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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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Why is KEEPING the weight off more challenging than LOSING weight? (And What Can You Do To Keep the Weight YOU Have Lost Off For Good?)

not-losing-weight

When it comes to weight loss…the process is fairly simple. You need to eat less and move more. (Notice that I didn’t say doing so would be easy only that it was simple.) Countless studies have been done to promote this diet or that one. Eat Mediterranean. No! Paleo. No! Atkins. Wait…no! Vegan….

At the end of the day, however, regardless of which nutrition plan or strategy is employed, what all the results of any given diet indicate is this: as long as the person in question eats less overall in terms of their calorie intake AND exercises more, they will lose weight. That is true regardless of the diet/nutrition plan one chooses. http://www.nejm.org/doi/full/10.1056/NEJMoa0804748

So what is the problem? That seems simple enough!

Well…The really challenging part isn’t actually taking the weight off. It’s KEEPING it off. In fact, many researchers insist that of those who lose weight, upwards of 95 percent of them gain the weight back plus extra. The most recently highlighted example of this was illustrated in May, 2016 when a number of contestants on The Biggest Loser were interviewed several years after their time on the show. All but one had gained a significant amount of their lost weight back. http://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html

If the pharmaceutical industry developed a drug that was 5% effective…they wouldn’t be able to get it in the market. So why should we bother to try and lose weight when doing so has a 95% failure rate? And if my heart is set on losing weight and keeping it off…Does this mean there is no hope?

The answers are nuanced and complex.

First off – there absolutely IS hope. If you want to lose weight (be it because you want to have less pressure on your knees so that you can exercise longer, or because you want to feel more at-home in your own body, or because you recognize that doing so would likely help you achieve a more balanced blood sugar level) you can lose it AND keep it off.

First – It’s important to know what you’re up against.

  1. When a person loses weight (and by that, I mean more than 5 – 10% of their initial weight) two things happen:
    1. That individual’s metabolism slows down. It becomes less efficient at burning calories.
    2. The produces more ghrelin (a hormone associated with hunger).
    3. The combined effect of this is that the person in question needs to eat less even though they are, on average, hungrier. http://www.nytimes.com/2012/01/01/magazine/tara-parker-pope-fat-trap.html?_r=0
  2. Once you lose weight, you will need to eat less than someone who is EXACTLY the same size but who never gained weight in the first place. That means if you are 150 pounds (after having lost 50 of those pounds) and your friend is 150 pounds (but she was pretty much always at that weight) YOU will have to eat up to 20 -30% less calories than your friend just to sustain that weight than she will.

Second – you need to know what YOU can do.

  1. According to the National Weight Loss Control Registry (http://www.nwcr.ws/Research/default.htm) , those who have successfully lost weight AND have kept it off long-term (more than 5 years) did the following:
    1. 78 Percent of them eat breakfast EVERY DAY
    2. 75 percent of them weight themselves at least once per week
    3. 62 percent of them watch less than 10 of television per week
    4. 90 percent of them exercise at least 60 minutes every day. EVERY. SINGLE. DAY
    5. In other words (and forgive me if this is sounding trite) But ….YOU NEED TO MAKE A LIFESTYLE CHANGE.
  2. But here is the thing…making a lifestyle change requires more than will power. Will power is a part of the equation…sure. But we live in a world that is CONSTANTLY telling us to eat. Every day we are inundated with ads, messages, and temptations. There is a Starbucks at every corner. Not a Whole Foods store. Thus, in order to make these changes, you will need a set of skills. A good way to think about this is that it’s not about “will power” it’s about “skill power.” And just what kind of skills should you adopt? According to Sherri Pruitt and Joshua Kaplow in their book “Living Smart” – you can sustain your success if you:
    1. S – Set a specific Goal. It should be specific, measureable, actionable and observable. For example, don’t say “I will plan on losing a pound per week.” I can’t observe you lose weight. Instead, say “I will make a plan to exercise 20 minutes for three days out of the week this week. It’s specific, I can measure the time you’re taking, it’s an action you can directly apply, and I can observe you do it.
    2. M- Monitor your progress. If you want to lose weight, you’re going to have to keep track of how you’re doing. Weight yourself every day, and take an average at the end of the week. Think this will make you feel too neurotic about your weight? Nope. The more often you weigh yourself, the more likely you are to treat it just as “data.” http://www.usatoday.com/story/life/2016/01/03/weight-loss-scales-daily/77584478/
    3. A – Arrange your environment for success. If you want to exercise every day, that’s going to be hard if your shoes are buried in the back of your closet in some as-of-yet-undetermined location. Get your workout clothes out and ready to go.
    4. R – Recruit support. If your friends gain weight, you are 57% more likely to gain weight as well. If your friends lose weight? Same thing. http://www.npr.org/templates/story/story.php?storyId=12237644 This is because our relationships have a powerful influence on us. You may be able to make drastic changes in your life…but you can’t sustain those changes unless you have support.
    5. T – Treat yourself (but not with food). In Charles Duhigg’s book “the Power of Habit” was able to illustrate beautifully is that habits are much easier to form when you have a reward system. So if you set a goal to exercise every day for 20 minutes…how can you reward yourself afterward? A pat on the back? Some time on an app you love? A call with a friend? A sticker on your calendar? Whatever the case, you want to have something built in that makes you feel like your actions reap a benefit.

Conclusion: Losing weight is hard. KEEPING it off is even harder. That’s the bad news. The good news is that it is NOT impossible. Many people are successful in keeping the weight off. It’s just important to know what is required, and to have compassion for yourself when you start to feel overwhelmed. In order to stay healthy it’s MUCH more important to be “fit” (have energy, have a habit of exercise, eat fruits and vegetables)…than it is to be “thin.” And it’s entirely possible to be healthy at just about any size. http://www.npr.org/templates/story/story.php?storyId=128267723. Even so, if you’re determined to lose weight, just remember… yes it’s hard work, but it can be done. You just should never have to do it alone!

(Want someone to help hold you accountable to your weight loss goals? Chat with a GOQii Coach!)

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High calcium rich recipes for strong bones

We all know that as the age advances most people suffer from osteoporosis. In today’s time, it’s even more visible in youngsters.

Dr Anand Kulkari has explained very well in his blog about Osteoporosis, its symptoms and causes.  For you to refer— https://goqii.com/blog/osteoporosis/

The first line of treatment to prevent or cure osteoporosis is having good nutrition in which CALCIUM forms the major part of the diet.

The moment we think of calcium, our think of milk and milk products and leafy veggies. But, trust me sometimes it’s so monotonous and boring to have a glass of milk and have those boiled or cooked green veggies.

So here I am with some yummy interesting Calcium rich recipes which will not only enhance your calcium intake for the day but will also add variation in meals.

PANEER Ki KHEER

paneer ki kheer

Paneer Ki Kheer is a sweet recipe straight from the heart of Bengal. It is one of the quickest desserts you can make with a unique ingredient-fresh Paneer. This recipe is high in calcium and low in calories making it a good dessert option for people with osteoporosis. Besides, it is rich in protein and riboflavin.

Ingredients

Cow’s milk chenna crumbled 50gm

Skimmed Milk 300ml

Rice powder 1 Tsp

Saffron (Kesar) a few strands

Almonds, blanched and slivered 4

Pistachios, blanched and slivered 4

Green cardamom powder 1/4 teaspoon

Sugar free – to taste/stevia/jaggery

Preparation

Boil milk in a deep pan and simmer till it reduces and thickens slightly. Add rice powder mixed with a little water and stir. Cook till the mixture thickens a little more.

Add saffron and continue to cook. Add almonds, pistachios and green cardamom powder and mix well. Add sugar-free/stevia/jaggery and stir till it dissolves. Add chenna and mix.

Take it off the heat and set aside to cool. Serve. If you wish you can have it hot too.

 Pumpkin Surprise

red pumkin

A low-calorie pudding made of pumpkin. This recipe is rich in potassium, calcium, and magnesium and beta-carotene. A perfect dessert for people who watch their weight and have little time for cooking. In addition, this recipe can prove to be useful for people with high calcium and magnesium requirement.

Ingredients:

Red pumpkin 400 grams

Corn flour 1tsp

Milk 200ml

Cinnamon powder 1/2 tablespoon

Desiccated coconut 1 Tsp

Pomegranate pearls 1 Tsp

Stevia extract to taste

Almonds 10gm

Preparation

Place pumpkin pieces in a large pan. Add Stevia extract and one cup of water. Cover and cook on medium heat for about twenty-five to thirty minutes. Mix cornflour with milk till smooth. Once the pumpkin is cooked add cornflour-milk mixture and mix.

Cook till the mixture thickens. Sprinkle cinnamon powder. Add desiccated coconut and mix.

Transfer the mixture to a serving dish. Sprinkle crushed almonds and pomegranate pearls and serve.

Cardamom Shake

A beverage made up of milk, flavoured with poppy seeds and cardamom. A High calcium recipe good for people with osteoporosis. Also a good Breakfast/Evening time menu option for all

Ingredients:

Toned Milk 300ml

Water 100ml

White Poppy seeds 10gm

Cardamom seeds ground1/2tsp

Stevia, extract to taste

Preparation

Place the poppy seeds in a frying pan over a moderately low heat and dry-roast, turning often, for about 5 minutes.  Combine the poppy seeds, cashews or almonds, and water in a blender process for 2-3 minutes. Add 100 ml of milk and process on low speed for 15 seconds. Pour the mixture through a strainer over a pan.

Press out as much as liquid as possible, and then add the remaining milk and cardamom seeds. Stirring constantly bring to boil over moderately high heat. Reduce the heat to low and simmer for 2 minutes. Now mix stevia extract. Pour the milk back to forth from one pan to another until it is frothy.

Serve immediately in warmed cups.

NADRU YAKHNI

Nadru-ki-Yakhni

Nadru Yakhni is a Kashmiri dish made of lotus root and yoghurt. Called Nadur in Kashmiri, Bhein in Punjabi, and Kamal kakri in Hindi is rich in calcium and magnesium main course recipe

Ingredients: –

Lotus stems 500 gm

Yoghurt 200gm

Onions sliced 200gm

Cooking oil 10 ml

Cloves 6-7

Cinnamon sticks 2 inch

Cardamom black 2-3

Cumin seeds 1/2 tsp

Kashmiri Chilli powder 1 Tsp

Dry ginger powder 1tsp

Mint powder 1/2tsp

Fennel powder 1tsp

Salt to taste

Preparation: –

Cut the edges of lotus stems and peel them. Cut them into diagonal slices. Soak in water. Boil the slices in salted water till soft. Fry onions in oil till brown and grind with a little water. They impart the brown colour to the gravy. Mix yoghurt properly in a half a cup of water, whisk and then strain. Boil the strained yogurt stirring continuously till it changes its colour to yellow. Keep it aside. Heat oil in a pan, add onion paste, cinnamon & cloves, when they crackle, mix Kashmiri Mirch (chilli), fennel and dry ginger powder, add a little water and sauté. Add lotus stems & yogurt to the mixture, bring it to a boil and simmer for 10 minutes, add cumin seeds, salt and cardamom. Finally, add mint powder and mix properly.

Serve hot with Brown rice/roti.

Green Chapati with Sesame Seeds

A calcium and fibre rich dish for patients of osteoporosis. Very easy to prepare with easily available food Ingredients.This recipe is a good variation of regular chapattis.

Ingredients:

Cauliflower green finely chopped 200gm

Sesame Seeds 50gm

Bengal Gram Flour 50gm

Whole wheat flour 200gm

Onion finely chopped 100gm

Cumin seeds 5gm

Coriander leaves finely chopped 1tsp

Cooking Oil 5 ml

Red Chili Powder 1/2 Tsp

Asafoetida 1 pinch

Salt to taste
Preparation: –

Dry roast Sesame Seeds. Mix Bengal gram, whole wheat flour, sesame seeds, red chilli powder, turmeric powder, asafoetida, cumin seeds, coriander leaves and onion in a mixing bowl. Make dough using some warm water and prepare chapattis.

Serve hot with Yoghurt or Lassi.

Whole Bengal gram and cauliflower green Tikki

tikki

A mouthwatering snack to meet the increased calcium demands of osteoporosis patients. Easy to prepare from readily available ingredients and a low-calorie alternative to fried snacks

Ingredients:-

Bengal gram(whole): – 200g

Cauliflower: – 100g

Onions, chopped finely 200g

Breadcrumbs: -100g

Cumin seeds: -1\2 tsp

Green Chilies, chopped finely: – 3-4

Ginger 1tsp

Oil 5ml.

Salt to taste

Preparation:

Soak Bengal gram for 3-4 hrs and then grind to a coarse paste by adding enough water.  Grate onion, cauliflower, & green chillies and mix well to the gram paste. Add salt, cumin seeds, bread crumbs, ginger. Divide this mixture into equal portions. Flatten each portion with your palm and shallow fry this tiki in hot oil.  Once the Tikki turn brown in colour, remove and serve hot with chutney or sauce.

So, get your bones strengthened with these yummy calcium-rich recipes!! Stay tuned for more such recipes. I will be back with some more interesting healthy recipes to boost your bone health.

 

 

From Terminal Illness To Complete Wellness! Ananda Mukherjee Health Story

As we observe World Cancer Day under the powerful theme ‘United by Unique’ (2025-2027)**, we are reminded that every individual’s journey with cancer is distinct, yet united by shared resilience, hope, and the collective fight against this disease. This theme places people at the centre of care and their stories at the heart of the […]