HEALTH & FITNESS

Myths &Facts 
Diabetes and diet

Dr K P Singh

Myth 1: Eating too much sugar causes diabetes.
Fact: Diabetes begins when something disrupts your body’s ability to turn the food you eat into energy. Your body breaks down much of the food you eat into glucose, a type of sugar needed to power your cells. A hormone called insulin is made in the pancreas. Insulin helps the cells in the body use glucose for fuel.

EYESIGHT
Better safe than sorry
Dr. Mahipal Sachdev

Diwali and fire crackers have almost become synonymous. Fire crackers provide such a visual delight and could indeed be appreciated from the aesthetic point of view. Crackers add brightness and joy to our celebrations.

Protect yourself from toxic gas 
Dr S.K. Jindal

This article is not meant to scare you on Diwali, but it does intend to create awareness about the possibility of inhalation of toxic gases and the harm they can cause. After all, a lot of gaseous products, some of which are toxic in nature are produced by the combustion of fire crackers and other explosive materials.

Health Notes
l Imagination reduces abdominal pain in kids
l
Sidewalks, parks, farm markets cut diabetes risk
l Detox diets can cause the body to break down
l
Abused women suffer more mental, physical ills

 

Top







Myths &Facts 
Diabetes and diet
Dr K P Singh

Myth 1: Eating too much sugar causes diabetes.

Fact: Diabetes begins when something disrupts your body’s ability to turn the food you eat into energy. Your body breaks down much of the food you eat into glucose, a type of sugar needed to power your cells. A hormone called insulin is made in the pancreas. Insulin helps the cells in the body use glucose for fuel.

Here are the most common known types and causes of diabetes

  • Type1 diabetes occurs when the pancreas cannot make insulin. People with Type 1 diabetes must take insulin to help the glucose into the cells. Type 1 diabetes often starts in younger people or in children.
  • Type 2 diabetes occurs when the pancreas does not make enough insulin, the insulin does not work properly, or both. Being overweight makes type 2 diabetes more likely to occur. It can happen in a person of any age
  • Gestational diabetes (GDM) occurs during pregnancy in some women. Anti-diabetic tablets are NEVER recommend, only insulin., if needed. The condition may resolve after birth of the child..
Cure for diabetes lies in weight loss.
Cure for diabetes lies in weight loss.

Myth 2: There are too many rules in a diabetes diet

Fact: A “diabetes diet” means choosing food that will work along with your activities and any medications to keep your blood glucose levels as close to normal as possible. Not many changes will be present in the diet.

Myth 3: Carbohydrates are bad

Fact: carbohydrates are good. They form the foundation of a healthy diabetes diet — or of any healthy diet. Carbohydrates have the greatest effect on blood glucose levels, which is why you are asked to monitor how much carbohydrate you eat when following a diabetes diet.

However, carbohydrate foods contain many essential nutrients, including vitamins, minerals, and fibre. So, if you are diabetic, choose a diet with the most nutrients, like whole-grain breads and baked food items, and high-fibre fruits and vegetables.

Myth 4: Protein is better than carbohydrates

Fact: Since carbohydrates affect blood glucose levels so quickly, you may be tempted to eat less of them and substitute more protein. But too much protein may lead to problems for people with diabetes, especially kidney problems.

In a diabetes diet, protein should account for about 15-20 per cent of the total calories you eat each day.

Myth 5: You can adjust your medications to “cover” whatever you eat.

Fact: If you use insulin, you may learn how to adjust the amount and type you take to match the amount of food you eat. This should not mean that you eat at your will and stabilise with medication. Most diabetes medications work best when they are taken consistently as directed by your doctor.

Myth 6: You’ll need to give up your favourite foods.

Fact: There is no reason to give up your favourite foods on a diabetes diet. Instead, try:

Changing the way your favourite foods are prepared, reducing the serving sizes of your favourite foods, and prefering black lentil over wheat, an avoiding rice.

Myth 7: You have to give up desserts

Fact: Not true! You can develop many strategies for including desserts in a diabetes diet. These include, using artificial sweeteners, cuting back on the amount,

and making desserts more nutritious.

Myth 8: Diabetes is permanent

Fact: Cure for diabetes lies in weight loss. 10 kg weight loss increases the life expectancy by 4 years. 80 – 90 per cent patients improve in all diabetic parameters with regular medication and normal weight loss.

Dr. K.P Singh is Senior Consultant, Fortis Hospital, Mohali


Top

EYESIGHT
Better safe than sorry
Dr. Mahipal Sachdev

Diwali and fire crackers have almost become synonymous. Fire crackers provide such a visual delight and could indeed be appreciated from the aesthetic point of view. Crackers add brightness and joy to our celebrations.

However, one cannot ignore the fact that fire crackers, if not handled with care and caution, could pose a serious health hazard to many who come in contact with them. That is why, every year a number of people across the country, lose their eyesight and sustain burns during the festival. They could bring about untold miseries to revellers and ruin their Diwali celebrations. Hence, the key is adopting a safety approach. That would go a long way in ensuring that you have a happy and safe Diwali.

After an eye injury one may have complaints like diminishing vision, redness, watering and inability to open the eye. The injury may present with a lid tear, tear in conjunctiva, sclera-corneal tear with protrusion of eye contents or blood in the eye.

Ocular trauma because of crackers can present in different forms like, foreign body entry in the eye, burns on face, blunt injury and perforating Injury.

These in any form may lead to traumatic cataract, retinal edema, retinal detachment, infection or total disfigurement of the eye.

We have seen children loosing their eye sight because of the eye-injuries during these festivals despite full treatment being instituted in time. Not only vision but many times the eye ball is disfigured and in spite of treatment the child has a sunken eyeball which is cosmetically disturbing.

Care one should take once the injury has occurred is:

l Wear protective goggles while lighting fireworks to prevent eye injuries

l Immediately flush the eye with water. Hold the eye under a basin or shower, or pour water into the eye using a clean container. Keep the eye open and as wide as possible while flushing. Continue flushing for at least 15 minutes

l If a contact lens is in the eye, begin flushing over the lens immediately. This may wash away the lens

l Avoid playing crackers alone and should be a group activity

l Rush to eye specialist as early as possible if any injury is present. One should consult even if any redness and water ing is present.

l Hold lighted sparklers away from the body

l Use a candle or an agarbathi to ignite fireworks. They burn without an open flame and provide a greater and safer distance between your hands and the fireworks

Few don’ts one should be aware of are:

l Do not disturb the injured area/do not rub the eye

l No eye washing if cuts present

l Do not try to remove an object in the eye

l Don’t put any eye bandage if sterile pad is not available

l Don’t use any eye ointment

l Avoid synthetic clothes and use cotton clothes

l Avoid burning crackers in tin/ glass

l Never give fireworks to small children

l Never ignite aerial fireworks where overhead obstruction (trees, wires, etc.) may interfere with trajectory into open air space.

l Never re-light a firework which has not burnt properly. Wait for 15 to 20 minutes and then soak it in a bucket of water

l Never throw or point fireworks at other people

l Never ignite fireworks while holding them. Put them down, then ignite them and walk away

Few do’s and don’ts can prevent loss of eyesight and other mishaps during the ensuing Diwali festival. Injuries in any form don’t assume it harmless. Even a small injury may be vision threatening. Basic knowledge about primary care will make the treatment easier and faster.

ENJOY YOUR CRACKERS WITH A LITTLE BIT CARE AND LOT OF CAUTION

The Writer is Chairman and Medical Director, Centre for Sight, New Delhi. E-mail: drmahipal@gmail.com

Top

Protect yourself from toxic gas 
Dr S.K. Jindal

This article is not meant to scare you on Diwali, but it does intend to create awareness about the possibility of inhalation of toxic gases and the harm they can cause. After all, a lot of gaseous products, some of which are toxic in nature are produced by the combustion of fire crackers and other explosive materials.

Festival season especially on and near Diwali is traditionally the most opportune time for celebrations with lights and crackers. There is a several fold increase in the concentration of pollutant gases during these months.

Burning and bursting of crackers produces inorganic gases such as the carbon dioxide, sulphur dioxide, oxides of nitrogen and ozone etc. Most of these gases have irritating action on the mucosal surfaces as that of the respiratory tract, the eyes and the gastro-intestinal tract. They also cause irritation of the skin surface especially over the exposed areas of the face and the arms.

The local irritation leads to excessive watering of eyes and nose, sneezing, coughing, itching and sometimes vomiting and abdominal pain. Such effects are common, often temporary and forgotten after the exposure is over. More importantly, the emissions also include the toxic and poisonous gases such as the carbon mono-oxide, phosgene and the cyanides, even though is very small concentrations or traces.

The local action, especially on the respiratory tract, may also predispose to infectious problems such as the respiratory catarrh, bronchitis and pneumonia especially in the children, the elderly and other prone populations (diabetics, patients on steroid therapy and those with cancers or other chronic diseases). The gaseous exposure may precipitate an acute attack of asthma in known asthmatic or allergic individuals.

The effects of other toxic or poisonous gases are small and subtle, but more permanent.

To avoid and minimise the dangers, there must be checks and exploding firecrackers in the vicinity of people should be severely curtailed. High rise crackers are safer since the discharge occurs high in the open skies and gets diluted.

At individual level, people who are prone to their effects need to be very careful and cautious. They may need to increase the dosages of their daily medications required for control of their diseases. Sometimes, additional drugs are required for prevention.

It is somewhat troublesome to realise that the happy and festive occasions may sometimes end up with misery and pain. But this is precisely the reason why discipline is important to inculcate in celebrations.
Top

Health Notes
Imagination reduces abdominal pain in kids

Washington: A new study has revealed that children with persistent abdominal pain who use audio recordings of guided imagery along with standard medical treatment are three times more likely to improve the problem. And those benefits were consistent for six months after treatment had ended.

“What is especially exciting about our study is that children can clearly reduce their abdominal pain a lot on their own with guidance from audio recordings, and they get much better results that way than from medical care alone,” said lead author Dr Miranda van Tilburg, assistant professor in the Division of Gastroenterology and Hepatology in the University of North Carolina (UNC) School of Medicine and a member of the UNC Centre for Functional GI & Motility Disorders. — ANI

Sidewalks, parks, farm markets cut diabetes risk

CHICAGO: If you are what you eat, you may also be a product of where you live: Living in a neighbourhood where it's pleasant and easy to walk and fresh fruits and vegetables are close at hand can slash a person's risk of developing type 2 diabetes, new research shows.

In fact, the risk of diabetes associated with living in such a “healthy” neighbourhood was 38 per cent lower than for people who lived in the unhealthiest places, Dr. Amy H. Auchincloss of Drexel University School of Public Health in Philadelphia and her colleagues found. — Reuters

Detox diets can cause the body to break down

MELBOURNE: Any diet or detox program involving fasting could cause the body to break down, experts have warned. Some companies have launched aggressive marketing campaigns aimed at young women who want to lose weight. But doctors insist that such programs are of no benefit. "There's no medical or scientific evidence that there's any health benefits from fasting," the Daily Telegraph quoted Dr Jane Smith from the Royal College of General Practitioners as saying. “You could be doing your body harm. There's a lot of money to be made selling magic (solutions) to people,” Smith added.

Lemon Detox Diet is one of the most popular programs. Its fans include Beyonce and Tania Zaetta. The mixture of palm and maple syrup, lemon juice, cayenne pepper and pure water claims to shed weight and cleanse the body. Dieticians suggest that instead of going for such diet programs, people should cut out caffeine, alcohol and high fat foods for a week to achieve the same results. — ANI

Abused women suffer more mental, physical ills

NEW YORK: Even if the obvious signs of domestic violence can be hidden, women who are abused may be at risk of other conditions not usually associated with such abuse, according to a new study. Women who have been abused by their partners in the past year are more likely than women who have never been abused to be diagnosed with illnesses ranging from depression to chest pain to urinary tract infections, a new study in the Archives of Internal Medicine shows. — Reuters


HOME PAGE

Top