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Smart eating: Carbohydrate Counting for Indian Foods When a person uses carbohydrate counting, the focus is on the carbohydrate in the food. This is due to the fact that carbohydrate raises your blood glucose much more rapidly than the other two macronutrients that provide calories; protein and fat (excluding alcohol, which is not a macronutrient). Following is a more complete list of the food groups whose calories are mainly from carbohydrate: • Starches: rice, pasta, bread, cereal, crackers • Starchy vegetables: potatoes, corn, green peas, beans and lentils • Fruit and fruit juices • Non Starchy vegetables: spinach, tomatoes, cauliflower • Dairy Foods: yogurt, milk, and other dairy foods • Sweets / Desserts: cakes, cookies, candy • Beverages high in sugar Carbohydrate Counting and Blood Glucose Control? Blood glucose levels are directly related to the amount of carbohydrate one eats. If the amount of carbohydrate is tracked at meals and snacks, and the blood glucose levels are taken before and two hours after the meal; a trend or pattern will emerge. Keeping an eye on the carbohydrate intake daily and eating the same amount each day, will assist in maintaining the blood glucose levels within the target range. How much Carbohydrate should a person eat? For a female, a basic rule of thumb for estimating the carbohydrate servings is approximately 45-60 grams of carbohydrate, or three to four carbohydrate servings per meal. For males, it is four to five carbohydrate servings per meal or 60-75 grams of carbohydrate per meal. Tips for Successful Carbohydrate Counting • Educate Yourself: Attend support group meetings on diabetes and obesity offered at “Obesity and diabetes clinic” of Asian institute of gastroenterology, Hyderabad (Enquire at +91-9866646942 or mail to us aig.bariatric@gmail.com). • Start small: Pay attention to portion size, Learn what average portion sizes look like and avoid large meals when eating out. Share your meal when eating out. • Learn to read the nutrition facts label • Be consistent • Find Technology that works for you and use it: You may use the Lose it i-phone app to look up food’s carbohydrate counts. • Figure out what you can’t eat: Most people with diabetes can eat anything in moderation, but carbohydrate counters sometimes find foods that just aren’t worth the glucose spikes. • Study your body • Plan it out • When you are at a restaurant. Learn how to improvise • Be smart about mindless munching
It was a usual Sunday morning; I was back home just after finishing my long cycling ride along hussainsagar and grabbed my freshly prepared ginger lemon tea. Like many i scrolled through my daily newspaper “Telemarketing of India”, I have given this name to one of the highest distributed newspaper because their 80% content is advertorial and remaining is news including few pictorial erotic stories of some detectives (this is what they are feeding to the biggest republic population). Coming to the point what grabbed my attention was two front full page advertisement of an energy bar (to me it’s just another sugar candy). To be honest I have tried them lately and they are really awesome and addictive and doesn't cost much to pocket. It made me think about their business strategy and huge amount they spend on marketing, so I decided to make some research on the facts behind huge chocolate industry. End results of which were more shocking than surprising, hence I decided to share it with world. So here is “bitter truth about chocolates”. 1. You are eating lead: Wooooooo surprised to hear that, you must be wondering when most of the countries have banned leaded petrol how come its being consumed through chocolates. Well, it just so happens that the shells of cocoa beans, the chief ingredient in chocolate, have an almost supernatural ability to absorb lead from the air. Of course, this is only a big deal if there's a lot of lead in the air, right? Sure, which is why it's unfortunate that Nigeria , where a shitload of our cocoa comes from, still has lead in their gasoline. That's why a Hershey bar tastes so damn good: The secret ingredient is African exhaust. Kids absorb higher concentrations of lead into their system than the rest of us, just through their day to day activities of eating dirt and inhaling paint chips. Also, they breathe faster than an adult, which further draws in whatever lead happens to be floating around and sends it toward their sensitive little brains. Even before they start wailing on that candy, they have more lead in their bodies than Vito Corleone. Then comes Halloween and Christmas and then new year and story continues. 2. Ridiculous Lies About Health Benefits While it may not surprise you that much that Big Chocolate, like any
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It was a usual Sunday morning; I was back home just after finishing my long cycling ride along hussainsagar and grabbed my freshly prepared ginger lemon tea. Like many i scrolled through my daily newspaper “Telemarketing of India”, I have given this name to one of the highest distributed newspaper because their 80% content is advertorial and remaining is news including few pictorial erotic stories of some detectives (this is what they are feeding to the biggest republic population). Coming to the point what grabbed my attention was two front full page advertisement of an energy bar (to me it’s just another sugar candy). To be honest I have tried them lately and they are really awesome and addictive and doesn't cost much to pocket. It made me think about their business strategy and huge amount they spend on marketing, so I decided to make some research on the facts behind huge chocolate industry. End results of which were more shocking than surprising, hence I decided to share it with world. So here is “bitter truth about chocolates”. 1. You are eating lead: Wooooooo surprised to hear that, you must be wondering when most of the countries have banned leaded petrol how come its being consumed through chocolates. Well, it just so happens that the shells of cocoa beans, the chief ingredient in chocolate, have an almost supernatural ability to absorb lead from the air. Of course, this is only a big deal if there's a lot of lead in the air, right? Sure, which is why it's unfortunate that Nigeria , where a shitload of our cocoa comes from, still has lead in their gasoline. That's why a Hershey bar tastes so damn good: The secret ingredient is African exhaust. Kids absorb higher concentrations of lead into their system than the rest of us, just through their day to day activities of eating dirt and inhaling paint chips. Also, they breathe faster than an adult, which further draws in whatever lead happens to be floating around and sends it toward their sensitive little brains. Even before they start wailing on that candy, they have more lead in their bodies than Vito Corleone. Then comes Halloween and Christmas and then new year and story continues. 2. Ridiculous Lies About Health Benefits While it may not surprise you that much that Big Chocolate, like any "Big" industry, doesn't give a crap about your welfare, the lengths these companies go to step over your bloated, greasy corpse to raid your wallet rank with some of the stupidest and most nefarious in the business world. Milton Hershey, for instance, often claimed that "an ounce of chocolate provided more energy than a pound of meat." He even made a wrapper for his bar stating it. Mars made a pamphlet instead that claimed eating chocolate every day was about as good as eating an apple a day. What do you think is the biggest chocolate company in the world? Hershey, right? Wrong. Mars, Inc. is four times the size of Hershey (they make the Milky Way, Snickers, Mars Bar, plus countless other products). And they got there via pure insanity. 3. It’s all about business The global chocolate industry in 2010 made $83.2 billion, $20 billion of this coming from the United States and Each year, 600, 000 tonnes of cocoa beans are consumed globally. 72% of cocoa beans come from Ivory Coast and Ghana. Other producers of cocoa beans are Indonesia, Cameroon, Nigeria, and Brazil. A 2001 survey of chocolate companies in the United States, which includes Hershey’s and Mars, both use “large amounts” of Ivory Coast cocoa beans. As there are 600, 000 cocoa farms in the Ivory Coast (40 % supplier), it is not definitive, but very likely, that cocoa products from these companies are harvested by child slave labour. US State Department estimates number of child labourer could be 109, 000. 4. Facts · The WHO recommends no more than 6 teaspoons of added sugar per day. A food is considered high in sugar if it contains more than 15g of total sugars per 100g. A food is considered low in sugar if it contains 5g of total sugars per 100g. Read the nutrition label, look for ‘Carbohydrates of which sugars’ and at how many grams of sugar per portion/bar/biscuit/pot. Each 4 grams of sugar is equal to 1 teaspoon. Sugar Content of Common Foods Bottle of coke 500ml – 10.5 tsp sugar Snickers Bar – 7 tsp sugar Bowl of crunchy nut cornflakes – 4 tsp sugar Tablespoon ketchup – 1 tsp sugar Glass orange juice (150ml) – 2.5 tsp sugar Can red bull – 6 tsp sugar Kelloggs Nutri Grain bar – 3 tsp sugar Dr Abhishek katakwar is a fitness enthusiast, life style advisor, obesity expert and bariatric and metabolic surgeon at Asian institute of gastroenterology, Hyderabad. Email:abhishekkatakwar@gmail.com cell:8087358725 For more info visit us at http://drabhishekkatakwar.com/bizFloat/5a151fffa677470a7cc3118d/It-was-a-usual-Sunday-morning-I-was-back-home-just-after-finishing-my-long-cycling-ride-along-hussainsagar-and-grabbed-my-freshly-prepared-ginger-lemon-tea-Like-many-i-scrolled-through-my-daily-newspaper-Te
It was a usual Sunday morning; I was back home just after finishing my long cycling ride along hussainsagar and grabbed my freshly prepared ginger lemon tea. Like many i scrolled through my daily newspaper “Telemarketing of India”, I have given this name to one of the highest distributed newspaper because their 80% content is advertorial and remaining is news including few pictorial erotic stories of some detectives (this is what they are feeding to the biggest republic population). Coming to the point what grabbed my attention was two front full page advertisement of an energy bar (to me it’s just another sugar candy). To be honest I have tried them lately and they are really awesome and addictive and doesn't cost much to pocket. It made me think about their business strategy and huge amount they spend on marketing, so I decided to make some research on the facts behind huge chocolate industry. End results of which were more shocking than surprising, hence I decided to share it with world. So here is “bitter truth about chocolates”. 1. You are eating lead: Wooooooo surprised to hear that, you must be wondering when most of the countries have banned leaded petrol how come its being consumed through chocolates. Well, it just so happens that the shells of cocoa beans, the chief ingredient in chocolate, have an almost supernatural ability to absorb lead from the air. Of course, this is only a big deal if there's a lot of lead in the air, right? Sure, which is why it's unfortunate that Nigeria , where a shitload of our cocoa comes from, still has lead in their gasoline. That's why a Hershey bar tastes so damn good: The secret ingredient is African exhaust. Kids absorb higher concentrations of lead into their system than the rest of us, just through their day to day activities of eating dirt and inhaling paint chips. Also, they breathe faster than an adult, which further draws in whatever lead happens to be floating around and sends it toward their sensitive little brains. Even before they start wailing on that candy, they have more lead in their bodies than Vito Corleone. Then comes Halloween and Christmas and then new year and story continues. 2. Ridiculous Lies About Health Benefits While it may not surprise you that much that Big Chocolate, like any
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It was a usual Sunday morning; I was back home just after finishing my long cycling ride along hussainsagar and grabbed my freshly prepared ginger lemon tea. Like many i scrolled through my daily newspaper “Telemarketing of India”, I have given this name to one of the highest distributed newspaper because their 80% content is advertorial and remaining is news including few pictorial erotic stories of some detectives (this is what they are feeding to the biggest republic population). Coming to the point what grabbed my attention was two front full page advertisement of an energy bar (to me it’s just another sugar candy). To be honest I have tried them lately and they are really awesome and addictive and doesn't cost much to pocket. It made me think about their business strategy and huge amount they spend on marketing, so I decided to make some research on the facts behind huge chocolate industry. End results of which were more shocking than surprising, hence I decided to share it with world. So here is “bitter truth about chocolates”. 1. You are eating lead: Wooooooo surprised to hear that, you must be wondering when most of the countries have banned leaded petrol how come its being consumed through chocolates. Well, it just so happens that the shells of cocoa beans, the chief ingredient in chocolate, have an almost supernatural ability to absorb lead from the air. Of course, this is only a big deal if there's a lot of lead in the air, right? Sure, which is why it's unfortunate that Nigeria , where a shitload of our cocoa comes from, still has lead in their gasoline. That's why a Hershey bar tastes so damn good: The secret ingredient is African exhaust. Kids absorb higher concentrations of lead into their system than the rest of us, just through their day to day activities of eating dirt and inhaling paint chips. Also, they breathe faster than an adult, which further draws in whatever lead happens to be floating around and sends it toward their sensitive little brains. Even before they start wailing on that candy, they have more lead in their bodies than Vito Corleone. Then comes Halloween and Christmas and then new year and story continues. 2. Ridiculous Lies About Health Benefits While it may not surprise you that much that Big Chocolate, like any "Big" industry, doesn't give a crap about your welfare, the lengths these companies go to step over your bloated, greasy corpse to raid your wallet rank with some of the stupidest and most nefarious in the business world. Milton Hershey, for instance, often claimed that "an ounce of chocolate provided more energy than a pound of meat." He even made a wrapper for his bar stating it. Mars made a pamphlet instead that claimed eating chocolate every day was about as good as eating an apple a day. What do you think is the biggest chocolate company in the world? Hershey, right? Wrong. Mars, Inc. is four times the size of Hershey (they make the Milky Way, Snickers, Mars Bar, plus countless other products). And they got there via pure insanity. 3. It’s all about business The global chocolate industry in 2010 made $83.2 billion, $20 billion of this coming from the United States and Each year, 600,000 tonnes of cocoa beans are consumed globally. 72% of cocoa beans come from Ivory Coast and Ghana. Other producers of cocoa beans are Indonesia, Cameroon, Nigeria, and Brazil. A 2001 survey of chocolate companies in the United States, which includes Hershey’s and Mars, both use “large amounts” of Ivory Coast cocoa beans. As there are 600,000 cocoa farms in the Ivory Coast (40 % supplier), it is not definitive, but very likely, that cocoa products from these companies are harvested by child slave labour. US State Department estimates number of child labourer could be 109,000. 4. Facts · The WHO recommends no more than 6 teaspoons of added sugar per day. A food is considered high in sugar if it contains more than 15g of total sugars per 100g. A food is considered low in sugar if it contains 5g of total sugars per 100g. Read the nutrition label, look for ‘Carbohydrates of which sugars’ and at how many grams of sugar per portion/bar/biscuit/pot. Each 4 grams of sugar is equal to 1 teaspoon. Sugar Content of Common Foods Bottle of coke 500ml – 10.5 tsp sugar Snickers Bar – 7 tsp sugar Bowl of crunchy nut cornflakes – 4 tsp sugar Tablespoon ketchup – 1 tsp sugar Glass orange juice (150ml) – 2.5 tsp sugar Can red bull – 6 tsp sugar Kelloggs Nutri Grain bar – 3 tsp sugar Dr Abhishek katakwar is a fitness enthusiast, life style advisor, obesity expert and bariatric and metabolic surgeon at Asian institute of gastroenterology, Hyderabad. Email:abhishekkatakwar@gmail.com cell:8087358725
Obesity and Depression go hand in hand.......

Studies have shown that obese people are about 25 percent more likely to experience a mood disorder like depression compared with those who are not obese. Obesity can cause poor self-image and social isolation, all known contributors to depression. Those who are obese can also find themselves ostracized, stereotyped, and discriminated against.
A study of people who underwent bariatric surgery for their obesity found that as they shed pounds, they also shed their depression. A year after surgery, the subjects had experienced a 77 percent loss of excess body weight, and an accompanying 18 percent reduction in symptoms of depression. Younger people, women, and those who experienced greater weight-loss results were more likely to feel less depressed.
A team approach might be best for dealing with depression and obesity. Your family physician can help craft a plan of diet and exercise that will lead to healthy weight loss. You might want to bring in a nutritionist or personal trainer to help you better follow your physician's weight-loss plan. At the same time, a psychologist or psychiatrist can help you deal with your feelings of depression and confront the stress, anxiety, or other triggers that are leading to your depression and obesity. Finally, you may also benefit from the use of antidepressants.
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Obesity and Depression go hand in hand....... Studies have shown that obese people are about 25 percent more likely to experience a mood disorder like depression compared with those who are not obese. Obesity can cause poor self-image and social isolation, all known contributors to depression. Those who are obese can also find themselves ostracized, stereotyped, and discriminated against. A study of people who underwent bariatric surgery for their obesity found that as they shed pounds, they also shed their depression. A year after surgery, the subjects had experienced a 77 percent loss of excess body weight, and an accompanying 18 percent reduction in symptoms of depression. Younger people, women, and those who experienced greater weight-loss results were more likely to feel less depressed. A team approach might be best for dealing with depression and obesity. Your family physician can help craft a plan of diet and exercise that will lead to healthy weight loss. You might want to bring in a nutritionist or personal trainer to help you better follow your physician's weight-loss plan. At the same time, a psychologist or psychiatrist can help you deal with your feelings of depression and confront the stress, anxiety, or other triggers that are leading to your depression and obesity. Finally, you may also benefit from the use of antidepressants.
Q1. How are work stress and food eating habits related? What happens in the body due to stress, which makes a person eat more food? 
While short-term stress can cause a person to lose their appetite, chronic stress can have the opposite effect. Ever notice that when you're really stressed, you tend to crave comfort foods that are high in fat or sugar? Researchers have found that specific hormones may play a role in this process. When you eat carbohydrates, it raises the body's serotonin’s level, “Serotonin” is the body's feel-good chemical. 
Chronic stress can cause the body to release excess “cortisol”, a hormone critical in managing fat storage and energy use in the human body. Cortisol is known to increase appetite and may encourage cravings for sugary or fatty foods.
More recent studies also suggest hormone called “Neuropeptide-Y” that is released from nerve cells during stress and encourages fat accumulation. A diet high in fat and sugar appears to further promote the release of neuropeptide Y.

q2. What are the kind of foods that people are found to eat and why? Is it out of necessity, taste buds or habit? 
Not surprisingly, people under stress don't tend to make smart food choices. Very often the carbohydrates that people go for are laden with fat, like muffins, pastries, doughnuts, and cookies, which are easily available at workplace. When individuals get stressed, they often act in impulsive ways because they do not know how to transform the stress into something productive. For people diagnosed with an eating disorder, these impulses from environmental and social stressors can cause individuals to not eat enough food, purge after a meal, or engage in a binge-eating episode. Sometimes It's a very high-pressure environment at workplace says Dr Abhishek katakwar.
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Q1. How are work stress and food eating habits related? What happens in the body due to stress, which makes a person eat more food?  While short-term stress can cause a person to lose their appetite, chronic stress can have the opposite effect. Ever notice that when you're really stressed, you tend to crave comfort foods that are high in fat or sugar? Researchers have found that specific hormones may play a role in this process. When you eat carbohydrates, it raises the body's serotonin’s level, “Serotonin” is the body's feel-good chemical. Chronic stress can cause the body to release excess “cortisol”, a hormone critical in managing fat storage and energy use in the human body. Cortisol is known to increase appetite and may encourage cravings for sugary or fatty foods. More recent studies also suggest hormone called “Neuropeptide-Y” that is released from nerve cells during stress and encourages fat accumulation. A diet high in fat and sugar appears to further promote the release of neuropeptide Y. q2. What are the kind of foods that people are found to eat and why? Is it out of necessity, taste buds or habit?  Not surprisingly, people under stress don't tend to make smart food choices. Very often the carbohydrates that people go for are laden with fat, like muffins, pastries, doughnuts, and cookies, which are easily available at workplace. When individuals get stressed, they often act in impulsive ways because they do not know how to transform the stress into something productive. For people diagnosed with an eating disorder, these impulses from environmental and social stressors can cause individuals to not eat enough food, purge after a meal, or engage in a binge-eating episode. Sometimes It's a very high-pressure environment at workplace says Dr Abhishek katakwar. "For a lot of new software or IT recruits, it's their first time being away from home, so that can contribute to stress, and also the work performance and social pressures. All those things compound to lead to some unhealthy behaviours, whether it's full-blown eating disorders or disordered eating." q3. Is there evidence suggesting that overweight and obesity is due to work related stress. If so, what are the changes that the management needs to opt for and what does the employee need to do - do destress and bring their life on track.  According to a new study from the Montreal, office-workers have become less active over the last three decades and this decreased activity may partly explain the rise in obesity. "People eat better and exercise more today than they did in the 1970's, yet obesity rates continue to rise, " "My hypothesis is that our professional life is linked to this seemingly contradictory phenomenon." Also nightshift work is associated with a 29% increased risk of becoming obese or overweight. The findings, which are published in Obesity Reviews, suggest that modifying working schedules to avoid prolonged exposure to long-term night shift work might help reduce the risk of obesity. q4. What are the behavioural changes that they must opt for? And how do deadline based, emergency based jobs make a person opt for these changes?  Effective programs take a multidisciplinary approach that focuses on providing workers with the knowledge, skills, and support to eat a healthier diet and be more active. This can include nutrition classes, onsite exercise facilities and changing rooms, access to nutritionists and other counsellors, and worksite or company-wide policies that provide healthier food options and reimburse exercise-related expenses. q5. What are best methods to opt for during these conditions? What can be done in terms of behaviour change and also change in eating habit.?  In the movie Die Hard, Bruce Willis once said: “If you’re not a part of the solution than you’re part of the problem”. Unless you are currently underemployed, retired, or too young to be employed, you typically will spend at least a third of your time at your workplace. That means your workplace governs a large part of what you eat and drink and how much physical activity you have. For example, you may have heard the saying that “sitting is the new smoking”. Answer to this stress is practicing relaxation techniques like yoga or tai chi, meditation, muscle relaxation to help relieve stress, enjoy nature, get out of the cocoon and connect with world. Dr Abhishek Katakwar Bariatric and Metabolic surgeon Lifestyle expert and motivational speaker Asian Institute of Gastroenterology, Hyderabad abhishekkatakwar@gmail.com Cell: +91-8087358725

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17.422594 78.457865 Bariatric (Obesity) And Metabolic (Diabetes) Surgery Bariatric and Metabolic surgery unit, Asian Institute of Gastroenterology, Kapadia lane, somajiguda, pin-500082, Telangana, INDIA
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