World Diabetes Day

Nov 14th, 2016

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World Diabetes Day

Monday, November 14th, 2016

Diabetes is a chronic, devastating and sometimes fatal disease, in which the body either cannot produce insulin or cannot properly use the insulin it produces. Insulin is a hormone that controls the amount of glucose (sugar) in the blood. Diabetes leads to high blood sugar levels, which can damage organs, blood vessels and nerves. The body needs insulin to use sugar as an energy source.

14th November was chosen as “World Diabetes Day” as it coincides with Frederick Banting’s birthday, the man who, along with Charles Best and John James Rickard Macleod, conceived the idea that led to the discovery of insulin in 1922. This was a remarkable achievement in the treatment of diabetes.

Types of Diabetes:

Type 1 diabetes

Type 1 diabetes occurs when the immune system mistakenly attacks and kills the beta cells of the pancreas. No, or very little, insulin is released into the body. As a result, sugar builds up in the blood instead of being used as energy. About 5 per cent of people with diabetes have type 1 diabetes. It generally develops in childhood or adolescence, but can develop in adulthood. Type 1 diabetes is always treated with insulin. Meal planning also helps with keeping blood sugar at the right levels.

Type 2 diabetes

Type 2 diabetes occurs when the body can’t properly use the insulin that is released or does not make enough insulin. As a result, sugar builds up in the blood instead of being used as energy. About 95 per cent of the people with diabetes have type 2 diabetes. It often develops in adults, but children can be affected.

Depending on the severity of type 2 diabetes, it may be managed through physical activity and meal planning, or may also require medications and/or insulin to control blood sugar more effectively.

Gestational diabetes

A third type of diabetes, gestational diabetes, is a temporary condition that occurs during pregnancy. It affects approximately two to four per cent of all pregnancies and involves an increased risk of developing diabetes for both mother and child.

Diabetes and some complications

Having high blood sugar can cause diabetes-related complications, like chronic kidney disease, foot problems, non-traumatic lower limb (leg, foot, toe, etc.) amputation, eye disease (retinopathy) that can lead to blindness, heart attack, stroke, anxiety, nerve damage, and erectile dysfunction (men).

Diabetes-related complications can be very serious and even life-threatening. The earlier a person is diagnosed with diabetes the better it is. Properly managing blood sugar levels reduces the risk of developing them.

Did you know?

Nearly one in two, 46 per cent of the 415 million adults living with diabetes are unaware of their condition. Most of these cases are type 2 diabetes. World Diabetes Day aims to highlight the need to screen, diagnose and provide appropriate treatment to people with diabetes across countries. “Eyes on Diabetes” is the theme of World Diabetes Day this year. It is a call for action to screen people at the risk of type 2 diabetes.

Risk factors for developing diabetes:
  • Excess weight
  • Family history
  • Sedentary lifestyle
  • Unhealthy diet
  • Poor nutrition during pregnancy
  • High Blood pressure
  • Ethnicity

Early lifestyle intervention can protect your future health and reduce health costs required to treat complications.Up to 70% of type 2 diabetes cases can be prevented or delayed by adopting healthier lifestyles.

Diabetes, some facts you need to know:
  • Type 2 diabetes often does not have any symptoms.
  • Only about five percent of all people with diabetes have type 1 diabetes.
  • If you are at risk, type 2 diabetes can be prevented with moderate weight loss and 30 minutes of moderate physical activity (such as brisk walking) each day.
  • Diabetes is the leading cause of blindness in working-age adults.
  • People with diabetes are twice as likely to develop heart disease than someone without diabetes.
  • Bariatric surgery can reduce the symptoms of diabetes in obese people.
Diabetes and India

The number of people with diabetes in India has nearly quadrupled since 1980.There strong evidence that Indians have a greater degree of insulin resistance and a stronger genetic predisposition to diabetes. There were 69.1 million cases of diabetes in India reported in 2015.

Get yourself checked this World Diabetes Day. As a nation we must be more aware about the risks of developing Type 2 diabetes and take measures to prevent it. Visit Kokilaben Dhirubhai Ambani Hospital for a check up of your blood sugar levels. Our centre of Diabetes and Obesity is well equipped to take care of all diabetes patients. Please check the below link for further details:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_diabetesobesity.html

Happy Diwali!

Saturday, October 29th, 2016

Over the years as societies become more urbanised the needs of the masses changes, and so must the ways we celebrate our festivals. Diwali has become bigger, noisier and brighter with the ever increasing firecrackers. Over the years the health problems have also magnified. We must work towards a more eco-friendly celebration and wherein we are sensitive to our environment and society.

Bursting fireworks is a strange way to display our happiness. We must refrain from it and discourage our children too. Let us celebrate the festival of lights retaining it as a festival of joy without converting it into a public health problem.

Aftermath of Fireworks:

Air Pollution

Fireworks may seem exciting however they come with a host of illness triggers. During Diwali partially combusted low volatile organic compounds remain suspended in the atmosphere for several days. This is deadly for not just asthmatics, but causes breathing difficulties in anyone. Several crackers have multiple toxic chemicals like sulphur nitrates, magnesium, nitrogen dioxide increase, which are injurious to our respiratory passages.

Noise Pollution

‘Bombs’ are a favourite amongst many however they lead to immense noise pollution. A prolonged exposure to such high levels of noise can lead to permanent damage of the eardrums. Doctors get many cases wherein people who suffer holes in the eardrums not due to a direct injury, but the intense sound pressure of crackers.

Pet Care

Pets get very frightened with the loud noise of fireworks. It is advisable to keep your pets indoors and close all the curtains to make things calmer.

Child Exploitation

As most of you must be aware numerous children are employed by the firecracker industry. They work long hours and are exposed to harmful chemicals and acids. Their skin comes in constant contact with the acids and they also breathe harmful fumes.

Medical Injuries

Unfortunately injuries from fireworks spoil the fun for many families. Each year Diwali brings a fresh number of cases involving loss of eyesight and serious burns and injuries caused by fireworks. The most common reason is wrong handling of fireworks.

If you are one of those who will still continue to burst crackers this Diwali,then here are some precautions to follow:

  • Keep a first aid box and a bucket of water or sand nearby to handle emergencies.
  • While igniting Diwali aerial fireworks like rockets, ensure that they are not facing any opening like a window, door or an open building gate.
  • Don’t burn crackers in crowded, congested places and narrow lanes.
  • We must not let children burst crackers unaccompanied by an adult. Keep an eye on them constantly.
  • Don’t try to examine un-burst crackers.. leave it!
  • Avoid long loose clothes while bursting crackers, as they are fast in catching fire.
  • Strictly avoid using matches and lighters for bursting crackers for Diwali as they have open flames that can be dangerous.
  • Don’t keep your face close to the cracker while trying to light it
  • In case of burns, pour large quantity of water on the burnt area.
  • The patient should be taken to a burns specialist or a major hospital.
  • In case of eye burns, wash the eye with tap water for 10 minutes and take the victim to a hospital.
Other safety precautions:
  • The earthen lamps that we light on Diwali night are generally placed on balcony and window panes. Always ensure that these are not near any flammable material like wood, cloth or paper.
  • Make sure the decorative lights should never be tied to any metal poles as any current leak can energize the pole and give a shock to anyone who touches the pole.
Diwali and Food

It is difficult to stay away from sweet temptations in the festive season. Let us try to adapt some small changes in our diet this Diwali .Use natural sweeteners like dates, jaggery, honey or figs in sweets instead of sugar or artificial sweeteners. The best time to eat sweets is either on an empty stomach or when the body is low on calories.

Stay away from packaged savouries as they contain trans-fats which can be very dangerous for our cholesterol levels. Make your savouries at home, you can also bake them instead of frying them to cut down on fat.

Wishing you all a very Happy and Safe Diwali! Stay healthy and Eat healthy this festive season. This Diwali in case of any medical emergencies please contact our team of doctors at Kokilaben Dhirubhai Ambani Hospital. Our Full Time Specialist System ensures availability and access to the best medical talent 24 hours a day, 7 days a week. Certain incidents of eye injuries and burns occur during Diwali for which people need immediate medical relief. Please visit our website for more details: https://www.kokilabenhospital.com/

World Osteoporosis Day

Thursday, October 20th, 2016

Osteoporosis, literally means ‘porous bone’, is a disease in which the bone mass and bone strength are reduced. As we get older, we are unable to replace the bone tissue as quickly as we lose it. Osteoporosis occurs when new bone formation does not match the bone loss. Osteoporosis is a common disease that makes the bones thinner and thus more likely to break.

Symptoms and signs

Osteoporosis can be present without any symptoms for decades as it doesn’t show any symptoms until a bone breaks (fractures). Surprisingly, some osteoporotic fractures may escape detection for years if they do not cause symptoms. Therefore, patients may not be aware of their osteoporosis until they suffer a painful fracture.

What Causes Osteoporosis?

Some risk factors which make you more susceptible to osteoporosis:

  • Gender: Women get osteoporosis more often than men.
  • Age: The older you are, the greater your risk of osteoporosis.
  • Body size:. Small, thin women are at greater risk.
  • Family history: If osteoporosis runs in the family you are more likely to get it.
  • Sex hormones: Low estrogen levels due to missing menstrual periods or to menopause can cause osteoporosis in women. Low testosterone levels can bring on osteoporosis in men.
  • Anorexia nervosa: This eating disorder can lead to osteoporosis.
  • Calcium and vitamin D intake: A diet low in calcium and vitamin D makes you more prone to bone loss.
  • Medication use: Some medicines increase the risk of osteoporosis.
  • Activity level: Lack of exercise or long-term bed rest can cause weak bones.
  • Smoking: Cigarettes are bad for bones, and the heart, and lungs, too.
  • Drinking alcohol: Too much alcohol can cause bone loss and broken bones.

How Do I Know if I Have Osteoporosis?

If your are suffering any back ache, neck pain or muscle pain you must consult a doctor to see if a bone density test is needed. These scans use very small amounts of radiation to see how strong your bones are.

Treatments for Osteoporosis

Many osteoporosis treatments stop bone loss and lower your chances of fractures. Small changes in your diet and lifestyle along with medications help slow down bone loss or build new bone.

Tips to prevent Osteoporosis

Some healthy habits can help prevent osteoporosis and fractures:

  • Healthy Lifestyle: Smoking is bad for bones as well as for the heart and lungs. Avoid excessive consumption of alcohol as it makes you more prone to bone loss.
  • Exercise: It makes your bones and muscles stronger. Weight-bearing exercises, such as walking jogging, playing tennis, and dancing, are best for preventing osteoporosis when done regularly.
  • Add calciumto your diet: Experts recommend 1,000 milligrams each day for women before menopause and 1,200 milligrams a day for those who’ve been through it. Milk and dairy products, fish,dark green, leafy vegetables, such as kale and broccoli are good sources of calcium.
  • Supplement your diet: ;Its best to get calcium through the food you eat. But if you don’t get enough, ask your doctor if you need any calcium supplements.
  • Vitamin D: Your body needs it to absorb calcium. You can get some of what you need by spending time in the sun, which prompts your body to make vitamin D.

Some facts of Osteoporosis

  • Osteoporosis is a condition of fragile bone with an increased susceptibility to fracture.
  • The diagnosis of osteoporosis can be suggested by X-rays and confirmed by tests to measure bone density.
  • Osteoporosis is common in India, and high prevalence of vitamin D deficiency among Indians is one of the major reasons for this condition.
  • It is important to encourage children to drink milk and play in the sun so as to ensure adequate calcium intake and vitamin D synthesis.
  • Peak bone density is reached at approximately 25 years of age. Therefore, it is important to build strong bones by this age so that the bones will remain strong later in life

Our specialised Osteoporosis Clinic at Kokilaben Dhirubhai Ambani Hospital aims to prevent and treat osteoporosis through education, nutrition, physical therapy and medication. The primary goal is to prevent fractures by stopping or slowing the bone loss, maintaining bone strength and eliminating factors that contribute to falls. The clinic is managed by our team of specialists. We use our advanced technology and the latest DEXA machine to treat our osteoporosis patients.

World Arthritis Day -12th October

Wednesday, October 12th, 2016
What is Arthritis?

Arthritis is an inflammation of the joints which can affect one joint or multiple joints. There are more than 100 different types of arthritis. People of all age groups, sexes and races can suffer from arthritis. However it is commonly seen in adults over the age of 65. It is more common in women than men and obesity also plays a great role.

What causes arthritis?

Your cartilage is a firm but flexible connective tissue in your joints. It protects the joints by absorbing the pressure and shock created when you move and put stress on them. A reduction in the normal amount of this cartilage tissue cause some forms of arthritis.

Different types of arthritis:
  • Degenerative Arthritis
    Osteoarthritis is the most common type of arthritis. When the cartilage – the slick, cushioning surface on the ends of bones wears away, bone rubs against bone, causing pain, swelling and stiffness. Over time, the joints may lose their strength and the pain can become chronic.
  • Inflammatory Arthritis
    A healthy immune system protects you and acts against infections. But the immune system can at times go awry, mistakenly attacking the joints with uncontrolled inflammation and potentially causing joint erosion. Rheumatoid arthritis and psoriatic arthritis are examples of inflammatory arthritis. Researchers believe that a combination of genetics and environmental factors can trigger autoimmunity.
  • Infectious Arthritis
    A bacterium, virus or fungus can enter the joint and trigger inflammation. Examples of organisms that can infect joints are salmonella and shigel. Timely treatment with antibiotics may clear the joint infection, but sometimes the arthritis becomes chronic.
  • Metabolic Arthritis
    Some people have high levels of uric acid because they naturally produce more than needed or the body can’t get rid of the uric acid quickly enough. In some people the uric acid builds up and forms needle-like crystals in the joint, resulting in sudden spikes of extreme joint pain, or a gout attack. This can become chronic, causing ongoing pain and disability.
Some symptoms of Arthritis

Common arthritis joint symptoms include swelling, pain, stiffness and decreased range of motion. Symptoms can be mild, moderate or severe. They may stay about the same for years or may also get worse over time. Severe arthritis can result in chronic pain, inability to do daily activities and make it difficult to walk or climb stairs. It can cause permanent joint changes.

Methods of diagnosis

Your doctor performs a physical check for fluid around the joints, warm or red joints, and limited range of motion in the joints. To determine the type of arthritis extracting and analyzing inflammation levels in your blood and joint fluids is needed. Doctors commonly use imaging scans such as X-ray, MRI, and CT scans to produce an image of your bones and cartilage.

Treatment of Arthritis

The main goal of treatment is to reduce the amount of pain the patient is experiencing and to prevent additional damage to the joints. Your doctor may prescribe you a combination of treatment methods to achieve the best results.

Surgery

One of the most popular and sought after treatments is surgery to replace your joint with an artificial joints. It is performed to replace hip and knee joints.

If your arthritis is severe in your fingers or wrists, your doctor may perform a joint fusion. In this procedure, the ends of your bones are locked together until they heal and become one.

Physical Therapy

Physical therapy involves exercises that help strengthen the muscles around the affected joint and plays a core role in the treatment of arthritis.

Some suggested lifestyle changes for arthritis:

  • Regular exercise will keep your joints flexible.
  • Swimming is a great form of exercise as it doesn’t put pressure on your joints like running and walking.
  • Avoid unnecessary overexertion and take rest when needed.
  • Weight loss and maintaining a healthy weight reduce the risk of developing osteoarthritis, and can reduce symptoms if you already have it.
  • Eating foods with lots of antioxidants can help reduce inflammation.

While it’s ideal to initiate treatment as early as possible, aggressive treatment throughout the course of the disease is essential, suggest experts. Are you or a dear one suffering from arthritis? Start treatment before it is too late. Consult our team of experts at Kokilaben Dhirubhai Ambani Hospitals’s Centre for Bone and Joint. For more details, visit our below website:

https://www.kokilabenhospital.com/departments/centresofexcellence/centrefor_boneandjoint.html

World Heart Day

Thursday, September 29th, 2016

World Heart Day is celebrated on 29th September 2016. It is the World’s Heart Federation’s biggest platform for raising awareness about Cardiovascular disease (CVD). The success of World Heart Day depends on the pro-activity of organizations from around the world to help spread awareness of CVD, the world’s number one killer. The theme for 2016 is creating heart-healthy environments. This means we create healthy places to live, work and play, our environment should not increase our risk of cardiovascular disease.

It has been noted that at least 80% of premature deaths from cardiovascular disease (CVD) could be avoided if four main risk factors – tobacco use, unhealthy diet, physical inactivity and harmful use of alcohol – are controlled. In recent times there is a greater risk of heart failure due to the increase in conditions like hypertension and diabetes.

Heart Disease and India

Statistics suggest that the occurrence of heart disease among the youth has increased at a rate of 24.8 per cent in the past decade. Sadly, nearly 1/6th of all Indian patients of cardiovascular diseases are under 40 years of age and nearly 1/4th of all heart attacks in India occur at less than 40 years of age. If you are conscious about your heart health, start early.

Smoking is one of the worst habits for our heart health. It damages the inner lining of the arteries supplying blood to the heart muscle and increases the risk of clot formation which leads to heart attacks. Also, a very prevalent risk factor among Indians is the combination of high triglyceride counts and low levels of good cholesterol (HDL).

A decent work-life balance with low stress levels is important for a healthy heart. Negative emotions, stress and tension pump up the secretion of epinephrine in the body and can precipitate vulnerable plaques and massive heart attacks.

As Indians we also lack behind in fitness routines. A healthy diet with an exercise routine is a must to avoid or delay heart diseases. Have your measured your waist lately? It is said anything greater than 80 cm (32 inches) for women and 94 cm (37 inches) for men means increased risk.

Prevention

People of every age and gender irrespective of family history of heart diseases are getting cardiovascular diseases. It cannot always be avoided but can at least be pushed to a lot later in life. The best way to do so is by adopting a healthy lifestyle starting today.

Here are a tips to maintain a healthy heart:

  • Eat Right – Let us adapt a healthy diet low in saturated fat, transfats, cholesterol, sodium, sugars and added sweeteners.  Eat more fruits and vegetables, fibre rich wholegrain, nuts, legumes, seeds and low-fat dairy products. Adapting healthier cooking methods can also make a huge difference as well.
  • Maintain an active lifestyle – Get into the habit of daily yoga, aerobics or brisk walks. Regularity in your fitness routine is as important as starting the activity.
  • No smoking –  Smoking is a complete no, avoid passive smoke also as much as possible. Exposure to second-hand smoke also poses a serious health hazard.
  • Family history – It is essential to keep a track on family history of heart diseases as it increases your risk of getting one. You control or delay your risk of heart disease by maintaining a healthy weight, exercising regularly, not smoking and eating right.
  • Stress..the biggest killer – Long-term stress causes an increase in heart rate and blood pressure that may damage the artery walls. Learn some stress management techniques like meditation and deep breathing to relax yourself.
  • Blood sugar tests- In addition to blood pressure checks and other heart-health screenings, you should test your blood glucose regularly.
  • Learn the warning signs of a heart attack and stroke – Heart attack symptoms in women can be different than men. Knowing when you’re having a heart attack or stroke means that you’re more likely to seek and get immediate help.
Age wise precautions:
  • Crossed 20 years , start check-up routines. Surprising as it may sound, youths also need to be checked for heart disease. With our current lifestyle and food habits, our heart is at its vulnerable most.
  • Crossed 30 years, maintain a heart-healthy lifestyle for your entire family. You must create and sustain heart-healthy habits in your parents, spouse and kids.
  • Crossed 40 years, control your weight. Maintain a healthy weight with a good diet and a daily exercise routine.
  • Crossed 50 years, healthy diet is a must. It’s easy to slip into some unhealthy eating habits as you age. Refresh your eating habits by eating plenty of fruits, vegetables, wholegrain, nuts, legumes and seeds.
  • Crossed 60 years, have an ankle-brachial index test. As soon as you turn 60, you must get an ankle-brachial index test done every year. The test will assess the pulse in your feet to help diagnose peripheral artery disease (PAD), a lesser-known cardiovascular disease in which plaque builds up in the leg arteries.

Live better, Live longer. Our heart health is in our own hands, the earlier we realise this the better it is. Do visit the Centre for Cardiac sciences at Kokilaben Dhirubhai Ambani Hospital for all your heart concerns. Our Cardiac sciences department has been ranked no. 1 in western India at the All India Multispecialty Hospitals Survey 2016. We have performed more than 1,500 coronary angioplasties and 2,500 cardiac surgeries till date. The Cardio sciences department provides an all-inclusive programme for the management of all heart diseases.