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Interpretation Of Reports &
    Actions to be Taken




       DIABETES
         UNIT
      KEM Hospital
         Pune
Know where you stand!
               Employees With-

 Low Risk         High Risk      Diagnosed



Learn How to      Learn How to   Learn How to
  Maintain?         Prevent?       Manage?
ASAP

   Awareness
   Screening
   Action
   Prevention
BMI & Body Weight
• Body Mass Index = Weight(kg)/Height(m)2

• Normal Range for BMI = <23

• Ideal Body Weight: = 23 * Height(m)2 * Height(m)2
Waist Circumference
• Indicates Fat Deposition Around Abdomen
  (Abdominal Obesity)
• Normal Range:

  Females < 80 cm            For Males < 90 cm
• Predicts: Diabetes & Heart Disease Risk
Body Fat Percentage
                 Normal Range   Normal Range
                 For Male       For Women
Body Fat %           < 20 %        < 30 %


Visceral Fat %        1-9%          1-9%



   Indians are thin but FAT!!!
Blood Pressure
• Normal Range: 120/80 – 130/85

• Avoid eating excess salt.

• Recommendation: 1-1.5tsp/person/day

• Avoid bakery, processed, ready to eat and
  package foods, papad, pickle, sauce, instant soups
Blood Sugar Levels




       How to maintain blood sugar levels?
• Limit intake of sugary and high fat foods
• Have small & frequent meals
• Include Lots of fibers
• Exercise Regularly
Cholesterol
• Fat produced by liver and transported in blood

  streams.

• Normal Range: <200

• High Levels Lead to:

   – Narrowing of arteries

   – Chest Pain

   – Heart Attack

• Avoid egg yolk, mutton, pork, buffalo milk
Good and Bad Cholesterol
  Cholesterol                Normal Range

  LDL (Bad Cholesterol)      <130


  HDL (Good Cholesterol)     Males: >40
                             Females: >50


          How to Improve Cholesterol Levels?
• Eat Lots of fresh fruits and veggies
• Include Heart Friendly Foods like, Garlic, Onion,
Almonds, Walnuts, Rice bran oil
•Exercise is the KEY!
Triglycerides
• A Form of blood fats

• Excess calories & carbohydrates are converted
  into triglycerides and stored in fat cells
• Normal Range: <150mg/dl

         How to maintain normal levels??
• Avoid Maida, Bakery products, Sago, Potato,
  Sugar, polished rice, pulpy fruits
Hemoglobin
          Hemoglobin               Females            Males

                              12-15.5g/dl         13.5-17g/dl


                  How to Improve Hemoglobin Levels??
•   Include Ragi, Rice flakes, Dates, Raisins, Bajra, Leafy Veggies
•   Sprinkle lime juice on vegetables
•   Use iron vessels for cooking
•   Avoid tea, coffee immediately after meals
Diabetes Risk Score
•   Age
•   Family History of Diabetes (Parents)
•   Abdominal Obesity (Waist circumference)
•   Physical Inactivity
Heart Disease Risk Score
•   Age
•   Gender (Male)
•   High Cholesterol
•   High Blood Pressure
•   Low HDL (Good Cholesterol)
•   Smoking
Metabolic Syndrome
Abdominal Obesity + Any 2 -
  – High Triglyceride Levels
  – High Blood Pressure
  – High Blood Sugar Level
  – Low HDL (Good Cholesterol)
Rate your Plate

      Fruit                              Milk / Yoghurt


Protein (pulses/
 sprouts/ fish/
    chicken)
                                     Vegetables & salads

    Starch or
     Cereal




                                                    16
Fibers


•   Raw vegetables & salads
•   Green leafy vegetables
•   Fruits (esp. with skin)
•   Sprouts
•   Wheat Bran
•   Oats

22/06/2012         Diabetes Unit, KEMHRC, Pune   17
Which Oil is The Best?
                          None!
• Combination of oils (Do not mix)
   o Groundnut, Soyabean, Sunflower, Rice bran
• Include omega 3 fats
   o Walnuts, Flaxseeds, Fish
• Be a trans fat detective!
• Low fat cooking – Roast, boil, grill,
  microwave, steam instead of frying
• Use non stick pans or cooking sprays
• Use 500ml oil / person / month
  (3-4 teaspoonful per day)
                                                 18
Eat less
Walk more
Exercise
• Aerobic – At least 150 minutes / week

• Muscle Strengthening – Alternate days

• Yoga, Suryanamaskar – Everyday 20 min

• Pranayama, Meditation, Breathing Exercises
TAKE HOME MESSAGE…
1.Avoid fasting or feasting.
2.Have small & Frequent meals.
3.Limit your caffeine intake
4.Keep a watch on sodium, simple sugars, fats
5.Stay well hydrated
6.No TV while eating!
7.Plan ahead
8.Least processed is the best food!
9. No Emotional eating…
10. Daily exercise is a must!
                                                21
Remember…
THANK YOU!
A Stitch In Time….

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Medical checkup report interpretation with action

  • 1. Interpretation Of Reports & Actions to be Taken DIABETES UNIT KEM Hospital Pune
  • 2. Know where you stand! Employees With- Low Risk High Risk Diagnosed Learn How to Learn How to Learn How to Maintain? Prevent? Manage?
  • 3. ASAP  Awareness  Screening  Action  Prevention
  • 4. BMI & Body Weight • Body Mass Index = Weight(kg)/Height(m)2 • Normal Range for BMI = <23 • Ideal Body Weight: = 23 * Height(m)2 * Height(m)2
  • 5. Waist Circumference • Indicates Fat Deposition Around Abdomen (Abdominal Obesity) • Normal Range: Females < 80 cm For Males < 90 cm • Predicts: Diabetes & Heart Disease Risk
  • 6. Body Fat Percentage Normal Range Normal Range For Male For Women Body Fat % < 20 % < 30 % Visceral Fat % 1-9% 1-9% Indians are thin but FAT!!!
  • 7. Blood Pressure • Normal Range: 120/80 – 130/85 • Avoid eating excess salt. • Recommendation: 1-1.5tsp/person/day • Avoid bakery, processed, ready to eat and package foods, papad, pickle, sauce, instant soups
  • 8. Blood Sugar Levels How to maintain blood sugar levels? • Limit intake of sugary and high fat foods • Have small & frequent meals • Include Lots of fibers • Exercise Regularly
  • 9. Cholesterol • Fat produced by liver and transported in blood streams. • Normal Range: <200 • High Levels Lead to: – Narrowing of arteries – Chest Pain – Heart Attack • Avoid egg yolk, mutton, pork, buffalo milk
  • 10. Good and Bad Cholesterol Cholesterol Normal Range LDL (Bad Cholesterol) <130 HDL (Good Cholesterol) Males: >40 Females: >50 How to Improve Cholesterol Levels? • Eat Lots of fresh fruits and veggies • Include Heart Friendly Foods like, Garlic, Onion, Almonds, Walnuts, Rice bran oil •Exercise is the KEY!
  • 11. Triglycerides • A Form of blood fats • Excess calories & carbohydrates are converted into triglycerides and stored in fat cells • Normal Range: <150mg/dl How to maintain normal levels?? • Avoid Maida, Bakery products, Sago, Potato, Sugar, polished rice, pulpy fruits
  • 12. Hemoglobin Hemoglobin Females Males 12-15.5g/dl 13.5-17g/dl How to Improve Hemoglobin Levels?? • Include Ragi, Rice flakes, Dates, Raisins, Bajra, Leafy Veggies • Sprinkle lime juice on vegetables • Use iron vessels for cooking • Avoid tea, coffee immediately after meals
  • 13. Diabetes Risk Score • Age • Family History of Diabetes (Parents) • Abdominal Obesity (Waist circumference) • Physical Inactivity
  • 14. Heart Disease Risk Score • Age • Gender (Male) • High Cholesterol • High Blood Pressure • Low HDL (Good Cholesterol) • Smoking
  • 15. Metabolic Syndrome Abdominal Obesity + Any 2 - – High Triglyceride Levels – High Blood Pressure – High Blood Sugar Level – Low HDL (Good Cholesterol)
  • 16. Rate your Plate Fruit Milk / Yoghurt Protein (pulses/ sprouts/ fish/ chicken) Vegetables & salads Starch or Cereal 16
  • 17. Fibers • Raw vegetables & salads • Green leafy vegetables • Fruits (esp. with skin) • Sprouts • Wheat Bran • Oats 22/06/2012 Diabetes Unit, KEMHRC, Pune 17
  • 18. Which Oil is The Best? None! • Combination of oils (Do not mix) o Groundnut, Soyabean, Sunflower, Rice bran • Include omega 3 fats o Walnuts, Flaxseeds, Fish • Be a trans fat detective! • Low fat cooking – Roast, boil, grill, microwave, steam instead of frying • Use non stick pans or cooking sprays • Use 500ml oil / person / month (3-4 teaspoonful per day) 18
  • 20. Exercise • Aerobic – At least 150 minutes / week • Muscle Strengthening – Alternate days • Yoga, Suryanamaskar – Everyday 20 min • Pranayama, Meditation, Breathing Exercises
  • 21. TAKE HOME MESSAGE… 1.Avoid fasting or feasting. 2.Have small & Frequent meals. 3.Limit your caffeine intake 4.Keep a watch on sodium, simple sugars, fats 5.Stay well hydrated 6.No TV while eating! 7.Plan ahead 8.Least processed is the best food! 9. No Emotional eating… 10. Daily exercise is a must! 21
  • 23. THANK YOU! A Stitch In Time….