Diabetes origin from Haridwar

The history of origin of various diseases like Fever, Tuberculosis, Skin diseases and Diabetes begins in the Pauranik (mythological) stories in ancient India. As one of the reference of Shiv Purana., Origin of Diabetes is claimed from Kankhal (subtown of Haridwar (Uttarakhand), INDIA, where a yagya (Fire sacrifice) was performed by King Daksha in which all the Devas, Rishis ,Munis were invited .But the invitation was not given to Lord Shiva.

All the invities were offered a very rich diet i,e Havish (made up of mainly with Sugar & Ghee) & was consumed heavily by the invities All the guests took rest for a long period while staying there. But Lord Shiva because of his insult was very annoyed and ordered Veer bhadra to destroy the yagya .By the destructive acts of Veerbhadra , Stampede occurred. To save themselves everybody rushed here & there, by this critical and stressful situation many diseases occurred and Diabetes was one of them .As we see today the main causative factors of the disease are- Sedentary lifestyle, Rich Diet & Stress.

And as per the above mentioned story all these factors were present &confirms the Origin. (Ref: Charak Samhita/Nidansthan/chapter-8/11).

Later the main symptom in Ayurvedic texts is described that insects and flies are attracted to the urine of some people and that the urine tastes sweet (Sweet Urine Disease)  

In Sushruta Samhita (2500 BC) the detailed description of  Diabetes includes symptoms, Diagnosis, prognosis & Treatment ,is available.   

Diabetic Diet Book - Hindi

A Book on Diabetic Diet in Hindi “Madhumeha  Vyanjan Nirdeshika” written by Dr.Alka Singhal  & Dr.M.S.Singhal  was released on World Diabetic Day - 14/11/10 at Singhal Diabetic Clinic, Hardwar By Jagadguru Shankracharya  Shri Rajrajeshwar ji.

Why diabetics do not achieve satisfactory glycaemic control?

Why diabetics do not achieve satisfactory glycaemic control?

Diabetes is a disorder which usually progresses overtime & is known to effect whole body from head to toes.

Poor glycaemic control & chronic hyperglycaemia may lead to many complication such as Retinopathy,Neuropathy,Nephropathy,Cardiac ailments etc..Inspite of availability of effective treatment for diabetics many patients do not achieve optimal glycaemic control some of the common reasons are -

• Patients do not realize the serious & chronic nature of the disease &complexicity of its management takes it very casually.
• Unable to take multiple daily self care decisions that diabetics require.
• Patients are unwilling to follow advice & dietplan suggested by the physician & embark on exercise regimen without the counseling with the physician
• Fear of disease & restricted life style creates psychological distress
• Irregular or self medication with self dose modification as per the convenience
• Negative beliefs about disease & therapies as  regarding  Insulin therapy .or can be completely cured by magical /mystical therapies etc.
• Negative arguments with family members & physician as Why should I go for exercise while I am doing my routine work/ household work or why should I follow diabetic diet while taking medicines
• Our health care system is also developed only to deliever acute symptom care & poorly cofigured to properly educate the people for such disorders So Patient ignores mild symptoms until creates hinderance

Therefore to overcome this problem-

• Self management & diabetic education program is required for each diabetic individual
• Patient must be able to set goals &make frequent daily decisions that are efficient &fit for diabetes & their life style
• Improve quality of life by retarding or pushing back the diabetic complications as the major complications are due to vascular abnormalities & nerve damage which can be quantified at earliest by the third generation techniques available at specialized diabetic clinics as Diabetic Complication Detection Unit.

Dr.M.S.Singhal  Dr.Alka Singhal

   

Diabetes & Family Physician

Today I am sharing the experience of 1997 when we  discussed about the “Role of family physician to control Diabetes Mellitus”  in the conference organised by National Integrated Medical association of India at Saharanpur(U.P.)when the number of diabetics in India were less than 2 million.

But now the scenario is entirely  different , one out of five is Diabetic in Indian population(National data states 5.2 million & NGO data 12.10 million & in coastal region it is <12 % population is Diabetic )this rapid increase is because organised sector to unorganised sector ,layman to literate everyone is taking Diabetes casually & till date the majority of diabetic patients are not aware of the severity & complexity of the   disorder.

Preventive measures for Non Diabetics & proper self care for diabetics is required at large scale to retard this growth of disease ,& I think it is the right time to start National diabetes prevention & control campaign” by the Central Government ,as well as state Government should promote Doctors, Pharmaceutical  companies NGOs  for active participation to save country from Diabetic complications induced financial burden.  

In this regard as I talked on the role of family physician is now more significant , their  efforts can directly  help to improve quality of life & simultaneously pushing back the diabetic complications  as family physician is well aware of the life style, diet pattern ,Financial status etc. Of the families coming to him for various health conditions of their family members so they can easily guide them to manage the diabetes & help them to follow the drug compliance , if a person is diabetic in the family & also suggest them the necessary life style modification to prevent the other to become Diabetic, They may also help in early diagnosis of Diabetes if there is a new abnormal symptom  present in any of the member.

Family physician can also explain the importance of Diabetic Discipline, Myths about Diabetic Diet& many other queries of the patient regarding   diseases condition which definitely help the patient to overcome from the disease  oriented stress which is the major obstacle in disease management as we have seen in our clinical practice .    

They can also provide guidelines on limitations of Medicines, importance of regular examinations & investigations, also suggest the timely visit to the super specialist to manage the  changes coming in the vital organs such as Eye, Heart, Kidney & others.

Family Physician  can also provide immediate care in any diabetic Emergency  & can save the life by providing emergency treatment before referral to higher centre.

Above said are the few example in which family physician has a very important role , & this link between patient-Family physician- specialist- super specialist is the key to provide proper help to diabetics to keep away the fatal complications of the disease.

       So finally I would like to suggest that everyone should  remain in touch with a physician for their daily minor health troubles & also go for periodic examinations  to avoid such disorders take control on you.

Diabetes control and Care Program

Diabetes Control & Care Program

The prevalence of Diabetes is increasing worldwide and now taking  its place in one of the main threat to human health . India have the largest population (by Govt. 4.9 million, while NGO claims more than 12 million) of diabetics and facing a rising steep in diabetes itself and its related complications  such as Cardio-vascular, Renal, Nervous system  along with  Foot and Eye, These complications place huge burden on an individual patient, their family and the community.

Recent advance in Diabetes management may improve or decrease the above said complications. But as diabetes is a silent disease in the first  5-6 years of its onset, result in carelessness, invite such complications which can make life misery and detoriate quality of life.

For diabetics, Improving quality of life with minimal complications is a great challenge. Because this require Patient awareness and compliance towards Life style & diet modification, Pharmacological therapy, Proper monitoring with laboratory assessment of various Physiological parameters.        

Singhal  Diabetic Clinic conducted a telephonic Survey of  6637 patients of uttarakhand  between April 2005 to 2008 Dec. and  found  4.9% population are diabetic, and majority of patients are lacking in achieving glycemic control, laboratory assessment (Pathological Tests) insufficiently done, many of patients did not have essential investigation(Blood Sugar estimation) tested once in preceding 2 yrs, not taken  proper therapeutic  regimn due to carelessness, while many of them due to economic reason.

To improve physician and patient adherence and compliance t standards of the diabetes care  Singhal Diabetic Clinic launched  Diabetes control and Care Program on  ^{26th Jan 2010}  (after completion of its 20 years of practicing) to organize the care for diabetics under one roof, to achieve positive clinical goals in diabetes patients with least  expensive diabetes care, because the success of long term  therapy and monitoring depends upon achieving  target goals of glycemic control with minimal complications.

This  Diabetes control and Care Program of its kind is First in India Which provides such long term regular rebate to the diabetics.