Health Essentials
Lifestyle modifications that help to control diabetes
Through the steps outlined here apply mainly to Type 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 five 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 2024. 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 importantly 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
c. Strength training at least twice a week will build a little lean muscle that also helps mop up blood sugar
d. If you haven’t 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, practising 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
c. 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
(dressel@healthessentialsgh.com)
*Dr. Essel is a medical doctor, holds an MBA and is ISSA certified 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
Do you want to be happy?

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.
I will introduce a few everyday activities that are guaranteed to make you happy if you continue practising them.
You definitely do not need to live in Finland to experience happiness even though many people agree that is the “headquarters” of happiness.
1. Wake-Up Ritual
a. Say to yourself that today will be a beautiful day or a great day!
b. 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.
c. Remind yourself of your purpose in life and get out of bed.
d. Do Not grab your phone as the first thing for the day.
2. Pray
a. 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
a. Definitely floods your body with feel good hormones and insulates you from stress.
b. Smiling is infectious so the more you smile the better and you set off a smiling OR happiness domino effect.
4. Meditate
a. 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
a. 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
a. We are often too harsh on ourselves. Give yourself a break. Self-care is the real deal!!
b. Being harsh to others has no benefits.
7. Spend some time doing nothing!
a. 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.
a. 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.
b. 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.
a. Our bodies and brain love variety. Do you have a hobby? Get one
10. Write in your gratitude diary.
a. That is all it takes – keep doing it regularly.
11. Get a pet.
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!!!
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)
*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
Health Essentials
Measure your blood pressure accurately, control it, live longer

May 17 is World Hypertension Day and please do not panic. This is not a stress-filled day that aims at increasing your blood pressure but rather it’s a day set aside to increase awareness of a serial yet silent killer. That is exactly what Hypertension it; its killing the young and old at an alarming rate yet in most instances people with high blood pressure may feel absolutely well.
The theme for this year is “Measure your blood pressure accurately, control it, live longer”
Do these when you take your blood pressure since the accuracy of the reading matters:
• If you have been walking or running rest for at least 5 to 10 minutes
• No caffeinated drinks or alcohol two or three hours before checking blood pressure
• Sit (sometime you may need to stand or lay in bed) comfortably with your back rested/supported and your arm for the cuff resting on a table of firm surface
• Have your feet flat on the floor and not legs crossed
• Ensure the cuff is the right size for your arm
• If using an electronic monitor ensure battery is working well
• If clothing covering arm is thick remove
• Loosen your neck-tie or belt if uncomfortable
• If you are not conversant with checking blood pressure, get the appropriate training
Global statistics show that only 50 per cent of those with hypertension are actually aware and that awareness in some areas may be as low as 10 per cent while awareness may exceed 75 per cent in a few areas.
The bitter truth is some people do not have enough information about the condition, a significant number do not have easy access to measuring their blood pressure and a few stubborn ones think it is better not to know if something is going wrong.
What do we need to understand about our blood pressure numbers? There are ALWAYS two numbers in a blood pressure reading such as 120/80mmHg. The top figure represents the force of the blood against the artery (blood vessel) walls as your heart beats and the lower value represents the force on the walls in between beats or while the heart rests. Both numbers are important.
Essentially when your blood pressure is higher than it should normally be all organs in the body are exposed to elevated pressures since arteries supply blood to every part of the body. These sustained high pressures will be causing harm gradually every minute of the day.
Prevention of high blood pressure is based mainly on adopting the appropriate lifestyle, while having regular medical check-ups to pick up conditions that can may lead to hypertension if not tackled early. Management of hypertension on the other hand requires a three-pronged attack in most situations;
• Lifestyle modifications
• Regular medical checks to pick up other conditions that be worsen our hypertension or general wellbeing
• Use of appropriate physician prescribed medication
Age and our genes may have a way of increasing our blood pressure or predisposing us to hypertension, but since we have no control over the choice of our family and years rolling by, it may be worth focusing on the above three that we can control to a large extent.
Lifestyle Modification
• Exercise adequately
• Do not smoke
• Limit or avoid alcohol
• Aim at fat (weight) loss
• Manage stress appropriately
• If you have sleep apnoea (intermittent snoring during sleep and feeling tired and sleepy on waking up) seek medical intervention
• Adopt the DASH (dietary approaches to stop hypertension) diet; low sodium (salt), increased potassium from fruits and vegetables, low or no saturated fats and increased fibre.
• Control conditions such as diabetes, cholesterol challenges and kidney disease.
Exercise need not be rushing to the gym to sweat out only, but taking walks, gardening, cleaning your home, using the stairs and many others. Exercise increases heart function and lowers blood pressure but there is a little hitch: the benefits of exercise on blood pressure do not last beyond 72 hours.
In short frequency is the watch word. Do not be a once a week or once a month exercise fan. The effect of exercise on the heart does not rely on past glory so if you were an athlete years ago but you have now become one with your sofa, I am sorry to disappoint you but you need to get moving NOW!
All types of exercises will benefit you and lower your blood pressure but a word of caution here;
• When your blood pressure is not controlled DO NOT lift weights above your head
• Do not overdo exercises of the upper body but lower body exercises such s squatting will enhance lowering of your blood pressure.
• Breathe properly especially while you train with weights; breathe out during the exertion phase as you lift a weight and breathe in while you relax.
• Of course brisk walking, swimming, use of the treadmill and other exercises that target heart function are also a must
When all is said and done, you can never know our blood pressure without measuring or checking it. Take a few minutes to check your blood pressure and ensure at least one other person checks their blood pressure before the end of the month.
Associations, companies and all identifiable groups should ensure they check their blood pressure and go an extra mile and as a corporate social responsibility help to check the blood pressure of hundreds or even thousands of people. You will be saving lives.
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
(dressel@healthessentialsgh.com)