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Insulin is not the solution but the problem in type II diabetes. As you all know there are two types of diabetes. Type I diabetes, where there is total absence of Insulin production. Insulin is the key to their survival and will get very sick within days if they do not get insulin. On the other hand type II diabetes is an insulin resistant state with the production of insulin eventually fails to produce more in the presence of resistance to insulin action. The blood sure goes up about 15 to 18 years after the problem has started. It has become fashionable by doctors to give glucose reducing medicines, because we are myopically look at the elevated blood sugar. It is common for primary care physicians to give Sulfonylurea class of drugs and try to control blood sugar. Almost all patients will gain weight and the medication dose will have to be increased to control sugar and eventually when they fail, patients will be started on insulin. If you happen to go to an Endocrinologist he is more than happy to start you on insulin because it is all about sugar control. They have treated type I diabetes this way. However there is a far better way and that is to fix the insulin resistance which is the fundamental problem. Once we deal with this fundamental problem the need for Sulfonylurea and insulin progressively decreases to the extent that they can be stopped and life becomes stable and weight loss occurs. What is very important to realize that type II diabetes is a complex metabolic disease where diabetes, obesity, high blood pressure and high cholesterol coexist. Insulin at high levels in circulations promotes the high blood pressure and is a stimulant for the atherosclerosis which is the “Silent Killer” in type II diabetes. So I am here by providing hope to patients with diabetes to not only do well with sugar control but also reduce significantly the other problems that kills in diabetes. Insulin is not the solution but the problem, It is this high levels Best Diabetes doctor in Gurgaon. Best obesity expert in Delhi
Chest pain, heart attack, angioplasty and stint. Is this what diabetes about? Sudden onset of severe chest discomfort is uncommon in diabetic patients. Most often, some shortness of breath, abdominal discomfort. Often heart attack is a “Silent Killer” in diabetics. Look at all the major hospitals and over 50% of all the patients getting heart attacks, strokes, kidney failure are diabetic patients. All of them have been poorly managed, whether it is a patient mistake or that of the doctor. It really does not matter. All of these are preventable provided the right treatment and advise was given and the patient regularly managed. Diabetes is a close interaction of the doctor and the patient. It has to be a team effort. More and more patients will end up in hospital if the diabetes which is a disease of blood vessels is managed properly. We need centers of excellence which specialize in the care of the diabetic patients. Let us help you at the Diabetes & Hypertension Center. For more info www.diabeteshypertension.com. Dr Narendra Gupta, Best diabetes doctor in Gurgaon, Delhi, India
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