Men's Health

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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Diabetes News

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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Gestational Diabetes

Gestational diabetes is a form of diabetes which is seen in pregnant women who have increased blood glucose levels during pregnancy. Studies suggest that the prevalence of gestational diabetes can be as high as 9.2%.Unlike other types of diabetes, gestational diabetes isn’t permanent. Once the baby is born, the blood sugar will return to normal levels most of the times.

Gestational diabetes is seen affecting mothers in the late pregnancy, ie after the baby’s body has been formed. Therefore it does not cause any birth defects, however, may interfere with the normal growth pattern of babies.

Effect on the baby

  • If your blood glucose levels are high your baby will also have high blood glucose.
  • Baby’s pancreas will have to make extra insulin to control high blood glucose.
  • The extra glucose in baby’s blood is stored as fat if untreated or uncontrolled.
  • Baby born larger than normally called macrosomia, which can lead to difficult delivery.
  • Can have breathing problems called respiratory distress syndrome.
  • More likely for baby as it grows to become overweight and develop type 2 diabetes.

Effect on the woman

  • Preeclampsia (high blood pressure, sometimes with fluid retention and proteinuria)
  • Polyhydramnios (excessive accumulation of amniotic fluid )
  • Maternal birth trauma
  • Higher chances for C-Section
  • Developing Type 2 Diabetes
  • Reoccurrence in next pregnancy

Who is at a risk of Developing Gestational Diabetes?

About 5 to 18 percent of all pregnant women are likely to get gestational diabetes during pregnancy. The following factors may predispose you to gestational diabetes:

  • Age of 25 or older
  • Family history of Diabetes
  • Overweight as suggested by the Body mass index
  • Have Polycystic Ovarian Syndrome (PCOS)
  • Have a medical condition that makes diabetes more likely such as Glucose intolerance
  • Have had Gestational diabetes before
  • Certain ethnic subgroups such as African American, Native American, Hispanic or Pacific Islander

Prevention of Gestational Diabetes

Unfortunately, there is no way to guarantee that you won’t get Gestational diabetes. However, there are some things you may do to reduce the risk of developing it:

  • Eat a balanced diet: chose food high in fiber and low in fat and calories. Focus on eating fruits, vegetables, and whole grains.
  • Control on portion sizes
  • Regular exercise: Try and exercise for 30 minutes daily with some moderate form of exercises such as swimming or a brisk walk
  • Lose excess weight before pregnancy: If you are planning a baby, losing a few extra kilos may help you have a healthier pregnancy. Doctors do not recommend losing weight during pregnancy so plan the weight loss before you conceive.

 

Dr. Sejal Devendra Surti

Specialist Obstetrician/Gynaecologist

Aster Hospital Mankhool

 

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Aster - WHD

Best Ways to Beat Diabetes – Simple lifestyle changes.

 

Type 2 diabetes is on the rise around the world. But if you’ve been diagnosed, there’s a lot you can do to improve your health — and the best place to start is by changing your lifestyle.

“Basic principles of good health like eating right, exercising regularly, and maintaining a healthy weight can be as effective as medicine in the management of type 2 diabetes for most people,”

Managing Type 2 Diabetes

  • Improve Your Diet

Keeping close tabs on your diet is a major way to manage type 2 diabetes. A healthy diet for people with type 2 diabetes includes fresh fruits and vegetables, whole grains, beans, lean meats, and low-fat dairy. Focus on eating fruits and non-starchy vegetables, like broccoli, carrots, and lettuce, and having smaller portions of starchy foods, meat, and dairy products. Be especially careful about loading up on foods that are high on the glycemic index (GI), a system that ranks foods according to how they affect glucose levels. High-GI foods include white breads, white rice, and soda.

Limit fast food, too. In a 15-year study of 3,000 young adults, those who ate fast food more than twice a week developed insulin resistance (a diabetes risk factor) at twice the rate of people who weren’t fast food junkies. Plus, fast food is loaded with refined carbohydrates, Trans fats, and sodium, which can be especially unhealthy for people with type 2 diabetes.

  • Lose Weight

Shedding pounds can improve blood sugar levels and help keep type 2 diabetes under control. And you don’t have to lose a lot of weight to make a difference. “If you already have type 2 diabetes, losing just 10 to 15 pounds can lower your glucose levels,” says McLaughlin.

Where your fat is distributed also affects your diabetes risk and management. People who carry most of their fat in their belly (apple shape) are more prone to type 2 diabetes than those with fat mostly in the thighs, hips, and buttocks (pear shape). A woman whose waist measures more than 35 inches and a man with a 40-inch waist need to lose weight for good diabetes management, says McLaughlin, adding that a healthy diet and regular aerobic exercise will whittle away weight in the stomach area.

  • Exercise Regularly

Even without losing a pound, exercise can help keep type 2 diabetes under control.

“When you do physical activity, such as walking, your muscle contractions push glucose out of your blood into your cells,” explains McLaughlin. The result: Better blood sugar levels.

Of course, the more intense the exercise, the better. In one study of vigorous exercise and type 2 diabetes, women who walked quickly gained more protection from type 2 diabetes than those who walked at a more leisurely pace.

Regular weight-lifting sessions can also help keep blood sugar levels steady. McLaughlin recommends using hand weights or resistance bands for 30 minutes two to three times a week.

  • Control Sleep Apnea

Many overweight people with type 2 diabetes also have sleep apnea, a condition in which a person stops breathing temporarily while sleeping.

People with type 2 diabetes and sleep apnea are at higher risk of death from heart attack and stroke. Their blood sugar levels also fluctuate more dramatically while sleeping than in those who have type 2 diabetes, but not sleep apnea, according to one study. These fluctuations have been linked to a higher risk for diabetic complications.

Severe cases of sleep apnea may need to be treated with surgery or by wearing a special device while sleeping, but less severe cases can be managed by losing weight. Talk to your doctor if you suspect you may have sleep apnea — loud snoring is one sign. A special sleep test can diagnose sleep apnea.

  • Soothe Stress

Stress can make blood sugar levels harder to control, says McLaughlin. Try relaxation techniques to chase away stress. Top-notch stress busters include yoga, tai chi, meditation, massage, and soothing music.

As a bonus, stress relief may help you sleep better, important because studies show that not getting enough sleep can worsen type 2 diabetes. Sleeping less than six hours a night has also been found to contribute to impaired glucose tolerance, a condition that often precedes type 2 diabetes.

Besides yoga, try deep breathing before bed. Other tips to try:

  • Avoid alcohol, caffeine, and spicy foods at night.
  • Maintain a slightly cool temperature in your sleep environment.
  • Block out all light and noise.
  • Go to bed at the same time every night to establish a sleep schedule.

 

 

 

Dr. Abdelraouf Fouad

General Medicine

Aster Clinic, Business Bay

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