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In the medical treatment of hypertension, there are many factors to take into account before starting treatment. The medical conditions of the patient, Obesity, Life style, diet and ethnic background. Life style modification comprises of low salt, exercise and stress reduction with relaxation exercise with things like Yoga and Meditation. It is very important to watch the salt in the diet. The patient’s sleep is also important. Snoring is associated with obstructive sleep apnea and resistant and severe hypertension. Walking is a great unwinding exercise and decreases the adrenaline associated with high blood pressure. A physician has to take into account the pre morbid condition of the patient. We also have to take into account if the patient has diabetes, obesity, heart disease or kidney disease. This is not a comprehensive advice regarding high blood pressure. For further information, please go to www.diabeteshypertension.com We have a vast array of medications to choose from in our medical management of high blood pressure. There are several classes of medications available and today we have some very inexpensive and excellent medications for hypertension. There are hundreds of drugs, but an appropriate choice is made after listening to the history of the patient and a good physical examination. Too many doctors are trigger happy to quickly prescribe a medication for a patient without due consideration of the patient. Most of the harmful affects of high blood pressure can be prevented with appropriate medical treatment. Dr Narendra K Gupta, specialist in hypertension. Best high blood pressure doctor.
Dr Narendra K Gupta, an expert on PCOD. Polycystic Ovarian disease or PCOD is a problem that affects a lot of young girls. It is associated with central obesity, hair growth (Hirsuitism), Pimples (Acne), Irregular Menstrual Cycle and infertility. Treated appropriately it is all reversible. For further info www.diabeteshypertension.com
Diabetes is of two types. In type I diabetes, there is total absence of Insulin and hence the blood sugar derangement, quite extreme. It forms 3-5% of Diabetic cases. Whereas, type II diabetes is much more common and rapidly increasing. We have a tendency to think, it is a disease of blood sugar. It is an “insulin resistant” state and even though insulin is produced, it is not enough to control the blood sugar. This is a slowly progressive disease and it takes 12-18 years for one to become diabetic. It is a vascular disease that is a “Silent Killer” and is the most common cause of blindness, heart disease, stroke, kidney failure and amputation. Type II diabetes is a complex metabolic disorder, where weight gain around the belly button, high cholesterol, high blood pressure and high blood sugar coexists in the same patient. Hence the term, “Terrible Quartet”. It is a different disease in men and women. In men it is associated with male menopause or Andropause. There is male pattern baldness, weight gain, muscle wasting, sexual dysfunction and mental irritability and anger. In female it causes Polycystic Ovarian Syndrome PCOD. This is associated with increase hair growth all over the body, pimples (Acne), obesity, male facial changes, irregular menstrual cycle and infertility. This is rapidly growing in young girls, specially in counties like Indian Subcontinent and Chine. Diabetes is a disease of rapid aging called Progeria. So at the age of 40 one becomes like 50 and at 50 like 65. But the good news today is that every complication of diabetes are reversible, if treated appropriately. People can aspire to not only have a good quality of life but, live even longer than those who do not have diabetes. Best diabetes doctor in Gurgaon. Best Diabetes doctor in Delhi.
Medical treatment of Diabetes. There are two types of diabetes. In Type 1 diabetes there is total absence of Insulin production. Hence life is dependent on Insulin for these patients. The patient gets very sick, if the insulin is not taken for a couple of days. Usually we use two types of insulin. A basal insulin which takes care of the daily metabolism of the patient and a meal time bolus to cover the rise in sugar with meals. Once we figure out how much the patient needs, we have to adjust their doses depending on type and quantity of diet and exercise. Type II diabetes which accounts for 95% of diabetes patients, is an insulin resistant state with a relative decrease in insulin production in the presence of insulin resistance. Most doctors are inclined to treat this as a sugar diabetes problem. As a result are caught up in chasing the sugar with insulin or Sulphonylureas drugs. But this is a silent vascular disease and a “silent killer”. This is a complex metabolic disease. It is a combination of 4 major abnormality often referred to as the “terrible quartet” comprising of central obesity, high blood sugar, high blood pressure and a complex cholesterol abnormality. It is pivotal in type II diabetes; we address all four problems simultaneously. In order for the patient to do well, we must look at the patient holistically. Doctors need to assess the blood pressure, pattern of Cholesterol abnormality and fix their insulin resistance. Chasing the sugar, is a myopic approach to sugar control and increase in weight. Patients continue to gain weight and we keep increasing the dose of the medicines. Finally the patient is put on insulin and the patient never succeeds but continues to being a victim of diabetes and continues to have vascular events like, vision deterioration, stroke, heart attacks, kidney failure and amputation of the limbs. But today we have good medicines for insulin resistance, vascular-protection, cardio-protection, eye protection and kidney protection. Patient can be helped with good and appropriate treatment to become a “victor” and have hope of a better tomorrow. The doctor must spend the time to listen and assess the patients needs and a customized approach of medical management can reduce complications and perhaps reverse some of the complications that have already happened. Diet and exercise and life style modification will always play a pivotal role in the final outcome. For more information please visit www.diabeteshypertension.com. Dr Narendra K Gupta, best diabetes doctor in Gurgaon and Delhi
How to loose weight, control diabetes and blood pressure. Dr Gupta's rules of five: You should avoid five white things in your diet: (i). Avoid white bread, atta bread and brown bread but you can have multi grain bread. (ii). Avoid all pasta and noodles in the first 3-6 months of treatment. (iii). Rice in all forms is to be avoided in the first 3-6 months when we are trying to get your insulin resistance fixed and bring your blood sugar under control, you should try using quinoa rice which is a protein, when appropriately cooked, can be very tasty and can help in controlling blood sugar. (iv). Do not drink tea without sugar because this will encourage you to have breads, biscuits and rusks etc. Use Sugar free, Splenda, Equal or Stevias which is the best. You must avoid all forms of biscuits and rusks. (v). Milk is an important component of the diet but you should avoid cow or buffalo milk, if you do have to take it then remove the cream twice before using it. Ideally you should try and Consume toned milk which is available in packets.
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