Life moves fast, hasty schedules of everyday life leaves us stressed up. Uneasiness, restlessness, anxiety, panic attacks, tiredness, insomnia slowly start making their place in our life. Self-neglect, lack of diet awareness and careless lifestyle leads to diabetes, hypertension, thyroid dysfunctions, infertility, nightmares and mental disorders.
Early detection of disorders and treatment leads to easy management, less complicated ailments and healthy living.
Weight gain is the commonest cause of hypothyroidism, hypertension and diabetes. Weight gain in the reproductive phase of life results in infertility, normal body mass index aids conception. L- thyroxine helps to keep thyroid hormone levels under control. Regular monitoring of the amount of thyroid hormone in the blood helps to manage the dose of the hormone replacement therapy. Blood pressure is also related to stress and thyroid levels. The synthetic hormone when taken life long prevents serious health problems.
Diabetes is not totally a hereditary disease though genetic factors do play their role but environmental factors often dominate. Symptoms of blood sugar are weight loss, severe thirst, increased hunger, frequent urination, tingling sensation in the extremities. It is a good idea to get urine test for sugar, blood glucose tests and haemoglobin A1 c test done. The tests help to detect blood sugar over the past 2-3 months.
Diabetic nephropathy, diabetic retinopathy and macro-vascular diseases are complications of diabetes. It is advisable that the diabetics get check up done annually to rule out any developing proliferative retinopathy. Hypertension, high blood sugar level, elevated serum lipids may lead to diabetic nephropathy and heart ailments. Compromised immune level, UTI infection predisposes the diabetic patients to severe complications (eg abscess formation, renal papillary necrosis) leading to kidney damage and renal failure. Diagnosis of diabetic nephropathy by testing increased urinary albumen excretion (UAE) helps to manage the treatment. Screening tests performed yearly for diagnosed diabetic patients prevents complications later in life. Medications like ACE inhibitors and ARBs drug effectively cut the risk of diabetic nephropathy and heart diseases.
Diabetic neuropathy is another complication due to impaired nerve function. Doppler test helps to study the normal flow of blood and obstructions in the peripheral nerves. Intake of acetaminophen, non-steroidal anti-inflammatory drugs relieve nerve pain.
Best metabolic controls
A 1 c <7%, BP <130/80, LDL cholesterol <100 mg / dL, triglyceride <150 mg / dL.
- Food with high fiber content – Whole wheat, whole pulse, porridge, nuts.
- Vegetables – Beans, peas, cabbage, spinach, carrots, gourd, cucumber, turnip, broccoli sprouts.
- Fruits – Pears, guava, apples and berries are healthy.
- Candies, chocolates, pastries, colas, sweets, ice creams, honey, sugar items, tinned juices.
- Fried food, cheese, refined flours, oil, salad dressings, starchy vegetables.
- Smoking, alcohol, addictions
Change in lifestyle and dietary habits with restricted amount of sodium intake is a positive step towards healthy living. Medicines like ACE inhibitors, ARBs, diuretics, beta blockers with brisk walking and exercises under expert supervision effectively helps to control hypothyroidism, hypertension and diabetes.