From diabetes to alzheimer’s: how light pollution is making indians sick
From diabetes to alzheimer’s: how light pollution is making indians sick"
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In September 2024, a 38-year-old woman consulted Narendra Kotwal, director of endocrinology at Paras Health, Panchkula. She reported persistent fatigue, difficulty falling asleep, irregular
menstrual cycles, mood disturbances such as irritability and low mood, and had gained 5 kg over six months. The woman works nights at a call centre and lives close to a brightly lit digital
billboard. On clinical evaluation, Kotwal, a retired lieutenant general in the Indian Army and president of the Endocrine Society of India, noted that the patient was overweight and
exhibited features suggestive of insulin resistance — skin tags, a high waist-to-hip ratio, and a large neck circumference — indicating a pre-diabetic state. That is not odd: A 2023 study
showed that 136 million Indians are pre-diabetic, as we reported in August that year. The patient also had pronounced dark circles under her eyes. Laboratory investigations revealed
subclinical hypothyroidism and elevated evening cortisol levels, which disrupt the body's natural stress response and sleep cycle.
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