Which Sweetener Is the Best for Diabetics
18 Oct 2024
8 minutes
Finding The Right Diabetic Option: Sugar-Free, Jaggery, or Refined SugarEver thought which sweetener is the best for your health? Should you go for refined sugar, honey or jaggery? The choice of sweet musing can impact how well you could tackle diabetes.    In this blog, we’ll explore the nutritional values, glycemic effects, and overall health implications of these sweeteners. Whether you’re trying to satisfy your cravings for sweets healthily or to keep your blood sugar levels in check, understanding these differences can help.   WHICH SUGAR IS BETTER FOR DIABETICS?   When it comes to sweetening your food, it’s important for people with diabetes [https://www.mrmed.in/health-library/diabetes/common-side-effects-of-diabetes] to consider their options carefully. Here’s a breakdown of the choices available:   1. Refined sugar   * Types: Common types include white sugar (sucrose) and high fructose corn syrup. * Impact on blood sugar: It is a bad choice for diabetics as it causes rapid spikes in blood glucose levels. * Calories: It is high in calories with zero nutritional value, which results in weight gain and an increased risk of diseases. * Things to know: Regular consumption of refined sugar can cause various health difficulties. Try to reduce or cut your intake as much as you can.   2. Jaggery   * Type: Jaggery is made by evaporating water from sugarcane or palm sap. After that, it’s solidified, packaged, and sold for people to enjoy. * Impact on blood sugar: Jaggery has a lower glycemic index when compared to refined sugar, but it can still increase blood sugar levels [https://www.mrmed.in/health-library/health-care/know-your-blood-sugar-numbers]. * Calories: It has fewer calories than refined sugar. Still, it has many nutrients that refined sugar misses out. * Things to know: “Moderation is the key,” especially for diabetics. It is important to consult your dietician to determine the correct amount.   3. Sugar-free   * Type: Sugar-free sweeteners contain artificial sweetening agents (like aspartame and sucralose) and natural alternatives (such as stevia and monk fruit). * Impact on blood sugar: It does not have any notable effect on blood sugar levels, which makes them the best choice for diabetics. * Calories: Usually have zero to low calories, which helps with weight management. * Things to know: Certain sugar alcohols can cause digestive discomfort. Always choose reputable brands and make sure to read the labels carefully to avoid unhealthy additives.   IS JAGGERY BETTER THAN SUGAR FOR DIABETICS?   Compared to sugar, which has a GI of 65, jaggery has a high GI value of 84. It's unexpected, isn't it? Jaggery is not a good substitute for sugar for diabetics because it can still cause sugar rises when consumed in amounts comparable to or greater than sugar. Ultimately, “excess of anything is bad.”  So always keep an eye on the quantity as “excess of anything is bad.”   DOES REFINED SUGAR HAVE ANY BENEFITS?   While refined sugar is often criticised, it does offer some advantages:   * Availability: Refined sugar is easily available in any grocery store, making it easily accessible. * Taste satisfaction: It has a constant sweetness that makes it taste better, improving the flavours of foods and drinks. * Texture and flavour: Useful while making recipes which give a texture and taste. * Quick energy source: It can be a quicker energy source, but it can also cause a sudden rise in blood sugar levels.   WHAT ARE THE BENEFITS OF JAGGERY IN DIABETES MANAGEMENT?   Here are some benefits of jaggery in diabetes management:   * Nutritional content: It contains more minerals than refined sugar. * Natural sweetener: It is a natural sweetener that is less processed than refined sugar. * Cultural acceptance: It is commonly used in many traditional recipes, making it a comfortable option to consider. * Unique flavour: It has a unique taste, and sometimes people prefer jaggery over refined sugars.   WHAT ARE THE BENEFITS OF SUGAR-FREE SWEETENERS IN DIABETES MANAGEMENT?   Sugar-free sweeteners can play a significant role in diabetes management, offering several advantages:   * Blood sugar management: It has minimal to no effects on blood sugar levels, making it a better choice for diabetics. * Calorie management: Low to zero-calorie options help with overall calorie intake and weight management. * Dental health: It does not cause any tooth decay [https://www.mrmed.in/health-library/health-care/common-causes-cavities], which is beneficial for overall health. * Variety: Available in different forms and flavours, offering options to choose from without compromising health.   WHAT ARE THE HARMFUL EFFECTS OF REFINED SUGAR IN DIABETES?   Refined sugar can pose several risks for those with diabetes:   * Blood sugar spikes: Quickly raises blood glucose levels, which can lead to hyperglycemia. * Empty calories: Lacks essential nutrients, contributing to poor overall health without any real benefits. * Insulin resistance: Frequent consumption can increase the risk of insulin resistance over time. * Increased cravings: This can create a cycle of cravings, making it hard to resist more sugary foods.   WHAT ARE THE HARMFUL EFFECTS OF JAGGERY IN DIABETES?   While often considered healthier, jaggery has its drawbacks for diabetics:   * Higher glycemic index: Despite some nutrients, it can still cause significant spikes in blood sugar. * Caloric density: Contains more calories than refined sugar, which can result in weight gain if not used carefully. * Limited benefits: The minerals it offers don’t outweigh its potential to raise blood sugar levels. * Need for moderation: Even though it’s natural, portion control is important to avoid negative effects on blood sugar.   WHAT ARE THE DISADVANTAGES OF SUGAR-FREE SWEETENERS IN DIABETES MANAGEMENT?   Sugar-free sweeteners can also have their downsides:   * Digestive issues: Some sugar alcohols can cause bloating and discomfort for some people. * Taste variability: Not everyone enjoys the taste of artificial sweeteners, which can be a letdown. * Overconsumption risk: The idea that they’re "calorie-free" might lead to using them in excess. * Uncertain long-term effects: Some studies raise questions about potential health risks from certain artificial sweeteners.   AN OVERVIEW OF NUTRITIONAL VALUES OF SWEETENERS   The nutritional value of 100gms of refined sugar, jaggery & sugar-free sweeteners are:    Sweetener  Type CaloriesCarbohydratesSugarsFiberProteinFatVitamins & MineralsRefined Sugar387 kcal100g100g0g0g0gNoneJaggery383 kcal98g97g0g0.4g0gContains small amounts of iron, calcium, potassium, magnesium Sugar-Free Sweeteners (Depends on the sweetener) Stevia: 0-1 Erythritol: 0.2 Aspartame: 4 0-100g    0-100g0-100g0-100g0-100gsome may contain small amounts of minerals or be fortified   While sugar-free sweeteners may appear to be the best option, they can contain artificial ingredients. Choose reputable brands and read labels carefully before purchasing.   IS HONEY GOOD FOR DIABETICS?    Honey can be enjoyed by diabetics in moderation, but it still raises blood sugar levels due to its natural sugars. It has a lower glycemic index than refined sugar, which indicates it may cause a slower rise in blood sugar.    An article [https://nutrisci.med.utoronto.ca/news/sweet-honey-reduces-cardiometabolic-risks-u-t-study-shows] about honey and its effect on cardiometabolic risk factors stated that honey has been shown to lower fasting blood glucose levels, total cholesterol, LDL (the "bad" cholesterol), triglycerides, and a marker associated with fatty liver disease [https://www.mrmed.in/health-library/liver-care/liver-disease-awareness]. Additionally, it can increase HDL (the "good" cholesterol) and some markers related to inflammation.   However, it’s essential to account for the carbohydrates in honey as part of your overall diet. Always consult with a healthcare professional before incorporating it into your meal plan.   WHAT ARE THE BEST SUGAR SUBSTITUTES FOR DIABETICS?   When it comes to sweetening your food without the sugar spike, here are some of the best options for diabetics:   1. Stevia   This natural sweetener comes from the leaves of the stevia plant. It has zero calories and won’t affect your blood sugar levels. You can find it in liquid, powder, or granulated forms, making it a versatile choice for drinks and recipes.   2. Erythritol   A sugar alcohol found in some fruits, erythritol is low in calories and has minimal impact on blood sugar. Most people tolerate it well without digestive issues. It’s great for baking and can be used in many dishes.   3. Sucralose   You probably know this one as Splenda. It’s calorie-free and holds up well in cooking and baking, so it’s perfect for both hot and cold dishes.   4. Acesulfame-potassium   Often labelled as Sunett or Sweet One, this sweetener is also calorie-free and commonly found in sugar-free drinks and baked goods. It’s usually blended with other sweeteners for a better taste.   5. Aspartame   You might recognise this sweetener from brands like Equal or NutraSweet. It’s low in calories but not suitable for cooking since heat can break it down. People with phenylketonuria (PKU) should avoid it.   6. Monk fruit sweetener   Made from monk fruit, this sweetener is a newer option that offers zero calories and doesn’t affect blood sugar. It’s often mixed with other sweeteners to enhance flavour and can be used in various recipes.   EXPERTS INSIGHTS   Dr V Mohan, Chairman of Dr Mohan’s Diabetes Specialities Centre, Chennai, said, “While it may be true that some types of honey may be beneficial for select populations where carb intake is low, we may not be able to access such curated honey everywhere.    In our experience, honey in India is intensely sweet. Even people without diabetes can just about tolerate small quantities of honey or sugar. But we cannot say that it is beneficial long-term. Ultimately, it can cause blood sugar levels to spike, especially when a person uses honey in addition to, rather than instead of, another form of sugar.”    WRAPPING UP   When it comes to sugar-free options, refined sugar, and jaggery for diabetics, it’s all about balance. Sugar-free products can be sneaky, and refined sugar is best avoided. Jaggery has some perks but still has sugar, so enjoy it in moderation. Always consult your healthcare professional to find what works best for you!    "Moderation is key; a little sweetness can go a long way."   REFERENCES   1. https://www.sciencedirect.com/science/article/pii/S2772566922000477 [https://www.sciencedirect.com/science/article/pii/S2772566922000477] 2. https://diabetesjournals.org/care/article/26/4/1008/23749/A-Prospective-Study-of-Sugar-Intake-and-Risk-of [https://diabetesjournals.org/care/article/26/4/1008/23749/A-Prospective-Study-of-Sugar-Intake-and-Risk-of] 3. https://pmc.ncbi.nlm.nih.gov/articles/PMC4899993/ [https://pmc.ncbi.nlm.nih.gov/articles/PMC4899993/] 4. WHO calls on countries to reduce sugars intake among adults and children [https://www.who.int/news/item/04-03-2015-who-calls-on-countries-to-reduce-sugars-intake-among-adults-and-children] 5. https://www.artinci.com/blogs/news/is-jaggery-a-good-alternative-sweetener-for-diabetics-fact-or-a-myth-lets-find-out?srsltid=AfmBOord3X-y-ZGMM6LSJqaKAfpujEEHtjD4gt7Ilvs6_yDpyLZfS5qg [https://www.artinci.com/blogs/news/is-jaggery-a-good-alternative-sweetener-for-diabetics-fact-or-a-myth-lets-find-out?srsltid=AfmBOord3X-y-ZGMM6LSJqaKAfpujEEHtjD4gt7Ilvs6_yDpyLZfS5qg]   Note: The information provided in this blog is intended for general knowledge. It is important to remember that it should not replace professional medical advice. If you have any concerns about diabetes or related symptoms, please consult a healthcare provider.
Dr Deva Prasath S
The Personalized Patch for Diabetes Management
8 Oct 2024
5 mins
Your Blood Sugar, Your Way: The Personalized Patch for Diabetes ManagementHave you noticed a small patch on Katrina Kaif's arm in her recent photos? That’s not a fashion statement; it’s the Ultrahuman M1 Glucose Monitoring Patch, a cutting-edge tool in diabetes care. Celebrities and even common people like us are turning to this painless blood sugar monitoring device for personalised and hassle-free diabetes management. If this tiny gadget can simplify diabetes [https://www.mrmed.in/health-library/diabetes/common-side-effects-of-diabetes] care for a star like Katrina, imagine what it could do for you. Curious about how this technology works? Let’s look at the future of diabetes management!   WHAT IS A GLUCOSE MONITORING PATCH?   A glucose monitoring patch is a small, wearable device or tool that continuously monitors your blood sugar levels [https://www.mrmed.in/health-library/health-care/know-your-blood-sugar-numbers]. It works through a tiny sensor inserted just beneath the skin, which measures glucose in your interstitial fluid (the fluid around your cells) rather than your blood directly. This sensor then sends glucose readings to an app or device, so you can track your sugar levels in real-time.   These continuous glucose monitoring (CGM) devices remove the need for finger-pricking, providing a painless solution for tracking your blood glucose levels. They're perfect for anyone who wants a less invasive way to monitor their health, including kids with diabetes or those with needle anxiety. It's a personalised, user-friendly, and efficient tool to stay on top of your diabetes.   HOW IS TECHNOLOGY USED IN DIABETES CARE?   The collab of technology with diabetes management has been a game-changer. Wearable diabetes devices are now more advanced than ever, providing real-time data and insights that help individuals make informed decisions about their health. These devices are often connected to mobile apps, giving you easy access to your glucose levels at any time.   With diabetes technology evolving rapidly, you can expect improved accuracy, convenience, and even affordability. Some patches can alert you when your sugar levels are too high or low, providing an extra layer of safety and convenience, especially when you're asleep or too busy to check manually.   WHAT MAKES GLUCOSE MONITORING PATCHES BETTER THAN TRADITIONAL METHODS?   Traditional glucose monitoring methods often involve multiple daily finger pricks, which can be painful, inconvenient, and, for some, a source of anxiety. Here’s how a glucose monitoring patch offers an improved experience:   * Painless: Say goodbye to the needle pain with a painless blood sugar monitoring patch. * Continuous monitoring: Instead of checking your levels a few times a day, a CGM provides constant monitoring, making it easier to catch fluctuations. * Real-time insights: Track your sugar levels at any moment and understand how food, exercise, and medication affect your body in real time. * Personalised care: Get data that allows you to tweak your treatment plan based on your individual needs. * Wearable convenience: These wearable diabetes devices are small, comfortable, and discreet. You can wear them throughout your daily routine without them being noticeable or disruptive.   WHO CAN BENEFIT FROM USING GLUCOSE MONITORING PATCHES?   Whether you have type 1 or type 2 diabetes [https://www.mrmed.in/health-library/diabetes/prevention-type-2-diabetes], anyone can benefit from using a blood sugar monitoring patch. These devices are especially helpful for those:   1. Managing type 1 diabetes: It requires frequent monitoring, and a glucose sensor patch makes this easier, providing continuous data without the need for multiple finger pricks. For families, finding the best glucose monitoring patch for type 1 diabetes is vital to ensuring their loved ones stay safe and in control.   2. Managing type 2 diabetes: Those with type 2 diabetes often need to make lifestyle changes like adjusting diet and exercise. Using personalised glucose monitoring for type 2 diabetes allows them to understand how these changes affect their blood sugar levels.   3. Children with diabetes: For kids, constant pricking can be overwhelming and stressful. A painless CGM for children with diabetes offers an easier and less invasive solution, making diabetes management smoother for both the child and their caregivers.   4. Those seeking affordable options: While CGM devices were once quite expensive, there are now affordable glucose monitoring patch options available, making this innovative technology accessible to a wider range of people.   WHAT ARE THE BENEFITS OF DIABETES MANAGEMENT APPS?   Modern glucose monitoring patches come equipped with app integration, making it easier to stay on top of your health. These wearable diabetes devices with app integration send your glucose data directly to your smartphone or tablet. This provides you with graphs, trends, and even alerts when your sugar levels are out of range.   Having access to your glucose levels on an app simplifies the process of sharing data with your doctor, allowing them to fine-tune your treatment plan based on the data from your continuous glucose monitoring.    Here are some popular patches that offer app integration:   1. Ultrahuman M1 – Tracks real-time glucose levels.   2. FreeStyle Libre – Continuous monitoring without finger pricks.   3. Dexcom G6 – Offers personalised alerts.   4. Medtronic Guardian Connect – Predictive alerts for glucose trends.   5. Eversense CGM – Long-term implantable glucose sensor.   These tools simplify data sharing with doctors and help track meals, exercise, and trends effectively.   ARE GLUCOSE MONITORING PATCHES EASY TO USE?   Yes, they are! Glucose monitoring patches are designed to be simple, even for those who are not tech-savvy. The patches are small and easy to apply. Once the glucose sensor patch is placed on your skin, it continuously monitors your glucose levels without requiring any further input from you. The data is automatically sent to the connected app, providing seamless and effortless glucose tracking.   With painless blood sugar monitoring, you no longer need to stop your day to manually check your blood sugar levels. This makes managing diabetes more convenient and less stressful, allowing you to focus on living your life.   FREQUENTLY ASKED QUESTIONS (FAQS)   1. HOW DOES A CONTINUOUS GLUCOSE MONITORING PATCH WORK?   A CGM patch works by using a small sensor inserted just under the skin, which measures glucose levels in the interstitial fluid. This data is then sent to a device or app, where you can monitor your glucose levels in real-time.   2. CAN CHILDREN WITH DIABETES USE A CGM PATCH?   Yes, many painless CGM patches are designed with children in mind. They offer a less invasive way to monitor glucose levels, which can make managing diabetes easier and less stressful for children and their caregivers.   3. ARE GLUCOSE MONITORING PATCHES AFFORDABLE?   While some high-end CGM devices can be costly, there are increasingly affordable glucose monitoring patch options available, making this technology more accessible to those who need it.   4. HOW DO I CHOOSE THE BEST GLUCOSE MONITORING PATCH FOR TYPE 1 DIABETES?   The best glucose monitoring patch for type 1 diabetes is the one that provides accurate, real-time data, integrates with an app, and fits comfortably into your lifestyle. It's best to consult your healthcare provider to find the patch that’s right for your needs.   ENDING NOTE!   Glucose monitoring patches are truly the future of diabetes care! These small, wearable devices make it super easy to track your blood sugar inreal timee without the hassle of finger pricks. With features like continuous monitoring and app integration, managing diabetes is becoming more convenient and painless. Whether you have type 1 or type 2 diabetes, these patches give you more control over your health, and as affordable options become available, they're more accessible than ever. It's about making diabetes care simple and stress-free!   REFERENCES   1. https://www.hindustantimes.com/lifestyle/health/is-that-a-diabetes-monitor-patch-on-katrina-kaifs-arm-know-all-about-this-tiny-but-helpful-medical-device-101728040526469.html [https://www.hindustantimes.com/lifestyle/health/is-that-a-diabetes-monitor-patch-on-katrina-kaifs-arm-know-all-about-this-tiny-but-helpful-medical-device-101728040526469.html] 2. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755044/ [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755044/] 3. https://www.matellio.com/blog/diabetes-management-app-development/ [https://www.matellio.com/blog/diabetes-management-app-development/]
Sakshi Anil More
Blood Group and Diabetes Risk: What You Need to Know
23 Aug 2024
8 mins
Can your blood group type help predict diabetes? An essential guideDo you think your blood's only role is to transport vital oxygen and nutrients throughout your body? It might surprise you to know that certain blood types can increase the risk of developing diabetes. While we all know traditional risk factors such as diet, genetics, physical inactivity, cholesterol, and blood pressure, understanding your blood group type might present a new perspective on predicting, preventing, and managing this condition.    IS DIABETES CONSIDERED A SILENT KILLER?   Diabetes mellitus is a metabolic disorder characterised by elevated glucose levels (blood sugar) in the body. This condition often leads to various side effects and long-term health complications. Insulin, a hormone crucial for transporting sugar from the bloodstream into your cells for energy, is either produced in insufficient amounts or not effectively utilised in diabetes. As a result, glucose remains in the blood rather than being used by the cells, leading to persistent high blood sugar levels.   WHAT ARE THE COMMON SYMPTOMS OF DIABETES? The symptoms of diabetes [https://www.mrmed.in/health-library/diabetes/common-side-effects-of-diabetes] include    * Frequent urination * Numbness or tingling in your hands or feet * Unexplained weight loss * Blurred vision * Fatigue * Dry mouth and increased thirst * Slow-healing of sores or cuts * Frequent skin and vaginal yeast infections   WHAT IS THE LINK BETWEEN BLOOD TYPE AND DIABETES RISK?   Blood type, determined by the ABO and RhD systems, could be more important in your health than you might think. Your blood group might affect how your body handles glucose and insulin, the hormones responsible for regulating blood sugar levels [https://www.mrmed.in/health-library/health-care/know-your-blood-sugar-numbers]. According to recent research, different blood types may be connected with an increased or decreased risk of developing type 2 diabetes [https://www.mrmed.in/health-library/diabetes/prevention-type-2-diabetes].   WHICH BLOOD GROUP IS PRONE TO DIABETES?   While blood type may play a role, it is a minor factor compared to well-known risk factors like diet, exercise, and genetics. A study [https://link.springer.com/article/10.1007/s00125-014-3472-9] conducted by researchers from INSERM and affiliated institutions found that   * Women with blood type "A" are 10% more likely to develop type 2 diabetes than those with blood type "O." * Women with blood type "B" had a 21% higher risk of developing type 2 diabetes than those with blood type "O." * Blood type "O" is linked to reduced levels of insulin resistance, which is a major risk factor for diabetes.   This is because blood type “O” has lower levels of insulin resistance, which is a crucial factor in developing diabetes. However, this study was conducted on females. These results may or may not apply to men.   WHICH BLOOD GROUP IS INSULIN RESISTANT?   Insulin resistance is a complex condition where your body’s cells don’t respond properly to insulin, which can lead to increased blood glucose levels.   Research [https://www.actamedicamediterranea.com/archive/2017/medica-6/there-is-a-relation-between-blood-subgroups-and-insulin-resistance/document] conducted at Kayseri Training and Research Hospital indicates that.    * Blood type "A" is more prone to insulin resistance. * Blood type "O" is less prone to insulin resistance. * Blood type A Rh(+) shows a significantly higher prevalence of insulin resistance.   This study identifies a link between blood types and insulin resistance. This might be due to the way certain blood types interact with insulin and glucose metabolism.   WHAT ARE THE RISK FACTORS FOR DIABETES?   The risk factors for diabetes are important in the prevention and management of the condition. The risk factors include   * Genetics * Auto-immune conditions * Exposure to viruses such as Enteroviruses and Rubella Virus * Age * Obesity [https://www.mrmed.in/health-library/cancer-care/obesity-symptoms-side-effects] * Physical inactivity * Blood pressure [https://www.mrmed.in/health-library/hypertension/low-blood-pressure-causes-effects-heart]   IS BLOOD GROUP A RISK FACTOR FOR DIABETES?   A comprehensive approach is essential when evaluating diabetes risk. While certain blood groups can be a risk factor, they should not be the only focus. Diabetes risk is significantly influenced by lifestyle factors such as a good diet [https://www.mrmed.in/health-library/health-care/benefits-of-eating-healthy], regular exercise, and weight management. The blood group is just one piece of the puzzle.    BLOOD GROUP-RELATED HEALTH COMPLICATIONS   A study published in the Journal of Thrombosis and Haemostasis [https://onlinelibrary.wiley.com/doi/full/10.1111/jth.12507] found that people with blood type “AB” have nearly double the risk of stroke [https://www.mrmed.in/health-library/heart-care/stroke-causes-types-symptoms-treatment] compared to those with blood type O. This research, part of the REGARDS Study, involved over 30,000 participants and linked to higher stroke risk in non-diabetic individuals with blood type AB.  CAN BLOOD GROUPS HELP IN DIABETES PREVENTION? While knowing your blood type might offer some insights into your diabetic risk, it should be part of a broader prevention plan. Maintaining a healthy lifestyle [https://www.mrmed.in/health-library/diabetes/diabetes-exercise-diet-lifestyle] is the most efficient way to reduce the risk of diabetes. This includes regular physical activity, a balanced diet, and maintaining a healthy weight. Making certain lifestyle changes can significantly reduce the risk of diabetes, such as   1. Maintain a healthy weight: Weight loss can reduce the risk of diabetes. To prevent the condition from progressing, the American Diabetes Association advises prediabetics to lose 7% to 10% of their body weight. Being obese [https://www.mrmed.in/health-library/health-care/world-obesity-day] can double the risk of diabetes.  2. Physical activity: Has various benefits, such as   * Lower your blood sugar levels * Reduce weight * Boost your sensitivity to insulin — which helps regulate blood sugar within a normal range.   3. Healthy diet: Eating a diet that is rich in proteins and minerals not only helps with diabetes but also enhances the overall well-being of an individual.  Consider a fibre-rich diet, which can help in   * Reducing the absorption of fat and cholesterol * Slowing down the absorption of sugar and reducing blood sugar levels * Managing Inflammation and Blood Pressure to Improve Heart Health [https://www.mrmed.in/health-library/heart-care/how-to-keep-heart-healthy] Stay away from "bad carbohydrates" such as processed meals, food that is rich in sugar, white bread, pastries, and fruit juices.   It is important to begin with regular screenings if you want to take charge of your diabetes risk. Make an appointment for a blood sugar test with your healthcare provider as soon as possible if it has been a while since your last checkup. Diabetes may be managed and prevented effectively with early detection.  CAN BLOOD GROUPS HELP IN DIABETES TREATMENT?   Knowing your blood type can be beneficial when treating diabetes. It can help tailor certain treatment strategies or provide an overview of how you might respond to different medications. However, treatment decisions should always be made after discussing with healthcare professionals.   PERSONALISED TREATMENT APPROACHES Personalised treatment approaches optimise diabetes management by considering various factors, including blood type. For example, individuals with different blood types might respond differently to certain medications or dietary interventions.    Knowing your blood type can help healthcare professionals to make more accurate choices regarding your treatment plan.   WHAT IS THE ROLE OF THE DOCTOR IN DIABETES? Healthcare professionals play an important role in managing diabetes. They can personalise your treatment plan based on an evaluation of your health condition, including blood type, lifestyle factors and medical history. Working with your healthcare team can help in effective treatment and support for managing diabetes.   PROFESSIONALS INSIGHTS   Dr. Kotwal says, “The call for action for a 20-year-old male whose waist circumference is more than 80 centimetres and for a woman whose waist circumference is more than 90 centimetres, or if there is one family member with diabetes, that family member could be a father, mother, or a relative, is to get screened. If both parents are diabetic, the risk is 90%, and if one parent is diabetic, it is 70%. On the other hand, if one relative is diabetic, the risk is 40%.”   Dr Kotwal states, “One factor which really impacts is weight gain. After 10 years of age, individuals exceeding the 85th percentile are considered overweight, and those surpassing the 95th percentile are classified as obese. All these individuals are at risk of developing diabetes,” FREQUENTLY ASKED QUESTIONS (FAQS)   1. Is blood type O safe from diabetes?   Individuals with blood type O have a lower risk of developing diabetes when compared with blood groups A and B.   2. What is the most common blood type for diabetics?   Blood type A might be associated with a higher risk of developing type 2 diabetes compared to blood type O, which is linked to a lower risk. However, blood type is just one factor among many that influence diabetes risk.   3. Is blood type O the healthiest?   Blood type O has a decreased risk of developing heart conditions and diabetes when compared to blood types A and B.     4. Can blood groups prevent diabetes?   No, blood groups cannot prevent diabetes, but certain blood types like A and B can increase the risk of acquiring diabetes.    5. What diseases are associated with blood type O?   The blood type has an increased incidence of plague, tuberculosis,  and cholera. WRAPPING UP   While blood type influences diabetes risk, it should not be the primary focus. Studies have shown that blood types such as A and B might have an increased risk of developing insulin resistance and diabetes, while blood type O has less risk compared to both.    Ultimately, maintaining a healthy lifestyle—through a balanced diet, regular exercise, and weight management—is crucial in reducing diabetes risk. Regular screenings and consultations with doctors are essential for early detection and personalised treatment. Blood type knowledge can complement traditional methods but should not replace standard preventive measures and treatments.   REFERENCES   1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4621172/ [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4621172/] 2. https://pubmed.ncbi.nlm.nih.gov/3142337/ [https://pubmed.ncbi.nlm.nih.gov/3142337/] 3. https://pubmed.ncbi.nlm.nih.gov/13304326/ [https://pubmed.ncbi.nlm.nih.gov/13304326/] 4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8712191/ [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8712191/] 5. https://ashpublications.org/blood/article/115/23/4635/27755/The-relationship-between-blood-groups-and-disease [https://ashpublications.org/blood/article/115/23/4635/27755/The-relationship-between-blood-groups-and-disease]   Note: The information provided in this blog is intended for general knowledge. It is important to remember that it should not replace professional medical advice. If you have any concerns about diabetes or related symptoms, please consult a healthcare provider.
Dr Deva Prasath S
How to manage diabetes with life style changes
5 Jun 2024
5 mins
5 Best Approaches to Managing Diabetes: Diet, Exercise, and MoreDiabetes is a commonly occurring condition in most people these days. In diabetes, the blood sugar (glucose) level in an individual’s body is higher than normal. Diabetes occurs when the pancreas fails to produce enough amount of insulin or doesn’t make any at all. It may also occur if the body of the patient does not respond to insulin properly. There are two major forms of diabetes [https://www.mrmed.in/health-library/diabetes/world-diabetes-day]: Type 1 diabetes and Type 2 diabetes. Both of these common types of diabetes are lifelong conditions that require proper treatment and management.   Type 1 Diabetes: This type of diabetes is an autoimmune condition in which the immune system acts on the insulin-producing cells in the pancreas and destroys them. As a result of the immune system attack, the pancreas produces little or no insulin. Type 1 diabetes is also known as insulin-dependent diabetes.    Type 2 Diabetes: This type of diabetes is the most common type of diabetes. A person is diagnosed with type 2 diabetes when their body fails to produce sufficient insulin or when the body fails to respond to the insulin in the body. The risk of developing type 2 diabetes [https://www.mrmed.in/health-library/diabetes/prevention-type-2-diabetes] is high in the following people,    * Who are obese * Leading a sedentary lifestyle * Eating processed foods, sugary foods, saturated fats and high-carbohydrate foods * Taking certain medications like corticosteroids (long-term use) * Having certain hormonal disorders like hypothyroidism * Having chronic stress * Lacking quality sleep   TREATMENT FOR DIABETES    The treatment for diabetes depends on the type of diabetes, age, and overall health of the patient. Treatments for diabetes management [https://www.mrmed.in/health-library/diabetes/common-side-effects-of-diabetes] include a combination of blood sugar monitoring, medications or insulin, and healthy lifestyle changes such as a diabetic diet and exercise.    WHY ARE LIFESTYLE CHANGES FOR DIABETES IMPORTANT?   Diabetes is a chronic lifelong condition. When not managed properly, diabetes can pose a serious risk to health. Hence, healthy lifestyle changes for diabetes are important to manage the condition in the long run, prevent the risk of other conditions and have an improved quality of life. People with type 1 diabetes and type 2 diabetes may experience symptoms like increased thirst, fatigue, frequent urge to pee, dry mouth, weight loss, etc.    If diabetes is not managed well, in the long term, it may increase the patient’s risk of developing various other conditions. Hence, along with proper medications, lifestyle changes for diabetes are also needed. Some of the complications that can occur due to diabetes include:   1. Cardiovascular diseases, such as stroke, atherosclerosis, coronary artery disease, and heart attack 2. Nephropathy that can cause kidney failure or the need for a kidney transplant. 3. Kidney problems requiring dialysis 4. Diabetic Retinopathy (eye damage) 5. Diabetic Neuropathy (nerve damage) 6. Skin and mouth conditions 7. Hearing loss 8. Foot damage 9. Sexual dysfunctions 10. Gastroparesis 11. Mental health problems   LIFESTYLE CHANGES FOR DIABETES MANAGEMENT    5 strategies to help you manage your diabetes better!   While medications, insulin therapy, and blood sugar monitoring are important to manage your diabetes, they cannot be effective if you don’t make healthy lifestyle changes. To manage your diabetes, reduce the risk of developing other health complications, and improve the quality of your life, and it is important to follow a healthy lifestyle along with your doctor-prescribed treatment. Here’s a list of 5 lifestyle changes that can help you manage your diabetes well,    1.  A DIABETIC DIET  A diabetic diet [https://www.mrmed.in/health-library/diabetes/diabetic-diet-plan] may sound fancy, but it is not what it sounds like. A diabetic diet, in simple terms, is a list of foods that you must and must not eat with diabetes. Even in the case of a non-diabetic patient, the food they eat affects their blood sugar levels in the body, let alone in a person with diabetes. Individuals with diabetes have to eat more mindfully to ensure their blood sugar levels are in check.    Because what you eat has a direct effect on your blood sugar levels. Controlled portion sizes and healthy foods make up for the most important aspects of a diabetic diet. But, with the availability of so many options, finding the right foods to eat with diabetes may be challenging. Hence, it is best to consult a dietician to understand what your body needs if you have diabetes. Your dietician will provide you with the right diet chart, depending on your case, to ensure your health is not compromised.    In general, individuals having diabetes must include the following foods in their diabetic diet,    * Plenty of vegetables * Foods high in fiber, like legumes, chickpeas, vegetables, and whole grains * Healthy fats like walnuts, flax seeds, extra virgin olive oil, etc * Whole-grain foods * Fat-free /low-fat yogurt, milk, and cheese * Protein-rich foods like beans, lentils, lean meat, and seafood   LIST OF LOW GLYCEMIC INDEX (GI) FOODS TO EAT IN DIABETES    Foods that have a low Glycemic Index (GI) cause gradual release of glucose in the bloodstream and help regulate blood sugar levels.   * Spinach * Yogurt * Cabbage and cauliflower * Barley * Lentils * Chickpeas * Nuts and Seeds * Curd * Tomatoes   Foods to avoid if you have diabetes include the following,   * Foods rich in sugar like ice creams, desserts, sugar-rich cereals * Foods with a high glycemic index (GI), such as white rice and potatoes * Processed foods like packaged items (chips and biscuits) * Processed red meat * Foods rich in saturated fats * Alcoholic beverages * Foods high in sodium * Trans fats * Refined carbohydrates such as pasta, pastries, and white bread   2.  EXERCISING REGULARLY    A very powerful way of managing weight and diabetes is exercising. Exercising regularly helps in improving insulin sensitivity, lowering blood sugar levels, and managing weight. To manage diabetes, a gym or high-intensity workout is not necessary. A normal every day workout of 30 minutes daily is enough.    If you have diabetes, then you can add physical activity to your everyday life by incorporating exercises like walking, jogging, yoga, or cycling. As a diabetic patient, your aim should be to add at least 150 minutes of exercise in a week. Regular exercising will also reduce your risk of getting heart disease and will help you manage stress better.   3.  MANAGE STRESS   One of the most common risk factors for various health conditions is stress. When you are stressed, the blood sugar levels in your body shoot up. Stress can make it difficult to manage diabetes. Hence, an important strategy for effective management of diabetes is stress management. Additionally, stress also impacts sleep and mental health, both of which can make diabetes worse.    To manage and relieve stress, you can practice yoga and deep breathing exercises, enjoy your favorite hobby, journal, listen to music, or meditate. If you are extremely stressed, then it is best advised to seek help from a professional such as a counselor or a psychologist to understand the root cause of your stress better and address it to improve your mental health.    4. MAINTAIN A HEALTHY WEIGHT    Obesity or overweight is a huge risk factor for developing type 2 diabetes. Being overweight also increases the risk of developing heart disease. To maintain a healthy weight, a combination of a diabetic diet, exercise, and stress management is required. Avoid alcohol consumption and quit smoking, as both of these habits can further worsen diabetes and your overall health.    5. QUALITY SLEEP   One of the most overlooked aspects of diabetes management is quality sleep. A study revealed that quality sleep is essential [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693913/#:~:text=Sleep%20is%20essential%20for%20controlling%20how%20the%20body%20uses%20glucose,developing%20diabetes%20and%20insulin%20resistance.] to control how our body uses glucose. A poor quality of sleep can not only worsen type 2 diabetes but also increase the risk of developing insulin resistance, restless leg syndrome (RLS), sleep apnea, and insomnia. Sleep also increases stress, causes hormonal imbalance, and worsens metabolism. Hence, to manage diabetes effectively, quality sleep is essential. To improve the quality of your sleep, you can follow the below-mentioned tips:   1. Avoid using electronic devices like laptops and computers at least 2 hours before you go to sleep. 2. Read books before you sleep to relax 3. Avoid consuming any stimulants at night, such as caffeinated beverages 4. Make your environment comfortable for a good sleep 5. Avoid heavy evening workouts before you sleep 6. Practice going to bed at the same time every night and waking up at the same time in the morning. 7. Avoid drinking alcohol around your bedtime.   TAKE AWAY   Being diagnosed with diabetes can be stressful and life-changing. Especially when you know it is a lifelong condition. However, having diabetes doesn’t mean you cannot lead a healthy life. With proper care, treatment, and precautions, you can manage your diabetes effectively. To ensure you manage your condition well, ensure to see your doctor regularly, take your prescribed medications on time, be consistent with your blood sugar monitoring, and make healthy lifestyle changes.    The prognosis of diabetes may vary from patient to patient, depending on various factors. The factors determining the outlook (prognosis) of diabetes include the type of diabetes, the age of the patient at the time of diagnosis, how long the patient has had diabetes, overall patient health, how well the condition is managed, and if the patient has developed any complications. 
Arwa Aliakber
Semaglutide Diet Plan
12 Jan 2024
8 mins
Semaglutide Diet PlanUnderstanding what to eat and when to eat when you are on medication can be tricky. Your meal timing, size, and the types of foods and drinks consumed can all affect your body's response to a medicine. Food-related dosing instructions for medicines vary greatly and are not the same for all medications. So, if you are currently on semaglutide medication [https://www.mrmed.in/molecule/semaglutide], you may wonder: "Will my diet affect the drug's effectiveness and increase my chances of experiencing uncomfortable side effects? Will it help for weight loss?" The answer may be yes. Look below on this blog to discover an ideal diet for semaglutide to improve blood sugar profiles while minimizing adverse side effects.   HOW DOES SEMAGLUTIDE WORK?   Semaglutide is a diabetic medication used to improve blood sugar control in type 2 diabetes [https://www.mrmed.in/health-library/diabetes/prevention-type-2-diabetes] and aid in weight management in individuals with obesity or overweight. To recognize the possible interaction between semaglutide and your diet, familiarizing yourself with the semaglutide's mechanism of action will be helpful. And here's what you need to know: semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist. Thus, it functions similarly to the endogenous hormone GLP-1, which:   * Stimulates insulin release and inhibits glucagon secretion, which helps regulate blood sugar levels. * Slows down gastric emptying, prolonging feelings of fullness and aiding in better blood glucose control. * Acts on the brain's appetite regulation areas, particularly the satiety center in the hypothalamus, to reduce appetite.   IS THERE AN IDEAL SEMAGLUTIDE DIET?   Semaglutide is an anti-obesity medication, which, when taken as a 2.4 mg weekly subcutaneous injection combined with a low-calorie diet and exercise, typically leads to an average weight loss of 9.6% to 17.4% [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807016/] of initial body weight in patients. As mentioned above, semaglutide basically simulates the action of a naturally occurring hormone, GLP-1, in your body helping in weight loss. Also, there is little risk of a food-drug interaction. So, what should you eat while taking semaglutide? While, there isn't a "special diet" for semaglutide, but there are a few tips that you could follow:   * To minimize semaglutide's adverse side effects [https://www.mrmed.in/health-library/diabetes/side-effects-of-semaglutide] and, * Boost its effectiveness in controlling your blood sugar levels. [https://www.mrmed.in/health-library/health-care/know-your-blood-sugar-numbers]   I. FOOD TO EAT WHILE ON SEMAGLUTIDE   While on semaglutide, adapting your diet is key. While there's no strict 'semaglutide diet,' following general healthy eating principles enhances the medication's effectiveness in managing blood sugar levels and weight loss. Here's what to focus on:   * Carbohydrates: Opt for complex carbohydrates like brown rice, oats, quinoa, and wholemeal spaghetti. These are digested slowly, causing a gradual rise in blood sugar. Aim to have these make up a quarter of your plate. * Proteins: Include protein in every meal to reduce blood sugar spikes and increase fullness, preventing overeating. Good protein choices include plant proteins, pork loin, lean beef, skinless chicken, and white fish. About a quarter of your plate should consist of protein. * Fiber: Fill half your plate with vegetables and fruits. They are high in fiber, which slows down carbohydrate absorption and boosts satiety. Remember, while limiting fatty foods is a start, a balanced approach to your diet will support your diabetes management while on semaglutide.   II. FOODS TO AVOID WHILE ON SEMAGLUTIDE   When taking semaglutide, it is advisable to avoid fatty foods. This is because fat naturally slows down gastric emptying, and when combined with semaglutide's impact on digestion, it can lead to food moving too slowly through your digestive system. This might result in unpleasant and sometimes painful gastrointestinal problems such as nausea, vomiting, bloating, and upper abdominal cramping. Avoid highly processed foods. These often contain refined sugars, unhealthy fats, and excess salt, which can spike your blood sugar. For those who love street fast foods, be mindful of high-fat dishes. The key here is moderation – aim to limit these foods rather than completely cutting them out of your diet.   MASTERING SEMAGLUTIDE: TOP TIPS FOR BEST RESULTS   To maximize the effect of semaglutide in guiding weight loss, you may need to follow a few tips mentioned below to get your results:   1. Opt for Smaller, Frequent Meals: Semaglutide slows down the digestive process, so avoiding overeating is a good idea. Instead, break your daily food intake into smaller, more frequent meals. This can help prevent uncomfortable gastrointestinal symptoms like bloating and indigestion. 2. Stay Hydrated: Since semaglutide may lead to longer gastric emptying, staying well-hydrated is important. Adequate hydration is essential for preventing constipation resulting from dry, hard stools. A general guideline is to aim for around 30 mL of fluids per kilogram of body weight, although individual requirements may vary. 3. Allow Time Before Lying Down: To avoid reflux and indigestion, it's advisable to wait at least three to four hours after eating before lying down. This helps ensure that your stomach has had enough time to digest your meal. 4. Take semaglutide on an Empty Stomach: Semaglutide is taken as oral medication, and for it to be effective, you should take it on an empty stomach. Give the medicine at least 30 minutes to start working before eating, drinking, or taking other oral medications. Note that this advice doesn't apply to medications administered through injections.    HEALTHY HABITS TO FOCUS ON   It is important to keep up with other healthy habits even when taking semaglutide for diabetes management. Along with a balanced diet, these practices can boost the drug's effectiveness in controlling blood sugar as well as weight loss: 1. Regular Exercise: Aim for at least 20-30 minutes of moderate or 10 minutes of intense cardio daily, plus two days of strength training each week. 2. Stress Reduction: Techniques like meditation, deep breathing, and spending time with friends and family can help manage stress. 3. Quality Sleep: Get 7-9 hours of sleep every night. Stick to a regular sleeping schedule and avoid heavy meals before bedtime to improve sleep quality.   Final Notes   These tips can help you manage your diet effectively while taking semaglutide and minimize any potential discomfort or side effects associated with this medication. Always consult your healthcare provider or a registered dietitian for personalized guidance on managing your diet with semaglutide. Remember, everyone's body reacts differently to medications, and what works for one person might not work for another. Your healthcare team can provide the most accurate and personalized advice.   "Sweet in spirit, not in sugar - Thrive with diabetes, take control!"
Dr Vijayalakshmi
Side Effects Of Semaglutide
8 Jan 2024
8 minutes
Side Effects Of SemaglutideOPENING NEW DOORS IN DIABETES CARE AND WEIGHT CONTROL: THE SWEET SECRET BEHIND SEMAGLUTIDE   Certain advancements in the healthcare sector create excitement out of medical journals and make us realize the innovative world we live in! One such discovery is semaglutide. Semaglutide [https://www.mrmed.in/molecule/semaglutide] is a Glucagon-like peptide receptor agonist [GLP-1] that was initially approved for the treatment of diabetes mellitus, which later gained a red carpet welcome for its ability as a potential game changer in weight loss management. In June 2017, the FDA approved semaglutide in the management of diabetes mellitus; it was not too late to recognize its other true potential; in 2021, the FDA approved it for the management of weight loss. It quickly became the talk of the town among obese individuals and ultimately gained attention worldwide. Let's dive in and get some insights about this new horizon and, of course, the other side of the coin, the less spoken side effects this carries.   KNOW THE NUMBERS   As of now, semaglutide is effective in managing diabetes mellitus and obesity. The global prevalence of diabetes mellitus is about 422 million [https://www.who.int/health-topics/diabetes#tab=tab_1], responsible for at least 1.5 million direct deaths; as far as obesity is concerned, the prevalence is about 1 billion, [https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity#:~:text=More%20than%201%20billion%20people,they%20are%20overweight%20or%20obese.]and the values are expected to peak as Everest in upcoming years.   WORKING ACTION OF SEMAGLUTIDE   There is a naturally occurring amino acid peptide hormone in the intestinal cells of the body called glucagon-like peptide. Semaglutide is designed to mimic the action of this hormone and produce two specific actions.  1. Increased insulin release- In response to elevated blood glucose levels, semaglutide stimulates the pancreas to produce more insulin and plays a vital role in reducing blood glucose levels. 2. Cutting down the appetite: Semaglutide delays gastric emptying so that food stays longer in your stomach and reduces the urge to eat. It also acts in certain areas of the brain that regulate hunger and fullness. It is also said to be a silent aid in reducing cravings for sweets and contributes to reducing appetite.   WHO SHOULD TAKE SEMAGLUTIDE?   As mentioned, semaglutide is prescribed for type 2 diabetes mellitus management, but poses an upper hand in weight loss management in obese patients and  it is often exploited. Semaglutide is not for everyone. There is are classified criteria formulated in accordance with Body mass index [BMI] for usage: * Adults: 1. A BMI of 30 or greater 2. BMI of 27 or greater with at least one underlying health condition such as Type 2 diabetes mellitus [https://www.mrmed.in/health-library/diabetes/world-diabetes-day-2022], High blood pressure [https://www.mrmed.in/health-library/hypertension/high-blood-pressure-symptoms], Hyperlipidemia * Adolescents: Initial BMI at 95 percent or greater for the age and sex.   EXPLORING THE DARK CAVE: SIDE EFFECTS OF SEMAGLUTIDE   Semaglutide is mainly prescribed with the intention of adjuvant therapy for weight loss management [https://www.novo-pi.com/wegovy.pdf], along with reduced calorie intake and increased physical activity. Still, it is frequently considered and used as a sole treatment approach, making people take a pill and sit idle for weight loss, causing unwanted side effects.  Gastrointestinal side effects [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9631444/] are the most frequent and disturbing ones among semaglutide intake. Some of them include:   1. Nausea and vomiting : It is the most common side effect of people taking semaglutide. However, this is proportional to the dose you are taking and progresses as your doctor increases the dose rapidly. This condition improves over time as your body gets used to the drug.   2. Diarrhea: another common side effect you can experience during semaglutide is frequent diarrhea. However, it is mild and manageable.   3. Fatigue: Semaglutide reduces hunger, which aids in weight loss. Additionally, cutting back on calories may make you feel more exhausted. Fatigue should gradually go as your body adapts to any dietary changes you may make.   4. Gas, bloating, and burping: Another common side effect you may experience is a feeling of bloating, frequent burps, and gas. If left unnoticed they may develop as heartburn, acid reflux leading to GERD [https://www.mrmed.in/health-library/gastroenterology/heartburn-acidreflux-gerd-difference]. However, they can be settled with oral antacids and avoiding foods that provoke this cause.   5. Ozempic face: Taking semaglutide for weight loss can, of course, cause the desired effect, but the thing to note is that significant weight loss can also cause loss of facial fat. This tends to change the appearance of your face, causing it to look saggy and shrink, making you look older.   6. Weight rebound effect: Semaglutide is a long-term medication bound to be taken for longer periods to achieve the desired result; any discontinuation without your doctor's approval can cause a swirl in the body - rebound weight gain.   7. Low blood glucose: As mentioned, semaglutide is an antidiabetic drug that increases insulin secretion to lower blood glucose levels; combining it with other antidiabetic medications such as insulins and sulfonylureas, further decreases blood glucose, causing shaking and sweating.   8. Gallbladder diseases: Although not common, semaglutide can also cause gallstones, cholecystitis, and growth of tissues in the gallbladder.   MYTHS AND FACTS    Myth: You will lose weight by taking a pill without diet and exercise Fact: No, semaglutide is an adjuvant therapy. Along with a calorie deficit and proper physical activity, you will lose weight. It is not a magic pill. Myth: You can stop semaglutide once weight loss is achieved.  Fact: No, with proper consultation with your healthcare provider, it should be continued even if you achieve results since it may cause rebound weight gain. Myth: You should take semaglutide only if you have diabetes. Fact: Semaglutide can also be taken for weight loss management with suitable BMI values with or without having diabetes.   THE BOTTOM LINE   Semaglutide provides an upper hand in offering various advantages in weight loss therapy and management of diabetes mellitus; there is a need to watch out for side effects that accompany it. Although most side effects are manageable, others will subside after your body gets used to them. Despite these, the craze among the population for this thought to be a magic pill is skyrocketing. Always consider a healthcare professional to create a personalized treatment regimen before starting any therapy by yourself.                                                   Shed weight; Be healthy! 
Dr. Thamizhakaran K S