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Type II Diabetes is an insulin resistance state. It is the insulin resistance that is the major problem It takes 18 years to develop diabetes. Fixing this insulin resistance is the key to success. Dr Narendra Gupta, best diabetes doctor in Gurgaon, Best diabetes specialist in Gurgaon.
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
Diabetes prevention: 5 tips for taking control (C) Dr Narendra K Gupta MBBS, MD, MACP(USA) FRCP(Canada) Best Diabetes doctor. Best Nephrologist. Best obesity doctor. Changing your lifestyle could be a big step toward diabetes prevention — and it's never too late to start. Consider these tips, before you become a victim of the “Silent Killer” When it comes to type 2 diabetes — the most common type of diabetes — prevention is a big deal. It's especially important to make diabetes prevention a priority if you're at increased risk of diabetes, for example, if you're overweight or have a family history of the disease. Diabetes prevention is as basic as eating more healthfully, becoming more physically active and losing a few extra pounds — and it's never too late to start. Making a few simple changes in your lifestyle now may help you avoid the serious health complications of diabetes down the road, such as nerve, kidney and heart damage. Consider the latest diabetes prevention tips from the American Diabetes Association. Tip 1: Get more physical activity There are many benefits to regular physical activity. Exercise can help you: Lose weight • Lower your blood sugar • Boosts your sensitivity to insulin — which helps keep your blood sugar within a normal range Both aerobic exercise and resistance training can help control diabetes Tip 2: Get plenty of fiber • Reduce your risk of diabetes by improving your blood sugar control • Lower your risk of heart disease • Promote weight loss by helping you feel full Foods high in fiber include fruits, vegetables, beans, whole grains, nuts and seeds. Tip 3: Go for whole grains Although it's not clear why, whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Try to make at least half your grains whole grains. Many foods made from whole grains come ready to eat, including various breads, pasta products and many cereals. Look for the word "whole" on the package and among the first few items in the ingredient list. Diabetes & Hypertension Center Changing Lives, one patient at a time 5813 Aster Avenue, DLF Phase IV, Gurgaon, 122002 Cell: 09650367537; More info @ www.diabeteshypertension.com
Type II Diabetes is a different disease in women. It is much more aggressive, complications start early. High amounts of Insulin because of Insulin Resistance has a toxic effect on Ovaries. Leading to increased formation of male hormone Testosterone. This leads to Polycystic Ovarian Syndrome, Acne, Hirsuitism, irregular menstrual cycle, heavy periods and infertility. Polycystic Ovarian Syndrome PCOS, Insulin Resistance, Acne, Hirsuitism, Irregular Menstrual cycle, Diabetes in women, Diabetes, Obesity. Dr Narendra Gupta best Diabetes doctor. Best obesity doctor. www.diabeteshypertension.com
High blood pressure is also a fairly common life style disease which is getting more common. When we look at the blood pressure there are 3 numbers that come into the equation. Systolic blood pressure, which is the higher number and reflects the stiffness of the blood vessels which is also called hardening of the blood vessels or atherosclerosis. This is progressively elevated as we age. The second number is Diastolic blood pressure or the lower number. This is often associated with younger age and resistance to blood flow. This can be very high with narrowing of the blood vessels to the kidneys. The third number is the pulse rate. This can also affect the blood pressure. The higher the pulse rate the higher the blood pressure. Dr Narendra k Gupta, best kidney specialist. Best High blood pressure expert
Diabetes is a complex metabolic disease. It is not just a disease of blood sugar. But is a pan-vascular disease due to insulin resistance and it is the vascular disease that kills !! Watch this video and be a "VICTOR" rather than a "VICTIM" http://youtu.be/YNtKaehkWHY Dr Narendra Gupta, best diabetes doctor in Gurgaon www.diabeteshypertension.com
http://youtu.be/apD8233B-fE Type II Diabetes is a different disease in women. It is much more aggressive, complications start early. High amounts of Insulin because of Insulin Resistance has a toxic effect on Ovaries. Leading to increased formation of male hormone Testosterone. This leads to Polycystic Ovarian Syndrome, Acne, Hirsuitism, irregular menstrual cycle, heavy periods and infertility. Dr Narendra K Gupta Best PCOD doctor. Best Polycystic Ovarian Disease doctor.
Obesity is the new epidemic that is growing very rapidly. It is also called the life style disease. This happens because we are exercising less and eating more calorie dense food. It becomes compounded by anxiety and stress of present day fast paced life. It is anxiety that starts the vicious cycle of adrenaline excess. Adrenaline cause blood pressure, heart rate and blood sugar to go up. There is an increase in acid production which causes hunger pain and desire to eat. On top we don't drink enough water which also gets interpreted as hunger. We put food in our mouth and gain weight. At this stage because of hormonal imbalance and Insulin Resistance, we have started on the slippery slope of obesity and diabetes. Dr Narendra K Gupta, Best obesity doctor in Gurgaon and Delhi, Best Diabetes doctor in Gurgaon and Delhi.
Management of type two diabetes is not just treating diabetes as a problem of blood sugar. It is the Insulin Resistance that is the fundamental problem. This needs to be fixed. Diet and exercise are very important and then using Sulphonylueas oral medicines or short term use of Insulin to control the diabetes. Dr Narendra K Gupta, Best Diabetes specialist in Gurgaon. Best diabetologist doctor in Delhi NCR
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