Health Essentials
Lifestyle modifications that help to control diabetes
I am not sure why I have the urge to write on Diabetes this morning. Maybe it’s the shock of hearing that someone I know had a limb amputated. Yes diabetes is real and we simply cannot do enough to raise awareness.
Though the steps outlined here apply mainly to Type two (2) Diabetes, people living with all other forms of diabetes will benefit immensely from applying them.
Diabetes definitely “commands” a lot of respect when it comes to diseases that put fear in people. When you harbour sugar in your blood that is enough to feed a whole village then surely you are asking for trouble.
A diagnosis of diabetes ranks in the list of top 5 disease conditions that will have people go into a trance and start speaking in tongues.
Diabetes affects every part of your body and may take control of your finances and life if not properly managed. Yes, there is medication but without the appropriate lifestyle modifications to prevent or control diabetes, then we will be fighting a battle we are destined to lose.
If we can start our lifestyle modification journey together today, then we will definitely make major strides by January 2025. That does not mean we quit after a few weeks; this is a lifetime commitment.
1. Spread the news about Diabetes and the need to be screened
a. We should talk to as many people as possible about diabetes and even more important to get tested and encourage others to test. You may even go the extra mile by paying for others to get screened.
b. It is not only about testing after fasting but also consider checking blood sugar a few hours after a meal. You may also discuss with your health professional the need to check your long-term blood sugar control.
2. Watch what you eat and drink
a. The drill remains the same.
i. Portion control using small plates is helpful
ii. Low carbohydrate is ideal NOT no carbohydrate
b. Eat more fibre and whole grains. That makes vegetables and whole fruits amazing
c. Sweetened drinks will make your work difficult. Most contain too much sugar (empty calories) that only go to “confuse” insulin and also cause you to increase fat cells that end up making your cells resistant to insulin, leaving sugar in your blood stream
d. Magnesium and chromium play a crucial role in the control of blood sugar and that is one of the many reasons I love pure unadulterated cocoa powder. Use this wisely.
3. Manage your weight
a. Controlling weight/fat makes your cells more sensitive to insulin and also makes you healthier in general
4. Exercise
a. The wonder-pill will always find a role to play, and I encourage this!
b. Exercise increases the body’s (cells) sensitivity to insulin, so it gobbles up the sugar in the blood. When you walk or bike etc optimize your results by alternating brisk walk with regular pace; it has a fanciful name known as “interval training”
c. Strength training at least twice a week will build a little lean muscle that also helps mop up blood sugar
d. If you have not tried this yet, take about five minutes walk after each meal to set the ball rolling.
5. Manage Stress
a. Sustained Stress in any form will cause the body to release glucagon and cortisol both of which have the unenviable role of increasing blood sugar.
b. Exercise, smiling, breathing exercises, practicing mindfulness and surrounding ourselves with positive-minded and happy people goes a long way to help us manage stress
6. Sleep
a. Staying awake deep into the night has a way of tempting one to snack (often not the healthy option) and even eat large meals at ungodly hours.
b. Lack of adequate sleep is stressful in itself and so puts a strain on all organs and the blood sugar challenges set in again.
7. Drink adequate water
a. Water is solid gold any day!
b. Makes you healthy and even flushes the kidney
8. Regular checks is a game-changer
a. Do not be fixated on checking only fasting blood sugar, other important tests exists and you need to have a chat with your healthcare professional
b. Daily inspection of your feet is a must. Avoid tight fitting shoes.
c. Book a yearly appointment with a dentist and an eye specialist
d. Check your blood pressure as often as feasible; barest minimum is once a month
e. Urine tests are wonderful but don’t forget you kidneys, cholesterols either.
f. As stated earlier, don’t count on only fasting blood sugar levels
I love listing 10 points to follow but for today I will end with eight and invite you to share yours with me via email.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh. com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – 1. “537 million adults were living with diabetes in 2021.”
2. “Almost 1 in 2 adults with diabetes remain undiagnosed (240million)”-worlddiabetesday.org
By Dr. Kojo Cobba Essel
Health Essentials
The impact of air quality on health
Air quality plays a significant role in our overall health and well-being. The air we breathe can contain various pollutants, including particulate matter, ozone, nitrogen dioxide, and sulfur dioxide, which can have adverse effects on our health.
In this article, we will explore the impact of air quality on our health and discuss ways to protect ourselves.
The health effects of poor air quality
Poor air quality can have serious health consequences, including:
Respiratory problems: Air pollutants can irritate the lungs, exacerbate conditions like asthma, and increase the risk of respiratory infections.
Cardiovascular disease: Exposure to air pollution has been linked to an increased risk of cardiovascular disease, including heart attacks, strokes, and other cardiovascular conditions.
Neurological effects: Some air pollutants, such as particulate matter and ozone, have been linked to neurological effects, including cognitive impairment and neurodegenerative diseases.
Who is most affected?
Certain groups are more susceptible to the adverse effects of poor air quality, including:
Children: Children’s lungs are still developing, and they breathe more air per pound of body weight than adults, making them more vulnerable to air pollution.
Older adults: Older adults may be more susceptible to the adverse effects of air pollution due to age-related declines in lung function and other health conditions.
People with pre-existing health conditions: Individuals with pre-existing health conditions, such as asthma or cardiovascular disease, may be more susceptible to the adverse effects of air pollution.
Protecting yourself from poor air quality
There are several steps you can take to protect yourself from poor air quality, including:
Monitoring air quality: Check the air quality index in your area to plan your activities accordingly.
Reducing exposure: Avoid heavily trafficked areas, and limit your time outdoors when air quality is poor.
Using air purifiers: Consider using air purifiers in your home to reduce indoor air pollution.
Conclusion
Air quality plays a critical role in our overall health and well-being. By understanding the health effects of poor air quality of air, we can take steps to protect ourselves and reduce our exposure to pollutants.
By being aware of the air quality in our area and taking proactive measures, we can help to mitigate the adverse effects of air pollution and promote better health.
References
1. Environmental Protection Agency. (2022). Air Quality Index (AQI).
2. American Lung Association. (2022). State of the Air 2022.
3. World Health Organization. (2018). Air Pollution.
Health Essentials
Aging is magic

About half a decade ago, many of my friends hit that “magical age” and it’s extremely exciting. I have clients who have lived in excess of four scores and are still doing extremely well.
We are all aware of the risks that many people also face as they age; family, friends and neighbours may treat them badly and some are even branded as witches and wizards. How unfortunate!! A ripe old age should be celebrated daily.
For many of us years of cigarette smoking, excessive use of alcohol, too little exercise and too much food especially fats and sugars do physical damage that is often wrongly attributed to age.
I think we are always in a hurry to give age a bad name and hang it. There are many misconceptions about aging that tend to let many people “give up” as they celebrate several birthdays.
The arguments continue; humans can live for three-scores and ten as stated in the Bible, others say 120 years is the magic ceiling. Many people will resist spending a day on earth past their seventieth birthday till they are sixty-nine years old and realise that there is really no need to hurry.
With all apologies to Methuselah, Abraham and their age-mates but currently the longest well-documented life on record belongs to Jeanne Calment who died in France in August 1997 at the ripe age of 122 years (I stand to be corrected).
Are we all destined or programmed to live that long? I doubt that but we can do much more than we have been made to believe at ages even in excess of 70 years. I know many people will start challenging the 122 years I have put out but please hold your horses; my grand-aunt is alleged to have died after spending over 130 years on earth. Do I believe that? Well, that is another story.
1. “To be old is to be sick”
a. If you are like 99.9 per cent of us, you will have major issues with your health if you do not take the right steps to protect yourself but if you adopt the right lifestyle, you will rake in several years yet feel well.
b. You can age gracefully and remain independent for several years. Many elderly people especially women can easily perform activities of daily living and beyond with ease well past their 80th birthdays.
2. “You can’t teach an old dog new tricks”
a. You must have heard this several times over. It has forced footballers who could salvage the country’s ego to retire prematurely, politicians have bade goodbye at the peak of their career and many adults even in churches have taken a backseat all because of the erroneous impression that they will not be able to learn the new trends in their trade.
Surely, if you spend all day watching television and avoid even reading and basic walking then you are setting the stage for major deterioration otherwise you have all it takes to continue serving the world in various categories.
I am not encouraging elderly people to stay indefinitely in positions at the detriment of young minds, far from that; I believe we often allow people to fall into the shadows too soon.
b. The belief among the young and the old that the elderly can’t sharpen or broaden their minds creates a disturbing cycle of mental inactivity and decay. The less people are challenged the less they can perform. The limits of learning and especially the pace of learning are more restricted in the aged than in the youth but research shows that older people can and do learn new things and they learn them well.
3. “Your horse is out of the barn”
a. We need to dispel the false and discouraging claim that old age is too late for efforts to reduce risk and promote health. Many adults feel that what they have lost is gone forever, but that is not exactly true. It is better to start healthy habits early and sustain them for a lifetime but for those of us who have strayed there is good news; we happen to be in the majority and nature is remarkably forgiving.
b. All too often when I ask patients with lifestyle diseases to start exercising I hear “I am too old to exercise.” Few things can be further from the truth than that, no matter how late you start exercising or modifying your life, you will be better off. The important point to note is to start slowly and avoid competing with people much younger than yourself. Regular and appropriate exercise for your age, gender and level of fitness is the way to go.
4. “Your secret to successful aging is to choose your parents wisely”
a. Some countries would probably be empty if this were possible. How easy it would be for people to say “everyone in my family dies of a heart attack by age 30 so I will not bother to work hard. Fortunately for us life does not work that way.
b. The role of genetics in aging is important but it has been exaggerated. We should be able to distinguish familial habits and experiences from genes. So if all members of a family enjoy eating large loaves of bread, several balls of kenkey, greasy fast foods and spend long hours in couches watching television, it has to be habits we have picked up as a family and has nothing to do with our genes.
c. We know that diet, exercise and even medications may delay or completely eliminate the emergence of disease. Genes play a key role in promoting disease, but they are certainly less than half the story.
I believe I have made it crystal clear that you have more control over what you can do or not do as you age than you ever thought. Beyond the exercises, healthy eating and avoiding excesses, it is important that you ensure active mental stimulation (solving puzzles, reading), keeping up relationships with friends and relatives (relationships where there is mutual respect can be priceless) , putting your finances in order and do not downplay spirituality.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/Mobissel/St. Andrews Clinic
(www.healthessentialsgh.com)
*Dr. Essel is a Medical Doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.
Thought for the week – “Aging is not lost youth but a new stage of opportunity and strength.” –B Friedan
Reference:
1. “Successful Aging” by John W. Rowe, MD and Robert L. Kahn, Ph.D.
• Many people face risks as they age
• Talking to God has a way of calming nerves