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A new study helps guide the recent American Diabetes Association (ADA) recommendation to screen Asian Americans for type 2 diabetes starting at a body mass index (BMI) of 23 kg/m2 instead of 25 kg/m2. The study is published online in Diabetes Care. Dr Narendra K Gupta Best Diabetes doctor in Delhi. Best diabetes doctor in Gurgaon.
A new study helps guide the recent American Diabetes Association (ADA) recommendation to screen Asian Americans for type 2 diabetes starting at a body mass index (BMI) of 23 kg/m2 instead of 25 kg/m2. The study is published online in Diabetes Care. Dr Narendra K Gupta Best Diabetes doctor in Delhi. Best diabetes doctor in Gurgaon.
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.
Yet another patient on insulin has stopped taking 136 units of Insulin and his blood sugar that was out of control has become very good and his HBA1C has come down from 12.3 to 7.6. He has lost 8 kg in the last 4 months. So what is it that makes all the difference at Diabetes & Hypertension Center and Dr Narendra Gupta is that we focus on prevention of complications and we are just not only focussed at blood sugar as a cause of diabetes but rather the effect of diabetes. The true cause of diabetes is insulin resistance and secondary beta cell failure. We focus on fixing the insulin resistance with medication, diet, exercise and emotional well being. Only with a comprehensive management plan, that we can truly improve the patient. The doctor must listen to their problems but as a coach firmly guide that in the right direction. One has to address the multiple problems of the patient i.e. Kidney damage, nerve damage, blood sugars, high blood pressure, cholesterol, hormonal imbalance and emotional support. It is only then that we will be able to change the life of the patient. Dr Narendra Gupta, best diabetes doctor in India
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