Dear Dr Prashant, Wonderful narration about Diabetes & COVID19 especially it is T2DM. COVID19 has high Morbidity and Mortality in patients suffering from other comorbidities like Diabetes HTN CVD CLD Br Asthma COPD/COAD/COLD (All are one and same) Smokers CRF Malignancy On Radiotherapy On Chemotherapy Immunocompromised patients like who are on Steroids like Rheumatoid Arthritis Ankylosing Spondylitis. Per Se Diabetes is considered to be Immunocompromised state. Any microbes like Bacteria Viruses Fungi thrive well in Glucose laiden tissues. Only way to prevent is meticulous Glycemic control. Recently there was an article published in Cell Metabolism April, 2020 saying that the data taken from Wuhan and COVID19 Well controlled T2DM had very good outcomes and poorly controlled T2DM had worst outcomes including more number of Deaths. Regards and thanks, Dr Sepuri Krishna Mohan.
Informative and educative post. Few more comorbadities with covid19 are there as described by Dr Se puri krishna mohan. It is observation that pts suffering from chronic illness has lower immunity and more prone to a long morbidity and mortality. Conclusion is to early too to associate , generally statics are more accurate and conclusive after disease effects is over. You are right in pointing out the above written statement.
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World Arthritis Day 2018 World Arthritis Day (WAD) was established in 1996 by Arthritis and Rheumatism International (ARI) to raise awareness of issues affecting people with rheumatic and musculoskeletal diseases (RMDs). It is celebrated every year on 12th October. 'Don't Delay, Connect Today' theme initiated in 2017 by the European League Against Rheumatism (EULAR) continues to give importance on early diagnosis and access to care in 2018. ‘Don’t Delay, Connect Today’ campaign calls on people including the public, physicians, health professionals and policy-makers to connect early for earlier diagnosis of RMDs and timely access to evidence-based treatment. The overall goal is to highlight RMDs as major public health problem globally and that early diagnosis and timely access to treatment can prevent further damage and burden on the individual and society. Why is early diagnosis important? Early diagnosis is important to prevent further damage, if not treated early daily activities are affected, reducing the quality of peoples' life and affecting physical abilities. Delay is often due to a lack of awareness hence it’s important to know the symptoms of RMDs and consult a healthcare professional early. RMDs are commonly divided into inflammatory and non-inflammatory types: Common non-inflammatory RMDs are degenerative spine diseases, osteoarthritis, osteoporosis and fibromyalgia Common inflammatory RMDs are rheumatoid arthritis, ankylosing spondylitis, reactive arthritis, connective tissue diseases and polymyalgia rheumatica. RMDs can be hereditary; can also be triggered by lifestyle factors such as smoking, excessive weight, sedentary lifestyles, increasing age and having occupations that lead to injury and overuse of joints/muscles; however, in some cases the causes are unknown. Early medical treatment of inflammatory RMDs, particularly in the first 12 weeks, can prevent joint and organ damage and improve long-term function. What is Arthritis? The word arthritis actually means joint inflammation; in public health arthritis is used as a shorthand term for arthritis and other rheumatic conditions. What are the most common types of arthritis? The most common forms of arthritis are osteoarthritis, gout, fibromyalgia, and rheumatoid arthritis. What are the symptoms of arthritis? Symptoms of arthritis in affected joint are- swelling, pain, stiffness, decreased range of movements. How does body weight influence arthritis? Maintaining a healthy weight reduces the risk of developing osteoarthritis. Health tips for living with RMDs/Arthritis- (a)Healthy living- Improve your wellbeing by keeping high on emotional wellbeing, self-management and motivation and by making healthy life style choices such as: Don't smoke. Avoid stress- As stress can alter behaviour, affect sleep patterns, change appetite and increase muscle tension therefore use relaxation techniques to help manage stress. Get adequate sleep- Get enough quality sleep to protect your mental and physical wellbeing and quality of life. Reduce alcohol intake (b) Healthy eating- Healthy and balanced diet is important for people with rheumatic and musculoskeletal diseases (RMDs). Control your salt and sugar intake: Try to reduce sugar intake as it is high in calories especially in soft drinks, ready meals and confectionery foods. Salt intake should be less than 5 grams per day for adults. Too much salt can cause high blood pressure, an increased risk of heart disease and osteoporosis. (c) Physical activity and fitness- Being physically active is good for general health and can have specific benefits for people with RMD/Arthritis. Consult your doctor or physiotherapist about the type of exercise most appropriate for your condition. Exercise may be in the form of cycling, dancing, walking, gardening, swimming, yoga etc. Source : NHPDr. Hemant Adhikari12 Likes18 Answers
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Health Benefits of Alfalfa Grass ............................................................... Alfalfa grass is a flowering plant that is very common and the alfalfa grass health benefits are plentiful. The following will uncover 5 surprising health benefits of alfalfa grass… It is a perennial plant, which means that it grows and blooms over the spring and summer. During the fall and winter, the plants die back. In the spring, they return from the rootstock. The basic benefit of alfalfa is that it is very nutritious when it is consumed. This plant is high in chlorophyll, micronutrients, and vitamins A, B1, B6, C, E, and K. It also contains calcium, iron, zinc, and potassium. Finally, it contains more protein than most plants. What Are the Health Benefits of Alfalfa Grass? Other than the nutritional value, alfalfa has several health benefits. These include: Anti-Inflammatory Properties: An alfalfa study was published in the July 2009 issue of Journal of Biomedical Science. The study was performed on animals that were injected with compounds that contained inflammation. The animals that were not fed alfalfa sprouts had increased inflammation compared to those who were fed alfalfa sprouts. Bolsters Immune System: A study was performed and published in the March 2009 issue of “Lupus”. During this study, animals were injected with alfalfa sprout ethyl acetate extract. The scientists doing this study wanted to see if alfalfa sprouts could be beneficial for people who suffer from autoimmune diseases, such as lupus. The animals that were given alfalfa had lower T-cell counts at the end of the study. Antioxidant Effects and Radiation Protection: A study was conducted in Turkey, and the results were published in the February 2008 issue of Photocheistry and Photobiology. According to the study, alfalfa can protect the cells from damage from x-rays, due to its antioxidant properties. The animals that were given alfalfa before having an x-ray had less free radicals and cell damage than those who were not given alfalfa. Lower Cholesterol: High cholesterol can lead to stroke and heart disease. A study was performed and published in the May 1087 issue of Atherosclerosis. According to the study, patients with high cholesterol were given alfalfa for 8 weeks. At the end of the study, their LDL, also known as bad cholesterol, dropped by 30 percent. After the study, the patients stopped eating alfalfa, and their cholesterol returned to the previous levels before the study was conducted. The study indicated that regular consumption of alfalfa could successfully reduce cholesterol. Improves Certain Medical Conditions: Alfalfa has been used to treat a variety of medical conditions, including kidney, bladder, and prostate conditions. It can also increase urine flow. Patients with osteoarthritis, rheumatoid arthritis, upset stomach, and asthma can benefit from alfalfa. Side Effects of Alfalfa Grass Alfalfa is relatively safe for adults. However, if you take large amounts of alfalfa for a long period of time, the seeds can cause a reaction that is similar to lupus. Also, alfalfa can make the skin more sensitive to the sun. It is important for light skinned people to wear sunblock when going outdoors. Patients who are pregnant should avoid alfalfa. There is evidence that alfalfa can act like estrogen, which can have a negative effect on the pregnancy. Its estrogen effect can also be harmful for patients who suffer from breast cancer, uterine cancer, and ovarian cancer. If you have diabetes, you should check your blood sugar levels often, as alfalfa can lower your blood sugar. You may think that you are eating right, and your blood sugar levels are fine, but the alfalfa can have an effect on it. Patients who have had a kidney transplant should avoid consuming anything with alfalfa. 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