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Inaugration of 100th SAAOL Heart Center Sylhet in North Eastern Bangladesh

by SAAOL
Feb, 2021

Two most important landmarks that Saaol achieved in the recent past are opening of our 100th center in the hill city of Sylhet in North eastern Bangladesh. Saaol, which started as a small one clinic set up in a basement of Lajpat Nagar in Delhi in September,1995 has now a spread across India and abroad. Not only we proved ourselves effective in treating heart patients without bypass surgery or Angioplasty with 98% success – we educated crores of people on how to prevent heart disease. We now have more than 3 lacs successful patients in the last 25 years behind us. We now have three centers in Bangladesh. We have branches now in all major cities of India and it is further spreading. On this occasion let us congratulate all our patients and well wishers. We have crossed a century!

Dr. Bimal Chhajer & Madhu Chhajer SAAOL Knee & Spine Clinic in Chhattarpur & Noida

by SAAOL
Feb, 2021

Saaol already achieved in January, 2021 was reaching 1 million subscribers in YouTube

by SAAOL
feb, 2021

Today we can proudly say that we are doing more social work than successfully running a chain of non invasive heart centers. Everyday more than six lac people are seeing our videos in You Tube. Out of them even one percent calls us – it is 6000 calls per day. To help more people help us we have now added three more telephone lines in Saaol head office and these are -------. So, now we have 8 phones in the reception of Saaol Head office in Chattarpur, new Delhi.

Dr. Bimal Chhajer's Talk

The four Cousin diseases!

Editorial: Four most common diseases can be called close cousins and there are Obesity, High BP, Diabetes and Coronary Heart Disease. There are always good chances that they will occur simultaneously. Sometime back I met one gentleman who was obese. I asked him that his chances of High BP are high – he said his BP is always high.

Then I told him be aware Diabetes can also come – he said It is already there. So, all three were present. I advised him for symptoms of heart disease – he said I feel breathless on walking – ultimately on investigation he was found to have 80-90% blockages in two arteries. All the four diseases are lifestyle related diseases and like close cousins like to stay together. Saaol treats all of them and we find they are treated together with diet, exercise, stress management and Yoga.The main cause of Diabetes is non availability of Insulin or ineffective Insulin. The Job of Insulin is to arrange passage of Glucose (which comes from Carbohydrates that we eat) in each and every cell of the body. Lack of insulin action leads to accumulation of extra glucose in the blood ( which should have been otherwise inside billions of cells across the body and supply energy). The paradox becomes that plenty of Glucose is around and still the cells are starving. This has a potential of damaging most of the important organs of the body.

The most important thing that I want to point out is that for saving the heart (or any other organs for that matter) we should keep the glucose levels at the best level and these are fasting below 100mg/dl and Post Prandial (after food) below 140mg. Since it is not possible to measure these levels on daily basis across the day – we now depend on a new test called HbA1c or Glycosylated Hemoglobin which should be below 6.5%. This is only possible when your blood glucose is mostly kept below 100 and 140 as stated above in the last three months. --Dr. Bimal Chhajer

Food Chapter | ZERO OIL ALOO TIKKI

INGREDIENTS (PER SERVING)

1. Boiled Potatoes- 100 grams
2. Boiled Green Peas- 10 grams
3. Onion- 20 grams
4. Bread Crumbs- 50 grams
5. Chopped green chili
6. Red chili powder
7. Coriander Powder
8. Salt
9. Garam Masala

METHOD OF PREPARATION

1. In a bowl take boiled potatoes add boiled green peas to it. followed by chopped green chilies. Mash and mix the properly.
2. Add chopped onion and spices to it.

3. Add bread crumbs to the mixture and mix them properly.
4. Take a pan, and cook the shaped aloo tikki mix on low-medium flame. Cook until it is properly crispy from both the sides.
5. This aloo tikki can be eaten as aloo tikki chaat or even be stuffed in burgers add relished as a guilt-free snack.

NUTRITIVE VALUE

1. ZERO OIL ALOO TIKKI - -

Calories: 308.3 Kcal, Carbohydrates: 62.41 grams, Protein: 9.04 grams, Fat: 0

2. ALOO TIKKI (SHALLOW FRIED) - -

Calories: 398.3 Kcal , Carbohydrates: 62.41 grams, Protein: 9.04 grams, Fat: 10 grams,

DIABETES INCREASING YOUR RISK OF HEART ATTACK

INTRODUCTION

Diabetes is an epidemic in India. Estimates show that more than 3 crore people have been diagnosed with diabetes in India with the prevalence rate being 9 per cent in the urban areas of India and 3 per cent amongst the rural Indian population. The estimate of the actual number of diabetics is around 4 crores considering the huge number of cases which still lie undiagnosed or unreported. India actually has the highest number of diabetics as compared to any other country in the world. Diabetes is also beginning to appear much earlier in life in India, meaning that chronic long-term complications are becoming more common. Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. WHO estimates that diabetes was the seventh leading cause of death in 2016. The growing burden of diabetes isn’t the only matter of concern, since the disease isn’t self-limiting but leads to a massacre of other health problems. The debilitating condition increases the risk of a number of other chronic health problems like coronary heart disorders, kidney failure, neuropathy, retinopathy and, what not? Patients with diabetes mellitus and coronary heart disease have the high risk (20.2%) of myocardial infarction. Diabetic patients have two-to-four-fold higher chances and are more prone to develop coronary heart disease than individuals without diabetes. In this periodical we wish to draw major emphasis on Type-2 Diabetes and its association with increasing the risk of cardiovascular diseases.

DIABETES MELLITUS

Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin (Type-1 Diabetes) or when the body cannot effectively use the insulin it produces (Type-2 Diabetes). Insulin is a hormone that regulates blood sugar. Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels.

TYPE-2 DIABETES

Type 2 diabetes (formerly called non-insulin-dependent, or adult-onset diabetes) results from the body’s ineffective use of insulin. The majority of people with diabetes have type 2 diabetes. Type-2 diabetes is a commonly encountered lifestyle disease in today’s ‘fast moving’ world. It is a lifelong disease that keeps your body from using insulin the way it should. However, it is highly manageable. Good dietary habits, adequate physical activity and lifestyle management helps is getting good control over diabetes which thereby helps people to avoid any complications which may arise as a result of uncontrolled diabetes.

WHAT ARE THE SIGNS AND SYMPTOMS OF DIABETES ?

A. Polyuria- Frequent urination
B. Polydipsia- Excessive thirst
C. Polyphagia- Excessive hunger
D. Unexplained weight loss
E. Increased fatigue
F. Blurred vision
G. Frequent infections
H. Poor wound healing
I. Dry itchy skin
J. Numbness or tingling in hands, feet

DIABETES & HEART ATTACK RISK

Heart disease is common in people with diabetes. Data from the National Heart Association shows that 65% of people with diabetes die from some sort of heart disease or stroke. Heart disease is the number one cause of death among people with type 2 diabetes. People with diabetes tend to develop heart disease at a younger age than people without diabetes. Adults with diabetes are nearly twice as likely to die from heart disease or stroke as people without diabetes. The most common cause of heart disease in a person with diabetes is hardening of the coronary arteries or atherosclerosis, which is a build-up of cholesterol in the blood vessels that supply oxygen and nutrition to the heart.Over time, high blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. The longer you have diabetes, the higher the chances that you will develop heart disease. When the cholesterol plaques can break apart or rupture, the body tries to repair the plaque rupture by sending platelets to seal it up. Because the artery is small, the platelets could block the flow of blood, not allowing for oxygen delivery and a heart attack develops. The same process can happen in all of the arteries in the body, resulting in lack of blood to the brain, causing a stroke or lack of blood to the feet, hands, or arms causing peripheral vascular disease. Not only are people with diabetes at higher risk for heart disease, they're also at higher risk for heart failure, a serious medical condition in which the heart is unable to pump blood adequately. This can lead to fluid build-up in the lungs that causes difficulty breathing, or fluid retention in other parts of the body (especially the legs) that causes swelling

Can Diabetes be Prevented ?

Yes, diabetes can be delayed and prevented.
Following simple lifestyle measures can reduce the future risk of diabetes:
1. Physical activity
2. Healthy diet habits
3. Smoking and alcohol cessation
4. Follow-up counselling and yearly monitoring

Dietary considerations in diabetes

A healthy eating pattern and regular physical activity are central to diabetes management along with pharmacotherapy.
Medical Nutrition Therapy (MNT) can bring about a decrease in HbA1c levels comparable to that brought about by some drugs, ranging from 0.5-2%.
A few foods are required to be avoided by diabetic patients, particularly those which have a high glycemic index like processed foods, simple carbohydrates, and other high glycemic index foods.

Hand Guide for Serving

A simple way of measuring the portion size is using one’s hand.
The portion size for different macronutrients in major meals recommended for a patient
with diabetes can be measured through this way:
1. Vegetables (Non-Starchy Vegetables): Choose as much as you can hold in both hands.
2. Carbohydrates (Starch and fruit): Choose an amount of the size of your two fists.
3. Protein: Choose an amount of the size of the palm of your hand and the thickness of
your little finger

Exercise in diabetes

Exercise is the cornerstone for the management of diabetes.
Due to increased activity, the cells become more sensitive to insulin and can work more
efficiently.

Points to remember before starting exercise

1. If blood glucose is >252 mg/dl, strenuous exercise is not recommended as it may cause blood glucose to increase.
2. If ketones are present, the person should NOT exercise.
3. Exercise is not recommended when an individual is sick.
4. Footwear must be appropriate to protect feet from injury and moisture
5. Carbohydrate food must be carried together so that a glucose source is readily available throughout the activity.
It is recommended that each person with diabetes be actively engaged in self-management, education, and treatment planning with their healthcare provider in order to keep a better control over their blood glucose levels thereby avoiding any complications which may arise as a result of uncontrolled diabetes.

What are the benefits of exercise in diabetes ?

1. Improves cardiovascular health
2. Reduces weight
3. Improves blood cholesterol and blood pressure levels
4. Helps in maintaining blood glucose levels
5. Improves glucose utilization by the body
6. Improves sleep, quality of life and reduce stress
7. Improves physical fitness and stamina

What are the different types of exercise ?

1. Aerobic exercises help the body to use insulin better and reduce the risk of heart disease by lowering blood pressure and blood glucose.
E.g. Brisk walking, cycling, swimming, running. 2. Resistance exercise improve muscular strength and stamina and increase glucose utilization in the body.
E.g. Weight- lifting, dumbbells, barbells, push-ups.
3. Flexibility exercises reduce stress by lowering counter-regulatory hormones, also improve insulin sensitivity.
E.g. Yoga, Stretching, ballistic stretching.