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Health Essentials

Lifestyle modifications that help to control diabetes

I am not sure why I have the urge to write on Diabetes this morning. Maybe it’s the shock of hearing that someone I know had a limb amputat­ed. Yes diabetes is real and we simply cannot do enough to raise awareness.

Though the steps outlined here apply mainly to Type two (2) Diabe­tes, people living with all other forms of diabetes will benefit immensely from applying them.

Diabetes definitely “commands” a lot of respect when it comes to dis­eases that put fear in people. When you harbour sugar in your blood that is enough to feed a whole village then surely you are asking for trouble.

A diagnosis of diabetes ranks in the list of top 5 disease conditions that will have people go into a trance and start speaking in tongues.

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Diabetes affects every part of your body and may take control of your finances and life if not properly managed. Yes, there is medication but without the appropriate lifestyle modifications to prevent or control diabetes, then we will be fighting a battle we are destined to lose.

If we can start our lifestyle modi­fication journey together today, then we will definitely make major strides by January 2025. That does not mean we quit after a few weeks; this is a lifetime commitment.

1. Spread the news about Dia­betes and the need to be screened

a. We should talk to as many people as possible about diabetes and even more important to get tested and encourage others to test. You may even go the extra mile by paying for others to get screened.

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b. It is not only about testing after fasting but also consider check­ing blood sugar a few hours after a meal. You may also discuss with your health professional the need to check your long-term blood sugar control.

2. Watch what you eat and drink

a. The drill remains the same.

i. Portion control using small plates is helpful

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ii. Low carbohydrate is ideal NOT no carbohydrate

b. Eat more fibre and whole grains. That makes vegetables and whole fruits amazing

c. Sweetened drinks will make your work difficult. Most contain too much sugar (empty calories) that only go to “confuse” insulin and also cause you to increase fat cells that end up making your cells resistant to insulin, leaving sugar in your blood stream

d. Magnesium and chromium play a crucial role in the control of blood sugar and that is one of the many reasons I love pure unadulterat­ed cocoa powder. Use this wisely.

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3. Manage your weight

a. Controlling weight/fat makes your cells more sensitive to insulin and also makes you healthier in gen­eral

4. Exercise

a. The wonder-pill will always find a role to play, and I encourage this!

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b. Exercise increases the body’s (cells) sensitivity to insulin, so it gob­bles up the sugar in the blood. When you walk or bike etc optimize your results by alternating brisk walk with regular pace; it has a fanciful name known as “interval training”

c. Strength training at least twice a week will build a little lean muscle that also helps mop up blood sugar

d. If you have not tried this yet, take about five minutes walk after each meal to set the ball rolling.

5. Manage Stress

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a. Sustained Stress in any form will cause the body to release gluca­gon and cortisol both of which have the unenviable role of increasing blood sugar.

b. Exercise, smiling, breathing exercises, practicing mindfulness and surrounding ourselves with posi­tive-minded and happy people goes a long way to help us manage stress

6. Sleep

a. Staying awake deep into the night has a way of tempting one to snack (often not the healthy option) and even eat large meals at ungodly hours.

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b. Lack of adequate sleep is stressful in itself and so puts a strain on all organs and the blood sugar challenges set in again.

7. Drink adequate water

a. Water is solid gold any day!

b. Makes you healthy and even flushes the kidney

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8. Regular checks is a game-changer

a. Do not be fixated on check­ing only fasting blood sugar, other important tests exists and you need to have a chat with your healthcare professional

b. Daily inspection of your feet is a must. Avoid tight fitting shoes.

c. Book a yearly appointment with a dentist and an eye specialist

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d. Check your blood pressure as often as feasible; barest minimum is once a month

e. Urine tests are wonderful but don’t forget you kidneys, cholesterols either.

f. As stated earlier, don’t count on only fasting blood sugar levels

I love listing 10 points to follow but for today I will end with eight and invite you to share yours with me via email.

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AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pres­sure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd (HE&W Group)

(dressel@healthessentialsgh. com)

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*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – 1. “537 million adults were living with dia­betes in 2021.”

2. “Almost 1 in 2 adults with dia­betes remain undiagnosed (240mil­lion)”-worlddiabetesday.org

By Dr. Kojo Cobba Essel

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Health Essentials

The impact of mental health misconceptions on relationships and marriage

As we manoeuvre the complexities of relationships and marriage, it is essential to acknowledge the significant role mental health plays in our overall well-being.

Unfortunately, mental health is often shrouded in misconceptions that can have far-reaching consequences on our relationships.

In this article, we will explore five common misconceptions about mental illness and how they can affect our relationships and marriages.

Misconception 1: People with mental illness are violent and dangerous

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One of the most pervasive misconceptions about mental illness is that people who suffer from it are violent and dangerous. This could not be further from the truth. Research has shown that individuals with mental illness are more likely to be victims of violence than perpetrators. In fact, studies have found that people with mental illness are two to three times more likely to be victims of violent crime than the general population.

In relationships and marriages, this misconception can lead to fear and mistrust. Partners may worry that their loved one’s mental health condition will lead to violent outbursts or unpredictable behaviour. However, with proper treatment and support, individuals with mental illness can lead healthy, productive lives.

Misconception 2: Having a mental illness means you are “crazy”

Another common misconception is that having a mental illness means someone is “crazy” or unstable. This stigma can prevent individuals from seeking help and can lead to feelings of shame and guilt.

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In relationships, this misconception can create tension and conflict. Partners may not understand their loved one’s mental health condition, leading to frustration and resentment. However, by educating ourselves about mental health and seeking support, we can work to break down this stigma and build stronger, more supportive relationships.

Misconception 3: Post-Traumatic Stress Disorder (PTSD) only affects military personnel

PTSD is often associated with military personnel, but the reality is that anyone can develop PTSD after experiencing a traumatic event. This can include survivors of natural disasters, domestic abuse, or sexual assault.

PTSD can have a significant impact on relationships and marriages. Partners may struggle to understand their loved one’s symptoms, leading to feelings of frustration and helplessness. However, by seeking support and education, couples can work together to build a stronger, more supportive relationship.

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Misconception 4: Mental Health conditions are rare

Mental health conditions are more common than we think. According to the World Health Organization (WHO), one in four people worldwide will experience a mental or neurological disorder at some point in their lives.

In relationships and marriages, mental health conditions can affect anyone. Partners may struggle to cope with their loved one’s mental health condition, leading to feelings of burnout and resentment. However, by seeking support and education, couples can work together to build a stronger, more supportive relationship.

Misconception 5: Seeking help for mental illness leads to stigma

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Finally, many people believe that seeking help for mental illness will lead to stigma and judgment from others. However, seeking help is a sign of strength, not weakness. Seeking help for mental illness can actually strengthen the relationship. By working together to address mental health concerns, couples can build a stronger, more supportive relationship.

The importance of education and support

Education and support are key to breaking down the stigma surrounding mental health. By learning about mental health conditions and seeking support, couples can build stronger, more supportive relationships.

Communication is essential for the relationship’s health. Partners should feel comfortable discussing their mental health concerns and seeking support from each other. By doing so, couples can work together to build a stronger, more resilient relationship.

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In conclusion, mental health myths can have a significant impact on relationships and marriages. By educating ourselves about mental health and seeking support, we can work to break down these misconceptions and build stronger relationships.

If you are struggling with mental health concerns or know someone who is, do not hesitate to seek help. With the right support and education, couples can build a stronger, more resilient relationship that can withstand the challenges of mental health concerns.

To be continued …

Source: Excerpts from “COURTSHIP MATTERS: Keys to a Fulfilling Lasting Marriage” Book by REV. COUNSELOR PRINCE OFFEI (Lecturer, Author, and Marriage Counsellor).

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ORDER BOOK NOW:

https://princeoffei22.wixsite.com/author                     https://counselorprinceass.wixsite.com/edu-counseling-psych              https://princeoffei22.wixsite.com/website

COUNSELOR PRINCE & ASSOCIATES CONSULT (CPAC COUNSELLOR TRAINING INSTITUTE)

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Health Essentials

Is broken-heart syndrome real?

Depressed woman in bed with hands on face
Depressed woman in bed with hands on face

I am sure Cupid is often amazed at the extent some of us go when it comes to the affairs of the heart, but maybe the adage “it is better to have loved and lost than to nev­er love at all.” Love is a good thing but it may also come with its unique challenges.

When love goes bad or one’s expectations in a relationship are not met, some people may suffer what we refer to as broken-heart syndrome. We may think this is purely an emotional phenomenon BUT there is evidence that the heart literally breaks and even the best heart doc­tors may struggle to differentiate it from a Heart Attack.

The good news is that when your heart breaks from love gone bad, loss of a loved one, financial challenges and even strangely extreme happiness such as winning a huge amount of money or even a surprise mega party, all the changes are reversible from a few days to a maximum of two to three months. Women seem to bear the brunt of this syndrome especially after menopause.

I remember years ago whenev­er any of my team members at the emergency prompted me that a young lady had just been brought in with “hysteria” you could bet your last crumpled Ghana cedi that there was love in the mix. The story will often unfold slowly and the “unconscious” lady will promptly sit up in bed and spend a significant time being coun­selled; maybe we should have run more tests on their hearts at the time.

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Broken Heart Syndrome may have symptoms that feel like a heart attack and may include chest pain and shortness of breath BUT unlike a heart attack it is not caused by clogged arteries, instead it may be precipitated by an emotionally stress­ful event such as hearing or seeing on social media that your ride or die partner has other plans.

It appears that stress hormones overwhelm the heart causing heart vessels to go into spasm and instantly reducing oxygen to the heart mus­cle and mimicking a heart attack. This “stunning” of the heart may be associated with dizziness, fainting, nausea, irregular heartbeat and low blood pressure. These symptoms may start from a few minutes to hours after the stressful event.

Fortunately you will rarely die from broken heart syndrome and you are not more likely to suffer from broken heart syndrome if you already have heart disease but some risk fac­tors do exist:

• Being female

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• Age 50 years and above for both males and females

• Your genes may predispose you

• Having a head injury or sei­zure disorder

• Having anxiety or depression

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Some blood tests and ECG (not the company that plays games with our hearts through agonising dumsor) may show heart injury but other heart tests may make the picture clearer though the first few hours can be difficult to tell and one will need to be started on medication to protect the heart.

Fortunately the heart changes from Broken Heart Syndrome are easily reversible and people recover much quicker than someone who has suffered a heart attack. Rarely some­one may have complications from this such as heart valve damage or heart failure.

Did we have a surge in Takotsubo Cardiomyopathy (aka Broken Heart Syndrome) about two months ago when we marked Valentine’s Day? “I cannot know, I cannot tell” but the emotional challenges people go through on this single day may be enough to precipitate Broken Heart Syndrome and taking care of our health holistically including mental, social and physical health will go a long way to speed up our recovery when we happen to be hit by this bug.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pres­sure, blood cholesterol, BMI)

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Dr Kojo Cobba Essel

Health Essentials Ltd/ Medics Clinic

(dressel@healthessentialsgh. com)

*Dr Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

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Thought for the week – “For heart health you need to relax and have fun as well; schedule time for leisure, sing praises to God, laugh often, learn to breathe deeply and maybe get a pet. Avoid toxic rela­tionships as much as possible.”

References:

1. Broken-Heart Syndrome- Mary Jo DiLonardo, WebMD

2. Takotsubo Cardiomyopathy – Harvard Health Publishing

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By Dr Kojo Cobba Essel

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