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Quick Tips For Parents To Overcome Childhood Obesity

DNB
Pediatrician, Varanasi
Quick Tips For Parents To Overcome Childhood Obesity
Childhood obesity is a serious condition plaguing many adolescents and children these days. Obesity brings along with it a plethora of health scares such as high cholesterol, high blood pressure and diabetes, all of which at a point of time were confined only to adults. Obesity in children also results in depression and self-esteem issues. Too much of calorie consumption accompanied by a sedentary lifestyle and other hormonal or genetic factors contribute to obesity in children.

Overcoming Childhood Obesity-

Healthy Eating: Consider opting for vegetables and fruits over high-calorie and fatty foods such as crackers, cookies or other processed foods. Cut out on the intake of sweetened beverages that makes your child too full to grab other healthy foods. Encourage sitting together for a family meal and initiating interaction rather than turning on the TV or other electronic gadgets. Allow your child to decide his/her proportion of food and never over feed. This habit should be inculcated in the child since the formative years.

Engaging in Physical Activity: Make sure and talk your child into not spending more than two hours sitting glued to the TV set or the computer on a daily basis. Rather, egg him/her on to go out in the open and enjoy the day underneath the sun. Try and start building in your child the habits of exercising and staying active right from the beginning. This will go a long way in deciding your child s health and overall fitness in the future. Remember! Morning shows the day. And it s up to you to structure out your child s morning .

Quick Tips For Parents-

Encourage:

Play time or physical activities in ways that your child enjoys, such as going for a walk or hike, playing at the park, playing sports, dancing or going for a bike ride (and join them!)

Healthy home-packed lunches

Drinking more water and eating whole vegetables

Eating when you are truly hungry, not when you re bored, mad, stressed, etc.

Eating together as a family

Decreased meal sizes

Focus on health rather than taste

Discourage:

Too much screen time

Eating while watching TV or other screens

Eating out

Negative food cues and triggers by removing them

Skipping meals if you are hungry

Eating if you are not hungry

Eating by the clock (you should eat when you re truly hungry)

Too much sugary drinks (sodas and fruit drinks)

Know How Diabetes Can Lead To Heart Problems!

MBBS, DNB - General Medicine, Post Graduate Diploma in Diabetology (PGDD)(Madras Medical College), F.R.C.P Edin (UK)
Diabetologist, Navi Mumbai
Know How Diabetes Can Lead To Heart Problems!
Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.

2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.

3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.

There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.

5. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.

6. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease.

I am diabetic and taking medicine metformin my PP sugar level is 135 and after PP is 165. Is it controlled.

MBBS, MD
Endocrinologist, Delhi
I am diabetic and taking medicine metformin my PP sugar level is 135 and after PP is 165. Is it controlled.
I think you want to express 135 as fasting blood sugar, which is slightly high it should be around 110 and pp should be around 150.
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Hi. My name is Phulen and I am 50 years old. I am a diabetic patient. I have medication for diabetic 1. Glycomet 500 for 2 times and 2. Gibtulio 1 times. From few months my reports urine sugar is high but blood sugar is normal. I do not know now what to do.

MBBS, MD
Endocrinologist, Delhi
Hi. My name is Phulen and I am 50 years old. I am a diabetic patient. I have medication for diabetic 1. Glycomet 500 ...
This is because of medicine Gibtulio which acts by preventing glucose reabsorption by kedneys hence urine of such patients will contain glucose which is not present in normal persons and in patients not taking this medicine if their blood sugar is below 180.
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I'm 21 years old. My family has a history of diabetes. I'm also on the heavy side I'm 5'11' and 92 kgs aside from gym (i already do that) what proper measures should I take to make sure I'm safe from it.

MBBS, MD
Endocrinologist, Delhi
I'm 21 years old. My family has a history of diabetes. I'm also on the heavy side I'm 5'11' and 92 kgs aside from gym...
Continue gym exercise and control your diet which should be low fat low calory and high fibre. Take lots of vegetables and avoid nonveg.
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I have diabetic from last 9 months and I want to reverse it. So pls give me diet schedule.

MBBS, MD
Endocrinologist, Delhi
I have diabetic from last 9 months and I want to reverse it. So pls give me diet schedule.
Avoid sugar, jaggery,honey in any form. Also avoid sweet fruits like mangoes, banana,grapes, cheekoo etc. Take lots of vegetables and salad. Take small frequent meals instead of large ones. Maintain ideal body weight. Exercise regularly.
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Yoga In Diabetes!

B.A.M.S
Ayurveda, Pune
Yoga In Diabetes!
Single yoga pose that is haalassan helps to lower sugar levels. This aasan stimulate pancreas to secret insulin.
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Eating Disorders - How To Manage Them In Case Of Diabetes?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Eating Disorders - How To Manage Them In Case Of Diabetes?
Diabulimia is a type of eating disorder in which patients of Type 1 diabetes take less amount of insulin purposely, in order to lose weight. These patients have excessive concerns related to body weight and body shape, and a disturbed body image emerges (regarding oneself overweight despite a normal or reduced body weight). These patients attribute too much importance to body weight and body shape and fear of gaining weight.

Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. Kidney excretes excess glucose leading to increased urination. The body gets devoid of glucose and the calories associated with it and a rapid loss of weight occur. Once the patient is started on insulin they develop weight gain. Patient with disturbed body image stops insulin in order to lose weight. Patients develop binge eating, with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.
Symptoms including excessive thirst, increased water intake, increased urination, and weakness are observed in the early period, irreversible findings including neuropathy, retinopathy, nephropathy, and osteoporosis, which occur in poorly controlled diabetics, are observed in the long term. It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature.

Prevention

Diabulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Proper patient education can help a lot in these patients. It is advised not to neglect your insulin.
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Low On Thyroxine - Know What Does It Signify!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Low On Thyroxine - Know What Does It Signify!
Do you have an extremely low reading of thyroxine or T4, it means that you are suffering from an under active thyroid disease called hypothyroidism. With this condition, your thyroid glands fail to make sufficient thyroid hormones. The thyroid gland releases hormones, which travel all over your bloodstream and affect all parts of the body. Thyroid controls how the cells of the body use energy from food via the metabolism process, which in turn affects the body s temperature, heartbeat and burning of calories. Lack of thyroid hormones slows down the body s functions, reduces your energy and the metabolism is disrupted.

Causes of hypothyroidism
The primary cause of this condition is Hashimoto s thyroiditis. Thyroiditis refers to an inflammation of your thyroid gland. Hashimoto s thyroiditis is an autoimmune disorder which destroy the thyroid gland. Viral infections may also lead to thyroiditis.

Other causes of the condition are as follows:

Radiation therapy to the neck region for the treatment of several cancers like lymphoma may damage the cells present in the thyroid gland. Hence, the gland cannot secrete hormones properly.

Radioactive iodine treatment is undertaken by people having an overactive thyroid gland. Radiation destroys the thyroid gland cells and leads to hypothyroidism.

Certain medicines used to treat heart problems, cancer and psychiatric diseases may affect the thyroid gland and lead to hypothyroidism.

Surgeries undertaken for removing the thyroid also lead to hypothyroidism.

Iodine is required by the thyroid gland to produce hormones. A low amount of iodine in your diet and body may lead to hypothyroidism.

Risks factors of hypothyroidism
Usually women, especially older women are more likely to get hypothyroidism than men. The factors which determine if you are at a risk of acquiring the condition are as follows:

Race

Age

Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison s disease and many more.

Bipolar disorder

Turner s syndrome

Down s syndrome

The symptoms of hypothyroidism are as follows:

Changes in menstrual cycle

Constipation

Hair loss and dry hair

Fatigue and tiredness

A slow heart rate

Depression

An increased sensitivity towards cold

Swelling of the thyroid gland or goiter

Gaining weight

Carpal tunnel syndrome

If you observe the symptoms of hypothyroidism, you should consult a doctor who will prescribe several blood tests, such as the thyroid stimulating hormone test and the T4 or thyroxine test. Based on the results, a treatment method is adopted.

Diabetes And Depression - Understanding The Vicious Circle They Create!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Diabetes And Depression - Understanding The Vicious Circle They Create!
Diabetes is one major silent killer. Depression is another silent killer. According to the studies, a patient with diabetes has higher chances of getting depressed. Lack of social support, staying alone, lower income, the presence of diabetes complications and poorly controlled diabetes increase chances of depression in diabetes patients. Similarly depressed patient is at increased risk of development of diabetes. Thus, depression and diabetes have a cyclic relationship.

Need to break

It is very important to break the vicious cycle as it can affect the sugar control, quality of life and patient care. The depressed patient is less likely to follow diet and exercise. They do not take medicines regularly. The depressed patients will have bad control of sugars and increased complications of diabetes. It affects the quality of life of the patient.

How we can break the cycle?

Speak out

Depression remains underdiagnosed and untreated. One of the reason is the stigma associated with psychiatric illness in the society. Unless and until patient doesn't talk about it they are not going to improve. Hence ADA recommends evaluating for depression in patients with poorly controlled diabetes.

Psychotherapy

Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression.

Regular Exercise

Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self-image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.

Antidepressant

These are the medicines given to improve depression. Under the guidance of a psychiatrist, they help a lot. So don't say no to these medicines when prescribed by the psychiatrist.
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