Diabetes Is A Reversible Disorder

Diabetes Is A Reversible Disorder


Diabetes, also known as Diabetes mellitus, is a medical condition where blood sugar (glucose) levels are abnormally high. Glucose is added to the body by virtue of the food we eat. The hormone ‘insulin’ is responsible for breaking down the glucose so that it can enter the body cells and energise the body. It results in symptoms such as fatigue; increased hunger, thirst and need for urination; infections; blurred visions; unnatural weight gain / loss; and dark patches on the body, to name a few; whilst leading to other associated risks.

There are two types of diabetes – type 1 and type 2. Type 1 diabetes is when the body fails to produce insulin. Type 2 diabetes is when the body doesn’t produce enough insulin and the little that it does produce, it fails to use. Type 2 diabetes is more common and is commonly thought to be irreversible. However, recent studies have proven that diabetes, even Type 2 is reversible.

Reversing Diabetes

Professor Roy Taylor of Newcastle University, UK has presented his findings (the Twin Cycle Hypothesis) that type 2 diabetes is found to be a common occurrence in people who consume excess calories leading to fatty liver, as a result of which it fails to respond to insulin hormone whilst producing excessive glucose. Additionally, the excessive fat in the liver passes on to the pancreas forcing the failure of the insulin production cells. According to the research that was presented, if one manages to lose less than 1 gram of fat from the pancreas, by means of diet, then it will start functioning properly once again, thereby, in essence making type 2 diabetes reversible. It was further added that diabetes remains reversible for almost 10 years after its onset.

Thus, diabetes reversal essentially requires a change in lifestyle. Fat accumulation in the liver and fat is a direct result of the unhealthy lifestyle that has become the norm of the fast paced society. Reversing diabetes requires two things – a diet plan and an exercise / work out regime.

  1. Diet Plan – The diet plans to reverse diabetes should be carefully planned out, thus, it is advisable to consult a diet and nutrition therapist. A typical diet plan to help reverse diabetes includes food that have low calories with an overall low calorie intake, equal amount of carbohydrate intake at each meal, healthy fats (i.e., saturated fats and trans fats are to be avoided, a variety of fresh or frozen fruits and vegetables (including leafy greens), whole grains and food made with whole grains, and lean protein (fish, poultry, low-fat dairy, soy, and beans). Additionally, one must let go of alcohol while sweets must be limited.
  2. Exercise Regime – The exercise regime will vary from person to person and will be set out by the physical therapist. It is important to be active every day and this typically includes walking, jogging / running, and exercising. Certain precautions are to be taken such as carrying snacks to avoid sudden falls in blood sugar.

We at Eva Physiocare have developed an integrated wellness programme to help our patients reverse diabetes through diet and nutrition therapy alongside physical therapy. With our programme patients can successfully reverse diabetes and let go of additional health risks that come with it, as well as curing themselves of disorders the underlying cause of which is diabetes.

Osteoporosis prevention and care

Osteoporosis Prevention And Care


Osteoporosis is a medical condition where the density of the bones is reduced thereby resulting in decreased bone strength and increased bone fragility. It is estimated in a study published in the Indian Journal of Medical Research that more than 25 million Indians are affected by osteoporosis, most of which are women. Data in India suggests such prevalence due to Vitamin D deficiency in Indians after 50 years of age and that it can be battled with proper nutrition. Osteoporosis requires proper prevention and care but before visiting that, let’s briefly touch upon its causes, symptoms and diagnosis.

Causes, Symptoms and Diagnosis

Osteoporosis occurs when the pores in the bones are enlarged thereby causing it to lose density. This is caused due to a number of factors including age, race (mostly Asian / Caucasian), smaller body frame, low body weight, early menopause (in women, low oestrogen levels), low testosterone in men, genetics, smoking and drinking excessively, lack of exercise, poor nutrition, calcium and Vitamin D deficiency, medical conditions such as hyperthyroidism, chronic inflammation diseases, and use of certain medications such as prednisone or cortisone.

Symptoms include receding gum lines, weakened grip and strength, weak and brittle nails. But in most cases, symptoms do not show unless there is a bone fracture. If a person has osteoporosis, he becomes quite prone to fractures. In severe osteoporosis, the bones are extremely brittle and slightest pressure on a bone could cause fractures. Symptoms in this case include back and neck pain. There may also be height loss.

Osteoporosis is diagnosed through a physical test and medical history examination. There may be tests on blood and urine. Bone density tests or dual-energy X-ray absorptiometry (DEXA) are also done.

Prevention and Care

Osteoporosis while has medications, requires management by way of therapeutic healing. Physiotherapy of osteoporosis patients becomes essential to rebuild strength, flexibility and mobility, and manage pain. It includes exercise therapy where the patient is guided by the physiotherapist to do resistance training exercises, such as, leg presses, squats, push-ups, and weight training with resistance bands, dumbbells and resistance exercise machines, along with postural exercises and balance exercises. In addition, the patient is required to be engaged in physical activity such as walking, taking the stairs and so on. What is important aside from physiotherapy is a nutrition and diet therapy considering the nutrition deficiency in an osteoporosis patient. A diet chart is made by the diet and nutrition therapist keeping in mind that the diet should be comprehensive of the following nutrients: calcium, vitamin D and additionally, protein, magnesium, vitamin K, and zinc. In addition to physiotherapy, exercise therapy and diet therapy, a general healthy lifestyle has to be maintained where smoking and alcohol should be avoided. Women could be benefited from a hormone therapy.

We at Eva Physiocare have developed an integrated wellness programme for osteoporosis patients where we focus on physiotherapy, exercise therapy, diet and nutrition therapy, thereby enabling the patient to get back to his normal life in no time through holistic healing.

Food and Nutrition Play a Major Role in Rheumatoid arthritis

Food And Nutrition Play A Major Role In Managing Rheumatoid Arthritis


Rheumatoid arthritis is a chronic medical condition where the joints of a person are affected, particularly in the hands and the feet, and other body parts including skin, eyes, heart, lungs, blood vessels, etc. It is of huge concern in India as there are over a million instances of rheumatoid arthritis in the present scenario.


As mentioned earlier, rheumatoid arthritis is an autoimmune disorder. It occurs when the immune system of the body starts to attack its own self, particularly in the synovium lining of the membranes that surround the joints. The inflammation of the synovium stretch, weaken and destroy the tendons, ligaments, cartilages and the bone that it encompasses.

The factors that generally are seen to contribute to rheumatoid arthritis are the gender (men are more prone to it), ageing persons (mostly after 40 years of age), obesity in ageing persons, family history of the disorder, lifestyle problems such as smoking, and exposures to harmful elements in the environment. In short, the rheumatoid arthritis circles back to the effects of built up nutritional deficiencies due to a generally unhealthy lifestyle.

Symptoms & Diagnosis

Symptoms of rheumatoid arthritis include – tender, inflamed and warm joints; stiffness in joints particularly in morning and after any kind of prolonged periods of inactivity; loss of function in joints; unnatural weight loss; fatigue and inability to work or concentrate; and fever. Initial symptoms affect the smaller joints in the hands and feet. As the condition progresses, the symptoms spread to other parts of the body.

In case rheumatoid arthritis remains unattended, it can cause deformity in joints. It also increases risk of developing osteoporosis, rheumatoid modules, dry eyes and mouth, infections, abnormal body compositions, carpal tunnel syndrome, heart disease, lung disease and lymphoma.

Rheumatoid arthritis is diagnosed through a physical exam where the joints, reflexes and the muscle strength are studied. In addition to this, blood tests (for ESR, CRP, anti-CCP, etc.) and imaging tests (X-ray, MRI, and ultrasounds) may also be required.


Rheumatoid arthritis is not completely reversible. It can only be managed through medications, alternative treatments and in worst case scenarios, surgeries.

Physical therapy is the best way to manage pain and restore flexibility and mobility in joints for rheumatoid arthritis patients in a therapeutic and holistic manner. The physiotherapist works on the joint flexibility, mobility, strengthening of muscles, etc., in order to ensure that the patient can lead a normal lifestyle.

What is important in addition to physical therapy is food and nutrition therapy since the immune system of the body needs restoration. The dietitian and nutritionist typically recommend an anti-inflammatory diet for a rheumatoid arthritis patient:

  • Foods rich in omega-3 fatty acids such as fatty fishes (salmon, tuna, herring, and mackerel), chia seeds, flax seeds, and walnuts find a place in the diet.
  • In addition to this, antioxidants are necessary, i.e., food rich in vitamins A, C, E and selenium. Such antioxidant rich foods include berries (blueberries, cranberries, strawberries and goji berries), dark chocolate, spinach, kidney beans, pecans, artichokes, and so on.
  • Fiber forms another essential part of the diet as they help reduce C – reactive protein levels. Foods rich in fiber include whole grains and food made from whole grains, fresh fruits and vegetables.
  • Another important part is the addition of flavonoids to the diet through soy products (tofu, miso, etc.), berries, green tea, broccoli and grapes.
  • Foods to be completely avoided include processed carbohydrates, saturated fats and trans fats.

We at Eva Physiocare have developed a comprehensive wellness programme for rheumatoid arthritis patients that include physical therapy, exercise therapy and diet-nutrition therapy in order to manage it.

Detox Diet & Fatty Liver

Detox Diet & Fatty Liver



Fatty liver, also known as hepatic steatosis, is a reversible medical condition where too much triglyceride fat is built up in the liver. The liver has vital bodily functions where it processes and filters anything a human body intakes and the excessive fat interferes with these processes. The fat in the liver is medically considered as ‘too much’ when the fat comprises of 5 to 10 percent of the liver’s weight. Fatty liver is at a rising rate in India due to changing lifestyles. About 30-40% of Indians are reported to have early stages of fatty liver, and this is an alarming statistic.


The primary causes of fatty liver are mainly attributed to changing lifestyles that lead to obesity, rapid weight loss, insulin resistance, type 2 diabetes, nutrition deficiency, metabolic syndrome, hypertension, dyslipidaemia, high cholesterol levels, high levels of triglyceride fat in the blood, polycystic ovary syndrome, sleep apnoea, underactive thyroid (hypothyroidism), and underactive pituitary gland (hypopituitarism). Some factors that aid these causes are age (above 50), genetic inheritance, pregnancy, and side effect of certain medications, including aspirin, steroids, tamoxifen (Nolvadex), and tetracycline (Panmycin), and lifestyle factors such as smoking and consumption of alcohol.

Stages, Symptoms & Diagnosis

There are four stages of fatty liver –

  1. Simple fatty liver (steatosis) / alcoholic fatty liver – This is potentially harmless and generally show no symptoms, however, one may have fatigue or vague abdominal discomfort.
  2. Non-alcoholic steatohepatitis (NASH) / Alcoholic steatohepatitis – A very minimal portion of the population with simple fatty liver move to this stage. It is an aggravated stage where the inflammation of the liver is a notable symptom along with dull or aching pain in the top right of the abdomen. Other symptoms include a poor appetite, weight loss, physical weakness, fatigue and confusion.
  3. Fibrosis (scarring of the liver) – In this stage there is a persistent inflammation in the liver and fibrous scar tissues show around the blood and liver cells by replacing some of the healthy tissues.
  4. Cirrhosis (chronic liver disease) – This is the final stage that leads to liver failure and requires a transplantation. It usually affects those above 50-60 years of age and is characterized by the liver shrinking and becoming lumpy. Symptoms include an enlarging, fluid-filled abdomen, jaundice of the skin and yellowing of the eyes, confusion, and a tendency to bleed more easily.

Diagnosis is done through blood tests and imaging tests such as CT scan, MRI, transient elastography, magnetic resonance elastography, and liver tissue examination, and also through physical exam.

Treatment: Detox Diet

As mentioned earlier, fatty liver, at its early stages (except the third and fourth stages) is reversible by way of simple changes in lifestyle. If the fatty liver is due to alcohol, the main change in lifestyle involves avoiding alcohol completely for 6 weeks. Apart from this, fatty liver can easily be reversed through detoxification that includes a detox diet and exercise regimen. The detox diet typically includes foods that are cholesterol free and enable the lowering of triglyceride levels in the blood. For instance, mono- and poly-unsaturated fats should be substituted for saturated and trans fats by using olive oil instead of butter and eating fish such as salmon instead of red meat. The detox diet should also be designed in a manner that fights or controls or prevents obesity, type 2 diabetes, insulin resistance and metabolic syndrome. In addition, certain drugs, smoking, etc., are to be avoided. Alcohol is also to be avoided even if the fatty liver is not attributed to it. There should be a carefully planned exercise regimen for 30 mins each day so as to control weight and rejuvenate the body.

We at Eva Physiocare have developed an integrated wellness programme containing diet therapy, nutrition therapy and exercise therapy for fatty liver patients, enabling them to completely reverse the condition and get back to the normal life within weeks.

Wheat Allergy (Gluten Allergy)-Causes, Symptoms and Treatment

Wheat Allergy (Gluten Allergy): Causes, Symptoms and Treatment


An allergy is a condition where one’s immune system is over sensitized and reacts to the immediate environment, including foods eaten. Wheat allergy or gluten allergy (also known as celiac disease) is a condition where a person has allergic reactions to wheat and food containing wheat or gluten protein found in wheat, barley and rye. Wheat allergy has been reported to be an ‘impending epidemic’ in India by the Indian Journal of Medical Research and thus, requires immediate attention.


In case of oversensitivity of wheat and wheat proteins in the immune system, one may develop allergy by consuming products containing wheat or simply using them or inhaling them. There are four kinds of wheat proteins that may be the cause for the allergic reaction – albumin, globulin, gliadin and gluten. Allergic reactions from gluten is the most abnormal and common one. Wheat protein may, apart from wheat based food products, also contain in cosmetics, bath items and play dough. Other factors in wheat allergy include family history (if parents have food allergy) and age (usually children below 16 are affected after which they tend to outgrow it; adults may develop it if they are allergic to grass-pollen).


The symptoms of wheat allergy may show in a child or an adult. The most common symptoms include swelling, itching or irritation in the mouth or throat; hives, itchy rash or skin swelling; nasal congestion; headache; difficulty in breathing; cramps, nausea or vomiting; and diarrhoea. In addition to these above mentioned symptoms of wheat allergy, someone may develop anaphylaxis (which may sometimes be induced only after the person exercises within a few hours of eating wheat) and its symptoms include swelling or tightness of the throat; chest pain; chest tightness; severe difficulty in breathing; trouble swallowing; pale, blue skin color; dizziness; and fainting. It is to be noted that anaphylaxis, an extremely serious symptom, is potentially life-threatening, and needs immediate medical assistance.


To diagnose a wheat allergy, a comprehensive physical test is done, alongside collection of a detailed medical history. Tests include a skin test, blood test, elimination test where certain foods are eliminated to find the root cause for the symptoms, ort food-challenge test where certain foods are added, and finally, by asking the patient to maintain a food diary.


Treatment for wheat allergy is mostly done by the usage of drugs such as antihistamines for minor symptoms and epinephrine for anaphylaxis. However, today with the growth of advanced studies, immunotherapy, has proven to be an effective tool for managing and curing wheat allergy. Immunotherapy is essentially oral or through shots where it is aimed to desensitize the immune system against certain allergens, in this case being wheat and gluten. Oral immunotherapy for wheat allergy, has in a recent double-blind placebo-controlled study, shown that it allows patients to be successfully desensitized to wheat and even tolerate gluten after 8-10 weeks. This treatment is at the primary stages aimed at preventing anaphylaxis. Apart from this, it is pertinent to have a gluten-free diet and lifestyle. This is why it also becomes important to consider nutrition therapy and diet therapy so as to assure that the patient receives all essential nutrients through diet irrespective of the fact that gluten cannot be a part of it. We at Eva Physiocare ensure a well-integrated wellness programme for wheat allergy patients and it includes a comprehensive nutrition and diet therapy as well as oral immunotherapy.