BLOGS BY DOCTORS

November 2018

A balanced diet is the key for management of Diabetes

  • nayati_admin
  • Nov 14, 2018
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Comprehensive diabetic management include maintaining healthy weight with balanced diet and regular exercise  along with  keeping  blood sugars in well-defined targets  with  help of medication and monitoring as per the  healthcare professional’s advice.

Healthy food choices, understanding individual’s needs and tailoring dietary prescription accordingly is the need of the hour.  Extreme and strict dietary options can be counterproductive and makes the person vulnerable to lose hope, enthusiasm and optimism during management.  Medical nutrition therapy is the term used for nutritional prescription offered to Diabetic patients; it incorporates dietary advice which is customized according to the medical, personal and lifestyle factors of an individual. It is both the art and science of medicine.

The meal for type 2 Diabetic should have the right combination of carbohydrate, protein and fats along with all essential vitamins and minerals. Carbohydrates are the important source of energy. There are three different types of carbohydrates i.e. starch, sugar and fiber. Starches are complex carbohydrates and found in whole grains, processed grains, starchy vegetables, legumes, fruits, dairy products and sweets. Fiber is very good for gut health and has very low glycemic index and does not increase the blood sugar levels, so it should always be a part of regular meals. Refined sugars and processed carbohydrate has got very high glycemic index and should be avoided.

Can a Diabetic eat rice?

Rice is a staple food in many parts of India and cannot be completely abandoned. Limiting portion size and following the principle of moderation is the key. Along with that; type of rice, method of preparation, timing of eating, mixing rice with other low calorie foods and some rice sparing therapies aid in controlling sugar levels.

Practical tips for rice eating diabetics:

  1. Amount and portion size:  1/3 cup rice contains 15 gm of carbohydrate and is sufficient for one meal.  Rest of the caloric needs can be met up by combining it with low caloric food like beans, non-starchy vegetable, legumes, and soluble fiber which decreases the rate of digestion and minimizes the spike in blood sugar levels.
  2. Regular fiber intake: 20-30 gm of daily soluble fiber intake is recommended.  Vegetable, fruits, legumes, nuts and whole grains are natural fiber containing foods.   There are many soluble fiber supplements are available in market to supplement the dietary deficiencies.
  3. Type of rice: long grain basmati rice and brown rice are having low glycemic index and high fiber content in comparison to white rice and should be preferred.
  4. Cooking method: cook in an open pan and remove extra water after cooking to get rid of extra starch.
  5. Day to day carbohydrate consistency for timing and content should be maintained.
  6. Food rich in vitamin C, calcium and magnesium will give an extra edge in controlling the blood sugar levels when combined in diet.
  7. Know Glycemic index of your food: It is the scale which measures how quickly food gets digested in to sugar and absorbed in blood.  GI score >70 is considered high, 56-69 is moderate and <56 is low. Avoid foods having high glycemic index.
  8. Look for rice substituting recipes which are readily available online.
  9. Patient’s compliance of dietary advice should be monitored regularly by reviewing their food diaries and give positive feedback and motivation for their achievements frequently.

June 2017

QUAD fever: beware of non-infectious fever in high spinal cord injuries

  • rachna
  • Jun 23, 2017
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by – Jyoti Goyal, Rakesh Jha, Paramjeet Bhatia, Raj Kumar Mani

SUMMARY

A case of cervical spinal cord injury and quadriparesis with prolonged fever is being described. Initially, the patient received treatment for well-documented catheter-related bloodstream infection. High spiking fever returned and persisted with no obvious evidence of infection. Read More

May 2017

What could be the cause for lower back pain?

  • nayati_admin
  • May 16, 2017
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What could be the cause for lower back pain?

Lower back pain can be due to many reasons and the causes may be quite a lot. The location, severity, pattern, and the type of pain, in addition to the history of pain, the time when the patient started to feel pain, any activities or positions that are making the pain better or worse are all important aspect to ascertain the causes of the pain and thus help in proper diagnosis and planning the treatment. Read More

February 2017

Isolated pulmonary mucormycosis

  • nayati_admin
  • Feb 17, 2017
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Isolated pulmonary mucormycosis 

By – Raj Kumar Mani, Vipul Mishra, Manish Sharma, Raghupathy Ashok Kumar

DESCRIPTION An obese woman aged 70 years with a history of chronic persistent asthma and diabetes mellitus presented with acute exacerbation and respiratory failure. A chest X-ray and CT scan revealed patchy infiltrates on the right lung along with right hilar and upper lobe masses suggestive of malignancy (figure 1). Read More

A Simplistic Approach for Registration of Orthogonal Planar Images as a Pre-Preparation for Externally Acquired Cranial Images in Department of Radiation Oncology, Nayati Healthcare and Research Centre

  • nayati_admin
  • Feb 03, 2017
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The intention of the work is two folds. One is to make the outside clinical diagnostic images compatible with our treatment planning system (TPS) and second use point by point registration in three orthogonal planes as pre-preparation process for specific outside clinic diagnostic images. This could reduce the work load of Staff dealing with high end equipment.

For more information visit A Simplistic Approach for Registration of Orthogonal Planar

Level and determinants of precancerous symptoms of cervical cancer in unscreened population of Uttar Pradesh and Rajasthan, India: a pilot study

  • nayati_admin
  • Feb 03, 2017
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This study was conducted to explore the risk factors related to symptoms of cervical cancer.

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Epidemiological hazards of tobacco and its manifestations in oral health of a screened population in Northern India

  • nayati_admin
  • Feb 03, 2017
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This study was conducted on a large scale population based screening study to evaluate the epidemiological hazard of tobacco and its oral manifestation leading to precancerous lesion.

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Does tobacco addiction relate to oral mucosal changes? An epidemiological study from north India

  • nayati_admin
  • Feb 03, 2017
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The aim of this study is to explore the dimension of tobacco use and its relationship with development of mouth ulcers.

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Prevalence of oral ulcers and its association with addictions in rural population of western Uttar Pradesh and eastern Rajasthan

  • nayati_admin
  • Feb 03, 2017
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This study was conducted to explore prevalence oral ulcers and its association with addictions among the population of Uttar Pradesh and Rajasthan.

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December 2016

Significance of Preventive Health Checks in Indian Scenario

  • nayati_admin
  • Dec 21, 2016
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As human beings we are more evolved than animals but due to our mastery over senses and advancement in technology, we have become slave to bad habits. Everyone is aware of the fact that now- a- days people rely on medicines more than the signals sent by their bodies. Read More