Know How Fat Causing PCOD and Diabetes

Introduction

Insulin resistance refers to the failure of the target tissues to respond normally to insulin. The target tissues for insulin include liver, muscles and fat tissues. Insulin resistance plays major role in development of type 2 diabetes mellitus which is one of the major life style disease in developed world. To understand the role and action of insulin in wide range of physiological processes serve has implication for the chronic diseases such as diabetes and PCOD. So, let’s get into the details of this very common disorder in order to a step to achieve the wholesome health.

Causes

Although, the exact way of the development of insulin resistance is not understood fully, obesity seems to be its primary cause. Obesity refers to the presence of more than 20% fat in the body as compared to the normal range acceptable for the particular gender and height. Fat tissues (adipose tissues) secrete hormone leptin and resistin which in turn serve in development of insulin resistance. Other factors that predispose the person to this condition include genetics and lifestyle. Children with parents have type 2 diabetes and insulin resistance are likely to develop the insulin resistance in their teen ages. Sedentary lifestyle and unhealthy food habits are not to be considered of the less importance in this.

Insulin resistance and PCOD

PCOD refers to “polycystic ovarian disease” i.e. presence of multiple cysts in ovaries as a result of disturbed menstrual cycle. PCOD is the disorder caused by disturbed functioning of ovaries and affects around 5-10% of the reproductive women causing infertility and miscarriages. Severe level of insulin resistance predisposes the probability of developing PCOD. The ovaries respond to the increased insulin level by increasing the secretion of LH and androgen hormones which in turn further aggravate the insulin resistance.

Insulin resistance and type 2 diabetes

Insulin resistance is well established as a feature of type of diabetes. The genetics, malnutrition and higher levels of fat tissues in body causes insulin resistance as a part of cardiovascular disorders and other metabolic abnormalities which in turn may lead to development of type 2 diabetes.

Symptoms and diagnosis

Symptoms of insulin resistance include tiredness, increased appetite, loss of concentration on any work, weight gain (especially belly fat), increased cholesterol levels and higher blood pressure. Diagnosis of insulin resistance is bit complicated as the symptoms do not appear until there is development of other risk factors. Diagnosis includes measurement of blood sugar levels over few months. Fasting blood sugar and glucose tolerance testing also serve in diagnosis of insulin resistance.

Prevention and care

Physical exercise has been proved as cornerstone in prevention of insulin resistance. It is also considered as better alternative in its treatment owing to the risk factors associated with medicines. Regular exercise regime as developed by trained physiotherapist leads to substantial improvement in insulin sensitivity. The moderate but regular exercise regime increases the glucose uptake up to 40% and also improves the glucose tolerance and insulin sensitivity. Exercise along with customized diet plans serve to reduce the body fat and decreases the chances of development of insulin resistance associated cardiovascular diseases and diabetes. Physical activities also bring about favorable changes in fat digestion and reduces the belly fat so as to prevent the development of above mentioned chronic diseases.

The wholesome approach of Eva Physiocare for patients with insulin resistance focuses on physiotherapy, exercise therapy and nutrition therapy so as to ensure the healthy life span to each individual.

Know about Sciatica and Physiotherapy role to Cure

Sciatica is when the sciatic nerve, which runs from your hips to your feet, is irritated. It usually gets better in 4 to 6 weeks but can last  longer.

Sciatica is pain, tingling, or numbness produced by an irritation of the nerve roots that lead to the sciatic nerve.The sciatic nerve is formed by the nerve roots coming out of the spinal cord into the lower back. It goes down through the buttock, then its branches extend down the back of the leg to the ankle.The pain of sciatica is typically felt from the low back (lumbar area) to behind the thigh and can radiate down below the knee. The sciatic nerve is the largest nerve in the body. The pain of sciatica is sometimes also referred to as sciatic nerve pain.

Well! If you have Sciatica, your

  • Bottom
  • Back of your legs
  • Feet and toes

may feel:

  • Painful – the pain may be stabbing, burning or shooting
  • Tingling – like pins and needles
  • Numb
  • Weak

What causes sciatica?

  • The most common cause of sciatica is a bulging or ruptured disc (herniated disc) in the spine pressing against the nerve roots that lead to the sciatic nerve.
  • In rare cases, sciatica can also be caused by conditions that do not involve the spine, such as tumors or pregnancy.
  • Sciatica also can be a symptom of other conditions that affect the spine, such as narrowing of the spinal canal (spinal stenosis), bone spurs (small, bony growths that form along joints) caused by arthritis, or nerve root compression (pinched nerve) caused by injury.
  • Irritation of the nerve from adjacent bone, muscle, internal bleeding, infections in or around the lumbar spine, injury, and other causes.

What are the symptoms?

Symptoms of sciatica include pain that begins in your back or buttock and moves down your leg and may move into your foot. Weakness, tingling, or numbness in the leg may also occur.

  • Sitting, standing for a long time, and movements that may cause the spine to flex for a longer period of time(such as knee-to- chest exercises) may make symptoms worse.
  • Walking, lying down, and movements that extend the spine (such as press-ups) may relieve symptoms.

How is sciatica diagnosed?

Sciatica is diagnosed with a medical history and physical exam. Sometimes X-rays and other tests such as magnetic resonance imaging (MRI) are done to help find the cause of the sciatica.

How is it treated?

In many cases, sciatica will improve and go away with time. Initial treatment usually focuses on medicines and Physiotherapy or Physical therapy to relieve pain. You can help relieve pain by

  • Incorporating a combination of strengthening, stretching exercises and aerobic conditioning are a central component of almost any sciatica treatment plan.
  • When patients engage in a regular program of gentle exercises, they can recover more quickly from sciatica pain and are less likely to have future episodes of pain.
  • It is very important that the patient is physically an active participant in therapy and can take responsibility in the treatment process.
  • One needs to get EXCLUSIVE exercise sessions from a physiotherapist.

Non-Drug Treatments For PCOD

PCOD or Polycystic Ovarian Disorder is a gynaecological disorder characterized by the presence of multiple cysts in the ovaries due to certain hormonal imbalances in women resulting in bulky ovaries. Thanks to the modern faulty lifestyle dependent on stress and easily available junk, PCOD has become common these days. To ignore this can be a mistake because the consequences that it leads to are dangerous.

With many medications and surgeries available for PCOD treatment, they are not always successful. One of the simplest ways to manage PCOD can be following the regime of healthy diet. A well balanced diet is the most effective therapies for PCOD treatment, since maintaining a proper weight can improve PCOD symptoms and being overweight can worsen the situation. Women with PCOD have higher levels of insulin in their blood, thus making it difficult in maintaining a healthy weight. Eating the right foods can improve insulin resistance leading to lower levels of male hormones and improved menstrual functions. Thus, a proper diet is indispensable to PCOD.

Effective nutrition programmes and a well planned diet for PCOD which is a necessity is highly complex and individual. A nutritionist can come to your rescue in this case in managing your lifestyle changes. Overall, however, following these general tips can be very helpful.

  • Increasing fibre intake is helpful in maintaining blood sugar level and thereby can manage your weight well. Fibre foods include fruits such as berries, oranges, figs, kiwi; vegetables such as peas, spinach, broccoli; whole grains; and nuts.
  • Avoid high GI (Glycemic Index) Foods like white rice, potatoes, cakes since they result in a quick rise in blood sugar levels.
  • Include green leafy vegetables rich in iron, calcium, potassium, magnesium and vitamins since they are vital to managing PCOD symptoms.
  • Healthy fats found in nuts and seeds, oily fish, avocado and olive oil are really important for maintaining the cell wall, which allows nutrients in, and toxins out and thus essential for PCOD diet.
  • Protein foods such as beans, hummus, nuts, peanut butter, tofu, eggs, fish, chicken, meat, and vegetarian meat substitutes are important parts of a PCOD friendly diet.

Though there can be no generalized diet chart for PCOD patients since individual needs vary, however, incorporating the above tips can surely help in limiting the symptoms. Eating well and making healthy lifestyle changes is definitely a magical formula to treat PCOD.

Healthy Weight Gain for Teenagers

Some teenagers have difficulty keeping up with the energy needs of their bodies and may be underweight. The reason for this may be

  • They are growing taller
  • Exercising a lot with sports
  • Might simply have a high metabolism
  • Eating less according to the body requirement
  • Any stress or eating disorder
  • May not be getting balanced nutrition. He may not be getting enough vitamins, minerals (such as iron and calcium), protein, or dietary fat for a healthy body. For example, a growing teen needs plenty of calcium and vitamin D to make strong bones.

You can help your teen by these simple ways

  • Add butter to food.For example, at breakfast, spread a generous amount of butter toast, or an egg sandwich. At lunch and dinner, use butter on chapatti or in dal & veggies .
  • Use whole fat dairy productssuch as whole milk, full fat or regular cheese and yogurt instead of skim, reduced fat, or low fat dairy products. For example, at breakfast suggest that your teen have a glass of whole milk with his meal or with cereal or oatmeal. Or can have a glass of fullcream milk in evening ½ hr  before going to play.
  • Modify Cooking: cook more healthy food , add salads , fruits , and dry fruits in cooking like extra dry fruits in rice , salad dressing with nuts and cream , chapatti with some stuffing and veggies with some dressings .
  • Use “Extras”:try to add few extra calories in the form of small snacks like muffin , cookies , nuts, ice-cream, shakes .etc
  • Maximize Portions:You may wonder how much food to offer your teen at meals and snacks. Paying attention to portions is a great idea for weight gain. First, think about how much your teen eats for most of his meals and snacks. Slowly try to increase the overall volume of food at each meal, starting with one meal. For example, try adding one food item to a typical breakfast. Add some fruit to cereal and milk. Then try increasing the amount of cereal. Make sure you switch to whole milk.
  • Batter to give home made food : Avoid preserve or packed food , cook fresh and serve . avoid any packed drinks instead give home made shakes and fruit juice
  • Never compare : Never compare your kid with other siblings or any friends kids , every one is different and always concentrate individual health concerns without comparing
  • Do not force : It’s okay to encourage your teen to finish his meal or snack, but do not force him to eat or to clean his plate. Prepare meals with high energy/calorie food and keep the volume of food normal.
  • It’s a great idea to offer a second helping of any food that your teen enjoys with a meal. For example, if he loves mashed potatoes, an extra scoop is great. If he is super thirsty at lunch, it’s fine for him to have another glass of juice, whole milk, or lemonade. If he is particularly hungry after school, give him an extra snack or double the snack portion.
  • Eating on a schedule: Encourage your teen to eat three meals each day and three snacks in the mid-morning, afternoon, and evening before bedtime.
  • Don’t focus on food always: Be sure that food and nutrition doesn’t take up all your time and thoughts. Thinking and talking about good nutrition is key when trying to encourage weight gain but remember to have discussions about school, sports, current events, and feelings with your teen.

When Should  meet  any specialists?

  • A Dietitian (sometimes called a nutritionist): if your teen is underweight , feeling loss of energy after any physical activity , complain always  for leg pain and lethargy , feel difficult to getup in morning . prominent Acne and skin changes , loss of hair and dandruff .
  • A counselor or psychologist : who specializes in working with teens may be helpful with goal setting and providing help with any anxiety related to food and health. Consult if there is any eating disorder , constant decrease in performance , any behavioral change you notice which is seems to be very abnormal .

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