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2016-11-14T02:45:32
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Diabetes is a silent vascular disease that kills. With diabetes it is all about prevention, prevention and prevention. If taken care of well it can provide for an amazing future. Take charge of your life and prevent complications !! Best Diabetes Doctor in India. Best Diabetes doctor in Delhi. Best diabetes doctor in Gurgaon
2016-07-26T09:38:48
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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
2016-06-02T07:36:30
Is Diabetes just a disease of blood sugar?? When should we start the treatment of Diabetes? It is very dangerous to think so. In type 1 diabetes there is total absence of insulin and blood sugar goes up, leading to atherosclerosis or narrowing of the small vessel in nerves, eyes and kidneys. But type II diabetes is a very complex metabolic disease. It is this type of diabetes that is rapidly increasing. The first thing that sets in is central obesity i.e. weight gain around the belly button and insulin resistance as a consequence. At this stage the cholesterol gets deranged with decrease in the good cholesterol HDL and increase in Free Fatty Acid and Triglycerides. These have a toxic effect on various muscles in the body, called apoptosis. This is also responsible for the damaging effect on the liver, leading to fatty liver and liver failure.The Cholesterol continues to get deranged and as a result we have disease and narrowing of large vessels in the body. A number of patients will present with Heart attack, stoke or kidney failure. There is further increase in insulin resistance as time goes on, leading to high insulin levels. High Insulin causes the BP to slowly and progressive increase and atherosclerosis or hardening of the large vessels to progressively get worse. So we have to remember that far before blood sugar rises in type II diabetes the vascular disease has started playing havoc in the body. When this process has gone on for 15 to 18 years then the blood sugars start to rise. We have a very casual approach to diabetes and it can cause significant damage by the time it is diagnosed. We should amtocipate the problem and start treating at Pre Diabetes stage. Dr. Narendra Gupta, Best Diabetes doctor in Delhi. Best Diabetes doctor in Gurgaon. Best Diabetes doctor in INdia
2016-05-05T06:45:57
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What is the cause of obesity? Over 99% of cases of obesity, Insulin Resistance is responsible for weight gain. Diabetes is a very late manifestation of Insulin Resistance. Central obesity is the most common manifestation. That is weight gain around the belly button. Hand in hand lipid abnormality starts and the blood pressure also slowly starts climbing up. After 10 to 18 years of the problem one develops diabetes. Dr Narendra Gupta, Best Diabetes Doctor. Best Obesity doctor.
2016-04-15T08:00:45
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I have been often asked what is causes obesity, There are several reasons but the most common cause is Insulin Resistance. This is the route cause of diabetes. Many, many years prior to development starts the vicious cycle of obesity, high Blood pressure, high cholesterol and diabetes. The sooner we fix this problem the better the patient will be. Weight will come down and diabetes can often be prevented. Dr Narendra K Gupta Best Obesity doctor. Best diabetes doctor
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