C- Reactive Protein Quantitative Test

Knee replacement is a procedure where the weight-carrying surfaces of knee joint are replaced surgically to ease the pain or any disability. People suffering from osteoarthritis, rheumatoid arthritis or psoriatic arthritis undergo knee replacement. All these conditions revolve around stiffness and painful knee. This surgery is usually performed on people aged over 50.

Surgery Types: 
Knee replacement is mainly of two main types:

1. Total knee replacement where both the sides of knee joints are replaced
2. Partial knee replacement where only single side of the joint is replaced

Procedure: In case of partial knee replacement with minimal invasion, a smaller incision, which is 3 to 5 inches, is required. This leads to minimal tissue damage and the surgeon can work between the fibres of the quadriceps muscles. Here, an incision through the tendon is not required. This may result in less pain, recovery time is reduced, and motion is better as scar tissue formation is less.

In total knee replacement, four steps are performed:

1. Removal of damaged cartilage surfaces, which is at the ends of the femur and tibia, with a small quantity of underlying bone.
2. Replacement with metal components, which help as a recreated surface of the joint
3. Incision of knee cap with a resurface made of a plastic button, which is optional based on the case
4. Insertion of a medical grade plastic spacer amid the metal components. This creates an effortless gliding surface.

After general or spinal anaesthesia, an incision of 8-12 inches is made in the front part of the knee. Joint part which is damaged is removed from the surface of the bones. The surfaces are then formed in a way to hold a metal or plastic artificial joint. The thigh bone shin as well as knee cap is attached to the artificial joint with either cement or a special material.

After Effects of the Procedure: After the surgery, patients may stay in a hospital for three to five days. Post surgery, notable improvement can be seen after a month or later. The patient is gradually relieved from pain with the construction of new gliding surface during surgery.

There will be slow progress in the movement. In the beginning, one may walk with a support of parallel bars and then with the help of crutches, walker, or cane. After full recovery in about six weeks, people can enjoy normal activities except running or jumping.

Presently, over 90% of total knee replacements function well even after 15 years of surgery. Hence, knee problem is no problem at all! If you wish to discuss about any specific problem, you can consult an Orthopedist.

Glucose is the primary ingredient within the body which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, your body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

Symptoms of type 2 diabetes

1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this, tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
2. Frequent infections and slow healing - If you are afflicted with Type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is a darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds on skin in areas such as the neck and armpits and is a direct result of insulin resistance.

Causes of Type 2 diabetes

Some of the most common causes of Type 2 diabetes could be:

1. Being overweight
2. Lack of physical activity
3. Genetic predisposition or family history 
4. If you are more than 45 years of age
5. Hormonal problems such as Polycystic ovarian syndrome

Reverse Diabetes

There three major factors that can help you prevent and reverse pre- and type II diabetes: proper diet and appropriate nutritional and herbal supplementation, exercise, and weight management.

1. Diet: Proper diet is critical for both preventing and treating pre-and type II diabetes. One of the most important dietary precautions you can take is to eliminate all refined sugars and sugar products from your diet. Also reduce or eliminate your intake of alcohol and caffeine; avoid fast, processed "junk" foods and soda, altogether; and eat protein snacks between meals.
2. Eating According to the Glycemic Index: Another important dietary tip is eat meals that contains an abundance of low-glycemic (low-sugar) foods. By doing so you can significantly improve your body's ability to maintain low insulin and blood sugar levels. Low-glycemic foods include raw, organic leafy green vegetables, fruits that contain pits, sweet potatoes, yams, organic whole-grain breads and cereals, most legumes and nuts, skim and buttermilk, poultry, white fish, shellfish, and lean cuts of beef and veal.
3. Nutritional and Herbal Supplements: In addition to a healthy diet, many people at risk for or who already have pre- or type II diabetes will also benefit from various nutritional and herbal supplements.
4. Exercise: Regular exercise should be part of every diabetic's daily routine. Exercise in combination with a weight loss program has been proven to reduce the odds of developing diabetes by 58 percent among people who are at risk for the disease. If you wish to discuss about any specific problem, you can consult with the doctor for diabetes ayurvedic treatment.

 1) Diabetes is curable :

Diabetes is  mainly due deficiency of Insulin (hormone produced by Beta cells of pancreas), plus resistance to action of insulin, overweightor obesity  and inactivity. Therefore, to treat diabetes we need drugs that initiate insulin secretion, reduce insulin resistance. In some cases  insulin itself. Plus dietary control and regular exercise to maintain normal weight or reduce excess weight. Hence it can only be effectively controlled. Cure is not possible.

2) Eating Sugar or Sweets causes Diabetes :

It is incorrect to say that eating sweets and / or sugar causes diabetes. Basically excess food intake will lead to excess production of glucose. That puts excess load on insulin producing cells in pancreas due glucotoxicity. Also due to central obesity  the fat around internal organs causes lipotoxicity affecting the beta cells. Therefore, excess food intake in general and weight gain  are the reasons for diabetes.

3) Jaggery is better or safe in diabetes :

Jaggery and sugar both are essentially same. Both contain sucrose, as they are prepared from sugar cane juice. Hence eating either of these will increase blood glucose considerably. In jaggery there are some vitamins and a few antioxidants. But both are bad for a diabetic person.

4) Rice should not be eaten in diabetes :

Not really true. Because in south India this is the major or at times only main food. Rice has a high glycemic index so gets converted to glucose rapidly. So polished rice is not good. Brown rice is better. Quantity should be regulated. All other cereals  also are converted  glucose after digestion. 

5)Allopathic Medications Damage Kidneys, so go for either Ayurvedic or Homeopathic Drugs :

In fact diabetes itself affects kidney, particularly the filtering membrane of glomerulurous  (a filtering unit in the kidney).   Even when diabetes fairly well controlled, kidney does get affected. The drugs used to treat diabetes  help in overcoming kidney damage. Therefore it is wrong to think that modern drugs cause kidney damage. In fact some of the other drugs contain heavy metals (Bhasmas), which can be harmful to the kidney.

6) Sugar intake is essential for body :

Some people keep asking that eating sugar is very necessary for getting energy for the body tissues. This is not at all true.  Because all the cereals like rice, jowar, wheat, ragi, bajra and other millets, contain starch as the main ingredient. Hence intake of each of these foods  provides glucose after digestion. So there is no separate need for taking sugar.

Few things to be remembered and practiced are :

• Always use whole grain flour, as it contains a good amount of biber content for making chapati or roti.
• Consume more of green leafy vegetables and salads with every meal.
• Consider fruits and green leafy vegetables as part of regular snacks
• Take small meals on more number of occasion to avoid glucose surge.
• Avoid Maida and foods made from it. It is probably worst kind of food that one can consume.
• Form healthy food habits.

Take 2-3 cloves of garlic empty stomach.
Or

• First crush 4-5 garlic cloves
• Then add salt n chilli powder 
• Add small quantities of ghee
• Fry on low flame till its brown
• Eat with chapati in breakfast 

This will lower your bp and cholesterol.

Ayurveda, translated into science of life and longevity, has been practiced in India for more than 5000 years old and has gained worldwide popularity. It uses noninvasive and natural methods and produces minimal side effects and therefore is being widely accepted.

Ayurveda believes that the body is made of pitta, vata, and kapha systems (or doshas) and diseases are due to imbalance between these or predominance of one over the others. Obesity for instance is believed to be due to kapha predominance, leading to excessive eating and thereby obesity. There are various herbs (listed below) that are used in treatment of weight loss, and they all act by burning more fat and improving natural metabolism.

1. Vrikshamla (Garcinia cambogia): Known commonly as brindle berry or mangosteen oil tree, or malabar tamarind, this helps to reduce triglycerides and control cholesterol.  It also suppresses appetite and inhibits lipogenesis (conversion of sugars to fat)
2. Licorice (Glycyrrhiza Glabra): Licorice has been widely accepted as an anti-obesity herb, especially in reducing abdominal fat. It acts by reducing the amount of triglyceride in the liver and blood. It also contain flavonoids which slow down oxidation of fatty acids.
3. Ginger (Zingiber Officinale): An herb with varied medicinal properties, ginger has a multitude of health benefits. It promotes weight loss by lowering cholesterol and reducing fat accumulation.  It also regulates metabolism of cholesterol and oxidation of fatty acids.
4. Kalonji (Nigella Sativa): During clinical trials, the seed extract of Kalonji has been shown to improve body mass index and lead to better waist-hip ratios.
5. Myrhh (Commiphora Resin): The bark of the flowering mukul myrhh tree produces a sticky, yellowish resin that has been identified to be a steroid compound. It is harvested in winters and considered to act on all 3 doshas and provide an equilibrium in the body. Commonly known as guggul, it translates to "one that protects against disease. That in a way sums up its medicinal properties. In obese people, it helps by lowering blood cholesterol and triglylcerides and is considered a very powerful fat burner.

It is proven that Ayurveda is a safe method to help you lose weight.  Also, please note that each of these above products will have benefits in other medical conditions and not used only in obesity cases.  In addition to the above specific products, there should be a combination of healthy eating and exercise, which primarily drives weight loss. Balancing eating and sleeping to homegenise the three doshas in the body is also very important for effective weight loss. Increasing water intake, reducing alcohol intake, planning protein-carb ratio, and customized exercise routine are are aspects to be considered. If you wish to discuss about any specific problem, you can consult an Ayurveda.