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Search Results for: diabetes

June 25, 2023 By Dr Supriya Vhatkar 3 Comments

Light and White Skin Patches? All You Need to Know About Vitiligo!

World Vitiligo Day Have you ever come across someone with lighter or white skin patches? Ever wondered what was wrong with them? Ever been curious enough to research? What these individuals suffer from is called Vitiligo. As today is World Vitiligo Day, let us understand this skin disorder.

Vitiligo occurs when pigment-producing cells (melanocytes) die or stop producing melanin — the pigment that gives your skin, hair and eyes color. The involved patches or affected area of the skin become lighter or white.

Common Symptoms

  • Patchy loss of skin color
  • Premature whitening or graying of the hair on the scalp, eyelashes, eyebrows or beard
  • Loss of color in the tissues that line the inside of the mouth and nose (mucous membranes)
  • Loss of or change in color of the inner layer of the eyeball (retina)

Onset: Vitiligo can start at any age, but often appears before the age of 20.

Different Types of Vitiligo

  1. Generalized Vitiligo: This is the most common type. The patches appear on most parts of the skin. The discolored patches often progress similarly on corresponding body parts (symmetrically).
  2. Segmental Vitiligo: In this type, only one side or part of the body gets affected. It tends to occur at a younger age and progresses for a year or two, and then it stops.
  3. Localized (Focal) Vitiligo: In this type, one or only a few areas of your body get affected.

It is difficult to predict how the disease will progress. Sometimes the patches stop forming without treatment. In most cases, pigment loss spreads and eventually involves most of your skin. In this condition, the skin rarely gets its color back.

What Causes Vitiligo?

The most common causes of vitiligo may be related to:

  • A disorder in which your immune system attacks and destroys the melanocytes in the skin
  • Family history (heredity)
  • A trigger event, such as sunburn, stress or exposure to industrial chemicals

Diagnosis

  1. Medical History and Examination: If your doctor suspects you have vitiligo, he or she will ask about your medical history, examine you and try to rule out other medical problems, such as dermatitis or psoriasis. He or she may use a special lamp to shine ultraviolet light onto the skin to determine whether you have vitiligo.
  2. Skin Biopsy & Blood Draw: Take a small sample (biopsy) of the affected skin, draw blood for lab tests to look for underlying autoimmune conditions, such as anemia or diabetes

Treatment

Many treatments are available to help restore skin color or even out skin tone. Results vary and are unpredictable. Some treatments have serious side effects. Your doctor may suggest that you first try improving the appearance of your skin by applying self-tanning products or makeup.

If you and your doctor decide to treat your condition with a drug, surgery or therapy, the process may take many months to judge its effectiveness. And you may have to try more than one approach or a combination of approaches before you find the treatment that works best for you.

Even if treatment is successful for a while, the results may not last or new patches may appear.

Medications

No drug can stop the process of Vitiligo — the loss of pigment cells (melanocytes). But some drugs, used alone or with light therapy, can help restore some skin tone.

  1. Creams That Control Inflammation: Applying a corticosteroid cream to affected skin may help return color, particularly if you start using it early in the disease. You may not see a change in your skin’s color for several months. This type of cream is effective and easy to use. But it can cause side effects, such as skin thinning or the appearance of streaks or lines on your skin. Milder forms of the drug may be prescribed for children and for people who have large areas of discolored skin.
  2. Medications That Affect The Immune System: Ointments containing tacrolimus or pimecrolimus (calcineurin inhibitors) may be effective for people with small areas of depigmentation, especially on the face and neck. This treatment may have fewer side effects than corticosteroids and can be used with ultraviolet B (UVB) light. However, the Food and Drug Administration has warned about a possible link between these drugs and lymphoma as well as skin cancer.

Surgery

This may be an option if light therapy doesn’t work. Surgery can also be used with those therapies. The goal of the following techniques is to even out your skin tone by restoring color.

  1. Skin Grafting: In this procedure, your doctor removes very small sections of your normal, pigmented skin and attaches them to the areas that have lost pigment. This procedure is sometimes used if you have small patches of vitiligo. Possible risks include infection, scarring, a cobblestone appearance, spotty color and failure of the area to recolor.
  2. Blister Grafting: In this procedure, your doctor creates blisters on your pigmented skin, usually with suction. He or she then removes the tops of the blisters and transplants them to an area of discolored skin.
  3. Tattooing (micropigmentation): In this technique, your doctor uses a special surgical instrument to implant pigment into your skin. It’s most effective in and around the lips in people with darker complexions.

Lifestyle & Home Remedies

The following self-care tactics may help you care for your skin and improve its appearance:

  • Protect your skin from the sun and artificial sources of UV light. If you have vitiligo, particularly if you have light skin, use a broad-spectrum, water-resistant sunscreen with an SPF of at least 30. Apply sunscreen generously and reapply every two hours — or more often if you’re swimming or sweating.
  • Seek shade and wear clothing that shields your skin from the sun. Don’t use tanning beds and sunlamps.

Protecting your skin from the sun helps prevent sunburn and long-term damage. A bad sunburn can make your condition worse. Sunscreen also minimizes tanning, which makes the contrast between normal and discolored skin less noticeable.

We hope this article helped you understand the symptoms, causes and treatment of Vitiligo. Do you have any doubts? Let us know in the comments below!

Find more articles on skincare and remedies here.  You can also reach out to an expert by subscribing to GOQii’s Personalized Health Coaching here.

#BeTheForce

June 18, 2023 By Neha Kapoor 5 Comments

Rise From Calorie Counting To Be Your Own Dietitian

food pyramidDo you know the long kept “Secret of Diet”? Have you heard about it? In this article I would like to share it with you. It is a mantra to facilitate weight loss, regulate diabetes, hypertension and many such diseases taking good care of your immune system as well as vital organs. I am sure you must be familiar with these idioms i.e. “Food Pyramid” and “My plate”. If you are, I will be representing it from a different perspective. These are our main tools to plan a daily diet.

The Importance of Food Pyramid & My plate

The main idea behind the design of the food pyramid is to make our healthy eating experience much easier. When starting a new healthy diet, people need to know if they are consuming the right amount of the basic nutrients such as protein, fat, and carbohydrate, which is where the importance of the food pyramid and my plate comes in.

The food pyramid contains several sections of foods which are usually grouped according to their nutrient’s similarity. This actually helps you with a larger option to choose from. This way, you are not stuck to one particular food when there’s a whole world of options out there.

How To Use It? 

  1. Keeping this picture in front of you can help in making healthier choices with the number of servings you should ideally take in a day.
  2. Now next step is to understand My Plate which makes things pretty clear.

My Plate

The beauty of My Plate is in using a plate icon to “measure” the relative portion sizes of what you’re eating.

  • My Plate is a food icon that serves as a powerful reminder to make healthy food choices and to build a healthy plate at mealtimes.
  • It is a visual cue that identifies the five basic food groups that are: Fruits-20%, Vegetables-30%, Protein group-20%, and grains 30% and a bowl of dairy products.

What to Put on Your Plate?

  • Eating the My Plate way means filling half your plate with vegetables and fruits, adding slightly more veggies than fruits (Due to sugar content).
  • Go for a colourful mix. You’ll get plenty of nutrients that way.
  • You should fill the other half of your plate with lean protein and grains, using slightly more grain than protein. For instance, lean cuts of chicken and other meat, fish, beans and peas, tofu, eggs, nuts and seeds (use sparingly).
  • Whole grains should make up at least half of your grains. That means choosing brown rice instead of white rice, whole wheat flour or multigrain or millets instead refined flours for instance. If weight loss is a goal make grains 20%.
  • The My Plate icon also shows a glass of milk/ buttermilk near your “plate.” It’s a reminder to include dairy (mostly fat-free or low-fat) in your diet. A2 or organic milk is essentially chemical-free and healthier as the cows are fed grass or organically cultivated fodder. Calcium-fortified soy milk also counts.

Dietary Guidelines of My Plate

Making food choices for a healthy lifestyle can be as simple as using these tips. Use the ideas in this list to balance your calories (energy coming from food), to choose foods to eat more often, and to cut back on foods to eat less often.

  1. Enjoy your food, but eat less: Take the time to fully enjoy your food as you eat it. Eating too fast or when your attention is elsewhere may lead to eating too many calories (overeating). Pay attention to hunger and fullness cues before, during, and after meals. Use them to recognize when to eat and when you’ve had enough.
  2. Avoid oversized portions: Use a smaller plate, bowl, and glass. Portion out foods before you eat. When eating out, choose a smaller size option, share a dish, or take a part of your meal home.
  3. Foods to eat more often: Eat more vegetables, fruits, whole grains, and fat-free or 1% milk and dairy products. These foods have the nutrients you need for health – including potassium, calcium, vitamin D, and fiber. Make them the basis for meals and snacks.
  4. Make half your plate salad and vegetables: Choose red, orange, and dark-green vegetables like tomatoes, sweet potatoes, and broccoli, along with other vegetables for your meals. Add salad to meals.
  5. Switch to fat-free or low-fat (1%) milk: They have the same amount of calcium and other essential nutrients as whole milk, but fewer calories and less saturated fat.
  6. Make half your grains whole grains: To eat more whole grains, substitute a whole-grain product for a refined product-such as eating whole wheat bread instead of white bread or brown rice instead of white rice, whole wheat flour or millets instead refined ones.
  7. Foods to eat less often: Cut back on foods high in solid fats, added sugars, and salt. They include cakes, cookies, ice cream, candies, sweetened drinks, pizza, and fatty meats like ribs, sausages, bacon, and hot dogs. Use these foods as occasional treats, not everyday foods. Natural sugars like jaggery, honey, pure maple syrup are better choices.
  8. Compare sodium in foods: Use the Nutrition Facts label to choose lower sodium versions of foods like soup, bread, and frozen meals. Select canned foods labelled “low sodium,” ”reduced sodium,” or “no salt added.”
  9. Drink water instead of sugary drinks: Cut calories by drinking water or unsweetened beverages. Soda, energy drinks, and sports drinks are a major source of added sugar, and calories, in American diets.

Do give it a try and share your experience in the comments below. After getting familiar with this tool, we really don’t need any diet charts. Stick the pictures in your kitchen and plan any day meal without any hassle.

You can find more useful information on nutrition here. You can also get this information directly from an expert by subscribing to GOQii’s Personalised Health Coaching here.

#BeTheForce 

June 9, 2023 By Mamta Joshi 4 Comments

What Is The Circadian Rhythm Diet & How Does It Help?

circadian rhythm diet

Have you heard about the Circadian Rhythm Diet or the 7am to 7pm diet and the recommended dietary habits & restrictions it involves? Surprisingly, there are no dos and don’ts on eating. It’s  all about when you should eat. The basic idea of this diet is to reset meal timings to the same one as our ancestors i.e. between sunrise and sunset – basically scheduling meals during daylight hours. 

Circadian Rhythm Diet also known as Body Clock Diet is basically a form of time restricted eating plan where we eat in sync with the body’s internal clock which gets regulated by change within the environment, mainly, light and darkness, and are controlled by a small area in the middle of the brain. This can affect metabolism, hunger, sleep, body temperature and other bodily functions.

The hormone cortisol, also known as the “get up and go” hormone is linked with body metabolism and hence weight. It rises and falls during the course of the day.  If someone eats when metabolism is at peak, calories consumed would be utilized well and not deposited as fat. On the other hand, food eaten at the wrong time may lead to weight gain.

Circadian rhythm is a natural, internal process that regulates the sleep-wake cycle and repeats every 24 hours and can be divided into 2 phases:

  1. Eating and metabolizing phase: Metabolism is high when cortisol is at its peak and slow when cortisol levels are down. The body releases cortisol naturally twice per day: once in the early morning and later in the evening and at that time, the stomach too is ready with the right amount of hormones and digestive enzymes and even good gut microbes to digest the food. So for health benefits eat with the Sun. In response to daylight, cortisol rises, insulin sensitivity increases and melatonin decreases, making one feel active and energized. Cortisol supports thyroid function and metabolism, and contributes to the energy needed  to complete daily tasks.
  2. Resting  and healing phase: When the sun sets, the body naturally wants to wind up and prepare for sleep. The sleep inducing hormone melatonin rises up, while cortisol and insulin sensitivity reduces. So food consumed later at night when cortisol levels are decreasing is more likely to be stored as fat.

As soon as one finishes dinner, the body slowly gets slow on metabolism, the body clock resets, going into repair and rejuvenation mode so that damaged cells can be repaired and replaced with healthy new cells and allergy causing chemicals or pathogens cannot attack the body. Thus, late night munching leads to weight gain and it disrupts the body’s natural healing mechanism too. 

Highlights Of The Circadian Rhythm Diet 

  1. Eat during daylight.
  2. Have breakfast and lunch as the biggest meals of the day, and dinner, the smallest.
  3. Have about 75% of nutrition before 3 pm
  4. Do not eat anything post dinner.

Benefits Of This Diet 

  1. Helps maximize weight loss efforts
  2. Reduces the risk of obesity
  3. Improves digestive health
  4. Improves metabolism
  5. Improves sleep, mood and energy levels
  6. Reduces inflammation in the body
  7. Lowers the risk of type-2 diabetes and cardiovascular disease
  8. Promotes longevity 

Those who schedule their meals between 12 hours (7 am to 7 pm) might have a much better circadian rhythm and health unlike those who delay dinner and eat within 15-16 hours (7am to 11pm or more). After 12-16 hours of fasting when we have the next meal i.e. breakfast – the body gets enough time to heal/repair as required. Don’t eat anything post dinner as the body enters the healing and rejuvenation mode. Compounds that encourage the inflammatory response rise at night. This is likely because the body is better at fighting infections while it is at rest, and energy can be poured into the effort, rather than into other functions like metabolism.

Even if the food choice & calorie consumed is the same, those who eat during daylight have better health than those who delay. Food at the wrong time can disturb the internal clock and break the metabolic balance in our body, and that can push us towards disease. Biological rhythms are meant to protect us. Disturbing this rhythm can lead to weight gain, hormonal issues, mental health issues, metabolic diseases like type -2 diabetes and heart problems. 

So do give this Circadian Rhythm Diet a go and let us know what you feel in the comments below! We hope this article helps you. For more informative articles such as this, check out Healthy Reads or you can get this information directly from a GOQii Coach by subscribing for personalized health coaching here.

#BeTheForce 

June 3, 2023 By GOQii 2 Comments

Why Cycling Is One Of The Best Ways To Stay Active!

cycling

Cycling is one of the most environmentally friendly ways to get fit. In fact, it is the best way to stay active! If your workplace is at a distance of 4-5km, it’s the best mode of transport as well.

If you’ve been glued to social media, you might have realized that a lot of people have taken to cycling – either solo on in a group. If you’re new to cycling or if your city doesn’t have specific trails for it, here are some measures you should follow:

  • Wear a helmet
  • Stay to the left side of the road.
  • Ride on well–lit paved roads and if possible, bike paths. If there are no bike paths, take the service roads. 
  • Wear reflective clothing and have front and back lights
  • Use arm and hand signals to indicate turns.

Furthermore, ensure that your bike is adequately maintained. Proper clothing (t-shirt and padded shorts are recommended). You also require a proper fitting helmet, padding (optional), bike reflectors, flashers and headlights, gloves, proper shoes and eye protection.

What Are The Health Benefits of Cycling?  

Before we go on to the health benefits, it is important to understand the correct sitting posture on a cycle. Maintaining proper posture is important not only for efficiency but also to prevent any form of injuries and aches.

Cycling is easy on the joints because you put your weight on a pair of bones in the pelvis called the ischial tuberosities unlike walking, where you put your weight on your legs. It is good for anyone with joint pain or age-related stiffness.

Regular cycling can reduce the risk of chronic illnesses such as heart disease, diabetes and stroke. It can also improve your mood and keep your weight under control. Adults should ride at least for one hour daily. It decreases stress levels and increases muscle strength and flexibility. It also strengthens your immune system! Cycling releases endorphins, which makes you feel young at heart. Furthermore, it improves your stamina! 

It is an incredibly sociable sport. Joining a cycling club or group is an excellent way to grow your social circle and stay fit and active at the same time! 

We hope this article motivates you to take up cycling and improve your health! For more on staying active and living healthy, check out Healthy Reads or get the best tips to improve your cycling experience from a GOQii Coach by subscribing for personalized health coaching here.

#BeTheForce 

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