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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

My ten + one tips to better sleep

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Popping pills to sleep will not solve the challenge of correcting sleep wars.

Sleep comes in different shades. There are those who sleep pretty and hardly move an inch in bed. Then we have those who are virtually at war when in bed and may turn a whole 360 degrees several times in the land of the unknown. Woe betide you if you find yourself in the same “sleep ring” with such a fighter. The most “decorated” ones bring music to sleep and the noise that exudes from their throats, nostrils and mouth could compete with any orchestra except that harmony is often thrown to the wind; those of us who belong to this category know ourselves.

Inspite of all the above, when I am hard pressed to pick one thing that has the greatest impact on one’s health, I will say SLEEP reigns. Too many challenges spring up when we fail to get enough sleep and it’s no wonder that at the doctor’s office we hear many complaints of not being able to sleep.

Most of the time the solution is not in popping pills but the Sleep Hygiene Tips below will go a long way to make a difference in your sleep and subsequently your health.

Sleep hygiene tips

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  1. Create darkness in the room
    1. Sleep is easier when your room is dark. A bright room may be a challenge especially if you already have a bunter with sleep.
  2. Have a Regular sleep plan
    1. Keep to the safe time you go to bed and also time you wake up. Regularity is key.
  3. Ensure room is cool and well ventilated
    1. An extremely hot or cold room may keep you awake just tossing and turning. A nice breeze makes sleep even better.
  4. Wind down or unplug about an hour to bedtime
    1. Rushing throughout the day and then diving into bed may not be the best remedy for sleep. Slow down, start putting off lights, stop working and maybe spend about 5 minutes meditating or speaking to God.
  5. Avoid phones, laptops, work in bed/bedroom
    1. These have no business in your sleep area and should not be in your bed for sure. The glare from lights, the vibrations or sounds from messages and even calls may keep you awake and give you a nightmare with your eyes wide open.
  6. Exercise
    1. Exercise and laugh and you will be preparing yourself for a sound sleep. You may exercise anytime of the day but when you struggle a lot with sleep the ideal time may be four to six hours before bedtime. Exercising an hour or two before you sleep may rather keep you alert and awake.
  7. Watch your food intake; don’t overeat, avoid spicy food and lots of oil
    1. Gluttony is definitely “sinful” and one of the instant punishments is discomfort and difficulty sleeping. A full stomach at bedtime makes one wish for daybreak. The spices can also cause havoc especially when eaten late. That heartburn will wake you up and keep you sitting and cursing all night.
  8. Watch what you drink; stimulants may affect your sleep e.g. caffeine, fizzy drinks, alcohol and energy drinks
    1. If you have trouble with sleep or you do not want your sleep to be disturbed in any way, avoid these 4 clear hours or more before sleep time. ACOHOL deceives you into thinking you will sleep only to wake up early, feeling unrested or making dashes to the washroom.
  9. Discuss with your doctor when to take some of your prescribed medication
    1. Sometimes some medications we are on may cause us to wake up several times to urinate and should preferably be taken much earlier in the day. Others keep us alert over several hours.
  10. Writing your TO DO LIST for the next day relaxes the brain
    1. The brain sometimes will keep “working” in an attempt not to forget what you need to do the following day. Hack your brain by writing down or typing out your To Do List for the following day and you will be blessed with good sleep.
  11. Get professional care to diagnose and manage medical conditions
    1. Sometimes it’s a medical condition that is directly or indirectly depriving us of good sleep and our health professional can help us find and treat this so we can once more enjoy the bliss of the Lotus Eaters. Maybe it could be a medication that is just not right for you.

Popping pills to sleep in most cases will not solve the challenge and should never be our first line of correcting our sleep wars. Adopt these hygiene tips today even if you sleep well and your health will be on the right path. Not even the decorated bedroom trumpeter or the sleep fighter can take your sleep away from you.

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

(www.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 – “ A good laugh and a long sleep are the best cures in the doctor’s book.” – Irish Proverb

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Health Essentials

Whatever you practice or focus on grows

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A young woman writing down her goals

These last few months of 2026, I am embarking on a new journey. Over the past several months I have tried out some aspects of my “new way of life” but not in the manner I am doing now and I am sure you are doing same too. Draft your own points based on what is important to you and let us begin the journey together. It is never too late.

Many of the things I am working on now are guided by years of interaction with different people, what may be my purpose in my opinion, great family and friends and the type of wisdom that comes only with years.

  1. Self-Care

Quite often we try to take care of everything and everyone without ensuring we are appropriately “charged”. There is nothing to give out if you are empty. Self-care is NOT a luxury and it has taken me years to appreciate this;

  • I will add a new hobby I have been toying with.
  • Surrounding myself with like-minded people who energise me, make me laugh and be the best version of myself. Building Social capital pays.
  • I am spending quality time with God daily
  • Spending time in nature is key and I ensure that I take much needed breaks
  • Spending a few minutes a day to meditate, exercise and spoil myself sometimes
  • I will have some hours each day that will be blocked out as “no phone time”
  • Keeping a Goal Diary

Many people have described ways of putting down your goals and seeing them happen. My coach taught me the power of VISUALISATION but over the years I went off that golden path. It’s time to get back. This is what I am doing now;

  • In a diary I am writing everything I want to be or do as long as I have breath. No pressure.
  • I am writing in the present tense; “I am spending an amazing week in a 7-Star resort with the people I love the most”
  • I will look at this list everyday
  • Start a Gratitude Bank

I listened to this recently and though it was not referred to as a Gratitude Bank, I believe that is exactly what it is

  • I picked a diary to write in but others choose a transparent container to drop in written points. Choose what you are comfortable with.
  • At the end of each week I will write something(s) I am grateful for and put in the container.
  • Whenever I feel “ungrateful” I will read through them to remind myself how blessed I am and surely I will be holding the “evidence”
  • On December 31, I will go through the list irrespective of my mood.
  • Practice. Practice. Practice

This is exactly as it is – whatever you have written out in your diary to do from self-care through your goals etc. prioritise or focus on a few at a time. As you practice e.g. meditating, exercising, eating right and the many great things you want to do, these will all GROW. Whatever you practice GROWS.

  • Make the world a better place

I believe that we can make a difference in our corner no matter the challenges.

  • That smile will change someone’s life
  • An act of kindness is contagious and the giver, receiver and all those observing benefit immensely. Let us spread kindness.
  • The Blood Bank on my mind for this year and beyond.

What are you focusing on, what are you practicing?

Do share your list 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)

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Dr. Kojo Cobba Essel

Health Essentials Ltd/ 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.’

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Thought for the week –“Never change your originality for the sake of others because no one can play your role better than you. So be yourself. You are the best.” – Unknown

References:

  1. Unravelling the Essentials of Health & Wealth; Dr. Kojo Cobba Essel
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