Beruflich Dokumente
Kultur Dokumente
www.diabeteshealth.co.in
Apr-May17
Editor
Dr Unnikrishnan AG
Publisher
W P Vasandani
MISSION
Editorial Consultants to spread awareness and knowledge of diabetes
Dr M K Mandal
Mr Vandan Agrawal and its consequences throughout India
Dr Imtiaz Hasan
Dr Rajesh Javherani
Dr Vedavati Purandare to motivate the population to take
Dr Anjali Bhatt
Dr Manish Bothale preventive measures
Dr Suganthi Kumaran
Dr Ashok Gavande
Foot Care Specialist:
K V Kavitha
to empower all those affected
Dr Shubhangi Tathare
to participate in their own
Diet & Nutrition:
Priya Chaudhari
Rutuja Mahajan
healthcare management
Fitness & Lifestyle:
Dr Richa Kulkarni PT
Assistant Editor
Printed and published by W P Vasandani on behalf of Chellaram
Sunila Kelkar
Foundation. Owned by Chellaram Foundation, Gazdar House, Third Floor,
629-A, J. Shankar Sheth Road, Mumbai - 400002. Printed at Print House
Sub Editor India Private Limited, R-847/2, T.T.C, MIDC, Rabale, Navi Mumbai
Ch V Mridula 400701. Distributed by Living Media India Limited.
Reproduction of content, in part or whole is prohibited.
Designer
This magazine provides general news, opinions, information and tips for
Milind Joshi health and well-being pertaining to Diabetes. It is advisable to consult with
a practicing physician before making any changes to your healthcare
routine. The views expressed in the articles are of the authors, and not of
Contacts: the Publisher. No representation is made or warranty given (either
Editorial : expressed or implied) as to the completeness or accuracy of the
Sunila Kelkar information contained. Readers should verify the information and
editorial@diabeteshealth.co.in / 020 6683 9777 Ext: 714 wherever necessary consult with their doctor before they act on it. Diabetes
Health does not necessarily endorse the products advertised in the
Advertising : magazine and accepts no liability for any direct or indirect loss arising
Dr Ashok Gavande from the use of the information and the material contained in the
advt@diabeteshealth.co.in / 022 6635 5600 Ext: 106 magazine.
Send your stories, questions, opinions
and suggestion to editorial@diabeteshealth.co.in
PEOPLE
Coming to terms with your diagnosis
40 Stress-free Management of Diabetes
Don't let Diabetes take control of your life
Balancing the matters of the heart with Diabetes Keep away from the prohibited lanes of dieting
EDUCATION
Because knowledge is your best ally in dealing with
Diabetes
REGULAR
2 Diabetes Health Forum
Letters from Diabetes Health readers
6 News
56 Importance of Insulin Needle Care
The latest updates from the world of Diabetes
Know your weapon better for fighting Diabetes
31 Medicine Cabinet - Omeprazole
NUTRITION Our feature keeps you updated on your meds
Eat smart, eat healthy and enjoy life! 48 Testing Room - Retinal Fundoscopy
42 Substitute Sugar to Better Manage Your Know your tests and their implications
Health 39 Ask Diabetes Health
Appease your taste buds without troubling the sugar Our experts answer your queries on Diabetes
levels
76 Answers to Diabetes Health Quiz
Recipes Answers to the Feb-Mar'17 Diabetes Health Quiz and
45 Gajar Halwa the lucky winners
69
D ia b e te s H e a lth Quiz - Page
The
o u r D ia b e te s Story - Page 80
Share y
Colon cancer is the third most commonly dietary agents such as turmeric, saffron and
diagnosed type of cancer, especially in the flaxseed contain carotenoids which are
western countries. One contributing factor known to prevent certain types of cancer
to this is the kind of food consumed in the and eye diseases. They also possess
western countries. Apart from factors such elements like catechins that are known for
as obesity, sedentary lifestyle and old age, their antioxidant properties and help prevent
erratic dietary choices can also wreak havoc heart disease, cancer and brain-related
on health. Significant studies have shown degenerative diseases such as dementia.
that countries which follow low fibre and
A recent preclinical study has shown that
high fat diet are more at risk of being
sambar, an Indian dish, has therapeutic
diagnosed with colon cancer than countries
effects in colon cancer. The spices used in
which do not. Also consumption of foods
sambar are dried, finely powdered and
high in calories, red meat and processed
added in a specific manner to give the dish
meat increase the chances of colon cancer.
its rich, exotic taste. The spices include
Many studies have shown the traditional and fenugreek seeds, coriander seeds, dried
scientific value of spices in food. Not only do chilli, asafoetida, curry leaves, black pepper
spices make the food taste better, they also and turmeric. All these ingredients were
contain various therapeutic benefits that found to be anti-carcinogenic in the study.
help in keeping several chronic diseases at Another finding of the study was that
bay. Commonly used herbs such as black sambar prevents demethylhydrazine
cumin (kaala jeera), garlic (lahsun), cloves (DMH)-induced oxidation in the tissues of
(laung), cinnamon (daalcheeni), thyme colon, which means that it has antioxidant
(ajvaayan), black pepper (kaali mirch), bay elements.
leaves (tej patta) and mustard seeds (sarson)
possess antimicrobial and anticarcinogen Source: Pharmacognosy Magazine Journal
elements that help prevent cancer. Minor
Injection
Port in
Diabetes
Management
The most common apprehension that to insulin and do not know how to
people with Diabetes share is the fear of administer through pump can easily use this
needles. The regular jabbing and insertion device. It is also comfortable to use by
makes it painful and stressful. With i-Port, people who are scared or stressed with the
managing blood sugar levels has now frequent jabbing. The device is easy to use
become very easy. i-Port is a disposable and requires minimal training. It is
injection patch that is worn on the skin for a comfortable to wear and fits flexibly with
smooth insulin injecting process. It is small, daily activities as well as rigorous activities
discreet and one can barely feel its presence such as exercising, sleeping and bathing.
on their body. I-Port sits comfortably on the
skin and once inserted, the port can be used
for many days and does not require site
rotation. This helps reduce the number of
insertions an insulin user has to make for his
daily administration of insulin.
The port acts as a reservoir
delivering insulin into the
blood, thereby avoiding
insulin injection. The
user can administer
insulin either through a
syringe or a pen. It is
safe for use in both
Type 1 and Type 2
Diabetes. People who are new
Womanly
Womanly
or talking to your doctor about any
problems in the intimate areas. A chronic
disease like Diabetes may affect your
sexual life either directly through physical
manifestations on the reproductive
system, or indirectly via its emotional
Woes
Woes
impact of living with the added stress of
Diabetes management.
Diabetes and
infections
By far, infections are the most
your days organised and maintain your common form of complication
routine with least disruption, always in women with Diabetes. The problem not
checking if the kitchen and the medicine only lies in its detection but also in its
cabinet are properly stocked, keeping track repetitive nature. Fungal infections thrive in
of your blood glucose, HbA1c and a horde Diabetes, so only treating the infections will
of other numbers and so much more. With not suffice. Controlling blood sugar levels is
so much on the mind, it is understandably equally important.
Fungal infections difficult to unwind and get in the mood for Another very important point is the
thrive in sex at the end of the day. The mood swings treatment of partner even if he is
and fatigue related to blood glucose level asymptomatic, as he may be the carrier.
Diabetes, so only
don't really help. And we're still just talking of Local vaginal tablets (pessaries) are very
treating the women with Diabetes. effective in treating vaginal infections.
infections will Diabetes can be hard on the partners as Vaginal infections
not suffice. well. Having a spouse with Diabetes
irreversibly changes your life and routine and High levels of blood glucose make you
Controlling blood vulnerable to microbial infections, the most
even in the most loving relationships, a little
sugar levels is resentment is not uncommon. So between common, or at least most spoken about
equally the stress, the resentment, tiresomeness and sign of this being slow healing of wounds
even the most minor forms of actual and the risk of infection from minor injuries.
important. The same problem may however manifest in
physical infections and complications of
Diabetes, the sex life may take a hit. some less discussed issues - less discussed,
because they may be embarrassing - like
When blood glucose is uncontrolled, it bad breath, and worse, vaginal infections in
hinders the functioning of the blood vessels women. If you have any of the following
that carry nutrients to our nerves which allow complaints, do consult your gynaecologist,
and also start monitoring your blood women feel embarrassed about this
glucose more closely. wetness, leading to less lubrication, less
relaxation and painful sex. Also because of
Vaginal Candidiasis
infection, a woman is always conscious and
It is a fungal infection caused by an increase hence reluctant to engage in sexual activity.
in the number of a common fungus called
Many women with Diabetes have polycystic
candida in the vagina. Small quantities of
ovary syndrome (PCOS) and may become
candida in the vagina as well as mouth,
overweight or obese. Weight issues are
digestive tract and on the skin are quite
always very sensitive and due to a
normal, but their numbers may increase
stereotypical definition of good
because of Diabetes. The signs to watch out
figure and fitness, many women
for are white discharge, itching, foul smell
go into a state of depression.
and discomfort.
Some women get so frustrated
Vaginusmus with their weight problems that
they prefer being away from the
It is a condition in which the muscles in
partner rather than face
vagina tighten and prevent a woman from
criticism and again being very
having sex. Besides the obvious physical
conscious about their weight,
hindrance in sexual performance, this may
especially while getting
give out the wrong signal to the partner,
intimate.
affecting the overall relationship. It is also a
cause for infertility.
Diagnosing the
Bacterial vaginiosis
problem
It is one of the most common problems of
the genital tract in women of reproductive In matters of sex,
age. This kind of infection in pregnant communication remains the
women increases the risk of pre-term birth. most effective yet the most
underrated tool. If a prolonged
Vulvar pain dry spell in the bedroom is
Some women with Diabetes may find their bothering you, the first person
sexual experience affected due to sensitivity you must go to is your partner.
of vulvar skin or other symptoms such as Ask yourself and answer
pain, sensitivity to touch, itching, burning, honestly:
redness and dryness. The condition is also Is it because either of you is
common in women suffering from suffering from low libido?
depression.
Is it you, or is it him?
Omeprazole
Omeprazole is a selective, also show signs of lowered magnesium levels such as
irreversible proton pump confusion, dizziness, uneven heart rate, tremors,
inhibitor which blocks the muscle cramps and spasms in hands and feet.
release of stomach acid and
decreases its production. It is also Who should take omeprazole?
prescribed to promote healing of
affected oesophagus due to You will be advised omeprazole if you:
stomach acid. Sometimes it can be
feel a burning sensation in the food pipe caused by
used in combination with antibiotics to treat ulcers
stomach acids (gastroesophageal reflux disease).
caused by the infection of certain bacteria.
have an ulcer.
Rx have gastritis leading to ulcers and deep sores in
the stomach lining.
The most commonly available forms of omeprazole are
tablets and capsules. It is also available in injectable have been diagnosed with tumour in the pancreas
form. Also omeprazole suspension is recommended or in the upper part of the small intestine
for use in children. (Zollinger-Ellison syndrome).
for preventing aspiration pneumonia due to
Advantages prolonged anaesthesia.
Omeprazole may induce convulsions, irregular kidney Dr Vishal Bansode is a consultant Diabetologist.
function such as lowered or elevated urine output and
Since the propensity for obesity is common Again, although consuming such healthy
among all populations and in the spirit of diet will take effort but only typically have a
prevention, what I recommend now for modest effect on some people with obesity,
everyone (lean, overweight, and obese) is to we still recommend they continue it for the
consume foods that have demonstrated to health benefits in other comorbid
be most likely to prevent weight gain and are conditions.
associated with the lowest population risk for
I am 54 years old. I have Diabetes since 2012 and I Regarding diet, the general rule is to eat on time.
am taking a combination of metformin, voglibose Ideally, diet should consist of three main
and glimepiride twice a day before breakfast and meals - breakfast, lunch and dinner and two healthy
dinner. My weight is 62 kg and height is 163 cms. snacks, one between breakfast and lunch and another
My fasting and post prandial (post lunch) blood between lunch and dinner. Also it is recommended to
sugar is under control but my post breakfast sugar take fruits and vegetables, mixed dry nuts and whole
levels shoot up to 200 mg/dL. Can you help me with grains. Again seeing your dietitian along with your
my diet, exercise routine and offer advice on any physician is recommended. Given the history of being
mobile apps. Should I supplement my allopathic on a combination of voglibose, glimepiride and
medicine with Ayurveda or Homeopathic medicine? metformin as a part of Diabetes therapy, you are likely
to be prone to Vitamin B12 deficiency. Your physician
Given your height of 163 cms and weight of 62 kg,
may check your Vitamin B12 level and supplement
your Body Mass Index (BMI) is 23.3 which according to
accordingly.
norms for Asians, falls under overweight category.
However if you are lifting weights and have more Regarding mobile applications, there are several. You
muscle mass, then this doesn't apply completely for can review applications such as Diabetes, Diabetes
you. I understand that your post-prandial blood sugar app before choosing.
after breakfast is high. You could try doing brisk walking
- Dr Suganthi S. Kumaran, Consultant Physician
for 15 mins, about 10 mins after your breakfast, to help
reduce your blood sugar. However, seeing your
diabetologist or your physician is strongly I'm a 39 year old obese man. I have recently been
recommended for a complete exam and further diagnosed with Type 2 Diabetes. I have heard a lot
management including medications. about meal powders and supplements. Do they
actually help? Along with weight loss, do they also
bring blood glucose levels under
control? Please advice.
Meal powders and supplements
may help reduce weight and blood
sugar levels. But again it depends
on diet and exercise. Also you
should not consume any type of
meal powder and supplement for
more than 3-4 months. If you use
these for a longer time, it may
affect your health. It is best to seek
physicians as well as dietician's
advice before you start.
- Rutuja Mahajan,
Clinical Nutritionist
and Diabetes Educator
injections to such a small child was more express. But my friends have always been
painful for them mentally than it was for me supportive and vigilant of me. They have not
physically. However, the doctors counselled just made me comfortable but also proud in
them well and explained everything so sharing anything and everything related to
clearly that all their doubts and Diabetes with people. Every time I am invited
apprehensions were removed. From then to my friends' place, they would prepare only
on, my parents accepted everything boldly, the dishes that I am permitted to eat. They
educated themselves, my sisters, me and would immediately fetch me something
everybody close to me as much as they sweet if I feel hypoglycaemic any time.
could. They conditioned me in such a
manner that I became smart enough to My Fitness regime
handle any kind of situation related to
Diabetes entirely on my own. I make sure that I eat plenty of green
vegetables and permitted fruits. I do eat
I feel that Diabetes does restrict some things
outside but with some restrictions and
which you really wish to pursue or take up in
portion control. I try to do some kind of There is a need to
life. There is a need to have a regimented
exercise but I prefer walking every day.
lifestyle. One can't afford to tamper with have a
time or diet or medicine, or else one loses I start my day with bedtime tea, one salt regimented
so much health-wise. Because of such biscuit or wheat-based biscuit. For breakfast,
restrictions, I couldn't go on long I usually take oats in milk or a toast with milk lifestyle. One can't
school/college excursions with my friends. and soaked almonds or daliya or upma or afford to tamper
I had to face some difficulties at the time of sprouts. My Mid-day meals include one fruit, with time or diet
getting admission in hostel for higher salad and nuts. For Lunch, I take 1-2
chapattis with curd and vegetable. My or medicine, or
studies as the wardens didn't want to
shoulder responsibility of someone like me. Evening tea includes 1-2 Marie biscuits or else one loses so
some other light snack. For Dinner, I take much health-wise.
Adapting my lifestyle 1-2 chapattis with daal and vegetables.
Sometimes I take a bowl of soup before
Since I have been living with Diabetes for a dinner.
long time now and also I am
married, I have to try a little My inspiration
harder to maintain a healthy
lifestyle because of many My family and friends
other responsibilities. are my greatest pillars
However with the support of strength. The fact
and co-operation of my that I love my near and
husband, who also happens dear ones and more
to have Diabetes, I am able than that they love me
to lead a happy and healthy encourages me to
life. Of course it's not easy to follow a healthy lifestyle
achieve consistent levels but and stay happy. I can
with regular monitoring, I try show my love to them
and maintain my blood only by leading a
sugar levels. healthy and happy life.
Stellar Gold
Stellar Gold is a unique blend of cane sugar
and natural sweetener Stevia. One serving of
stellar blend consists of a tiny amount of
stevia powdered sugar which is as much as
7 times sweeter than ordinary cane sugar.
Stellar does not contain fillers like isomalt,
Preparation time: 20 minutes Add grated carrots, mix well and cook on a medium
flame for 3 to 4 minutes, while stirring continuously.
Cooking time: 20 minutes
Heat and saut mawa to make it soft and loose.
Makes about 8 servings
Add the sauted mawa to the cooked carrots, mix
Ingredients: well and cook for another 3 minutes or until the
carrots are soft.
For halwa
Add milk and cook it by covering and intermittent
6 cups grated carrot stirring till the milk is evaporated.
2 tbsp melted ghee Add Stellar Gold, mix well and cook on a medium
flame for 2 minutes, while stirring continuously.
500 ml whole milk
Add cardamom powder and mix well.
3 tbsp Stellar Gold
Garnish with almond slivers and serve warm or store
1 cup crumbled mawa (khoya)
refrigerated in an air-tight container till serving.
tsp cardamom powder
Note: It is important to
always consult your
physician and dietician
prior to introducing
changes and food
substitutions to your
diet. Make sure you
consult your healthcare
physician if Stellar
Gold is suitable for
consumption, prior to
intake.
Note: It is important
to always consult
your physician and
dietician prior to
introducing changes
and food
substitutions to your
diet. Make sure you
consult your
healthcare physician
if Stellar Gold is
suitable for
consumption, prior
to intake.
Note: It is important to
always consult your
physician and dietician
prior to introducing changes
and food substitutions to
your diet. Make sure you
consult your healthcare
physician if Stellar Gold is
suitable for consumption,
prior to intake.
Word of advice
Examination of the ocular fundus
(interior of the eye) is an important
component of clinical evaluation in every
individual. This is true for patients with a
strong family history of ocular diseases. In Advantages
addition, in patients with Diabetes, increased
intracranial pressure, ischemic cardiac Non-invasive procedure.
problem and glaucoma should be tested Affordable.
frequently before complications worsen. Detects the initial stages of a disease
and gives a true picture of the systemic
Also, before going for the test, it is best to
condition and functions.
inform your doctor about -
Allergic reaction to medication.
Dr Anand Palimkar is a consultant
Whether you have persisting eye Ophthalmologist.
problems e.g. glaucoma.
Your case history or whether you
have a strong family history of
glaucoma.
Disadvantages
The only drawback is that you may
develop an allergic reaction to the eye
drops. Although such reactions are
rare they may cause:
dry mouth.
flushing (the patient's skin may
become red and hot).
narrow-angle glaucoma (acute
attacks of eye pain due to rise in
intraocular pressure).
dizziness.
nausea and vomiting.
Mode of administration
All types of insulin are generally
administered subcutaneously (in the fat
under the skin). During hospitalisation,
regular or rapid-acting insulin is
administered intravenously depending on
the clinical situation of the person.
Sweta Naik discusses the correct way of using and storing insulin needles.
Step 1- Get all the necessary supplies ready Step 5- Select a clean injection site.
including alcohol wipes, a meter for checking
blood glucose levels, insulin vials and a syringe. Step 6- Gently pinch the area of the skin and
make a skin-fold with your thumb and the index
Step 2- Inspect the insulin bottle contents for any finger.
changes such as clumping, frosting or
precipitation. Roll the bottle between your hands Step 7- Pierce the needle through the skin-fold.
until it is mixed well. Slowly push the plunger to inject the insulin.
Note: Never shake the insulin bottle for mixing. Wipe the Step 8- Wait for 10 seconds so that the insulin
top of the insulin bottle with an alcohol wipe. dose is properly absorbed. Release the pinch only
after taking the needle out of the injection site.
Step 3- Draw air inside the syringe equal to the
prescribed dose of the insulin. Pierce through the Step 9- Remove the syringe needle with a safe
rubber stopper of the vial in the centre at a 90 clip. Discard the needle safely in a sharps
angle and push the air in. Avoid touching the collector or a metal container.
metal rim of the bottle with the needle air inside.
Note: While keeping the syringe in the upright position,
Step 4- Draw the dose into the syringe slowly and check for the presence of any air bubbles. Air bubbles
should be removed by drawing more insulin units and re-
steadily, holding the bottle upside down. Once the
injecting the bubbles into the vial by pushing the plunger
required dose is drawn in the syringe, turn the vial back to the desired dose marking. The process should be
back over. Holding the syringe straight, carefully repeated until no air bubbles are present.
remove the needle out of the bottle.
Dr Richa Kulkarni
discusses
how posture and
seating arrangement
at workplace can
Do you believe your posture enhances or
affect our portrays your sophistication?
Ergonomics
'Ergo' means 'work' and 'nomics' means Good posture
'natural laws'. keeps your
Ergonomics is a scientific discipline which muscles active
analyses and enhances health, safety,
efficiency, productivity and promotes
while you are
enjoyment at workplace. Ergonomics takes working. So, just
into account the employee's capabilities and a little change to
limitations to ensure that they establish a safe
and efficient association with the
your posture
environment, machines and equipment at the while sitting or
workplace; thereby achieving efficiency and standing can be
productivity. A systematic workplace
environment reduces physical and mental
beneficial for
stress and better contributes to the growth of your overall
the organisation. health.
The goal of ergonomics is to understand and
create a favourable environment that fits the
employees and the kind of task they perform.
Simple matters such as height of the
placement of machinery, the type of furniture
or the position of the stationery play a crucial
role in the physical well-being of a person.
Ergonomic studies are performed in more
than 20 disciplines and in three aspects.
Posture
Posture is the intentionally or habitually
assumed position we take up while sitting,
walking, standing and sleeping. Certain
muscles of our body regulate our posture
every day without our realisation. The
muscle clusters such as hamstrings and
back muscles are responsible for keeping
the body posture upright, against the
gravitational pull. On the other hand,
ligaments are responsible for holding the
skeletal structure of the body against the
Tackling postural
problems
For weak abdominal
muscles and flabby
abdomen: Consciously pull
in your abdomen often. Hold
it there at least for
10 seconds and relax.
Practice this for three times a
day and five repetitions each.
Sit upright while performing
this exercise.
For excess pressure on the
In a lighter vein
Did you skip
your insulin
shot again?
TheDiabetesHealthQuiz
How well do you know your
Diabetes? Choose the correct
answer from the choices given
below, tear/scan this page and
send it to us. We have goodies
for those who get all the
answers correct. Remember,
every question has only one
correct answer!
So get set, and go! 1st prize: 2nd prize:
1 year subscription of Diabetes Health
Diabetes Health T-shirt
Name: To participate:
Fill up the quiz and your details.
Age: Occupation:
Scan this page and mail it to:
Tel: Mobile: Editorial@diabeteshealth.co.in
Email: Answers in Diabetes Health
Mailing address: Jun-Jul17 issue
Answers to previous
DH Quiz [Feb-Mar17] on page 76
Yo-Yo Dieting
A Road Not To Be Taken
70 DIABETES HEALTH APR-MAY 17
NUTRITION
Ch V Mridula discusses
yo-yo dieting and how it
Case study
affects your health.
Ms Kritika Khatri (name changed) began
her diet at a very young age. She followed
an irregular diet pattern for nearly 10 years.
Every time she resumed her normal diet,
she would put on more weight than what
she had reduced. Her body weight
fluctuated every time she would stop and
begin her diet. By the age of 21, Ms Khatri
was diagnosed of polycystic ovarian
syndrome (PCOS), had developed insulin
resistance and was on the onset of
Diabetes. Ms Khatri understood that her
interpretation of 'lifestyle changes' in
successful weight loss was not appropriate.
But she was determined to get her health
back to normal. Her diagnosis acted as an
eye-opener and led her to understand the
importance of conscious eating over
starving oneself. She started taking a
balanced diet. Earlier she would consume
aerated drinks even when she quit other
foods. She stopped continuing the same
now. But her task didn't finish here. She
still had to loose 100 kg of weight that she
had gained all this long.
During her diagnosis, Ms Khatri shut herself
from the outside world. She rejected her
social life and avoided going in the public
due to her guilt. Ms Khatri wholeheartedly
wanted to turn her situation around. She
had set targets to lose her body weight. She
would religiously work out every day and
after achieving her target, she would gift
herself a pair of clothing that is a size lesser
than before. Eventually she gained her
confidence back, stepped out into the public
and joined a support group where she was
encouraged in her attempt to get fit. Slowly
with medical help, her health was brought
back to normal. She says she was never so
happier than now.
Lucky winners
1st prize:
1 year subscription of 2nd prize:
Diabetes Health Diabetes Health
T-shirt
Do not take your health for granted, You need to work extra hard in
as negligence could prove to be maintaining your health. Avoid
detrimental. Opt for some physical activity eating and drinking outside and try to stick
that will help you tone your muscles and to homemade food. You may experience
keep you fit as a fiddle. It is advised that you frequent headaches and joint aches. These
take a balanced diet. Muscular pains and will resolve with time, however if you feel that
nervous problems are also indicated, hence something is amiss visit the doctor
visit the doctor if the need arises. immediately. Opt for yoga or meditation to
help you feel at ease.
Lucky numbers: 2 and 5
Lucky numbers: 5 and 9
Minor health ailments will crop up Try to be calm and see the positive
from time to time. Do not push side of the situation as your worries,
your body to workout excessively as anxieties and irritability will be put to
this will result in muscle or tissue injury. Rest the test. Focus on tackling the problem
and recuperate to help maintain your energy instead of brooding over it. Cold, cough and
and vitality. Pay special attention to your diet skin infections will constantly bother you,
and include lots of proteins and fibre. Take however, with timely medication and doctor's
special care of your throat and ears. advice, health problems will resolve gradually.
Lucky numbers: 3 and 9 Lucky numbers: 1 and 6