diabetes Archives - Page 11 of 14

February 8, 2020 By GOQii Leave a Comment

How Akhil Minocha Made a Positive U-Turn!

We have always advocated that inculcating small healthy habits into your lifestyle can yield big results! There are so many stories of individuals who were fit during their childhood but as soon as they hit adulthood, their health and fitness took a turn for the worse. While most people continue living with illnesses and refuse to make changes, Akhil Minocha stepped up and turned his life around for the best!

Before Joining GOQii

Akhil Minocha, now 47, works for a corporate based out of Gurugram which requires frequent traveling. As a child, he was always lean. As he is from a Defence background, he was well involved in all kinds of sports and physical activities including horse riding. Even during his MBA days, he managed to stay lean and fit.

Akhil’s struggle with weight began right after he got married in 2001. By the time he moved to Gurugram in 2005, he was fairly obese. His entire focus during this time was work and being a complete foodie. He indulged in all sorts of unhealthy food. Frequent travels for work added to his appetite, driving him further into an unhealthy lifestyle.

Joining GOQii and Making the Change

As he had interacted with our founder and CEO Vishal Gondal during his IndiaGames days and was actively in touch with him via social media, he had joined GOQii in 2015 and had a coach assigned to him. However, due to his work and his own personal lack of interest, he did not take it seriously.

Around July 2019, everything changed for him. He was diagnosed as a pre-diabetic. Akhil Minocha was clear from the start that he did not want to start with allopathy. Instead, he opted for Ayurveda which wasn’t helping him at all. His family suggested that he switch to Allopathy before it gets worse.

All of this coincided with a change of his GOQii Coach. His new GOQii Coach was a blessing in disguise for him. She gave him an expert’s perspective on various ideas related to diet, fitness and lifestyle. He had done some studies on diet and she validated whether it was worth incorporating or not. For instance, he had started with the keto diet which clearly did not benefit him but made things worse as his LDL shot up due to increase in fat intake. His GOQii Coach discouraged him against going for such diets and rather focus on a balanced diet.

He began exercising regularly and now works out 6 times a week on an average even on his travelling days. As for his diet, he almost stopped the consumption of rice and wheat and substituted them with alternative grains such as Amaranth, Ragi, Bajra, Quinoa and sometimes a mix of any 2 of these. Recently, he modified his diet further by including greens.

He has also started including different varieties of millets. He basically changed the way his meal plate looked like – increasing the amount of salads and vegetables, increasing protein and reducing carbs. He also began eating a fruit every day along with a light dinner. Short walks after meals have become his favorite activity.

Akhil Minocha’s GOQii Coach also introduced him to intermittent fasting and asked him to follow the guidelines set by Master Coach Luke Coutinho for maximum benefit. By following this, he has cleared a lot of his misconceptions.

As of now, his vitals are in the normal range especially his HBA1C which has dropped to 5.6. Also, his postprandial blood sugar stands at 130mg/dL. He has reduced his weight from 87kg to 77kg in a period of 5 months which is remarkable. Since then, he has participated in a few marathons and has completed a 10k run.

How Akhil Minocha uses GOQii

He regularly messages his coach though he does miss updating logs. He also watches GOQii Play videos of Heena, Dr. Paramjeet and couple of other coaches as and when he finds the time. He actively buys products from the GOQii Health Store and recently ordered some supplements for himself and family which he claims to be very useful.

He firmly believes that you can make a difference if you take care of your diet and have a supportive coach to handhold you through the journey. He says you can benefit immensely from this platform if you are focused on your end goal. Akhil Minocha says GOQii is the most cost effective platform delivering value for money through its various features & services.

We hope Akhil continues on this journey to good health as you know, a healthy lifestyle is not a race, it is a marathon! Even you can make a positive U-turn in your life and change things for the better. For more inspiring stories, visit the Healthy Reads section within the GOQii App!

#LevelUp and #BeTheForce

October 31, 2019 By GOQii Leave a Comment

The New Age Health Horror of Diabesity

When someone says “horror”, what do you imagine? Definitely nothing pleasant but something extremely scary, right? Do you picture ghosts and demons? If your perception of horror is limited to only supernatural occurrences, you might want to take a big step back. While supernatural entities are subjective, health issues are very much real and their stats are horrifying to say the least.

Recently, we came across a study titled ‘Finding a Policy Solution to India’s Diabetes Epidemic‘ by Karen Siegel, K. M Venkat Narayan and Sanjay Kinra. The study indicated that ‘In India, 35 million people have diabetes—a number expected to more than double by 2025, disproportionately affecting working-age people’. That means over 70 million people. Isn’t that scary?

Diabesity, which is a combination of Diabetes and Obesity, is even worse! Can you picture it? Obesity is a key risk factor for diabetes. India has the world’s largest number of people with Impaired Glucose Tolerance (IGT) and Impaired Fasting Glucose (IFG), which are the precursors for diabetes. Obesity and IGT are mostly found in younger populations.

Major Causes Leading to Diabesity

Globalization: facilitates access to various pre-packaged and processed foods. In fact, there is minimal physical activity as we have one touch access to almost everything! Surely, we are growing economically but at the cost of our health.
Nutrition Transition: There is a major shift observed in the meal patterns of Indians today. People are turning more towards western foods, foods that are pre-packaged, ready to eat foods, high in calories, sugar, aerated drinks, hydrogenated fats over the simple traditional food which are high in vitamins, minerals, fiber and other essential nutrients.
Higher Percentage of Abdominal Fat: Abdominal obesity is the key factor of insulin resistance and development of diabetes.
Malnutrition During Pregnancy: Because of the co-existence of underweight and overweight, children are often born underweight and adapted to a low-nutrition environment. Low-birth weight infants are more susceptible than those of normal birth weight to obesity and diabetes, especially when raised in an Obesogenic environment.
Lifestyle: Most people today lead sedentary lifestyles devoid of much movement. Even at work we’re glued to our desks and laptops. This accounts to minimal physical activity. At the same time, the stress factor is the maximum with respect to targets/goals associated with work, family and social circles.

How To Keep It At Bay

Keeping Diabesity at bay actually involves 3 very simple and basic lifestyle modifications:

Make Healthy Food Choices: Choose whole grains and its products over refined ones. Incorporate more fruits and veggies daily. Opt for products less in sugars, fats and high in fiber. Make a habit of reading nutritional labels before buying a product. Do not forget “MODERATION IS THE KEY”.
Exercise: Make it a point to exercise on a regular basis. Exercising will not only keep you active but also help reduce insulin resistance, improve cardio vascular strength, tone your muscles, and increase Basal Metabolic Rate (BMR). Exercising releases endorphins which is a feel good hormone that will also help you relieve stress(both physical and mental).
Stress Management: Managing time and stress is essential to stop the release of the stress hormone Cortisol which makes you crave for foods that are high in carbs. All that you eat when stressed is stored in the body as fats, especially in the belly. Meditating regularly before going to bed, deep breathing during stressful moments, indulging in your hobbies, exercising, completing your work on time, etc. will help curb stress levels. It is not a single factor that would work but both.

If you want to learn about effective ways to manage obesity and diabetes, or want effective exercises to combat both, tune into GOQii Play and get live coaching from renowned experts you can even interact with.

We hope this article on Diabesity alarms you enough to make necessary lifestyle modifications before its too late! Stay healthy and #BeTheForce!

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.

April 20, 2019 By GOQii 1 Comment

Patience is a Virtue Which Produces Excellence | Santosh Krishnan User Journey

Santosh Krishnan, a type 2 diabetic decided to rise above his excuses to lead by example. Santosh had an HBA1C reading of 8.4 which was alarming for a diabetic. In August 2017, Santosh with the help of a personal coach decided to turn his life around, setting a long-term goal of reversing diabetes which was holding him back from his desired quality of life. Initially his levels were (Fasting: 176, Post Prandial: 204, Weight: 77kgs ) and results didn’t come easy or instantly but with a great level of patience and determination tethered with a supervised diet and exercises, he brought down his levels to ( Fasting: 95, Post Prandial: 139, Weight: 69.8 kgs ). Today, he has an HBA1C reading of 6.8 which is completely normal. When asked, Santosh had much to say about his achievement and he was immensely proud of himself. Presenting his story in his own words.

Santosh Krishnan
Before (Left) After (Right)

“My journey with GOQii started in the month of April 2017. Being a follower of Luke Coutinho on Facebook, I wasn’t new to the world of health and fitness. One day I happened to come across a fitness band called GOQii on my friend’s wrist and immediately ordered one for myself.

Ever since I came on board the GOQii Platform, there has been no turning back. However, it was not a smooth journey. Later, I got to know that Luke was the Master Coach at GOQii. My journey with GOQii has had its ups and downs and I remember at one point I was corresponding directly with Vishal Gondal, the Founder, and CEO of GOQii because things didn’t go my way. I recall the time when I had changed three coaches in a span of four months, ultimately realizing that it was me who needed a makeover on my attitude, but as you will understand, it is easier to blame someone else than take it upon oneself.

My current coach has played a crucial rule in my health. I’m a type 2 diabetic and there was a time when my sugar readings were extremely high. Over the past 6 to 8 months we have made small changes to my lifestyle by introducing new elements like the consumption of ACV, actively keeping a track of all my required activities, which by the way has helped me immensely by giving me an understanding of where I stand and what I should do.

Regular workouts, optimum intake of water, cutting down on junk were the few steps I took combined with my coach’s presence and motivation which was irreplaceable. We know there’s a long way to go and my goal is to totally go off pills. It might be a farfetched goal but with self-belief and my coach’s constant presence, I definitely think it’s possible.”

What did his GOQii Coach have to say?

Santosh’s GOQii Coach was very enthusiastic to talk about her client and was very proud of his achievements. Here is what she had to say: “Santosh’s goal was to reverse diabetes and become healthy again. After my initial call with him, I understood that he’s focused and knows what he wants for himself. We began with basic exercises gradually including cardio and body exercises to the regime. We worked on a schedule per his convenience, I also advised him about the importance of frequent meals, pre-workout and post work out meals, water etc, which he followed religiously. It was a pleasure to see his data on the dashboard, which motivated me to concentrate more on his progress”.

“He seems to have taken charge of his health and his recent reports show that his sugar levels have come down drastically. He lost around three kgs and reduced a few inches on the waist as well. Santosh is super happy with his progress and so am I. It feels great to be a part of his amazing journey,” she adds.

Santosh has left no space for self-doubt in his endeavours and has been patient, constantly pushing his limits to further improve his glittering morale and a healthier lifestyle.