Polycystic ovary syndrome (pcos) with role of physical therapy.Ahmed Hammad
Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder among women of reproductive age that is caused by hormonal imbalances. Women with PCOS often experience irregular periods, excess androgen levels, and polycystic ovaries. Exercise and lifestyle changes are effective management strategies for PCOS as they can help reduce insulin resistance, lose weight, and improve fertility outcomes and overall health. High intensity interval training and resistance training in particular have been shown to improve PCOS symptoms and reduce health risks.
POLYCYSTIC OVARIAN SYNDROME IN ADOLESCENT GIRLSBalkeej Sidhu
1) The document discusses obesity, overweight, and polycystic ovarian syndrome (PCOS) in adolescents. It defines obesity, overweight, and PCOS and describes their causes and symptoms.
2) PCOS is associated with an imbalance of reproductive hormones that causes cysts to form on the ovaries. It can lead to irregular or absent periods, excess hair growth, acne, and difficulty losing weight.
3) Obesity and overweight adolescents are more at risk for developing PCOS due to unhealthy eating habits and sedentary lifestyles. Maintaining a healthy lifestyle can help prevent and manage symptoms of PCOS.
This document describes a study on the quality of life and effects of CoQ10 in patients with polycystic ovarian syndrome. The study aims to assess quality of life, study the effect of CoQ10 in PCOS patients, and examine treatment outcomes in lean and obese patients treated with CoQ10 or clomiphene citrate. A prospective comparative study was conducted involving 40 PCOS patients, with 20 receiving CoQ10 and 20 receiving clomiphene citrate. Quality of life, hormone levels, follicle numbers, and improvement in anovulation and irregular cycles were evaluated before and after 45 days of treatment.
PHYSIOLOGY OF POLY CYSTIC OVARY-CLINICAL MANIFESTATIONS AND NUTRITIONAL INTER...nutritionistrepublic
This document discusses the physiology and clinical manifestations of polycystic ovary syndrome (PCOS). It begins by defining PCOS and comparing it to polycystic ovarian disease (PCOD). It then covers the causes, symptoms, tests used for diagnosis, and health risks associated with PCOS. The document also discusses the endocrine abnormalities, insulin resistance, and nutritional interventions that are important for the clinical management and treatment of PCOS, including dietary changes and supplementation of specific vitamins, minerals, fatty acids, and herbs.
PCOS Treatment Guidelines & Review of Newer Medical Treatment in Infertili...Lifecare Centre
This document discusses the treatment of polycystic ovarian syndrome (PCOS) and infertility. It begins by defining the different PCOS phenotypes and symptoms such as menstrual disorders, high androgen levels, and metabolic syndrome. Lifestyle modifications like weight loss are emphasized as the first treatment approach. For infertility, clomiphene citrate is recommended first, along with metformin. If unsuccessful, gonadotropins or laparoscopic ovarian drilling may be considered. The document then introduces several newer potential treatments using antioxidants like melatonin, N-acetylcysteine, myo-inositol, and vitamin D and chromium supplements, but notes these are not yet approved by treatment guidelines. In summary, lifestyle
For more Info visit www.healthlibrary.com "Management of PCOS in Unani System of Medicine" by Dr. Shaikh Nikhat held on 11th June 2016.
Management of PCOS in Unani System of Medicine - Unani system have the holistic approach to treat the condition like PCOD / PCOS.
Sleep apnoea in pcos by dr alka mukherjee nagpur m.s. indiaalka mukherjee
Polycystic ovary syndrome (PCOS), the most common endocrine disorder of pre-menopausal women, is characterized by chronic hyperandrogenism, oligoanovulation, obesity and insulin resistance. Importantly, PCOS women are at increased risk for glucose intolerance, type 2 diabetes and cardiovascular disorders. Recent reports indicate an unexpectedly high prevalence of obstructive sleep apnea (OSA) in PCOS. Alterations in sex steroids (i.e. high androgen and low estrogen levels) and increased visceral adiposity in PCOS could potentially contribute to the increased prevalence of OSA in this disorder. There is some evidence to suggest that there may be strong associations between the presence and severity of OSA and the metabolic disturbances that characterize PCOS. Causal mechanisms in the link between PCOS and OSA remain to be elucidated. Clinicians who manage PCOS patients should be aware of the high prevalence of OSA in these patients and systematically evaluate these women for sleep disturbances.
Polycystic ovary syndrome (pcos) with role of physical therapy.Ahmed Hammad
Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder among women of reproductive age that is caused by hormonal imbalances. Women with PCOS often experience irregular periods, excess androgen levels, and polycystic ovaries. Exercise and lifestyle changes are effective management strategies for PCOS as they can help reduce insulin resistance, lose weight, and improve fertility outcomes and overall health. High intensity interval training and resistance training in particular have been shown to improve PCOS symptoms and reduce health risks.
POLYCYSTIC OVARIAN SYNDROME IN ADOLESCENT GIRLSBalkeej Sidhu
1) The document discusses obesity, overweight, and polycystic ovarian syndrome (PCOS) in adolescents. It defines obesity, overweight, and PCOS and describes their causes and symptoms.
2) PCOS is associated with an imbalance of reproductive hormones that causes cysts to form on the ovaries. It can lead to irregular or absent periods, excess hair growth, acne, and difficulty losing weight.
3) Obesity and overweight adolescents are more at risk for developing PCOS due to unhealthy eating habits and sedentary lifestyles. Maintaining a healthy lifestyle can help prevent and manage symptoms of PCOS.
This document describes a study on the quality of life and effects of CoQ10 in patients with polycystic ovarian syndrome. The study aims to assess quality of life, study the effect of CoQ10 in PCOS patients, and examine treatment outcomes in lean and obese patients treated with CoQ10 or clomiphene citrate. A prospective comparative study was conducted involving 40 PCOS patients, with 20 receiving CoQ10 and 20 receiving clomiphene citrate. Quality of life, hormone levels, follicle numbers, and improvement in anovulation and irregular cycles were evaluated before and after 45 days of treatment.
PHYSIOLOGY OF POLY CYSTIC OVARY-CLINICAL MANIFESTATIONS AND NUTRITIONAL INTER...nutritionistrepublic
This document discusses the physiology and clinical manifestations of polycystic ovary syndrome (PCOS). It begins by defining PCOS and comparing it to polycystic ovarian disease (PCOD). It then covers the causes, symptoms, tests used for diagnosis, and health risks associated with PCOS. The document also discusses the endocrine abnormalities, insulin resistance, and nutritional interventions that are important for the clinical management and treatment of PCOS, including dietary changes and supplementation of specific vitamins, minerals, fatty acids, and herbs.
PCOS Treatment Guidelines & Review of Newer Medical Treatment in Infertili...Lifecare Centre
This document discusses the treatment of polycystic ovarian syndrome (PCOS) and infertility. It begins by defining the different PCOS phenotypes and symptoms such as menstrual disorders, high androgen levels, and metabolic syndrome. Lifestyle modifications like weight loss are emphasized as the first treatment approach. For infertility, clomiphene citrate is recommended first, along with metformin. If unsuccessful, gonadotropins or laparoscopic ovarian drilling may be considered. The document then introduces several newer potential treatments using antioxidants like melatonin, N-acetylcysteine, myo-inositol, and vitamin D and chromium supplements, but notes these are not yet approved by treatment guidelines. In summary, lifestyle
For more Info visit www.healthlibrary.com "Management of PCOS in Unani System of Medicine" by Dr. Shaikh Nikhat held on 11th June 2016.
Management of PCOS in Unani System of Medicine - Unani system have the holistic approach to treat the condition like PCOD / PCOS.
Sleep apnoea in pcos by dr alka mukherjee nagpur m.s. indiaalka mukherjee
Polycystic ovary syndrome (PCOS), the most common endocrine disorder of pre-menopausal women, is characterized by chronic hyperandrogenism, oligoanovulation, obesity and insulin resistance. Importantly, PCOS women are at increased risk for glucose intolerance, type 2 diabetes and cardiovascular disorders. Recent reports indicate an unexpectedly high prevalence of obstructive sleep apnea (OSA) in PCOS. Alterations in sex steroids (i.e. high androgen and low estrogen levels) and increased visceral adiposity in PCOS could potentially contribute to the increased prevalence of OSA in this disorder. There is some evidence to suggest that there may be strong associations between the presence and severity of OSA and the metabolic disturbances that characterize PCOS. Causal mechanisms in the link between PCOS and OSA remain to be elucidated. Clinicians who manage PCOS patients should be aware of the high prevalence of OSA in these patients and systematically evaluate these women for sleep disturbances.
Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, characterized by increased androgen production and irregular menstrual cycles. PCOS is associated with infertility, hirsutism, insulin resistance, obesity, and increased risk of diabetes and heart disease. Diagnosis is based on hyperandrogenism, chronic anovulation or oligomenorrhea, and exclusion of other disorders. Treatment focuses on regulating menses, managing insulin resistance and weight loss, and addressing long-term health risks.
Treatment of Polycystic Ovary Syndrom (PCOS)Dr JP Singh
An Invented technique to treat the PCOS, Introduced by Dr JP Singh. PCOS is a leading cause of women infertility. Near about 50% women at the age group of 15-30 in Kolkata, (India) are suffering from PCOS. Polycystic ovary syndrome is a Gynecological problem that can affect woman's: Menstrual cycle, Difficulty to be pregnant, Hormonal imbalances, Skin and hair problems. It may be treated through this technique. More details logon: www.brainstup.com
This document summarizes the causes and symptoms of polycystic ovarian syndrome (PCOS). It discusses how an unfavorable uterine environment can result in hormonal imbalances like increased luteinizing hormone and hyperinsulinemia in fetuses. These imbalances can lead to insulin resistance and high androgen levels in adolescence, causing physical symptoms of PCOS like hirsutism and metabolic disorders. The body compensates over time through increased abdominal fat and risk of conditions like diabetes and fatty liver disease. Lifestyle changes including exercise and diet are recommended to reduce symptoms.
Role of life style modification in pcosPoonam Loomba
changing diet ,eating habits,regular exercise yoga aerobics swimming can help in weight loss.Psychological counselling helps in managing stress.Life style modifications are first linee management of adolescent pcos
Polycystic ovary syndrome (PCOS) is characterized by ovulatory dysfunction and hyperandrogenism. It is the most common cause of infertility in women. Early diagnosis is important due to long term risks like diabetes and heart disease. Diagnosis involves abdominal ultrasound showing polycystic ovaries and signs of excess androgens. Management includes lifestyle changes like diet and exercise for weight loss. Pharmacological treatments include combined oral contraceptives to regulate menstrual cycles and reduce androgens. Metformin may also be used to lower insulin levels and androgens. For severe hirsutism, laser hair removal or electrolysis can be considered.
Pcos by dr alka mukherjee dr apurva mukherjee nagpur m.s.alka mukherjee
Polycystic ovary syndrome (PCOS) is a highly prevalent endocrine-metabolic disorder that implies various severe consequences to female health, including alarming rates of infertility. Although its exact etiology remains elusive, it is known to feature several hormonal disturbances, including hyperandrogenemia, insulin resistance (IR), and hyperinsulinemia. Insulin appears to disrupt all components of the hypothalamus-hypophysis-ovary axis, and ovarian tissue insulin resistance results in impaired metabolic signaling but intact mitogenic and steroidogenic activity, favoring hyperandrogenemia, which appears to be the main culprit of the clinical picture in PCOS. In turn, androgens may lead back to IR by increasing levels of free fatty acids and modifying muscle tissue composition and functionality, perpetuating this IR-hyperinsulinemia-hyperandrogenemia cycle. Nonobese women with PCOS showcase several differential features, with unique biochemical and hormonal profiles. Nevertheless, lean and obese patients have chronic inflammation mediating the long term cardiometabolic complications and comorbidities observed in women with PCOS, including dyslipidemia, metabolic syndrome, type 2 diabetes mellitus, and cardiovascular disease. Given these severe implications, it is important to thoroughly understand the pathophysiologic interconnections underlying PCOS, in order to provide superior therapeutic strategies and warrant improved quality of life to women with this syndrome.
PCOS is the most common endocrinopathy affecting about 5% of reproductive aged women. It is characterized by androgen excess, menstrual irregularity, and polycystic ovaries. While androgen excess in women has been recognized since ancient times, PCOS was first identified and named by Stein and Leventhal in 1935. PCOS is considered a complex, heterogeneous disorder that is likely caused by both genetic and environmental factors. Common features include hyperandrogenism, polycystic ovaries, and insulin resistance. Treatment focuses on managing symptoms like hirsutism, amenorrhea, and infertility and may include lifestyle changes, oral contraceptives, antiandrogens, insulin sensitizers, and fertility treatments.
This document discusses polycystic ovary syndrome (PCOS) and exercise. It provides information on how exercise can help manage PCOS symptoms like lowering blood pressure and cholesterol. Common barriers to exercise are discussed such as lack of time, motivation, or enjoyment. Strategies are then presented to overcome each barrier, such as splitting workouts into 10 minute sessions or treating exercise like an important appointment. The document recommends referring patients to a family wellness trainer who can help design programs and provide support to reach fitness goals.
1. Polycystic ovarian syndrome (PCOS) is a common endocrine disorder characterized by hyperandrogenism, chronic anovulation and polycystic ovaries.
2. Key features include menstrual irregularities, hirsutism, acne, obesity and infertility.
3. PCOS is associated with insulin resistance which can increase androgen levels and impair follicle development leading to chronic anovulation.
Dr. Laxmi Shrikhande is a leading expert in PCOS and adolescent health. She is the Director of Shrikhande Fertility Clinic in Nagpur, India. She has held numerous leadership positions in national OB/GYN societies. She has published extensively on PCOS and delivered over 300 lectures. Her presentation discusses the latest 2018 guidelines for diagnosing and managing PCOS in adolescents, focusing on lifestyle interventions like diet and exercise to target obesity, irregular periods, hirsutism and long term health risks like diabetes. Early diagnosis of PCOS in adolescents is important to address both immediate issues and reduce late health sequelae.
This document discusses polycystic ovary syndrome (PCOS) in a 22-year-old female presenting with irregular menstruation and weight gain. PCOS is characterized by increased androgen production and ovulatory dysfunction. The patient meets diagnostic criteria with irregular periods since menarche, weight gain, and signs of hyperandrogenism. PCOS causes menstrual irregularity, infertility, hirsutism, obesity, insulin resistance, and an increased risk of endometrial cancer. Treatment focuses on managing hyperandrogenism with birth control pills, treating menstrual irregularity and infertility with clomiphene or metformin, and addressing metabolic syndrome with lifestyle changes and medication.
Ayurvedic management of pcos
in this slide we had given scientific and ayurveda based approach to treat pcos.it will help to new generation doctors and patient also to understand PCOS.
Polycystic Ovary Syndrome (PCOS) is a common cause of irregular periods and infertility in women of reproductive age, affecting 5-10% of women. It is associated with increased levels of androgens and insulin resistance. Women with PCOS have an increased risk of health issues like endometrial cancer, diabetes, cardiovascular disease, and metabolic syndrome. Diagnosis involves evaluating symptoms, family history, ultrasound of ovaries, and hormone levels. Treatment focuses on lifestyle changes, oral contraceptives, and medications to improve insulin sensitivity and reduce androgen levels.
Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder that affects a woman's menstrual cycle, fertility, hormones, heart health, appearance, and long-term health. It is caused by an imbalance of reproductive hormones that can result in enlarged ovaries with small cysts, irregular or prolonged menstrual periods, excess androgen and male-pattern hair growth and balding. PCOS increases the risk of diabetes, heart disease, uterine cancer, and mental health issues like depression. While there is no cure for PCOS, lifestyle changes like diet, exercise and weight loss along with medication can help manage symptoms. PCOS affects around 1 in 10 women and is the most common cause of female infertility.
PCOS affects a woman’s ovaries, the reproductive organs that produce estrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens.
Polycystic Ovary Syndrome (PCOS): Symptoms, Causes and TreatmentYashodaHospitals
Polycystic ovary syndrome (PCOS) is a reproductive hormonal imbalance among women of reproductive age. Know more about symptoms, causes and treatment for PCOS
This document provides information on polycystic ovarian syndrome (PCOS), including its history, characteristics, diagnosis, and treatment. Some key points:
- PCOS was first described in 1935 and is characterized by twice the normal ovarian cross-sectional area, double the number of developing and atretic follicles, and a 50% thicker ovarian tunica.
- It is associated with infertility, obesity, diabetes, metabolic syndrome, and some cancers. Insulin resistance is present in 70% of cases.
- Diagnosis requires meeting at least two of the following three criteria: hyperandrogenism, ovarian dysfunction (oligo-anovulation or amenorrhea), and polycystic
This document discusses Polycystic Ovarian Syndrome (PCOS), a common hormonal disorder in women of reproductive age that can affect menstrual cycles, fertility, hormones, heart health, and appearance. PCOS is difficult to diagnose due to heterogeneous symptoms that vary between women. It is caused by an hormonal imbalance and family history plays a role in about 50% of cases. Treatment focuses on lifestyle modifications like weight loss, diet changes, and exercise to manage symptoms and prevent long-term health issues. Medical treatments may include oral contraceptives, metformin, or clomiphene to address specific concerns. The goals are to manage individual symptoms and prevent comorbidities such as diabetes and heart disease.
Polycystic ovarian syndrome (PCOS) is a hormonal disorder affecting 5-10% of women. PCOS is diagnosed when two of three criteria are present: polycystic ovaries, irregular periods, and high androgen levels. The causes of PCOS include genetic factors, environmental triggers like obesity, and insulin resistance. Women with PCOS have increased risks of diabetes, heart disease, infertility, and endometrial cancer due to chronic high androgen levels and insulin resistance over time if left untreated. Lifestyle changes like diet and exercise can help manage symptoms and reduce health risks.
This document discusses polycystic ovarian syndrome (PCOS) and its impact on fertility. It notes that PCOS is the most common cause of infertility in women. The document covers the etiology, signs and symptoms, diagnostic criteria and tests, and treatment options for PCOS. It emphasizes that PCOS is associated with insulin resistance and an increased risk of conditions like diabetes and heart disease. Lifestyle changes including diet and exercise are recommended as first-line treatment, especially for overweight patients. Medications like metformin can also help address insulin resistance and related issues.
Pre & Postprandial Brief Muscle Training for Prevention and Management of Dia...diabeticrecovery
Description of short interval muscle training technique to help diabetics and pre-diabetics maintain good glycemic control to prevent disease progression. This technique also seems to prevent weight regain, which will lead to recovery with enough weight loss.
The technique could be used also for dieters who easily regain their weight, it selectively puts carbohydrates into muscle rather than fat cells.
1. Diabetes mellitus is a condition where the body does not properly process glucose due to problems with insulin production or insulin resistance. There are four main types of diabetes: type 1, type 2, gestational diabetes, and pre-diabetes.
2. Exercise can help manage blood glucose levels and improve health for most people with diabetes, but some with more severe cases may see worsening of symptoms. Proper diet and rest is important for those individuals.
3. Genetics and lifestyle factors both contribute to type 1 and type 2 diabetes. While genes influence risk, environment like diet, physical activity levels, and weight play a major role in the development and management of diabetes.
Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, characterized by increased androgen production and irregular menstrual cycles. PCOS is associated with infertility, hirsutism, insulin resistance, obesity, and increased risk of diabetes and heart disease. Diagnosis is based on hyperandrogenism, chronic anovulation or oligomenorrhea, and exclusion of other disorders. Treatment focuses on regulating menses, managing insulin resistance and weight loss, and addressing long-term health risks.
Treatment of Polycystic Ovary Syndrom (PCOS)Dr JP Singh
An Invented technique to treat the PCOS, Introduced by Dr JP Singh. PCOS is a leading cause of women infertility. Near about 50% women at the age group of 15-30 in Kolkata, (India) are suffering from PCOS. Polycystic ovary syndrome is a Gynecological problem that can affect woman's: Menstrual cycle, Difficulty to be pregnant, Hormonal imbalances, Skin and hair problems. It may be treated through this technique. More details logon: www.brainstup.com
This document summarizes the causes and symptoms of polycystic ovarian syndrome (PCOS). It discusses how an unfavorable uterine environment can result in hormonal imbalances like increased luteinizing hormone and hyperinsulinemia in fetuses. These imbalances can lead to insulin resistance and high androgen levels in adolescence, causing physical symptoms of PCOS like hirsutism and metabolic disorders. The body compensates over time through increased abdominal fat and risk of conditions like diabetes and fatty liver disease. Lifestyle changes including exercise and diet are recommended to reduce symptoms.
Role of life style modification in pcosPoonam Loomba
changing diet ,eating habits,regular exercise yoga aerobics swimming can help in weight loss.Psychological counselling helps in managing stress.Life style modifications are first linee management of adolescent pcos
Polycystic ovary syndrome (PCOS) is characterized by ovulatory dysfunction and hyperandrogenism. It is the most common cause of infertility in women. Early diagnosis is important due to long term risks like diabetes and heart disease. Diagnosis involves abdominal ultrasound showing polycystic ovaries and signs of excess androgens. Management includes lifestyle changes like diet and exercise for weight loss. Pharmacological treatments include combined oral contraceptives to regulate menstrual cycles and reduce androgens. Metformin may also be used to lower insulin levels and androgens. For severe hirsutism, laser hair removal or electrolysis can be considered.
Pcos by dr alka mukherjee dr apurva mukherjee nagpur m.s.alka mukherjee
Polycystic ovary syndrome (PCOS) is a highly prevalent endocrine-metabolic disorder that implies various severe consequences to female health, including alarming rates of infertility. Although its exact etiology remains elusive, it is known to feature several hormonal disturbances, including hyperandrogenemia, insulin resistance (IR), and hyperinsulinemia. Insulin appears to disrupt all components of the hypothalamus-hypophysis-ovary axis, and ovarian tissue insulin resistance results in impaired metabolic signaling but intact mitogenic and steroidogenic activity, favoring hyperandrogenemia, which appears to be the main culprit of the clinical picture in PCOS. In turn, androgens may lead back to IR by increasing levels of free fatty acids and modifying muscle tissue composition and functionality, perpetuating this IR-hyperinsulinemia-hyperandrogenemia cycle. Nonobese women with PCOS showcase several differential features, with unique biochemical and hormonal profiles. Nevertheless, lean and obese patients have chronic inflammation mediating the long term cardiometabolic complications and comorbidities observed in women with PCOS, including dyslipidemia, metabolic syndrome, type 2 diabetes mellitus, and cardiovascular disease. Given these severe implications, it is important to thoroughly understand the pathophysiologic interconnections underlying PCOS, in order to provide superior therapeutic strategies and warrant improved quality of life to women with this syndrome.
PCOS is the most common endocrinopathy affecting about 5% of reproductive aged women. It is characterized by androgen excess, menstrual irregularity, and polycystic ovaries. While androgen excess in women has been recognized since ancient times, PCOS was first identified and named by Stein and Leventhal in 1935. PCOS is considered a complex, heterogeneous disorder that is likely caused by both genetic and environmental factors. Common features include hyperandrogenism, polycystic ovaries, and insulin resistance. Treatment focuses on managing symptoms like hirsutism, amenorrhea, and infertility and may include lifestyle changes, oral contraceptives, antiandrogens, insulin sensitizers, and fertility treatments.
This document discusses polycystic ovary syndrome (PCOS) and exercise. It provides information on how exercise can help manage PCOS symptoms like lowering blood pressure and cholesterol. Common barriers to exercise are discussed such as lack of time, motivation, or enjoyment. Strategies are then presented to overcome each barrier, such as splitting workouts into 10 minute sessions or treating exercise like an important appointment. The document recommends referring patients to a family wellness trainer who can help design programs and provide support to reach fitness goals.
1. Polycystic ovarian syndrome (PCOS) is a common endocrine disorder characterized by hyperandrogenism, chronic anovulation and polycystic ovaries.
2. Key features include menstrual irregularities, hirsutism, acne, obesity and infertility.
3. PCOS is associated with insulin resistance which can increase androgen levels and impair follicle development leading to chronic anovulation.
Dr. Laxmi Shrikhande is a leading expert in PCOS and adolescent health. She is the Director of Shrikhande Fertility Clinic in Nagpur, India. She has held numerous leadership positions in national OB/GYN societies. She has published extensively on PCOS and delivered over 300 lectures. Her presentation discusses the latest 2018 guidelines for diagnosing and managing PCOS in adolescents, focusing on lifestyle interventions like diet and exercise to target obesity, irregular periods, hirsutism and long term health risks like diabetes. Early diagnosis of PCOS in adolescents is important to address both immediate issues and reduce late health sequelae.
This document discusses polycystic ovary syndrome (PCOS) in a 22-year-old female presenting with irregular menstruation and weight gain. PCOS is characterized by increased androgen production and ovulatory dysfunction. The patient meets diagnostic criteria with irregular periods since menarche, weight gain, and signs of hyperandrogenism. PCOS causes menstrual irregularity, infertility, hirsutism, obesity, insulin resistance, and an increased risk of endometrial cancer. Treatment focuses on managing hyperandrogenism with birth control pills, treating menstrual irregularity and infertility with clomiphene or metformin, and addressing metabolic syndrome with lifestyle changes and medication.
Ayurvedic management of pcos
in this slide we had given scientific and ayurveda based approach to treat pcos.it will help to new generation doctors and patient also to understand PCOS.
Polycystic Ovary Syndrome (PCOS) is a common cause of irregular periods and infertility in women of reproductive age, affecting 5-10% of women. It is associated with increased levels of androgens and insulin resistance. Women with PCOS have an increased risk of health issues like endometrial cancer, diabetes, cardiovascular disease, and metabolic syndrome. Diagnosis involves evaluating symptoms, family history, ultrasound of ovaries, and hormone levels. Treatment focuses on lifestyle changes, oral contraceptives, and medications to improve insulin sensitivity and reduce androgen levels.
Polycystic Ovarian Syndrome (PCOS) is a hormonal disorder that affects a woman's menstrual cycle, fertility, hormones, heart health, appearance, and long-term health. It is caused by an imbalance of reproductive hormones that can result in enlarged ovaries with small cysts, irregular or prolonged menstrual periods, excess androgen and male-pattern hair growth and balding. PCOS increases the risk of diabetes, heart disease, uterine cancer, and mental health issues like depression. While there is no cure for PCOS, lifestyle changes like diet, exercise and weight loss along with medication can help manage symptoms. PCOS affects around 1 in 10 women and is the most common cause of female infertility.
PCOS affects a woman’s ovaries, the reproductive organs that produce estrogen and progesterone — hormones that regulate the menstrual cycle. The ovaries also produce a small amount of male hormones called androgens.
Polycystic Ovary Syndrome (PCOS): Symptoms, Causes and TreatmentYashodaHospitals
Polycystic ovary syndrome (PCOS) is a reproductive hormonal imbalance among women of reproductive age. Know more about symptoms, causes and treatment for PCOS
This document provides information on polycystic ovarian syndrome (PCOS), including its history, characteristics, diagnosis, and treatment. Some key points:
- PCOS was first described in 1935 and is characterized by twice the normal ovarian cross-sectional area, double the number of developing and atretic follicles, and a 50% thicker ovarian tunica.
- It is associated with infertility, obesity, diabetes, metabolic syndrome, and some cancers. Insulin resistance is present in 70% of cases.
- Diagnosis requires meeting at least two of the following three criteria: hyperandrogenism, ovarian dysfunction (oligo-anovulation or amenorrhea), and polycystic
This document discusses Polycystic Ovarian Syndrome (PCOS), a common hormonal disorder in women of reproductive age that can affect menstrual cycles, fertility, hormones, heart health, and appearance. PCOS is difficult to diagnose due to heterogeneous symptoms that vary between women. It is caused by an hormonal imbalance and family history plays a role in about 50% of cases. Treatment focuses on lifestyle modifications like weight loss, diet changes, and exercise to manage symptoms and prevent long-term health issues. Medical treatments may include oral contraceptives, metformin, or clomiphene to address specific concerns. The goals are to manage individual symptoms and prevent comorbidities such as diabetes and heart disease.
Polycystic ovarian syndrome (PCOS) is a hormonal disorder affecting 5-10% of women. PCOS is diagnosed when two of three criteria are present: polycystic ovaries, irregular periods, and high androgen levels. The causes of PCOS include genetic factors, environmental triggers like obesity, and insulin resistance. Women with PCOS have increased risks of diabetes, heart disease, infertility, and endometrial cancer due to chronic high androgen levels and insulin resistance over time if left untreated. Lifestyle changes like diet and exercise can help manage symptoms and reduce health risks.
This document discusses polycystic ovarian syndrome (PCOS) and its impact on fertility. It notes that PCOS is the most common cause of infertility in women. The document covers the etiology, signs and symptoms, diagnostic criteria and tests, and treatment options for PCOS. It emphasizes that PCOS is associated with insulin resistance and an increased risk of conditions like diabetes and heart disease. Lifestyle changes including diet and exercise are recommended as first-line treatment, especially for overweight patients. Medications like metformin can also help address insulin resistance and related issues.
Pre & Postprandial Brief Muscle Training for Prevention and Management of Dia...diabeticrecovery
Description of short interval muscle training technique to help diabetics and pre-diabetics maintain good glycemic control to prevent disease progression. This technique also seems to prevent weight regain, which will lead to recovery with enough weight loss.
The technique could be used also for dieters who easily regain their weight, it selectively puts carbohydrates into muscle rather than fat cells.
1. Diabetes mellitus is a condition where the body does not properly process glucose due to problems with insulin production or insulin resistance. There are four main types of diabetes: type 1, type 2, gestational diabetes, and pre-diabetes.
2. Exercise can help manage blood glucose levels and improve health for most people with diabetes, but some with more severe cases may see worsening of symptoms. Proper diet and rest is important for those individuals.
3. Genetics and lifestyle factors both contribute to type 1 and type 2 diabetes. While genes influence risk, environment like diet, physical activity levels, and weight play a major role in the development and management of diabetes.
This document discusses diabetes, including the different types, risk factors, symptoms, diagnostic tests, management, and treatment. It defines diabetes as a chronic disease caused by the pancreas not producing enough insulin or the body not properly using the insulin it does produce, resulting in high blood glucose. The two main types are type 1, where the body does not produce insulin, and type 2, where the body does not properly use insulin. Risk factors, symptoms, and diagnostic tests like A1C and glucose tolerance tests are outlined. Management involves nutrition, exercise, monitoring, medication/insulin, and education.
Nursing Management · Monitor blood sugar and use a sliding scale to treat high levels of glucose · Educate patient about diabetes · Examine feet .
Diagnosis involves measuring blood glucose levels. Ongoing specialized assessment and evaluation for complications are essential for diabetes management.
1. Diabetes can be investigated through urine and blood tests to check for glucose, ketones, proteins, and glycated hemoglobin. Glycated hemoglobin indicates average blood glucose levels over the past 2-3 months and is used to monitor diabetes control.
2. Management of diabetes is multidisciplinary and may involve nutritionists, endocrinologists, and other specialists. Treatment includes lifestyle changes, oral medications like metformin and sulfonylureas, and possibly insulin.
3. Complications of long-term diabetes include microvascular issues like retinopathy, nephropathy, and neuropathy as well as increased risk of cardiovascular problems. Tight control of blood glucose levels can help prevent or delay
Diabetes mellitus-treatment and psychiatric effectsMegha Isac
This document provides information on the diagnosis and management of diabetes mellitus. It defines the diagnostic criteria for diabetes as either a random blood glucose of 200 mg/dL or higher, a fasting plasma glucose of 126 mg/dL or higher, an A1C of 6.5% or higher, or a 2-hour plasma glucose of 200 mg/dL or higher during an oral glucose tolerance test. It also outlines treatment goals and management strategies, including lifestyle modifications, oral medications, and insulin therapies.
3. Physical Activity in Diabetes management - Copy.pptxVEERESHKADEMANI1
The document discusses the role of physical activity and exercise in diabetes management. It covers topics like the benefits of aerobic and resistance training in improving health outcomes, components of an exercise prescription including frequency, intensity and time, assessing a patient's exercise needs, different types of exercise, strategies to prevent hypoglycemia during or after exercise, and concludes that physical activity should be recommended to all individuals with diabetes.
Diabetes mellitus and diabetes insipidusShweta Sharma
This document provides information on diabetes mellitus and diabetes insipidus. It discusses the types, causes, signs and symptoms, diagnostic evaluation, and management of both conditions. Diabetes mellitus is characterized by high blood glucose levels due to insufficient insulin production or action. Diabetes insipidus is caused by a deficiency of antidiuretic hormone, resulting in excessive urine production and thirst. The document outlines the different etiologies, pathophysiology, clinical presentation, and treatment approaches for diabetes mellitus and diabetes insipidus.
The document proposes a minimal exercise regimen for type 2 diabetics that utilizes brief, moderate intensity muscle contractions after meals to lower blood glucose levels. Preliminary data from one subject who followed this regimen for nearly 3 years showed improved HbA1c levels and blood glucose control without medication. The hypothesis is that such a minimally demanding regimen can reliably lower post-meal blood sugar spikes and benefit glycemic management more than typical ADA recommendations.
The document discusses diabetes mellitus (DM), including its classification into types 1 and 2, gestational diabetes, and other types. It covers the anatomy and functions of the pancreas, which produces insulin and digestive enzymes. Diagnostic criteria for DM include hemoglobin A1C, fasting plasma glucose, and oral glucose tolerance tests. Complications of uncontrolled DM are also mentioned. Treatment involves lifestyle changes, insulin therapy, and managing comorbidities.
This document discusses diagnostic criteria and management strategies for diabetes mellitus. It outlines diagnostic thresholds for fasting plasma glucose, 2-hour post-glucose levels, and HbA1c that define normal, prediabetes, and diabetes states. Management involves glycemic control through diet, exercise, oral medications, insulin therapy, and treatment of associated conditions like hypertension and dyslipidemia, with goals of preventing complications. Intensive glucose control is important to delay microvascular and macrovascular disease progression.
This document provides guidelines for exercise in diabetes. It discusses monitoring blood glucose levels before, during, and after exercise. It recommends adjusting insulin doses based on the timing and intensity of exercise to prevent hypoglycemia. The guidelines cover carbohydrate intake, types of exercise, and using technology like CGM to help manage blood sugars. Precautions are discussed for different situations like recent hypoglycemia or elevated ketones.
1. The medical report analyzed the health condition of a 72-year-old man with diabetes, hypertension, and other issues. Laboratory tests found several biomarkers outside the optimal ranges, including high homocysteine, triglycerides, fasting insulin, and creatinine levels.
2. The report diagnosed specific risk factors and made recommendations, including nutritional supplements, a personalized diet plan limiting calories and carbohydrates, an exercise regimen, lifestyle changes, and repeating lab tests monthly.
3. Over six months of following the recommendations, the man's biomarkers and health improved significantly. His medications were reduced and stopped, his weight and blood pressure decreased, and he felt less pain and more energy.
This document discusses the management of diabetes through insulin therapy. It defines diabetes mellitus and describes the different types. It outlines the criteria for diagnosing diabetes and discusses gestational diabetes. The major components of diabetes treatment are described as medical nutrition therapy, oral medications, and insulin. The different types of insulin are explained along with common insulin regimens. Recommendations are provided for starting insulin therapy and calculating insulin doses for treatment of diabetes and gestational diabetes.
The document discusses diabetes, including:
- Diabetes is a group of metabolic disorders characterized by hyperglycemia due to defects in insulin secretion or action.
- India currently has 63 million people with diabetes, the second highest number after China.
- There are two main types of diabetes - type 1 caused by beta cell destruction leading to insulin deficiency, and type 2 caused by insulin resistance and relative insulin deficiency.
- Treatment involves diet, exercise, oral medications like metformin and sulfonylureas, and sometimes insulin therapy. The goal is to control blood sugar levels and prevent complications like damage to eyes, kidneys, nerves, and blood vessels.
This document discusses exercise guidelines and considerations for clients with diabetes. It defines the two main types of diabetes - type 1 where the body does not produce insulin and type 2 where cells are resistant to insulin. Exercise is beneficial for both types as it enhances glucose usage in muscles, improving blood sugar control. The document recommends low impact activities like cycling, walking and water aerobics from 20-60 minutes, 4-7 days per week at 50-90% of maximum heart rate. It stresses being aware of signs of hypoglycemia as exercise can lower blood sugar for hours after. Clients should check blood sugar before, during and after exercise and always have a carbohydrate snack available.
This document provides an overview of diabetes, including:
- Diabetes is a group of metabolic disorders characterized by hyperglycemia due to defects in insulin secretion or action.
- India has over 63 million people with diabetes, the second highest number in the world.
- There are three main types of diabetes - type 1, type 2, and gestational diabetes.
- Diabetes is diagnosed through fasting blood glucose, HbA1c, and oral glucose tolerance tests.
- Treatment involves lifestyle changes like diet and exercise as well as oral medications and insulin for blood glucose control.
- Chronic complications of diabetes can impact the eyes, kidneys, nerves, heart and blood vessels if not properly managed.
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Pre&Postprandial Brief Muscle Training 4.29.09
1. Pre & Postprandial Brief
(5 minutes!) Muscle Training
for Management of Blood
Glucose
Kathleen Broomall, Ph.D.
2. Postprandial hyperglycemic spike
Glycemic index, postprandial
glycemia, and the shape of the curve
in
healthy subjects: analysis of a
database of more than 1000 foods1,2
Brand-Miller et al_ 89 (1) 97 -- American
Journal of Clinical Nutrition
3. Types of Diabetes
Type 1 diabetes, formerly called juvenile diabetes, is usually first
diagnosed in children, teenagers, and young adults. In this form of
diabetes, the pancreas no longer makes insulin because the body’s
immune system has attacked and destroyed the pancreatic cells
specialized to make insulin. These insulin-producing cells are
called beta cells.
Type 2 diabetes, formerly called adult-onset diabetes, is the most
common form. People can develop type 2 diabetes at any age,
even during childhood. This form of diabetes usually begins with
insulin resistance, a condition in which muscle, liver, and fat cells
do not use insulin properly. As a result, the body needs more
insulin to help glucose enter cells to be used for energy. At first,
the pancreas keeps up with the added demand by producing more
insulin. In time, however, the pancreas loses its ability to secrete
enough insulin in response to meals.
4. Diagnostic Criteria for Diabetes
Fasting Plasma Glucose Result (mg/dL)
Diagnosis
99 or below Normal
100 to 125 Pre-diabetes (Impaired Fasting
Glucose)
126 or above Diabetes
5. Diagnostic Criteria for Diabetes
2-Hour Postprandial Plasma Glucose Result
(mg/dL) Diagnosis
• 139 and below Normal
• 140 to 199 Pre-diabetes (Impaired
Glucose Tolerance)
• 200 and above Diabetes
6. Pre-Diabetes
Pre-diabetes is a condition in which blood glucose
levels are higher than normal but not high enough for a
diagnosis of diabetes. This condition is sometimes
called impaired fasting glucose (IFG) or impaired
glucose tolerance (IGT), depending on the test used to
diagnose it. The U.S. Department of Health and Human
Services estimates that about one in four U.S. adults
aged 20 years or older—or 57 million people—had pre-
diabetes in 2007.
7. Metabolic Syndrome
Metabolic syndrome is defined as the presence of any
three of the following conditions:
waist measurement of 40 inches or more for men and 35
inches or more for women
triglyceride levels of 150 milligrams per deciliter (mg/dL) or
above, or taking medication for elevated triglyceride levels
HDL, or “good,” cholesterol level below 40 mg/dL for men and
below 50 mg/dL for women, or taking medication for low HDL
levels
blood pressure levels of 130/85 or above, or taking medication
for elevated blood pressure levels
fasting blood glucose levels of 100 mg/dL or above, or taking
medication for elevated blood glucose levels
8. Role of postprandial spike in
Cardiovascular Disease
Review article doi: 10.1111/j.1742-1241.2006.01168.x
9. Abnormal Glucose Metabolism may
be underestimated in Heart
Patients
Conclusions: Abnormal Glucose Metabolism is prevalent (found in >28%
of patients tested) and underestimated in Primary Hypertension
Coronary Heart Disease patients with normal Fasting Blood Glucose,
and it will develop even if therapeutic life-style changes are adopted.
Except for FBG, more attention should be paid to postprandial blood
glucose. Oral Glucose Tolerance Test should be a routine procedure for
PH patients, especially in-hospital PH patients, regardless of normal
FBG, and active drug intervention for Impaired Glucose Tolerance
patients with PH may be recommended.
“Glucometabolic state of in-hospital primary hypertension patients
with normal fasting blood glucose in a sub-population in China”
Diabetes Metab Res Rev 2009, Mar 6 (epub)
10. Exercise and Diabetes: Current
Recommendations
Various recommendations
30 minutes exercise 5 days a week
By Borg scale: 12/13 is a brisk walk for 15-20
minutes 4-7 days a week (breathing through
mouth, feeling warm, starting to perspire, but
able to continue activity)
Thought to improve insulin sensitivity, improves
overall glucose homeostasis
11. Exercise and Muscle Glut 4 Sugar
Receptor
GLUT4: a key player regulating glucose
homeostasis? (Molecular Membrane Biology, 2001, 18, 205- 211)
In patients with Type II diabetes mellitus, reduced glucose
transport in skeletal muscle is a major factor responsible for
reduced whole body glucose uptake.
Thus, GLUT4 is an attractive target for pharmacological
intervention strategies to control glucose homeostasis.
There are at least two separate pathways by which glucose
transport and GLUT4 translocation can be activated in skeletal
muscle; one stimulated by insulin or insulin mimicking agents and
one activated by muscle contractions or hypoxia (Douen et
al. 1990, Cartee et al. 1991, Lund et al. 1995, Zierath et al. 1997).
When the two pathways are stimulated concurrently, glucose
transport and GLUT4 translocation are increased in an additive
manner
(Wallberg-Henriksson and Hollosz y 1985, Lund et al. 1995).
12. Can exercise minimize postprandial
damage ?
“Can exercise minimize postprandial oxidative
stress in patients with TypeII Diabetes? “
Curr Diabetes Rev 2008, Nov 4(4) 309-19
Acute and chronic exercise can:
1. Cause an increase in endogenous antioxidant enzyme
activity.
2. Improve blood glucose clearance via enhanced
Glut 4 (contraction stimulated uptake of sugar into muscles
is still effective in Type II diabetics, while insulin receptors
are ineffective – insulin resistant.)
3. Improves blood triglyceride and lipoprotein lipase
activity.
13. “Can exercise minimize postprandial oxidative
stress in patients with Type II Diabetes? “
Curr Diabetes Rev 2008, Nov 4(4) 309-19
14. Muscle Absorption of Sugar Occurs
within Minutes of Contraction
“Acute exercise has two separate effects
on skeletal muscle glucose transport. One
effect, which is observed during and
shortly after exercise, is an insulin-
independent stimulation of glucose
transport.” “Can exercise minimize postprandial oxidative stress in patients
with TypeII Diabetes? “
Curr Diabetes Rev 2008, Nov 4(4) 309-19
15. Method of Pre & Postprandial
Muscle Training
Brief muscle activity done just before meal , or within
within 60 minutes after meal (both are preferable),
geared toward efficient contractile activity with light
cardio, with ease of accessibility for the average person
(5-7 minutes, depending on individual needs). Some
examples are:
Climbing stairs, walking between flights
Walking on slight incline
Resistance training, with walking between
Optimally, would like to randomly sample postprandial
(60-90 minute) blood sugar to check effectiveness for
individual (return to 100-120)
16. Control of postprandial spike with
5-10 minutes exercise
Before postprandial muscle
training, used 20-30 minutes
long duration exercise,
7 days per week
Blood sugar at 2 hrs postprandial
Postprandial short interval muscle training suppresses blood sugar spike in
reliable and predictable way. (N=1)
17. Fasting Blood Sugar Control of Fasting Blood Glucose
Postprandial short interval muscle training provided better control of fasting
blood glucose. (N=1)
18. Overall Improvement of Glucose
Homeostasis
Fasting, postprandial and random blood sugars
Postprandial short interval muscle training provided better overall control of glucose
homeostasis (exercise on stairs or treadmill, with a sprained ankle!). (N=1)
19. Improvement in A1C
A1C reflects average blood sugar over
past 90 days
Normal: 5-6%
Diabetic: 7%
Spring 2008: 6.5%
Spring 2009: 5.8% (Even with increase in BMI)
20. Uses/Advantages of Pre & Postprandial
Muscle Training: Disease Prevention,
Better Glycemic Control
Very safe for use in pre-diabetic, decreases their
cardiovascular risk and slows or prevents progression of
disease.
Builds optimal amount of muscle, because muscle
fibers are benefitting from increased frequency of
glucose absorption. (Type II diabetics’ muscles atrophy
faster than normal, and have abnormal histology,
among other defects). Brief training well tolerated,
even palatable to sedentary individuals.
Better muscle health equals greater ease of
compliance.
May help prevent weight regain because sugar actively
absorbed into muscles, not into adipose tissues.
21. Advantages of Postprandial Muscle
Training
Postprandial muscle training is what nature
intended – our glucose homeostasis was never
intended to rely solely on our insulin receptor system.
Instead, we are meant to use our muscles as a
secondary regulatory system, in conjunction with our
insulin receptor system. Apparently, this secondary
system in our muscles operates with amazing efficiency,
such that we can easily and quickly activate this muscle
based (insulin independent) blood sugar regulatory
system with a few simple muscle contraction events,
then continue with our busy, however sedentary,
lifestyles.
“Resistance exercise increases postprandial muscle
protein synthesis in humans”, Med Sci Sports Exerc 2009
Jan; 41 (1): 144-54.
Postprandial exercise may be a very efficient way to build new
muscle fiber, which helps regulate blood sugar even at rest.
22. Interested Parties
Individuals
Companies wanting to cut health care costs
can incentivize behavior
Parents and schools
Exercise equipment sellers
Blood glucose meter producers, especially
bloodless “real time” meters in development
GOVERNMENT – for DISEASE PREVENTION AND
LOWERING OF HEALTH CARE COSTS
Individuals without good access to health care
and therefore poor management of blood sugar