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Diabetes – (Die-in-bits OR NOT)

So I started writing this blog almost a year back and could not complete it in this one year because I felt everybody knows everything about diabetes and what was the point of repeating the same things over and over again. Then, I realized, that this World Diabetes Day instead of the same diabetes facts, what we really need is a real patient case and scenarios to make everybody understand how intense and life-threatening, diabetes as a disease can be.

I remember long back we had a worried parent of a 6year old come into our clinic saying that his son’s urine had ants in it. After taking a proper history we realized that it was not ants in his urine but sugar in the kid’s urine left on the commode which was attracting the ants. Few blood tests later the child was diagnosed with Juvenile Diabetes. That’s Type 1 diabetes, the type which is most commonly seen in the younger kids. Basically, the pancreas barely produces any insulin in these kids which leads to sugar flowing through the blood and causing diabetes.

Diabetes is a group of metabolic disorders in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin or both.

Causes can range from autoimmune destruction, heredity or positive family history, insulin resistance to various infections like pancreatitis. But, the main cause or the root cause of Diabetes especially type 2 which affects mostly the adult population has to be a poor lifestyle.

Diabetes-like we all know can easily go unnoticed, even when a patient has already been diagnosed. Because of this, unfortunately, many don’t pay attention to the possible terrible problems that can happen if your diabetes is not under control.

I remember a case at the beginning of my career, a 40year old man having diabetes for more than 10 years came to our clinic with a complain that he had wound on his foot which was not healing. He knew his sugars were high but still wasn’t taking care. We started him off on the required medicines and within 10 days of better sugars, the wound had healed. He had no memory of how he had hurt himself. After 4months the same patient came back with an even bigger wound but unfortunately this time it had spread so much that his foot could not be saved and had to be amputated.

Does it make sense being so careless with your health and losing your foot just because your sugars are not controlled?

diabetes 1

Let’s discuss the complications of uncontrolled diabetes which can affect almost every organ of your body. Most commonly Diabetes affects your heart, kidneys, eyes, feet and your nerves (neuropathy) at varying degrees. Apart from these, diabetics have a higher risk of infections and dental problems. It is difficult to say what gets affected first but easier to remember that if your blood sugars are not under control, you have set yourself on the path to trouble.

diabetes image 3

During my internship, I got a call from a friend that his dad had a heart attack and they were shifting him to the same hospital where I was working. Fortunately, that month I was posted in the ICU itself so I was happy that I was going to be able to monitor his dad. Just on the opposite bed, there was another man of the same age who had suffered a heart attack the morning before. Almost two weeks later, my friend’s dad was still in the ICU whereas the other man was on his way to get discharged. Another 2 weeks went by but unfortunately, we didn’t see much signs of improvement and eventually we lost him in the next few days. The only big difference between the two patients was that my friend’s dad had uncontrolled diabetes!!

Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.

Your body and your health need a lot of care, attention and need to be your first priority not only at the time when you are sick but more when you are well. The point of this blog is not to scare you but to make you aware, and part of that awareness is knowing how to be able to help yourself. Follow the below tips and start your healthy journey today!

diabetes image 4

Tips to prevent or live well with diabetes

  • Maintain a healthy weight and look out for belly fat
  • Make healthy food choices
  • Be physically active (gradually increase everyday steps and try and reach the 10,000 target)
  • Monitor your sugar levels regularly and keep a check on your blood pressure
  • Get your full body tests done once a year
  • Sleep well and work to manage daily stress
  • Quit smoking
  • If on medications, make sure you take them regularly

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Save Your Lungs!!!

effects of smog

Recently, a sporty 6-year-old girl in Delhi complaint to her mother saying, “Mom, I feel no breath”. Now, this is alarming and also sad for the people in the capital city who are confined inside the four walls of their home. People are being warned from stepping out for workouts, cycling and runs.

A new study by the most reputed medical journal-‘Lancet’ in 2015 indicated that India topped the list of countries with pollution-related deaths, with 2.51 million people dying prematurely in the country that year due to diseases linked to air, water and other forms of pollution. India also topped the list of deaths linked to polluted air (1.81 million) and water (0.64 million). One-quarter of the world’s population now breathes unsafe air, according to the 2014 Environmental Performance Index (EPI).

Is this a new phenomenon for the Delhi-ites? No, the situation hasn’t changed in the last two years. It has only gotten worse from what it was, people claim. Delhi is indeed declared the most pollutant city in the world by the World Health Organisation and the people of Delhi are facing a public health crisis. The relationship between filthy air and poor health is frightening. Delhi’s bad air is already causing a spike in the people with asthma and reduced lung function. There is evidence of a spectrum of health problems, ranging from allergies and respiratory conditions, malformations, growth restrictions, all of which is a result of pollution.

Given this scenario, how do you save your lungs?

Lung Detox is something that Luke Coutinho, M.D., and master coach at GOQii recommend.

Particulates. Over time small particulate matter might damage your lungs permanently, making breathing difficult and forcing your heart to work harder.

Lung Detox Plan

-Previous night – soak 1 tbsp fenugreek (Methi) seeds in half cup water

-Wake up to 250ml warm water with lemon and a dash of cayenne pepper

-Drink the fenugreek water and chew on the seeds.
-10 mins later – 2 cloves of garlic crushed and consume with 1 tbsp raw honey or Manuka honey
Steam Time
-Boil some water, put into a large bowl, add 5-10 drops of pure eucalyptus oil or 1 drop peppermint oil, cover your head with a towel and do steam inhalation for 5 mins. Gentle deep inhalations and slow exhalations.
-Breakfast as normal, but add 300 ml fresh carrot juice with 1 tsp pure cold pressed coconut oil or extra virgin olive oil.
-Magic Lung breathing exercise (check method below)
-Post breathing exercise prepare a litre of the following concoction and have one cup warm.
Magic Tea –

  • 1 inch piece ginger /1 tsp dried ginger powder, cinnamon stick, ½ tsp basil/tulsi (fresh/dry), 1 tsp oregano dry (or fresh leaves), 3 peppercorns, 2 crushed elaichi, (optional , 1 -2 cloves crushed garlic), 1/4th tsp fennel seeds, pinch of ajwain, 1/4th tsp jeera (cumin)
  • Boil for 10 mins and simmer, strain and sip warm ( can add pure honey or jaggery to sweeten)

Lunch

-30 mins post lunch – 250 ml lemon water with a dash of cayenne pepper
-2 hours later – 300 ml fresh carrot juice with 1 tsp pure cold pressed coconut oil or extra virgin olive oil plus an evening snack
-30 mins later: Magic breathing exercise followed by a cup of lung tea concoction.
-Light walk or yoga
-30 mins before dinner: 250 ml lemon water with cayenne pepper
-Dinner plus 300 ml carrot juice as above

-Post dinner: 30 mins – one more cup of lung tea
-1 hour before bed – steam with 5-10 drops of eucalyptus oil for 5 mins
-Castor oil pack or rub (details below) for 30 mins

-Before bed – magic lung breathing exercise, meditate, sleep

 Magic lung breathing cleanse

Take a standing position. Keep your arms at your sides and your feet slightly apart. Relax.

  1. Take a few deep breaths and exhale through the nose.
    3. Now breathe in through your nose and exhale slowly through your mouth until you cannot exhale any more. But do not stop here, because there is still air remaining in your lungs.
    Some of the air remains in the lungs and is not replaced as we breathe. Now, force your diaphragm to exhale all the air from your lungs with wheezing. Several times exhale through the mouth with a “ho, ho, ho ho, ”

Until you feel there is no more air in the lungs. At this point, you will feel you have pulled in your belly toward the spine.

Through the nose, slowly inhale fresh, clean air in your empty lungs. Fill your lungs with air completely, and then hold your breath for 6 seconds, counting them slowly.

At this point, the oxygen has filled your lungs.

Again exhale through your mouth until there is no air left in your lungs and repeat the “ha…ha…” to expel the stale air out of the lungs.

Repeat the whole procedure as many times as you like. Besides purifying the lungs, this exercise has another benefit: your stomach will eventually become strong and toned skin will look radiant with a glow as you have helped remove excess carbon dioxide.

Here is small video (https://www.youtube.com/watch?v=oTbbua0iOSU&t=) by Luke Coutinho M.D,  where he explains all about what lungs are and how they function and finally how can we detox our lungs and keep it clean.

A timely video, when people across the country are suffering from air pollution around them.

 

 

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Did you know you can ‘drink’ your Vegetables’?

veggies

Do those leafy greens freak you out? Does eating 1 large cucumber, a bowl of spinach, 2 apples,2 carrots in one sitting seem like MISSION IMPOSSIBLE to you?  Hold on. Thanks to juicing, all of this can fit into one glass which can be gulped in less than 10 seconds. That’s not it; you are free to make it the way you want it to suit your palet. You can feel free to add any vegetable (carrot, tomato, cucumber, beetroot, spinach, bottle gourd, etc), fruit for flavour and sweetness (apple, pomegranate, orange, berries, papaya, melons and banana) and a few add ons like flaxseeds, chia seeds, mint, coriander, ginger, lemon juice, gooseberry.

Drinking just one freshly made vegetable juice each day is a reliable way of infusing your body with a wide variety of vitamins and minerals that can protect your body against pre-mature ageing and diseases. It’s the best bet for people who often tend to skip their breakfast due to a busy morning schedule.

It is a myth that the no.1 reason for juicing vegetable is weight loss. It’s just that juicing makes us so good that the weight loss is an added bonus! A major benefit of juicing regularly is that we stop craving for junk foods. Our body gets into the natural habit of declining processed sugar and opting for fruits/raw vegetables. We begin to crave for a glass of juice instead of a cup of joe!

Exploited in the right amount, juicing has many benefits on offer:

  1. Absorb all the nutrients – Cooking, frying and boiling the ingredients many-a-times leads to the destruction of a majority of the vital anti-oxidants and amino acids. Juicing helps prevent this loss and fortifies your dietary intake with a well rounded ingestion of all necessary nutrients.
  1. Eat as many vegetables that you have ever imagined – Let’s face it, on any regular day, we wouldn’t even dream of eating a bowl of boiled and sautéed spinach or broccoli; no matter how nutritious it’ll prove to be. But now, all we got to do is throw together all of the infamous leafy veggies into the blender, add in the juice of half a lemon for zing or an apple for sweetness, and we won’t even recognize the ‘rabbit food’ anymore.
  1. Make sure we don’t waste the fibre – After we have extracted the juice from the blender, don’t simply throw away the pulp. We can incorporate this leftover fiber into muffins, soups and gravies. Juicing does increase our anti-oxidant intake, but we lose out on natural fibers which aid digestion.  A completely juice-based diet will do more harm than good. It is meant to supplement our nutrition, not hamper it.
  1. Drink your juice right away – It is a very bad idea to juice large quantities at once and store it for consequent use. Under highly monitored conditions, vegetable juice can stay fresh for a maximum of 24 hours due to its unpasteurized nature. After this time span, the nutritional value declines steadily and the taste will also suffer. It is best consumed immediately.

Few things to keep in mind:

1.Make sure that we’ve removed all dirt or even bugs that may be hiding in the vegetables, particularly in the heads of broccoli, leaves of spinach or lettuce.

2.The key to making healthy vegetable juices is to make green vegetables the bulk of every serving. Green vegetables won’t spike your blood sugar and insulin level like fruits and sweet vegetables like carrots and red beets will. They can be healthy additions to our drinks, and they’ll definitely add sweetness and flavour.

3.In regards to the machinery required, our usual blender should do the trick just fine. However, if one is serious about juicing and wants to extract the best out of the ingredients – it would be beneficial to invest in a masticating Cold Press. The press slowly crushes the fruit or vegetable and prevents the application of heat as is the case in blades and blenders. Thus, ending up with healthier and highly-enriched juices, with preserved colour and nutrients. They are similar to the cold pressed juices available in the market.

A guide to build a perfect veggie juice:

Step A : Choose a base :

Water, coconut water, green tea, almond milk

Step B : Choose your veggies:

Spinach, broccoli, lettuce, celery, cucumber, carrots, beetroot

Step C : Choose a fruit :

Apple, grapes, melon, papaya, banana, peaches, kiwi, pineapple, pear

Step D : Optional add-ins :

Flaxseeds, chia seeds, ginger, gooseberry, lemon juice, honey, dates, almonds, nut butters,

Cinnamon, coconut oil, avocado, ice cubes.

Step E :

Blend and enjoy!

These is some serious life-sustaining stuff. So drink with gratitude and enjoy knowing that you’re taking great care of yourself.

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Did you know? Water is a Super-nutrient – Part II

drinking-water

So how do you create the need to drink water

In my first part we looked at how water is an important nutrient in our body and why it is important to keep ourselves hydrated. In this second part I will tell you how do you keep yourself hydrated?

The answer is very simple – Keeping a bottle of water handy and sipping on it whenever you look at it. Personally this has worked well for me as I myself was terrible at water intake at one point in time. I could hardly drink even a litre throughout the day. Luckily, I was very well aware of the reason and I decided to overcome this problem.

Before stepping out of the house, I made sure that I have carried my water bottle. I followed this for quite a while and now it’s become a habit. If I deprive myself of water now, I can feel my cells and organs screaming out loud for water! My mouth starts to feel the dryness, ad to that the feeling of dullness and low energy, concentration level dips and my head starts aching if I am not well hydrated. These are some physiological signals that my body sends which compel me to grab a bottle of water immediately. Thus, once you make your body cells habituated to drinking enough water, your body makes sure you drink enough of it by sending you the thirst cues more often, thus creating the need to drink!

Now the question is how much water is enough for you?

There are different recommendations for water intake. A rule of thumb is one should drink about 3 litres (12 glasses) of water per day. However, different people need different amounts of water to stay hydrated. For some people, fewer than 8 glasses may be enough. Those who indulge in lot of physical activities and exercise have higher water requirements. The best way to check if you are well hydrated is to check your urine. If your urine is consistently colorless or light yellow, you are most likely to be optimally hydrated. Many a times, increasing your water intake may also increase your rounds to the washroom.

My answer to this problem is that, one should divide the water intake throughout the day instead of drinking 1 bottle at one shot. It’s always worked if you drink 1 glass of water every hour. This reduces the frequency to visit the washroom often and makes sure you are well hydrated throughout the day.

Let me summarize a few tips for staying hydrated

  • When you are out, consider carrying a reusable water bottle so that it could be re-filled with water once it’s empty. This can also make it easy for you to track how much water you actually drank through the day.
  • If plain water doesn’t fascinate you, try squeezing a lemon to your drink
  • Ensure that you drink water before, during and after your workout.
  • Begin and end your day with a glass of water
  • When you feel hungry, drink water. This will help you find if it’s just the thirst or you are actually hungry. True hunger will not be satisfied by drinking water.
  • Prepare a schedule if you have trouble remembering to drink water. For instance, drink water when you wake up; at breakfast, lunch and dinner; and when you go to bed or as I mentioned before, drink a small glass of water at the top of each hour.
  • Drink water when you go to a restaurant. It not only keeps you hydrated but also keeps you full so that you eat in controlled portions.

Take-away message: Stay well- hydrated, keep glowing and keep fit!

 

From Terminal Illness To Complete Wellness! Ananda Mukherjee Health Story

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