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Diabetes is a complex metabolic disease. When we have to look in a comprehensive way. So what is the best treatment of diabetes? Diabetes is a lifestyle disease and therefore the treatment of diabetes has to be centered around lifestyle. A balanced diet with focus on protein, carbohydrate and fat is important. Taking a diet rich in protein will curb the appetite and calorie consumption. This will help lose weight. Think about breakfast being the most important meal of the day and a diet with high protein diet would be a good start to the day. We need to eat carbohydrate but need to focus on complex carbohydrate which has a low glycemic index and will get absorbed slowly and not over whelm the system. Hence the sugar control will be much better. We cannot ignore fat which is very essential for the body. A diet with poly-unsaturated fat and mono-unsaturated fat is good for us and we need to avoid saturated fat like ghee and butter. There are 5 white things that we need to avoid. These are white bread, brown bread, pasta and noodles, rice, biscuits and rusks and whole milk. We should eat fruits but not juices. Three fruits to avoid are bananas, grapes and mangoes. It is important to drink 3 -5 liters of water a day. It is important to drink plenty of water to remove all toxins from the body.
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
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.
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
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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