Shreya Shah Profile picture
Feb 7 19 tweets 4 min read Read on X
Pre-diabetes!!

As the name suggests,pre-diabetes is a stage just before diabetes

Your body has started showing functional changes similar to diabetes but not high enough for it to be diagnosed as Diabetes

A thread 🧵on what is pre-diabetes&simple ways to manage it

Lets go👇 Image
🔸There is a very high prevalence of pre-diabetes in India.

The scariest being teens who are not more than 15-16years of age are struggling with this just as much as older people.

Most people stay pre-diabetic for 5-10 years before getting diagnosed.
🔸Are you at risk??
Our body is usually good at giving signs if there is an existing issue internally.

I'm sharing these signs/ risk factors/ Symptoms in the picture below👇

If your score is more than 2 it calls for immediate attention!! Image
🔸Additional clinical criteria to check whether you're at risk are as follows👇

▪️ Hypertension (≥ 140/90mmhg)

▪️HDL cholesterol ≤35mg/dl

▪️ Triglycerides ≥ 250mg/dl

▪️Other clinical conditions related to insulin resistance (obesity and acanthosis nigricans)
🔸Now, that you know what pre-diabetes is,and the risk factors, the next step is to identify,if you're a pre-diabetic.

You can identify pre-diabetes with some basic blood investigation
🔸Blood tests to be done
Diagnostic criteria for Normal, pre-diabetes and diabetes👇 Image
🔸Typically, people with prediabetes do not show symptoms, are unaware that they have it& never have their blood sugar tested

It is recommended to screen for most adults from age 30&before that(even about 20 years)if one is overweight&has additional risk factors for prediabetes.
🔸Can Prediabetes be prevented or avoided?
Prediabetes can be delayed&,in some cases,even prevented

When people are overweight, losing weight and maintaining a healthy diet and exercise are the usual methods used to manage the condition.
🔸Management of Pre-diabetes
So here are a few starter steps to prevent or reverse pre-diabetes.

These will obviously improve your diabetes, PCOS, weight, cholesterol issues, anxiety,and gut issues.
▪️ Healthy eating plan for prediabetes
🔹Full half of your plate with non-starchy veg - this will keep your overall carb intake low, high fibre will ensure you get host of phytonutrients
🔹 Include Healthy fat
- Fat stabilizes blood sugars,this helps in keeping your insulin levels lower&hence less stress in the pancreas to produce insulin

- By fat,I mean the real, natural foods that happen to contain fat,not the processed food

- Eg:nuts&seeds,avocado,fatty fish
🔹 Protein
▪️When you eat carb in combination with protein&healthy fat,it can take longer for ur body to convert the carbs into glucose,leading to lower post-meal blood sugar levels

▪️Protein reduces the calorie intake by providing satiety,which also helps in blood sugar control
▪️Low muscle mass is a contributor to insulin resistance.

▪️Try to get protein in every meal for maximum benefit

▪️The best sources of proteins are dairy products like milk, curd, paneer as well as eggs, fish&poultry
🔹Avoid
- processed foods
- simple carbs like refined flour(maida), refined sugar
- sugary drinks and fruit juices
- High carbohydrate meal
▪️ Exercise
🔹Exercise helps control weight, manage blood pressure,lower triglycerides, raise healthy HDL cholesterol,strengthen muscles,&improve ur general well-being

🔹Exercise lowers blood glucose levels&boosts your body's sensitivity to insulin,countering insulin resistance
🔹All forms of exercise—aerobic, resistance/doing both (combined training)—were equally good at lowering HbA1c values

🔹The goal is to get at least 150 minutes per week of moderate-intensity activity

🔹One way to do this is to try to fit in at least 20-25 min of activity/day
▪️Manage your stress
🔹Chronic stress can wreak havoc on health and well-being.

🔹stress hormones like cortisol can contribute to weight gain and elevated blood sugar.

🔹Add stretching exercises, meditation or deep-breathing exercises to your daily routine.
▪️ Prioritize Sleep
🔹Getting inadequate amounts of sleep can negatively impact blood sugar levels, short and long term

🔹Too little sleep puts stress on your body, causing it to release hormones, including cortisol.Cortisol increases insulin resistance & blood sugar levels
🔸Conclusion
Prediabetes if uncontrolled can open a Pandora's box full of diseases for you.

So, i strongly recommend getting yourself diagnosed and start these lifestyle changes, if you have more than 2 of the above mentioned risk factors

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More from @ShreyaShah22

Feb 8
Sugar- The Silent Addiction

Sugar is one of the most “hated on” components in the diet.

Sugar is something we know that we should limit, but why should we limit?
Is it harmful to our health?

A thread 🧵on the sources, harmful effects, &ways to limit Sugar intake

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🔸Firstly,it's important to differentiate between the different types of sugar, to understand whether it's healthy or unhealthy.
1️⃣Natural Sugars: “Naturally built into the structure of foods such as fruits and vegetables and milk.” These natural sugars come from whole foods and are associated with positive health outcomes. Image
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Feb 5
Insulin resistance(IR)
Insulin resistance is when,ur cells stop responding properly to insulin resulting in high blood sugar levels

IR is a very common contributor to Type2 Diabetes&cardiovascular disease

A thread🧵on IR,risk factors,dietary&lifestyle changes to manage it👇 Image
🔸What is Insulin?
Insulin is a hormone produced by beta cells of the pancreas.

The name insulin comes from the Latin ''insula'' for "island" from the cells that produce the hormone in the pancreas.
🔸What does insulin do?
▪️After we eat food& it's digested, it will be converted into sugar, which will be used as energy

▪️Insulin is a 🔑that unlocks the door of our cell wall so sugar can enter

▪️Once insulin 🔓(unlocks) the cell wall,sugar can move into the cells for energy Image
Read 22 tweets
Feb 3
Fatty liver!!

1 in 3 Indians suffer from Non-alcoholic fatty liver disease!

Nearly 38% indians have some or the other stage of Non alcoholic fatty liver disease.

A thread🧵on what is fatty liver, it's type,risk factors,dietary&lifestyle changes to manage fatty liver

Lets go👇 Image
🔸What is fatty liver?

As the name suggests, fatty liver is when there is
excess fat built up in the liver.

Some amount of fat
in the liver is natural and required.

But, if the fat
weight exceeds about 5% of the liver weight, it is
considered to be a fatty liver.
🔸Types of fatty liver
There are two main types:

1️⃣Nonalcoholic fatty liver disease (NAFLD)
2️⃣Alcoholic fatty liver disease, also called alcoholic steatohepatitis
Read 24 tweets
Feb 1
Probiotics & Probiotics!
Gut health is where it all begins.

Consuming probiotics and prebiotics in the right way without overdoing it is crucial for our microbiome and gut health.

Here's a 🧵thread on what is probiotics & prebiotics, their benefits and sources👇 Image
🔸Probiotics
Probiotics are the good microbes for our digestive system. They’re live microorganisms that live in our gut.

Probiotics help maintain a balance with the natural-occurring bacteria in our digestive system. Image
🔹Probiotics may be helpful for those suffering from allergies, irritable bowel syndrome (IBS), inflammatory bowel disease(IBD), cholesterol, blood pressure, lactose intolerance, chronic gut inflammation, bacterial overgrowths, h. pylori infections, diarrhea,constipation,eczema.
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Jan 30
Magnesium!!

It is an essential micronutrient that plays a key role in many body processes, including muscle,nerve,bone health

A thread 🧵on the importance of Magnesium in our diet and sources of Magnesium

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🔸Why is magnesium important?
Magnesium is actually incredibly important for various bodily functions.

Over 300 enzymes use this essential micronutrient for important processes like synthesizing DNA, RNA, and proteins.
🔸In fact the human body has over 3,500 magnesium binding sites. Binding sites in the body show how much of magnesium is required in the human body in different areas.

They are present in the brain, in ur body,into ur central nervous system, into ur organs like kidney&the heart
Read 25 tweets
Jan 21
"A good laugh and a long sleep are the best cures in the doctor's book"

Compromising on sleep can affect
🔸Physical
🔸Mental
🔸Emotional health

Here’s a thread🧵 on the importance of good sleep for good health and tips for better sleep👇 Image
🛌Repair&recovery

When you sleep, you allow your body to repair and rebuild. During this time, the body is able to clear toxins.

While you sleep, there are many important processes that happen, including:

🔹Muscle repair
🔹Protein synthesis
🔹Tissue growth
🔹Hormone release Image
Everything from blood vessels to the immune system uses sleep as a time for repair.
Read 20 tweets

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