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1 year ago

Dear Shrinivas p, Thank you for the question

Metabolic syndrome is identified as cluster of several health conditions including cholesterol and high blood pressure, which together raise the risk of cardiovascular diseases and other lifestyle disorders. Metabolic disarrangement becomes a syndrome if the patient has any three of the following:

• Waist circumference more than 40 inches in men and 35 inches in women
• Elevated triglycerides 150 milligrams per deciliter of blood (mg/dL) or greater
• Reduced high-density lipoprotein cholesterol (HDL) less than 40 mg/dL in men or less than 50 mg/dL in women
• Elevated fasting glucose of l00 mg/dL or greater
• Blood pressure values of systolic 130 mmHg or higher and/or diastolic 85 mmHg or higher

The underlying cause of metabolic syndrome is extra weight, obesity, lack of physical activity, and genetic predisposition.

Management should be targeted at treating the conditions contributing to metabolic syndrome, possibly reverting the risk factors for cardiovascular diseases. For further diagnosis and assistance kindly contact your specialized health care professional.

Increased blood sugar levels is termed as Diabetes mellitus which is a chronic metabolic disorder that prevents the body to utilise glucose completely or partially. It is characterised by raised glucose concentration in blood and alterations in carbohydrates, protein & fat metabolism. Various factors like genetics, sedentary lifestyle, acute stress etc., can cause diabetes. 

• A fasting blood sugar level of <110 mg/dL is considered normal.
• ≥110 to <126 mg/dL indicates you have impaired fasting glucose.
• ≥126 mg/dL indicates you have diabetes.

Management of any type of diabetes requires diagnosis and further assistance

 For guidance on medications and specific health needs please contact a specialised health care professional such as a diabetologist for further assistance and management.

Here are a few tips to help manage Diabetes

• It is recommended to have low GI (Glycaemic index) foods. Simple sugars should be restricted since they are easily absorbed and have high glycaemic index. Some of the Low GI foods include green leafy vegetables, green beans, apples, orange, pear, wheat, millets, pulses, lentils etc.
• High protein intake helps to increase insulin production & promote satiety. Pulses, lentils, eggs, lean meat, paneer etc., are a good source of protein.
• Combination of oils is preferrable. Include monounsaturated (MUFA) & Polyunsaturated (PUFA) containing oils like sunflower oil, ground nut oil, Gingelly oils.
• Increase intake of whole grains and legumes and limiting the intake of saturated fats helps in improving insulin sensitivity and reduces the risk of diabetes independent of weight loss.

Elevated blood pressure or Hypertension is one of the most common health problems, and is one amongst the multiple risk factors for cardiovascular disease. Hypertension treatment is usually based on drug administration along with lifestyle changes, especially diet modification which has been proven to be effective in managing high blood pressure.

For adults, Normal blood pressure is defined as 120/80 mmHg.

When blood pressure is equal to or above 140/90 mmHg it is considered to be raised or high.

Some of the symptoms associated include headache, dizziness, impaired vision, filing memory, shortness of breath, unexplained tiredness etc.

Elevated blood pressure arises from a combination of environmental, genetic, lifestyle and dietary factors. For further diagnosis and assistance kindly contact your specialized health care professional.

Adopting an overall dietary pattern such as the DASH (Dietary Approaches to Stop Hypertension) diet is recommended

The DASH dietary pattern emphasizes on a diet rich in fruits, vegetables, low-fat dairy products, inclusion of lean meat such as chicken or fish etc., reduced saturated and total fat and reduced sodium intake.

Cholesterol is a natural component that is found in human blood and other cells of the body. It supports normal function of cell membranes, and synthesis of hormone, bile acids, Vitamin D etc. Our liver produces cholesterol in adequate amounts that is required by the body.

However increased intake of high fat foods, leads to elevated levels of cholesterol in blood and may potentially increase the risk of cardiovascular disorders. Some of the factors include genetics, stress, sedentary lifestyle, medications, an underlying health condition etc. The type and quantity of fat in the daily diet also influences the level of cholesterol and triglycerides in the blood.

Certain foods like soyabean, fenugreek, garlic, onion, flaxseeds, oats and turmeric can be included in the daily balanced diet due to their antioxidant properties and biochemical compounds present in them.

Here are a few dietary guidelines to be considered for cholesterol management:

• Have a Diversified Balanced Diet that includes all the food groups in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning.
• Choose healthy snacking options in between your meals.
• Consume minimum 5 servings of vegetables and 1 serving of fruit as they are rich in Fiber, essential minerals & Vitamins.
• Good amount of fiber especially soluble fiber can help lower blood cholesterol. Some of the good sources of soluble fiber include oats, apples, peas, citrus fruits etc.
• Try to include whole grains like wheat, millets and multigrain in your diet as they are a good source of fiber and other nutrients.
• Consume fresh, seasonal fruits and Whole grains, Millets and Multigrain foods as they are a good source of fiber.
• Foods sources containing carotenoids and vitamin E are good sources of antioxidants that may help lower the risk of cardiovascular disease.
• Deep Fried foods to be restricted. Method of cooking like baking, grilling, boiling, steaming is preferable over deep frying with excess fat/ oil.
• Limit the consumption of high fat foods such as butter, cheese, red meat etc.
• Consuming low fat (skimmed) milk instead of whole milk is preferable.
• Restrict consumption of foods that are high in Saturated fatty acids and trans fats. Try switching from saturated fats and trans fats to MUFA (mono-unsaturated fatty acids) & PUFA (polyunsaturated fatty acids) as they are essential fatty acids and are good for your health.
• Minimum of 8 glasses of water should be consumed to keep yourself hydrated.
• Have your last meal at least 2-3 hours before Bed time.
• Engage in physical activity for a minimum of 30-45 minutes for at least 5 days a week.
• Try to follow a good sleep regimen in terms of both quantity and quality.

Rhinosinusitis (RS) is characterized by inflammation of the mucosa involving the paranasal sinuses and the nasal cavity.

Here are few tips to manage sinusitis

• Keep yourself hydrated as fluids can help dilute secretions and promote drainage in the nasal cavity.
• Vitamin C and E have anti-inflammatory properties. Try to consume Citrus fruits such as grapes, oranges, kiwi etc and include whole grains, nuts & seeds in your daily diet.
• Try to include zinc rich foods in the diet as zinc helps support Immunity. Some of the zinc rich foods are meat, nuts and seeds, whole grains seafood etc.
• Incorporate foods such as ginger, spices, cinnamon, onion, garlic, clove thyme, cumin.
• Smoking may cause nasal and sinus inflammation it is preferable to avoid smoking.
• Consume hot beverages such as hot tea, Green tea, ginger tea etc as they contain certain beneficial compounds which may  help relax the smooth muscle in the airway.
• Steam inhalation also promotes drainage of the blocked nasal cavity.

We request you to kindly contact a healthcare professional or otolaryngologist for further assistance & management

For a customised and personalised meal plan for specific conditions please contact your Health care professional or any registered dietician.

Hope we have answered your query.

Wishing you a great day ahead

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