Showing posts with label BMI. Show all posts
Showing posts with label BMI. Show all posts

how to treat obesity hypoventilation syndrome

how to treat obesity hypoventilation syndrome                                                                                       

                                                                                                                                                                                                                                                                                                                                      It is also known as pickwickian syndrome.It is a condition in which obese people have high level of carbon dioxide and very low level of oxygen in blood.This is  due to very difficult  breathing.Obesity creat sleeping -disordered respiratory problems that disturb patient day to day quality of life and its economic status.It is a syndrome in which overweight people under breath.The BMI of such people is greater than 30 kg/m2.It can be happen mostly at night when obese people suffer from sleep apnea in which they have difficulty in sleeping.There arterial Co2 tension is greater than 45 mmHg.Sleep apnea is considered as  life threatening condition for the people with OHS.People with BMI more than 30 kg/m2 have more stress of their extra weight, their oxygen level remains low but their carbon dioxide level remain very high.Drop oxygen level constrict lung vessels,it became very difficult for the heart to pump into lungs for blood oxygenation.This produce more pressure in pulmonary artery cause pulmonary hypertension.Due to forced pumping into lungs ventricle of heart enlarged and possibility of  heart  failure increases.The patient with chronic obstructive pulmonary disease(COPD) have often raised CO2 levels ,so should be treated first,before diagnosing OHS.                                                                                                                                                                                                                                                                                                                                                                                                                                                       symptoms                                                                                                                                                                                                                                                                      Most common symptoms appear at prognosis are snoring,ventilatory insufficiency with slow or stopped breathing,drowsiness and shortness of breath.                                                                                                                                Obstructive sleep apnea occur due to blocking of airways during sleep that sends an alarming signal to brain for reopening of airways that cause awakening during sleep.                                                                                                                                                                                                                                                                                                                                                                                             Body symptoms                                                                                                                                                                                                                        Swelling around ankles,wheezy chest with pain are common symptoms.These symptoms are in combination with obesity,apnea and hypercapnia(elevated carbon dioxide level in blood)                                                                                                                                                                                                                                                                                                                          Treatments                                                                                                       The most suitable treatment is weight loss and non invasive positive air pressure(pap) is also very necessary.Continuous positive airway pressure device (CPAP) is a good method for non invasive positive air pressure and  should be use for patient with sleep apnea.In sleep apnea,there is sleep-disordered breathing.Continuous positive pressure ventilation  keep the throat open and boost the breath of patient by more oxygen gets in and more carbon dioxide flushes outside.To get better results with CPAP,some of the very important considerations are as fallow.                                                                                                                                                        1.CPEP will only supply enough supply of oxygen,if the seal around the airways will tight enough.Ensure the tightening after installation of machine.                                                                                                                                                                  2.The air supplied from CPEP can cause dryness of the mouth and throat.A humidifier attachment is necessary.                                                                                                                            3.Machine tubes and all parts should be well cleaned and free from any contamination.

how to treat obesity hypoventilation syndrome
how to treat obesity hypoventilation syndrome
In very severe case doctor can recommend tracheostomy in which an opening is made in trachea just below vocal cards and a tube is inserted in the opening for respiration. 


                                                                                                                                                                                                                                                                               Recommendations                                                                                                                                                                                                                                     1.Serum bicarbonate level of patient with obesity patient, that is  suspected to have OHS,should be less than 27 mmol/litre                                                                                                                                               2. Ambulatory patient with OHS should receive positive airway pressure.                                                                                                                                                                         3. Continuous  positive airway pressure should be preferred over non invasive ventilation                                                                                                                                                  4. Patient hospitalized for breath failure and suspected to have OHS must be treated with noninvasive ventilation and after diagnosis with positive air pressure treatment.Further home ventilation and indoor air quality should be better.                                                                                                                                          5.In an article published by American thoracic society, weight loss is the best option to control various symptoms of obesity hypoventilation syndrome. Patient should be advised for weight loss upto 30 percent of his body weight ,more preferably by bariatric surgery.Physical activity is also recommended for weight loss.Smoking should be avoided, including passive smoking.                                                                                                                                         see also                                                                                                                                                            1.mental illness and obesity                                                                                                                                                              2.dietary management for obesity                                                                                                         

how does weight loss affect blood sugar


                                                   

        how does weight loss affect blood sugar




                                                                           

                                                                             It is a concept that type 2 diabetes is chronic progressive disease but actually it is a reversible disease and directly link with weight of a person and with reducing the weight ,it became reversible.The people consider the disease as life long.They made a concept in their minds that they have to live on their entire life ,first on medication and then on insulin actually the cause of disease is quite different.This disease progress by insulin resistance in body.This insulin resistance develop actually due to more amount of insulin in body.All medications just reduce the sugars from  the blood but the root cause remain same which is insulin resistance.So all those people that say that they control their diabetes by reducing weight,cutting carbs and by physical activity or exercise,are right.They actually reduce their insulin level and thus body in turn gave them the response of insulin sensitivity.By reducing their weight ,progressive declining in their symptoms is developed.It is most important to highlight that this is not the case of type 1 diabetes, where there is no insulin in body and patient must have to take insulin from outside source.The sudden weight loss in type 1 diabetes is due to insufficient or no insulin those patient of type 2 diabetes ,whose on medication or insulin ,the sugar level descend for some time and they also got some symptomatic relief but in the long run they should have to control their weight  to avoid insulin resistance in future.Patient with type 2 diabetes should have clear understanding for their confirmation of type 2 diabetes.
how does weight loss affect blood sugar
how does weight loss affect blood sugar
The main parameter is weight.If their weight is more than their      BMI ,then it is a strong signal. They also have to monitor their weight if  more with severe symptoms.After confirmation they should cut the carbs,exercise and do any physical activity for weight loss.

why is it hard for diabetics to lose weight

They should also monitor their diet and adapt some ketogenic diet chart with the help of a diabetologist .Fasting is more effective tool for weight loss,where body burns its own fats for energy and weight is reduced.                                                                      

can prediabetes be reversed naturaly

                   can prediabetes be reversed naturally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
can prediabetes be reversed naturally
can prediabetes be reversed naturally

                                                                                                                                                                                                                                                               For prediabetes management, there are certain checkpoints that are necessary to follow.                                                                                                                                                                                                                                                                                                                                                                                                                                            1.Decide according to your own choice,what step you will follow to prevent type 2 diabetes.                                                                                                                                                                                                                                                                                                                                                                                                                                     2.If obesity is your problem then how you will attain an ideal weight according to your BMI.                                                                                                                                                                                                                                                                                           3.Evaluate the possible reason of becoming prediabetic.                                                                                                                                                                                                                                                                                                                                                                                                       4.If you have a family history of diabetes then fallow screening test of diabetes on regular basis.Also conduct screening test for your children.                               

                                         selection of food                                                                                                                                                                                                                                                      Always choose healthy foods that are not hazardous to diabetes.Food education is very important here.Enable yourself about the knowledge of different foods causing weight gain and diabetes.It will helps you a lot for your prediabetic management.Further if you get more knowledge about the foods damaging directly your vital organs like food with high cholesterol,further helps you a lot in your prediabetes.

can prediabetes be reversed naturally
can prediabetes be reversed naturally

Get the ideas of successful persons who prevent type 2 diabetes by changing diet.This will turn your passion more.There are certain changes that helps in your daily life.Replace all of your drinks having sugars with drinking water e.g.,soda,sugary drink and fruit juices.Liquid sugar is a bomb for prediabetics.Its immediate throwing ,helps a lot in managing prediabetes.Eat whole grains,vegetables and low sugar fruits.Always use chicken and fish that will provide lean protein.             

can prediabetes be reversed naturally
can prediabetes be reversed naturally

                                                                                                                                                                       exercise                                                                                                                                                                                                                                                                                                Lifestyle modification is very helpful to prevent prediabetes. Only 30 minutes exercise including walk or simple body stress , 5 times a week is good for prediabetics.                                                                                                                                                                                                     weight loss                                                                                                                                                                                                                                                                   It has been observed that by losing 7% of body weight, give a good relief to prevent diabetes.Attaining an ideal BMI is very important.                                                                                                                                                                                             medication                                                                                                                                                                                                                                                                  As such there is no any specific medication.Your doctor can advice some medications for triglyceride issue.High triglyceride level can lead to diabetes.Only the available choice for elevated blood sugar at prediabetic level is metformin.Metformin is available with various brand names in the market,with various strengths as 250mg and 500mg etc and your doctor can advice better.                                                                                                                                                                                     see also                                                                                                                                                                 what are warning signs of prediabetes