gestational diabetes

Gestational Diabetes

Did You Know?

Pregnant Women Could Get Diabetes (Gestational Diabetes) Despite No Family History

Increasingly common condition affecting pregnant womenin India,is high blood sugar or GESTATIONAL DIABETES (GDM) despite no prior family history. It is estimated that about 4 million women are affected by GDM in India (Ref:Indian J Endocrinol Metab.2015 Nov-Dec; 19(6):701-704).

Gestational diabetes is a temporary form (in most cases) of diabetes in which the body does not produce adequate amounts of insulin to deal with sugar during pregnancy. Pregnant women who have never had diabetes before but who have high blood glucose (sugar) levels during pregnancy are said to have gestational diabetes.

What causes gestational diabetes is unknown, but certain theories link it to the placenta. Hormones from the placenta help the baby develop. But these hormones also block the action of the mother’s insulin in her body. Without enough insulin, glucose cannot leave the blood and be changed to energy. Glucose builds up in the blood to high levels and results in gestational diabetes.

GDM not just influences the mothers body but also affects the baby’s health. Common problems associated would be a bigger head of the baby leading to complications in a normal delivery, higher incidences of jaundice & occasionally respiratory distress in babies.

The good news is that GDM can be prevented and managed well with good care in terms of properly planned diet & exercise. It is important to look for a good Prenatal class which provides you with:

  • Education & awareness about the common pregnancy associated problems
  • Design a safe meal plan to prevent or manage Gestational Diabetes

FabMoms, the Prenatal program from ReLiva, recognizes the seriousness of GDM and its impact on pregnancy and therefore offers holistic programs that offer both planned exercise and nutrition guidance to effectively control gestational diabetes. Make this blissful phase truly sweet with fit & discomfort-free memories of pregnancy rather than cutting on sweets due to Gestational Diabetes.

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managing asthma

Managing Asthma

Managing Asthma

Learning to Breathe Easy

Cold air is a major trigger of asthma symptoms such as wheezing and shortness of breath. People with asthma should be especially careful in winter.

A recent Indian Study on Epidemiology of Asthma, Respiratory Symptoms & Chronic Bronchitis (INSEARCH) suggested around 18 million Asthmatics in India which accounts for 3-38% in children & 2-12% in adults.(ref: Lung India>v.32(Suppl 1);2015 Apr>PMC4405918)

Asthma is a chronic long lasting disease that usually affects the lung which can begin in childhood or adulthood. Without proper care, it can become serious; especially in winters. Asthma patients would usually present with the following symptoms:     

  • Wheezing in the chest (whistling or whirling sound in the chest)
  • Breathlessness either at rest or on activityAsthma symptoms
  • Cough worsening in the night
  • Chest tightness & pain due to continuous coughing

The airways of asthmatics are prone to some inflammatory reaction which narrows the airways. They at times become over sensitive to certain substances like pollens or for that matter even cold air. And when the symptoms suddenly flare up; we commonly term it as “Asthmatic attack”!!

Top tip to prevent or minimise asthmatic episodes:

  • Stay indoors on very cold, windy days. If you do go out, wear a scarf loosely over your nose and mouth.
  • Be extra vigilant about taking your regular medications, and keep reliever inhalers close by
  • Improve your respiratory endurance with breathing exercises, and respirometry
  • Enroll for Pulmonary Rehabwith a physiotherapist, that includes for :
    • Diaphragmatic Breathing
    • Thoracic Expansion &
    • Positioning techniques useful for breathing easily during the episode

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joint pain arthritis physio

Joint Pain: Arthritis?

Joint Pain

Arthritis Could Affect Anyone

Joint pain can occur anytime throughout the year, but in the cold and wet months, you may find it harder to cope with.

Although a change in the weather will not cause arthritis, it can worsen the symptoms”, says Dr SwapnajaJoshi (PT), musculo-skeletal specialist.When we are cold, our body restricts how much blood it sends around extremities, like our hands and feet, so that it can focus on supplying vital organs like the heart and lungs.

This means we lose less heat from blood circulating near the surface of the skin, but it also means the joints get less blood and, for some, this can be painful.

Dr Joshi explains: “Temperature & weather changes can aggravate the symptoms.” You may notice increased knee pain in the rainy or cold weather. Since OA is a degenerative condition; the damage occurred cannot be reversed. But timely intervention in the form of regular exercise or early physiotherapy intervention can arrest degeneration & maintain joint integrity.

Although pain is unpleasant, it’s your body’s way of telling your brain that something is wrong.Pain is a protective mechanism to stop further damage but arthritic pain doesn’t mean you should dive for the blanket and quit exercising altogether.

Remaining active is vital. Don’t let the cold weather put you off – Exercise will help keep your joints supple, which can reduce pain and help you stay independent.

Top tips to manage winter aches & pains:

  • Wrap yourself warm.
  • Stay active. Go for a gentle walk everyday
  • Avoid offending movements in case of existing pain
  • Use your largest and strongest joints and muscles for daily tasks. For example, use a bag with a shoulder strap across your back, rather than holding a case or bag in one hand.
  • Balance rest with activity. Take breaks as and when needed, but avoid resting for lengthy periods, as this can cause muscle stiffness.
  • Practice specific exercises for joints

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shin pain, shin splints

Shin Splints: Those Throbbing Legs

Shin Splints

What to do and How to prevent

Haven’t you ever experienced a strong pain and/or swelling in the legs after a strenuous activity using your lower limb (legs) like running or aerobics? It’s likely that you are experiencing what is known as shin splints. The area of the pain is at the shin. Tibia, popularly known as shin bone is the larger and stronger of the two bones in the leg below the knee, and it connects the knee with the ankle bones.

Running or repetitive weight bearing on the legs may lead to tension on the muscles around the shin bone. This causes swelling (inflammation) of the tissue around the bone, which causes pain.

Running on hard surfaces like concrete,  running on uneven ground, beginning an exercise program after a long , increasing exercise intensity or duration too soon , running in worn out or ill fitting shoes are common causes of shin splints.

What to do?

The treatment of shin splints begins with Rest, Ice, Compression, and Elevation (RICE). All of these should help to decrease the involved inflammation and pain.

Once the pain has subsided, exercise can be resumed, but it must be built up gradually to prevent a recurrence. If the pain resumes, it is best to stop the activity immediately.

How to Prevent Shin Splints?

Check the condition of your shoes. If they look worn out, or don't give you the support they once did, get a new pair.

 Strengthen calf muscles of your legs.

 Introduce any changes to your activity level gradually.

Mix high-impact exercises like running with low-impact exercises like swimming.

 Warm up before exercise and stretch after a strenuous activity. This will also help you feel less sore the next day.




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COPD Lung problem

Coughing Hard: Finding Relief for COPD

Coughing Hard?

Finding relief from COPD

Winters are on their way and we are sure you must be waiting for those mornings under your cozy quilts. But these winters are also responsible for aggravation of many pulmonary conditions like asthma, bronchitis, emphysema etc. So let's understand the big umbrella  comprising of these lung conditions.

Do you feel breathless with the change in temperature? Many people mistake their breathlessness & coughing as a part of normal ageing. It's detrimental to take notice of long standing symptoms of cough & breathlessness. These could be the symptoms of progressive lung diseases which fall under the broad category of COPD i.e Chronic Obstructive Pulmonary Diseases.

Cigarette smoking is far away the leading cause of COPD. It may also be caused by inhaling pollutants & is common in workers working in industries leading to secondary inhalation of fumes. At times COPD can also be genetic.

Attending your symptoms on time & visiting a good Chest Physician/ Pulmonologist will help you diagnose the condition & take the necessary measures.

Living with COPD can be stressful but small changes can make a bigger impact on the disease:.

Following tips will help you live better with COPD:

  • Understand your lungs
  • Oxygen therapy & medications (as prescribed)
  • Pulmonary Rehab & special breathing exercises (Read more about pulmonary physiotherapy)
  • Staying healthy & avoiding exacerbations
  • Quit smoking & related aggravating factors

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