7, Feb 2025
Global ECMO Experts gather at Apollo Hospitals’ ELSACON 2025

Hyderabad, 6th February 2025: Apollo Hospitals, Jubilee Hills, Hyderabad, in association with ECMO Society of India and Society of Emergency Medicine, conducted a two days conference and training on advanced critical service and ECMO (Extracorporeal membrane oxygenation) in Hotel Westin, Mind Space, Hyderabad. More than 100 ECMO Expert doctors from different part of world and India joined in the training session. 300 trainee doctors from different part of India joined and got the certificate in this event. ECMO is a specialised medical device, which is being used in critically sick patients, who suffers from severe heart and lung problem. Apollo Hospital, Jubilee Hills is a high volume ECMO centre, certified by ELSO (Extra corporeal life support Organisation), an international body for recognition of ECMO centres. Dr. Sangita Reddy, Joint Managing Director of Apollo Hospitals Group; Mr V Tejesvi Rao, CEO, Apollo Hospital Telangana Region; Dr K Subba Reddy, HOD Critical Care Medicine, Associate Director Medical Services, Apollo Hospitals, Jubilee Hills; joined the meeting and addressed the gathering. Dr. Sangita Ready mentioned, the challenges of non-communicable diseases has outnumbered that of communicable diseases. Fortunately, many are preventable, if detected early. Pro-health service is an significant step from Apollo Hospital to detect these diseases early before they can be severe. Apollo Hospital is committed to Keep pace with the innovation and provide world class treatment at reach of everyone. Dr Subba Reddy mentioned, outcome of ECMO service at Apollo Hospitals is significant, and it was well appreciated by the recent JCI (Joint commission international) assessment.

Hyderabad, 7th February 2025: Apollo Hospitals, Jubilee Hills, Hyderabad, in association with ECMO Society of India and Society of Emergency Medicine, conducted a two-day conference and training on advanced critical service and ECMO (Extracorporeal membrane oxygenation) in Hotel Westin, Mind Space, Hyderabad.

More than 100 ECMO Expert doctors from different parts of the world and India joined in the training session. 300 trainee doctors from different parts of India joined and got the certificate in this event.

ECMO is a specialized medical device, which is being used in critically sick patients, who suffer from severe heart and lung problems. Apollo Hospital, Jubilee Hills is a high-volume ECMO center, certified by ELSO (Extracorporeal Life Support Organisation), an international body for recognition of ECMO centers.

Dr. Sangita Reddy, Joint Managing Director of Apollo Hospitals Group; Mr V Tejesvi Rao, CEO, Apollo Hospital Telangana Region; Dr K Subba Reddy, HOD Critical Care Medicine, Associate Director Medical Services, Apollo Hospitals, Jubilee Hills; joined the meeting and addressed the gathering.

Dr. Sangita Ready mentioned the challenges of non-communicable diseases have outnumbered those of communicable diseases. Fortunately, many are preventable, if detected early. Pro-health service is a significant step from Apollo Hospital to detect these diseases early before they can be severe. Apollo Hospital is committed to Keeping pace with innovation and providing world-class treatment at the reach of everyone.

Dr Subba Reddy mentioned outcome of ECMO service at Apollo Hospitals is significant, and it was well appreciated by the recent JCI (Joint Commission international) assessment.

6, Feb 2025
8 Effective Ways to Minimize Postpartum Complications

Dr. Kavitha Kovi

Dr. Kavitha Kovi, Head of Department – Obstetrics & Gynaecology, Aster Women & Children Hospital, Bengaluru

The post-delivery period is an important phase for new mothers. However, it often comes with physical and emotional challenges that affect recovery and impact the mother’s overall health. The complications can occur immediately after delivery or within the postpartum period, which typically spans the first six weeks after giving birth.

Here are eight practical ways to support recovery and well-being after childbirth:

1. Postpartum Checkups: Regular checkups are vital for recovery and identifying potential issues early. These appointments enable doctors to evaluate wound healing, detect infections, and address lingering conditions like gestational diabetes or postpartum hypertension. Postpartum checkups also offer an opportunity to discuss breastfeeding challenges and mental health concerns, ensuring comprehensive care during recovery.

2. Rest and Recovery: New mothers often suffer from a lack of sleep, which can affect their recovery and raise the risk of post-delivery depression. Techniques such as napping when the baby sleeps, giving responsibilities to family or friends, and sharing nighttime duties with the partner can help ensure sufficient rest. A healthy recovery helps in the overall well-being of the mother.

3. Well-Balanced diet:

  •  Iron: To avoid postpartum anemia brought on by blood loss.
  •  Protein: To help repair the tissue.
  •  Calcium and Vitamin D: To help improve bone health, mainly for nursing mothers.

Maintaining proper hydration is also important because it helps increase energy levels and supports milk production in mothers.

4. Incorporate Gentle Exercises: Engaging in mild exercises can enhance blood flow, reduce the risk of blood clots, and lift the mother’s mood. Kegel exercises, often known as pelvic floor exercises, can help strengthen the tissues weakened during pregnancy. Continuing exercising not only helps with the mother’s recovery but also boosts her energy and self-confidence.

5. Practice Good Hygiene: Maintaining proper cleanliness is crucial for reducing infections, especially in places that have sutures or for women who have had cesarean sections. It is important to follow the doctor’s instructions for cleaning and drying the surgical wound or perineal area. Changing pads regularly and washing hands frequently also lowers the risk of bacterial infections. Symptoms of infections include fever or odd discharge which needs to be identified and treated quickly.

6. Monitor Mental Health: After childbirth, emotional health is just as important as physical recovery. New mothers might experience depression after delivery in the form of mood swings, anxiety or sadness. Loneliness can be reduced by building positive connections with friends and family. Mental health therapy is recommended for an easy shift to parenthood.

7. Breastfeeding Problems: Initial trials of nursing can result in issues like blocked ducts and nipple pain. These problems can be reduced by making sure the latch is correct, changing feeding positions and consulting a lactation specialist. A healthy and peaceful bonding experience can be created for both the mother and the infant through effective breastfeeding care.

8. Warning Signs: Recognizing the signs of serious postpartum complications can be lifesaving. Seek immediate medical attention for:

  •  Excessive bleeding or large blood clots.
  •  Fever or symptoms of infection.
  •  Persistent leg pain or swelling, which could indicate blood clots.
  •  Severe headaches or vision changes, which may signal postpartum preeclampsia.
  •  Frequent mood swings and crying.

Proactively addressing these symptoms ensures timely intervention and prevents minor concerns from escalating.

The postpartum period is a delicate phase of recovery and adaptation. Complications, if any, can be minimized with the right measures. Following steps like regular checkups, enough sleep, consumption of nutritious food, maintaining personal hygiene and mental health support can lead to a quicker recovery. New mothers can focus on enjoying the benefits of parenthood by simply being mindful.

4, Feb 2025
nSure Healthy Spine Adopts Nordic Health’s MSK Tech for Preventive Healthcare in India

nSure

Hyderabad, India – Feb 04, 2025 – nSure Healthy Spine proudly announces the adoption of an advanced data-driven Musculoskeletal Health Technology Platform in exclusive partnership with Nordic Health Finland. The state-of-the-art biomechanically optimized exercise therapy devices for Spine, Shoulder, Hip & Knee Health will be incorporated at upcoming India’s 1st Center for Spine and Sports Health (CSSH) located at Kotak Pullela Gopichand Badminton Academy, Hyderabad, India.

As part of a strategic collaboration to introduce cutting-edge spine and sports health technology platform in India, nSure Healthy Spine has recently hosted Technology Inventors from Nordic Health, Finland – Mr. Arno Parviainen and Mrs. Sirkka Parviainen at CSSH, Hyderabad. Their visit marks a significant milestone in integrating advanced assessments, targeted muscle-strengthening training programs for Injury prevention, and preventive musculoskeletal care solutions, aimed at enhancing the performance and well-being of athletes and individuals seeking proactive health management.

With Finland being one of the top innovative health technology ecosystems, the expertise of Nordic Health leadership has become instrumental in training our team to leverage advanced technology effectively and deliver world-class care at CSSH, Hyderabad.

During the visit, Mr. Arno and Mrs. Sirkka conducted comprehensive training & educational programs for the nSure Healthy Spine team. The sessions focused on the clinical use of biomechanically optimized exercise therapy devices to ensure precise assessments and evidence-based exercise therapy programs. Throughout the training sessions, they emphasized the latest techniques in movement health, rehabilitation, and performance enhancement, to make our team remain at the forefront of spine and sports health.

Being enthusiastic about the collaboration, Mr. Arno, CEO of Nordic Health Finland and expert in movement and rehabilitation technology, stated, “The integration of this technology at nSure Healthy Spine is going to be a game-changer for spine and sports health in India. We are excited to support the team in utilizing these cutting-edge solutions and assisting athletes with injury prevention and performing better.”

Mrs. Sirkka, a specialist in preventive healthcare, added, “This technology is not just about rehabilitation but also about proactive-driven preventive spine & musculoskeletal (MSK) care. By focusing on muscle strength and functional movement, we are helping individuals prevent injuries and enhance their overall well-being.”

nSure Healthy Spine’s CEO, Naresh Kumar Pagidimarry, highlighted the long-term vision behind this collaboration, stating, “Bringing this revolutionary technology to India is a testament to our commitment to advancing spine and sports health. With the guidance of Arno and Sirkka, I am positive that our team is equipped with world-class knowledge and expertise catering the best possible care to the clients in need.”

“The visit of Nordic Health experts reinforces nSure Healthy Spine’s dedication to integrating the latest advancements in medical technology. This initiative is set to elevate Hyderabad’s standing as a hub for cutting-edge spine and sports healthcare, benefiting athletes, professionals, and individuals seeking to enhance their quality of life,” Naresh Kumar added.

24, Jan 2025
Ozempic Truly A ‘Miracle Drug’ For Weight Loss – Need Coverage

Dr. Mahesh D M,

Dr Mahesh D M, Consultant Endocrinologist, Aster CMI Hospital

Ozempic is currently one of the most popular drugs on the market, with many Hollywood, as well as Bollywood celebs, allegedly using it to lose weight. Recently on Christmas, Tesla and SpaceX CEO Elon Musk took to X, formerly known as Twitter, to post his “Ozempic Santa” look. However, in a follow-up post, Musk clarified that he’s taking Mounjaro, which is similar to Ozempic.
Regardless of which brand of semaglutide the celebs are taking, it is important to address the risks and safety concerns that people have around the so-called ‘miracle’ weight loss drug. One must understand that shortcuts to a healthy lifestyle are never a long-term solution, but an addition to the already existing health problems.

What Is Ozempic?
Ozempic, also known as semaglutide, is an anti-diabetic medication that was launched by Novo Nordisk, a Danish pharmaceutical company, back in 2017. While its primary use is to help improve blood sugar levels in people with type 2 diabetes, it has gained a lot of popularity for its weight loss effects. The medication is an injectable that is administered once every week under the skin of the abdomen, thigh, or upper arm, according to the US Food and Drug Administration (FDA).

Dr Mahesh D M, Consultant Endocrinologist, Aster CMI Hospital, Bengaluru, said, “Ozempic functions as a glucagon-like peptide-1 (GLP-1) receptor agonist, which not only helps lower blood sugar levels but also plays a significant role in weight management, making it a dual-purpose solution for those struggling with diabetes and obesity.”
Ozempic works by acting like natural hormones (GLP-1) in your body. It helps release more insulin after you eat, reduce your appetite, and slow down how quickly food leaves your stomach. These combined effects help control blood sugar and lead to weight loss, the doctor simplified.

Is Ozempic Truly A ‘Miracle Drug’ For Weight Loss?

“Many individuals may find that alternative methods, such as lifestyle changes, dietary adjustments, and other medications, can provide safer and more sustainable results without the potential side effects associated with Ozempic. By examining all available options, individuals can make informed decisions that align with their health goals and ensure a more holistic approach to weight management,” he said.

Risks, Side Effects, And Safety Concerns

Ozempic is primarily prescribed for managing type 2 diabetes; however, its off-label use among non-diabetic individuals raises important safety concerns, according to Dr Mahesh.
As per the FDA, Ozempic may cause serious side effects, including low blood sugar, inflammation of the pancreas, complications of diabetes-related retina disease (diabetic retinopathy), and allergic reactions.

The most common side effects in clinical trials included nausea, vomiting, Diarrhoea, abdominal pain, and constipation.
More serious risks include pancreatitis, thyroid tumors, and allergic reactions.

It’s essential to note that Ozempic is not approved for everyone, particularly those with:

  •  Type 1 diabetes
  •  Pancreatitis or pancreatic cancer
  •  Thyroid cancer or tumors
  •  Severe gastrointestinal disease
  •  Pregnancy or breastfeeding

Ozempic In India
Ozempic is not officially available in India and is not approved for use in India. While the demand for Ozempic is high, the supply is limited.

“As of now, Ozempic, which is primarily approved for the management of type 2 diabetes, has not received specific regulatory approval for weight loss in India,” said Dr Mahesh, adding, however, that the growing awareness of its potential benefits for weight management has led to discussions among healthcare professionals and patients alike.
“While it may be accessible through certain channels, individuals seeking Ozempic for weight loss should consult with a healthcare provider to understand the implications, potential off-label use, and the best course of action tailored to their health needs,” the doctor advised.

23, Jan 2025
Yoga Practices for Winter Immune Health

Akshar Yoga Kendraa

By Himalayan Siddhaa Akshar Spiritual Leader, Yoga Master, Author, Columnist & Founder of Akshar Yoga Kendra

Winter brings with it cold temperatures and a natural shift in energy, often leaving our bodies more vulnerable to seasonal illnesses. Yoga, with its holistic approach to wellness, can be a powerful ally in supporting your immune system during this time. By integrating movement, breathwork, and relaxation into your routine, you can fortify your body and mind against seasonal challenges.

Warming Up Your Practice
Begin your yoga practice with gentle movements to prepare your body for deeper poses. Roll your shoulders in slow circles, stretch your neck from side to side, and rotate your wrists and ankles. These simple actions improve blood circulation, ease stiffness, and bring warmth to your muscles.

Energize with Sun Salutations
Surya Namaskar (Sun Salutations) is an ideal sequence for winter practice. This flowing series of movements generates inner heat, enhances circulation, and energizes the body. Begin with 3-5 rounds at a slow pace, synchronizing your breath with each movement. This flow not only awakens your physical body but also promotes mental clarity and focus.

Immune-Boosting Yoga Poses

Specific yoga poses can directly support and enhance immune function. Incorporate these into your routine:

  •  Bridge Pose (Setu Bandha Sarvangasana): This gentle backbend opens the chest and stimulates the thymus gland, a key player in immune health. Lie on your back, bend your knees, and lift your hips. Hold the pose for 5-8 breaths while maintaining steady breathing.
  •  Legs Up the Wall (Viparita Karani): This restorative pose aids lymphatic drainage and calms the nervous system. Sit close to a wall, lie back, and extend your legs up the wall. Stay in this pose for 5-10 minutes, focusing on slow, deep breaths.
  •  Forward Fold (Padahasthasana): This standing forward bend soothes the nervous system and brings fresh blood flow to the sinuses and throat. Fold forward from the hips, letting your head hang heavy. If needed, bend your knees for comfort.
  •  Twisted Chair Pose (ParivrttaUtkatasana): Twists are excellent for detoxification as they massage internal organs. From a bent-knee chair pose, twist your torso to one side. Hold for 3-5 breaths before switching sides.

Pranayama for Immunity

Breathing exercises (pranayama) are particularly beneficial during the winter months:

  • Alternate Nostril Breathing (Nadi Shodhana): This practice clears nasal passages and reduces stress. Close your right nostril with your thumb, inhale through the left nostril, then close the left nostril and exhale through the right. Repeat for 5-10 rounds, alternating sides.
  •  Warming Breath (Ujjayi): Create a soft ocean-like sound at the back of your throat as you breathe deeply. This technique generates internal heat while filtering the air you inhale.

Relaxation and Stress Relief

Winter is a season of introspection and rest. End your practice with calming poses and meditation:

  •  Corpse Pose (Savasana): Lie flat on your back, arms and legs relaxed, and cover yourself with a blanket to stay warm. Rest here for 5-10 minutes, allowing your body to absorb the benefits of your practice.
  •  Meditation: Spend a few quiet moments focusing on your breath. Regular meditation lowers stress hormones, which can otherwise weaken your immune system.
  • Practical Tips for Winter Practice
  •  Practice during the warmest part of the day.
  •  Keep your yoga space warm but ventilated.
  •  Wear layers you can remove as your body warms up.
  •  Have a blanket nearby for relaxation poses.
  •  Stay hydrated before and after your practice.

Consistency is Key

A consistent yoga practice is more impactful than a lengthy session. Even 15-20 minutes daily can strengthen your immune system. Adjust the intensity of your practice based on your energy levels—if you’re feeling under the weather, focus on gentle poses and breathing exercises.

Holistic Winter Wellness

Yoga is just one component of a healthy winter routine. Combine your practice with:

  •  Adequate sleep for physical recovery.
  •  Nourishing, warming foods that fuel your body.
  •  Time spent in nature, even if brief.
  •  Social connections to uplift your spirit.

By aligning your yoga practice with winter’s unique demands, you can create a strong foundation for health and well-being. Movement, breathwork, and relaxation come together to balance your body, strengthen your immune system, and keep you resilient during the season’s challenges.

22, Jan 2025
Mother and Preterm Baby Survive Rare Disorder in High-Risk Pregnancy at Wockhardt Hospitals, Mira Road

Dr Rajashri Bhasale

Mumbai: In a remarkable achievement, a team led by Dr Rajashri Tayshete Bhasale, Consultant Obstetrics & Gynaecologist and Laparoscopic Surgeon, consisting of Nephrologist Dr Puneet Bhuwania, Hematologist Dr. Muralidaran C. successfully treated a 26-year-old pregnant woman who arrived in critical condition with a hemoglobin level of 2 (g/dL) and a rare diagnosis of catastrophic antiphospholipid antibody syndrome (APLA). The woman delivered a healthy preterm baby weighing 1.2 kg following an emergency cesarean section and an intensive medical intervention, including plasmapheresis therapy, multiple blood transfusions, and steroid treatments to improve the baby’s lung maturity.

Patient Isha ( name changed), a resident of Palghar, multigravida (in her second pregnancy) experienced low hemoglobin of 4 (g/dL) in her 8 months of pregnancy in November 2024 The patient’s hemoglobin dropped to 2 (g/dL) by the time she reached Wockhardt Hospitals, Mira Road. Fortunately, the mother and the baby were safe due to the timely intervention by the skilled team of doctors.

Dr Rajashri Tayshete Bhasale, Consultant Obstetrics & Gynaecologist and Laparoscopic Surgeon at Wockhardt Hospitals, Mira Road said, “This was one of the most challenging and unique cases. The patient arrived with severe anemia with hemoglobin of 2, pulmonary edema, and disseminated intravascular coagulation (DIC) which means her blood thinning power had been lost as this was confirmed via a D-dimer, her USG reports were normal. However, the baby’s health started deteriorating. First, we suspected abruption after extensive blood product transfusions, we stabilized enough for surgery while taking care of failure and Pulmonary edema. Emergency LSCS done after stabilization 1.2 kg baby was delivered, but there were no signs of Abruption. Further evaluation with the team including a Haematologist, diagnosis of Catastrophic APLA was made. Catastrophic APLA syndrome was been detected. The condition, seen in approximately 1 in 2 to 5 lakh individuals, posed severe risks to both mother and baby. This rare immunological condition caused her body to destroy hemoglobin, necessitating plasmapheresis therapy which is a type of dialysis procedure to remove harmful proteins

Dr Rajashri added, “The team’s collective effort and timely intervention saved both mother and baby. Thankfully, we could stabilize her and deliver a healthy baby weighing 1.2 kgs despite the odds.”

Dr. Puneet Bhuwania, Consultant Nephrologist & Transplant Physician highlighted, “The successful use of plasma therapy (type of dialysis) in such a critical case highlights the importance of rapid diagnosis and advanced therapies in saving lives. Catastrophic APLA syndrome is a rare, life-threatening condition, and this case showcases how a holistic approach can achieve remarkable outcomes. The patient’s history of unexplained anemia two years ago likely points to an earlier undiagnosed episode.”

The patient and her baby have since been discharged, while the baby received three weeks of preterm care in the NICU. This case underscores Wockhardt Hospitals, Mira Road’s commitment to providing cutting-edge medical care and their expertise in handling complex, life-threatening conditions. It is also a testament to the importance of multidisciplinary teamwork in saving lives.

“I am thankful to Dr Rajashri and her team as they provided us with timely diagnosis and treatment. When I was admitted, I was so weak that I thought I wouldn’t survive, But the team at Wockhardt Hospitals, Mira Road didn’t give up on me. They explained everything clearly and treated me with care and compassion. My baby and I are alive today because of them, and we are forever grateful,” concluded the patient Isha ( name changed).

20, Jan 2025
Ensuring IVF Success Amidst the Cold Weather

Dr Neelam_YGN

Dr. Neelam Banerjee, Senior Consultant & Head of Department – IVF, Yatharth Hospital, Greater Noida

As winter grips many parts of India, couples undergoing in-vitro fertilization (IVF) face challenges that go beyond the treatment itself. While the cold season brings some respite from scorching heat, it also introduces physiological and environmental factors that can influence IVF success rates.

Emerging research highlights how winter weather, combined with associated lifestyle changes, may negatively impact reproductive health. For couples already navigating the emotional journey of IVF, understanding these challenges is key to improving outcomes.

The Impact of Winter on Reproductive Health
One of the most significant effects of winter is reduced blood circulation due to cold temperatures. This constriction of blood vessels can limit oxygen and nutrient flow to reproductive organs, affecting ovarian function and the uterine lining’s ability to support embryo implantation.

Hormonal imbalances are another concern. Seasonal changes, including shorter days and reduced sunlight exposure, can disrupt the body’s natural hormonal rhythm. Low levels of vitamin D, often observed during winter, are linked to reduced fertility in both men and women. For women, vitamin D plays a crucial role in egg maturation and embryo quality, while in men, it impacts sperm motility and overall reproductive health.

Challenges in IVF Success Rates
Winter-related factors can compound the challenges of IVF. Poor blood circulation and hormonal disruptions may affect the development of high-quality eggs and embryos, critical components for a successful IVF cycle.
Infections, particularly respiratory illnesses like flu and colds, are also more common during winter. These infections can weaken the immune system, making the body less receptive to embryo implantation and increasing the risk of early pregnancy loss.

Steps to Counter Winter Challenges
To counter the challenges posed by winter on IVF success, it is essential to take a holistic approach to health and well-being. Regular light exercises like yoga or walking can enhance blood circulation to the reproductive organs, while staying warm and avoiding prolonged exposure to cold further supports optimal blood flow.

Addressing vitamin D deficiencies through regular sunlight exposure, supplements, and a diet rich in fortified foods is equally important. Strengthening immunity by consuming antioxidant-rich foods, staying hydrated, and taking precautions against seasonal infections, such as flu, can protect overall health during this time.

Additionally, managing stress through meditation, mindfulness, and counselling can help maintain hormonal balance. Lastly, consulting fertility specialists ensures personalized care to address individual risks and optimize outcomes during the winter months.

As IVF becomes an increasingly accessible option for couples in India, it is vital to recognize the influence of environmental and seasonal factors on its success. While winter may bring certain hurdles, an informed and proactive approach can ensure these challenges are managed effectively.

31, Dec 2024
Modern-day stress and risk of diabetes

(Dr. Manjunath Malige, Director – Diabetes & Endocrinology, Sakra World Hospital, Bengaluru)
These days, the term “stress” is rather common. But is diabetes brought on by stress? No! Although it can impact your blood sugar levels, it doesn’t cause diabetes. Though stress cannot be avoided, we can control it by learning how it functions and how to deal with it.
Mechanism of Stress
The adrenal glands produce two key stress hormones: adrenaline and cortisol. Adrenaline helps increase heart rate, blood pressure, and provides a surge of energy. Cortisol, the main stress hormone, boosts blood sugar levels, supports brain function by improving glucose use, and aids in tissue repair by making necessary resources more accessible.
Additionally, in a fight-or-flight scenario, cortisol slows down processes that would be dangerous or unnecessary. It alters the immune system’s reaction and inhibits the development of the reproductive and digestive systems. Moreover, this complex natural alarm system affects the brain that controls our emotions and feelings.
How our body manages stress
Generally speaking, the body’s stress response mechanism is self-limiting. Hormone levels return to normal after a perceived threat has passed. Your blood pressure and heart rate return to normal when your cortisol and adrenaline levels decline.
Other systems resume their normal operations. However, that fight-or-flight response remains activated when there are constant stressors and you constantly feel attacked.
Impact of chronic stress on hormones
Prolonged activation of the stress response system and excessive exposure to stress hormones like cortisol can cause disruptions in nearly every bodily function.
Known as insulin-resistant, these two hormones can make insulin less effective by preventing the pancreas from producing insulin cells. Stress can trigger the sympathetic nervous system and the hypothalamus-pituitary-adrenal axis. Higher cortisol and reduced sex hormone levels are two examples of the hormonal alterations that may result from this. Insulin levels depend on these hormone levels. Stress causes some people to overeat, which can contribute to weight gain and worsen diabetes.
Long-term effect of stress on diabetes
Stress can be both acute and chronic. Both may result in a variety of negative consequences, but long-term stress can have detrimental impacts on one’s health. The primary hormonal reaction to stress is mediated by catecholamines and glucocorticoids (GC). These hormones don’t have any negative consequences right away, but over time, they might cause problems with glucose homeostasis. Insulin resistance and type II diabetes may result from this disruption of glucose homeostasis, which can cause persistent hyperglycemia.
Symptoms of stress
Anxiety, depression, headaches, muscular tension, heart disease, heart attack, high blood pressure, stroke, sleep disturbances, weight gain, memory and concentration troubles, and hormonal imbalances are among the many of the health issues that stress can exacerbate.

A person’s waist-to-hip ratio may increase if their hormone levels are out of balance. When there is a greater waist-to-hip ratio, the waist is bigger than the hip. This poses a significant risk for both diabetes and heart disease.
Managing Stress
Individuals respond differently to stressful situations because of things like heredity and life experiences. Comprehending your individual stressors is crucial. It is possible to safeguard both your physical and mental well-being in difficult conditions. The following rules will help you deal with stress:
● Maintaining a healthy diet, having adequate water and engaging in regular exercise, along with proper rest can help you control stress.
● Including relaxation techniques such as yoga, meditation, deep breathing, and massage will help to soothe and calm your stress hormones.
● Adopting a habit of writing journal.
● Adding some leisure time in your daily schedule, making time for music or reading before bed, or watching your preferred television program or film.
● Engaging in conversation with loved ones, and friends. Taking up volunteer work in your society or community.
● Reaching out to a counselor or physician if needed.
● Avoiding unhealthy stress-reduction techniques including abusing drugs, alcohol, tobacco, or overeating.

31, Dec 2024
Overindulgence in food on the occasion of New-Year celebration leads Heart Attack Cases

Mumbai- For a long time, heart attacks and cardiac ailments were believed to affect only ‘seniors’ but in recent times, young people, especially those below the age of 40, are reporting more heart disorders than ever before. The festive season has brought to light shocking instances of young men and women roughly even in their 20s and 30s—suffering from heart attacks in the middle of the celebrations. While playing cricket, celebrating Garba dance, dancing at weddings or family functions and many other occasions many young people suddenly collapse with a heart attack! According to medical research, the incidence of heart attacks spikes during the winter months, particularly around Christmas and New Year. On Holidays routines are disrupted; we may tend to eat and drink more and exercise and relax less. We also may not be listening to our bodies or paying attention to warning signs, thinking it can wait until after the new year. All of these can be contributors to increasing the risk for heart attack at this time of the year,

Giving more information on this Dr. Hemant Khemani, Senior Cardiologist from Apex Group of Hospitals in Borivali says, “While the holidays can be the most wonderful time of the year, they can also be one of the most stressful—especially for the heart. In festivals many people munch fatty & oily (fast food), sweets and higher quantities of alcohol, which can do more damage to your body, especially causing heart problems, also busy holidays can cause you to skip medications, forgetting them when away from home or not carrying them. Excess consumption of salt and alcohol can lead your heart to beat irregularly and cause palpitations, which if ignored can lead to serious heart issues, including heart failure and stroke.”

Dr. Hemant Khemani, Senior Cardiologist from Apex Group of Hospitals further added, Many Festivals celebrated with loud music especially New Year celebration in banquets, party hall, clubs & hotels but When a person who is already facing heart issues and exposed to loud music, his or her heartbeat increases rapidly, just as it goes up while jogging or doing physical exercises. An irregular heartbeat is called atrial fibrillation (AFib) and due to this, there are dangers like heart attack, brain stroke and blood clots. Scientists believe that any activity that increases blood pressure can trigger fibrillation and the same happens with loud noises. The longer you are in atrial fibrillation, the more chance there is to form a stroke, or to develop heart weakness or heart failure from having such a rapid heartbeat.

27, Dec 2024
Rising Childhood Obesity: Urgent Action Needed!

 

By: Dr Mounica Reddy Mandadi, Consultant Pediatric Endocrinologist, Ankura Hospital for Women and Children

Do you find it difficult to control your children from consuming junk food, sugary delicacies etc compared to healthy home cooked meals? It’s quite common to witness children who frequently prefer consuming packaged, unhealthy and oily food rather than eating healthy meals. Apart from that, nowadays, majority of children are constantly working in a high stress related environment (academics) and addicted to electronic gadgets without any physical activities thereby developing obesity at younger ages. Despite awareness generated by educational institutions and healthcare experts, doctors etc, we are unable to reduce the obesity rates in children especially in urban areas in Telangana. Children who developed obesity at younger ages are prone to other critical diseases like Diabetes , Cardiovascular diseases, Gestational ailments, PCOD , hormonal imbalances and many more.

 

 

 As per the latest news reports, the Centre’s Economic Survey 2023-24 — identified Telangana as one of the few states where its people suffer from severe overweight and podgy issues. The National Family Health Survey (NFHS-5) reveals an increase in obesity rates in Telangana, with the proportion of overweight women and men rising to 30.1 percent and 32.3 percent respectively. A study published in the Lancet stated that about 12.5 million children – 7.3 million boys and 5.2 million girls in the country aged between 5 and 19 were grossly overweight in 2022, up from 0.4 million in 1990. Additionally, a comparative study done by Prashant Kokiwar, Sushma Narsing Katkuri on the prevalence of obesity and its correlates among government and private school children in Hyderabad stated that obesity was found in 21.09 percent among private school children and 19 percent in government school children.

 Before we delve into the precautions for tackling obesity in children, let’s discuss obesity, causes and symptoms. Obesity occurs when there is an imbalance between calories consumed and calories burned, leading to excessive fat accumulation.

The causes of Obesity are –
Lifestyle Choices
• High-calorie diets laden with sugary treats, junk food, and baked goods.
• Sedentary activities such as excessive screen time and minimal physical exercise.
Family and Environmental Influences
• Genetic predisposition to obesity, particularly in families with unhealthy eating habits.
• Lack of access to nutritious food in low-income neighbourhoods.
Psychological and Socioeconomic Factors
• Stress from academics and personal issues.
• Overeating as a coping mechanism for emotional challenges.
Medical and Pharmaceutical Causes• Certain medications can lead to weight gain.
Symptoms
Not all children with a higher weight are obese. Body composition and developmental stages differ, making a comprehensive evaluation essential. Body Mass Index (BMI) and growth charts are primary tools used by healthcare providers to assess a child’s weight-related health risks. The common symptoms of children who developed obesity are

1. Physical Symptoms
o Excessive weight gain relative to height and age.
o Increased body fat visible in the arms, abdomen, and thighs.
o Difficulty in participating in physical activities due to fatigue or breathlessness.
o Development of stretch marks on the skin.

2. Behavioural and Health Indicators
o Complaints of joint pain or musculoskeletal discomfort.
o Increased sweating without much physical exertion.
o Signs of low self-esteem, including reluctance to participate in social or school activities.

3. Health Risks
o Elevated Body Mass Index (BMI) beyond age-appropriate levels.
o Indicators of related health issues, such as high blood pressure, pre-diabetes, or abnormal lipid levels.

To combat this escalating childhood obesity, the precautionary measures are

1. Balanced and Nutritious Diet
o Replace junk food, sugary beverages, and fried snacks with fresh fruits, vegetables, whole grains, and lean proteins.
o Practice portion control and avoid overfeeding.
o Reduce consumption of high-calorie, low-nutrient foods such as chips, candies, and processed items.

2. Encourage Regular Physical Activity
o Ensure at least 60 minutes of moderate-to-vigorous exercise daily (e.g., cycling, swimming, or playing outdoor sports).
o Limit sedentary behaviours like TV watching and screen time to less than 2 hours a day.
o Make physical activity fun by involving the entire family in activities like hiking or dancing.

3. Promote Healthy Habits at Home
o Encourage family meals to foster healthy eating patterns and reduce mindless snacking.
o Educate children on making informed food choices, like reading nutrition labels.

4. Manage Academic and Emotional Stress
o Help children balance academics and extracurricular, allowing time for relaxation.
o Teach stress-management techniques like mindfulness, yoga, or deep-breathing exercises.

5. Create a Supportive Environment
o Avoid using food as a reward or punishment to develop a healthy relationship with eating.
o Provide access to safe outdoor spaces for play and exercise.
o Involve schools in promoting physical education programs and offering nutritious meals.

6. Regular Medical Check-Ups
o Monitor growth and BMI during routine health visits.
o Seek guidance from pediatricians or dietitians if your child is overweight or obese.

By integrating these preventive measures into daily life, parents and caregivers can significantly reduce the risk of obesity and its associated health problems in children.