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October 31, 2019 By GOQii Leave a Comment

The New Age Health Horror of Diabesity

DiabesityWhen 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

  1. 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.
  2. 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.
  3. Higher Percentage of Abdominal Fat: Abdominal obesity is the key factor of insulin resistance and development of diabetes.
  4. 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.
  5. 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:

  1. 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”.
  2. 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).
  3. 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?

Digital Therapeutics

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:

  1. Patient’s Name
  2. Age
  3. Is he a diabetic patient?
  4. If yes, is he using any online application to manage his Lifestyle?
  5. Name of the app he is currently using
  6. Is it a paid app?
  7. Approximate cost of the app.
  8. Will he pay for an app which promises to better manage lifestyle (in case the answer of Q6 is no)?
  9. If yes, what is the approximate cost he will pay?
  10. 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)

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.

March 9, 2019 By GOQii 1 Comment

From Fattest to Fittest! Pratyush Dixit & His Awe-Inspiring Transformation

Pratyush DixitHave you ever been in a situation that felt hopeless? Do you think that your current predicament is irreversible? Have your circumstances chained you down to the extent that you feel you cannot achieve your dreams? If everything around you is crumbling to an inescapable pit of despair, we want to remind you that things can change. You can change. It’s never too late. It’s never too late to reverse your circumstances and achieve your dreams.

If you want to know how this is possible, we want you to read Pratyush Dixit’s inspiring story of reversing the odds!

A marketing professional from Delhi, Pratyush Dixit has been working since 2005. He was leading a sedentary life due to the strenuous nature of his work. Especially for the past 8 years, handling stock provisions, then the hospitality sector and now heading a marketing division, he was always seated and stressed. Apart from being sedentary, Pratyush was also a foodie. He had been winning food eating competitions for as long as he can remember, enjoyed street food and was never into healthy eating. On the medical front, he had a family history of diabetes. At 34, he weighed 105 kg and things weren’t working well for him. He found himself thirsty throughout the day and urinating frequently at night.

Identifying these as the classic symptoms of diabetes, he went for a medical checkup. He was aware that his blood sugar might be high but once his tests came in, he got the shock of his life. His Blood sugar level was at 330 and PP (post prandial sugar after meals) was more than 525 and his cholesterol was extremely high. When he consulted his family doctor, he advised immediate measures to bring the situation under control. He was put on heavy doses of insulin till his sugar dropped to 200. Pratyush knew he had to bring his weight under control as well for him to be able to recover. He immediately took to walking and in 2 months was able to shed 7.5 kg.

Enter GOQii

At this point, Pratyush Dixit had read extensively about diabetes. He was searching for a fitness tracker that could help him. He came across other bands but eventually settled for GOQii. Initially, he didn’t want the coaching option as he believed he had read enough about diabetes to know everything. After a long conversation with the GOQii Coach assigned to him, he realized that he needs a coach. His Coach was knowledgeable, patient, understanding and motivating. She assured Pratyush that he will achieve his health goals.

Starting slowly, she told Pratyush that he need not rush in one go but should take one step at a time. For instance, when on the phone, he could squeeze in a walk. She encouraged him to eat healthy. Whenever he wanted to eat a pizza, she advised him to not eat more than a few bites. She also advised him to eat smaller portions throughout the day so that he was full and didn’t feel the urge to eat unhealthy.

Changing Habits and Getting On Track!

Pratyush stopped eating unhealthy. Now, he avoids rice completely. His diet involves a lot of protein and complex carbohydrates. On a daily basis, he consumes fruits with cinnamon (as it helps control blood sugar) as well as a couple of teaspoons of apple cider.

In the mornings, he starts his day with Fenugreek and Fenugreek water. Then he goes for one liter of luke warm water with apple cider, lemon, pepper and black salt. Post that some apple and cinnamon. He follows that up with some cold milk with Basil (Sabja) seeds. Later, he eats either Porridge, Oats or Upma loaded with vegetables. He then goes on to eat nuts, some pumpkin seeds, sunflower seeds, pistachios, almonds and/or walnuts.

For lunch, he takes multigrain chapati with one dal or vegetable or both and salads in good quantity. He also has buttermilk twice a day. In the evening, he munches on dehydrated pulses with some salt. He also eats a fruit, mostly pomegranate or pears. He avoids mangoes and pineapples. At night, he again eats a chapati, vegetable and salad. If he must opt for rice, he prefers brown rice.

For exercise, apart from walking, when he gets the time, Pratyush includes bicep and tricep curls as suggested by his Coach. He also manages to do a few pushups and squats. He has started jogging a little as well.

He was bedridden for 6 months because of lower back pain but was able to overcome that and recover. His GOQii Coach helped him with some yoga as well.

When Asked If He Still Eats Street Food, Pratyush Dixit Said:

“Now I go for healthy street food! Even if I go for the unhealthier one, instead of going for Dalda or ghee, I go for a olive oil tikki and I won’t take more than a bite or two. I avoid whole portions. I have stopped ordering from Dominos or Pizza Hut but opt for Pizza Express where they serve thin or wheat crust. If I’m out, instead of Aloo Tikka, I got for Paneer Tikka or Soya Chaat. Everything without butter. Then I opt for Green Tea regularly as well as Basil Leaves.”

What Were The Results?

Pratyush told us that he wasn’t worried about his blood sugar levels anymore. He slowly lost weight the healthy way with help from his GOQii Coach. He currently weighs around 80kg. Before, his HPCL was 14 and now, it is a stunning 5.2. His diabetes is completely under control. His PB recently was 95 and fasting was 80, both of which are not sugar levels of a diabetic. With diabetes under control and low cholesterol, he is always high on energy! He says that he is the healthiest person in his office! Recently, his TSH shot up. He is working towards controlling it. On a daily basis, he walks anywhere between 10k to 30k steps. He is a part of the Active Sunday group and every Sunday meets his like-minded GOQiites for some fun walks and exercises.

When Asked About GOQii, He Said:

“The best thing about GOQii is that it provides you some learned, educated and dedicated coaches. They are like friends who are helping you out. They are not just carrying that professional approach of ‘you have to do this and my job is done’. There is a lot of personal approach and they keep motivating you. That does not mean they are lenient. They keep pushing you to do better. Sometimes when I miss my walk, my coach tells me that it is okay. You can’t religiously follow your schedule every day. You aren’t a machine. The key is that even if you go off schedule, you should come back. With GOQii, there’s someone to motivate you to come back to that schedule. So that is what GOQii has done to me. When I told my coach of my problems, she assured me that we will overcome them and achieve my goals! I never thought I will be this fit person.”

People in Pratyush’s office consider him as their idol and often approach him for help. Once upon a time, he was fattest man in his society and now he is a role model with people asking him how he did it. He simply responds by saying because he had the zest to do it!

Going forward, Pratyush wishes to push his limits and practice Parkour Running. He is currently working with his coach to achieve this. As it was always his dream, now he feels he can finally achieve it.

What did you think about Pratyush’s journey? Share your thoughts in the comments below!

#BeTheForce

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