Search Results for: disease

October 23, 2019 By Vickel Dubey Leave a Comment

Understanding Patient Behaviour Towards Digital Therapeutics

Are we, as patients ready to pay for an app which is intended for Therapeutic Purpose & Helping us manage our lifestyle better?

What a Patient Thinks

Ideation of this whole article took a shape while having a discussion with my father who is a Type 2 Diabetes patient. I was actually insisting him to install an app to better manage his lifestyle specifically the dietary recommendation (Since he is a banker by profession and also manages family business, day to day life is a complete mess) given by his doctor. Initially he was in agreement but when he asked me if there is any cost associated, I nodded yes. His decision changed immediately. According to him, he knows what to eat, what not to eat and on top of it, he is taking his medication (which he often forgets) so there is no need of a digital intervention. I tried to explain to him multiple times thereafter but all in vain. According to him, it’s just a waste of money.

Patient Compliance Behaviour: Medication vs Lifestyle Recommendation

This is the story of most Chronic Disease patients for whom managing their lifestyle is a crucial need. But it’s really sad to see the poor grades when it comes to be compliant of various lifestyle aspects. According to a study conducted among Indian diabetes patients, only 24.1% were aware and have been following self-blood glucose monitoring appropriately. Similarly, only 37% of the patients are adhered to the dietary prescription made by their physicians and only 35% follow up the physical exercise recommendations.

Why is it important to talk about “Patient’s Compliance Behaviour” before getting into the “Patient’s Commercial Behaviour”? The reason is that patients need a push specifically in case of chronic diseases because it’s all about care, whether it’s done by the patient himself or by a caregiver. In case of medication, the weightage is higher since it’s coming from doctors (with serious words) while in case of lifestyle, it comes as a recommendation rather than a prescription which defines the seriousness.

So, if a patient is serious enough about his disease condition and strictly follows the testing, medication and lifestyle modification, he/she doesn’t need any intervention, traditional or digital to manage his/her lifestyle but the statistics don’t reflect the same. Hence, it becomes important for patients who are not serious or moderately serious to keep engaged and motivated to adhere with the doctor’s recommendation via a push. Digital gives that push.

Now comes the commercial behaviour. There are hundreds of apps available in the market to manage your disease conditions. Some are freely available; some are coming complementary with the devices/treatment and for some, you have to lighten your pockets. Definitely the skewness is higher towards the free ones. Most of us preferred the free apps and uninstall any paid app when it asks for a payment after the trial period. But free apps have their own limitation and for better services/attributes or features, you have to pay. Same goes with the apps which are offering lifestyle management solutions for patients.

A Preliminary Investigation

To get a deeper understanding of patient’s behaviour, I conducted a small survey among diabetes patients. The survey designed on SurveyMonkey consists of 10 questions (5 open ended, 5 close ended) and shared on a few social media & chatting platforms such as Facebook, WhatsApp etc. The key questions are:

Patient’s Name
Age
Is he a diabetic patient?
If yes, is he using any online application to manage his Lifestyle?
Name of the app he is currently using
Is it a paid app?
Approximate cost of the app.
Will he pay for an app which promises to better manage lifestyle (in case the answer of Q6 is no)?
If yes, what is the approximate cost he will pay?
If no, why?

There were 43 responses received in total out of which 32 were diabetics. The outcome of the survey are as follows:

~80% of the total respondents are within the age group of 30 to 60 years
Out of total diabetes patients, only 36% are using one or another app to manage their lifestyle
Majority of the patients are using MySugar (45%) followed by Apollo Sugar (27%), GOQii (18%) and Wellthy (9%).
Only 2 out of the total patients with diabetes who are using an app have paid some amount
The approximate cost which they have paid is ~INR 2500
77% of the patients who are using an app (and answered no for Q6) are not ready to pay even if it provides a better solution, while only 23% are ready to pay.
The approximate cost which most of the patients feel comfortable to pay is INR 100-200 per month.
Free availability, YouTube videos, Advice by friends and family, waste of money etc. are some of the major reasons why people don’t want to pay for an app.

So, if we look closely, patients are quite ignorant when it comes to pay for an app. Reason, they consider it as a waste of money. This outlook needs to be changed. This perception needs to be changed. And it can only be changed when it comes as a prescription and not just a simple recommendation.

Conclusion

If a patient can spend ~INR 9,000 (from an analysis conducted by Lady Hardinge Medical College) annually for his diabetes treatment, he can definitely spend few hundred bucks to manage his lifestyle for better outcomes. But the patient also needs support from other industry stakeholders such as Pharma, Devices and payers so that the cost can be shared and patient will have to bear minimum cost burden.

August 28, 2019 By Pradnya Shinde Leave a Comment

Should You Go Grain-Free?

In the past few years, imperical evidence emerged, coaxing us to stay away from all the foods we enjoyed so much in order to live a strong, healthy and disease-free life. Now, along with sugar, fats and diary, you even have grains joining the list of dietary outcasts. How did this happen? Is it necessary? Let’s find out if you should go grain-free!

What is Grain-Free?

Have you ever thought about skipping rice, chapati or your favorite rotis for losing weight quickly? Ever skipped all grains which includes wheat and its products, corn, rice, jowar, ragi, and bajra? That is called going grain-free. It is when you eliminate all grains from your diet.

If you have followed a specific diet like Keto or Paleo, you know that they involve skipping grains. Another reason people avoid grains is the discomfort in digesting them. The specific known culprit is Wheat! But there is hardly any reason enough that suggests grains are unhealthy or promote weight gain.

Are There Any Benefits of Going Grain-Free?

The immediate benefit of going grain-free is that you will notice some weight loss and reduction in bloating. 80% of dry matter of grains is carbohydrates. Reduced intake of excess carbohydrates helps in reducing weight quickly as it also reduces water retention. Hence, skipping grains makes you feel light. It works for short-term weight loss.

However, if you want to go for long-term weight loss, skipping grains might not be such a great idea as it may lead to nutritional deficiency. Whole grains are a major source of Vitamin B in our diet. Restricting it for a long time may lead to deficiency and cause problems. Going grain-free is not for every person. You can get the same benefits by skipping sugar and processed foods. For long term weight loss, go for grains!

What to Watch Out For!

If you are insistent on going grain-free, then plan your diet in such a way that you can cope with the vitamin loss. For instasnce, include green vegetables in your diet. You can go grain-free for a specific period but avoid going long term. Remember that eating whole grains is good for your heart and it reduces the risk of cancer as well.

If you are skipping grains due to digestive discomfort, then take the IgA anti-gliadin antibodies test to see if you have gluten sensitivity followed by endoscopy to check for celiac disease.

Gluten is a protein present in wheat and it will cause you discomfort if you have gluten sensitivity or celiac disease. If you have either of these conditions, avoid wheat, rye and barley. You can safely eat other grains.

To sum it up, you can enjoy eating rice, idli and parathas in moderation. Avoid refined cereal!

We hope this article helps you come to a conclusion on whether you should go grain-free or not! Do let us know your thoughts in the comments below!

#BeTheForce

August 12, 2019 By Anu Acharya 1 Comment

Nutrigenomics and You!

There are many people who feel that they are not able to achieve their health goals in spite of a conscientious diet and fitness routine. Even regular health checks do not seem to help. Is there any method to identify and bridge the gap? Nutrigenomics is the science that looks at the interaction between our diet and lifestyle habits and how they affect our DNA in terms of regulating genes responsible for metabolism, development, and overall wellness.

Why is it Important to Understand Nutrigenomics?

Common dietary elements can act on our DNA, either directly or indirectly, to alter gene expression or structure. For example, dietary fat/carbohydrate intake affects genetic activity, metabolism rates, adiposity and thereby, a likelihood of weight gain (obesity).
Sometimes, for some of us, diet can be a serious risk factor for many diseases. For example, carriers of MTHFR gene variants may have lower enzyme activity and hence a higher risk for developing folate deficiency. In such instances, a reduced intake of Vitamin B6-containing foods may trigger clinical manifestation — screening can help implement dietary changes to manage health better.
The impact of diet on the balance between healthy and diseased states depends on our DNA. For example, variation in the SOD2 gene can alter the the antioxidant activity and increase the risk for excessive oxidative damage. Individuals who carry such variants need to ensure richer portions of antioxidants in their diet. Exercise routines can be planned with adequate rest between heavy workouts for repair/recovery.
Some diet-regulated genes (and their common variants) can affect the onset, incidence, progression, and/or severity of chronic diseases.
Chronic diseases can be prevented, mitigated, or addressed through dietary intervention based on the knowledge of nutritional requirement, nutritional status, and genotype. For example, certain gene variants can increase the likelihood of developing gluten intolerance. Genetic screening can help identify such risk factors for dietary intervention if required. This can have a positive impact on health, overall wellness, as well as athletic performance.

What Can You Learn From Nutrigenomics?

Your power to absorb vital nutrients required for a healthy body and mind
The impact of nutrients on various organs and pathways
Nutritional factors that can protect your genome from damage
Impact of genes on your lifestyle, diet, fitness, habits, etc.

When Is The Best Time To Get A Test?

The answer is NOW! Nutrigenomics are once-in-a-lifetime tests that are noninvasive. From newborns to nonagenarians, anyone can take this test. Whether you are starting your wellness journey or a veteran health and fitness expert, these tests can help you get to know yourself better.

How Can You Use It To Improve Quality Of Life?

Nutrigenomics can be the game-changer that empowers you on your wellness journey or enables you to achieve your fitness goals. Here’s how it works:

Genetic tests are available online — you order one and receive the sample collection kit, along with a health history questionnaire.
Once you send the sample, your DNA is extracted and analyzed for several key markers associated with diet, fitness, well-being, disease risk, and more.
The genetic counselor correlates genetic findings with health history to offer personalized nutrition, fitness, and wellness advice.
Your nutritionists and personal trainers can also be part of the genetic counseling session in order to design diet plans and fitness routines that work for you.

Sharing her views on the importance of Nutrigenomics, Pooja Ramachandran, India’s pioneering genetic counselor says, “The need for personalizing nutrition was seen soon after the conclusion of the Human Genome Project and the ensuing impact of personalized medicine. Nutrigenomics is poised to be a powerful tool for nutritionists, dietitians, doctors as well as any healthcare professional in using nutrition therapy for the treatment of disease. More importantly, Nutrigenomics may facilitate the prevention of diet-related diseases, and help design individualized nutritional strategies based on anticipated adverse or beneficial impacts of specific food or nutrients for a particular individual.”

July 17, 2019 By Trishala Chopra 5 Comments

Tips to protect yourself from allergic conjunctivitis this monsoon

I guess I am late! Rains are already here and we can’t just ignore getting drenched in heavy rains. But, getting drenched in the rains might not be a good thing for your body. Monsoon not only brings with it rains but it brings along with it an army of infections. Viral infections are the most common ones. They are at its peak during monsoon season because of the sudden increase in the moisture levels in the climate. Among all infection, eyes are the worst affected part of the human body.

You might have suffered from itchy eyes which turns red the moment you rub it? Do not ignore it as it could be conjunctivitis. Conjunctivitis in literal terms means inflammation of conjunctiva (thin protective membrane of the eyes) Conjunctivitis is of two types: – acute allergic conjunctivitis and chronic acute conjunctivitis. Acute allergic conjunctivitis includes the seasonal allergy which turns up during monsoons. Conjunctivitis spreads through direct contact. Hand to eye touch can cause conjunctivitis, as this disease is highly contagious. It can last for minimum 3 days up to 7 days.

Redness always doesn’t mean conjunctivitis, there are various other reasons that can cause redness or itchy eyes. It might be dust or too much strain on the eyes or insomnia which might cause redness of the eyes. Do not confuse yourself between these reasons and conjunctivitis. It is always advisable that if you face redness, itchiness, watery eyes, swelling, difficulty in blinking, dry eyes for more than 2 days then visit your ophthalmologists as soon as possible. It might be allergic conjunctivitis or some other disease, it is always better to get it checked from the expert.

Here are few tips to protect yourself from conjunctivitis this monsoon!

Maintaining personal hygiene is most important precaution which one needs to take.
Avoid touching your eyes without washing your hands properly.
Wash your eyes with cold water whenever you come from outside.
If you feel that there is slightest pain in your eyes or you have been in contact with the person who has conjunctivitis, give your eyes cold compressions immediately after you come home. It is always better if you visit a doctor before the diseases aggravate.
If someone at home is down with conjunctivitis make sure that whenever you are putting drops in their eyes or giving them cold water compressions, you wash your hands thoroughly before and after you get in contact with the person.
Put 2 drops of rose water every time before you go to bed.
If you wear contact lenses, avoid using them during monsoons as the chances of infection is higher with lenses.
Do not share cosmetics. Risk of infection doubles when you share them.
Avoid swimming, visiting water parks during monsoon, not only conjunctivitis, body gets prone to other diseases too!
Avoid touching public taps, handles and if you get in contact with them, always keep a sanitizer and use them frequently.
Wear glasses to keep your eyes protected.
Avoid self-medication. You do not know about the action of drugs.
Never use steroid eye drops. Always consult your doctor.
If in case doctor is not available, choose antibiotic drops over steroid eye drops.

Conjunctivitis is not a one-time disease, chances of getting conjunctivitis is endless. So as it is rightly said, Prevention is better than cure!