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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

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Teenage Hypertension: The silent threat to Ghana’s young generation

For many Ghanaian teenagers, high blood pressure may seem like a health problem for their parents and grandparents. But as unhealthy eating habits, excess weight and increasingly sedentary lifestyles become concerns for younger populations, protecting heart health during adolescence deserves greater attention.

The danger is that hypertension can develop without obvious symptoms. A teenager may feel perfectly healthy while elevated blood pressure goes undetected, potentially delaying medical assessment and appropriate care.

Although not every teenager with unhealthy habits will develop hypertension, early awareness, healthy lifestyle choices and appropriate blood pressure checks can help reduce future cardiovascular risks.

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A growing concern

Hypertension, commonly known as high blood pressure, is a major public health concern worldwide. The World Health Organisation identifies it as an important contributor to premature death, largely because it increases the risk of serious cardiovascular complications.

While the condition is often associated with adulthood, the factors that contribute to its development can begin much earlier in life.

Frequent consumption of foods high in salt, poor dietary habits, excess body weight and insufficient physical activity can undermine cardiovascular health. Family history and certain underlying medical conditions may also increase an individual’s risk.

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For teenagers, therefore, the conversation about hypertension should extend beyond hospital visits and include the everyday habits that shape their health.

When lifestyle choices become a concern

Adolescence is a period when young people begin making more independent decisions about what they eat, how they spend their leisure time and how physically active they are.

Convenience foods, processed meals, salty snacks and sugary drinks may become regular features of their diets. At the same time, long hours spent on mobile phones, computers and other digital devices can leave less time for physical activity.

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Academic demands and inadequate sleep may further affect their general well-being.

These habits do not automatically lead to hypertension. However, when unhealthy diets and physical inactivity contribute to excess weight, they can increase the risk of high blood pressure, particularly among people with other predisposing factors.

Recognising these risks early offers families, schools and health professionals an opportunity to encourage healthier choices before unhealthy patterns become established.

What Ghana’s cardiovascular health figures reveal

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A cardiologist and Senior Lecturer at the University of Ghana Medical School, Professor Alfred Doku, in an interview highlighted the seriousness of cardiovascular disease in Ghana, citing figures indicating that it accounted for approximately 43 to 50 per cent of deaths in the country.

He also stated that about 30 per cent of Ghanaian adults had hypertension, with approximately 70 per cent of those affected unaware of their condition.

Although these figures concern adults and the wider population rather than teenagers specifically, they point to the importance of improving awareness, screening and early detection of high blood pressure.

Professor Doku urged people to know their blood pressure readings and monitor other important health indicators, including blood sugar, cholesterol levels and body weight.

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His advice underscores the importance of understanding personal health risks rather than waiting for illness to become apparent before seeking medical attention.

For adolescents, any blood pressure reading that raises concern should be assessed by a qualified health professional. Because blood pressure varies with age, growth and other factors, its interpretation in children and teenagers requires appropriate clinical assessment.

The danger of a condition without obvious symptoms

The Head of the National Cardiothoracic Centre, Dr Kow Entsua-Mensah, also stressed the importance of awareness and early detection in addressing cardiovascular disease.

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He explained that hypertension could remain undetected for years because affected individuals might not experience noticeable symptoms.

Dr Entsua-Mensah noted that several factors, including diabetes, high cholesterol, obesity, physical inactivity, unhealthy diets, tobacco use and harmful alcohol consumption, could contribute to cardiovascular damage over time.

He called for greater public awareness of the importance of checking blood pressure and other health indicators before complications develop.

The challenge with hypertension is that the absence of symptoms can create a false sense of security. People may assume they are healthy simply because they feel well, overlooking the need for preventive health checks.

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Dr Entsua-Mensah emphasised that addressing cardiovascular disease required cooperation among healthcare professionals, government institutions, schools, businesses, community organisations and the media.

Such collaboration is particularly important for young people, whose health habits are influenced by their homes, schools, peer groups and the wider environment.

Small habits, lasting benefits

Professor Doku said many cases of heart disease and stroke could be prevented or their risks reduced through appropriate lifestyle changes and effective management of contributing factors.

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He encouraged young people to reduce their salt intake, eat balanced meals, exercise regularly and avoid smoking.

Describing hypertension as a silent threat, he warned that people should not wait for symptoms before taking their blood pressure seriously.

Hypertension, he stressed, could have serious consequences, including heart failure and stroke, when left undetected or inadequately managed.

For teenagers, protecting heart health does not necessarily require complicated routines. It begins with practical, everyday decisions: eating a balanced diet, choosing foods with less salt, participating in regular physical activity and getting adequate sleep.

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Avoiding tobacco products and maintaining a healthy weight are also important steps towards reducing cardiovascular risks.

Young people who are diagnosed with hypertension should follow the advice of their healthcare providers and take prescribed medication as directed. Lifestyle changes can support treatment, but they should not replace medication when it is medically necessary.

Parents have an important role to play by encouraging healthy eating and physical activity at home. Schools can contribute by providing opportunities for exercise, promoting health education and making nutritious food choices more accessible to students.

Healthcare professionals, meanwhile, can help identify young people who may be at risk, assess abnormal readings and guide families on appropriate follow-up care.

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Protecting the next generation

Addressing hypertension among young people requires more than individual effort. It calls for a coordinated response involving families, schools, healthcare providers, policymakers and the media.

Public education should challenge the perception that high blood pressure is exclusively an older person’s condition. Teenagers need accurate information about cardiovascular health, the factors that increase their risk and the importance of seeking professional advice when necessary.

Appropriate screening and follow-up care can also help identify elevated blood pressure and ensure that young people who need medical attention receive it.

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However, the extent of hypertension among Ghanaian teenagers should not be inferred from statistics relating to adults. Reliable, age-specific national data are needed to establish the scale of the problem and guide targeted interventions.

That evidence gap makes it important to approach the subject with both urgency and accuracy: raising awareness of the risks without exaggerating what is known about their prevalence among adolescents.

For Ghana’s young generation, the message is clear. Feeling healthy does not always mean that blood pressure is normal, and good cardiovascular health should not be left until adulthood.

By encouraging healthier habits, improving access to appropriate health checks and making reliable information available to young people, Ghana can take meaningful steps towards protecting the heart health of its next generation.

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By Esinam Jemima Kuatsinu

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Charting a path to be happy in Ghana

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Having a hobby helps the body and brain love variety
Having a hobby helps the body and brain love variety

Don’t we all dream of a life that is filled with laughter? That may be a reason for chasing big bucks, which like the golden-fleece eludes the majority of us. Financial Wellness is extremely important but there are other factors that make us happy and healthy and eventually wealthy. 

You definitely do not need to live in Finland to experience happiness even though many people agree that is the “headquarters” of happiness. The happiness in Finland for instance is based on the provision of basic infrastructure and services, minimal corruption and strong social support among others. These go a long way to minimise anxiety making room for one to enjoy the good things of life.

Then when you live in Sikaman and any of its other cohorts, it is challenging to have those in authority create the environment where you can be happy. That’s why you need to “happy yourself” and the happiness hacks below will help you do just that. Even if you live in Finland, you will gain much more by following these steps.

  1. Wake-Up Ritual
    1. Say to yourself that today will be a beautiful day or a great day
    2. Ask God what He has in store for you. Use me Lord (if not a Christian what you believe in will be useful as well.
    3. Remind yourself of your purpose in life and get out of bed
    4. Do not grab your phone as the first thing for the day.
  2. Pray
    1. Talking to God has a way of calming our nerves. It brings about unexplained peace and when we add praise and worship then the floodgates open. That is how to win battles against unhappiness.
  3. Smile
    1. Definitely floods your body with feel good hormones and insulates you from stress
    2. Smiling is infectious so the more you smile the better and you set off a smiling OR happiness domino effect.
  4. Meditate
    1. Extremely good for your brain and an easy way to start is to do deep-breathing and just focus on your “breath” excluding all others. That is what some will prefer to call mindfulness. Being in the moment has immense benefits. Things you never knew existed suddenly spring up.
  5. Exercise
    1. That wonder drug that trumps virtually all others. Like smiling it does pour out feel good hormones. Strength training even goes an extra mile causing our muscles to act as “pharmacies” that pour out life-changing signals every time they contract.
  6. Be kind to yourself & to others.
    1. We are often too harsh on ourselves. Give yourself a break. Self-care is the real deal!!
    2. Being harsh to others has no benefits.
  7. Spend some time doing nothing
    1. We need to re-set from time to time. Spend about 10 minutes a day doing absolutely nothing. There is happiness and innovation in “idling”. Do not abuse idling though
  8. Spend time with loved ones
    1. This is another powerful happiness “hack”. You have to make time and be intentional about this; talk on phone, send messages, arrange to meet for a drink or meal. Social Wellness ranks very high on the happiness index and it’s fairly easy to plug into it.
    2. While spending time together remember that your choice of food and drinks also impacts on how happy or sad or anxious you may feel.
  9. Indulge in a hobby
    1. Our bodies and brain love variety. Do you have a hobby? Get one
  10. Write in your gratitude diary
    1. That is all it takes – keep doing it regularly.

This list is not exhaustive but definitely a good start. Share your happiness hacks with me via email and together we can keep the world smiling and happy.

At the end of each day ask yourself if you did better than the previous day. That is all it takes. Doing better than the previous day for 365 days, for 5 years, 10 years… How amazing that will be!!!

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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/Medics Clinic

(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 – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel

By Dr. Kojo Cobba Essel

SKIP THE QUEUE, TAP THE NEWS

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You can now read the Ghanaian Times and The Spectator newspapers from the comfort of your device via TimesNewsPlus.

Join our WhatsApp Channel: https://whatsapp.com/channel/0029VbBElzjInlqHhl1aTU27

Continue Reading
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