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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.
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
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
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
If experience, knowledge, education counts for reputation and success in the medical field, then Dr. Narendra K Gupta sits at the top. He holds an experience close to 4 decades in the field of diabetes and nephrology. Rarely can you find a doctor in the similar field matching the capabilities of Dr. Narendra K Gupta. His contributions have given new lease of life to patients suffering from diabetes. Awards and honors cannot describe his hard work and dedication over the years. Professionally, 2009 was Dr. Narendra K Gupta's year. He was awarded 2 prestigious honors in the form of a Life Time achievement Award and Arch of Excellence (Medical) award. Not only in India, Dr. Gupta is equally famous in US and Canada. In the past he's been an active participant with various Indian and American medical societies. At present, he is the Medical Director and Chief Executive Officer of Diabetes & Hypertension Center, Gurgaon, Haryana. In a career spanning so long, Dr. Narendra K Gupta's hasn't missed a single appointment. You will not find a solitary individual dissatisfied with the services of Dr. Gupta. His educational qualifications spread from MBBS to FRCP. He has worked on multiple research projects as well. He shares his in-depth knowledge of diabetes and nephrology with Indian and overseas medical publications. A true gentleman, Dr. Narendra K Gupta's always values his patients.
Dr Narendra K Gupta, best diabetes doctor Gurgaon, Kamla Nagar. If experience, knowledge, education counts for reputation and success in the medical field, then Dr. Narendra K Gupta sits at the top. He holds an experience close to 4 decades in the field of diabetes and nephrology. Rarely can you find a doctor in the similar field matching the capabilities of Dr. Narendra K Gupta. His contributions have given new lease of life to patients suffering from diabetes. Awards and honors cannot describe his hard work and dedication over the years. Professionally, 2009 was Dr. Narendra K Gupta's year. He was awarded 2 prestigious honors in the form of a Life Time achievement Award and Arch of Excellence (Medical) award. Not only in India, Dr. Gupta is equally famous in US and Canada. In the past he's been an active participant with various Indian and American medical societies. At present, he is the Medical Director and Chief Executive Officer of Diabetes & Hypertension Center, Gurgaon, Haryana. In a career spanning so long, Dr. Narendra K Gupta's hasn't missed a single appointment. You will not find a solitary individual dissatisfied with the services of Dr. Gupta. His educational qualifications spread from MBBS to FRCP. He has worked on multiple research projects as well. He shares his in-depth knowledge of diabetes and nephrology with Indian and overseas medical publications. A true gentleman, Dr. Narendra K Gupta's always values his patients.
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
Diabetes is of two types. In type I diabetes, there is total absence of Insulin and hence the blood sugar derangement, quite extreme. As a result they will get admitted to hospital at the time of diagnosis. Insulin injections are a life savior and a must. They require a long acting insulin called basal insulin and a meal time short acting insulin. It forms 3-5% of Diabetic cases. Best diabetes doctor. Best hypertension doctor.
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