DIABETESHYPERTENSION 5350c5bc4ec0a40f442ed9f8 False 75 0
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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
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.
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 is not just a disease of blood Sugar. It is a silent vascular disease in which the blood sugar goes up, but also the blood pressure, cholesterol and weight. Dr Narendra K Gupta, best diabetes doctor in Kamla Nagar , Delhi. for more info www.diabeteshypertension.com
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
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