According to a new study published in the ‘International Journal of Food Sciences and Nutrition’, Consumption of ultra-processed and fast foods is the leading cause of diabetes in India.
Key Findings From The Study
- India and Diabetes: India has the highest number of diabetes cases globally, with 101 million individuals affected.
- The International Diabetics Federations ‘India Diabetes Report 2000-2045’ called India the “Diabetes capital of the world’.
- Diabetes prevalence has reached 9.3 per cent of the adult population, contributing to an economic burden of $8.7 billion annually.
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Diabetes
- About: Diabetes is a Non-Communicable chronic disease where the pancreas either doesn’t produce enough insulin or the body cannot effectively use the insulin it produces.
- Insulin is the hormone responsible for regulating blood glucose levels.
- Types of Diabetes:
- Type 1 Diabetes: Autoimmunity/antibodies attack the pancreas leading to destruction of insulin- producing beta cells.
- This causes insufficient insulin production.
- Requires daily insulin administration.
- The exact cause is unknown, and there are no known preventive measures.
- Type 2 Diabetes: Caused by a combination of resistance to insulin and insulin deficiency.
- The body becomes unable to use insulin properly, leading to high blood sugar if untreated.
- It is often preventable.
- Contributing factors include being overweight, lack of exercise, and genetics.
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- Diet Rich in AGEs Linked to Diabetes Risk: A diet high in Advanced Glycation End Products (AGEs), common in ultra-processed and fast foods, is identified as a leading cause of diabetes in India.
- The Study recommends the following Diet:
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- A low-AGE diet (fruits, vegetables, whole grains, low-fat milk) reduces oxidative stress and inflammation, improves insulin sensitivity, and helps prevent cell damage, lowering the risk of diabetes compared to high-AGE diets (fried and roasted foods).
- Consuming more boiled and steamed foods, as well as green leafy non-starchy vegetables, fruits.
- Avoiding fried, bakery, and sugary foods to reduce the risk of diabetes.
- Ultra-Processed Foods: Ultra-processed foods are industrially manufactured products that contain few whole ingredients and are typically high in added sugars, salts, fats, and artificial additives.
- They are designed for convenience and have a long shelf life. They are often nutritionally poor choices. Examples: Processed Meats, Packaged Snacks, Drinks etc.
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- Advanced Glycation End Products (AGEs)
- AGEs are harmful compounds formed during high-temperature cooking (frying, grilling, roasting). They trigger inflammation, a major factor behind the onset of diabetes.
- For Example: Processed Plant based foods and animal proteins that undergo high temperature cooking are more prone to form AGE’s.
- Glycation, a non-enzymatic chemical process where sugar binds to fats or proteins, plays a role in this harmful reaction in the body.
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Initiatives Taken In India To Reduce Diabetes Burden
- National Diabetes Policy: Launched in 2017, the policy aims to decrease the prevalence of diabetes in India by 20% by 2025.
Learning from Other Countries: India can learn from countries like:
- Mexico introduced a Sugar tax on sugary drinks.
- Japan Metabo Law mandates annual waistline measurements for adults over 40, followed by counselling for those at risk, contributing to reduced obesity rates. and
- Denmark has implemented policies to reduce saturated fat consumption.
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- National Programme for Prevention & Control of Non-Communicable Diseases (NP-NCD): Under NP-NCD, glucometer and drugs for diabetes are provided as per the proposals received from the states.
- Population based screening under National Health Mission: Aims to prevent, control, and screen for common Non-Communicable Diseases (NCDs), including diabetes, hypertension, and cancers.
- The initiative specifically targets individuals over 30 years of age for screening.
- Eat Right India: The ‘Eat Right India’ movement was initiated by FSSAI under the aegis of the Ministry of Health & Family Welfare to curb consumption of sugar, salt and fat.
- Others: Fit India and Khleo India movements are implemented by the Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by the Ministry of AYUSH.
- Quality generic medicines including insulin are made available at affordable prices to all, under ‘Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), in collaboration with the State Governments.
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Conclusion
With diabetes cases continuing to rise at alarming rates, understanding the role that AGEs play in the diet is essential for curbing this health crisis.
- Encouraging healthier cooking methods and reducing the consumption of processed foods could significantly reduce the nation’s diabetes burden.
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