Dr. Kamini D Lakhiani

It is an established fact that regular physical exercise has wonderful effects on the overall health of a person. People of all ages can reap the benefits of exercise that take manifestation in all the various systems of the human body.

One such healthy effect of exercise is that it can help control blood sugar levels. For those who have been diagnosed with diabetes, exercise works like any other drug in keeping blood glucose at an optimal level. It also helps in preventing further health complications that may be caused by this condition, such as heart disease or strokes.

How does exercise control blood sugar?

Exercise affects the body's blood glucose levels in the following ways:

• Exercising increases insulin sensitivity, which makes the body more capable of using insulin to take up available excess glucose in the bloodstream.
• Muscle contractions during exercise stimulate the cells to use up glucose to produce energy.
• Heightened cardiovascular activity while exercising burns through blood glucose a lot faster.

It is necessary to keep checking blood sugar levels at regular intervals, especially if you suffer from diabetes. Working out has different effects on different individuals, depending on the duration and intensity of exercise and the overall health and medical history of the person.

What are the best ways to use exercise to reduce blood sugar levels?

It is important to chalk out a suitable exercise routine that is tailored specifically to your individual needs. Consult a health care specialist or physical therapist for formulating the best possible workout regime for your specific requirements.

Most experts recommend engaging in moderately intense exercise for a minimum of 150 minutes in a week.

A few examples of activities that fall under this category are as follows:

• Brisk walking
• Cycling
• Swimming
• Squats and lunges
• Stretching exercises
• Yoga

One thing that diabetes patients should always keep in mind is that over-exercising must be avoided. Excessively strenuous workouts can lead to hypoglycemia (deficiency of blood glucose) which is a highly unsavory condition.

Your travel bag should always have your diabetes medications, a glucometer and strips.

Infertility is a condition wherein a woman does not get pregnant in spite of having unprotected sexual intercourse over a period of a year or even more. An abnormal menstrual cycle that is either too short or too long, irregular or even scanty can be an indication of a lack of ovulation, which in turn, is another factor behind female infertility.

Causes-

1. Ovulation disorders are characterized by either a lack of ovulation or irregular and infrequent ovulation. These are a major cause of infertility. This may be due to defects in the regulation of the reproductive hormones by the pituitary gland or the hypothalamus (brain center responsible for producing some of the most essential hormones required by the body). Malfunctioning of the ovary is another cause in itself. Polycystic Ovarian Syndrome, premature failure of the ovaries (a condition wherein a woman’s ovaries fail to function properly even before she is 40 years old), hypothalamic dysfunction (a dysfunction of the hypothalamus) and excessive production of prolactin (a hormone that stimulates milk production among women after childbirth) by the pituitary gland are some of the factors responsible for the occurrence of such a disorder.

2. Damaged fallopian tubes do not allow the sperms to fuse properly with the egg. They might also prevent the fertilized egg from entering into the uterus. This condition may be caused due to pelvic inflammatory diseases (a group of infections of the reproductive organs in women), an infection in the fallopian tubes or the uterus caused due to various Sexually Transmitted Diseases, any abdominal surgery or surgery of the pelvic region and pelvic tuberculosis.

3. Endometriosis, wherein the tissue that usually grows in the uterus, starts growing outside it, is another factor responsible for infertility.

4. Several cervical or uterine disorders, such as tumors, inflammation within the uterus, uterine abnormalities, a cervical narrowing or the inability of the cervix to produce mucous for the sperm to travel to the uterus, are likely to impact fertility by obstructing implantation or enhancing the chances of miscarriage.

Treatments-

1. Fertility drugs can be used to regulate and induce ovulation. But they carry with them certain risks and therefore you should consult your physician prior to consumption. Few examples of these drugs are Clomiphene Citrate, Gonadotropins, Metformin, Letrozole and Bromocriptine.

2. Surgical procedures can be recommended to correct reproductive abnormalities and restore fertility. A laparoscopic surgery or a tubal ligation reversal surgery (a surgery that unites one’s fallopian tubes again in order to enable the woman to have a baby) can be advised by the doctor.

3. Reproductive assistance by Intrauterine insemination (a process that involves putting sperms inside a woman’s uterus in order to help her conceive) and Assisted reproductive technology (consisting of IVF and surrogacy). Consult an Expert & get answers to your questions!