Apollo Health Blog
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What is arthritis?
Arthritis is inflammation of the joint that can result in pain , swelling of the region and limited movement. It is a very common disease that has varying effects on individuals.
Complications Of Diabetes –
If you’re a regular soft drink user, you might be surprised to learn that according to Science Daily, “individuals who drink soft drinks on a daily basis may be at increased risk of suffering vascular events such as stroke, heart attack, and vascular death.” Over the last few years there has been an increase in research studies showing the dangers of drinking too many soft drinks.
When it comes to soft drinks, you should consider cutting back or cutting them all out together. Here are five great reasons to drop your soft drink habit:
1. Aging could speed up
Phosphates and phosphoric acid helps soft drinks stay fresh for a long period of time and adds a bit of flavor. It’s naturally occurring in a variety of foods that we enjoy every day. But with people drinking more and more soda, phosphate intake has also increased. Phosphates are known to affect the heart, kidney, muscles, and bones negatively. Studies with rats have shown that increased levels of phosphates caused them to die sooner than rats that did not consume phosphates.
2. Metabolism drops
Recent research has shown that men and women who consume soda regularly in amounts many Americans consume, have had their metabolisms change – and not for the better. Metabolism in test subjects changed in ways that made it harder for them to lose weight and burn fat.
3. Soda cans contain BPA
The well-studied chemical BPA has been used in bottles and cans for years. It has been discovered by the scientific community to be a known cancer-causing agent. Companies have been dropping BPA from their products but many soda cans still contain BPA. Avoiding the chemical is a good idea. Be sure to confirm whether any other canned product you eat or drink contains any BPA.
4. Soda increases fat deposits
A study from Denmark in February found some interesting information about the relation between fat and soda. The group which consumed sugary soft drinks compared to the group that drank only milk were found to have higher fat levels in their livers and muscles. Fat buildups in the muscles and liver have been known to lead to heart disease later on.
5. Dangerous food coloring
The caramel food coloring put into most sodas has been under fire for over a year for concerns that it may be a cancer causing agent. Animal studies have found small amounts of the chemical have been directly related to cancer in animals. Some believe that only 16 micrograms of the chemical consumed per day by a person is a cancer threat; but one 20oz bottle of soda contains 200 micrograms!
- Should I check my blood sugar levels at home with a glucose monitor? How often should I check them?
Glucose monitors, usually called Glucometers are readily available in the market and are useful devices to monitor one’s blood glucose levels, in order to understand where one stands in terms of his or her glucose control. They facilitate achieving optimal glucose control, are user friendly and cost-effective.
They are invaluable tools for Type 1 Diabetics who are on Insulin treatment. Glucometers are also helpful in Type 2 Diabetics who are using Insulin and also are recommended sometimes in some Diabetics on Oral Diabetes medications.
Glucometers help readily recognize if a Diabetic is having low blood Glucose, fluctuations in blood glucose, very high blood glucose. They are not usually recommended for diagnosing Diabetes newly. Glucometers are reasonably accurate and check capillary blood glucose.
Whether one should buy a Glucometer and check at home depends on the type and severity of Diabetes, the stage of Diabetes, their clinical needs, risk of low glucose, whether on oral medications or Insulin, the type of oral medications used by the person and also affordability to a certain extent especially in the Indian context. The frequency of checking would also depend on these parameters and is advocated to take the advice of one’s doctor, so that one does not under use or over use Glucometer.
- What are my goals regarding blood sugar levels?
Goals of blood glucose can vary from person to person. It is essential to discuss this with one’s doctor so that optimal health outcomes are achieved by targeting the optimal blood glucose targets for that particular individual. The mantra is individualized and patient-centered approach.
For instance, if someone has long standing Diabetes for 40 years, old and frail and living alone, using Insulin, and at risk of low blood glucose; then that individual may be better with a less tight glucose control.
On the contrary, someone young and fit otherwise, at less risk of low blood glucose, needs to aim for a tight glucose control. Pregnant women with Diabetes or those Diabetics planning pregnancy ought to aim for a tight glucose control for the wellbeing of both mother and baby.
Fasting glucose targets may be between 70 to 140 mg/dl and random, post meal readings glucose targets can be between 70 to 200 mg/dl, depending on various clinical, and social factors. Specific individualized targets are essential from time to time for each individual Diabetic.
At the same time, it is of paramount importance to understand that HbA1c, also called Glycated Haemoglobin is the bench mark to judge one’s glucose control. This gives the last 2-3 month average of one’s blood glucose and is more accurate in predicting the future risk of one’s Diabetes-related complications. The usual target of HbA1c is around 7% in those with Diabetes, but again has to be individualized.
Suffice to say that blood glucose treatment goals have to be individualized, and it is pertinent to state in this context that other important goals relevant to Blood Pressure and Cholesterol control should not be ignored in those with Diabetes.
- What are the warning signs or symptoms that my blood sugars are too high? What do I do if my blood sugars are too high?
In a known Diabetic, the symptoms of high blood glucose levels could be excessive thirst, passing too much urine, waking up several times at night to pass urine, frequent infections like Thrush, weight loss, tiredness, fatigue and a feeling of being unwell. Some times, there may be no symptoms or signs even if the blood glucose is high, which reiterates the importance of regular monitoring!
Similar symptoms and signs are seen in undiagnosed Diabetics. Some newly Diagnosed Diabetics are in fact diagnosed when they present with other health related problems to hospital, like a heart attack; some are diagnosed on routine health check-ups for occupational screen or insurance purposes.
Some new diagnoses of Diabetes are made when individuals present with complications of Diabetes like Cataracts, damage to retina, burning pain in feet, kidney problems etc. Rarely the presentation can be with severe complications like Coma with high acid content in blood.
When a Diabetic knows he or she has high blood sugars, avoiding dehydration by drinking plenty of sugar-free fluids and seeking medical attention as soon as possible is essential.
- What are the warning signs or symptoms that my blood sugars are too low? What do I do if my blood sugars are too low?
A low blood glucose is defined as less than 70 mg/dl. A low blood glucose can be very dangerous if not recognized and attended immediately.
The symptoms and signs of low blood glucose in a Diabetic can be variable. The usual symptoms are feeling odd, confusion, excessive sweating, shakiness, excess hunger, and not being oneself. It is essential to be aware of these symptoms so that they can be recognized and treated immediately.
If possible, one needs to check the blood glucose with a glucometer and confirm that it is a low glucose. If not feasible, the treatment is to give 4 spoons of sugar with milk or water. Alternatives include honey, sweets, few chocolates. As soon as the person feels better, it is important to give some food such as a snack, sandwich, fruits, meals in order to prevent recurrence of the low glucose.
If someone is unconscious or semiconscious, it is essential to call for medical help to start a glucose drip at the earliest with higher medical care and monitoring.
Excess medications for glucose control; delayed, skipped or reduced food intake; excess work or exercise than usual are some of the common causes for low glucose. It is essential to seek appropriate medical advice and counselling to identify the causes of low glucose, know the signs and symptoms of low glucose, to prevent it and ensure the problem does not recur.
- How can I change my lifestyle and diet in a way that will be healthy?
Everyone needs to lead a healthy, balanced lifestyle, more so if the individual has Diabetes or at risk of developing it.
Stress plays an important role in many ailments and it is important to keep stress at bay as much as possible in our day-to-day lives. Right work-life balance is the key. Staying late at night is certainly not advisable as sound sleep is necessary for a healthy body.
Staying fit, regular exercise are essential. An hour of brisk walking 5 times a week or equivalent is a must. Simple changes in life style such as avoiding escalators and elevators, taking stairs whenever possible helps.
Good, balanced diet plays an important role. Right amount of the right food at the right time is a must. Avoiding junk and processed foods is necessary.
Quitting smoking and other tobacco products is mandatory. No or little Alcohol is advocated.
Understanding one’s own body, taking care of it and not leaving things till late if one has an ailment is fundamental .The good old adage, prevention is better than cure holds true even in this modern world !
Dr. Rav Sankar Erukulapati,
MBBS, MRCP(UK), CCT- GIM, Diabetes & Endocrinology (UK)
Consultant Endocrinologist, Apollo Hospital, Jubilee Hills, Hyderabad
Contact Number: 7702777503
E-Mail ID: firstname.lastname@example.org
World Diabetes Day..
How do we diagnose Diabetes Mellitus?
1.A1C> or equal to 6.5,
2.Fasting plasma glucose > or equal to 126 mg/dl,
3.2 hr plasma glucose > or equal to 200 mg/dl after a 75 gm oral glucose tolerance test,
4. symptoms of hyperglycemia and random plasma glucose > or equal to 200mg/dl
A Medical ID alerts emergency personnel and strangers. Encourage people with Diabetes Mellitus to carry/wear a Medical ID Card.
he health benefits of coconut oil include hair care, skin care, stress relief, cholesterol level maintenance, weight loss, boosted immune system, proper digestion and regulated metabolism. It also provides relief from kidney problems, heart diseases, high blood pressure, diabetes, HIV, and cancer, while helping to improve dental quality and bone strength. These benefits of oil can be attributed to the presence of lauric acid, capric acid and caprylic acid, and their respective properties, such as antimicrobial, antioxidant, anti-fungal, antibacterial and soothing qualities.
Spinach Stuffed Grilled Chicken –
* Chicken breast 140 g (de-skinned and deboned with only the wing
* Spinach leaves 25 g (blanched, chopped and sautéed lightly in olive
oil with seasoning)
* Broccoli 1 floret (blanched and sautéed in olive oil with seasoning)
* Carrot 10 g (blanched and cut into batons)
* French beans 10 g (blanched and cut into batons)
* Baby corn 5 g (blanched and cut into batons)
* Spinach Stuffed Grilled Chicken Tomato 25 g (blanched and
* Garlic 5 g (peeled and chopped)
* Onion 10 g (peeled and chopped)
* Basil 2 sprigs
* Olive oil 15ml
* Salt to taste
* Black pepper To taste (cracked)
* Potato 2 (sliced and blanched)
* Slit chicken breast length-wise and season.
* Stuff with spinach mixture and grill with olive oil. Finish in a
preheated oven at 180 ° C for 8-10 minutes.
* In a pan sauté onion and garlic in olive oil. Put chopped tomatoes
and cook for 10 minutes.
* Put chopped basil leaves in the tomato sauce, adjust seasoning.
* Grill potato slices; arrange on a plate. Place the chicken breast on
* Arrange broccoli and vegetable batons neatly on a plate.
* Serve basil tomato sauce as an accompaniment to the dish.
Do you know Sprouting Process ???
– Process is very simple..