Fk@Wkm kCk@Tkkv)-1 ¢kwgbk
AkvKvH FkmI : 1Ö4 AUk Fkm<-3 Ck|kYk ¢Qk^kk ¢kvGm-1 ¢kwgbk Fk@Wkm^kk]kv
Ykk gbk-YkSZkYk FkcWkm^kk]n g :Ykk gbk-YkSZkYk FkcWkm^kk]n g :Ykk gbk-YkSZkYk FkcWkm^kk]n g :Ykk gbk-YkSZkYk FkcWkm^kk]n g :Ykk gbk-YkSZkYk FkcWkm^kk]n g :
(1 bk^kk‘Ck ¢vK\kv 7 Ck|kYk Uk|kvKmTkä 5 Ck|kYk Fk@Wkm ¢Tkv 75 Av\kv@m)
¥Mng - 1 PkWkv\km YkkgG\km : 1 ¢kwgbk
@mAkvKk FkmI- 1Ö4 AUk \kvYWk (@mBk @kvbKä Ck|k§TM)-1 ¢kwgbk
PkkvVn-4 ¢kwgbk KwYkkv-1Ö4 AUk bkkvZkkWkmTkTkkv RoSk-1 AUk
84
¢lPk#kZk Fk@Wkm ^kk]n g :¢lPk#kZk Fk@Wkm ^kk]n g :¢lPk#kZk Fk@Wkm ^kk]n g :¢lPk#kZk Fk@Wkm ^kk]n g :¢lPk#kZk Fk@Wkm ^kk]n g :
(1 bk^kk‘Ck [ 7 Ck|kYk Uk|kwKmTkä 8 Ck|kYk Fk@Wkm ¢Tkv 100 Av\kv@m)
FkmI (@vCZkn\k@) : 1 ¢kwgbk FkmATkÖKAmr ckvK MkvCk 1(10 ÖUkk§TM)
UkmTkK WkK@ : 1 ¢kwgbk (+1 Fk@WkmTkkv ¢vAbkvTH)
bkkvbkvH : 1 ¢kwgbk 1% UkTkm@ : 1 ¢kwgbk
3å#kkA XkkÆ (Pk v\kä Dkm ^kCk@Tkk)3å#kkA XkkÆ (Pk v\kä Dkm ^kCk@Tkk)3å#kkA XkkÆ (Pk v\kä Dkm ^kCk@Tkk)3å#kkA XkkÆ (Pk v\kä Dkm ^kCk@Tkk)3å#kkA XkkÆ (Pk v\kä Dkm ^kCk@Tkk)
(1 bk^kk‘Ck [ 5 Ck|kYk AkWkkvrck¥M}vKä 2 Ck|kYk Uk|kvKmTk ¢Tkv 25 Av\kv@m)
YkvQkmTkk XkkÆ : 1/2 AUk ^kKkOkk : 1/2 AUk
AkvWkmä V\kk^k@ : 1/2 AUk CkmbkkvWkm : 1/2 AUk
@{CkOkk : 1/2 AUkä KYkvKk : 1/2 AUk Ykkv@k : 1/2 AUk
bkVvR YkoBkkä bk@Ck^kkTkm #k{Ckä Xk{Mk : 1/2 AUk (Zk^kZk^k)
bkv\kM : 1/2 AUk
4åV]4åV]4åV]4åV]4åV]
(1 bk^kk‘Ck [ 15 Ck|kYk AkWkkvrck¥M}vK ¢Tkv 50 Av\kv@m)
Av]kg : 1/2 AUk bkV@HTkä Tkk@gCkm : 1 (TkkTkk)
YkkvKng Ukv@ : 1/2 AUk Fkm\kWkkvä A\k{Ck@ : 1 AUk
¢kgWkkv : 1/2 TkkTkkv HkYkV] : 1/2 AUk
AvTM VUk - 1/2 AUk (TkkTkk)
5åRoSkä Rc{ £PZkklR5åR oSkä Rc{ £PZkklR5åR oSkä Rc{ £PZkklR5åR oSkä Rc{ £PZkklR5åR oSkä Rc{ £PZkklR
(1 bk^kk‘Ck [ 12 Ck|kYk AkWkkvrck¥M}vKä 8 Ck|kYk Uk|kwKmTkä 1-5 Ck|kYk Fk@Wkm ¢Tkv 90-150 Av\kv@m)
RoSk (ckv\kä bAmYkä \kkv VvK) : 1 AUk Gk#kä Rc{ : 1 AUk(@kvTM ¢kv@ whole)
1% UkTkm@ : 1 ¢kwgbk
6åFk@Wkmä Dkmä Pk v\k6åFk@Wkmä Dkmä Pk v\k6åFk@Wkmä Dkmä Pk v\k6åFk@Wkmä Dkmä Pk v\k6åFk@Wkmä Dkmä Pk v\k
(1 bk^kk‘Ck [ 5 Ck|kYk Fk@Wkm ¢Tkv 25 Av\kv@m)
Pkv\k-1 FkYkFkm (GmOkv\kn) AkvUk<g - 2 FkYkFkk
AkHnä ¢kBk@kvK kCkv@v Ykv kkv ¢Tkv WkmH FkmXk]kTkk kCkv@vTkk-1 FkYkFkkv
YkkHvr@mTk : 1 FkYkFkm (GmOkv\kn)
* bkvFZkn@vKvM Fk@Wkm-YkkBkOk ¢Tkv DkmTkk WkR\kvä ¢TkbkvFZkn@vKvM Fk@Wkm ¢kv\km^kTkng Pkv\k ^kkUk@^kng ^kSkk@v lcPkk^kc Gvå
TkUkv\km ^kkTkCkm¢v ¢PkmbkZk Tk bkvDkå
* Dkmä Yk{Ln ¢Tkv BkkgM ¢kvGm ^kkUk@kv
¢vMvUKvM VkvYk ¢vMbkFkvTH \kmbK Vkv@ Ykm\k U\kkTk{Ck (1995) ¢vTM Sk ¢vQkTkmA bkm@mI ¢kvTk Sk £TMmZkTk UkkAmbPkkTkm AnImTkä WkkZk
¢Ykv@mATk MkZkvWkvKmA ¢#kkv#kmZkvbkTk ¢Tkv ¢Ykvl@ATk MkZkkWkvKmA ¢vbkkv#kmZkvbkTk (1996); YkkvMrTk TZknK}m#kTk £Tk cv\Qk ¢vTM Mmbkmbkä 13Ykm
¢vMm#kTkä FkvKmKvM WkkZk bkm\bkä ¢vYk ¢kv\k#kTkä Hvå¢vå ¢vTM #kk¥Aä ¢vYk\kmå ¢Tkv VvWkmCk@ AgUkTkm (1994)
85
MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?MkZkkWk vKmbk QkZk v\k ^ZklAPkQkm #k n g Bkk¥ #kAkZk?
Xkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkkXkk@PkmZk Bkkv@kA YkkKv bkoFkTkk
(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)(PkYkk@k MkvAK@ PkQkk MkZkvKm#kmZkTkTkm RvBk@vBk TkmFkv ^kkUk@^kkTkm YkklcPkm PkQkk YkkCkrR#krTk)
MkvAKbk r ¢Tkv MkZk vKm#kmZkTk ÿk@k ¢kUkTkm ^ZklAPkCkPk Hæ@mZkkPkMk vAKbk r ¢Tkv MkZk vKm#kmZkTk ÿk@k ¢kUkTkm ^ZklAPkCkPk Hæ@mZkkPkMk vAKbk r ¢Tkv MkZk vKm#kmZkTk ÿk@k ¢kUkTkm ^ZklAPkCkPk Hæ@mZkkPkMk vAKbk r ¢Tkv MkZk vKm#kmZkTk ÿk@k ¢kUkTkm ^ZklAPkCkPk Hæ@mZkkPkMk vAKbk r ¢Tkv MkZk vKm#kmZkTk ÿk@k ¢kUkTkm ^ZklAPkCkPk Hæ@mZkkPk
YknHWk Wkk^kv\k ¢kck@ Uk|k vCk |kYk VkvYk rTkk v TkYkoTkkYknHWk Wkk^kv\k ¢kck@ Uk|k vCk |kYk VkvYk rTkk v TkYkoTkkYknHWk Wkk^kv\k ¢kck@ Uk|k vCk |kYk VkvYk rTkk v TkYkoTkkYknHWk Wkk^kv\k ¢kck@ Uk|k vCk |kYk VkvYk rTkk v TkYkoTkkYknHWk Wkk^kv\k ¢kck@ Uk|k vCk |kYk VkvYk rTkk v TkYkoTkk
ZkkvCk-^ZkkZkkYk (¢vAbk@bkk¥I): bkYkZk:
RwlTkA AkZkr¿Yk : bkYkZk:
Bkkv@kA Bkkv@kA Bkkv@kA Bkkv@kA Bkkv@kA AvK\k AvK\k AvK\k AvK\k AvK\kng AkWkkv rck¥M}vK AkWkkv rck¥M}vK AkWkkv rck¥M}vK AkWkkv rck¥M}vK AkWkkv rck¥M}vK Uk |k vKmTk Uk |k vKmTk Uk |k vKmTk Uk |k vKmTk Uk |k vKmTk Fk@Wkm Fk@Wkm Fk@Wkm Fk@Wkm Fk@Wkm Av\kv@m Av\kv@m Av\kv@m Av\kv@m Av\kv@m
(bk^kk‘Ck) (Ck|kYk) (Ck|kYk) (Ck|kYk)
bk^kk@v
TkkbPkkv
WkUkkv@v
TkkbPkkv
bkkgHv
TkkbPkkv
KkvK\k
28-30 Ck|kYk [ 1 ¢kwgbk; 8 ¢kwgbk [ 1 AUkä 3 FkYkFkm [ 1 FkYkFkkv; 2 FkYkFkk [ 1 ¢kwgbkPadmini Balagopal, MS. B.Ed., RD.CDE
Gujarati Translated byRita (Shah) Batheja, MS.RD.CD.N.Bharat Shah, MD.English version Reviewed by
Wahida Karmally, MS.RD.CDEKarmeen Kulkarni, MS.RD.CDE
86
87
Clinical Preventive Services for Normal-Risk Adults
Screening Blood Pressure, Height and Weight: Periodically, 18 years and older. Cholesterol: Men, Every 5 years (and more frequently if at risk or abnormal), 35 years and older Women, Every 5 years (and more frequently if at risk or abnormal), 45 years and older. Diabetes: Periodically, adults with hypertension or hyperlipidemia. Pap Smear: Women, Every 1 to 3 Years, 18-65 years. Mammography: Every 1 to 2 Years, 40 years and older. Colorectal cancer: Periodically, 50 years and older with Stool Guiac &/or sigmoidoscopy or colonoscopy. Osteoporosis: Women, routinely, > 65 years or > 60 years at increased risk for fractures. Alcohol Use: Periodically, 18 years and older. Vision, Hearing: Periodically, 65 years and older. PSA Screening: In Men Periodically Immunization Tetanus-Diphtheria (Td): Every 10 Years, 18 years and older. Varicella (VZV): Susceptible only Two doses, 18 years and older. Measles, Mumps, Rubella (MMR): Women of childbearing age-One dose, 18-50 years. Pneumococcal: One dose, 65 years and older. Influenza: Yearly, 50 years and older. Chemoprevention Discuss aspirin to prevent cardiovascular events: Men, Periodically, 40 years and older. Women, Periodically, 50 years and older. Discuss breast cancer chemoprevention with women at high risk. Counseling Calcium Intake: Women, Periodically, 18 years and older. Folic Acid: Women of childbearing age, 18-50 years. Tobacco cessation, drug and alcohol use, STDs and HIV, nutrition, physical activity, sun exposure, oral health, injury prevention, and poly-pharmacy: Periodically, ≥18 years. Upper age limits should be individualized for each patient. Weight Normal body mass index (weight (kg)/height (sq. meters) for Indian Americans is <23
Waist circumference <90 cm or 36 inches (men); < 80 cm or 32 inches (women) !
!"#$!"%&'&($)*(!)($*!"%+,$),&---!
Criteria for Diagnosis of Pre-diabetesImpaired fasting glucose (IFG) > 110 – < 126 mg/dl
(Fasting plasma glucose)Impaired glucose tolerance (IGT) > 140 – < 200 mg/dl
(2-hr 75g OGTT)
Criteria for Diagnosis of DiabetesRandom plasma glucose > 200 mg/dl* with symptoms
(polyuria,polydypsia, and unexplained weight loss)
Fasting plasma glucose > 126 mg/dl*
2-hr plasma glucose > 200 mg/dl* after 75g OGTT
*Repeat to confirm on subsequent day
Treatment Goals for the ABCs of Diabetes††
A1C < 7 %
Preprandial plasma glucose 90 – 130 mg/dlPeak postprandial plasma glucose < 180 mg/dl
Blood pressure (mmHg)
Systolic Diastolic Hypertension definition >140 and/or >90Treatment goal <130 and <80
Cholesterol – Lipid Profile (mg/dl)
LDL Cholesterol < 100 HDL Cholesterol Men > 40 Women >50Triglycerides < 150
† American Diabetes Association Clinical PracticeRecommendations,Diabetes Care 26 (Suppl.1):S33-S50,2003.
†† NDEP promotes control of the ABCs of diabetes and use of theterm A1C for Hemoglobin A1c.
DiabetesNumbers At-a-Glance†
(For Nonpregnant Adults)
At each regular diabetes visit: • Measure weight and blood pressure.• Inspect feet.• Review self-monitoring glucose record.• Review/adjust medications.• Recommend regular use of aspirin for CVD
prevention.• Review self-management skills,dietary needs,and
physical activity.• Determine Medicare benefits eligibility for medical
nutrition therapy and diabetes self-managementeducation.
• Counsel on smoking cessation and alcohol use.
Twice a year: • Obtain A1C in patients meeting treatment goals
with stable glycemia (quarterly if not).• Refer for dental exam.
Annually: • Obtain fasting lipid profile (less often if normal).• Obtain serum creatinine and urinalysis for protein
and microalbumin.• Refer for dilated eye exam.• Perform comprehensive foot exam.• Administer influenza vaccination.
Usually only once:• Administer pneumococcal vaccination.
To order NDEP materials for your practice, call 1-800-438-5383 or visit our web site atwww.ndep.nih.gov
The National Diabetes Education Program(NDEP) is a partnership of the NationalInstitutes of Health, the Centers for DiseaseControl and Prevention,and over 200 partner organizations.
NIH Publication No.NDEP-12,Revised February 2003
DiabetesManagement Schedule
