Doctor in Infilife Multispeciality Centre
Patient Review Highlights
Awesome and he is good and helping and suggesting the best things to get it controlled
If you have numbness or tingling sensation in your feet, then you could be suffering from diabetic peripheral neuropathy. It can have an impact on your sleep, mood and overall quality of life. Besides taking the prescribed medications, there are effective ways of dealing with foot pain stemming from high blood sugar as explained below.
- Taking over-the-counter medicines: Medicines such as aspirin, naproxen, acetaminophen and ibuprofen can help to serve mild to moderate pain stemming from diabetic nerve damage. But before taking these medicines, you should consult with an expert since they can raise the risk of heart attack and kidney problems.
- Quit smoking: Smoking may cause the blood vessels to constrict and impair the circulation. This indicates that the peripheral nerves will not get an adequate amount of nutrient-rich blood which can pave the way for more pain.
- Have control over your blood sugar levels: With the passage of time, the excess blood sugar levels can cause damage the peripheral nerves. When you have blood sugar levels within a healthy range, you can substantially reduce your risk of nerve damage. You should eat a lot of fruits and vegetables and low-fat dairy and whole grains.
- Take more Vitamin D: Even though it is hard to get the desired 600 IU of this vitamin from food, you can get it in the form of supplement. A study found that people with diabetic neuropathy can take the supplement once in a week to curb the symptoms of feet pain. Vitamin B complex plays a crucial role in improving nerve health. You should get it in right amounts so that the brain can produce certain chemicals which are required for sending information through the body channels.
- Take Alpha-lipoic acid supplement: The human body has the natural ability to produce little amounts of antioxidants. When you take them in recommended quantities it can regulate the blood sugar levels and ease the pain in the feet and palms. A per a study, people taking more than 600 milligrams of antioxidants on a regular basis experienced 19 percent improvement in the diabetic neuropathy symptoms within 5 weeks.
- Indulge in daily workouts: Regular workout can help you to combat pain in a variety of ways. It can regulate the blood sugar levels and slow down nerve damage. Exercise can surge the flow of blood to the legs and arms and it can also enliven your mood and offer relief from stress.
Note that a nerve damage can lead to loss of sensation in the feet which means that you may not realize any cut or scratch in your feet until much later which could prove fatal. Hence it is essential for you to prevent the loss of sensation. Using the methods suggested above you can deal with the foot pain related to diabetes.
Thyroid disorders are conditions that affect the thyroid gland, which is a butterfly-shaped gland in front of the neck. There are specific kinds of thyroid disorders that include:
- Thyroid Nodules
- Thyroid Cancer
- Epidemiology, Incidence, and Prevalence
It has been estimated that about 42 million people in India suffer from thyroid diseases.
Hypothyroidism occurs when the thyroid gland produces an insufficient amount of thyroid hormone. It can develop from problems within the thyroid gland, pituitary gland, or hypothalamus.
Symptoms of hypothyroidism can include:
- Poor concentration or feeling mentally "foggy"
- Dry skin
- Feeling cold
- Fluid retention
- Muscle and joint aches
- Prolonged or excessive menstrual bleeding in women
Common Causes of Hypothyroidism
- Hashimoto's thyroiditis (an autoimmune condition that causes inflammation of the thyroid gland)
- Thyroid hormone resistance
- Other types involving inflammation of the thyroid, such as acute thyroiditis and postpartum thyroiditis
Hyperthyroidism refers to the excessive production of thyroid hormone, a less common condition than hypothyroidism. Symptoms of hyperthyroidism are usually related to increased metabolism. In mild cases, there may not be apparent symptoms.
Signs and symptoms of hyperthyroidism can include:
- Fast heart rate
- Intolerance for heat
- Increase in bowel movements
- Increased sweating
- Concentration problems
- Unintentional weight loss
Common causes of hyperthyroidism
- Graves' disease
- Toxic multinodular goiter
- Thyroid nodules that overexpress thyroid hormone (known as "hot" nodules)
- Abnormal secretion of TSH
- Thyroiditis (inflammation of the thyroid gland)
- Excessive iodine intake
Goiter: A goiter is an enlargement of the thyroid gland, regardless of cause. A goiter may be associated with hypothyroidism, hyperthyroidism, or a normal thyroid function.
Thyroid Nodules: Nodules are lumps or abnormal masses in the thyroid. Nodules can be caused by benign cysts, benign tumors, or less commonly, by cancers of the thyroid. If nodules are excessively large, they may cause symptoms related to compression of nearby structures.
Thyroid Cancer: Thyroid cancer is more common among adult women than men or youth. About 2/3rd of cases occur in people under age 55. There are different kinds of thyroid cancers depending upon the specific cell type within the thyroid that has become cancerous. Most cases of thyroid cancer have a good prognosis and high survival rates, especially when diagnosed in its early stages.
Blood tests are done to measure levels of thyroid hormones. Blood tests are also done to identify antibodies against thyroid tissue, such as titers of antithyroglobulin, antithyroperoxidase, or TSH receptor-stimulating antibodies.
Thyroid disorders can be treated with medications or, in some cases, surgery. The treatment will depend on the particular disease of the thyroid.Medications can be given to replace the missing thyroid hormone in hypothyroidism. Synthetic thyroid hormone is given in pill form by mouth. When hyperthyroidism is present, medications can be used to decrease the production of thyroid hormone or prevent its release from the gland.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetes, wellness and meditation
Medical science has made tremendous progress in last 30 years in terms of treating infections, trauma, robotic surgeries etc but failed to control the rise of diabetes.
Though there are many discoveries on new diabetes medicines and newer types of insulin, lifestyle changes is the key in the management of diabetes.
Diabetes management needs balance:
- balance in diet and eating
- balance in exercise and activity
- balance in stress
Meditation is the key tool in bringing a balance in lifestyle. By accepting diabetes and fully aware of how life and the management of diabetes interact, one can learn to manage diabetes effectively.
- Mindful meditation teaches us to focus on present moment.
- By focusing on present moment.
- Future anxiety about diabetes complications can be prevented.
- By focusing on present moment.
- Repeating past mistakes of lifestyle can be avoided.
How meditation helps control blood sugars?
Meditation helps lower blood sugar by
- reducing chronic inflammation
- increasing insulin production (study in massachusetts general hospital)
- increasing mitochondrial metabolism (power centres of cells)
- altering genetic expression i.e. epigenetics (observed in long term meditators)
Other important benefits of meditation for diabetics:
- meditation reduces stress hormones and prevents stress induced increase of blood sugars:
- chronic stress stimulates the production of stress hormones called corticosteroids which increases blood glucose levels
- meditation helps in reducing chronic stress and decreases stress hormones
- meditation decreases cravings:
- many diabetics have cravings for sugar. This craving will disappear with continuous practice of meditation
- meditation relieves chronic pain:
- many diabetics are suffering from nerve pains in legs (peripheral neuropathy)
- meditation is helpful in reducing chronic pains and unpleasant sensations
- cures insomnia:
- old diabetics have problem in sleeping. Disturbed sleep increases stress hormones, which increases blood sugar levels
- meditation helps in improving quality of sleep
- meditation helps in reducing cardiovascular vascular complications:
- heart attacks and increase in blood pressure are known complications of diabetes
- meditation helps in reducing bp and also decreases heart attack risks
Note: Meditation is very much required for gestational diabetics. Along with controlling sugars, it helps reducing stress and anxiety related to pregnancy.
The number of people affected by hypertension is constantly on the rise. The most important concern with people developing hypertension is that it is not an isolated issue. It brings with it a host of problems, including higher chances of stroke, heart disease, diabetes, and kidney diseases. While there is no definite cure for hypertension, it is definitely possible to control it using the following measures.
- Weight control: Greater the body mass index (BMI), higher is the chances of developing hypertension. Check with your doctor to know what the ideal weight is and try to maintain it. If overweight, losing even 10 pounds can make a big difference to your blood pressure.
- Diet management: Excessive salt, calories, fat, and sugar are to be avoided. Sodium is one of the main culprits for increasing blood pressure and should be avoided. Include fruits and vegetables that are rich in potassium and magnesium. Reducing salt is another major way to control blood pressure. Fish oils with omega-3 fatty acids are extremely good for the health of the heart and so consult your doctor to include the right amounts in your diet.
- Exercise: A regular workout regimen can reduce the chances of developing blood pressure by up to 40% to 50%. This should not be misinterpreted as the need for vigorous workouts. Even small, regular physical activity daily goes a long way in controlling blood pressure.
- Alcohol: While quitting alcohol is the best thing to do, for those finding it difficult to do so, cutting down on it plays a big role in controlling blood pressure. No more than a drink per day for women, and no more than two per day for men are recommended.
- Stress management: Stress is one of the major causes for increasing blood pressure, and so managing stress is very important. Whether music or meditation, pick your stress buster and see your blood pressure lowered.
- Medications: If you are already on a medication regimen, strictly adhere to the schedule. Consult your doctor before adding herbal supplements or dietary supplements. Taken individually, they may be good for health, but there are good chances of them interacting with your regular medications.
- Monitor: Once you have been diagnosed with high blood pressure, have periodic check-ups with your doctor to ensure it is within the permissible limits. If beyond limits, immediately correct it.
As noted, hypertension is not an isolated issue and brings with it a whole lot of issues. Controlling it can help control the other issues that would follow and improve the quality of life.
In case you have a concern or query you can always consult an expert & get answers to your questions!
As we celebrate the Doctors’ day today, I wish to take this opportunity to hand over the 3 mantras to happiness. We all lead a very stressful life. Many of us have medical issues like hypertension, diabetes, cholesterol issues and so on. What should we do or should we have done rather so that we wouldn’t suffer from these lifestyle diseases?
As the maxim goes, you are what you eat. I would like to stress here that, diet is the single most important factor in our life which determines our longevity and disease pattern. Hence, it is important to eat right. Our diet should have a mix of about 40% complex carbohydrates like oats, whole wheat, brown bread, ragi, semolina and so on. High quality proteins should contribute 30% of our diet. Eggs, chicken, fish, meat, dal and pulses are good examples. Fats especially MUFA and PUFA should make 20% of the diet. Classic examples are sunflower oil, olive oil, rice bran oil. Avoid saturated fats, trans fats, margarine, ghee and butter. Pastry, Khari biscuits, toasts, cookies are rich in unhealthy saturated fats; hence best avoided. We should consume at least 3 servings of fruit daily. This is important because fruits are rich in vitamins, fibre and anti-oxidants.
A rested mind in a rested body is the best state of happiness. We need to sleep at least 7 to 8 hours daily. The body recharges during the rest and makes it ready for the next day aggressions. With the smartphone entering our bedroom, the sleep pattern has been disturbed. We end up sleeping late while checking Whats App messages and so on. As a result the total sleep duration goes down and we get up in an irritable and sleep deprived state. Such a state is not conducive to healthy work the next day. Avoid checking smartphone apps and messages, reading newspapers just before sleeping and avoid tea/coffee/caffeine in any form post 7pm. This will make sure we sleep on time and get up on time.
This is the last and the most important mantra that can lead to ultimate bliss and happiness. We need to exercise at least 30 min daily for 5 days a week. This can be aerobic exercises like cycling, swimming, jogging, running and so on. Weight lifting for 45 min daily for about 5 days a week is ideal to build a well sculpted and muscular beach body that we all want. Exercising keeps our joints mobile, conditions our heart to strain, releases growth hormone and testosterone which keep you young. Endorphins released in the brain during the exercise make you feel good as though you are on the seventh sky.
I hope readers would take these mantras seriously and implement them religiously all through. This will go a long way in keeping our population happy and reach nirvana!
In case you have a concern or query you can always consult an expert & get answers to your questions!
There are many organisms that live in our bodies and on the surface of the skin. These are usually harmless and do not cause any damage. But there are many organisms like viruses, fungi and bacteria that can cause infectious disorders known as infections. There are many kinds of infections that can affect the various parts of the body. These are generally caused by various things starting from contaminated food, to transmission from an infected person and more. Read on to know more about the kind of infections and their causes.
Common Symptoms: The various kinds of infections usually have common symptoms including fever due the start of the immune system's fight against the infecting organism, as well as cough, cold, chills, fatigue, loss of appetite, loose motions and pain. All these symptoms point at the presence of an infection.
Types: As mentioned earlier, infections can be of various types. Starting from viral infections that come with the change of seasons with allergy like symptoms, to STDs or sexually transmitted disease that are contagious and can spread with sexual contact, or even throat, stomach and other kinds of infections that can occur due to ingestion of contaminated food, insect bites and much more; there are several types of infections that can afflict the various parts of the body.
Indirect Contact: There are many surfaces like sinks, faucets, keyboards, tables, door knobs and more, which can carry and pass on infections through contact. This is especially true for public places including public toilets which are the number one cause of UTI or urinary tract infection.
- Insect Bites: Fleas, tick, lice and even mosquitoes are all carriers of germs because they fly from one contaminated place to another, feasting on dirty and contaminated elements. A bite from one such insect can cause infections. Also, if we ingest food on which house flies and mosquitoes have been sitting, then we are risk of contracting infections.
- Food Contamination: Continuing from the point above, food and water contamination can lead to the travel of disease causing germs into your system which can spread infection. This can also happen when you eat old food that has not been stored under proper conditions, as there may be fungi or mould growing on it.
Direct Contact: One of the causes of infection includes direct causes like contact with an infected person or animal. Coughing or sneezing on someone, getting bitten by an animal, or even mother to unborn child - there are many infections that can be spread in this manner.
Getting vaccinated on time can help in preventing many infections. This is especially important if you are travelling to various countries. In case you have a concern or query you can always consult an expert & get answers to your questions!
Natural foods, dietary changes and life style modifications which helps in treatment of hypothyroidism:
In my last posting, I explained the role ashwagandha in the management of hypothyroidism.
Here I will explain natural foods which are necessary for better thyroid hormone production, function and overall thyroid health.
We have to choose foods that gives nutritional support for thyroid.
1) the production of thyroid hormones requires amino acid
Tyrosine, iodine and omega 3 fats
A) tyrosine; the best dietary sources of tyrosine includes;
Spirulina: itâs a sea wead, eggs, fish and lean meat.
B) iodine: best source is iodised salts.
Potatoes; richest vegetables source
Cheese, yogurt, eggs and sea vegetables.
C) omega -3 fats ; foods such as fish flax seeds, walnuts are good sources.
2) Conversion of t4 to the active t3 requires selenium.
Brazil nuts are the best source of selenium. Other good sources are garlic, mushrooms, broccoli sunflower seeds and sea foods like tuna fish.
3) Binding of t3 to cell receptor and for its function require
A) vitamins a b) vitamin d, c) zinc.
Pumpkin seeds, dark chocolates and garlic are good sources of zinc.
Natural supplements will help in better thyroid function. Try to eat them in natural form.
My suggestion is these foods should be used along with thyroxine replacement pills.
In case of borderline or sub clinical hypothyroidism, only natural foods and supplements can be tried.
Note: in pregnancy, hypothyroidism must be treated immediately with thyroxine replacement pills and should not try only natural remedies.
Foods to avoid in hypothyroidism
Processed foods, sugar, food additives and gluten.
These foods increases inflammation, insulin resistance and worsen autoimmune conditions like autoimmune thyroiditis which is becoming more common now a days.
Goiterogens: vegetables, such as cabbage, brussels sprouts, broccoli, cauliflower, spinach etc.
As these vegetables have many benefits.
We can not take them out completely from diet.
Steam, or cook these vegetables to reduce the goitrogenic compounds and eat them in moderation.
Life style changes to improve thyroid health.
1) Exercise â stimulates thyroid secretion.
Weight training and aerobic exercises also helps in faster weight reduction which is a common symptom of hypothyroidism.
2) Manage stress: studies have shown that stress can ignite autoimmune reactions (autoimmune thyroiditis can be worsened) and worsen inflammation.
Meditation and yoga helps in managing stress. Yoga also helps in increasing blood flow to thyroid.
3) Acupuncture ; helps in faster response to treatment.
4) No smoking â toxic chemicals in cigarettes such as mercury and cadmium significantly affect thyroid function. So quit smoking.
6 principles to effective stress management.
- Are your experiencing very apparent hair loss especially when it doesn't run in your family as a hereditary?
- Are you experiencing a lower back pain in spite of having an active lifestyle?
- Are you accumulating abdominal fat or not able to get rid of it even after performing focused workout for abs?
- Are you extremely susceptible to anger, i. E do you erupt or explode in anger often on matters which can be addressed contextually?
- Are you falling sick very often? or do you get heart burn or chest pain frequently?
- Are your sleeps not deep and or are they disturbed or intermittent?
- Is your sexual life losing charm inspite of young energetic age?
If you are experiencing any of these or a combination of these, it is time you step back, look into the way you are managing life and the stress related to various aspects in life before stress could inflict worst health disorders in you.
Stress is linked to the six leading causes of death: heart disease, high blood pressure, cancer, lung ailments, accidents, liver cirrhosis, and suicide.
Here is a wellness method you can adopt to remain stress free or manage stress effectively.
Observe if you have any of the above or combination of the above effects of stress, many people don't even realize this, they just visit a doctor or take medicines blindly without paying any heed to their body and mind to understand what is going wrong. These effects can be used as indicators for being in the state of stress
Organize and plan your day, being organized will help you stay prioritized through out the day and give you the ability to handle additions and randoms more effectively. Mind will have less stress to handle as being organized allows you to be naturally more accommodating to work additions and randoms. Upon handling the day better, there is release of feelgood hormones in the body leaving you with sense of satisfaction and happiness instead of leaving you stressed.
Do not talk or take decisions when you are angry. Be always aware of your anger, the moment you feel you are about to get angry, break your conversation politely and resume after half hour, you will see that this will allow you to communicate what you wanted to more effectively and with better clarity. Every time you get angry, you are affecting the heart rhythm and rate blood flow.
Meditate daily for 20 to 30 minutes. Meditation helps you isolate everything away from mind, it releases endorphins and dopamine, which will balances the stress hormone cortisol. Meditation will help you stay detached from disturbances surrounding an issues and at the same time enhance your ability to address it without getting stressed.
Ensure you get your quota of sleep. It is of paramount importance you get good sleep. Please don't think of sleep as a passive activity. Sleep is an extremely active activity wherein the mind relaxes, the body processes many recovery/repair/restore activities and equilibrium mechanisms.
Do not worry about the future.
Do not think about the past.
You must only bother about how you are going to make the current second or the present moment effective and meaningful because your future is decided by what you choose to do now in this very moment.
In my next posting on stress and wellness, I will talk about rajas, thamas, sattva, the science behind it why they are important for progressive healthy life.
All you need to know about
HEMOGLOBIN A1c (HBA1c) ?
HBA1c is a routine test for people with diabetes.Knowledge about this is necessary for people with diabetes and who are living with diabetics.
The hemoglobin A1c test tells you your average level of blood sugar over the past 2 to 3 months.
It's also called HbA1c, or glycated hemoglobin .
People who have diabetes need this test regularly to see if their levels are staying within range.
The A1c test is also used to diagnose diabetes.
The red blood cells that circulate in the body live for about three months before they die off. When sugar sticks to these hemoglobin proteins in these cells, it is known as glycosylated hemoglobin or hemoglobin A1c (HbA1c).
The recommended cut-off points are
Normal range: 4.5 â 5.6%
Prediabetes range: 5.7 â 6.4%
Diabetic range: â¥ 6.5%
For type 1 and type 2 diabetes,
the goal is to keep the HbA1c levels under 7%, since keeping levels below 7% has been shown to delay the complications of diabetes.
HbA1c testing CAN BE DONE AT ANYTIME of the day without any prior diet restrictions, as opposed to regular tests like fasting blood sugar (FBS) and oral glucose tolerance test (OGTT), which require pre-test dietary restrictions.
A more stringent target of <6.5% may be suggested if
* diabetes onset is relatively recent
* If diabetes being treated with lifestyle changes
* If age less than 60 years
A less stringent target of not more than 7.5%
* If history of severe hypoglycaemia
* diabetes-related complications
* other co-occurring conditions
* long-standing diabetes with difficulty in attaining normal sugar levels
* Age more than 65 years
How often to do HBa1c test ?
People with diabetes should have an A1c test every 3 months to make sure their blood sugar is in their target range.
HbA1c may be increased falsely in certain medical conditions. These conditions include
1)kidney failure (uremia)
2)chronic excessive alcohol intake,
Medical conditions that may falsely decrease HbA1c includ
1)acute or chronic blood
2)sickle cell disease,
Insulin is critical for the overall functioning of the body, specifically when you are insulin resistant, and the body is compelled to store the food consumed as fat. Insulin resistance also leads to inflammation in the body leading to a host of health issues that anyone would not be prepared to deal with. Therefore, always look for means to improve insulin.
Here are some of these practical ways to accomplish it.
- Strength training and other non-aerobic activities: Exercise is the best way to improve insulin sensitivity since your cells and muscles are desperate for fuels during as well as after completion of the workout. Researchers are of the opinion that all sorts of physical activity are helpful but non-aerobic exercises can have the best impact on insulin health.
- Cook to increase resistant starch: Whenever you eat anything with high carbohydrate, it will readily increase your blood sugar levels. Carbohydrates rich in resistant starch fail to respond to the normal enzymes in the stomach which can help with improving insulin sensitivity.
- Avoid liquid fructose: Liquid fructose leads to fat gain around the abdomen and is connected to belly fat gain when taken in large quantities. Along with eradicating all the fructose containing beverages, you should also eliminate highly processed foods.
- Make sure you get enough magnesium: Magnesium is a mineral required for improving insulin sensitivity since it functions as natural insulin sensitizer which can exert positive effects on the insulin receptors in every cell of the body.
- Balance the healthy fatty acids: You should avoid trans-fatty acids since they can lead to plaque formation. Moreover, you must reduce the intake of processed oils and get more Omega fatty acids.
- Make healthy choices: Foods which can help in improving the body’s ability to store the carbs as muscle glycogen should be taken more often. These include green tea, vinegar, nuts and all sorts of herbs and spices.
- Include foods that can reduce the glycemic levels: This means that you should choose whole foods rather than refined foods since they can help in slow surging of the blood sugar intake. This gives the body a chance to regulate the insulin efficiently instead raising the blood sugar levels.
- Indulge in endurance exercises: If you prefer endurance training, it can have a good effect on your insulin sensitivity. Endurance training can improve insulin sensitivity which decreases the requirement of insulin for clearing a considerable amount of glucose from the bloodstream.
Insulin is a vital hormone which can control your blood sugar levels. It secreted by the pancreas and help in removing the sugar in the blood. With these 8 simple lifestyle and dietary changes, you can improve the insulin utilization in your body.