59 S. Rastogi (ed.), Ayurvedic Science of Food and Nutrition,
DOI 10.1007/978-1-4614-9628-1_6, © Springer Science+Business Media New York 2014
6.1 Introduction
The prevalence of chronic noncommunicable diseases (NCDs) is now reaching
epidemic proportions in the developing countries [1]. Indeed, India already has the
highest number of diabetic and prediabetic patients in the world, reaching 62.4
million and 72.7 million, respectively [2]. A recent study from the Indian Council
of Medical Research–INdia DIABetes (ICMR– INDIAB) showed that the weighted
prevalence of diabetes (both known and newly diagnosed) in the urban population
of Chandigarh (14.2 %) was the highest, followed by Tamil Nadu (13.7 %),
Jharkhand (13.5 %), and Maharashtra (10.9 %). At every age interval, the preva-
lence of diabetes in urban areas was higher compared with rural areas [2]. This
national estimate shows a trend of an increasing number of people with diabetes in
India over the last decade [3]. The cause behind the huge epidemic is the alteration
of dietary patterns with a rise in refined-grain consumption due to growing industri-
alization and the country’s economic conditions. A natural method of precaution
that entails using functional foods present in foods may be one of the most benefi-
cial measures in combating the growing epidemic of diabetes.
6.2 Changing Face of India
The evolution of current dietary and food habits of Indians reflects the agricultural
and industrial revolutions of the country. The Bengal famine resulted in an acute
decline in food production in India. The so-called Green Revolution, in the context
Chapter 6
Integrated Food and Nutrition
in the Management of Diabetes
Ruchi Vaidya, Sudha Vasudevan, K. Manobala, R.M. Anjana,
and V. Mohan
R. Vaidya • S. Vasudevan • K. Manobala • R.M. Anjana • V. Mohan (*)
Madras Diabetes Research Foundation and Dr Mohan’s Diabetes Specialties Centre WHO
Collaborating Centre for Non Communicable Diseases Prevention & Control, IDF Centre
of Education, Gopalapuram, Chennai, India
e-mail: drmohans@diabetes.ind.in; www.drmohansdiabetes.com; www.mdrf.in