Tuesday, September 26, 2023

"You don't have to eat potatoes, rice and sweets in diabetes"

 "You don't have to eat potatoes, rice and sweets in diabetes"


People with diabetes often hear that 'you can eat it, you can't eat it, you shouldn't eat sweets'. As soon as the problem of diabetes appears, the patient is worried about having to stop eating.



Don't eat rice, don't eat potatoes, don't eat sugar and don't eat food made from flour. Now what? This is causing mental stress to the patient. In this case, because of diabetes, rice and potatoes should not be eaten? What is the reason for the increase in the problem of diabetes in young people? Diabetes and hormone specialist Dr. Edited excerpt from online journalist Sumitra Luitel's conversation with Deepak Malla:


It is heard that people with diabetes should not eat rice and potatoes. Is that so?


No doctor should tell a patient not to eat potatoes and rice. To control diabetes, lifestyle should be changed along with food. Eating a few potatoes a day does not mean that the patient's condition will worsen. On the day of eating potatoes, if you do not eat other carbohydrate foods, you will get a balance if you eat protein and fiber foods.


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People with diabetes should not eat potatoes, rice and sugary foods. Sometimes a small amount can be eaten. Do not eat potato-based dishes. Foods with a very small amount of potatoes can be eaten. But it is better to eat after measuring the sugar level.


Are there things that should not be eaten?


There are also things that diabetic patients should not eat. Things that should not be eaten are cigarettes, alcohol, tobacco, etc. In addition, rice, potato and sugary food can be eaten, so the daily potato dish, jerry raspberry should not be eaten, sometimes a small amount can be eaten.


Do not eat sweet food and outside food?




During any festival or family gathering, Gulia is made as food at home. At that time, other members of the family eat with pleasure and diabetic patients are told not to eat this and not to eat that. In this case, the patient's sugar increases due to the worry that I will not be able to eat. Therefore, sometimes very little sweet food can be eaten.


Someone's birthday has been celebrated at home, everyone has eaten cake, but even a person with diabetes can eat a piece of cake, dance for a while and be happy and not let the calorie expenditure of sugar increase. But if everyone eats the cake and goes to sleep with the stress of not being able to eat it, the sugar may increase the next day.


It is better for people with diabetes to eat food prepared outside the home. Preference should be given to fresh food cooked at home. It is not known what is mixed in sweets and packaged foods made outside the home and how they are made. But in home-made food, you know what has been added to it, and you can also estimate that if you eat this food in such quantity, sugar will not increase.


Don't eat fruit?


Diabetic patients can eat all kinds of fruits, but the quantity should be adjusted. But eating fruits with high glycemic index (a substance that increases blood sugar levels) such as mangoes, bananas, melons, and sweet potatoes in large quantities increases the sugar level. Therefore, eating less of these fruits is beneficial for the patient. It is just an illusion that one should not eat fruits.


Is it beneficial to eat bread instead of rice?


Most people with diabetes eat roti instead of rice or rice. Reduce the amount of carbohydrates in food. Rice and bread contain almost the same amount of sugar, which does not help to control diabetes.


Whatever you eat rice, roti, dough, you have to adjust the quantity and eat little. If you don't eat rice but eat 5-6 rotis in one meal, diabetes will increase instead of being controlled. So no matter what you eat, you should measure the calories and eat it. Rice, bread should be eaten less and vegetable salad should be eaten more.


Brown and brown rice are said to be good for diabetics, right?


Compared to white rice, the glycemic index of brown and brown rice is slightly lower. Therefore, brown and brown rice are somewhat better than white rice. But if there is only white rice in the house, if there is no brown rice, white rice can be eaten in small quantities. You can't eat a lot of brown rice because it's good, you have to eat it in moderation.


How important is it to check the daily sugar level?


Diabetic patients should make it a habit to check their sugar level daily. If the sugar level is checked daily, it is easy to control. During the sugar check, when the sugar level is high, the food can be eaten a little more.


Even if you don't exercise with food?


Controlling diabetes is not only about food, but also about exercise. You should walk briskly for 45 minutes daily, five days a week. They can do housework or other exercises for two days. By doing this, obesity is controlled and diabetes too.


Because of diabetes, it is important to avoid eye, kidney and heart problems by changing lifestyle and taking medicine.


Now it is said that the problem of diabetes has started to appear from the age of 20-22 years.


Recently, the problem of diabetes has been seen in young people from the age of 20-22 years. Earlier it was called diabetes as a disease that appears after 40-50 years.


Schools were closed for two years due to the lockdown due to Corona. Students could not go to school. They ate, read and slept sitting in one place at home. Due to which the problem of obesity has increased a lot. Due to this, the problem of diabetes has increased in the youth.


Another reason for increasing the problem of diabetes among young people is foreign employment. After going abroad, food and environment are different, separation from family, debt stress. It has also increased the problem of diabetes. How many people have come back with diabetes.


Diabetes has also increased due to laziness. Nowadays, due to working at home, using vehicles to go somewhere, and playing games on mobile phones etc., there is less physical activity due to which the risk of diabetes has increased in the youth.


Earlier there were many people who came with eye, kidney and heart problems due to diabetes. But now there is access to check for diabetes, so the complications caused by diabetes are less.


Can you quit medicine by changing your lifestyle?


Some say that I don't sleep, drink, smoke, and am not fat. They tell me how I got diabetes. But apart from all these reasons, diabetes can also be due to genetics. Even if you had diabetes at some point like during pregnancy, you can develop diabetes. This problem can also occur in those taking heart, cholesterol and high blood pressure medications.


If you start taking medicine, you have to take it for the rest of your life, so there are patients who do not want to take medicine. You don't need to start taking medicine as soon as it appears, you can control diabetes by changing your lifestyle. In the beginning, if the sugar level is 300 to 400, then medicine should be started. Medicines reduce other risks that can be caused by diabetes. If the amount of sugar is reduced by changing the medicine and lifestyle, then the medicine can be stopped.


If you stop taking the medicine and eat wildly again, adopt the old lifestyle of not exercising and do not follow up with the doctor, you may have to take medicine again if your sugar level increases.


What to do to prevent diabetes?


To prevent diabetes, one should maintain weight according to height, pay attention to healthy eating, do not smoke and drink alcohol and exercise daily. Also, reducing stress, eating plenty of vegetables, fruits and fibrous foods reduces the risk of diabetes.

"There is also a need to discuss the mental health of teachers"

"There is also a need to discuss the mental health of teachers"


  Recently, there are many problems related to mental health in school students. This affects their ability to acquire skills and knowledge. At times, public awareness programs on mental health are targeted at students.



But the mental health of the teachers who teach the same children is not given much attention. Teachers may also be stressed by personal problems such as their home affairs and career. The effect of which can be seen in their work. It can have a direct impact on students' teaching and learning.



In this case, don't teachers need training on human health? How important is it to discuss the mental health of teachers? What is the teacher's health condition? In this context, psychiatrist Dr. Edited excerpt of online journalist Manisha Thapa's conversation with Vasudev Karki:


How important is it to discuss the mental health of teachers?


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Children are the foundations of the future. Teachers are the creators of children's future. Therefore, if the creator is not mentally healthy, the society of the future will not be prosperous. Therefore, it is very important to take care of the mental health of both children and teachers.


In the context of Nepal, there are many mental health programs targeting children and students. But by focusing on teachers, the discussion about mental health is reduced.


On the other hand, some time ago in America, there was a survey about the mental health of teachers. According to which 27 percent of the teachers were suffering from depression. In a prosperous country like America, teachers are going through mental problems like depression, but in a country like Nepal, the government has not been able to provide even the necessary services and facilities that teachers should get. It can be attributed to the recent teachers' movement. Even if only the teachers present in the movement are studied, 50 percent of them may have problems like depression.


In this case, if the mental condition of the teacher is not good, how can the children like the little buds get quality education from the education given by them? Therefore, it is very important to discuss the mental health of teachers.


Teachers have their own problems. Family matters, financial matters or various things are also making them stressed. Is the side-effect of such stress in the classroom or not?


If the teacher himself is in a stressful situation, its side-effect is completely falling in the classroom. A person who is mentally stressed may also have anxiety and depression. Due to stress, symptoms such as sleeplessness and dizziness may appear in them. How can he teach in the classroom who has not slept all night? On top of that, a teacher who is going through depression may have anger, impulses, and thoughts playing in his mind, and a teacher who comes to the classroom with a stressed mind either does not want to teach and is forced to teach.


Also, even a small mistake by a student in class can cause anger in the teacher. The result may be activities such as scolding and beating students. There are many examples of incidents of beatings by teachers from time to time. This can affect the mental health of not only the teachers, but also the students studying there. Not only that, the teacher may not be able to share enough knowledge as needed, which affects the students' learning.


How does the mood of teachers affect children?


If someone greets you with a smile when you go somewhere, the atmosphere is different. The same principle applies in the classroom. If the teacher looks cheerful and energetic, then even the students who are sitting in the classroom will get energy and vigor. They can easily absorb what is taught. They do not feel that the class is over.


But there is a lot of stress going on in the teacher's mind. He has no energy, no energy and comes with an angry face. And, if they are always presented in the same way in the class, students may not like to read, find it difficult to concentrate, and may not like to ask questions that they do not understand. Some teachers are kind enough to vent their anger on students due to the personal stress of homework. In this case, students are afraid to even sit in class. The class atmosphere is also negative.


All students consider their teachers as the storehouse of knowledge. Children consider teachers as their role models and they dream of being like teachers. Students follow not only the teacher's teaching but also their behavior. The direct effect on the students' emotional state and learning environment also depends on the teacher's presentation.


Even if the student is not scolded or beaten, some behavior of the teacher has a direct effect, right?

 

First, it was said that small punishments should be given to the students to make them level and discipline them. If you don't do your homework, if you make noise in the classroom, if you don't obey, you will get beaten up. But now the idea that students should not be beaten will have a more negative impact on children. Most teachers believe that the classroom should be child-friendly. However, activities such as not encouraging, not responding, and discouraging the students for their extracurricular activities in the class can have a negative effect on the student's mentality. Not only that, because stressed teachers cannot teach well, students also cannot learn well.


If the teacher himself is depressed or sad, can he cover it up and teach the students properly?


If the teacher himself is sad, he cannot cover it up. Even if they want to, they cannot teach the students properly. No matter how much the teacher tries to hide his indifference, it can be seen in his behavior.


What kind of mental problems can teachers have?


Depression, anxiety and stress are the most common psychological problems among teachers. Some teachers are not even able to experience that they have mental problems. But in their behavior, the symptoms of mental problems are visible and if the problem becomes dominant, the behavior may change. After which students and colleagues around can also notice.


How to make the teacher mentally healthy and emotionally strong?


In order to make them mentally healthy and emotionally strong, their stress can be reduced by giving them the wages that schools and colleges deserve, understanding the problems of teachers from time to time, not giving them unnecessary pressure from the administration, encouraging them when they have done a good job.


Also, it is important for the teacher to have a discussion program with the counselor at school from time to time, so that they can openly discuss the mental stress they have.


It is necessary for the government to conduct mental health awareness programs in all teaching areas and to train teachers on modern education. This can increase the intellectual capacity of the teachers and can also increase their passion for teaching.

Wednesday, September 6, 2023

From fruit to coffee, these foods are best not to eat during pregnancy

From fruit to coffee, these foods are best not to eat during pregnancy


During pregnancy, some people have a craving for sweet foods. Some people like to eat sweet and sour, some like sweet. At this time, the brain produces neuropeptide hormones, which work to stimulate hunger.



According to the geography, their choice will be different. Generally, women in western countries like sweet foods like ice cream and cakes. Women in eastern countries like sour, bitter and bitter foods like spicy, turkey.

However, eating fancy foods during pregnancy is not so appropriate.


Because the mother's diet has a direct effect on the child growing in the womb. Therefore, you should be careful about what you eat or what you don't eat at this time.



1. fruit


Fruits should not be eaten during pregnancy. Nuts contain 'benzyl isothiocyanate', due to which excessive consumption can be toxic to the body.


In this case, if a pregnant woman eats the fruit, there may be a risk of miscarriage. Even raw fruit should not be eaten during pregnancy. Enzyme found in raw fruit helps in uterine contraction. Because of this, there is a higher risk of miscarriage.


2. Smoking and drinking


Smoking and drinking alcohol during pregnancy can be a risk for the baby. The chemicals in cigarettes shrink the blood vessels in the uterus, which can cause the baby to be underweight in the womb, cause labor pains before the due date, and hinder the development of the penis.


Drinking alcohol can be even more dangerous. It can lead to mutilation of the body in the womb.


3. Caffeinated foods


Most people prefer to drink coffee, but pregnant women are advised to consume less caffeine. According to health experts, pregnant women should consume less than 200 milligrams of caffeine per day.


Caffeine dissolves quickly in the body and reaches the umbilical cord. A fetus does not have metabolic enzymes due to which it can be harmed. Consuming too much caffeine during pregnancy can hinder the baby's weight and growth.


4. Junk food


During pregnancy, you should eat only foods rich in nutrients for the development of the baby.


You should stay away from junk food during this time. Because junk foods lack nutrients and are high in sugar and calories. Eating junk food leads to nutritional deficiency. Also, weight increases quickly and this can cause many problems during delivery. During pregnancy, your diet should include plenty of fruits, green vegetables, protein, folate and iron.


5. Raw eggs and undercooked meat


There are some meat-based foods like kachela, which are not fully cooked. Such foods should not be eaten during pregnancy.


Most of the bacteria are found on the surface of the meat while some are found inside the meat. Therefore, eating raw or undercooked meats is also harmful for pregnant women. Its consumption can cause neurological diseases in the unborn child by infecting many types of bacteria such as Toxoplasma, Listeria and Salmonella.


Similarly, some people also eat raw eggs saying that they are more nutritious. Raw eggs have more nutrients than cooked eggs. However, it is better not to eat raw eggs during pregnancy. Because raw eggs contain salmonella bacteria. Which can cause fever, vomiting, abdominal pain and diarrhea. In some cases, this infection can cause uterine cramps, which can lead to premature birth.

Do dogs really keep people away from depression?

Do dogs really keep people away from depression?


During the lockdown caused by the Corona pandemic, Kul Prasad Baral bought a golden retriever puppy and brought it to his home. He was not fond of dogs and had no affection for them. However, he says that after the school was closed, he brought a puppy to his granddaughter, who was locked inside the room, as a 'friend'.



"When she was alone, she didn't have a friend to play with, she started hanging around on her mobile around the clock," said Baral, who has a permanent home in Jhapa, "that's why we brought a puppy to play with."


Niroj Dangal, an animal technician at Pet House in Radheradhe, Bhaktapur, says that during the lockdown, the sale of puppies increased rapidly.


In the past, some people used to keep dogs in Lahalhaima or Dukhasekhi. At that time, people did not know what breed of dog to choose, for what purpose to keep it, how to keep it. However, he says that now the number of dog breeders is increasing due to their needs.



"Now a lot of people seem to take dogs home to get rid of loneliness," says Dangal.


A study by the National Alliance of Mental Illness says, 'The presence of a dog keeps people free from depression. Playing with dogs does not make you feel lonely. It helps to keep away from anxiety, stress, depression. At the same time, it keeps the dog physically active as it has to be played and rocked.


Psychologist Dr. We asked this question to Basudev Karki. Can dogs help people to be stress free?


In response, he said, 'A person's loneliness is also a factor behind depression or anxiety. An empty mind is like the devil's house, when you live alone, many things play in your mind. Loneliness can also make people depressed. When a dog or a pet is with you, you don't feel alone. Due to this, one gets rid of depression, stress, anxiety etc.'


According to him, depression is generally divided into 3 stages, normal, moderate and complex. If you have mild or moderate depression, pets like dogs can act as therapy. Because in these two stages, rather than medicine, the patient is kept busy with what he likes. This is called behavioral therapy. Petting a dog is also part of behavioral therapy. It is used to keep people away from happiness and loneliness.


"However, there has been no study in Nepal so far that dogs reduce the risk of depression or prevent depression," psychologist Dr. Karki says, "That's why you can't tell about the relationship between dogs and depression."


A dog can understand the owner's mood


According to a report by the Patient Empowerment Network, dogs can sense their owner's mood. One can guess how happy or sad the owner is by looking at the owner's face or expression. Dogs behave accordingly with their owners.


Like, when the owner has come home happily from somewhere, the dog jumps up and comes to play. If the owner looks sad or worried, the dog slowly approaches and sits with the owner, humming.


The common thread of some studies is that dogs can help reduce everything from depression to anxiety and aggression and other mental health problems.


How does a dog keep away from depression?


Veterinary Dr. According to Pranav Joshi, a dog is an animal that likes and wants to mingle easily with people. Dogs always want to be close to people. Prefers to play with people. Being a sociable animal, dogs do not let people feel lonely.


Also, dogs play a helpful role in keeping people alert, active and mentally busy. There are four reasons why dogs keep people away from depression. Joshi points.


First: After getting a dog, it needs to be fed, groomed, and walked around. Because of the dog, some people go out to the park, go out for a walk outside the house. It keeps people active as they have to walk the dog or play outdoors.


Second: The dog does not let you feel lonely. When we are alone at home, the dog keeps drawing our attention in one way or another. Sometimes it calls to play, sometimes it starts looking for food. Sometimes it barks and jumps. This is how dogs keep people busy.


Third: Dogs help to socialize with other strangers. If there is a neighbor or someone else who keeps a dog, they are well known.


Fourth: Often the average lifespan of pets like dogs and cats is 10 to 15 years. At some point, you have to part with the dog you love. It also teaches people to bear the pain of separation and accept death.


According to the report of the National Alliance of Mental Illness, dogs never make their owners feel sad or lonely. They live together and love so that there is no chance of stress or anxiety in the mind. Also, the dog gives a sense of security and closeness that "I am with you even if no one is around".


According to the American Heart Association, there are 5 ways that pets can help with stress and mental health, including reducing work stress, stimulating creativity, keeping you physically and mentally fit, refreshing, and helping to keep you away from loneliness.


Why do dog bites increase in summer?



In summer, dogs become more aggressive and there is also an increase in dog bites to people? In fact, it is not a coincidence. Recently, American scientists have discovered its underlying cause.


A study conducted by Harvard Medical School on more than 70,000 dog bite cases brought out a strange fact. What is seen from this study is that dogs are becoming more violent over time and this trend is sure to increase.





During the study, it has been observed that the rate of dog attacks on people increases on days when there is more heat and dust. According to researchers, when pollution is high, dog attacks increase by 11 percent compared to other days.


According to scientists, climate change and global warming are increasing due to human causes and its effect is also affecting the mood of dogs.



This research has been published on June 15 in Scientific Reports of the journal Nature. The study was conducted for 10 years in 8 major US cities. What it clearly shows is that the winter season is very hot and the days when the amount of dust and smoke increases, the aggressiveness of the dog also seems to increase.


According to research, dog bites increase by 11 percent when exposure to UV rays increases. In summer, it increases by another 4 percent, while the fear of dog bites increases by another 3 percent on days with increased ozone levels.


Similarly, it has been observed that dog bites increase by 1 percent even when there is heavy rain.


Effects of heat on humans too


What some studies have shown is that there is a direct relationship between crime incidents and high temperatures, i.e. hot weather.


Amsterdam-based Vrij University conducted a study on the subject, the results of which were published in the journal Behavioral and Brain Sciences. It analyzed the relationship between climate, human aggression and self-control.


According to researchers, the climate in which people live plays a role in controlling or provoking their anger. People become more aggressive and crime rates increase in hot weather, which decreases in cooler areas.


Recent studies have shown that this trend in humans also applies to dogs.


4 things to keep in mind when taking your dog outside for a walk


Not everyone keeps a dog at home only in Dekhasiki or Lahad. Some people keep it for the security of the house, while others keep the dog with them to make the family atmosphere fun. To avoid loneliness, the tribe of dog breeders is growing.


After keeping a dog at home, it is not only necessary to feed him properly, but also to give him time. Many breeds of dogs are very energetic and need to be taken outside regularly. The problem is that we do not have a separate park for dogs.





Chowk, street, roadside or any open place should be used. In such a situation, there is a situation where local people and neighbors have to abuse. Because they defecate and urinate on random dogs, bark and bark at cats, and eat whatever they find on the road.


Therefore, before taking your pet dog outside for a walk, you should take care of a few things.



1. Carry a fold picker


When taking the dog outside, care should be taken about how to manage and dispose of the feces. When going outside, you should make it a habit to defecate and urinate in a certain place. Also, you should carry a potty picker (faeces picker) with you. In this way, the faeces should be kept in polythene and disposed of properly.


2. Lead with a rope


Pet dogs can run wild when they are let out. While running in this way, it can attack people and fight with other dogs. So if possible wear a rope (harness and leash) and walk with you.


3. Learn to walk with yourself


A dog is taught the same behavior at a young age. You can get into the habit of walking with yourself while swinging outside. Especially it is best to make a habit of walking on a rope. While walking in this way, the dog may pull the rope and try to run around. But if they are taught to walk with you from a young age, they will not pull the rope, they will walk straight.


4. Get vaccinated


Dogs may bite others for some reason while walking outside. Or can fight with street dogs. At such times, there is a fear of spreading and spreading an infection like rabies. Therefore, certain vaccinations should be given to the dog at an early age. It should be taken out of the house only after giving such a vaccine.


Do you have to take all the dogs outside for a walk?


Generally there are two types of dogs, big and small. There are large breeds like Siberian Husky, German Shepherd, Cocker Spaniel, Golden Retriever, Dalmation. They must be taken outside the house for half to an hour a day. Such dogs should be allowed to run, play and exercise outside the house or in the open.


It is not enough to keep such dogs indoors and exercise them. Because they need exercise according to their body structure, they have to play in open spaces.


However, small breed dogs such as Shiba Inu, Beagle, Pug, Dudal, Golden Retriever, Spania, Japanese Spitz are only allowed to play indoors and let them run around the floor. It is not necessary to bring them outside.


Similarly, if the dog is sick, diseased or has a lack of glucose in the body, it should be taken for a walk only with the advice of a veterinarian. Only healthy dogs are allowed to walk outside.


What kind of place to take?


In foreign countries, there is a separate pet park, but in Nepal there is no provision for it. Therefore, to walk the dog, you should choose a large open square, a garden or a place that does not disturb others.


If you take it for a walk in a crowded or crowded place, there is a possibility that the dog will be angry with the person, and the person will be angry with the dog. That's why it is considered suitable for them to be petted in a quiet place with less human traffic, less community dog pressure, and less children. It is also effective to take your dog to a place where there is no stress.