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Pregnant Women Living in Hot Weather May Fall Prey to Gestational Diabetes

Dr. HelloDox Care #
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Can the climate that you inhabit affect your pregnancy? Most of us would not believe but experts have actually been able to draw a correlation between the temperature of the region where you live and the state of your pregnancy. Experts at the St. Michael Hospital in Ontario, Canada studied the effects of climatic conditions on pregnant women. Those who were exposed to an outdoor temperature of more than 24 degrees Celsius or above were more prone (7.7%) to gestational diabetes. Pregnant women living in colder climates were at a lesser risk (4.6%). With every 10 degrees Celsius increase in temperature, the risk also got elevated by 6-9%. The study was published Canadian Medical Association Journal and studied 555,911 births among 396,828 women living in Canada over a 12-year period (2002 to 2014).

"Many would think that in warmer temperatures, women are outside and more active, which would help limit the weight gain in pregnancy that predisposes a woman to gestational diabetes," said lead author Gillian Booth, a researcher at St Michael Hospital in Ontario, Canada.

Some of the previously conducted studies have linked colder climates with enhanced metabolism as the brown adipose tissue gets activated in colder temperature and facilitates calories burning, increasing metabolism and better management of insulin.

Experts found that women born in cooler climates who were exposed to cold temperatures during pregnancy had a gestational diabetes rate of 3.6 per cent, while those exposed to hot temperatures had a rate of gestational diabetes of 6.3 per cent.

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Three Simple Steps To Prevent Diabetes In Women

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Diabetes is a lifelong disease caused by high sugar level in the blood. This happens because the body is unable to produce sufficient insulin, or the body is not using it correctly .Insulin is a hormone produced by the pancreas. Its main function is to transport the glucose from the blood into the cells where it is used for energy. However if there isn't sufficient insulin the glucose builds up in the blood.

There are two types of diabetes:

1. Type I diabetes

The cause for this is still unknown but in most people it is an outcome of destruction of the beta cells of the pancreas by our own immune system. Type I diabetes often develops in children, with a positive family history of a sibling or parent with diabetes. Certain viral infections like mumps, rotavirus or coxsakie virus B and cold climate may precipitate this to.

2.Type-II diabetes

Where insulin is present but is not sufficient or is unable to work efficiently. The common risk factors for women are:

• Overweight or obesity (BMI of 25 or above),
• Older age of 45 and above. After menopause women are at a greater risk of obesity and higher waist circumference ,increasing the risk of Diabetes
• Family history-parent or sibling with diabetes
• Ethnicity-Indians are at a greater risk of DM2
• Giving birth to a baby of 9 pounds or above
• Presence of diabetes during pregnancy
• High blood pressure with medication
• Low HDL cholesterol and high triglycerides
• Suffering from polycystic ovarian disease (PCOD)
• History of heart disease or stroke

High sugar levels have a detrimental effect on the blood vessels and nerves. Nerve damage can lead to pain or loss of sensation in the affected area. Blood vessel damage can lead to heart diseases, stroke, blindness, kidney failure, amputation, hearing loss, problems in conceiving and during pregnancy, and repeated urinary and vaginal infections

Are you at a risk?

India has the dubious distinction for being the diabetes capital of the world. Though we as a population are genetically prone to diabetes, rapid urbanization, poor diet and exercise, obesity are the main causes for this epidemic. Women are as prone to diabetes as men, but women are less likely to seek and follow medical advice and treatment for themselves.

Prevention they say is better than cure: You just need to follow 3 simple rule to protect yourself against diabetes

1. Weight Management

The number one risk factor for the onset of diabetes is overweight. More fatty tissues in the body make it resistant to the action of insulin. Furthermore, the apple shaped body, where there is fat accumulation around the abdomen predisposing you to a higher risk of diabetes. Shed those extra kilos. In a study participants who lost about 7% of their weight improved their risk of not getting diabetes by 60%. Fad diets aren't the answer, you may lose some weight initially but will it stay off? Eat healthy and exercise regularly, the only way to maintain weight without compromising on your health.

Simple tricks to help you eat less are-
• A smaller bowl or plate
• Use a tea spoon or child fork to eat smaller bites
• Eat slowly, chew your food well , it takes 20 minutes for your brain to register that the stomach is full
• Do not eat in front of the TV
• Drink a large glass of water 10 minutes before your meal
• Fill your plate like this- 1/4th protein, 1/4th whole grain, ½ vegetable and fruit with some skimmed dairy

2. Eat: healthy

• Whole grains protect against diabetes. In the Nurses' health study I and II which followed 160,000 women over 18 years, researchers found that women who ate two to three servings of whole grains reduced their risk of diabetes by 30%. Indian diets are based on whole grain cereals, find a chakki and get fresh whole grain atta, it will not only be beneficial for you but your entire family. Barley, steel cut oats, hand pounded rice, brown and red rice are other good choices.

• Instead of drinking juices, eat whole fruits. In the same nurses study II women who drank 1or more sweetened drink increased their risk of diabetes by 83%. Sugary drinks may contribute to chronic inflammation, high triglycerides decreased HDL (good cholesterol) and insulin resistance. Our traditional chaas, nimbu pani, bael sharbat, aam panna, all taste fabulous without sugar. Fresh coconut water, plain water, sugar free green tea and coffee are all good choices.
diet

• Good fats like poly unsaturated oils from vegetable sources, nuts, seeds, protect against diabetes. Trans fats usually found in packed bakery goods, street foods, fast food restaurants can play havoc with your health. Any label that reads partially hydrogenated oil should be put away. Look for the amount of Trans fat on the label while buying ready to eat and ready to cook foods.

• Evidence from the Nurses study I and II , Health professionals follow up study and another 6 long term studies highlighted the substitution of red and processed meat with fish , poultry low fat milk and nuts decreased the risk of diabetes by 35%
All these points highlight that our traditional eating practises are the healthiest, we just need to re learn them.

3. Move your body

Being active helps you control your weight as well as improves insulin sensitivity.

• Get active, start with 30 minutes a day for 5 days of the week. Walking is the easiest form of activity start and then you can try other forms of exercise.

• Put on the radio and dance away your calories. Make your family join in for a fun filled jam session at home.

• Download an exercise video and follow it

• At office, walk for your water, to deliver a message, to catch up with a colleague

• Walk to the market if safe instead of taking a car.
The benefits of even moderate exercise are humungous .Start today.

Preventing Diabetes is about making healthy choices for life, as the lady of the house you can create an environment where everyone benefits. You do not need to do anything separately, do it for the whole family.
Remember you are the pivot of the family and taking care of yourself is as important as taking care of others.

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Mango Leaves For Diabetes: This Simple Home Remedy May Help Manage Blood Sugar

Dr. HelloDox Care #
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Mango is known as the 'king of fruits' -- a well-known summer fruit that finds a number of uses in the Indian cuisine. Both raw and ripe mangoes are used to prepare dozens of dishes including mains, sides and especially accompaniments like chutneys and pickles. Mango drinks are especially popular in tropical countries, for their amazing taste and flavour and their ability to quench thirst like nothing else. Mangoes also have a number of health benefits; from supplying the body with healthy fibre to improving digestion, boosting immunity and keeping us hydrated. However, the mango tree has much more to give us than just its juicy and delicious fruit. For example, did you know that even mango leaves can provide with a lot of health benefits? The shiny, green leaves have a number of health benefits, due to which they have traditionally been used in home remedies in ancient medicinal practices. One such purported benefit of mango leaves is its ability to regulate blood sugar levels and manage diabetes.


Mango leaves generally have a reddish or purplish hue when they are young, but as they mature, they become dark green with a pale underside. These leaves have powerful antioxidant properties and are rich in flavonoids and phenol. They are consumed in both powder and decoction form. The latter is produced by boiling mango leaves in water. In South East Asia, the tender mango leaves are cooked as is and eaten. They also have anti-microbial properties and the young leaves have a number of medicinal benefits.

How To Use Mango Leaves To Manage Diabetes


Mango leaves have been used in Chinese medicine to control diabetes. An ancient Chinese remedy involves using mango leaf extracts to manage diabetes and asthma, through their abundance of nutrients. However, one particular scientific study in 2010 also provides credibility to the ability of mango leaves to manage diabetes. The study showed that mice who were given mango leaf extracts, absorbed less glucose than those who weren't. This is because mango leaf extracts have been known to increase insulin production in the body and also fight cholesterol in blood, due to the presence of vitamin C, pectin and fibre in the leaves. Moreover, mango leaves have also been known to provide relief from diabetic symptoms like frequent urination, blurry visions, etc.


A diabetes home remedy involving mango leaves suggests that drinking the water that has been used to boil about 10 to 15 fresh mango leaves after letting it sit overnight, is effective to control and manage diabetes. However, there is limited scientific evidence about the effectiveness of this home remedy. It is advisable to consult a certified dietitian or a clinical nutritionist before making any changes or additions in your diabetes diet.

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Neem For Diabetes: How Does The Wonder Herb Help Manage Blood Sugar Levels

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If the estimates by WHO are to be believed, 1.6 million deaths are directly attributed to diabetes each year globally. The WHO has also claimed that by the year 2030, diabetes would be the seventh largest killer globally. Diabetes is a chronic, metabolic disease characterised by elevated levels of blood glucose (or blood sugar), which, if left untreated may also pose serious damage to the heart, blood vessels, eyes, kidneys, and nerves.Lack of awareness and late diagnosis often makes it difficult to manage diabetes. Diabetics need to be extra cautious of their diet. Sugary goods, drinks, trans-fats are a strict no-no for diabetics. An ideal diabetes diet should be a balanced mix of high-fibre foods, complex carbs and proteins. There are many healing herbs and spices that could help play a role in sustainable diabetes management too. For instance, fenugreek seeds are known to bring down elevated blood sugar levels. Neem is also one such herb that is fast gaining a name for itself in the realm of diabetes management.

Neem is a tropical plant that grows extensively across India. Neem trees are nearly 30-50 feet high, and almost every part of the tree is profuse with antiseptic and healing properties. Neem has been an integral part of Indian and Chinese medicine since time immemorial. Almost all parts of the neem tree- leaves, flowers, seeds, fruits, roots and bark have been used traditionally for a variety of treatments; be it inflammation, infections, fever, skin diseases or dental disorders. Some studies have claimed that certain compounds of Azadirachta indica (Neem) could be of benefit in diabetes mellitus in controlling the blood sugar. According to a study published in the Indian Journal of Physiology and Pharmacology, neem may also prove helpful in preventing or delaying the onset of the disease. In the journal Studies on Ethno-Medicine, neem leaf powder was found to control diabetic symptoms on non-insulin dependent male diabetics too.

Some more studies are required to validate the evidence that neem can lower blood sugar levels. But experts are mostly in favour of the wonder herb. If you have diabetes, you can have neem sharbat daily, or just chew into a handful of neem leaves. Make sure you do not overdo it and do consult your diabetologist before including neem in your diet. Overeating neem leaves may have hypoglycaemic effect.


Neem leaves are loaded with flavonoids, triterpenoid, anti-viral compounds and glycosides, which may help manage blood sugar levels and ensure there is no surge in glucose.


How To Make Neem Water For Diabetes:


Diabetics are often recommended bitter foods to regulate their blood sugar levels. According to experts, neem juice has a few active substances with anti-diabetic properties.

1. Boil about 20 neem leaves in half a litre of water for about 5 minutes.

2. You would see that the leaves have begun to appear soft. The water will gradually turn deep green in colour.

3. Strain and store this water in a container. Drink this decoction at least twice a day.

Dr. Shikha Sharma, Wellness Expert and Founder of NutriHealth, also suggests a healthy mix to manage high blood sugar levels. According to her, "One can make a healthy concoction of neem powder, fenugreek powder, jamun seed powder, and karela powder, all in equal proportions. Consume about 1 teaspoon of this mix, half an hour before lunch and dinner along with water."

Diabetes management is no cakewalk, but wise and healthy choices could ensure that you do not have a hard time with your blood glucose levels. We would like to reiterate again that none of the above information should be seen as a substitute to your ongoing medication. Before making any major alteration in your diet, do consult an expert.

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Three Common Myths Associated With Diabetes!

Dr. HelloDox Care #
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Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn’t it be a good idea to get to know a little more so as to separate the myths from the facts?


Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.

Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.

Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad!

Dr. Manish Rawool
Dr. Manish Rawool
MS/MD - Ayurveda, Ayurveda Family Physician, 4 yrs, Pune
Dr. Varshali Mali
Dr. Varshali Mali
MBBS, Gynaecologist Obstetrician, 6 yrs, Pune
Dr. Sayali Khare - Pendse
Dr. Sayali Khare - Pendse
MS/MD - Ayurveda, Ayurveda Panchakarma, 3 yrs, Pune
Dr. Tanaji Bangar
Dr. Tanaji Bangar
BAMS, Family Physician General Physician, 8 yrs, Pune
Dr. Pallavi Joshi
Dr. Pallavi Joshi
BHMS, Family Physician Homeopath, 1 yrs, Pune
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