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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
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.
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