'Old Is Gold': How Traditional Indian Dietary Practices Can Support Pediatric Diabetes Management

Area of Science:

• Nutrition Science
• Pediatric Endocrinology
• Culinary Anthropology

Background:

• Nutrition is vital for growth, development, and glycemic control in young people with diabetes (PwD).
• Restrictive diets lead to deficiencies and poor adherence, while ultra-processed foods pose further risks.
• Families face challenges in providing nutritious, low-glycemic index (GI) meals that are also appealing.

Purpose of the Study:

• To explore ancient Indian culinary wisdom and food practices.
• To assess their relevance for improving glycemic control and quality of life in PwD.
• To highlight the benefits of traditional diets in meeting modern nutritional guidelines.

Main Methods:

• Narrative review of traditional Indian dietary practices, including the 'Thali' concept.
• Analysis of food composition, preparation, cooking, and preservation techniques.
• Evaluation of impact on nutrient density, diet diversity, palatability, and GI.

Main Results:

• Traditional Indian 'Thali' systems combine diverse food groups (grains, lentils, vegetables, dairy, spices, prebiotics, probiotics, fats).
• Emphasis on local, seasonal, and plant-based ingredients ensures nutrient density and diet diversity.
• Preparation and cooking techniques positively influence GI and nutrient availability, enhancing palatability.

Conclusions:

• Ancient Indian culinary practices offer valuable strategies for managing diabetes in youth.
• These traditional approaches align with evidence-based guidelines, including ISPAD 2018.
• Integrating traditional wisdom can improve adherence, glycemic control, and overall quality of life for PwD globally.