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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.
Diabetes & blood glucose control There are several factors in glucose control in diabetes. One of them is self glucose monitoring at home. This is not educated to patients, but is an important way to keep a track of where is our diabetes going. Is it well controlled and whether certain types of food affect our blood glucose. It is a way to learn what foods have what kind of foods have what kind of effect. It is also important to remember that the blood sugar is highest in the morning. So the first blood sugar check is a good way to look at the worst fasting blood sugar. Best Diabetes doctor in Delhi, India.
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
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