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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.
What is the cause of obesity? Over 99% of cases of obesity, Insulin Resistance is responsible for weight gain. Diabetes is a very late manifestation of Insulin Resistance. Central obesity is the most common manifestation. That is weight gain around the belly button. Hand in hand lipid abnormality starts and the blood pressure also slowly starts climbing up. After 10 to 18 years of the problem one develops diabetes. Dr Narendra Gupta, Best Diabetes Doctor. Best Obesity doctor.
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
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