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STOP Diabetes

health
Preventive Medicine is the best medicine.  Let’s all of us get our fasting Blood Sugar tested to detect Pre-diabetes . Any  one who has his/her Blood Sugar between 100-120 mg/dl is a Pre-diabetic. He or she must adopt a heal;thy & active lifestyle. 
 

The adage “My Home is my castle” is most appropriate for a a-social person like me.

I love to stay in my home which I built in 1990 and work from it. It is a God’s gift of my hard earned integrity and sincerity in my field of specialization ( Radiology) that I have put up to build me credibility – for over 35 years-now.

I had a very early desire to reach to the poorest of poor by improving their health by serving them to the best of my abilities without any greed or personal ambitions. Being born in a poor family this is what I was taught by my parents and this was the very purpose of my pursuing a career in medicine. I have a clinic in the same premises where my home is, where I have a not-for profit diagnostic clinic. God has been kind and I pursue my interests without any compromises.

ARE YOU IN THE PINK

Some diseases have a gender bias, affecting more women than men.

Here is a list of some such conditions, which must be ruled out-on your road to good health.

1. Poly Cystic Ovarian Syndrome : Young adolescent girls around 16 to 20.

Being Overweight, Sleepy with irregular menses-very common among city girls.

Test: Pelvic Ultrasound or Sonogram of Ovaries. Reveals multiple cysts in Ovaries.

Must consult your Gynecologist/Endocrinologist for proper treatment.

2. Anemia : Feeling of being tired and listless, pale looks, anxiety and mood swings. Common among pregnant and lactating women and adolescent girls.

Test : Hemoglobin less than 12gm/dl. Extreme untreated Anemia can lead to Heart failure, premature deliveries.

Easily avoidable condition by taking iron rich food,B12 and folate or use supplements under medical guidance.

3. Hypothyroid : Again very common at all ages during adulthood. Common cause in sudden weight gain. Affects metabolic rate ,  swelling around ankle, face, legs or other body parts. Hair loss, fatigue, depression and decreased concentration.

Symptoms go away after proper treatment.

Tests : T3,T4 and TSH.

4. Osteoporosis : Deficit of calcium and Vitamin D. Women in 30’s and above. Post               menopausal women. Bone health is affected.

Women must take 2 glasses of milk or serving of Yoghurt, pulses or leafy vegetables, sprouts or legume- particularly if vegetarian.

Test: Bone density test or DEXA Scan . Also Serum Ca. levels.

Focus on weight bearing exercises like walking, running, jogging, skipping . Must in young age.

5. Breast Cancer :   Family History is of great significance. Obesity leads to Insulin resistance. Is rising in India. Self examination for any breast lump is the key for early detection.

Test: Ultrasound & Mammography.

Consult your Gynecologist immediately for any early sign of lump.

Dr. Yogender Sharma

 

BATTLE OF THE BULGE

Excerpts of Hindustan Times Leadership Summit, as reported by Rhythma Kaul, on December 08,2013.

THE FIGHT AGAINST OBESITY :

Is Obesity merely a risk factor that can lead to lifestyle related diseases, or is it a disease in itself ?

Why do some people lose weight fast, while others find it difficult to do so in spite of trying the most exotic sounding diet combinations ?

Obesity is a risk factor for more than 25 different health conditions including type-2 diabetes, hypertension, gallstones, fatty liver disease, and joint and muscle pain, has been known since the time of Greek Physician Hippocrates. When the American Medical Association voted this year on whether it was a disease, the response were mostly in affirmative.

“Most people think excess weight can be knocked off by exercising and controlling the food intake . However, research has shown that out of 20 people starting a controlled diet and exercise routine, 19 will regain the weight they lose. Not more than 1% manage to keep the kilos off and even they have to struggle very hard to maintain their weight,” says Dr. Arya M Sharma, professor of Medicine and chair in obesity research and management, University of Alberta,Canada.

It takes 90 minutes of daily physical activity and a constant check on calorie in-take to shed excess weight.The point is, once a person puts on weight, it becomes difficult to lose it. No body succeeds in cutting out the flab permanently, much less without hard work. The reason being, “Our bodies tend to defend our weight by regulating the body weight,”explains Dr. Sharma. If a person weighs 50 kgs, the body will standardize the weight at 50 kg. However, the weight regulation point keeps increasing with increasing weight. “The  way our bodies are built, the regulation point only keeps increasing. It never decreases. As a person tries to to lose weight, his body fights the regulation point” he adds.

According to experts, even Bariatric Surgery …. commonly known as weight loss surgery , wherein a portion of the stomach is stapled to reduce a person’s appetite, the only treatment available for morbid obesity globally, is not a permanent cure. If the stomach is un-stapled   later, the weight that had been lost, which anyway is not more than 25 to 30% of one’s initial body weight, will eventually be gained back.

The weight regulation point grows as the body weight grows and continues growing  even after the body has stopped doing so. The centre where this regulation happens is inside the brain,called hypothalamus. “Every time there’s weight regulation, there is micro inflammation termed as gliosis or scarring of the nervous system. It’s like the process of building a scar in the skin that cannot be undone. Every scar is permanent. SIMILARLY, OBESITY IS ALSO PERMANENT,” he says.

Experts say this is the reason that treatment of Obesity is not only difficult , but has to be a life-long process. Some people will find it harder than others to keep excess weight away, as the battle of the bulge depends on various factors. “Eating healthy is a journey not a destination.  The goal is to stay healthy and that can’t be achieved through short-cuts.

It may be easier to keep excess weight away if one understands the reasons behind gaining it : Obesity may result from one’s genetic make-up, due to lack of time (to eat healthy or exercise), lack of sleep, cultural forces that promote over eating, emotional issues or ailments like a thyroid malfunction, heart problems, asthma or use of certain medicines for diabetes and depression.

In the end it does not matter how much weight one has gained. One would need to treat the underlying problem that had led a person to over eat or gain excess weight or gain excess weight. From the scientific point-of- view, obesity is a disease, and what makes it worse is that obesity in itself is not seen as a disease by most. “We don’t treat it as a medical problem, but as a lifestyle problem.

There is a full spectrum of treatments possible involving nutritionists, behavior analysts, physician and surgeons. Unfortunately, there are no obesity specialist available as yet, as a result  of which people take recourse in hitting the gym or popping tablets that promise to help in losing weight.

In India, an estimated 200 million people suffer from weight-related issues. “People need to double their effort against  the tendency to put on weight,”says Dr. Sharma.

Lack of time to cook at home and to exercise, lack of sleep and high stress levels contribute immensely to obesity .The best way to prevent obesity from assuming alarming proportions is to fight it early . “Monitor children’s weights carefully,” says Dr. Sharma.

ADMAR-Acceptable Macronutrient Distribution Range

A healthy diet consists of right amount ofcombination of three Macronutrients-

Carbohydrate

Proteins

Fats

A diet that is balanced in its macronutrient distribution can help reduce the risk of disease and foster living weightloss.

                                  The FOOD AND NUTRITION BOARD,which is a subgroup of Institute of Medicine,provides recommendations for how much you should consume in your diet.It is given as ADMAR.It represents %of total calorie intake that should come from each specific nutrient.According to this-

carbohydrates-45-60%[130 gms /day]

proteins-10-35%[0.8 gms/day]

fats-20-35%per day

fibre-35 gms /day

This range is for a normal Indian adult.

For example if your daily calorie need is 2000 then you should take –

25% from proteins=125gm

20% from fat=44gms and

50% from CHO=350gm

Amount of each macronutrient you need per day is determined by your calorie intake

FAT gives 9cal/day,PROTEINS gives 4cal/day and CHO gives 9cal/day.

hello,I am dietician Sakshi bajaj.I am associated with Rajendra Foundation .

You can drop in your diet related questions here to get proper solution

Sakshi bajaj

Regd .dietician

Preventive health care can work wonders in India. “Prevention is critical for India, as we are genetically predisposed to diseases like diabetes and cardiovascular problems,” says Dr. Devi Prasad Shetty, renowned cardiac surgeon and chairman, of Narayana Health, Banglore. “One of the root causes of heart problems in India is diabetes. A large number of diabetics from silent ischemia. They have blockages in the arteries, but there won’t be any symptoms like chest pain or breathing difficulty, as the patient won’t get to know of it until they have a heart attack.”
The solution get your routine tests done regularly after 30 years of age says Shetty. “Get a Lipid Profile done along with TMT & an Electrocardiogram, at least once in 2 years. More so, if you have a Family History of Heart Attacks and you have Diabetes. If you do, all these tests, you can detect the problems well before it happens,” he says.
Therefore, are check-ups necessary for healthy people? Experts say YES because one may otherwise miss the clues the body gives about potential health problems. There is hope even for those who have inherited disease-causing genes. “Your genes are not your destiny”, says Prof. Dean Ornish of the Preventive Medicine Research Institute, San Francisco, Ornish has an impressive track record. A clinician, he came up with the first document proof that Lifestyle changes – can indeed prevent and even reverse – heart disease and early prostate cancer, without medication or surgery in many cases.
His latest study says that with comprehensive lifestyle changes, you can reduce the risk of premature death and a wide variety of age-related diseases. For this, Ornish recommends a life style that includes a plant-based diet, yoga, moderate exercise, more social support, love and intimacy.
Type-2 diabetes can also be prevented with lifestyle changes, says Dr. V.Mohan, chairman and chief diabetologist, Dr Mohan’s Diabetes Specialist Centre,Chennai. “It can be prevented in up to 60 per cent of people with pre-diabetes with the help of diet,exercise and moderate weight control. Refined carbohydrates and Polished rice should be restricted in the diet, a brisk walk of 40 minutes a day would suffice – even if done in stretches of 10 minutes each. “.Being Overweight is an important risk factor for type-2 diabetes,” says Dr Mohan.

THESE FACT CAN NOT BE OVER EMPHYSISED. THERE IS  THEREFORE A GREAT NEED FOR EVERYONE TO GET THEIR BASIC PREVENTIVE HEALTH CHECK-UP DONE – AT THE FIRST AVAILABLE OPPORTUNITY.

DR Yogender Sharma.

‘PREVENTION IS BETTER THAN CURE’ & ‘LET FOOD BE THY MEDICINE’

Follow these 2 simple quotes to keep healthy. Never delay or postpone your health Check-Up. Always Consult your doctor – if you have any symptom – simple pain or fever or any other medical condition that is bothering you. This is in your own interest. 

2500 Healthy young individuals,men & women, in Delhi — ?

On Screening revealed that 77% young – as compared with only 60% middle aged – ARE EITHER OVERWEIGHT OR OBESE.
65% young adults HAVE BLOOD PRESSURE.
Close to 25% (18-40 years) SMOKE.
34% young people CONSUME ALCHOL at least once a week.
4.4% ARE DIABETIC and 14% PRE-DIABETIC.
25% Young have BAD CHOLESTEROL.
This was revealed in a study conducted by Dr. Ashok Seth,Chairman Cardiac Sciences, at Fortis Escorts Institute, says a report in Times of India, dated 17.10.13.
THIS IS A PRICE OF POOR LIFESTYLE. CAN WE REVERSE IT ???