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Diabetology

Hoping For A Future Free From Pandemic With Dr. Reema Kashiva

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The working towards MD stresses the significance of spreading consciousness and being on the frontline to assist the group take care of the COVID state of affairs News Desk, Pune, Maharastra 26 May 2021, Dr. Reema Kashiva, the top of the Medicine Department at Noble Hospital, Hadapsar (Pune), has been actively engaged on the frontline, giving her greatest to make sure that the residents inside and outdoors the Magarpatta area of Pune battle the pandemic in a resilient and profitable method. Finding herself working for 14 to 16 hours day after day, she has been striving to present the group a future free from the pandemic.   The second COVID wave in India has confirmed to be far more harmful and panic-inducing than its first counterpart. In such a state of affairs, Dr. Reema stresses the truth that spreading consciousness concerning the pandemic has all the time been essential for Indians to equip themselves and keep away from the hazard. She has been on her toes because the first wave hit the nation, a time when little was identified concerning the virus and its penalties. She says, “It all began after we confronted the COVID state of affairs for the primary time in March 2020. Due to a scarcity of priority, there was a way of panic and a large lack of information in all places round me. Looking on the state of affairs go from unhealthy to worse, we determined to assist unfold consciousness concerning the seriousness of the matter and instill a way of warning inside individuals from the get-go.” Under Dr. Reema’s steering, Noble Hospital employed a number of volunteers to assist individuals within the area receive the best help associated to the virus and its remedy. This was to information the affected sufferers all the way in which, bust the myths surrounding the pandemic, and comprise the panic amongst the unaware public. Her division additionally made preparations for the residents of Magarpatta and their kinfolk to acquire sufficient beds within the hospital and arrange a quarantine heart to assist them isolate themselves. In order to assist affected people and their households being remoted, Dr. Reema organized for wholesome meals on being approached by a tiffin service supplier. Her workforce was each on the sphere and dealing on the backend to offer all doable help to individuals fighting the pandemic. Once the primary wave got here to an finish and the country-wide vaccination drive started, Dr. Reema did her greatest to unfold consciousness about the advantages of vaccination and dissuade individuals from gathering in crowds through the time interval between the 2 waves. Further, she devoted her time to arrange free digital periods on Zoom to teach individuals concerning the medicines and preventive measures for retaining themselves protected throughout difficult instances. These periods proved extremely profitable with as many as 4,000 individuals becoming a member of in from inside and outdoors the Magarpatta group. Dr. Reema continues to host these digital periods to assist people battle the second COVID wave together with her and her workforce of healthcare consultants. Looking on the steadily lowering COVID instances in Pune and throughout the nation, it may be inferred that her efforts are lastly bearing optimistic outcomes. About Dr. Reema Kashiva Dr. Reema Kashiva is the Head of the Medicine Department and the Director of the Centre of Excellence for Diabetes and Obesity at Noble Hospital, Pune. Harboring the dream of turning into a health care provider and serving to individuals in want since childhood, Dr. Reema had ventured from a small city into a giant metropolis within the eighth grade. Despite being chosen for a specialty course, she selected to go forward with drugs because it facilitated working with all types of sufferers. Since 2000 when she began her apply, it has been a difficult however satisfying journey offering medical care and spreading smiles amongst her sufferers. Reference Link – ASIAN NEWS

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CORONAVIRUS (COVID 19) OUTBREAK MYTHS VS FACTS

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The COVID-19 pandemic has become one among the gravest health crises faced by humans. This pandemic is caused by a new form of coronavirus that was unknown to scientists until a months ago.So, along with the virus\’s spread across the growth, myths about the contagion, treatments for the Covid-19 infection and preventive measures to keep yourself safe from the novel coronavirus have proliferated. It is vital to refrain from placing your belief in any miraculous cures or conspiracy theories about the COVID-19 virus.Therefore, in this article we take a look at some widely shared myths about the novel coronavirus.   MYTH      FACT EATING GARLIC OR HOME REMEDIES food FOR FLU AND COMMON COLD) CAN HELP to  PREVENT INFECTION WITH THE NEW CORONAVIRUS.     Garlic is a healthy food that have antimicrobial properties. Also, vitamin C is an essential nutrient that supports immune function. However, there is no scientific evidence that eating garlic or lemon (or other foods for that matter) has protected people from the new coronavirus.  MYTH      FACT     REGULARLY GARGLING WITH SALT amd warm water WATER OR SALINE CAN HELP PREVENT INFECTION from CORONAVIRUS, AS WELL as it also helps TO “FLUSH” THE VIRUS FROM YOUR MOUTH.     There is no scientific evidence that regularly gargling has protected people from COVID-19  infection . This  helps to  soothe a sore throat and will not prevent the virus from entering ther lungs—neither  by  drinking frequent sips of warm water.  MYTH      FACT   COVID-19  CANNOT BE TRANSMITTED IN AREAS WITH HOT AND HUMID temperature.     The Corona virus can be transmitted in ALL AREAS, includinareas with hot and humid temperature. MYTH FACT     TAKING SUNBATH AND DRINKING HOT WATER CONTINUOUSLY ARE THE EFFECT WAYS FROM  PREVENTING CORONAVIRUS. There is no scientific data  that the COVID-19 can be killed at higher temperatures. Drinking warm water and taking sunbath may have other health benefits. For example, Sunbath is good to get Vitamin D, but excess exposure to sunlight may cause sunburn.     MYTH   FACT SPRAYING ALCOHOL OR CHLORINE on the BODY CAN KILL THE CORONAVIRUS. Spraying alcohol or chlorine all over the body will not kill the virus  that has already entered the body. Spraying such substances can be dangerous for our  clothes and  mucous membranes (i.e. eyes, mouth). MYTH FACT PNEUMONIAl vaccines  CAN PROTECT YOU from CORONAVIRUS. No it doesnot protect you from COVID-19. Vaccines against pneumonia, such as pneumococcal vaccine and Haemophilus influenza type B (Hib) vaccine, do not provide protection from COVID -19 virus.. The virus is new and for which it needs its own vaccine.

Diabetology

Dietary Modification by Diabetics – During Post COVID-19 Recovery

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A well-balanced diet can help Diabetics who are recovering from a post-COVID-19 infection. It is very important to meet the increased nutritional requirement of your body because it helps in replenishing your physical, mental, and emotional wellbeing. Few modifications in your daily routine which will help Diabetics in early healthy recovery are: Consume plenty of fruits and vegetables:  Vitamins, minerals, and antioxidants present in vegetables and fruits help in speedy recovery. Try to consume a minimum of 5-6 servings per day from the fruits and vegetables.   For example, you can simply have 2-3 servings of whole fruits in a day and  3-5 servings of seasonal vegetables in any form may be cooked, sautéed, steamed, boiled, raw salads, or in snacks.   Protein-rich diet: A normal adult male/female during this phase should have at least consume 1gm/kg body weight of protein per day.   Vegans can include 2-3 servings of thick dal, milk & milk products, nuts, and seeds/day. Besan(gram flour), sattu, lentils, peanut, paneer, cheese, mushrooms, white sesame seeds are the best options where as non-vegetarians can include all of these along with lean meat like eggs, chicken, fish in their diet.   Healthy fats to meet the increased energy requirement:  Make your meals energy dense by adding fat and oils like ghee, cheese, avocados, olive oil, nuts and seeds. Can include 20-25 gms of fat per day.   Adding Calcium to your diet:  Include food products such as lotus seeds (makhane), Ragi, soybean, milk& milk products, calcium-fortified food items (flour, milk), figs, raisins, almonds all are excellent sources of calcium in an Indian diet.   Prefer Germinated or fermented grains and pulses for Zinc: All the grains and cereals are rich in zinc whereas Germination and Fermentation of those grains also increase the zinc content in them. Zinc helps to stimulate insulin action thus helps in controlling sugar specially amongst insulin resistance people.   Super fighter Vitamin C: Vitamin C helps in enhancing our immune system and fights off the infection in the body. Therefore consume citrus foods and vegetables like orange, lemon, sweet lime, guava, broccoli, bell peppers, tomato, and green leafy veggies as they are rich in vitamin C.   Consume small and frequent meals: Include small 6-7 meals in a day. Eating small and frequent meals helps in fulfilling your nutritional requirement as well as prevents spike in sugar levels and  GI-related complications like gastritis, bloating, heaviness, acidity.   Drink plenty of water: Consume 3-4 Liters of water daily, also try to keep bottle handy so that you can keep track on it.   Limit the intake of tea/coffee and caffeine-rich beverages: Excessive caffeine increases heart rate, blood pressure, and leads to dehydration. On the other hand breathing difficulty, fatigue are the major symptoms affecting people during post-COVID infection So, to get early relief from these symptoms to try to avoid caffeine-rich drinks as much as possible. Diabetics can consume 1-2 cups of tea or coffee per day without sugar.   Quit smoking and drinking alcohol: Smoking directly damages your lungs and lowers down the strength and capacity, making you susceptible to furthermore infections. Alcohol consumption suppresses the immune system therefore smoking and alcohol consumption both should be avoided.   Therefore minute changes by Diabetics in their daily lifestyle can help them to recovery fast from COVID-19 INFECTION. EAT WELL STAY WELL.

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Causes of Weight Gain and Obesity

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Junk Foods   The food you eat has a major impact on your body and can make you put on or lose weight quite easily. By eating the wrong food you will accumulate a lot of fat around the hips, stomach and thighs area. Foods such as chips, ice cream, candies, cakes, pastries, cookies, red unprocessed meats in burgers or steaks and unprocessed meats found in bacon and salami can contribute to fat in the body rapidly. These food items are extremely high in calories, full of carbohydrates and lead to hip fat and Weight Gain and Obesity Lack of Physical Activity –   When a person remains inactive all day long or sits in one place for most of the time, the fat derived from the food he/she eats starts getting accumulated as it fails to get turned into energy which the body can use. People who do not exercise, sit in front of the TV all day or prefer lying in bed when doing nothing often complain that it took no time for them to gain weight and accumulate hip fat and fat around stomach and thigh region along with other body parts. Less Consumption of Water – Another one of the common causes of fat is reduced consumption of water, allowing toxins and wastes to remain in the body for long resulting in weight gain and also help in the accumulation of fat. Drinking loads of water every day helps to eliminate toxins and wastes products thereby keeping your body weight low and fat at bay. Menopause – For women who are about to experience or are already experiencing menopause, weight gain is a natural phenomenon. As the body undergoes several hormonal changes, a woman can gain weight and body fat, especially in the hip and belly region. Medical Ailments – People who suffer from medical ailments such as knee, ankle or back pain, Thyroid, Diabetes are unable to move around much and are confined to one place all day long are most likely to add hip fat. Such people should eat healthily and try to do some hand and leg exercises while sitting in place. Sedentary Work –   A sedentary worker is a person who sits in one place all day long to do his work and does not have much physical movement. People who have desk jobs be it of any kind which requires them to stay at one place often accumulate a lot of fat in various parts of the body.   How do I know if I am obese? Obesity can be measured using BMI. BMI is calculated by dividing body weight (kilograms) by height (metres) squared. BMI= WEIGHT(KG) / HEIGHT(m)2 World Health Organisation BMI classification system for adults  

Obesity Doctor, Obesity management Tips, Obesity Treatment Clinic, Weight Loss Treatment & Tips, Weight Management Doctor

Tips for Obesity Treatment

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Introduction The weight loss treatment is full of clear tips & solutions. People are often advised to do all sorts of treatments and diets, most of which have no evidence in the real-world. Scientists have found a numerous kinds of strategies that seem to be effective. Many people get carried away by the fake advertisements and advised medicines to loose weight. Tips for Obesity Treatment 1.Drink plenty of water : Drinking water helps to increase the metabolic rate,help to burn more calories, helps easily in weight loss. 2. Drink Green Tea :  Green tea also has many health benefits, one of them being weight loss. It is loaded with powerful antioxidants called catechins, which are believed to work synergistically with caffeine to initiate the fat burning process. 3. Cut Back on Added Sugar : Added sugar is one of the worst ingredients in the modern diet lifestyle. Most people consume way too much. If you want to lose weight, reduce adding sugar. Just make sure to read labels, because many food products can be loaded with sugar. 4. Eat Less Refined Carbs : Refined carbohydrates include sugar and grains that have been stripped of their fibrous, nutritious parts,which include white bread and pasta. Research studies show that refined carbs can spike blood sugar rapidly, leading to hunger, cravings and increased food intake a few hours later. Eating refined carbs is clearly linked to obesity. 5. Use Smaller Plates : Using smaller plates has been shown to help some people automatically eat fewer calories. However, the plate-size doesn’t appear to affect everyone. Those who are overweight seems to be more affected.   6. Do Aerobic Exercise : Doing aerobic exercises daily is an excellent way to burn calories and improve your physical as well as mental health. It appears to be particularly effective for losing belly fat, the unhealthy fat that tends to build up around your organs and gives rise to metabolic disease. 7. Eat More Fiber : Fiber is often recommended for weight loss. Some health studies show that fiber can increase satiety and help you control your weight over the long term. 8.  Eat More Vegetables and Fruits : Vegetables and fruits have several underlying properties that make them very effective for weight loss. They contain few calories and a lots of fiber. Studies show that people who eat vegetables and fruits tend to weigh loss. These foods are also very nutritious and is also important for your health. 10. Beat Your Food Addiction : If you experience food cravings and can\’t seem to curb your eating no matter how hard you try, you may suffer from addiction. In this case, seek professional dietician\’s help. Trying to lose weight without first combating food addiction is impossible.   Experts recommend losing some percentage of your body weight within the first 6 months of treatment.  It may help lower your chances of developing health problems related to overweight and obesity improve health problems related to overweight and obesity, such as high blood pressure and high cholesterol levels. Dr. Reema Kashiva’s Diabetes & Obesity Center is a specialty center providing focused care for the management of Diabetes, Pre-diabetes and Obesity.Consult Dr. Reema Kashiva for Weight management and Obesity tips in Pune. LEARN MORE    

Thyroid clinic, Thyroid disease, Thyroid specialist, Thyroid treatment doctor, Thyroid treatment hospital

Thyroid Disease: Hypothyroidism & Hyperthyroidism

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What is thyroid? The thyroid is a small gland which is shaped like a butterfly, that rests in the middle of the lower neck. Its primary function is to control the body\’s metabolism (rate at which cells perform their respective duties which are essential). To control metabolism, the thyroid produces hormones namely T4 and T3, which tell the body cells how much energy to consume. A properly functioning thyroid will maintain the right amount of hormones necessary to keep the body\’s metabolism functioning at a successful rate. As the hormones are utilized by the body, the thyroid creates replacements. The quantity of thyroid hormones in the bloodstream is monitored and controlled by the pituitary gland. When the pituitary gland (which is located in the center of the skull below the brain) senses a lack of thyroid hormones or a high level of thyroid hormones, it will adjust the hormone (TSH) and send it to the thyroid. What is thyroid disease? When the thyroid produces more quantity of hormones, the body uses energy faster which it should not. This condition is called hyperthyroidism. When the thyroid doesn\’t produce enough hormones than the intended, the body uses energy slower which it should be using. This condition is termed as hypothyroidism.     What are the symptoms of hypothyroidism and hyperthyroidism? The following are symptoms for hypothyroidism: Fatigue Frequent, heavy menstrual periods Forgetfulness Weight gain Dry, coarse skin and hair Hoarse voice Intolerance to cold The following are symptoms for hyperthyroidism: Irritability/nervousness Muscle weakness/tremors Infrequent, scant menstrual periods Weight loss Sleep disturbances Enlarged thyroid gland Vision problems or eye irritation Heat sensitivity Complications and Outlook for Thyroid Conditions The overall outlook varies between hypothyroidism and hyperthyroidism. With hypothyroidism, your levels and overall symptoms may improve with medication, but it’s a condition you’ll likely be treating yourself for the rest of your life. This is not necessarily the case with hyperthyroidism. If antithyroid medications work, then your thyroid hormone levels will normalize without any further issues. Once you have any form of thyroid disease though, your doctor will monitor your condition with occasional blood tests to make sure your thyroid hormones are at optimal levels. Complications of thyroid disease: Anxiety (seen more in hyperthyroidism) Depression (seen more in hypothyroidism) Weight fluctuations Fertility issues Birth defects Heart problems High blood pressure (seen in hyperthyroidism).  Dr. Reema Kashiva’s Diabetes & Obesity Center is a specialty center providing focused care for the management of Diabetes, Pre-diabetes and Obesity.She provides step-wise and proper diagnosis of the related problems. LEARN MORE

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Diabetes Treatment in Pune

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To achieve good metabolic control in diabetes and keep long term, a combination of changes in lifestyle and pharmacological treatment is necessary. Achieving near-normal glycated hemoglobin significantly, decreases risk of macrovascular and microvascular complications. At present there are different treatments, both oral and injectable, available for the treatment of type 2 diabetes mellitus (T2DM). Changes in lifestyle have proven to be beneficial, but for many patients is a complication keep long term.The evidence supporting the role of exercise, medical nutrition therapy, glucose monitoring, and antiobesity measures including pharmacotherapy and bariatric surgery.The optimum dietary macronutrient composition remains a subject of interest; however, several studies have shown that dietary measures are effective in weight reduction irrespective of the composition (low fat vs low carbohydrate), provided there is adequate energy restriction, reduction in saturated fat to less than 7%, and adequate provision of dietary fiber.Although low-fat and low-carbohydrate diets are both effective in producing weight loss, their effect on lipid profile may differ. Low-carbohydrate diet may yield greater reduction in triglyceride with higher improvement in high-density lipoprotein, but with higher low-density lipoprotein levels in comparison to low-fat diet. Lower consumption of total and saturated fat and processed foods, and higher consumption of fibers, whole grains, fruits, and vegetables have been shown to improve glycemic control in patients with diabetes. In clinical trials, nut consumption increases satiety, have a neutral effect on glucose and insulin, and a beneficial effect on lipid profile.Artificial sweeteners may cause diarrhea; otherwise, they are safe when used according to Food and Drug Administration (FDA) recommendation. Although diabetic subjects may have increased oxidative stress, placebo-controlled trials have not demonstrated any clear benefit attributable to antioxidant supplementation.

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