The role of Vitamin D in preserving health

Vitamin D is part of a group of fat-soluble vitamins which can be obtained from a few foods, sunlight and supplements. The main role of Vitamin D is to assist in the metabolism of Calcium and Phosphorus and also in mineralization of bones. Till now, different forms of Vitamin D have been discovered, namely Vitamin D1, D2, D3, D4 and D5 respectively.

Vitamin D Deficiency – Reduced dietary intake or inadequate exposure to sunlight can lead to a deficiency of Vitamin D in the human body. Some studies have defined deficiency as a serum 25-hydroxyvitamin D level of less than 20 ng per mL (50 nmol per L), and insufficiency is defined as a serum 25-hydroxyvitamin D level of 20 to 30 ng per mL (50 to 75 nmol per L). In case of insufficient Vitamin D levels, 25 hydroxy- cholecalciferol was brought to the kidney and thus the kidneys cannot respond naturally and they fail to connect with blood calcium. The levels of calcium phosphate crystals begin getting low and hence form less soft tissue in the body. Less calcium from the circulation also creates the bone releasing all available calcium, for normality of blood calcium level. The bones, as a result, turn soft and bendable. Calcium in the bone activates the action of the osteoclasts and works as a synthesizer to the bone as well. But Vitamin D deficiency can cause dematerialization the bone. Some significant symptoms are bone pain & soft bones, frequent bone fractures, bone deformities or growth retardation in children.

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The most common symptoms of indigestion (dyspepsia)

Indigestion or dyspepsia-is a general feeling of discomfort in your upper abdomen. It may be an unpleasant or even painful sensation in the top of the abdomen or lower part of the chest, which usually comes after eating or drinking. Indigestion is a symptom but not a disease as such.

Symptoms

People with indigestion may have one or more of the following symptoms:

  • Abdominal burn
  • Bloating/feeling of distension in the upper abdomen.
  • Nausea.
  • Early fullness while eating.
  • Feeling uncomfortable after eating

When to see a doctor

Consult your doctor if discomfort persists for more than two weeks. Contact your doctor right away if pain is severe or there is

  • Reduced appetite
  • Unintentional weight loss
  • Recurrent vomiting or vomiting with blood
  • Black, tar-like stool
  • Difficulty in  swallowing
  • Fatigue or weakness

 

 

 

 

 

 

 

 

 

 

 

Dr. Vijay Anand

Specialist Gastroenterologist

Aster Clinic, Al Qusais (Damascus St.)

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At the Heart of Diabetes

Diabetes mellitus is a chronic condition that can lead to complications over time. These complications can include:

  • Coronary heart diseases  or Cardiovascular disease which can lead to a heart attack
  • Cerebrovascular diseases which can lead to a stroke
  • Retinoplasty (disease of the eye) which can lead to blindness
  • Nephropathy (disease of the kidney) which can lead to kidney failure and the need for dialysis
  • Neuropathy (disease of the nerves) which can lead to, among other things, ulceration of the foot requiring amputation.

Many of these complications produce no symptoms in the early stages, and most can be prevented or minimized with a combination of regular medical care and blood sugar monitoring.

Heart diseases, particularly coronary heart diseases (CHD) are a major cause of morbidity and mortality among patients with diabetes mellitus. At least 68% of people aged 65 or older with diabetes die from some form of heart disease and 16% of people die of stroke. Compared to individuals without diabetes, those with diabetes have a higher prevalence of coronary heart disease (CHD), a greater extent of coronary ischemia, and are more likely to have a Heart Attack (MI) and silent heart attack.

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Diabetes effects in UAE

The effect of Diabetes in the UAE

November is designated as the official Diabetes Awareness Month, and Specialist Physician Dr. George Cherian sat down with the reporters of Friday Magazine to give his insights on the condition and the effects of Diabetes in the UAE. Here are the excerpts from the published interview.

Diabetes in 2017;  how is it affecting people here in the UAE, any statistics/numbers that you can share? 

The International Diabetes Federation states that 415 million people globally have diabetes. As per research conducted by the International Diabetes Federation, 19.3% of the population in UAE are living with Diabetes.

Diabetes is extremely common these days. Earlier it was seen in people above the age of 50. These days there are innumerable cases of youngsters who have diabetes. There are two common types of diabetes, namely Type 1 and Type 2 diabetes. Type 2 diabetes is much more common than Type 1 and typically develops in adults, although now children as young as 13 years of age develop the condition. The increase in type 2 diabetes appears to be driven by genetics and unhealthy lifestyle conditions. Genetic factors are out of individual control, however, lifestyle factors like healthy dietary practices and maintaining a healthy weight are factors that can be controlled and managed at an individual level.

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Defeating Diabetes

The International Diabetes Federation states that 415 million people globally have diabetes. As per research conducted by the International Diabetes Federation, 19.3% of the population in UAE are living with Diabetes. [1]

Diabetes is a metabolic disorder in which a person has high blood sugar caused by discrepancies in producing sufficient insulin. It is a serious chronic condition caused when the pancreas does not produce enough insulin or when the body is unable to effectively use the insulin it produces. Insulin is a hormone produced by the pancreas and is responsible for regulating and maintaining the blood sugar levels in the normal range. Insulin deficiency causes an imbalance in the blood sugar levels, raising it to higher than normal levels, resulting in Diabetes.

Every year, the 14th of November is recognized as World Diabetes Day, in order to spread the word about diabetes and its health consequences of being left untreated and ineffectively managed. World Diabetes Day 2017 goes to the theme Women and Diabetes – Our right to a healthy future.

Half of the people affected by diabetes globally are women. The burden of diabetes on women is unique because it can affect a woman and her unborn child. There are majorly 2 types of diabetes; Type 1 and Type 2. Type 1 diabetes occurs when the body’s immune system attacks the pancreas considering it to be a foreign body. The pancreas stop functioning and there is no insulin production, hence causing the buildup on sugar levels in the blood. Type 2 diabetes generally develops after the age of 35 and is caused when the body doesn’t develop sufficient insulin or becomes insulin resistant.  Women, however also suffer from a condition called as Gestational Diabetes.

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