Sub Logo

Dr K K Aggarwal

Facts about exercise

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Facts about exercise

  • Exercise for 80 minutes a day and brisk exercise 80 minutes a week.
  • The speed of walking should be at least 80 steps per minute.
  • Do resistance or weight-bearing exercises twice in a week.
  • Avoid doing strenuous exercises for the first time in life after the age of 40.
  • Ayurveda says that one should exercise to his or her body type.
  • Diabetics who exercise should not exercise if blood sugar is lower than 90.
  • In conditions of smog, avoid walking early in the morning till sunlight appears.

Facts about exercise

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Facts about exercise

Exercise for 80 minutes a day and brisk exercise 80 minutes a week. The speed of walking should be at least 80 steps per minute. Do resistance or weight bearing exercises twice in a week. Avoid doing strenuous exercises for the first time in life after the age of 40. According to Ayurveda one should exercise to his or her body type. Diabetics who exercise should not exercise if blood sugar is lower than 90. In conditions of smog avoid walking early in the morning till sunlight appears.

Diabetics Should Undergo Cardiac Evaluation

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Diabetics Should Undergo Cardiac Evaluation

All diabetics should have their cardiac examination done as cardiovascular disease accounts for 65% of deaths in patients with type 2 diabetes.

Intensive and aggressive management of diabetes can reduce the risk of getting future heart attacks. As per the new guidelines, all patients with diabetes should have a blood pressure below 120/80 mmHg and fasting blood sugar lower than 90 mg%. The ABC of diabetes management is to keep abdominal circumference lower than 32 inches in women and lower than 35 inches in men, blood pressure lower than 120/80 mmHg and LDL cholesterol less than 100 mg%.

High HgbA1c linked to hypoglycemia in diabetics with kidney failure

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on High HgbA1c linked to hypoglycemia in diabetics with kidney failure

A retrospective study of patients with diabetes enrolled in a large hemodialysis program found an association between high baseline HbA1c and an increased risk for hypoglycemia hospitalization in. Higher baseline HbA1c was also associated with greater variability in HbA1c levels.

The investigators suspect that the greater risk of severe hypoglycemia associated with high HbA1c may derive from glucose variability during treatment for hyperglycemia. The study is published in Hemodialysis International.

All diabetics must have an eye check up done

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on All diabetics must have an eye check up done

The vast majority of diabetic patients who develop diabetic retinopathy (eye involvement) have no symptoms until the very late stages (by which time it may be too late for effective treatment). Because the rate of progression may be rapid, therapy can be beneficial for both symptom amelioration as well as reduction in the rate of disease progression, it is important to screen patients with diabetes regularly for the development of retinal disease.

The eyes carry important early clues to heart disease, signaling damage to tiny blood vessels long before symptoms start to show elsewhere. Diabetic people with retinopathy are more likely to die of heart disease over the next 12 years than those without it.

As per a study from the University of Sydney and the University of Melbourne in Australia and the National University of Singapore, people with retinopathy are nearly twice as likely to die of heart disease as people without it.

People with these changes in the eyes may be getting a first warning that damage is occurring in their arteries, and work to lower cholesterol and blood pressure.

Patients with retinopathy have a greater risk of incident cardiovascular disease (CVD) events, including heart attack, stroke, revascularization, and CVD death, compared with those without retinopathy.

All diabetics should have their cardiac examination done as cardiovascular disease accounts for 65% of deaths in patients with type 2 diabetes.

Intensive and aggressive management of diabetes can reduce the risk of getting future heart attacks. As per the new guidelines, all patients with diabetes should have a blood pressure below 120/80 mmHg and fasting blood sugar lower than 90 mg%. The ABC of diabetes management is to keep abdominal circumference lower than 32 inches in women and lower than 35 inches in men, blood pressure lower than 120/80 mmHg and LDL cholesterol less than 100 mg%.

There is a seasonal pattern of deaths from heart attacks with more fatal events (20 to 30 percent variation) occurring in the winter than the summer. But this seasonal pattern is absent in diabetics or those taking beta blockers orĀ aspirin.

The heart attack trends are independent of gender, geographic location, age, and the type of heart attack (ST elevation or non-ST elevation). In-hospital mortality fatality rates for heart attack also follow a seasonal pattern, with a peak of 9 percent in winter and 8.4% in the summer.

Deaths from heart attack are highest in January and lowest in September, with a relative risk difference of 18.6 percent.

About the author: Dr K K Aggarwal is Padmashri and Dr B C Roy National Awardee, President Heart Care Foundation of India, Dean Board of Medical Education Moolchand Medcity, Sr. Physician & Cardiologist, Chairman Ethics Committee Delhi Medical Council, Visiting professor Clinical Research DIPSAR, Past President Delhi Medical Association and Past Academic and Research Wing Heads IMA.