Search Results for: kidney

November 14, 2024 By Jigna Sheth 13 Comments

Manage Diabetes With These Lifestyle and Nutritional Tips

By this point, we are all well aware of the silent killer known as Diabetes. It is the leading cause of blindness, kidney failure, neurological and cardiovascular disorders. Diabetes Mellitus is a condition in which our body’s ability to utilize glucose from the blood lowers down. It is a disorder of carbohydrate metabolism characterized by impaired ability of the body to produce or respond to insulin. Glucose is the main source of energy to the body’s cells and insulin is a hormone (which is produced by pancreas) that controls the level of glucose in the blood.

Types of Diabetes

Type 1 Diabetes referred to as Insulin Dependent Diabetes Mellitus, is a condition in which the pancreas produce little or no insulin. Such individuals require daily insulin injections. This type of diabetes generally affects children or adolescents.
Type 2 Diabetes referred to as Non-Insulin Dependent Diabetes Mellitus, is a condition in which the insulin production may be normal or even high but the insulin produced is not as effective as normal insulin. This type of diabetes generally affects overweight or obese adults.
Gestational Diabetes develops during pregnancy and usually disappears after giving birth. Women with Gestational Diabetes are at a higher risk of developing Type 2 Diabetes later in life.

Factors Which Cause Diabetes

In order to manage Diabetes or eliminate it from our lives, we must understand the factors that cause it.

Obesity: Being overweight or obese has been identified as the number one risk factor for Diabetes. In fact, 80% of people diagnosed with Type 2 Diabetes are overweight.
Cigarette Smoking: Cigarette smoke elevates the level of inflammation in your body. This increases the risk of diabetes in smokers as opposed to non-smokers. Smoking can also elevate the level of blood glucose in your body and hence, worsen your insulin resistance.
Physical Inactivity: It can increase your risk of diabetes, even if you are not overweight or obese. On the other hand, in case you are overweight or obese – physical activity can help you reduce your risk of diabetes.

Tips to Manage Diabetes

Medication: The first line of action to treat Type 2 diabetes is anti-diabetic medications, and/or oral or IV insulin administration. Generally, insulin therapy is prescribed for type 1 diabetes. However, only medicines will not be able to control your diabetes. There are several other attached conditions, which we will discuss further.
Quality Sleep: Sleep is extremely important to effectively manage diabetes. Reduced sleep or insomnia can result in hormone fluctuations which in turn leads to a spike in the blood glucose levels, leading to weight gain.
Regular Examination: If possible, monitor blood glucose levels regularly in order to ensure that everything is under control. Medication, stress, physical activity, other illnesses and the foods we eat can all impact our blood glucose levels.
Stress Management: Physical or mental stress can aggravate diabetes. The degree at which stress impacts our blood glucose levels varies from one person to another. Studies show that almost all kinds of stress leads to a blood sugar spike.
Regular Exercise: It not only has a multifold impact on controlling and even reversing diabetes, but also helps in burning fat and maintaining an optimum weight. Practicing any kind of exercise for at least thirty minutes a day can improve insulin sensitivity, help in maintaining blood glucose levels and even diminish the risk of developing heart diseases. Brisk walking, running, cycling, dancing, swimming and biking are some of the recommended exercises that can elevate heart rate and control diabetes.
Quit Smoking: Smoking increases the risk of diabetes as it narrows blood vessels, raises blood glucose levels and leads to inflammations.

Nutritional Strategy to Manage Diabetes

Try these nutritional tips and strategies to manage Diabetes effectively

The distribution of carbohydrates, fats and protein in the diet should be such that it maintains blood glucose and reduces the risk of cardiovascular diseases
Replacing saturated fat with healthy fats such as avocados, nuts and olive oil can reduce insulin resistance and consume lean proteins.
Take small frequent meals at regular intervals. Avoid large jumbo-sized meals.
Keep a watch on portion size as having too much food can also lead to weight gain and related problems.
1 tsp of overnight soaked Fenugreek seeds or Fenugreek powder should be consumed every day in the morning or can be added with food.
Consume more complex carbohydrates than simple sugars as they breakdown and release glucose slowly in the bloodstream.
Fiber rich food like whole fruits, whole cereals, whole pulses, salads, sprouts, and green leafy vegetables to be added to the daily diet. Be sure to pick whole fruits over juices.
Avoid prepackaged, processed and sugar sweetened beverages completely.
Recent study shows consumption of Moringa Leaves, fruits, seeds or powder lowers Blood Sugar levels which in turn helps in reducing Cardiovascular Diseases. Roots of Moringa are to be avoided because of the toxic content.
Glycemic Index (GI) of foods is important in deciding whether to include them in the diet or not. Low GI foods are to be consumed to maintain blood glucose levels.

Food Selection As Per Glycemic Index

Food Groups	Foods With Low GI (Permitted in prescribed amount)	Foods With High GI (To be restricted)
Cereals	Whole wheat flour, wheat bran, Pearl Millet (bajra), Sorghum (jowar), oats, Finger Millet (ragi), Cracked Wheat (dalia), brown rice, barley, whole wheat pasta, multigrain & whole wheat bread.	Polished rice, white bread, Sago, All purpose flour, noodles, pasta, corn flakes, puffed rice.
Pulses	All pulses can be consumed moderately.	–
Vegetables	Green leafy vegetables, tomatoes, cucumber, radish, cauliflower, broccoli, cabbage, mushroom, onion, green beans, carrot, green peas, capsicum, gourds, etc.	Potato, Beetroot, sweet potato, yam, pumpkin, colocasia (arbi).
Fruits	Apple, guava, orange, sweet lime, peach, papaya, pineapple, pomegranate, muskmelon etc.	Dates, watermelon, plum, grapes, banana, sapodilla, mango, custard apple, canned fruits.
Nuts & oil seeds	All nuts & oil seeds can be consumed but in moderate proportion.	–
Milk & milk products	Skim milk, cow’s milk, curd, buttermilk.	Buffalo milk, full fat milk, cheese, cream.
Fats & oils	MUFA-PUFA-SFA in the ratio 1:1:1 to be consumed but not more than 4 tsp/day. MUFA- groundnut, mustard, linseed, olive, rice bran oil PUFA- sunflower, safflower, soyabean, corn oil SFA- Clarified Butter (ghee), butter, coconut oil	Hydrogenated Vegetable Oil (Vanaspati), Margarine, Mayonnaise.
Sugars	–	Sugar, honey, jaggery, sugarcane.
Snacks & desserts	Roasted bengal gram (chana), makhana, popcorn (low fat), American corn, air fry snacks, steamed snacks.	Ice cream, cold drink, pastries, patties, waffles, doughnuts, potato wafers, muffins, all fried and baked items

Diabetes is a disease which can be controlled if we are fully aware of its complications and by following strict dietary and lifestyle protocol. Our priority should be to monitor blood glucose, blood pressure and cholesterol levels and ensure they are in control on a periodic basis to avoid complications in the future.

We hope this article helps you make a shift to a healthier lifestyle and manage diabetes effectively! Leave your thoughts in the comments below! For more articles on managing Diabetes, check out Healthy Reads.

For further guidance and motivation by certified experts, join the GOQii Diabetes Care program. It’s India’s only diabetes program that is driven by Smart Science and Personal Coaching to improve Fasting Blood Sugar (FBS), Postprandial Blood Sugar (PP), and reduce HbA1c levels. You can subscribe here.

#BeTheForce

November 12, 2024 By Neha Sharma Leave a Comment

Can You Die From Pneumonia? 6 Serious Complications You Should Know

Pneumonia is an infection of the lungs which can be caused by bacteria, fungi or a virus. It can range from mild to life threatening – when you require medical intervention at the earliest. When the air sac of one or both lungs are filled with some fluid or pus, it leads to inflammation which causes chest pain while breathing, cough with phlegm or pus, fever, chills and difficulty in breathing. Newborns up to 2 years of age and older people above 65 yrs of age are more prone to pneumonia as their immunity is not strong enough to fight the infection.

Types Of Pneumonia

There are four types of Pneumonia.

CAP (Community Acquired Pneumonia): It is a type of pneumonia that occurs outside the hospital or other healthcare facilities and is caused by bacteria, bacteria like organisms, fungi or a virus like COVID-19 as well.
HAP (Hospital Acquired Pneumonia): This type of pneumonia occurs during a hospital stay and can be serious as the person is already sick.
Health Care Acquired Pneumonia: This type of acquired pneumonia occurs when patients stay for a long term in hospitals or go to outpatient clinics for dialysis or chemotherapy.
Aspiration Pneumonia: This type of pneumonia occurs when you inhale food, liquid, saliva or vomit in your lungs and that causes an infection and it also occurs when there’s a brain injury.

What Are The Complications That Occur?

Even with treatment, some people with Pneumonia, who have other health ailments, suffer complications. Here are some of them:

Bacteremia: When infection is caused by bacteria, it travels down to the bloodstream and can lead to septic shock that lowers the blood pressure and the heart cannot pump blood into the organs and organs may stop working altogether. So, if you are having symptoms like fever with chills, low blood pressure, stomach upset, fast breathing with a fast heart rate, you need to consult a doctor immediately.
Lung Abscesses: Sometimes, due to pneumonia, pus pockets are formed in the lungs and give rise to fever, fatigue, weight loss, loss of appetite and coughing. This basically happens when a person is having bacteremia, gum disease, weakened immune system and regular intake of alcohol.
Pleural Effusions, Empyema and Pleurisy: There are two types of layers surrounding your lungs called pleura. One from the outer side and one lines the part of your chest where the lungs sit. They help the lungs to move smoothly when one breathes. Sometimes, pain occurs while breathing and this is because the pleura swells and sometimes a fluid forms in between the layers and that is known as PLEURA EFFUSION. And if the fluid gets infected it leads to EMPYEMA.
Respiratory Failure: With pneumonia, your lungs get infected and they will not be able to transfer oxygen to organs and won’t be able to get rid of carbon dioxide from the body which leads to this condition. Symptoms are fast breathing, irregular heart rate, anxiety, fatigue, losing consciousness or bluish tint on your skin, fingertips or nails.
Kidney Failure: It’s not a common complication of pneumonia but when you are having bacteremia or septic shock, your heart may not be able to pump enough blood to your kidneys and they might stop functioning. Chances of kidney failure are high if it is coupled with other metabolic disorders.
Heart Failure: Chances of heart diseases are higher if you have pneumonia as the heart may not be able to pump enough blood and oxygen as the heart itself doesn’t have enough supply.

All the complications of pneumonia are not to be taken casually. If you experience any of the above symptoms or complications, seek medical help immediately. You can also track symptoms such as low blood oxygen, low blood pressure, increased heart rate and high body temperature with Smart Devices from GOQii. Tracking these symptoms early can help you avoid any unnecessary complications and get medical assistance on time.

We hope this article helps you. For more on Pneumonia and other medical conditions, check out Healthy Reads or ask your GOQii Coach directly by subscribing for Personalised Health Coaching here.

#BeTheForce

November 9, 2024 By Mitali Ambekar 28 Comments

Fox Nuts: The Lotus Seeds & Its Nutritional Benefits!

As a kid, my mother used to feed me fox nuts – which I hated because they were tasteless. A few years ago, someone reintroduced me to them, and to my surprise, I still wasn’t a fan. I wondered why people liked them.

Thankfully, my mom had a way of getting me to eat them. She roasted the nuts, adding some spices and condiments, creating a healthy version of popcorn. Crunchy, flavorful, and the perfect tea-time snack!

Fox nuts are seeds from the lotus flower. They are cultivated in water, largely found in India, and known as “Makhana.” They are also found in Korea, Japan, and Russia, where they are referred to as “Gorgon Nuts” or Euryale Ferox.

Highly nutritious, fox nuts have been popular as a snack and are commonly used in various recipes, especially in Indian cuisine. They can be enjoyed roasted or fried and stored long-term in airtight containers. The Chinese have used them medicinally to strengthen the spleen and kidneys due to their many health benefits.

The Health Benefits Of Eating Fox Nuts

Fox Nuts are considered nutritionally superior to dry fruits like almonds, walnuts, cashew nuts and coconut in terms of sugar, protein, ascorbic acid and phenol content
They are rich in antioxidants, which help prevent signs of aging like white hair, wrinkles, and premature aging.
Their high fiber content helps to avoid constipation. It helps the body flush out waste and prevents the accumulation of toxins in the body
It is also an aphrodisiac, helping in fertility issues like premature ejaculation, increasing the quality of semen and also helps women in overcoming infertility
These nuts are low on saturated fats and Sodium and high on Magnesium, Potassium and helps in controlling high blood pressure and diabetes as well
Fox Nuts help in controlling palpitation and insomnia as it has calming properties
It helps in relieving arthritis – numbness and pain in joints
As it is has astringent properties, it also helps cure diarrhea and have a better appetite
It strengthens the body and reduces burning sensation and quenches thirst

Here is my mother’s simple recipe to make it more tastier!

Fox nuts can be included in cereals or soups to support good health. High in protein, they make a great vegetarian snack. However, since their taste is neutral, most people don’t eat them raw. Here’s a simple recipe my mother used to make them more flavorful:

Heat 2 teaspoon of homemade ghee in a pan
Add salt and turmeric, stirring for few seconds. You can also add red chili, curry leaves, and mustard seeds for extra flavor.
Add the Fox nuts and roast them for a few minutes

This snack is ideal for between meals or with tea or coffee. Fox nuts are also enjoyed as a fasting food in India, where they are regarded as sacred. Apart from snacking, you can add them to cereals, vegetable dishes, rice, or even desserts. So, what are you waiting for? Add fox nuts to your diet today!

Found this article helpful? Read up more on nutrition here. To get these tips, recipes and learn more about different foods, speak to a GOQii Coach by subscribing for Personalised Health Coaching here.

#BeTheForce

October 24, 2024 By Dr Ashwin Nanda 5 Comments

Organ Donation – Gift of Life

A decade ago as a medical student, I had come across a blind man selling torches in the local trains. I asked him just out of curiosity the reason for his blindness to which he replied that he lost his sight in childhood after an accident which permanently damaged the blood supply to the retinas. He then went on to ask why I brought up the question and when I told him I was studying to be a doctor, he smiled and said, “I have a question for you”? I anticipated, he would want to know about recent advances in medicine that could probably restore his sight. But, I was wrong, instead, his question was different. His question was whether he could still donate his eyes. I was absolutely overwhelmed when he asked this. That is the day when I realized one can lose his eyesight but, still have a vision. With a sense of respect for him, I explained to him that his corneas could indeed be donated after his demise.

Organ transplantation is a marvelous procedure of modern medicine which helps the recipient gets a new lease of life. The only issue is, untimely demise of a loved one plunges the family and friends in so much grief that donating the deceased person’s organ doesn’t come to mind most times. It takes a mighty heart to brush aside the sorrow and take the step of organ donation, to give the gift of life to someone when you have lost a loved one.

Organ donation is permitted by law after a person is declared brain dead. A brain dead person has no chance of revival as all his brain activity has stopped permanently and completely. The medical fraternity follows very strict standards laid down by the Transplantation of Human Organs Act, 1994 to determine if someone is brain dead or not.

In India, it takes 4 well qualified doctors to declare brain death before a person’s organs can be harvested. The biggest hesitation in organ donation is that the body will be disfigured. The surgeon makes a single neat incision from top of the chest to the navel and after organ harvesting, it is stitched professionally and the body is handed back in the most dignified state. The organ/organs are stored in cooled containers with special preservative fluid.

Organ donation from brain dead individuals in India is very less compared to Europe and US. Live donor numbers are increasing steadily since it is possible for a relative to survive on a single kidney and even the left lobe of liver can be donated by a live donor as the liver regenerates.

2 lakh corneas are needed annually in India but only 50,000 donations happen. 5 lakh people die annually waiting for a lifesaving organ. Presumed consent for organ donation is used to increase the pool of potential donors in countries such as Austria, Belgium, Czech Republic, Finland, France, Greece, Hungary, Israel, Italy, Luxembourg, Norway, Poland, Slovenia, Spain, Sweden, Singapore and Turkey. After the death of the individuals the state becomes the custodian of the dead body, who take out the organs for transplant. Spain has the highest rate of organ donation at 36 / million. India is at 0.26/million only.

Who, What and How Can you donate?

1) Kidneys, Heart, Lungs, Liver, Small Bowel and Pancreas can be donated for transplant. Tissues that can be donated include eyes, heart valves, bone, skin, veins and tendons.

2) Every healthy person can donate. Old age is not a deterrent to donation. Person’s physical condition, not age, which is the deciding factor. Organs and tissue from people in their 70s and 80s have also been transplanted successfully.

3) Specialist health care professionals decide in each case which tissue and organs are suitable.

4) Your near and dear ones should be aware of your will to donate your organs. In case of your untimely demise they can inform concerned authorities to harvest your viable organs.

5) Kidneys, liver, heart need to be harvested within 6 hours of death whereas corneas within 12 hrs.

“Green corridor” is the term used when a lane from the airport to the hospital where the organ recipient is waiting is kept totally vacant for speedy transport of the organ by the doctor who has retrieved it from a donor in another city. The city traffic police officers go all out to ensure a smooth transit with zero stoppage. The nobleness of organ donation is highlighted by the efforts put in by them to help the cause.

Organ donation is easier said than done. This article is an attempt to increase awareness about this cause so that we all can create the mindset to be willing to donate organs. All religions promote this practice since extending life is considered an act of God.

So let’s pledge our organs and live even after we are gone.

Here are a few websites through which you can register and pledge your organs

www.mohanfoundation.org/

http://www.transplantindia.com/

http://www.organindia.org/

#BeTheForce