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Hello. My husband who is 29 years old. He has suffering from sugar disease. His weight is 83 kg and height is 5 ft 10-11 inch. How he will control weight and sugar/diabetes level. What diet should be taken. And how many weight for height should be need. Please tell me.
I'm a Kidney Transplant patient 51 yrs. Male, veg. Having DM HTN. Is it advisable / safe to have Honey Warm water Lemon? Will it affect my Electrolytes. create, Uric Acid, etc. Levels. Suggest proportion to be consumed?
Simple steps in Diabetes Management -
A - A1c , its 3 months average blood sugar.. it should be around 7 %
B - Blood pressure ideally it should be around 130/80 mmhg
C - Cholesterol... both good and bad cholesterol has to be in good nos
I am 50 years old and having Diabetes since few years. I need to increase my weight. My blood sugar level is in control but my desire is to attain the weight. My height is 5 foot and 7 inches. My current weight is only 59 kg. I want to bring this to 70 kg. Please assist.
The World Health Organization (WHO) calls infertility “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”
Infertility can occur in both women and men. Primary infertility is infertility in a couple who have never had a child, while secondary infertility is failure to conceive following a previous pregnancy. A woman who doesn’t conceive and/or is unable to carry a full-term pregnancy is labeled as infertile.
Causes of infertility in women
Infertility in women is caused by many factors like infections and ageing amongst others like the following:
- High FSH - Follicle Stimulating Hormone (FSH) is a hormone secreted by the pituitary gland in the body. It stimulates follicle growth in the ovary and causes the eggs to mature for fertilization. FSH levels increase with age and high FSH levels in blood can mean that the ovaries are not functioning too well and hence it can be a likely reason for infertility.
- Blocked fallopian tubes - Blocked fallopian tubes or ‘fallopian tube obstruction’ is the biggest reason for infertility in women. We all know that fertilization happens inside the fallopian tubes, so an obstruction here means an absence of fertilization and pregnancy.
- Endometriosis - Women with endometriosis experience a drop in fertility by almost 12-35%. It is a condition where the lining of the uterus starts growing, not in the uterus, but elsewhere in the abdomen i.e. ovaries, fallopian tube and the pelvic area.
- Fibroids- These are non-cancerous tumours inside or around the uterus.
- Age- The biggest reason for infertility in women is their age. If a woman’s age is 35 plus, her ovaries do not function properly and release less eggs, which are not very healthy.
- Hormonal imbalance - These cause ovulatory malfunctions and poor egg development.
- Polycystic ovarian syndrome (PCOS) - PCOS is a type of hormonal imbalance, which leads to production of excessive male hormones in a woman’s body, thereby causing infertility.
Can Ayurveda boost fertility in women?
According to Ayurveda, infertility arises when ‘shukra dhatu’, which produces eggs in women and sperms in men, is weak due to lack of proper nutrition. This could be due to poor digestion or an absence of a balanced diet or due to the presence of ‘ama’ or toxins in the body.
According to Ayurveda, sexual indulgence and promiscuity can also cause infertility due to the decrease in ‘shukra dhatu’.
Ayurvedic fertility enhancers for women
- Ashoka – It stimulates the endometrium found in the uterus and ovaries and aids in ovulation.
- Lodhra – It cures all female disorders that stop conception and regulates levels of reproductive hormones like FSH and LH, which are essential for conception.
- Shatavari – It nourishes the ovum or egg and enhances fertility as it contains estrogen-like compounds.
- Gokshura – This herb is helpful for both men and women. It works as a fertility tonic in women by stimulating the ovaries and thus cures PCOS, a leading cause of female infertility.
Ayurveda also recommends a diet rich in food items like ghee, milk, almonds, walnuts, sesame and pumpkin seeds to improve overall health and thus enhance levels of ‘shukra dhatu’ in the body. Since ‘vata’ dosha is closely associated with the reproductive system in women, Ayurveda also assigns a lot of value to its regulation for proper ovulation and stress control. If you wish to discuss about any specific problem, you can consult an ayurveda.
I am 21 year old I m having diabetes since 3 years I intake a insuline 3 tym in a day my question is if I have eaten a more sweet after taking insulin at noon and then my sugar goes at 300 or more. So can I intake again a insuline 4th tym. To control diabetes or take insuline direct a night?
A I am 24 year old female, I have irregular periods from 2 years, am taking treatment also if I drop treatment 3 mnth am getting regular periods after tat am not getting wt I do. No thyroid problem,
Treatment for diabetics my fbs 124 HBA1C 7.6 I am taking 2 tab, glycomet 500 daily. Pls suggest further treatment to control diabetics! Thank you doctor.
Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.
With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.
- The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
- The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
- Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
- Babies born to diabetic mothers are often bigger. The baby’s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
- Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
- Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
- Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother’s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
India is now in the midst of a diabetes epidemic, with an adult prevalence rate of nine per cent and almost 69 million people living with diabetes. In another 15 years, the figure is expected to rise to 101 million. In all this, more than 90 percent of cases are lifestyle-induced.
Individuals with diabetes do not have any symptoms for long periods of time and may have complications at the time of diagnosis. Common examples such as retinopathy (blindness), nephropathy (kidney disease), neuropathy (nerve damage) and diabetic foot (gangrene and amputations in extreme cases) affect a large proportion of individuals with diabetes. Approximately a third of those with diabetes are known to develop retinopathy. Diabetes is also known to increase the risk of cardiovascular diseases (heart attack and stroke); nearly half of those with diabetes die of heart attack.
A bad lifestyle is what propels this epidemic while an inadequate response from the health system results in debilitating complications. The staggering increase in cases of diabetics and prediabetics has been attributed to lifestyle changes as a result of rapid and unplanned urbanisation, an ageing population, a sedentary lifestyle and increasing consumption of unhealthy food, especially modern processed foods. Lack of opportunistic screening delays diagnosis while poor access to care and medicines, information asymmetry between doctors and patients, and a paucity of well-trained human resource, impede evidence-based management of diabetes.
Health promotion strategies
Prevention remains central in halting the current pace of the diabetes epidemic. Our focus should be on both individual and policy-level interventions. Health promotion strategies should be aimed at maintaining normal body weight by improving physical activity and following a balanced and healthy diet. Evidence from the [INTERNATIONAL] Diabetes Prevention Program (DPP) shows that small reductions in weight by the moderate-intensity activity of at least 150 minutes per week and reduced fat consumption on most days prevented progression to diabetes by 58 percent among those with prediabetes.
In general, brisk walking for at least 30 minutes a day and following a healthy diet every day which has at least 3-5 servings of locally available and inexpensive fruits and vegetables, and less refined sugar and saturated fat can prevent or postpone the occurrence of diabetes. Doing yoga may also help prevent diabetes; in individuals with diabetes, it may even help them have better control of blood sugar. In addition, every adult above 30 years should be screened for diabetes and hypertension during a planned or unplanned visit to a physician or hospital.
Policy measures also call for reinforcement of health systems. Higher taxation on sugar-sweetened beverages and high-fat junk foods and planning urban infrastructure to promote physical activity have become all the more imperative now.
Diabetes is no longer a disease predominantly affecting the rich and is fast spreading to rural communities. The poor are even more vulnerable. Thus, India has a population where the number of people with diabetes has increased substantially over time and is set to continuously grow; a large number of people disabled by complications, and an equivalent number who are unaware of the condition.
Early diagnosis and prevention is the key to controlling the disease and minimise the risk of disability. In this, we need a multi-pronged approach that involves collaboration among national leaders, clinicians, public health researchers and allied health professionals.