This is how diabetes can impact your body from head to toe

This is how diabetes can impact your body from head to toe

June 25, 2025

MakatiMed’s Diabetes Care Center reveals how you can manage the disease and its effects

Experts refer to diabetes as a “silent killer”—an ominous label, for sure, but definitely not an exaggeration. Caused by chronic high blood sugar due to the inability of the body to use or produce insulin (the hormone that converts food to energy), diabetes can have no obvious symptoms for many years. When signs do appear, however, they put you at risk for certain diseases or leave you with irreparable damage.

“Diabetes impacts our body literally from head to toe,” says Jimmy B. Aragon, MD from the Diabetes Care Center of top hospital in the Philippines Makati Medical Center (MakatiMed). “That’s why we always advocate for early detection, so treatment can begin before the effects become irreversible.”

Long-term exposure to blood sugar damages our blood vessels, which leads to a host of complications, some of them life-threatening:

Cardiovascular disease. “People with diabetes are more at risk of getting a stroke and heart attack,” reveals Dr. Aragon. “Damaged blood vessels become stiff and develop plaque, hampering oxygen and blood flow to vital organs like the brain and heart.”

Visual problems. “Damaged blood vessels in the eyes can lead to diabetic retinopathy, a condition that blurs vision and could progress to blindness,” shares Dr. Aragon. “Cataracts or a cloudiness in your eye’s lens and glaucoma or the damage of an optic nerve are also traced to diabetes.”

Kidney disease. “When high blood sugar damages the tiny blood vessels and filters of the kidneys, it impairs the kidneys’ ability to filter out toxic waste from our system,” says Dr. Aragon. “The kidneys’ impaired function may eventually lead to dialysis or a kidney transplant.”

Neuropathy. Nerve damage due to high blood sugar usually presents itself in the legs and feet. “The sensation is one of pins and needles,” explains Dr. Aragon. “It could also manifest as numbness, and the loss of feeling makes you unaware of injuries on your feet.” People with diabetes are also known for their slow-healing wounds in the feet—a result, yet again, of damaged blood vessels and poor circulation.

A frequent need to pee, dry skin, fatigue, and unquenchable thirst are other signs of diabetes.

Managing blood sugar is the first step to controlling diabetes. “The two most common tests to check for diabetes are Fasting Blood Sugar and HbA1c,” says Dr. Aragon. “The former measures blood sugar after eight hours of fasting, the latter measures your average blood sugar levels in the last 2-3 months.” Type 2 diabetes (wherein the body cannot make insulin or is resistant to it) is the more common form of disease, while type 1 diabetes (an autoimmune disorder that attacks the cells that make insulin) is usually diagnosed in children and young adults.

Aim for a normal fasting blood sugar between 70 and 100 mg/dl (or (3.9 and 5.6 mmol/L). “You’re considered prediabetes if your blood sugar runs from 100 to 125 mg/dL (5.6 to 6.9 mmol/L). A result of 126 mg/dL (7 mmol/L) or higher means you have diabetes,” reminds Dr. Aragon.

Medications are available to either lower blood sugar levels or aid the body in using insulin more effectively. MakatiMed also shares some simple lifestyle changes to keep blood sugar within normal levels.

Dr. Aragon advises replacing carbs with low-glycemic whole grains and fiber, and hydrating with water, not sugary drinks, to manage blood sugar. The doctor also recommends staying active. Even a 30-minute walk after meals helps lower blood sugar and aids weight loss for better overall health.

Given that people with diabetes have an increased risk of developing serious foot problems, Dr. Aragon stresses moisturizing and cleaning feet, and wearing socks to prevent sores. Diabetes also affects many of our organs, so the expert emphasizes the importance of monitoring any changes not only with your blood sugar but with your eyes, kidneys, blood pressure, and cholesterol.

“Diabetes doesn’t have to be your ‘silent killer,’” asserts Dr. Aragon. “With your doctor’s guidance and your compliance, you can live a full and active life and do what non-diabetics can do, within healthy limits, of course.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.

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Vista Land Expands Footprint in North and Central Luzon with the Launch of Four Residential Developments

Vista Land Expands Footprint in North and Central Luzon with the Launch of Four Residential Developments

June 24, 2025

Toast to Limelight: Setting the Scene for Modern Living in North and Central Luzon, an exclusive preview of new residential developments in Ilocos Sur, Pangasinan, Tarlac, and Bulacan, led by Group Head Ailene R. Sarmiento. 

Vista Land affirmed its commitment to landmark expansion across the archipelago through Limelight: Setting the Scene for Modern Living in North and Central Luzon, an exclusive preview of four new residential developments in Ilocos Sur, Pangasinan, Tarlac, and Bulacan. Held in Bulacan, the event convened company executives, employees, and business partners for an immersive presentation of house-and-lot communities poised to shape the future of suburban living.

Hosted by lifestyle content creator, Jackie Go, whose warm welcome guided attendees through the afternoon activities, Limelight opened with a spirited musical rendition by Sheena Lee.

Complementing the program were intermission numbers from Daloy Dance Company, whose evocative choreography added rhythm and resonance to the narrative. Each performance symbolized themes of celebration, connection, and cultural flair—core values that Vista Land seeks to capture in its house-and-lot communities. Adding to the momentum were representatives from Vista Land Strategic Commercial Assets Division, who introduced a range of commercial land and space leasing opportunities in the region.

The showcase not only highlighted Belfelice at Querencia, Arezzo at Giardana, Solenea at The Crescent, and Amandea, but also demonstrated how the market leader in the real estate sector continues to align with the national roadmap and unlock investment frontiers north of Metro Manila.

Ailene Sarmiento, Vista Land Group Head for Mega Manila and North and Central Luzon, emphasized the critical role of public infrastructure in accelerating regional development. "The modernization of road networks leading to North and Central Luzon, including the North Luzon Expressway (NLEX), Tarlac-Pangasinan-La Union Expressway (TPLEX) and Subic–Clark–Tarlac Expressway (SCTEX), together with the ongoing construction of the North-South Commuter Railway (NSCR) and the Central Luzon Link Expressway (CLLEX), are reshaping the geography of panorama and possibilities," Sarmiento shared. "Vista Land is strategically locating its residential developments along these routes to strengthen connectivity, encourage economic activity, and support movement towards the regions."

Anchored in culture, community, and connectivity

Limelight unveiled four residential developments that demonstrate Vista Land signature strengths, including premium locations, accessibility to essential establishments and services, and amenities that enrich residents' overall quality of life.

Located in Vigan, Belfelice forms part of Querencia, an integrated community that mirrors the Mission-style architecture of Alta California. Three-storey homes featuring white stucco exteriors and terracotta roofs provide a classic backdrop to a heritage-inspired lifestyle the provincial town. Access to major routes, such as the Ilocos Sur Bypass Road, enhances its appeal to growing families and entrepreneurs seeking serenity and security while remaining within close reach of modern conveniences.

Solenea in Santa Maria, Bulacan offers three-storey residences within a master planned development inspired by the French Quarter in New Orleans. These house models within the newest enclave at The Crescent are designed for flexibility, catering to multigenerational living and hybrid work setups for pioneering professionals. Located near the North Luzon Expressway (NLEX) and Quirino Highway, and directly benefiting from the forthcoming Metro Rail Transit (MRT) Line 7, Solenea is a gateway community that combines modern momentum with residential respite.

Within the 'Garden of Luzon,' Arezzo will feature Italian-themed three-storey homes that support either fully residential layouts or mixed-use configurations featuring commercial-ready lower floors. Situated along a bypass road in Urdaneta City, and taking advantage of the completion of the TPLEX, this premium address combines aesthetic appeal and accessibility in one, built for long-term living and entrepreneurial endeavors.

Positioned as a peaceful enclave in Capas, Tarlac, Amandea offers spacious, smartly sectioned three-level house models that cater to the increasing influx of population in nearby New Clark City. With direct access to SCTEX, MacArthur Highway, and the planned Capas–Botolan Road, the residential development benefits from the emergence of the municipality as a vital residential node in the broader Clark Green City development plan by the national government.

Pioneering excellence in property development

As the holding company of the residential ventures of Vista Group, Vista Land is primarily engaged in developing master planned communities, horizontal properties, and vertical residences in the Philippines' key growth areas.

Filipinos deserve the best—this driving belief has been integral to Vista Land and its day-to-day operations and is the secret to its success. Creating better, more expansive, and globally oriented offerings and experiences for its residents while delivering excellent long-term investment growth for its stakeholders has always been the driving force behind the conglomerate's continuous evolution.

To learn more about Vista Land developments in North and Central, visit www.vistaland.com.ph. Discover the latest news and offerings @VistaLandOfficial.

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A shot at good health: Why keeping up with vaccines even as an adult matters

A shot at good health: Why keeping up with vaccines even as an adult matters

June 23, 2025

MakatiMed recommends arming yourself with three essential vaccines against potentially life-threatening illnesses

The news of the death of 48-year-old Taiwanese star Barbie Hsu, fondly remembered by Filipinos as Sancai of the 2000s hit TV series Meteor Garden, not only shocked fans around the country but also served as a stark reminder of the potential complications that can arise from even seemingly mild illnesses like the flu.

Hsu’s tragic and untimely passing underscores the importance of staying up to date on vaccinations, even for healthy adults. As emphasized by Dr. Ryan Raymond Y. Bautista of MMC HealthHub from top hospital in the Philippines Makati Medical Center (MakatiMed), even minor health issues like the flu or infections may significantly disrupt daily life. They may lead to lost income, increased expenses for medication or hospital confinement, or in some cases, serious health complications. Yet, most of these diseases can be prevented by keeping up with one’s vaccines.

“Even if the immune system of adults is fully developed compared to that of a baby or child, it still does not exempt them from contracting preventable and potentially fatal diseases,” says Dr. Bautista. “Vaccinations are a crucial preventive measure that can protect individuals from serious illnesses and their devastating consequences. Vaccines contain weakened or inactivated forms of bacteria or viruses, which will allow the body to recognize the disease-causing organism and produce antibodies to prevent full-blown infections and minimize complications in the future.”

With the flu season now in full swing in the Philippines, MakatiMed enumerates vital vaccines every adult should have:

Flu vaccine. A viral infection, influenza (or the flu), is marked by high fever, cough, sore throat, runny or stuffy nose, head and body aches, and vomiting. Of the three types of human flu—A, B, and C—it’s A and B that debilitate you with their severe symptoms. The flu can be fatal because it can lead to severe complications like pneumonia and respiratory failure.

Given annually, just before the start of nippy, sweater weather in January, flu vaccines in the Philippines include quadrivalent (which protects you from two types of influenza A and two types of Influenza B), adjuvanted (recommended for those 65 years and up), and jet injector (the variant given to those aged 18 to 64). “It takes about two weeks for your body to develop antibodies against the flu virus,” shares Dr.Bautista.“The vaccine protects you for a year.”

Pneumonia vaccine. Traced to the bacteria Streptococcus pneumoniae, pneumonia is the third leading cause of death across all ages in the Philippines. The disease can cause breathing difficulties, which can affect oxygen levels in the body.

“Adults—particularly senior citizens and those with compromised immune systems—are encouraged to avail of PVC13 (which protects you against 13 types of pneumococcal bacteria) and PPSV23 (which protects you against 23 types of pneumococcal bacteria),” says Dr. Bautista>. “For patients over 60 years old and above, PCV13 is given as a single dose, followed by PPSV23 one year later. This series may provide lifetime protection. The latest versions of the vaccine, PCV15 and PCV20, no longer require supplementation with PPSV23. For individuals aged 18 to 64 with stronger immune systems, only PCV13 is recommended.

Tdap vaccine. Tdap protects against three bacterial infections: tetanus, also known as lockjaw as it causes painful muscle spasms especially in the neck and jaw; diphtheria, which can affect upper respiratory tract as well as the heart and the nerves; and pertussis, a contagious respiratory infection also known as whooping cough that can lead to disruptive bouts of coughing. All three infections can restrict breathing, which can be fatal.

“Adults are advised to get Tdap vaccine once if they haven’t received a shot before and get a booster every 10 years,” recommends Dr.Bautista. “It’s also given to pregnant women and for adults who are expected to be around newborns like grandparents and caregivers.”

Pain at the injection site, chills, and fever are common side effects of these three vaccines. "These should subside within a few days," assures Dr. Bautista.

The temporary discomfort is certainly a small price to pay for the protection you’ll receive against these illnesses and their potential complications. Getting vaccinated not only benefits your own health and well-being, but also positively affects the health and well-being of your loved ones and community.,” says Dr. Bautista. “Make it a point to get vaccinated.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.

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Essentiale Sounds the Alarm on the Silent Epidemic of MAFLD, Gives Liver a Voice in the Philippines

Essentiale Sounds the Alarm on the Silent Epidemic of MAFLD, Gives Liver a Voice in the Philippines

June 13, 2025

This Global Fatty Liver Day (June 13), Essentiale, the #1 liver care brand from Opella, is calling attention to a health crisis silently gripping the Philippines. Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD) is on the rise, yet it remains one of the least understood and most ignored threats to Filipino well-being.

Nearly 20 million Filipinos are at risk of MAFLD — a condition commonly misunderstood as being alcohol-related but is, in fact, driven by poor diets, lack of exercise, chronic stress, and underlying conditions like obesity, diabetes, and hypertension. Today, 9 out of 10 obese individuals and 7 out of 10 diabetics in the country are vulnerable to liver deterioration. Alarmingly, the average age of fatty liver sufferers has dropped to just 38 years old.

Globally, fatty liver disease has reached epidemic proportions. As of 2023, it impacts 30% of adults worldwide, which is expected to rise above 50% by 2040. Despite this staggering scale, treatment remains significantly underutilized. In the Philippines, these global trends are mirrored by local health burdens, where lack of awareness and late diagnosis amplify the risks. Yet, the silver lining remains: 8 out of 10 cases are reversible when caught in time, according to one study.

“The liver performs over 500 essential functions, yet it’s one of the most overlooked organ, often dismissed as only a concern for heavy drinkers. MAFLD is one of the fastest-growing threats to public health in the Philippines. What makes it more dangerous is how silent it is. We are now seeing an alarming number of Filipinos in their 30s with early signs of liver damage, often without realizing it. By the time symptoms show, the liver may already be damaged. But there is hope. 8 out of 10 liver issues can be reversed if caught early. It's time we start paying attention. Prioritizing liver health through early detection and lifestyle changes can make all the difference.” warned Dr. Jose D. Sollano, JR.MD, FPCP, FPSG, FSDE, Professor in the Faculty of Medicine and Surgery specializing in Gastroenterology, University of Santo Tomas.

To confront this crisis, Essentiale is leading a national awareness campaign to educate and empower Filipinos to take charge of their liver health. Through partnerships with pharmacists, healthcare professionals, and local communities, the brand is rolling out interactive education materials and an online self-assessment tool in English and Tagalog that helps users identify early liver health risks and guides them to seek timely medical advice.

“We need to shift the perception that fatty liver disease only affects heavy drinkers, because it doesn’t. In the Philippines, the way many of us live today, eating on the go, sitting for long hours at work, coping with stress, and often putting health last, makes us more vulnerable to liver problems and other lifestyle diseases. But we’re not powerless. Fatty liver disease is preventable and even reversible. With simple changes to our lifestyle habits and preventive health measures, we can take back control. Don’t wait for symptoms to show, take the self-test today and find out if you’re at risk. Now is the time to prioritize liver health — for all Filipinos and our families.” added J Ann Mirasol, Global Brand Lead, Opella.

This Global Fatty Liver Day, Essentiale challenges every Filipino to stop ignoring their liver. Take the test. Talk to a pharmacist. Act before it’s too late. Please visit https://www.essentiale.com/en-ph/check-your-liver to start your self-test today.

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Shangri-La Plaza inspires wellness and community at successful STRIDE walkathon

Shangri-La Plaza inspires wellness and community at successful STRIDE walkathon

June 10, 2025

Shangri-La Plaza transformed into a hub of health and camaraderie, as it successfully hosted STRIDE: Walkathon at the Shang, an innovative indoor fitness experience that gathered families and friends of all fitness levels to walk towards wellness and embrace a healthier lifestyle.

The atmosphere was buzzing with positive energy, reflecting the growing demand for shared fitness experiences as slots were filled days before the event. The walkathon kicked off with an energizing warmup session at the Grand Atrium on Level 2, the designated start and end point for both the 3K and 5K challenges. The participants then navigated the route, rediscovering the Shang mall and engaging with all the fun booths from wellness and lifestyle brands.

The walkathon ended in a lively celebration, where participants were rewarded with a finisher medal as well as exciting goodies from partner brands. Supporting Shang’s first-ever walkathon were Evian, Power Mac Center, Tiny Buds, Unilab, Wonderhome Naturals, Red Bull, Belo Medical Group, Booster C Energy Shot, Dentiste, OwnDays, Sneaker Kyler, Awaken Gym, DermPlus, United Colors of Benetton, Regrow Botanicals, Sunnies Studios, The Blanche Beauty Lounge, Wobbly Pan, The Crafters Marketplace, Papemelroti, Key Coffee, Slumberland, V&M Naturals, Sunrise Brew, Dandelion Naturals PH, Cocoa Boxes, Balay Baler, Bebe Cats, Bel&Ara, Gems and Stones PH, Tempur, I Do Nails PH, Hi-Fi Gallery, K-Essentials, Lemon Square Café Specials, Ceres, Bambini, Protect, Culture Blends, and Philippine Daily Inquirer as the official media partner.

As more Filipinos discover the joy of movement, Shangri-La Plaza’s innovative indoor fitness experience, the STRIDE Walkathon, aimed to show just how easily wellness can be integrated into daily life. A simple walk around Shang can kickstart your journey to a healthier you!

For updates and inquiries, follow Shangri-La Plaza on Facebook at www.facebook.com/shangrilaplazaofficial and on Instagram @shangrilaplazaofficial.

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Say Goodbye to Smoking, Say Hello to Better Health

Say Goodbye to Smoking, Say Hello to Better Health

June 02, 2025

We all know the age-old truth: smoking is bad for your health. But knowing is different from taking action, especially when it comes to breaking free from this habit.

Held every June, the National No Smoking Month reminds us of the significant health risks of smoking and igniting a powerful shift to educate and support people to lead a smoke-free life.

While quitting smoking can feel like a mountain climb, each trek begins with a single, intentional step. Here are some simple, actionable tips that will help you kick the habit and welcome choices that are better for your health and body:

Ignite Your Intention: Change begins with a conviction. Take a moment to reflect and visualize a healthier and happier version of yourself. Set your mind: acknowledge the challenge and think of the rewards that await. This mental preparation is your foundation for sustainable progress.

Cultivate Your Circle of Support: This journey is a team effort. Join support groups to share experiences, learn coping strategies, and celebrate small victories together. Consult with your doctor about potential medications or therapies that can help manage cravings and withdrawal symptoms.

Build Your Strength: Quitting isn't just about curbing nicotine cravings; it requires both physical and mental focus. Take your mind off smoking by diving into physical activities you enjoy, such as running, brisk walking, or simply doing chores. Keep busy, practice meditation, explore new hobbies, and discover healthy ways to divert your attention when cravings and triggers strike.

Nourish Your Body from Within: Think of it as rebuilding your body. Sticking to a balanced diet is key to a healthier you. Make sure there is a vibrant array of fruits, vegetables, lean proteins, and take vitamins or supplements that can provide an extra boost.

Here's a secret weapon for your journey to holistic wellness: Virgin Coconut Oil. Studies suggest that VCO can be beneficial in improving overall health to help combat the effects of smoking in your body. If you don’t like the taste of liquid VCO, then here’s a convenient solution for you: Growrich Virgin Coconut Oil Capsules.

Growrich is the first FDA-approved VCO in hard gel capsule form in the Philippines since June 2005. It is chemical-free and made from fresh coconut meat extracted using a patented, natural process. Each capsule is pharmaceutical-grade safe and made of quality, making it a reliable addition to your wellness routine.

Every step you take towards a smoke-free life builds strength, resilience, and a brighter future. Stay disciplined, visualize your healthiest self, and embrace the responsibility you have to your well-being.

Growrich Virgin Coconut Oil Capsules are available at Mercury Drug and other leading drugstores nationwide. Buy online on TikTok, Shopee, and directly through their website at growrichvco.com.

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Everybody can get leptospirosis – here’s how to avoid it

Everybody can get leptospirosis – here’s how to avoid it

MakatiMed cites simple rules to steer clear of the disease that is harmful to the kidneys

These days, it only takes a bit of rain to start a flood, a major inconvenience that ruins homes and properties, disrupts schools and businesses, and creates hours of standstill traffic jams.

Alarmingly, it triggers the rise of leptospirosis. A disease caused by the bacterium Leptospira, it’s spread from floodwater containing the urine of infected dogs, rats, and farm animals into the open wound, nose, mouth, eyes, or genitals of an unsuspecting person. If diagnosed and addressed early with antibiotics, leptospirosis resolves itself in about a week. Left untreated, the disease can progress to a host of complications, particularly on the kidneys.

“Once it enters the bloodstream, Leptospira targets the kidneys, causing their inflammation and affecting their function,” says Eladio Miguel M. Peñaranda, Jr., MD, a nephrologist from top hospital in the Philippines, Makati Medical Center (MakatiMed). “Damaged kidneys cannot process and filter waste, leading to a buildup of toxic material in the blood. Dialysis helps remove the waste when the kidneys cannot function properly.”

Despite government agencies’ repeated warnings to avoid swimming and wading in dirty floodwater, cases of leptospirosis spiked last year. According to the Department of Health, over 2,700 patients from the National Capital Region alone were diagnosed with the disease from January to October 2024, surpassing the epidemic threshold.

“It’s the great equalizer, as it exempts no one,” Dr. Peñaranda points out. “Even the healthiest and fittest of us can get it.” Still, you can avoid it—or recover faster when diagnosed—by keeping certain things in mind.

MakatiMed warns against exposing yourself to floodwater. “Some commuters say they are forced to wade through floodwater to get to work or go home. If you must, wear protective gear like rubber boots,” Dr. Peñaranda advises. “If you don’t have a choice, wash your feet, legs, hands, and face with soap and clean water. Apply an antiseptic on any cuts or wounds that you may have.” Clothes and shoes that have been soaked in floodwater need to be detergent-washed and sun-dried to kill the bacteria.

It takes 2-14 days for signs of leptospirosis to appear so monitor for symptoms. “Among the classic symptoms are fever, headaches, vomiting, muscle pain in the calves and back, abdominal pain, red eyes, yellowish skin, and reduced or dark-colored urine,” explains Dr. Peñaranda. See your doctor immediately as soon as these signs appear so treatment can begin. A blood and urine test can determine the presence of Leptospira in your system.

“While it’s true that anyone can get leptospirosis, having a strong immune system can help fight infection better,” says Dr. Peñaranda. “Eat a balanced diet, get enough sleep, exercise regularly. These healthy habits help stave off other diseases too.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and Twitter.

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