Your Home Health Care

Most people have a tendency to think that it’s all or nothing when it comes to losing weight. Thankfully, you can start on your road to weight loss by just merely tweaking your everyday diet.



My friend asked me something startling last week. It was over lunch. Between bites of a cobb salad (minus the cheese, bacon and blue cheese… I wonder what Larry David would have to say about that), my friend asked me rather bluntly “You know, I’ve been trying to lose weight for six months now. Last week I even found myself reading an article on how to mix HCG, so tell me: how do you keep so thin?”

I swear to you this is not me showing off. This completely shocked me because I don’t consider myself that thin. I’m not one of those people who likes to go “God, I’m so fat, look at me” just to get attention, but I also don’t consider myself thin. I’ve had many a weekends looking in the mirror going “god, I gotta lose some pounds”. I’m not fat or anything, I just don’t view myself as “thin”.



This got me to thinking though, if my friend considers me “thin”, then I must be doing something right on the weight front. I’m not one of those people who are like “watch what you eat, diet, exercise, repeat”. I’ve never really followed any kind of formula. I guess I’m more of a “just don’t do anything crazy” type of dieter.



Ok, let me explain my theory: Say you’re going to a fast food restaurant. The key is to not go crazy. You don’t have to get the salad with no dressing, if you want a hamburger just get the smallest hamburger on there. Most fast food places are most famous for their most basic burger, so why not try that? You can have a few fries, but only a few. Get a small or share with someone else. Also, as painful as it is, look at the nutrition facts, this way you can find ways to cut a few calories out here and there (my personal trick: cut out mayonnaise or other thick type sauces, they don’t usually bring much flavor to the game anyway).



The old adage is true, it’s all about moderation. Being full is a disgusting feeling anyway, so why would you push yourself past that point just because something tastes good? Why have four pieces of pizza and feel sick when you can have two and full satisfied.

When it comes to exercise, well, I wish I did it more. When I do do it though, I try to keep it enjoyable by listening to good music. If you can pick the right pick of songs your workout routines feel much, much shorter.



These are just a few ideas. It’s not foolproof and frankly, you probably know more than you think. We all have tricks; (like knowing how to mix HCG) we just don’t think about them that often.

Diabetes—is a condition in which the body either does not produce enough insulin, or does not properly respond to insulin a hormone produced in the pancreas.

Insulin enables cells to absorb glucose in order to turn it into energy. Any disturbance in this causes glucose to accumulate in the blood (hyperglycemia), leading to various complications.

TYPES OF DIABETES:

1) Type 1 diabetes

Type 1 Diabetes is autoimmune disease. It is result of destruction of beta cells due to aggressive nature of cells present in the body.



2) Type 2 diabetes

Type 2 Diabetes is also called non insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. It occurs when the body produces enough insulin but cannot utilize it effectively. This type of diabetes usually develops in middle age. more common among older; obese; have a family history of diabetes; have had gestational diabetes.

3) Gestational diabetes:

It is a form of diabetes which affects pregnant women. Hormones involved in development of placenta, also blocks the action of the mother’s insulin in her body. This is called insulin resistance. During pregnancy a mother may need up to three times more insulin for glucose to leave the blood and transform to energy. When body is not able to use insulin due to insulin resistance it develops into Gestational Diabetes. Glucose builds up in the blood to high level, it is called hyperglycemia.

Causes of Diabetes

• Hereditary or Inherited Traits : It depends upon closeness of blood relationship as mother is diabetic, the risk is 2 to 3%, father is diabetic, the risk is more than the previous case and if both the parents are diabetic, the child has much greater risk for diabetes.

• Age : Increased age is a factor which gives more possibility than in younger age.

• Poor Diet (Malnutrition Related Diabetes) : low protein and fiber intake, high intake of refined products are the expected reasons for developing diabetes.

• Obesity and Fat Distribution : Being overweight means increased insulin resistance.

• Sedentary Lifestyle

• Stress : physical injury or emotional disturbance is the initial cause of the disease..

• Drug induced: Clozapine, olanzapine , risperidone , quetiapine and ziprasidone induce this lethal disease.

• Infection : strephylococci that infects pancreas.

• Sex : commonly seen in elderly especially males but, strongly in women

• Hypertension : there is direct relation between high systolic pressure and diabetes.

• Serum lipids and lipoproteins : High triglyceride and cholesterol level in the blood is related to high blood sugars.

SIGNS AND SYMPTOMS:

Diabetes Type 1:

• Primary stage : nausea and vomiting.

• Later stage : ketoacidosis, fast weight loss

• Advanced stage : Coma and death.



Diabetes Type 2:

• Increased fatigue

• Polydipsia

• Polyuria

• Polyphegia

• Weight flactuation

• Blurry vision

• Irritability

• Infections

• Poor wound healing

Complications

• Diabetic retinopathy: pain in the eyes and may even result in loss of vision.

• Diabetic nephropathy: kidney disease shows symptoms of swelling (edema) in the feet and legs. blood pressure also increases.

• Diabetic neuropathy: Tingling, burning, numbness, tightness, shooting or stabbing pain in the hands, feet or other parts of body

• Diabetic foot: Any injury leads to gangrene if neglected

• Cardiac complaints: Chest pain ,shortness of breath, dizziness ,light headache, shoulder or stomach pain, fast heartbeat, heart attack or stroke

• Others: scanty or profuse sweating, difficulty of sensing when your bladder is full, increased sexual problems, weakness.

Prevention & management:

• Control weight to normal or near-normal levels by eating a healthy low-fat, high-fiber diet.

• Regular exercise is crucial to the prevention of type 2 diabetes.

• Keep alcohol consumption low.

• Quit smoking.

• If you have high blood fat levels (such as high cholesterol) or high blood pressure, take your medication as directed

• Lifestyle modification

• If you already have diabetes, your focus should be on preventing the complications

• Tight glucose control.

• Maintain a healthy weight

• Increase physical activity levels

• Drink an adequate amount of water and avoid taking too much salt.

• The skin should be taken care of; avoid sores and cracks that can become severely infected.

• Brush and floss the teeth every day to prevent gum disease.

• The feet should be washed and examined daily, looking for small cuts, sores, or blisters that may cause