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Best Diabetes doctor. Best Kidney specialist. WHAT IS DIABETES? Its full name is Diabetes Mellitus, but it’s generally called Diabetes. It is a medical term for a group of chronic diseases in which the body fails to complete the conversion of certain foods into energy. Normally, during digestion, the body changes sugar, starch, and other foods into a form of sugar called glucose. The blood carries this glucose to the body’s cells, where, with the help of insulin (a hormone produced in the pancreas), it changes into quick energy for immediate use or storage for future needs. This process of turning food into energy is crucial, because the body depends on energy for everything from thinking to physical activity. In Diabetes, the food is turned into glucose readily enough but cannot enter the body’s cells as lack of insulin production or its effect on the cells in the body. The most common forms of Diabetes are Type I and Type II. In Type I, the person’s pancreas does not produce enough insulin so the supply of glucose can be used. As a result, very high blood sugar and other metabolic abnormalities occur. In the absence of insulin, the metabolic abnormality is quite severe. As a result, these people are picked up quite early because of their symptoms. In Type II, the pancreas produces enough insulin, but the body’s cells can’t use it properly. This means that the unused glucose once again causes high blood sugars. Prevalence of Diabetes in The United States There are about 18 million people with Diabetes in the United States; half of them are still not diagnosed. About 90-95% of these people have Type II Diabetes. Diabetes and its complications are the sixth leading cause of death in the United States, outranked by heart disease and cancer. Diabetes is a major cause of blindness in adults, and causes diabetics to suffer heart attacks twice as often as non-diabetics. The life expectancy of those with some form of Diabetes is one/third shorter than the general population. The most important thing is to recognize Diabetes early so the treatment can be started before the disease has had a chance to damage your health.
Is Diabetes just a disease of blood sugar?? When should we start the treatment of Diabetes? It is very dangerous to think so. In type 1 diabetes there is total absence of insulin and blood sugar goes up, leading to atherosclerosis or narrowing of the small vessel in nerves, eyes and kidneys. But type II diabetes is a very complex metabolic disease. It is this type of diabetes that is rapidly increasing. The first thing that sets in is central obesity i.e. weight gain around the belly button and insulin resistance as a consequence. At this stage the cholesterol gets deranged with decrease in the good cholesterol HDL and increase in Free Fatty Acid and Triglycerides. These have a toxic effect on various muscles in the body, called apoptosis. This is also responsible for the damaging effect on the liver, leading to fatty liver and liver failure.The Cholesterol continues to get deranged and as a result we have disease and narrowing of large vessels in the body. A number of patients will present with Heart attack, stoke or kidney failure. There is further increase in insulin resistance as time goes on, leading to high insulin levels. High Insulin causes the BP to slowly and progressive increase and atherosclerosis or hardening of the large vessels to progressively get worse. So we have to remember that far before blood sugar rises in type II diabetes the vascular disease has started playing havoc in the body. When this process has gone on for 15 to 18 years then the blood sugars start to rise. We have a very casual approach to diabetes and it can cause significant damage by the time it is diagnosed. We should amtocipate the problem and start treating at Pre Diabetes stage. Dr. Narendra Gupta, Best Diabetes doctor in Delhi. Best Diabetes doctor in Gurgaon. Best Diabetes doctor in INdia
Type II diabetes, is a vascular disease that is a "Silent Killer". It is the vascular disease that kills. It is the most common cause of blindness, stroke, Coronary Artery disease, heart attack, kidney failure, nerve damage and amputations. The weight goes up, particularly along the belly button "Central obesity", muscle wasting, blood pressure goes up, hand in hand with damage to the kidneys and protein leakage from the kidneys. Several different types of cholesterol derangement also occurs. It also affects several different organs in the body.Hence it is a complex metabolic disorder that spares no organ system in the body. Further it has different affect on the sexual system in males and females. In females it cause PCOD and Male menopause called Andropause in males. But what is fortunate that a caring and a holistic doctor can not only prevent the complications but reverse a number of these. Dr Narendra K Gupta, Best Diabetes doctor in Delhi and Gurgaon.
Diabetes is a complex metabolic disease. When we have to look in a comprehensive way. So what is the best treatment of diabetes? Diabetes is a lifestyle disease and therefore the treatment of diabetes has to be centered around lifestyle. A balanced diet with focus on protein, carbohydrate and fat is important. Taking a diet rich in protein will curb the appetite and calorie consumption. This will help lose weight. Think about breakfast being the most important meal of the day and a diet with high protein diet would be a good start to the day. We need to eat carbohydrate but need to focus on complex carbohydrate which has a low glycemic index and will get absorbed slowly and not over whelm the system. Hence the sugar control will be much better. We cannot ignore fat which is very essential for the body. A diet with poly-unsaturated fat and mono-unsaturated fat is good for us and we need to avoid saturated fat like ghee and butter. There are 5 white things that we need to avoid. These are white bread, brown bread, pasta and noodles, rice, biscuits and rusks and whole milk. We should eat fruits but not juices. Three fruits to avoid are bananas, grapes and mangoes. It is important to drink 3 -5 liters of water a day. It is important to drink plenty of water to remove all toxins from the body.
PCOD, PCOS Polycystic Ovarian Syndrome is a common complex metabolic disorderin young females. It is an insulin resistant state that is also responsible for type II diabetes. It is going to be seen more often and often poorly treated by doctors, because it encompasses dermatologic, gynecological, endocrine and psychological problem. Only a physician who can look at it holistically can completely treat PCOD properly. In this condition a garland pattern of cysts develop in the ovary and start producing abnormal hormones. Excessive hair growth on face, chin, lips and other parts of the body is very common. As a result patients end up in waxing parlors and laser clinics. This can be devastating for a young female. All these treatment are not going to be successful, unless the hormonal imbalance is resolved in PCOD. While at the same time male pattern baldness and thinning of hair is very common. Acne is another traumatic experience and sometimes may be very severe. Again they will see a number of dermatologists for acne, but proper treatment of the hormonal imbalance will give very gratifying results. There is also associated black pigmentation on the face, neck, arm pit and other parts of the body. One of the common problems is central obesity associated with menstrual abnormalities in young girls and women. As time goes on this leads to infertility and patients end up in fertility clinics for IPF ( In Vitro fertilization). But only when the metabolic derangement is resolved, fertility is assured even without the expensive procedure of IVF. The irregular bleeding can be very embarrassing and may lead to anxiety and depression. Emotional distress ranging from anxiety to depression is very common. Hence in the treatment of PCOS an experienced physician in this area is crucial for the success of medical treatment. Eventually patients will go on to develop type II diabetes. For more information, please visit www.diabeteshypertension.com Dr Narendra K Gupta, Specialist in PCOD. Best PCOS doctor in Gurgaon and Delhi
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. Dr Narendra K Gupta, best diabetes doctor, Gurgaon
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.
Dr. Narendra Gupta MD, FRCP He was born in Patna, Bihar, India. Did his high school from St. Michael's High School. Did his pre Medical from Patna Science college. Graduated with M.B.B.S from Patna Medical College in 1977. He was in UK 1979 to 1981. He immigrated from UK to Canada in 1981 and trained in Internal Medicine and Nephrology at the University of Alberta, Edmonton, Canada. Did his FRCP (C) and became an Asstt. Professor of Medicine, University of Saskatoon. He subsequently Moved to Lima Ohio in 1991 and was a Prof. of medicine, Medical College of Ohio, Toledo, Ohio. Dr. Gupta moved to Atlanta from Ohio in 2001. Started the practice at Diabetes & Hypertension Center and Asst. Prof Of Medicine at Atlanta Medical Center. He developed the Center to become an award winning center of Excellence. Dr. Gupta, no longer takes care of his patients by prescribing medicines and a course of treatment based on symptoms and diagnosis. He starts by getting to know his patients thoroughly, even if takes him one or two hours, every visit, to just listen to them. He encourages them to bring their near and dear ones with them so he can get to know the patients entire history. Based on what he learns, he then customizes the treatment for each of his patients and helps his patients find a new balance between the mind, body and spirit. He has been recognized by the American Diabetes Association and NCQA National committee on Quality assurance as a provider with distinction, three times for a period of 12 years. He has also been recognized as a provider with distinction by the American Heart Association and American Stroke Association. He has been on the Board of various organizations, including Merck’s Advisory Board on Hypertension and Diabetes. He has been the recipient of Life Time Achievement Award for his contribution to Medicine. Dr. Gupta is determined to evolve his patients from victims to victors and their problems from diseases to wellness. To achieve that goal he has started a Diabetes Support Group that meets the first Tuesday of every month at his office. He also goes to the Town Hall and arranges for talks to inform patients of medical advances and empower them with information and knowledge and calls these meetings “Everything you Always Wanted to Know But Your Doctor Did Not Tell You”. He is also in the process of starting a newsletter to share medical success stories and relevant information with the community. Dr. Gupta truly is a varied, interesting, and multi dimensional person. It would not be unreasonable to call him – a true renaissance man Best Diabetes Doctor in Gurgaon. Best Kidney specialist Gurgaon. Best Hypertension specialist Gurgaon.
A new study helps guide the recent American Diabetes Association (ADA) recommendation to screen Asian Americans for type 2 diabetes starting at a body mass index (BMI) of 23 kg/m2 instead of 25 kg/m2. The study is published online in Diabetes Care. Dr Narendra K Gupta Best Diabetes doctor in Delhi. Best diabetes doctor in Gurgaon.
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