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  managing diabetes  
managing diabetes
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Eating healthy meals
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Women choose to lead healthier lifestyles
 
 
A woman is more likely to pick up a health-related publication than a man. It's been said that women are concerned about their own health and that of their families more than men. This is because women are (most often) the decision makers in a home.

A woman needs to look after her own health first before she can look after her family's. She needs to look into the health of her body, mind and soul. Only if she is healthy and strong will she be able to provide her family with the best nourishment possible.

Every woman should go for regular health checks (at least once a year). A woman of child-bearing age should also go for routine gynecological checks with her doctor. Choosing to ignore this will warrant unwanted complications later in life.

 
   
 
 
Eating healthy meals
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What is your ideal weight?
 
Your ideal weight depends on your how tall you are, your build, and whether you are a man or a woman. One of the best ways of calculating a healthy weight is to work out your body mass index (BMI) by dividing your weight in kilograms by your height in metres squared. The ideal BMI is between 18.5 and 24.9. Your risk of a number of health problems rises significantly from a BMI of 27 while anything over 29.9 is a serious health concern. Another good check for healthy weight is to measure your waist. Women with a waist circumference of over 88 cm (35 inches) and men with waists of more than 102 cm (40 inches) are at much greater risk for disease.
 
 
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What happens if I am overweight?
 
If you are overweight you have a greater chance of shortening your life. You will be the perfect candidate for developing high blood pressure, high cholesterol, diabetes, heart disease, stroke, joint problems, gallbladder disease, sleep and lung problems and a host of other terminal diseases. Abdominal body fat, the 'apple shape', is a higher health risk than the 'pear shape'.
 
 
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Have goals and rewards
 
Decide what is a healthy, achievable and sustainable weight for you and give yourself a time-frame to achieve it. Take it very slowly (about a kilogram a month) as weight lost quickly comes back quickly. Set a number of short-term goals so you have a sense of achievement, and reward yourself with non-food treats when you achieve them.
 
 
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Mind what you eat
 
1. Eat a balanced diet consisting of plenty of vegetables, fruit, legumes and cereals. Include low-fat milk and dairy products, lean meat, poultry, fish, eggs and nuts.

2. Prepare meals with little or no added fat, salt and sugar.

 
 
3. Drink plenty of water each day. If you drink alcohol, do so in moderation (1-2 drinks a day for women, 2-3 for men). However, if you're trying to lose weight you should bear in mind that alcohol is low in nutrients and high in kilojoules.

4. Look at your food portions - if you are in the habit of piling up your plate, try gradually easing back. Bulking up with fruit and vegetables gives essential fibre and helps stave off hunger.

5. Don't be hungry and don't skip meals.

6. Cut the fat. Learn how to cook tasty, balanced low-fat meals. You don't have to live on cottage cheese and carrot sticks.

7. Choose foods with a low glycemic index (GI) such as fruits, vegetables,
breakfast cereals and milk. They can help you lose weight while keeping you feeling fuller for longer.

 
If you are about to have your monthly period, chances are that you will binge on "comfort food" such as chocolates, cakes and sweets. Satisfying an occasional craving is safe. If you must snack, then choose healthy food such as raw vegetables sticks, granola bars and such. It'll satisfy the craving to munch on something and you won't pile on the weight.
 
 
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Tone up
 
Strength training increases your metabolism. Muscle burns more fuel (kilojoules or calories) at rest than does fat. Each day, a pound of muscle burns over 10 times as much energy as a pound
of fat just to maintain itself. So a couple of extra pounds or kilos of muscle will automatically mean you burn off more food. Also, the stronger you are, the more likely you are to exercise, and you'll look trimmer because you are toned.

Women should also practice exercises that will strengthen their pelvic muscles. This will strengthen muscles that hold the bladder. If you are pregnant, these exercises will help prepare the pelvic muscles for delivery. You can do Kegel exercises just about anywhere.

To do a Kegel: Tighten your muscles as if you were trying to stop your urine stream (but do it when you are not urinating.) Try not to tighten buttocks, inner thighs, or stomach muscles.
Hold for 3 seconds. Repeat 10 times during the day. Work up to tightening your pelvic muscles for 10 seconds, 10 times a day.

 

 
If you are having your period try this stretch exercise, it will soothe the cramps: Lie on your back with your knees bent and feet flat on the floor. Grasp one thigh behind the knee and slowly pull it to your chest. Hold for 20 seconds, then lower your leg. Repeat three times with each leg.
 
 
 
Dealing with vaginal discharge
 
The amount of normal discharge varies from woman to woman, and with the menstrual cycle. Many women notice that, during the week following a period, there is hardly any discharge, and what there is, has a thick consistency. Towards the middle of the cycle (about 2 weeks after the start of a period) the amount increases and it becomes thin, slippery and clear, like uncooked egg white. There may also be a feeling of moistness and stickiness. Normal discharge does not smell, and does not cause any irritation or itching.
 
 
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What's not normal
 
A discharge is likely to be abnormal if:
• it smells fishy
• it is thick and white, like cottage cheese
• it is greenish and smells foul
• there is blood in it (except when you have a period)
• it is itchy
• you have any genital sores or ulcers
• you have abdominal pain or pain on intercourse
• it started soon after you had unprotected sex with someone you suspect could have a sexually transmitted infection.
 
 
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What to do if you have vaginal discharge
 
• For any vaginal problem, you must take care to avoid substances that may cause more irritation.
• During a period, change tampons or sanitary pads frequently (at least two or three times a day).
• Talk to your partner. Ask if he has any discharge from the urethra (the opening at the end of the penis) or any soreness or irritation of the penis. If his answer is 'yes', or if there is any reason to think that he might have a sexually transmitted infection, he should go to a doctor for a check-up. Do not have sex until the problem has been sorted out.
• If your discharge is thick and white and itchy, it may be thrush, so you could try an anti-thrush cream or tablet from a pharmacist. Do not persist with an anti-thrush cream from the pharmacist if the problem does not resolve within a day or two. Make an appointment to see your family doctor and have the problem cleared up.
 
 
   
   
What is a urinary tract infection (UTI) and what causes it?
   
Urinary tract infection is the term given to an infection in any part of the urinary system. UTI occurs when part of the urinary tract becomes infected, usually with bacteria, and is common in women who are sexually active. The most common type of UTI is known as cystitis (inflammation of the bladder). It has been estimated that one third of women experience the symptoms of cystitis at some point in their life.
   
   
 
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What are its symptoms?
   
When you have a UTI, the bladder and the lining of the urethra become red and inflamed. Common symptoms related to UTIs may include:

• a burning sensation or lower abdominal discomfort when you pass urine
• needing to urinate urgently
• passing urine much more frequently than usual
• "leaking" urine
• feeling an urge to urinate, but being unable to or only passing a few drops
• foul smelling urine
• urine that is cloudy, bloody or dark
• having a temperature.
     
 
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You can do your part to prevent UTIs by:
 
Drinking lots of water
Urinating as soon as you feel the need - don't hold it
Make sure you have adequate lubrication during sex, and urinate after having sex
Take vitamin C or cranberry juice - they are said to be urinary antiseptics
Keep your intimate area clean and dry because dampness promotes bacterial growth. Try using panty liners with antibacterial properties
Cleanse your intimate area daily with a mild and pH-balanced solution
 
 
 
Be aware of your own breasts
 
Start routine breast self-examinations as early as 20 years of age - especially if you have a family history of breast cancer (grandmother, mother, aunt, sister). You need to examine your breasts two to three days after the end of your period every month. Look out for:

• Lumps or any change in breast size or shape
• Swelling, redness and warmth or dimpling of the skin
• Nipple discharge
• Pain that isn't related to your menstrual cycle

For the correct technique on how to do a breast self-examination, do consult your doctor or you can get tips from the Breast Cancer Welfare Association at 03-7949 2093.
 
 
breast examination    
 
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Choosing a doctor whom you are comfortable with
   
Women must see their family doctor or gynecologist regularly, at least once a year for the all-important PAP smear and breast examination. Early detection of gynecological related cancers can save your life. The choice of a male or female doctor is entirely up to you - most importantly, he or she must make you feel comfortable.

When you do visit your doctor be sure to enquire about which tests you should do (depending on your age, risk factors, family history etc).
 
   
 
 
 
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