Ramadan health

Managing your body during Ramadan

Fasting in Ramadan has a number of health benefits if done properly. But fasting in this sweltering heat can have a negative impact if you do not take the necessary precautions, and this can lead to constipation, heart burns, dehydration, irritability or lack of concentration.

What are some of the benefits of fasting?

  • It promotes weight loss
  • It helps remove toxins from the body
  • It lowers LDL cholesterol and triglycerides
  • It plays a major role in stabilizing insulin sensitivity
  • It provides a better control on blood pressure and diabetes
  • It leads to a state of increased mental well-being

What are the bodily changes that occur during fasting?

In the normal state glucose is the main source of energy which is stored in muscles and liver. During fasting, glucose is used first followed by fats once the glucose runs out.

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Health Concerns during Ramadan – Diabetes

  1. Can I fast during Ramadan if I have diabetes?

People with diabetes and chronic problems are exempted from fasting. However, diabetic patients can fast and often it is not harmful. However, each person is different and fasting can have a significant impact on a person’s health. A person’s ability to fast depends on how controlled his/her diabetes is, the medications being taken and food habits.

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5 most common yet ignored men’s health conditions

 

1. Cardiovascular diseases

Cardiovascular diseases (CVD) are a class of conditions involving the heart and affecting arteries, blood vessels, veins etc. that could cause heart attacks or strokes. Cerebrovascular heart diseases, affecting the blood vessels supplying blood to the brain, congenital heart disease causing malformation of the structure of the heart since birth, deep vein thrombosis and pulmonary embolism causing blood clots in the leg veins are common CVD.

While conditions of the heart are  among leading causes of deaths in the world, they are generally ignored because heart diseases can even occur with symptoms that do not involve the heart at all. Something that seem as simple as snoring, gum bleeding or fatigue could be a symptom of heart problems.

Common symptoms

Symptoms causing heart diseases can manifest itself in any part of the body. These include sweating, inflammation and shortness of breath. Discomfort in the chest for a few hours, severe pain in the neck, jaw, heartbeat that is slower or faster than usual, fainting, changes in vision and loss of coordination include important signs that show up.

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Risk Factors and Symptoms of Diabetes

Diabetes Mellitus is a chronic disorder in which the blood sugar levels are very high due to inadequate production of insulin by the pancreas (insulin deficiency) or resistance to the action of insulin (insulin resistance).

There are 2 major types of Diabetes – Type 1 and Type 2 Diabetes

In Type 1 Diabetes there is absolute insulin deficiency whereas in Type 2 diabetes there is a dual defect of insulin deficiency as well as insulin resistance as described above.

Type 1 Diabetes / Insulin Dependent Diabetes / Juvenile Diabetes is usually seen in children, adolescents, and young adults, though it is also seen in the very elderly population. It is an autoimmune disorder in which the immune system of the body perceives the beta cells of the pancreas (that produce insulin) as alien and mount an attack by producing antibodies against them and destroying them. This leads to an absolute insulin deficiency in the body. These patients need insulin for treatment and survival, else they can go into a coma and can even die.

Genetic factors determine which patient gets Type 1 diabetes – these genetic markers are located on chromosome 6 (HLA complex). Children of parents with Type 1 Diabetes and siblings of patients with Type 1 Diabetes are more susceptible to developing the disorder. Other risk factors for Type 1 Diabetes include certain viral infections, race/ethnicity, geographical factors (northern climates), early exposure to cow milk and other autoimmune disorders like Graves’ disease, pernicious anemia etc.

Type 2 Diabetes / Noninsulin-dependent diabetes is commonly seen in the middle-aged and elderly population though it is now commonly also seen in children, adolescents, and young adults.

Type 2 Diabetes is a lifestyle disorder wherein the hereditary factors, as well as environmental factors, play an important role in its etiology. A strong family history is invariably seen in Type 2 Diabetes. Sedentary lifestyle along with physical inactivity, compounded by stress lead to obesity, which in turn leads to diabetes. Type 2 diabetes is also commonly associated with hypertension and hyperlipidemia.

The most common presentation of diabetes, whether type 1 or type 2, is that it can be asymptomatic (without any symptoms). These are incidentally detected when investigated for other unrelated problems. At times the complications of diabetes like neuropathy, retinopathy or nephropathy could itself be its presenting feature.

However, the most common symptoms of severely uncontrolled diabetes are excessive thirst, excessive hunger, excessive urination (especially during the night time), bedwetting in children, unexplained weight loss, easy fatigability, blurry vision, dizziness, delayed wound healing and fungal infections of the genitals.

 

Dr. Prakash Pania

Consultant Endocrinologist

Aster Clinic, Bur Dubai (AJMC)

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It’s never too late to prevent diabetes

Did you know that as per the Dubai Health Authority (DHA), almost 20 percent of the UAE population is diabetic and another 20 percent is pre-diabetic?

Today on the World Diabetes Day, Khaleej Times looks at different aspects of the condition.
The globally increasing pattern of unhealthy diet and sedentary lifestyle has led to the rise in obesity, further driving the prevalence of diabetes. “Diabetes is a silent killer and the condition will only worsen if it is not controlled, because diabetes rates are on the rise in this region now, given the lifestyle choices of people in the UAE, said Dr. Maneesha Pandey, specialist endocrinologist, Aster Jubilee Medical Centre, Dubai.

“Earlier, it was seen in people above the age of 50. These days there are innumerable cases of youngsters who have diabetes.”

Dr. Maneesha handled a case of a 13-year-old Asian boy with short stature. He had a history of type 1 diabetes since he was only 1.5 years old and his blood glucose was uncontrolled over last several years. As compared to his peers his height was very less. “On further checkup, I diagnosed that his short stature was entirely due to uncontrolled blood sugar. On improving his glycemic control, he started gaining height. The take home message from this case is that poor glycemic control in the growing age can adversely affect the overall growth including height.”

In another case, a 12-year-old was suffering from type 1 diabetes for last two years. Recently, his six-year-old sister was also diagnosed with type 1 diabetes and both are currently on insulin. However, there is no other family history of diabetes including the parents and other siblings. “This shows that first degree relatives of patients with type 1 diabetes are at a higher risk of developing the disease,” Dr Maneesha added.

“Our fast-paced lifestyle and eating out regularly combined with the lack of exercise increases rates of obesity and high blood cholesterol levels. These factors, in turn, increase the risk of developing diabetes, which over time, leads to serious damage in many organs of the body, especially the nerves and blood vessels,” said Mohamed Nabil Hassan Abdelrazik Mahna, a specialist endocrinologist at Medcare Hospital, Jumeirah.

 

Dr. Maneesha Pandey

Specialist Endocrinologist

Aster Clinic, Bur Dubai (AJMC)

 

News Source – http://www.khaleejtimes.com/lifestyle/health-fitness/its-never-too-late-to-prevent-diabetes

Maneesha Pandey

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