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Genetic problem for body mass index - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
Doctor :   Good evening.
Doctor :   How can I help you?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding.
User :   good evening
Doctor :   Are you there?
User :   sorry i got distracted
User :   yes i am
Doctor :   Proceed with your query.
User :   thank you
User :   well as i informed i am 30 year old
User :   i weigh 71 kgs
Doctor :   Ok
User :   while i my height is 5 feet and 6 inches. i need a diet plan
User :   I am also worried about being prone to diebeties and bp
Doctor :   Do you have history of diabetes, high blood pressure in your family?
User :   I need advice and tips to saty healthy and in good condition
User :   yes
User :   my father monther and grand parents all did
User :   and i have a history of cancer too
User :   as in my grand mother died of brest cancer
Doctor :   Have you notice symptoms such as increased urination, increased thirst, easily fatiguability/tiredness, increased day time sleepiness and so on?
User :   fatigue and tiredness
User :   i have that
User :   and since i work in night shift i do sleep in the day
User :   for amost 10 hours
Doctor :   Ok
Doctor :   May I know your waist circumference?
User :   sure its 36 inches
Doctor :   Ok
Doctor :   Let me explain to you.
User :   ok
Doctor :   Before I do that can you confirm your gender?
User :   sure .. female
Doctor :   Thank you.
User :   you are welcome
Doctor :   Based on the details that you have mentioned
Doctor :   your BMI stands at 25.2 which is just above the normal.
User :   ok
Doctor :   An average healthy individual needs to have his BMI between 19 to 25.
Doctor :   The waist circumference in a female normally needs to be below 35 inches.
Doctor :   Again you are an inch above normal.
Doctor :   With these details, you have just crossed into the overweight category.
User :   ok
Doctor :   Having mentioned this, theoretically weight, diabetes, and hypertension are all governed by genes.
Doctor :   The genes are modified by external factors such as diet, sedentary lifestyle, lack of physical exercise.
Doctor :   Since you report that you work at night shifts and most often follow a sedentary lifestyle during day
Doctor :   that could probably the reason for this just above limit weight and waist.
Doctor :   I hence suggest you to start of with physical exercises such as jogging, brisk walking and thread mill.
User :   I do walk for one hour 3 days a week
Doctor :   They along with your present diet should be sufficient to control your weight and the waist circumference.
User :   should i increase the number of ays
User :   days
Doctor :   Walking should be a brisk one and yes, you may have to increase the frequency and the days that you do it.
User :   ok
Doctor :   Since you are our corporate customer and diet plan is also given to you,
Doctor :   I would suggest you to use the diet plan from our nutritionist
User :   how do i get a diet plan?
Doctor :   which can give an additional help in reducing your weight.
Doctor :   I shall forward your request to the customer support team
User :   Thank you very much doctor
Doctor :   who will get back to you, fix an appointment with our nutritionist
Doctor :   who will suggest you a personalised diet plan.
Doctor :   Can you confirm your phone number?
User :   sure
User :   9845703769
Doctor :   Ok
Doctor :   Before I conclude on this chat,
Doctor :   since you report of family history of diabetes and hypertension
Doctor :   the only way of knowing/screening for this condition
Doctor :   is be getting tested.
User :   ok
Doctor :   You may report to your nearest doctor who can record your blood pressure.
User :   ok doctor i will do that
Doctor :   This along with regular screening of blood sugar - fasting blood sugar and postprandial blood sugar done once a year or every 6 months
Doctor :   will help in identifying the condition earlier.
Doctor :   Again the chances of you developing these illness are far less if you are able to maintain a good weight.
Doctor :   Hope it is clear to you.
Doctor :   Do you have any other query?
User :   nope that would be it. thank you very much
User :   have a nice day doctor
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye bye
Doctor :   Wish you a nice day too.
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