Being SINGLE Can Be Bad For Your Health

August 24, 2006

671582262.jpgThe September Issue of the Journal of Epidemiology revealed an amazing fact. It is often believed that staying with friends or having friends or being with somebody you love makes a dull day bright!

Several research studies have already been done looking at longer life spans and lesser heart diseases among happily married couples. But this is the first study done at University of California that I know of,  that looked at singleblessedness and decreased life span.

THE FINDINGS:

1. A 58% increase in death rate among single persons versus those who are married.

2. Unmarried persons whether divorced, separated or widowed had higher death rate.

3.The effect was STRONGEST among those NEVER MARRIED and more pronounced in men than in women.

Practical Implication of the study in our decision making:

Being unmarried is a high risk condition. In fact it was assessed that… the risk of being unmarried is similar to ones risk if he has high blood pressure or high cholesterol and the risk of death!

*Does this mean married couples lead happier lives? Or live  healthier lives because of the children or because they want more happier years together that they live healthier lives? OR

*Do you think being single equates to being lonely and less health conscious? …. What do you think? 

As the saying goes…

The Happier You Are…The Longer You Live!


How To Prevent BAD BREATH

August 23, 2006

imageslll1.jpgPatients with diabetes are prone to gum disease. Good blood sugar control helps prevent gingivitis or gum disease but once they develop gum problem comes the dreadful BAD Breath!

The problem with Halitosis or bad breath however is not unique to diabetics.  Even your close friends may have it but not as a result of a disease but because of the more common cause of halitosis : poor oral hygiene.

I recently read an interesting article in The National Institute of Health Medline Plus August issue on a study conducted to determine if flossing helps prevent halitosis.  This study involved a total of 51 subjects: half of them brushed their teeth and tongue 2 x a day while the other half did the same plus regular flossing.

The RESULTS after 2 weeks of study showed that:

The group that did regular brushing plus flossing had 38% reduction in gum bleeding and bad breath.

Clinical Implication:

Just 2 weeks of regular brushing plus dental flossing can reduce gum bleeding and bad breath!

So guys…After brushing your teeth…

To Prevent BAD BREATH… Don’t Forget to Floss!


Hyperacidity or Heart Attack?

August 22, 2006

imagesasdfgh.jpgAlmost always when a patient presents in the ER with massive heart attack, a history of heartburn symptoms were noted days or months prior to the ER visit.  The patient has been complaining of on and off ” heartburn” apparently due to bad food or missed meal symptoms of hyperacidity.  Neglected for days, the patient then presents himself in the ER in an emergency situation.

Practical Tips to know whether you have plain hyperacidity or a serious heart attack:

1. Heartburn tends to occur after meals when you have the most acid being produced, while most chest pains from heart attack occur during times of heavy exertion like exercising, running or doing strenuous activities that require the heart to beat fast.

2. Hyperacidity is burning like sensation in the chest relieved by plain antacid or H2 blocker medications like Ranitidine ( Zantac).  Chest Pain from a heart ailment is more like pressure sensation, squeezing or deep pressure sensation that is often associated with shortness of breath. However if ones burning like sensation is persistent or not relieved by antacid and associated with dizziness, shortness of breath or discomfort… seek medical help immediately as this may mean a more serious heart ailment.

3. If the pain starts to go somewhere else, radiating to the back or down to the left side of the arm… this may signal a heart attack.

4. If you have chest pain of any type and you have risk factors for heart disease especially, Diabetes, or a family history of sudden death in the family, high cholesterol, high blood pressure, and a smoker… then have yourself evaluated for heart disease.

My Recommendation:

A simple exercise treadmill stress testing can help determine if your chest pain is due to heart disease or some other ailment. A cardiologist can do this anytime and the results are out within the same outpatient visit.

Don’t Take Your Chest Pain For Granted… Better Early Than Late!


Diet Tips From The Stars

August 21, 2006

imagessder.jpgOne very interesting blog I’ve read on health and diet is titled Health, Fitness and Dieting Tips that has excellent articles on proper nutrition and dieting tips.

One article that I find interesting which will please my women readers are the dietary habits of the stars namely Oprah Winfrey, the Friends star Jennifer Aniston and supermodels like Christy Brinkley.

What I noticed is that they don’t resort to fad diets but rather they have routine dietary habits that are considered safe and healthy that incorporates an exercise regimen.  They stick to their diet and again The Key To Succesful Weight Loss, is the adherence to the diet and not the specific diet that makes one lose weight!

In short to keep ones weight down is simple… follow a diet… stick to it based on the following principles:

1. Eat the right food in its right amount.  I always recommend the following proportions:40% of calories from fat ( < 10% from saturated fat, 10% polyunsaturated and 20% monounsaturated); 20% from protein and 40% from low glycemic carbohydrates. Talk with your dietician regarding this distribution.

2. Avoid Junk Foods and

3. Exercise : find the activities that you like that will burn calories.

Just look at the stars… if you believe you deserve to have the same bodies as they have then follow their rules in dieting.

Follow the 3 Rules to Weight Loss!

Related Articles:


What You Need To Know About DIETARY SUPPLEMENTS

August 20, 2006

imagesehi.jpgI take my daily multivitamin. Any Vitamin preparation is a dietary supplement. But also those in the market sold as health food supplements such as herbals, amino acids and energy bars.

So, How do we protect ourselves from taking supplements that may be harmful to us?

Based on studies by the the US FDA Center for Apllied Nutrition, some supplements can really help us but they can also harm us. Be aware of the potential side effects of each supplement before you buy especially if you are taking other medications.

Examples of combination of dietary supplements and common medications that we dont recommend:

1. Calcium and Digoxin ( a heart medication)

2. St John’s Wort and Antidepressants

3. Magnesium and Diuretics like Lasix 

4. Vitamin K and blood thinners like Coumadin

Remember the following tips before buying supplements:

1. Avoid supplements with “cure it all” claims- unless the company has been awarded the Nobel Prize for A Miracle Drug.

2. Don’t be fooled by the word: NATURAL. It does not necessarily equate to being SAFE! Any supplement taken in excess can be toxic to the body and harm either the liver or the kidney. Don’t be fooled by these marketing strategies.

3.DO NOT attempt to substitute a prescription medicine for a dietary supplement based on the product claim… this may kill you, physically and financially! They’re also expensive!

A Take Home Message:

– Dietary Supplements ARE NOT intended to treat, prevent or cure a disease or to be used as replacement for healthy food options.

– Do not self diagnose your condition and treat it based on claims. Talk with your doctor as how best to utilize a supplement and how safe it is in combination with your other drugs.

Dietary Supplements Can Be Your Partners in Health or Your Foe!

CHECK OUT THESE RELATED ARTICLES:


A Vaccine For OBESITY…A Reality?

August 19, 2006

imagesrm1.jpgWe have vaccines for infections like flu and pneumonia… now comes a vaccine for obesity?  This would really be interesting.

As we are facing a tremendous increase in the prevalence of obesity, we are likewise faced with the burden of treating the diseases that come with it! Wouldn’t it be ideal to have a vaccine solely to prevent our kids to be obese?

Published in the August 2006 issue of the Proceedings of the National Academy of Sciences is one interesting study which really caught my attention. This involved giving mice a vaccine against the effects of a protein called Ghrelin – a protein closely associated with weight gain! The study involved the mice to eat as much as they want. 

The FINDINGS: 

The mice that were given the vaccine gained 1/2 that of the group without the vaccine suggesting that the vaccine prevented the weight gain!

Clinical Human Implication of the Study:

This vaccine will definitely help in PREVENTING Obesity in those who are not obese yet and those at risk due to genetic makeup and family history… rather than as a Treatment of Obesity!

So… While awaiting research to come up with miracle drugs to treat obesity and before this vaccine becomes a reality…

Prevention Is Still The Best Option!


Advice on Disciplining Our KIDS…Because They Will Remember!

August 18, 2006

54796148.jpgI am extra careful with regard to disciplining my kids. In certain times of stress… your voice may become loud enough for you to realize later that you need to lower it down a bit! My wife always remind me to take it easy and we resort to non verbal or non contact strategies like no Gameboy privileges or standing in one corner for a number of minutes which usually work!

I thought of sharing with you a certain article that I read related to stress, anxiety and depression in later life and what contributes to them.  Medical News Today  highlighted this particular study by Florida State University which included 5000 subjects between 15 to 54 years of age. 

Verbal abuse included insults, swearing, threats of physical abuse and spiteful comments or behavior.

The FINDINGS

1.The study showed that people who were verbally abused as children grew up to be self-critical adults prone to depression and anxiety.

2. People who were verbally abused had 1.6 times as many symptoms of depression and anxiety. 

3. Those verbally abused as a child were twice as likely to suffer a mood or anxiety disorder over their lifetime.

IMPLICATION OF THE STUDY….

As parents therefore, it is our duty to understand that our verbal abuse can have long term effects on our children which can forever affect their lives as adults and as parents….

Avoid calling them names or hurl insults to their behavior because these will forever hurt them… and they will remember!

Be Critical in Disciplining Your Kids…

Think Twice Before You Act! 


The Truth About Vitamin E

August 17, 2006

imagesdtk.jpgI used to take Vitamin E daily. The fad on antioxidants was so noisy that you cant help it but follow the trend. Anyway it’s only a vitamin is the argument!

Due to its antioxidant properties, Vitamin E was touted to provide the promise of heart protector and cancer reducer! Preliminary studies which were ” Chart reviews” or retrospective in nature showed promise! But… again we look for studies that are long term with huge number of subjects to really tell if a drug is worth our penny and our time.

The Womens Health Study is the biggest so far that involved 40,000 women who were followed from 1992 to 2004.  That’s pretty huge number with long term follow up period and therefore the results considered reliable. The study was published in the JAMA in July 2005 with extensive review in the Archives of Internal Medicine.

The FINDINGS:

Vitamin E did not protect women from cardiovascular disease nor did it protect from cancer!

So if you are taking Vitamin E because of its antioxidant properties hoping to help you protect against heart disease and cancer… think again….

Go for the proven remedies…. Don’t go for the shortcut!

Healthy Lifestyle means Healthy Life!


Obesity Genes:Why We Become Obese May Not Be Our Fault After All!

August 16, 2006

imagesftu.jpgWe always think of the equation: what you take in EQUALS what you take out!  A simple equation now being questioned with new findings on studies that this may not be so….

Studies involving twins who ate the same amount of calories had different weights. Subjects given the same quantity of calories- one gained 1 pound a week the other did not. So what made the difference?

New research has shown that Obesity genes now numbering to 50 regulate the way we eat…whether its enough to stop…the way our body utilizes the calories.. and the way fat is built up. This may explain the difference why with so little fuel, some patients gained weight a lot.

Recently… a new cultprit is believed to contribute to this menace… The Microbes just like the way ulcers are made.

In short… it is not ones fault if one has these biological factors causing them to be obese but the whole problem still boils down to too much eating with too little exercise. We may not be able to change the biological makeup, but we can definitely change the way they manifest.

So…It May Not Be Your Fault After All….

…But You Still Take Responsibility Of The Outcome!


The Truth About Mercury Contamination and Eating Fish

August 15, 2006

802970253.jpgIt’s indeed a CATCH 22… The Benefits of Fish versus The Fear of Mercury Contamination!

It’s been reported that contamination of fish with mercury has stopped a lot of consumers from eating fish and therefore denied themselves of the benefits of fish.

Because of the many benefits of fish, the National Institute of Health, National Academy of Sciences, The US Dietary Guidelines recommend eating fish at least 2 x a week.

However, The Food and Drug Administration recommends to avoid shark, white tuna, swordfish and king mackerel because they contain high levels of mercury and therefore harmful to children and pregnant women.

The general consensus however is that…

The general public should not avoid FISH out of the concern for mercury. Because even eating high mercury laden fish… IF NOT EATEN FREQUENTLY… will cause no harm!

Likewise,according to Harvard School of Heath…” Neither the Mercury Concern nor the Polychlorinated Biphenyls (known to cause neurological disorders) conatamination in fish are enough for people to reduce their fish intake!”

There You Go…

Fear of Mercury Should Not Put The Fish At Bay….


The PAINKILLERS and Erectile Dysfunction

August 14, 2006

571729226.jpgNon-steroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen or Advil that we are familiar with have been shown in one study to not only Kill Pain but also Kill your Erection!… Whew… That’s pretty scary!

In a an item in Diabetes Control, 2006… it is a known fact that Diabetics are at highest risk of erectile dysfunction.  However drugs apparently are culprits of causing it too.

This study is the first to note the relationship between chronic intake of painkillers and the higher risk of developing impotence. This study involved 1126 men, between 50 and 70 years of age, without erectile dysfunction in 1994. Arthritis was the most common reason for NSAID use.

FINDINGS:

For whatever reason they were taken…

 NSAIDs increased the risk of erectile dysfunction by 50% 

Although arthritis in itself has been shown to increase ones risk…this study noted that the presence of arthritis without NSAID use increased the risk of erection difficulty by only 30 percent …SUGGESTING  that NSAIDs were largely to blame for the link between arthritis and erectile dysfunction. 

Until further studies are done…before you Grab Another ADVIL….

Better Check….Down Below! Be Sure He’s A OK! 


Being Forgetful Maybe Due To Your Blood Sugar

August 14, 2006

imagessdfg.jpgIf you are a diabetic… or if you have family members who are diabetics… then this post is for you!

We all know the major complications associated with Poor Blood Sugar Control.  We know it can lead to major disabling complications like heart attack and stroke.  Now comes this new finding that links poor blood glucose control and the early problem of forgetfulness!

Are there Vitamins to stop my being forgetful? … is one of the common questions I get from my diabetic patients.  Alzheimer’s or Dementia now becomes a part of why we need to control our blood sugar.

Dr Ronald Peterson of the Mayo Clinic and as spokesman of the Alzheimers Conference noted this study involving 22,000 patients with Type 2 Diabetes and looked at their records from 1997 to 2005.  The HBA1c: a measure of patient’s overall glucose control in the past 3 months were recorded and compared.  The Ideal level should be < 6.5%.

The FINDINGS:

1. Patients with A1c of > 10% but < 12% were 16% more likely to develop dementia.

2. Patients with A1c > 12% but < 15% were 34 % more likely to develop dementia

3. Those with > 15% were 78% more likely to develop dementia.

Suggesting That

Those with less well controlled blood glucoses are at high risk to develop early signs of forgetfulness and dementia!

The higher the level of A1C… the higher the risk!

As always…. I have been an advocate of INTENSIVE DIABETES THERAPY because lowering ones A1c to goal has been shown to prevent the onset and progression of complications especially heart disease and stroke…and now a potential benefit would be lowering ones risk to develop DEMENTIA!

Be Aggressive…Avoid Dementia…

Help in The Campaign for Aggressive Sugar Control!


An Interesting Tip To Curb Consumption

August 13, 2006

8750941121.jpgMore interesting tips are coming our way to curb consumption.  The more practical the tips the better for consumers to follow.  The less need to medicate… the better! 

I just spent this weekend with my family at Shangrila Mactan and had dinner at the Tides Restaurant.  This place is famous for its sumptuous food and buffet dinner.  What’s interesting is how the place uses a small plate and after getting only few choices… you feel you’ve taken enough because the plate looks full! Smart move…

It seems to be more than common sense knowledge that small plate will entail less intake but studies need to be done to have these observations confirmed. This new study published recently in American Journal of Preventive Medicine looked at partygoers and see if size matters with regard to the bowl and utensils they have and the amount of food they eat!  An amusing study but really interesting….

The researchers provided the subject with either a 17 ounce or 34 ounce bowl as well as a 2 or 3 ounce serving scoops.  They were told to get the ice cream themselves.

THE RESULT:

Doubling the size of the serving bowl resulted in a 34% increase in consumption!

This study supports the fact that environmental factors affect the way we eat. Visual Illusion working overtime here… 2 scoops of ice cream may be too much for a small bowl but it may seem too little in a big bowl. Two scoops using a small ice cream scoop may be enough but 1 scoop from a big scoop utensil may be too little!

There you go…Change Your Plates!

Every Little Step Goes A Long Way! 


The Tylenol Controversy

August 12, 2006

imagesdfghhjj1.jpgI take tylenol everytime I have a headache.  I use Tylenol for my fever.  I use Acetaminophen or Paracetamol if my kids have fever! They are all the same with acetaminophen as the generic brand of Tylenol.

The recent controversy surrounding this drug started when an article published in Journal of American Medical Association in July of 2006 reported an increase risk of liver damage with intake of acetaminophen.

THE FINDINGS:

1.  Taking more than 4 gms of acetaminophen per day increases the risk of liver damage with 40% of study population having a 3 fold increase in liver enzymes considered a danger zone!

2. Taking the above dose for long periods of time from 3 days to 2 weeks (especially those with chronic pain and arthritis) increases the risk of liver injury.

3.  Taking other medications together with a high dose of acetaminphen increases the risk further.

The good news is:

The liver injury recovers with cessation of intake!

My recommendationS:

1.Take tylenol only as needed for headache or pain.

2. Do not exceed more than 4 gms per day.

3. Do not exceed taking it more than 2 to 3 days!

Read The Labels…Do Not Exceed The Limit!


Interesting Tips on How To Comment on the Blog

August 11, 2006

imagesrcvb.jpgSo far, I’ ve had great comments from the readers of my blog.  But for those who are afraid to write comment for fear of not knowing how to write and what to write… I found this wonderful site  Lorelle on Worldpress that gives tips on:

How To Comment on A Blog:

1. Say something Intelligent

2. Ask something intelligent

3. Write Something Intelligent

4. Add To The Conversation

5. Regard Your comment as a mini resume.

So guys…If you have comments or questions regarding my posts or other health issues… just follow the tips!

Enjoy my Posts…But

 I Love To Hear What You Think!


Calcium, Vitamin D and Diabetes

August 10, 2006

1429976821.jpg Every morning before I start my work, I usually review my journals, read blogs and then scan for interesting topics about diabetes and health matters. Sorting studies whose results impact our decision making takes top priority making sure that the source comes from a reputable institution published in a reputable journal! So if somebody approaches me regarding the effect of this herbal preparation published in thick magazine which we consider “throw away journals”, these studies are labeled JUNK and not worth a first look.

A study published in Diabetes Care , March of 2006 looked at the intake of Vitamin D and Calcium and the risk to develop diabetes.  Researchers enrolled 83,000 women in the Nurses Health Study and were evaluated for a total duration of 20 years.  Huge number of subjects and long term follow up are parameters of a good study.

Interesting Facts from the Study:

1. Only 3 % had adequate Vitamin D intake. See My Post on Vitamin D… Low intake plus low sun exposure equals Vitamin D Deficiency.

2. Only 24% of the subjects had adequate Calcium Intake. Not a surprise…How many of our women readers are taking calcium supplements?

3. Among the subjects with the highest Vitamin D Intake, the risk to develop diabetes was 13% lower.

4. The subjects with the highest Calcium intake had 21% lower risk to develop diabetes than those who had the lowest intake. The result was irregardless of which calcium supplements were taken!

In Clinical practice…I always recommend calcium and Vitamin D to all my women patients irregardless of age to prevent osteoporosis ( brittle bones resulting in curved back and fractures).  Now this study further helps these women be more compliant to their intake of calcium and Vitamin D as a way to reduce ones risk to develop Diabetes.  Remember Diabetes is already an epidemic that is estimated to increase in prevalence to affect 300M individuals by year 2020.

A daily Multivitamin with 400 IU of Vitamin D plus elemental calcium from whatever calcium source 2 times a day should suffice.

Calcium and Vitamin D:

Our Partners In

Disease Prevention


Heavier Toys For Your Kids…

August 9, 2006

imagessdth1.jpgAs the world gets bigger problems with obesity… any intervention that works is really a welcome news. The blog Diabetes Notes  had a post of a recent study done in Indiana State University looking at the effects of heavier toys among children especially on their weight. 

The study showed …

…children playing with heavier toys burned

more calories and had higher heart rates… 

This is an interesting study because playing is part of growing up for these kids and if playing with heavier toys can in a way help them lose weight… the better! 

It is however advised that increasing activities is already a proven method of both losing and maintaining weight and therefore it is recommended to encourage our kids to be more active with outdoor activities than allowing them free time to spend indoors with their computers.

My Grade 1 kid is into soccer for 1 hour after school three times a week.  He’s enjoying it very much that we dont need to push him to do it. He has Taekwando every Saturday and he’s now a yellow belter and he refuses to stop! Then on sundays, a trainer comes to the house for an hour of swimming lesson.  All these activities are not forced BUT are liked by him because basically he’s just playing!

Any Little Help For Our Kids

Can Do A Long Way! 


The Baby And The Ultrasound

August 8, 2006

 imagesdfg.jpg Getting an ultrasound to know the sex of a baby is really for FUN!  The use of ultrasound for entertainment became a big media event when Tom Cruise bought one for his pregnant wife.  The FDA advisory strongly discourages this un-official use of the ultrasound for keepsakes and other non medical purposes.

One study I found intriguing that may change how we look at ultrasound in pregnancy was recently published in the Proceedings of the National Academy of Science.  The study showed that brain development in mice was apparently affected by ultrasound exposure.  A great number of brain cells failed to develop and if they grow…they were scattered in an incorrect manner.  Can one imagine the impact of this development if we are talking about a human fetus?  What was important in the findings was that the number of affected cells increased with longer exposure!

More research need to be done especially on the effect of ultrasound in humans…But for now…

This should be a Wake Up Call : to newly weds and new moms to

….abandon the use of ultrasound

for the benefit of entertainment!…

Knowing The Sex Of The Baby

Is A Matter Of Time!


The Need to Educate Our Patients…Why Health is Wealth!

August 7, 2006

2007039828 One very common question I get from new patients that have been diabetic for years is whether it is really necessary to check their blood glucoses.  From the time I get this question, one thing I know is that this patient has never received any education regarding his disease.

All too common scenario that’s very frustrating.  Because by the time these patients see me… most likely complications arising from poor diabetes control have already set it.

Knowledge of ones disease…why you have it…what to do about it…how can we prevent the next problems to come… is more important than starting medications. All too familiar with some doctors is the reflex to start medications to treat the disease.  But the more lasting prescription that will do the trick of educating these people is left unsaid.

If one knows what this disease can do to ones life and that something can be done about it and how… will have more lasting impact and solution to the problem itself.  I may take time to educate patients but it’s worth it.  You see the results and they see the great results on their sugar level.  To see the smiles on their faces, how great they feel and the fact that they have done something to reduce their risk to suffer from complications like heart disease or stroke… is more rewarding that anything else.

I guess the beauty of being a physician are the complements you get from your patients too happy to see you back and too happy to refer their friends to you.

Learn more about your health…the rewards will be more than your wealth!

Health is Wealth!


Childhood Obesity…Now Comes Diabetes!

August 7, 2006

Imagesdfghjj With the increasing prevalence of childhood obesity, it is expected that there will be a concomitant rise in the prevalence of obesity related diseases like diabetes.  And here comes this new study that proved our fear.  Published in  Diabetes in Control from Express Scripts of May, 2006… is the first study that looked at the number of diabetes med prescriptions among children between ages 5 to 19 years old.

The results are alarming:

A Doubling in the number of prescriptions

between 2002 to 2005!

On further analysis: the increase in the use of diabetes drugs was most pronounced in children 10–14 years ( the pubertal stage), with a dramatic rise of 106% during the study period.  Likewise, the treatment for type 2 diabetes was most prevalent among those 15–19 years, growing from 0.6 to 1.2 per thousand suggesting the need for us parents and health care professionals to do our share of helping these kids! 

With the rise in obesity comes diabetes…then comes the complications of obesity and diabetes and then comes the disabilty… Let’s stop the process to go on!

Before Diabetes Sets In… Lets

Fight Childhood Obesity!