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I found the answers provided by the Dt. Archna Gupta to be knowledgeable and very helpful. I am satisfied
Mohammad Altaf Bhat
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Dt. Archna Gupta provides answers that are very helpful. Thanks for the help
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Hi I am female and my weight is 71 kg I want to cut down before my wedding which is after 5 months is there I want to join gym for weight loss so I want to ask you that is it ok to join gym for me before marriage is that effects on my virginity or doing gym breaks my hymen please reply.
Dear Dr. Am 30 + .working in sales .i wants to reduce my weight .Kindly suggest how we can go about it.
Hi, My wife delivered one month ago and operation only. She wanted to use a belt to reduce the stomach. Is it suggested to use the belt? Will there be any side effects? Please help me.
Diabetes mellitus is caused by a deficiency in the secretion of insulin.
the various predisposing factor are:
- heredity: a familial tendency to diabetes has been found to exist genetic factors are involved when the disease develops before the age of 40 years
- age: the disease occurs at all ages but a greater percentage of the cases occurs in persons over 45 of age.
- sex: the disease affects both sexes. the incidence of the disease is somewhat greater in men tha in women.
- obesity: the incidence of diabetes is greater among obese persons than in persons of normal weight.
- stress: stresses of various types,ex. frequent intections, worry irregular meals, etc. may also contribute to the development of the disease.
Metabolism in diabetes mellitus:
The metabolismof carbohydrates, fat and protein in diabetes mellitus is briefly discussed below:
- Carbohydrate metabolism: due to decreased oxidation of glucose in the tissues, the level of blood glucose is increased markedly, leading to glycosuria. the quantily of glucose present in urine may very from 0.5 to 6% depending on the severity of the disease. the volume of urine is increased (polyuria).
- Fat metabolism: since, glucose is not utilised, there is increased breakdown of fats to acetate and ketone bodies (acetoacetic acid, acetone and β-hydroxybutyric acid. the keto acidosis which develops may lead to dehydration and coma in severe diabetes. the serum cholesterol and triglyceride levels are high.
- Protein metabolism: since carbohydrates are not utilised for the production of energy, there is increased breakdown of tissue proteins and increased oxidation of dietary proteins for use as energy. hence, there is an increased in nitrogen excetion leading to negative nitrogen balance wasting of muscles is a common symptom in chronic diabetes. hence, diabetics need more proteins (about 2g/kg body weight) rgan normal subjects. the protein allowances should be corresponsingly higher (50% higher) for daibetic children and expectant and nursing mothers. further, increased protein intake may hepl to increase insulin production.
Clinical types of diabetes:
the classification of diabetes from the clinical point of view is as follows :
- juvenile daibetes
- adult diabetes
- juvenile daibetes: this includes all daibetics below the age of 20 years. the disease is primarily due to deficiency of insulin. the subjects are generally undernourished and ematiated. they require a high calories, high protein diet and insulin for maintaining the blood sugar level within normal limits.
- adult diabetes: (maturity onset diabetes) a majority of them are pbese subjects. the treatment will consist of a reducing diet rich in proteins and carbohydrates along with oral anti-diabetic drugs to maintain the blood glucose within normal limits. these subjects require less insulin than juvenile diabeyes.
Treatment of diabetes mellitus
the principles of treatment are as follows:
- moderate exercise
- insulin in juvenile daibetes and sever adult diabetes and/or oral anti-daibetic drugs in mild to moderate adult diabetes.
diet: only weighed quantitis of food should be consumed according to the diet schedule prescribed by the physician. the most important consideration should be given to:
- calories needs
- the proportion of calories from carbohydrate, fats and protein.
- calorie requirements: the calorie requirements should be about 5% less than the actual requirements for the patient’s height and ideal body weight.
THE PROPORTION OF PROTEIN, FAT AND CARBOHYDRATE IN THE DIET:
the proportion of calories derived from carbohydrates, fats and proteins in the diet will depend on the type of diabetes as indicted below in table:
type of diabetes
fats calories (%)
adult obese diabetics
adult diabetics with normal body weight
proteins: since, diabetics in general are in negative nitrogen balance, they should receive about twice as much proteins as normal subjects. the proteins should be of high biological value and provide about 20 to 25% of the calories in the diet.
fluid: a liberal intake is desirable.
carbohydrates: the daily intake of carbohydrates should provide about 40% of the calories to prevent ketosis. the carbohydrate intake should not exceed 40% of the total calorie intake (except in the case of obese diabetics as indicated in above table) as otherwise it will be difficult to control the blood sugar level.
Knowledge regarding the food habits of man is provided by many disciplines. the social scientists, anthropologists, sociologists, psychologists and cultural geographers have been concerned with man’s culture, social activities and food habits. a number of factors influence the food habits. these include, among others, educational and economic level of the community, availability and cost of foods and social and cultural practices. once the food habits are established, they are handed down from generation to generation. in the present chapter, the following aspects of the problem have been discussed:
- Religious beliefs
- Traditional beliefs
- Food fads and cults
- Changing food habits
Early man ate whatever food he could get to satisfy his hunger. the food he could get consisted of what he could cultivate in the locality. soil, climet, water and local agricultural practies determined the types of foods that can be grown in the locality. this may explain the large scale and maize (corn) in many countries of africa, central and south america over the past several centuries. consumption of diets based predominantly on this staple food has given rise to large scale incidence of protein calorie malnutrition among preschool children in this region. pellagra was also widely prevalent among poor maize eaters. rice is the main food crop in the tropical countries where rainfall is high and water is available for irrigation, while millets are cultivated in areas of low rainfall. incidence of beri beri was high among the population consuming highly milled raw rice. wheat is mamly cultivated in temperate regions.
the various religions of the word have had some influence on the food habits. for example, muslims are forbidden from eating pork and hindus from eating beef. such religious beliefs have been practiced over the past several hundred years.
traditional beliefs in food habits are still prevalent with a large majority of the population who are illiterate or ignorant regarding the nutritive value of foods. these beliefs influence profoundly the pattern of food eaten. in south pacific islands, it is believed that certain shell fish eaten during pregnancy will cause the child to be born with scales on its head. in ethiopia, pregnant women must avoid roasted meat as it is believed to abortion. eggs are thought to cause baldness and sterility and hence not consumed by pregnant women. in india, consumption of papaya fruit by women is believed to lead to abortion, and consumption of garlic by lactating women will increase milk production. milk, which is an essential protective food in western countries, is disliked in many asian and affrican countries and not even weaned infants and preschool children
In some part of india (west bengal), it was believed that consumption of milk and fish at the same meal will lead to the development of leprosy and leucoderma. other similar beliefs include the following:
- consumption of brain will lead to premature greying of hair and baldness of head.
- consumption of tongue of goat by children will make them talkative,
- eating goat’s leg by children will lead to improper development of knees and ankle joints
- consumption of pig’s stomach by girls and young women will darken their completion
- consumption of meat from the underside of an animal by young married women will prevent childbearing.
- in some parts of africa, it is believed that eggs, if given to children before the teeth have erupted, will lead to stupidly, fish will produce skin rashes and meat will make children greedy.
hot and cold foods
foods are classified as hot and cold by different cultures in many countries. ‘hot’ foods are believed to produce more heat in the body and lead to the development of boils. ‘cold’ foods are supposed to lower the heat production and lead to the development of cold, sore throat, etc. meat, eggs, legumes, nuts and oilseeds are supposed to be ‘hot’ foods, while fruits, vegetable and milk are supposed to be ‘cold’ foods.
pica is a common practice among pregnant women and children in many countries. pica is the habit of eating mud, clay, chalk, limestone, plaster, ashes, starch, etc. this habit has been reported since ancient times from asia, africa, europe and north, central and south america among pregnant women. there is a belief that the baby will not be normal if one does not eat clay or starch.
food fads and cults
exaggerated claims for some foods: hippocrates wrote of the health value of certain foods. food fads of various kinds have persisted ever since. according to indian ayurvedic system of medicine many foods are reputed to have curative properties for some diseases. for example, bitter gourd is reputed to cure diabetes mellitus, but without any scientific basis. yogurt, wheat germ, black strap molasses, brewers yeast and honey have been widely promoted by some food faddists as possessing extraordinary nutritional and medicinal qualities. fruits and vegetables cultivated using organic manure (compost etc.) are believed to possess greater nutritive value than foods grown with inorganic fertilizers. brown sugar is reputed to possess higher nutritive value than white sugar.
- बाजरा खाइये, हड्डियों के रोग नई होंगे .
- बाजरे की रोटी का स्वाद जितना अच्छा है, उससे अधिक उसमे गुड़ भी है
- बाजरे की रोटी खाने वाले को हड्डियों में कैल्शियम की कमी से पैदा होने वाला रोग ऑस्टिओपोरोसिस और खून की कमी यानि अनीमीआ नहीं होता
- बाजरे लिवर से सम्बंधित रोगो को भी काम करता है
- गेहू और चावल के मुकाबले बाजरे में ऊर्जा कई गुना है
- बाजरे में भरपूर कैल्शियम होता यही और जो हड्डियों के लिए रामबाण औषधि है, उधर आयरन भी बाजरे में इतना अधिक होता है की खून की कमी से होने वाले रोग नहीं होते सकते
खासतौर पैर गैभवति महिलाओ को कैल्शियम की गोलिया खाने के स्थान पैर रोज बाजरे की दो रोटी खाना चाहिए
- वरिष्ट चिकित्साधिकारी मेजर डॉ. बी. पी. सिंह के सेना ने सिक्किम में तैनाती के दौरान जब गर्भवती महिलाओँ को कैल्शियम और आयरन की जगह बाजरे की रोटी और खिचड़ी दी जाती थी इससे उनके बचो को जन्म से लेकर पांच साल की उम्रतक केल्सिक्म और आयरन की कमी से होने वाले रोग नहीं होते
- इतना ही नई बाजरे का सेवन करने वाली महिलाओ में प्रसव पीड़ा में असामान्य पीड़ा के मामले भी न के बराबर पाए गए
- डॉक्टर तो बाजरे के गुणों से इतने प्रभावित है की ऐसे अनाजों में वज्र की उपाधि देने में जुट गए है
- बाजरे का किसी भी रूप में सेवन लाभकारी है
- उच्च रक्तचाप , ह्रदय की कमजोरी , अस्थमा से ग्रस्त लोगो तथा दूध पिलाने वाली माताओ में दूध की कमी के लिए यह टॉनिक का कार्य करता है
- यदि बाजरे का नियमित रूप से सेवन किया जाय तो यह कुपोषण, क्षरण सम्बन्धी रोग और असमय वृद्ध होने की प्रक्रियाओ को दूर करता है
- रागी की खपत से शरीर प्राकृतिक रूप से शांत होता है यह एंग्जायटी, डिप्रेशन और नींद न आने की बीमारियों में फायदेमंद होता है
- यह माइग्रेन के लिए भी लाभदायक है
- इसमें लेसिथिन और मिथियोनिन नामक एमिनो अम्ल होते है जो अतिरिक्त वसा को हटा कर कोलेस्ट्रॉल की मात्रा को काम करते है
- बाजरे में उपस्थित रसायन पाचन की प्रक्रिया को धीमा करते है
- डायबिटीज़ में यह रक्त में शक्कर की मात्रा को नियंत्रित करने में सहायक होता है
Get yourself right first change
Question- So apart from the resolutions that we have set out to accomplish, what else we are aiming to get right this year?
Ever wonders why it's such a struggle to wean babies of breast milk and get them used to test your foods in comparison? Maybe because we are yummy and so is everything about us .We exude a certain sense of accomplishment a certain sense of pride in creating what we do." A child is god's blessing", they say, but they also say that "since God could not be everywhere he made mothers". So let 2018 be about celebrating womanhood. Get some balance, feel good about yourself and most importantly, let go! Put your chin up and face the world .
Here are some thoughts on how to achieve just that!
1. Be fit for life- physically and mentally.
2. Read a book as often as you can there is more to life than running/ dealing with issues .
3 .Be proud of yourself .
4. Say no to any unjust act against you (your being a woman doesn't qualify suppression)
5. you have a right to dream ,and to follow them( Look at the women achievers around you, if they can do it so can you!)
6. Feel blessed if you are a home maker after all you are the boss of your house hold
7. Pray and remember that you are your own "Santa"! no Bank no husband no parent can give you what the almighty above and you yourself can!
Are you looking for an ideal diet which is easy to sustain, and has both instant and long term effects? You should opt for the GM diet, which combines all these qualities. This healthy diet plan appeared on the Internet four years ago, and a lot of people have benefited by following it. Here are some important things you should know about the GM diet:
What is GM diet?
GM diet is a weight loss management and diet plan, which was developed by the General Motors Corporation for helping their employees maintain a good shape. It involves consuming certain food items per day.
Is GM diet effective?
In spite of being a popular diet plan, there are some conflicting views regarding the success of a GM diet. However, recent studies prove that this diet is quite effective in reducing weight at a quick rate. You will be able to lose up to 10 lbs per week by following the diet sincerely. For first time users, the diet can be overwhelming because of the radical change in diet, which mostly contains vegetables, raw fruits, and meat servings in reduced amounts. It is also important for you to exercise regularly while following the GM diet, as only following the diet will make you weak.
How to prepare for the GM diet?
If you want to undertake a GM diet for weight loss benefits, you should be able to withstand or resist excessive sweating, occasional feelings of hunger, and weakness at times. These are common side effects during the first few days of the GM diet. It is important for you to stay properly hydrated while preparing for the diet. This is because your body requires a lot of water for metabolism and energy during the diet span. You should also avoid taking alcohol while preparing for the GM diet.
Weight loss objectives
The GM plan was primarily developed to help middle aged, GM Corporation employees become slim and maintain good health. This diet plan aims at eliminating your extra pounds so that you are safe from several health risks, associated with excess weight.
There are several side effects of the GM diet as well because of the fast paced schedule.
- A sudden weakness of the muscles may be experienced as the muscle tissues do not get sufficient protein during the early days of the GM diet.
- Excessive thirst and dehydration are likely as the fluids are used up by the body for metabolic processes.
- Headaches and malaise are also likely.
The GM diet can be undertaken by anyone. However, it is important to consult a doctor before starting the diet plan.