NO exercise exercise JUST exercise !!

2010-06-08T21:35:00.000-07:00

NO exercise exercise JUST exercise !!
ITS NOT A SOLUTION FOR WEIGHT LOSS .EXERCISE IS MEANT FOR FITNESS AND BUILT MUSCLE MASS .IF YOU EXERCISE FOR MORE THAN 30 MINUTES YOU FEEL HUNGRY AFTER WARDS AND JUST A SNACK OR A GLASS OF JUICE WILL REPLENISH THE BURNT OUT CALORIES

DIABESITY

2008-06-26T20:59:00.000-07:00

DIABETES DUE TO OBESITY OR OVER WEIGHT .
OVER WEIGHT PEOPLE AFRE MORE LIKELY TO GET DIABETES AS COMPARED TO NORMAL WT PERSONS.
SO WEIGHT REDUCTIONIS THE FIRST THING TO PREVENT DIABETES.

GROWTH HARMONE

2008-06-24T11:00:00.000-07:00

EFFECT OF GROWTH HARMONE IS ATTENUATED IN OVER WEIGHT PATIENT MEANS OVER WEIGHT PATIENTS ARE MORE LIKELY TO REMAIN SHORT STATURE

body mass index

2008-05-26T11:52:00.000-07:00

body mass index=weight in kg/ht in square meter
IT SHOULD B LESS THAN 23 FOR ASIAN POPULATION

CALCULATE YOUR WEIGHT

2008-05-14T11:56:00.000-07:00

YOUR WEIGHT=23*HEIGHT IN METER*HEIGHT IN METER
eg=23*1.78*1.78=72.87 KG IS YOUR IDEAL WEIGHT

increasing obesity so also diabetes

2008-05-14T10:48:00.000-07:00

58 % OF THE DIABETES CAN BE PREVENTED OR DELAYED
50 MILLION INDIANS ARE DIABETIC AT PRESENT
MINIMUM EXPENDITURE ON THESIMPLE MANAGEMENT OF DIABETES IS TWO THOUSAND AN EVERAGE THAN 10,000 CROE IS REQUIRED PER YEAR
AND THE COST OF VARIOUS COMPLICATION DIRECT CORONARY ARTERYT DISEASE,AMPUTATION RETINOPATHY,NEPHROPATHY AND INDIRECT COST IN THE FORM OF LOSS OF PRODUCTIVITY,LOSS OF EARNING IS MUCH HIGHER THAN SIMPLE M/M COST.

DIABETES IS RISING GLOBALY : WHY ???

14 NOVEMBER IS MARKED AS WORLD DIABETES DAY. WORLD HEALTH ORGANIZATION ON 14 NOV 2003 WARNED THE DEVOLOPING WORLD THAT POPULATION GROWTH AND CHANGING DIET CAN CAUSE THE DIABETES TO INCREASE IN EPIDEMIC PROPORTION IN NEXT 30 YEARS.TWENTY YEARS AGO THERE WERE JUST MORE THAN 30 MILLION DIABETICS OVER THE GLOBE WHICH JUMPED TO 170 MILLIONS NOW. DIABETES IS INCREASING IN EPIDEMIC PROPORTION PANDEMICALLY.ACCORDING TO WORLD HEALTH ORGANIZATION DIABETIC POPULATION WILL FURTHER INCREASE TO 250 MILLION OR MORE BY YEAR 2025.

W H O SAID THAT INCREASED AWARENESS IS REQUIRED TO TACKLE THIS INCREASED BURDEN BECAUSE MUCH OF THIS PROJECTED BURDEN CAN BE PREVENTED OR DELAYED THROUGH ATTENTION TO DIET AND PHYSICAL EXERCISE IN THE POPULATION AS PROVED BY DIABETES PREVENTION PROGRAMME USA.

TABLE-1 : ACCORDING TO AMERICAN DIABETES ASSOCIATION 2004 ESTIMATES OF DIABETES
DM IFG/IGT
2004 190 MILLION 350MILLION ACCORDING TO INTERNATIONAL DIABETES FEDERATION 2004
2025 324 MILLION

ACCORDING TO PAUL ZIMMET (6) ON BEHALF OF AUSTRALIAN DIABETES SCREENING COMMITTEE IN HIS LECTURE AT ORLANDO THE 64 ANNUAL CONFERENCE OF AMERICAN DIABETES ASSOCIATION (ADA), CHILDREN AND ADOLESCENT WILL BE CAUGHT UP IN TYPE –2 DIABETES EPIDEMIC WITHIN 10 YRS WHICH IS A POPULATION PRESENTLY SUFFERRING FROM TYPE 1 DIABETES.

TYPES OF DIABETES
TYPE 1-IMMUNE MEDIATED OCCURING AT YOUNGER AGE
TYPE 2 INSULIN RESISTANCE OCCURING AT OLDER AGE
GESTATIONAL DIABETES-PREGNANCY INDUCED
OTHERS

WHAT HAS HAPPENED IN LAST TWO DECADE LEADING DIABETES TO GROW IN AN EPIDEMIC PROPORTION.THESE FACTORS ARE:----
• CHANGING DIETATRY HABBITS
• LACK OF EXERCISE
• GENETICS MUTATION
• DYSLIPIDEMIAS
• MENTAL STRESS
BUT ALL THESE FACTORS OPERATE IN URBAN POPULATION OR HIGHER SOCIOECONOMIC GROUP EXCEPT MENTAL STRESS WHICH PLAY A SIMILAR ROLE IN ALL CLASS OF PEOPLE.

BUT WHY ?

BUT WHY DIABETES IS INCREASING IN ALL CLASS OF PEOPLE.
WHY IT IS OCCURING AT AN EARLIER AGE ?
WHY TYPE –2 DIABETES IS OCCURING AT INCRASED RATE IN CHILDREN.
THERE MUST BE SOME REASON WHICH ARE PLAYING UNIVERSALLY ALL OVER THE GLOBE, IN ALL CLASS OF PEOPLE, AT ALL AGES.
IF WE GO IN DEPTH THE FACTORS MUST BE ACTING AT BASAL CELLULAR OR NUCLEAR LEVEL.
LET US SEE WHAT HAS HAPPENED IN LAST TWO DECADE:--IN LAST TWO DECADE WE HAVE CREATED CHEMICAL MILLIEU INTERNAL EXTERNAL AND OR ENVIRONMENTAL IN THE FORM OF CHEMICAL FERTILIZERS, PASTICIDES, HYBRID STRAINS OF VARIOUS COMODITIES LIKE GRAINS , VEGETABLES ,READY TO EAT PRESERVED FOODS INCREASED USE OF VARIOUS SOFT DRINKS(PRENTICE AND JEBB 2003) IN TURN VARIOUS HARMFUL CHEMICAL INGREDIENTS CONTAINEDIN IT, AND CHEMICAL ENVIRONMENT CREATED BY VARIOUS FUELS PETRO GASES FUMIGANTS AND VARIOUS OTHER INDUSTRIAL AND CHEMICAL POLLUTANTS POURED INTO THE RIVER AND PONDS WATER WHICH IS USED FOR DRINKING.ALL MADE OUR INTERNAL AND EXTERNAL ENVIRONMENT TOXIC.
BASIC REASON SEEMS TO BE THE USE OF- CHEMICAL FERTILIZERS,-INSECTICIDES AND PASTICIDES WHICH ARE ACTING AT CELLULAR, NUCLEAR AND MITOCHONDRIAL LEVEL CHANGING THE GENETIC MILLIEU OR MAKING THE SUCEPTIBLE GENES (THIRFTY GENE THEORY) TO MANIFEST EARLIER AND IN GREATER NUMBER OF PEOPLE ;UNIVERSALLY i.e.WHY RURAL POPULATION IS ALSO AFFECTED WITH IMPAIRED GLUCOSE TOLERANCE,TYPE 2 DM,AS WEL AS CORONARY HEART DISEASE, METABOLIC SYNDROME OR INSULIN RESISTANCE SYNDROME .THAT IS FURTHER ENDORSED BY THE FACT THAT ORGANIC CULTIVATION THAT OUR FORE FATHERS USE TO DO IN BHARAT(INDIA)WHICH IS NOW ADOPTED BY MANY OF THE WESTERN COUNTRIES

ORGANIC CULTIVATION.
ORGANIC CULTIVATION IS A METHOD OF CULTIVATION IN WHICH INSTEAD OF CHEMICAL FERTILIZERS ORGANIC FERTILIZERS ARE USED LIKE COW DUNG ,FERTILIZERS MADE BY KITCEN WASTE ;NATURAL INSECTICIDES LIKE NEEM ARE USED AND ALSO NON HYBRID STRAINS OF SEED GRAINS ARE USED.ORGANIC CULTIVATION IS COSTLY ,LESS PRODUCTIVE(MEANS CROP PER HECTARE IS LESS AS COMPARED TO HYBRID SEEDS AND CHEMICAL FERTILIZER AND INSECTICIDES), MORE TASTY
ON THE OTHER HAND WE HAVE DESTROYED OUR NATURAL PROTECTORS LIKE GREEN BELT WHICH PROTECT US BY ABSORBING AND ADSORBING MANY OF THESE TOXIC SUBSTANCES.ALSO OXYGEN CONTENT OF THE AIR DROPPED DOWN,OZONE LAYER HAS THINNED OUT,WATER LEVEL GONE DOWN SO WE ARE GOING DEEPER AND DEEPER GETTING DRINKING WATER AND THUS MUST BE ASSIMILATING VARIOU TRACE ELEMENTS CHEMICAL SUBSTANCES FOUND DEEP UNDER THE EARTH WHICH MAY BE TOXIC TO US.IN OLDEN DAYS WE USE TO DRINK RIVER WATER(RAIN WATER)OR SURFACE WATER WHICH WAS STERLIZED BY SUN RAYS.
NOW THERE IS ANOTHER PROBLEM OF E WASTE WHICH IS ALSO HIGHLY TOXIC AND WHAT WILL IT DO WILL BE EVIDENT IN FUTURE
ABOVE ALL WE HAVE UNHEALTHY LIFE STYLE, LACK OF EXERCISE, GENETIC SUSCEPTIBILITY,STRESS WHICH ALL PRECIPITATE VARIOUS DISEASES MENTIONED ABOVE IN GENETICALLY SUSCEPTIBLE POPULATION.
THIS IS ALL EVIDENT BY THE RESULTS OF DIABETES PREVENTION PROGRAM (STUDY OF USA PUBLISHED IN NEJM-2002) THAT DIABETES CAN BE PREVENTED TO A SIGNIFICANT EXTENT(58%)JUST BY CHANGING LIFE STYLE i.e.150 MINUTES EXERCISE PER WEEK AND WEIGHT REDUCTION BY 10 % AND BY DRUGS UPTO 37 %.THIS STUDY WAS FOLLOWED UP FOR 2.8 YRS .SUGGESTING A ROLE OF ENVIRONMENTAL FACTORS IN PRECIPITATING DIABETES.

WHAT WE MEAN BY CHANGING LIFE STYLE IS REDUCING STRESS, REDUCING CALORIE CONSUMPTION, REDUCING OXIDATIVE STRESS LEAVING IN A BETTER ENVIRONMENT AT LEAST FEW HRS A WEEK..
CRITERIA FOR THE DIAGNOSIS OF DIABETES AND PRE DIABETESE
BLOOD GLUCOSE DIABETESE PRE DIABETES
FASTING MG % >126 101-125 IMPAIRED FASTING GLUCOSE (IFG)
POST MEAL MG% >200 141-199 IMPAIRED GLUCOSETOLERANCE (I GT)

THIRFTY GENE THEORY
INCREASING NUMBER OF DIABETICS AND METABOLIC SYNDROME IN DEVOLOPING COUNTRIES ARE RELATED TO LOW BIRTH WEIGHT OF THE CHILDREN.DEVOLOPING WORLD HAD FACE MANY FAMINES IN THE PAST BECAUSE OF THOSE FAMINES OUR GENES STARVED AND ADOPTED IN SUCH AWAY TO SURVIVE IN DEFICIENCY.THESE GENES ARE NOW EXPOSED TO PLENTY OF FOODS THEY ARE PRODUCING OBESITY AND CEBNTRAL OBESITY (LIKE POOR MAN CAN NOT HANDLE SUDDEN GAIN OF LOT OF MONEY)WHICH IS THE CAUSE OF INSULIN RESISTANCE , NOW OBSERVED AS AN ETIOLOGICAL FACTOR FOR TYPE 2 DIABETES MELLITUS.
WE CAN IMAGIN WHEN THE FOOD STUFF DEFICIENCY CAN MAKE THE GENES TO ADOPT WHAT HAVVOC THESE CHEMICALS AND CHEMICAL MILLIEU WILL DO TO THES SENSITIVE GENES.ANOTHER SIMPLE EXAMPLE IS THAT JUST INCREASED TEMPRATURE OF THE SCROTAL REGION CAN AFFECT THE FERTILITY.ALLTHESE PASTICIDES AND TOXIC CHEMICALS ACT AT THE CELLULLAR LEVELAND ARE DEADLY POISONOUS AS WE ALL KNOW CELPHOS POISONING WHICH IS A DEADLY POISON KEPT IN THE WHEAT GRAINS AS PASTICIDES

DR RAJESH AGRAVVAL
SENIOR DIABETOLOGIST
LIMCA RECORD HOLDER
29 B PATEL NGR
INDORE-452001

OVER-WEIGHT -->OBESITY

NO exercise exercise JUST exercise !!

DIABESITY

GROWTH HARMONE

body mass index

CALCULATE YOUR WEIGHT

increasing obesity so also diabetes