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Health Essentials

Lifestyle modifications that help to control diabetes

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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.

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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.

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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

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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.

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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!

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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

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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.

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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

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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

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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.

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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)

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*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

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Health Essentials

A quest to prolong our health-span

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I have over the past two decades looked beyond mainstream medicine to assess other options that lead to holistic health, and I must say it’s been exciting and revealing but it’s not an easy path.

As I matured and my knowledge expanded, I have changed my opinion on some aspects of wellness and many findings have been humbling. We all continue to learn each day.

I will share some of the life-changing skills that we take for granted. In our quest for wellness there appears to be more questions than answers, but moderation still remains key in our daily lives.

The power of prayer, praise and worship of God cannot be taken out of the equation.

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Ready. Set. Let us do this together.

  1. Strength training is a must for ALL of us
    1. Yes, we all need to dig into the various aspects of exercise; strength training, cardiovascular training, stretches or flexibility training and balance training. If you asked me about a decade ago to pick the king of all exercises, I would naively have answered cardiovascular such as walking, cycling etc. but I am certain now that strength training trumps all and we need to incorporate at least a bit of that in our exercise programme.
  2. Take a short walk after each meal
    1. Many of us (your truly included) after dinner barely get to wash our hands before the miracle of the Lotus Eaters sends us to dreamland. Our fingers will be signaling to rats and cockroaches to come out and party.
    1. Walking a few minutes after eating may hold the key to helping control our blood sugar levels and reduce the spikes in insulin that come with a myriad of issues. At the very least the short walks after eating will add up to increase the energy you expend daily.
  3. Eating your vegetables and proteins before your carbohydrates may be helpful
    1. Well, how true may this be? I suggest it is worth trying. I am not saying clear your plate of all protein before you even take a spoonful of carbohydrate. The fibre will slow the absorption of the sugar for hours and even better, you may feel full after the vegetables and protein and not be able to gobble down the mounds of carbohydrates you had planned to dismantle.
  4. Eat slowly but do not get your boss angry
    1. Eating slowly does not mean spending hours at lunch and courting the displeasure of your superiors. It takes about 20 minutes for your brain to realise you are full so dear friend, take your time to chew and enjoy your food. A meal “downed” in less than 20 minutes may cause you to virtually suffocate when you top up with water. This is a message to myself and all those who like me eat so quickly that Usain Bolt will envy our speed.
  • Eat from small, colourful plates
    • Small colourful plates make an impression on our brains. Since the little food appears loaded on a small plate our brains tend to “believe” it’s a lot of food and we feel full for a strange reason. Put the same amount in a large plate and you are likely to be asking for second servings.
  • By all means make friends
    • The power of social wellness and its role in longevity and an enviable health span is no longer in doubt. By all means make a few good friends and enjoy life! Thank me later.
  • Sleep!
    • Yes, I do agree there are at least seven forms of rest, and they are all equally important BUT start off with sleep and we will gradually rope in all others.
  • Keep your eyes on your numbers
    • I have written and spoken about the miracle of knowing our numbers and keeping them in check; blood pressure, blood sugar, lipids and BMI. Today I suggest you look at your heart rate closely. A low heart rate may be an indicator for staying here on planet earth for a long time. Also keeping glycated haemoglobin (long term blood sugar) low is another feather in the cap of longevity.
  • Appropriate supplementation
    • The golden rule is to get all your nutrients from your food but for many of us that may not be possible hence the need to supplement ( note that supplement overdose does exist)
    • It is ideal to discuss supplementation with your healthcare professional and your discussion should look at probiotics, magnesium glycinate, Vit D3 + K2, a good multivitamin and in some instances creatine or whey Protein. I am in no way suggesting you take all these, each individual is unique and that is why it is crucial to discuss your options with a professional.
  • Make a conscious effort to be HAPPY
    • Happiness affects our entire being in positive ways; smile, say a kind word to someone, be grateful, surround yourself with people who make you happy and not ones who sap your energy, volunteer to support people and by all means get a hobby eg gardening, playing a game etc and the best get news yet; you don’t even have to be good at your hobby to benefit.

We are not waiting for a magical or ideal day to start working on our Health and Wellness, we start today bearing in mind that “the most efficient way to reach our realistic health and wellness goals is to make small healthy choices daily.

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/ Medics Clinic

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(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 – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

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Health Essentials

Acing your doctor’s visit

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A doctor in a consulting room with her patient

Very often we leave the doctor’s office only to remember that we left out a major complaint. Some patients immediately rush back to the consulting room totally oblivious of the privacy that the next patient is entitled to.

They expect that as they walk in, the doctor should ignore the seated or positioned patient and attend to them. That is totally outrageous. Others go home and continue to live with the condition hoping to be healed miraculously.

Most of us will be extremely lucky to spend 15 minutes with our doctor and this time is often much shorter in countries/communities where the doctor-patient ratio is so low that at best it can be described as criminal.

We are now in the second half of 2026, and I highly recommend that you see a doctor not only when you are unwell but as a means to assess your state of wellbeing and take the needed precautions. It is critical that you find a good primary care doctor who is knowledgeable and proactive and will also be able to coordinate specialist care that you may require.

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To make the most out of our time with the doctor we need to PREPARE. If your condition is an emergency, then you do not have the benefit of time to prepare.

A must do!

Kindly ensure your personal hygiene is excellent.

  • Take a good bath and brush your teeth
  • Wear clean clothes that also make undressing easy, especially if you need to expose some areas for inspection/examination.

This may sound ridiculous, but the opposite does happen in real life.

Remember that doctors are human and when you are unkempt you may not get adequate contact with your doctor.

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Research on the symptoms

If you have access to the internet or a book worth its salt you may read about your symptoms or wait to read after your doctor tells you your diagnosis.

Remember that if you need to research on the internet, it is essential that you use a reputable site.

In tune with your complaints

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  1. Write down your complaints/symptoms if you think you may forget.
  2. If you have had a similar problem and have the results of any investigations e.g. Laboratory tests, x-rays, CT scans etc kindly carry them along
  3. Let your doctor know if you react to any drugs.
  4. Be truthful about any medications you have taken for the condition, if you do not remember the names make sure you go with the containers.
  5. If you have any other medical conditions (and medication) make the doctor aware.
  6. Remember to make a note of the following
    1. When did the symptoms/complaint begin?
    1. How long have you had these symptoms?
    1. Is it getting worse?
    1. Does anything make the condition worse?
    1. What makes you feel better?
    1. Is anything related to their onset?
    1. How often does it occur?
    1. How long does it last e.g. in pain conditions as well as rash, allergies etc.
    1. Does anyone else in your family have them?
    1. How do they affect your daily life?
    1. Is it related to work or home?

You may need to modify these slightly when you have skin lesions, swellings etc. This list is by no means exhaustive, and you may not need to find answers to all of them before getting help, but they will definitely help you ace the visit to your doctor.

If your doctor books you for surgery, do not leave his presence without finding out the following:

  1. Will you go home on the same day of the surgery?
  2. Will you need assistance to go home or can you drive unsupervised for instance
  3. What form of anaesthesia will you be given?

Then, if your visit is for a medical examination, do remember that also being aware of disease conditions in your family will help your doctor select the appropriate tests and make the whole experience and time useful.

Finally do not leave your doctor without finding out:

  • How much physical activity/exercise you require; the Almighty “FITT” prescription
  • What you need to eat or avoid.
  • Some basic information regarding SLEEP.

See you in the consulting room soon.

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

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Health Essentials Ltd (HE&W Group)/Medics Clinic

(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 – “The next big thing in Healthcare in Ghana is the Medics Clinic. Visit https://medicsgroupgh.com/ for more information.”

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References:

  1. www.patientedu.org
  2. www.healthclubsgh.com
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