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weight-loss

Weight gain may be seen in people taking medicines for diabetes. However, keeping your weight in check is not only possible but an important part of your diabetes care.

What Is the Effect of Diabetes Medicines on Weight?

The medicines (oral diabetes pills and insulin), that you take for your diabetes, lower blood glucose levels by ushering glucose from the blood into the cells. This is good. But if you take in more calories than you can burn, your cells will end up getting more glucose than they need. The excess glucose gets stored as fat leading to weight gain.

Insulin plays a role in regulating blood sugar levels and converting food energy into fat. It also helps break down fats and proteins.

During digestion, insulin stimulates muscle, fat, and liver cells to absorb glucose. The cells either use this glucose for energy or convert it into fat for long-term storage.

Eating more calories than the body needs will lead to excess glucose levels. If the cells do not remove glucose from the blood, the body will store it in the tissues as fat.

When a person takes insulin as a therapy for diabetes, their body may absorb too much glucose from food, resulting in weight gain.

Why Is Weight Loss Important for Diabetes?

It’s different to what many believe, you don’t have to lose a lot of weight and look thin in order to enjoy the benefits of weight loss.

As per the expert doctor’s advice and studies have shown that some amounts of weight loss in overweight and obese people with diabetes improve blood glucose control, and lower the risk of developing heart disease and stroke.

Additional benefits of ordinary weight loss include being less reliant on medicines for blood glucose control, as well as improved quality of life and physical working.

How Much Weight Should I Lose?

Ideally, lose 5% to 10% of your current body weight. It is better to set small realistic weight loss goals that you can achieve than high ones. Even if you are not trying to lose weight, making an effort to eat less and eat more healthily can have long-term beneficial health effects

Below is a list of ideas to lose weight and maintain weight loss. Take the advice from your healthcare and ask for guidance on what works best for you.

  • Plan your meal to have the right mix of carbohydrates (brown rice, wholemeal bread, and noodles), fruit and vegetables, meat and others (fish, tofu, beans and nuts, milk and dairy products), and healthy fats and oils.
  • Choose carbohydrates that contain plenty of nutrients (vitamins, minerals, and phytochemicals) and raise blood glucose slowly or a little.
  • Don’t skip meals to cut calories. In fact, you are more likely to make poor food choices at the next meal because you are too hungry. Furthermore, skipping meals can cause a mess to your blood glucose levels if you don’t adjust your insulin dose. Instead, drink a glass of water before a meal and chew your food slowly.
  • Be physically active. Aim for at least 150 minutes of moderate-intensity physical activity and resistance exercise two to three times per week. Most people with diabetes can perform the exercise safely as long as they take precautions. Talk with your doctor about activities and exercises that are suitable for you.
  • Ask your doctor about other diabetic medicines. Check with your doctor whether there are diabetes medicines that can promote weight loss and enable you to reduce your insulin dose without affecting your diabetes treatment plan.
  • Take your medicines as per the doctor’s advice. Don’t skip or reduce medicines to avoid weight gain. Although you may lose some weight, the consequences of taking fewer medications than prescribed are serious. Without enough medicines, your blood glucose level will rise, and so will your risk of diabetes complications.


You have also a good option for Weight loss surgery or Obesity surgery for Diabetes. In Ahmedabad, Radiance Hospital is one of the best for the Metabolic and Bariatric (Obesity) Surgery

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Written By : Dr. Apurva Vyas

Joint-replacement

After living with painful knees for far too long then you take initiative to go to an orthopedic specialist and figure out better options to put a stop to your knee pain.

As a part of practice, surgery is the next treatment option recommended by orthopedist Doctor

If you’re going under Joint replacement, it’s understandable to experience some concern about the process. But knowledge is power, and the more you know, the more you can take control of your healing. Here are some helpful do’s and don’ts post-Joint replacement surgery.

Get moving: Do your suggested exercises

The first 12 weeks after surgery require some hard work including knee exercises that present with some anxiety. Have you remember the saying, “If you want to be able to do, you’ve got to keep doing?” That’s the saying to keep in mind after a Joint replacement.

Do uplift your leg and use ice

Some swelling is normal for three months or more following Joint replacement surgery. Keep your leg uplift, and use an ice pack as directed to help control the swelling.

Do follow your physiotherapist’s instructions

You can expect to start moving by the end of the first day following surgery. You can start working with a physiotherapist who helps you stand and walk using a walker within the first 24 hours, explaining how you should exercise to get in and out of bed and a chair.

Working with your physiotherapist, you should meet these goals by the time you’re ready to go home from the hospital:

  •  Bend your knee properly well, to a minimum 90-degree angle, so you can go from a sitting to a standing position
  • Dress and bathe yourself
  • Use a walker or cane as prescribed
  • Get in and out of bed and to the bathroom using a walker or cane
  • Go up and down some stairs using an assistive device

At home, do the exercises prescribed by your physiotherapist every day. By the end of the third week, you may be able to transition to using a cane if you haven’t done so already.

Do your exercises for several months. Full recovery takes anywhere from three to six months and up to a year. If you’re diligent in doing your exercises and in using your knee (but not overdoing it), you can enjoy a faster and fuller recovery.

Don’ts following Joint or Hip replacement surgery

Taking necessary precautions after major surgery help you out ensure a good recovery. Following are some things you should avoid after undergoing Joint replacement surgery.

While in the hospital, don’t try to get out of bed by yourself. Ask for help, and take the time to properly learn how to use a walker or cane.

When at home:

  • Don’t skip any of your exercises
  • Don’t step on slippery floors without non-skid socks or shoes
  • Don’t sit on soft sofas or chairs that you sink down into
  • Don’t forget to use your walker or cane as prescribed
  • Don’t get up at night without a nightlight on
  • Don’t start driving until your doctor gives you the green light

If you need joint replacement surgery (Hip replacement surgery or Knee Replacement surgery), you may call or book an appointment with Radiance Hospitals, Nr. Vijay Cross Road, Ahmedabad.

Written By : Dr. Apurva Vyas

Asthma in Monsoon

Monsoon must be one of the most attractive and pleasurable seasons amongst all others. The special cool winds and minute droplets of rainwater make us happy. However, even there are definite drawbacks of the monsoon season that patients face including chronic asthma and breathing issues primarily.

These problems increase in monsoon season as there are firm alterations in the atmosphere. These changes include in overall temperature and moisture ratio. Many times, this mixture intensifies the widespread as well as atypical allergic factors. So this gorgeous monsoon is not suitable for all and affects patients with asthma.

Even in the day to day practices, we see many patients complaining about added sticky as well as mucus secretions through the airways, which is the reason responsible for this moisture and humid environment in the monsoon season.

What Turns Asthma Worse in the Monsoon Season

  • The low levels of temperature
  • Higher levels of moisture and humidity
  • Rain scattered pollens
  • Higher probabilities of fungal growth
  • Transmittable viral and other infections

How to Handle Asthma in Monsoon Season

  • Staying away from the contacts of pet animals (especially for children )
  • Bleach cleaning of living places to keep away from fungal growth
  • Deep cleaning of everyday reusable stuff
  • Regular cleaning of pillow & sofa covers
  • Washing of bed sheets and blankets with warm water
  • Keeping clothes dry with exposure to suitable sunlight
  • Hand hygiene, avoiding outside water and food
  • Having a precise and balanced diet

It is not feasible to avoid windy days while the monsoon season, across the world. However, if you have the likelihood to do indoor activities or exercise inside the gym, it will lend a hand to you, and your kids breathe better as well as easier.

Moving Forward

Apart from these mentioned safety measures taken while rainy or monsoon season for asthma problems, don’t forget to take your asthma medicines on a regular basis. Keep your body warm to shun away from a cold or flu. Further, keep in mind the customary measures like use of window shades rather than curtains and maintain your home to be dust-free.

While these measures can facilitate you in handling asthma in the monsoon season, do visit a doctor for a healthier understanding or if you undergo any asthma indications or breathing allergy.

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Written By : Dr. Apurva Vyas

Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with undressed sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times. This means the brain and the rest of the body may not get enough oxygen.

So, let’s begin to learn something about the disease and throw lights on the symptoms, causes, benefits, treatment, and care.

Conclusion:

This infographic highlights what is Sleep apnea, figures, symptoms, causes, benefits and after surgery results about the impact of sleep.

For many, it can be a long road of hit and miss to find a solution, but getting a good night’s sleep is so important that it is worth the effort.

Written By : Dr. Apurva Vyas

Summer Nutrition Plan

Being outdoors more often and sweating, ups your risk for health problems such as dehydration, skin sensitivities, and vitamin, mineral deficiencies. The simple solution – Eat local, in-season fruits, veggies, and natural beverages. Their nutrients are at their peak in the summer.

Here is the nutrition plan that will not only keep you healthy but will make you look and feel refreshing during the hottest time of the year.

  1. Water/Lime Water/Coconut Water: It is a key ingredient in keeping the body cool and hydrated. Increase water intake regardless of your activity levels. Avoid caffeinated or carbonated, alcoholic beverages, and those high in sugar. Avoid cold liquids as may lead to a slight constriction of the blood vessels in the skin and decrease heat loss, which is unadvisable when trying to cool down.
  2. Tomatoes: Filled with Antioxidants and Vitamin C, they contain beneficial photochemical such as lycopene, which contributes to chronic diseases.
  3. Zucchini/Cucumber: Being a part of the summer squash family, zucchini, as well as cucumber contains a fibre called pectin, which assists in increasing heart health and lowering cholesterol.
  4. Watermelon – Hydration Hero: Watermelon’s high water content keeps you cool and hydrated. It will also keep feeling full, which could curb cravings. With the added bonus of lycopene, this protects skin cells from sun damage.
  5. Oranges: The sweet citrus fruit is rich in potassium.”You lose potassium through sweat, which puts you at risk for muscle cramps. Oranges are also about 80% water, so will keep you hydrated.
  6. Yogurt: Protein-rich diet. Yogurt also adds a dose of probiotics, beneficial bacteria that keep the digestive system running smoothly.
  7. Celery and Fennel: Celery and fennel act as diuretics, helping lose excess water weight without causing dehydration.
  8. Apples, Figs, Pears: These foods are high in fibre. Do not peel off apples and pears for the maximum nutritional impact.
  9. Green Tea: Go green to stay hydrated. It may be helpful in fighting cancer and heart disease, lowering cholesterol, reviving metabolism and even keeping dementia at bay. One can have it on ice; the cooler temp doesn’t compromise its nutritional benefits.
  10. Salads with dark leafy greens: Carotenoids in dark-green foods, which your body converts to vitamin A, protecting skin from sun damage. They decrease sensitivity to UV light and mend flaky and dry skin.
  11. Strawberry and Blueberry: Sweet, juicy berries are filled with flavonoids, powerful disease fighters. Among their other pros, “they increase blood flow to the skin and decrease sensitivity to light, which improves skin’s appearance, structure, and texture.

So, shape up your diet this summer so you have more energy to enjoy this summer to its fullest.

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Written By : Dr. Apurva Vyas