Tips for Diabetics to Manage Summer Heat

 

The summer heat in many parts of the nation these days is tough enough for Diabetics, special precautions is required.

"People with diabetes are at increased risk of experiencing difficulties in the heat, even though they may not be aware of it.

Here are some tips to manage heat-

§  Remain hydrated - If you have diabetes, dehydration (the loss of body fluids),also can occur when blood glucose is not under control. When blood glucose is elevated, this can lead to an increase in the body's excretion of urine. To prevent dehydration drink plenty of caffeine-free fluids such as water, seltzer or sugar-free iced tea and lemonade. Limit your intake of alcohol.

§  Take attention for the signs of heat effect- If you are working outdoors and having diabetes than you are more susceptible to heat effect you may feel Symptoms like feeling dizzy or fainting; sweating excessively; muscle cramps;  headaches; rapid heartbeat and/or nausea. If you feel any of these symptoms, move to a shaded and cool area, drink fluids like water or fresh  juice and go for medical chekup.

§  Exercise   schedule is in  early in the morning or later in the evening when temperatures are moderate.

§  Check blood glucose levels regularly because  heat can cause blood glucose levels to fluctuate.

§  Store your blood glucose meter, strips and insulin in a cool, dry place. Do not store insulin in extreme temperatures.it will spoil due to temperature. Never store insulin in the freezer, in direct sunlight, in the car.

If you have  any questions about coping with heat or other extreme weather conditions, consult with your doctor. 

From : Singhal Diabetic Clinic,Haridwar

Ayurveda And Haridwar (Hindi)

gfj}kj dk vk;qosZfnd

,oa

vkè;kfRed egRo

                                                                                                                                                 Image courtesy: shreyankmauria    

fo'o dh èkkfeZd jktèkkuh ds :i esa [;kfr izkIr] xs:os oL=ksa dh laLd`fr okyk ;g ,sfrgkfld èkkfeZd {ks= HkkSxksfyd n`f"V ds 29-80 mRrjh va{kk'k ,oa 78-100 iwohZ va{kk'k ij f'kokfyd J`[kaykvksa ds fcYo vkSj uhy ioZr ekykvksa ds eè; clk gSA

èkkfeZd xzUFkksa esa miyCèk lk{;ksa ds vkèkkj ij bZlk ls yxHkx 6000 o"kZ iwoZ ;ksx vkSj vk;qoZsn ds laxe dk ;g mRd`"V LFkku 18 dksl {ks= esa QSyk FkkA tgka lIr _f"k;ksa ds vfrfjDr xkyo] _phd] xkX;Z  dkSf'kd] ekjhfp] d';i tSls rRrosrk bl 'kjhj ls mRd`"V y{; Hkxor~ izkfIr ds fy, lnk vius 'kksèk dk;ksZ dks xfr iznku djus ds fy, lekfèkLFk jgrs FksA budh vkè;kfRed {kerk dk Kku flQZ bl ckr ls gks ldrk gS] fd ;g lc LFkwy 'kjhj vFkok lw{e 'kjhj ls LoxZ esa tkus dh {kerk j[krs FksA bu Js"Bre dk;ksZ esa 'kjhj esa jksx ds dkj.k dksbZ fo?u mRiUu uk gks] blfy, f'kokfyd ioZr ekykvksa ij mRiUu ve`r rqY; fnO; jl okyh vkS"kfèk;ksa ds fujUrj iz;ksx djus ds lnaHkZ Hkh xzUFkksa esa miyCèk gSA bUgha Js"B _f"k&eqfu;ksa us vius vFkd iz;kl ds gfj}kj {ks= ;ksx vkSj vk;qosZn f'k{kk dk xkSjo'kkyh vkSj ifo= dsUnzz cu fn;kA ftldksa lHkh nsorkvksa _f"k&eqfu;ksa èkekZpk;ksZ us Li'kZ dj vius dks èkU; le>kA D;ksafd bl ifo= {ks= dk d.k&d.k euq"; gh ugh lHkh tkfr;ksa dks dY;k.k djus okyk vkSj èkkfeZd eks{k nsus okyk gSA

iqjk.kksa esa miyCèk  feFkd ds vuqlkj czãk ds T;s"B iq= n{k iztkifr us bl ifo= vkSj le`f}'kkyh Hkwfe dks vius pkjksa fn'kkvksa esa QSys lkezkT; dh jktèkkuh ds :i esa pqukA lr;qx ds ml dky esa bl {ks= dks du[ky dgk tkrk gSA bl {ks= esa le`f} vkSj ifo=rk dks Lo.kZ e; cukus ds mís'; ls] ,d vfr egkRokdka{kh egk;K dk vk;kstu fd;k] ftlesa f'ko dks NksM+dj lHkh nsork] xUèkoZ] _f"k&eqfu vkfn dks vkeaf=r fd;k x;k vkSj buds fy, HkO; Hkouksa vkSj ukuk izdkj ds O;tukas dh vR;Ur c`gn ;kstuk izFke ckj bl i`Foh ij vk;ksftr dh xbZ FkhA bl vdYiuh; O;oLFkk dk lq[k Hkksxus vkeaf=r vfrfFk bl xkSjoe;h Hkwfe dks ns[kus l'kjhj ;gka ièkkjs FksA ysfdu tc f'ko fiz;k lrh vkSj n{k iq=h us ns[kk fd ;K esa uk rks muds ifr ¼vkSj n{k ds nkekn½ ds fy, vklu gh gS vkSj uk gh ;K Hkkx rks og vR;Ur nq%[kh gqbZ vkSj ;ksxkfXu mRiUu dj vius izk.k R;kx fn,A ftl ij Øq) gksdj Hkxoku f'ko us viuh tVk ls ohjHknz uked egkcy'kkyh x.k dks mRiUu fd;kA ftlus ml egk;K dks iw.kZ gksus ls igys gh foèoal djuk izkjEHk dj fn;k] ftlds dkj.k mifLFkr lHkh _f"k&eqfu vkfn vius izk.kksa dh j{kk ds fy, bèkj mèkj Hkkxus yxs] Hkkxrs gq, dksbZ ikuh esa fxjk] rks dksbZ isM+ ls Vdjk;k] dksbZ ouLifr ij fxjk] blls vusd jksxksa dh mRifRr gqbZ ¼lnaHkZ p-funku vk- 8 'yksd½A bl foèoal ds vUr esa ohjHknz us n{k iztkifr dk flj dkVdj ;K dqaM esa Mky fn;kA blds i'pkr n{k dh ifRu ds foyki djus ij Hkxoku f'ko us Loa; n{k ds èkM+ ij cdjs dk flj yxkdj n{k dks iqu% thfor dj fn;k Fkk] ;kfu bl i`Foh ij HkO; Hkouksa dk] O;atuksa] jksxksa dk izknqHkkZo vkSj 'kY; fpfdRlk dk izkjEHk gfj}kj ls gh gqvk FkkA laHkor% ekbØks ,oa U;wjks ltZjh dk bruk izkphu mnkgj.k vHkh rd dgha vU; miyCèk ugh gSA

bl egk;K ls mRiUu jksx =srk ;qx esa vius :i esa vkus izkjEHk gks x, vkSj euq";ksa dh fofHkUu izdkj ds d"V nsus yxsA jksxksa ls th.kZ turk dh nqnZ'kk ns[kdj lnSo yksd dY;k.k esa yxs egf"kZ d';i us Hkxoku czãnso dh izsj.kk vksj vius ân; dh d:.kk ls riksfu"B fueZy Kku dh n`f"V ls loZizFke fpfdRlk 'kkL= dh jpuk izkjEHk dh FkhA rRi'pkr dbZ _f"k;ksa us bl fpfdRlk 'kkL= dk vè;;u vkSj vH;kl vusdksa _f"k;ksa us fd;k vkSj turk dks ykHk igqapk;k] ;kfu loZizFke fpfdRlh; xzUFk jpuk dh Hkwfe Hkh ;gh jgh gSA ysfdu bl fpfdRlk 'kkL= dk Js"Bre vè;;u rRdkyhu czãf"kZ _phd ds  iq= thod us viuh vFkd yxu ,oa bZ'oj d`ik ls iw.kZ dj ledkyhu _f"k;ksa esa viuk LFkku vxz.kh iafDr esa cuk fy;k FkkA ysfdu tc og f'k{kk nsus ds mís'; ls f'k{kk vklu ij cSBs rks vU; eqfu;ksa us ,d Loj esa ;g dgdj frjLdkj fd;k fd ;g ckyd gesa ^D;k* f'k{kk nsxkA

bl frjLdkj ls ihfM+r thod du[ky esa gh xaxk ds fdukjs cls vk;qosZn egkfo|ky; ds lHkh _f"k Nk=ksa ds lkeus xaxk esa izfo"V gq, vkSj xaxk ty ls o`} O;fDr dk :i ysdj [kM+s gq,] vk'p;Z ls Hkjs rRdkyhu eqfu;ksa us ,d Loj esa mUgsa vknj ls o`}&thod uke ls iqdkjk vkSj muls vk;qosZn dh f'k{kk izkIr dhA mijksDr ?kVuk nks fo'ks"k ckrksa dh vksj bafxr djrh gS] fd ;gka ml izkphu le; esa vk;qosZn dk egkfo|ky;ksa vkSj ;gka vk;qosZn fpfdRlk deZ gksrk FkkA bldks 'kksèkdrkZ }kij ;qx dh ?kVuk dgrs gSA ogha varjkZ"Vªh; Lrj ds lkaLd`frd 'kksèkdrkZvksa us bldh izekf.kdrk ds fy, rF;kRed 'kksèk i= i<+s] vkSj ;g Hkh Li"V fd;k fd ml le; ls vkr rd lHkh èkeksZ ,oa leiznk;ksa ds egkiq#"kksa us gfj}kj dh Hkwfe dks Li'kZ dj vius thou dks èkU; le>k vkSj vius vuq;kf;;ksa dks thou esa ,d ckj gfj}kj n'kZu dk lans'k fn;kA ;gh ;g eq[; dkj.k gS] ftlls le;&le; ij gksus okys èkkfeZd ioksZ ij n'kZukfFkZ;ksa dk lSykc meM+ iM+rk gSA

vkt Hkh Hkxoku fo".kq ds nf{k"kh vaxwBs ls fudyh eaxydkjh 'kq) ok;q dk Li'kZ ;gka vkus okyk dksbZ Hkh èkkfeZd O;fDr m"kkdky esa Lo;a vuqHko dj ldrk gSA ogha ;g vuqHko dj ldrk gS fd gfj}kj {ks= esa eafnjksa esa gksus okyh iwtk vpZuk ds i'pkr gh ^lw;Z&nso* n'kZu nsrs gSA ftudk vuqHko djus ij tgka LoLFk O;fDr ds LokLF; dk laj{k.k gksrk gS] ogha jksxh O;fDr Hkh 'kh?kzrk ls LokLF; ykHk djrk gS vkSj tc LokLF; dh ckr vkbZ gS] rks ;gka eSa vkidks gfj}kj ds ,d vkSj xkSjoe;h rF; rks crkrk gwa] fd fo'o esa lcls T;knk ^fpfdRlk dsUnz* gfj}kj esa gh gS] ogha e/kqesg fpfdRlk  ds {ks= esa 'kks/k fo'ks"k fodkl dh vksj vxzlj gS] ;g nwljh ckr gS] fd le; ds lkFk budk fodkl ugh gks ik;kA ysfdu ;g eks{k}kj vc èkhjs&èkhjs viuh iwoZ [;kfr ikus dh vksj vxzlj gSA ysfdu ;g rHkh laHko gksxk tc bl {ks= esa vkus okyk izR;sd ;k=h@f'k"; bls flQZ i;ZVu LFky uk le>sa vkSj bl èkkfeZd èkjksgj dks fod`r cuus ls cpkus ds fy, viuk ;FkklaHko lg;ksx nsaA

Mk-vydk-fl?kay] ,e-Mh-

                                      fla?ky Mk;fcfVd Dyhfud                                             gfj}kjA

Diabetes & Biological Clock

 Diabetes and Biological clock 

How Brain react to life style in contest to diabetes

Human brain is one of the most exciting organ gifted with mind, which perceives all the process happening in the surroundings. this all happen with the flow of bio-electric energy of human body. As it is circulated through all the systems of the body. As soon as the sense organ sense some stimulus, it immediately goes to the brain, by which brain send response to the corresponding functional unit. The whole bio-electric energy is controlled by the brain or we can say that brain is the power house to produce this energy to control all the body functions. Nervous system and circulatory system play an important role in carrying bio-electrical  energy. To balance energy fluxes, brain needs the clear view of metabolic state of the body.

The hypothalamus in the brain uses hormones and autonomic nervous system to balance the energy fluxes in the body. The regulatory, physiological and behavioral mechanism depends upon the biological rhythm. Which are also stimulated by environmental cycles of day and night, seasonal climatic changes (temperature etc.) induce modification in the highly complex mechanism of metabolic and hormonal process, these biological events constantly repeated in a fixed period are called “Circadian Rhythm” (eg. sleep/wake pattern)

Generated by endogenous mechanism, we can say it is a very synchronized clock adjusted with day and night cycle and environmental events. It is now known that the hypothalamic biological clock, which located in suprachiasmatic nucleus, receives light information through eyes and transmits it to rest of the body to synchronize physiology of environment. This suprachiasmatic nucleus is also responsible for a 24 hours rhythm  in plasma glucose concentration.This clock prepares the individual for the upcoming activity period by two separate mechanisms-

1.     Increasing plasma glucose concentration.

2.     Making tissue more tolerate to glucose.

This glucose tolerance vary during the day, the more glucose is taken up early in the morning than afternoon and evening. So when plasma glucose concentration is high before the onset of activity, human seems to be more tolerant to glucose. The 24 hour rhythm in glucose uptake correlated strongly with the 24 hour rhythm in plasma glucose concentration.

So the imbalance in bio-electric energy creates disturbance in the biological clock rhythm which is also associated with metabolic disorders such as Obesity, Diabetes and Hypertension. Because this disturbance effect the metabolic process and Insulin sensitivity, liver function and fatty acids mechanism and some other hormone release phenomena which may result in such disorders. 

Because of this master clock brain  coordinates with every human activity,therefore  managing  life style  pattern is important to control the rhythm with positive flow of energy in the body.  

Dr.M.S.Singhal

50 th Free Diabetes camp at Singhal Diabetic Clinic,Haridwar was held on 14/11/13

World Diabetes Day- 50th Diabetes Camp by Singhal Diabetic Clinic (Hindi)

fla?ky Mk;fcfVd Dyhfud] gfj}kj us 22 o”kksZ ls fu%’kqYd e/kqesg f’kfojaks ls bl jksx dh tkx#drk  turk rd igqapkus ds fy, bl o”kZ Hkh fo'o e/kqesg fnol ,oa cky fnol 14/11/2013  dks 50oas  fu%’kqYd e/kqesg f’kfoj dk vk;kstu dj jgk gSA

f’kfoj dh mi;ksfxrk ij cksyrs gq, Mk-  ,e-,l- fl?kay us dgk fd  gekjs ns'k esa vfèkdrj O;fDr;ksa ds fy, LokLF; ,d xkS.k+ fo"k; gSA og dsoy bl vkSj rHkh è;ku nsrs gS] tc mudk LokLFk; muds nSfud thou esa O;oèkku mRiUu djrk gSAgekjs lekt }kjk ik'pkR; lH;rk dk vUèkkuqdj.k Hkh bl jksx dks c<+kus esa lgk;d gqvk gSA ftlds dkj.k 'kqxj jksfx;ksa dh la[;k yxkrkj c< jgh gSA cky fnol ,oa e/kqesg fnol  ij mUgksus  tulk/kkj.k ls dgk fd ;g fnol ges alpsr  djrk gS fad ge vius cPpks dks  bl jksx dh pisV esa vkus ls cpk,a avkSj mUgsa jksx dh izkFkfed tkudkjh ns  rFkk f’kfojksa esa tkdj jksx laca/kh Hkzkfr;ksa dks fpfdRld ls feydj nwj djasA bl volj ij mUgksaus lHkh Mk;fcfVt jksfx;ksa dks ;g ijke'kZ fn;k fd og vius CyM&'kqxj ,oa  gkb CyMizs’kj ij izHkkoh fu;a=.k cuk, j[ks ;fn ykijokgh o'k jksxh dk dksbZ vo;o laLFkku e/kqesg jksx ds dkj.k izHkkfor gks tkrk gS] rks mls iqu% lkekU; fLFkfr esa ykuk egaxk ,oa dfBu  gS]s fo’ks”k #i ls xqnksZ  dh dk;Z{kerk bl jksx esa vR;Ur ,oa ’kh?kz izHkkfor gksrh gS]vr% fcuk fpfdRlh; ijke'kZ ds vkS"kfèk;ksa dk vaèkkèkqaèk iz;ksx uk djsaZ]

Mk- vydk fl?kay us dgk Mk;fcfVt ,d ,slk jksx gS] ftldks lewy u"V djus dh fdlh Hkh fpfdRlk i}fr dh dksbZ Hkh vkS"kf/k vHkh rd fo'o esa miyC/k ugha gSA tks Hkh vkS"kf/k;ka miyC/k gS] og dsoy jksx dks fu;af=r gh dj ldrh gSA Hkkjr ns’k es Mk;fcfVt jksfx;ksa dh la[;k  rhoz xfr ls c< jgh gS D;ksfd  blls  cpko dh izkFkfedrk dh vksj dksbZ fo'ks"k è;ku ugh fn;k tk jgkA vr% bl jksx ls cpus ds fy,a bl volj ij e/kqesg jksx ls cpus ds fy, Mk- fl?kay nEifÙk }kjk fodflr ,d lkWWWW¶Vos;j dh Hkh tkudkjh nh tk;sxh tks osclkbV www.grass-diabetes.com ij miyC/k gS] ftlls fdlh Hkh O;fDr dks ;g tkudkjh fey ldsxh fd mls ;g jksx gksus dh fdl mez esa fdruh laHkkouk gS A og bl jksx ls cpus ds fy, D;k lko/kkfu;kW cjr ldrk gS vkSj viuh fdpu esa miyC/k elkyks ds lsou ls  Mk;fcfVt jksx ls cp ldrk gS A

यह सॉफ्टवेयर उन सभी स्वस्थ व्यक्तियों के लिए लाभकारी होगा  जिनके परिवार में या तो  डायबटीज़ है और या जो व्यक्ति आधुनिक जीवनशैली व् खानपान के कारण अपने जीवन में डायबटीज़ को बुलावा दे रहे है . यह सॉफ्टवेयर व्यक्ति द्वारा दी गयी कुछ संक्षिप्त स्वास्थ्य-सम्बन्धी जानकारी लेकर कुछ ही पलो में व्यक्ति को आने वाले समय में डायबटीज़ होने कि उम्र एवं खतरों  से आगाह करेगा और साथ ही उस व्यक्ति के अनुरूप जीवनशैली , आहार , औषधि एवं बचाव के लिए आवश्यक जानकारी भी उपलब्ध कराएगा जिससे व्यक्ति समय रहते इस विकराल जटिल रोग को दूर भगा सकेगा और कंप्यूटर की आदी हो चुकी युवा पीढ़ी भी इस से लाभान्वित हो पाएगी .आमतौर पर जिन लोगों के परिवार में पहले से ही कोई डायबिटीज का मरीज रह चुका हो, उन्हें डायबिटीज के दौरान या डायबिटीज से बचने के लिए अतिरिक्त देखभाल की जरूरत होती है।

jksx ds izfr tkx:drk ls bl jksx ,oa blds minzoksa dks jksdus ij cgqr gn rd lQyrk ik;h tk ldrh gSA

How blood sugar level is maintained in human beings?

How blood sugar level  is maintained in human beings?

There are three processes by which blood sugar level is maintained in human body-

1-Production

2-Utilization

3-Conversion

Production- What we eat mainly Carbohydrates & Sugars all  are converted into Glucose by the Liver.

Utilization-This produced glucose goes for various purposes through  cellular uptake to peripheral tissues.

Conversion-Insulin (a hormone, secreted through pancreas) helps for cellular uptake as well as for its conversion to other  components  like triglycerides, nucleic acid & others important for protein synthesis.

In a healthy person, all these processes  occurs normally,& blood sugar level returns to normal within 1 hour of diet intake, but when these  processes are disturbed the  level of sugar in blood is also affected. If it continues for a long period  Diabetes Originates.     

Dr.Alka Singhal MD

Diabetes & its type

 Type of Diabetes 

          Most of the people do not differentiate there diabetes with the  other. They usually think there is no difference of individual diabetes. But it is not true even two family members can have different type of diabetes and according to their type, treatment is varied. Every health aware must know this fact.

The team of modern Endocrinologists of w.h.o. divided this complex disease in to several groups on medical background technically which are difficult to understand for a nonmedical person. So we are trying our best to simplify  this classification in five group as under-

1-  Ist Group – IDDM (Insulin dependent diabetese mellitus) comes in this group, usually effects below 15 years and its onset is rather abrupt. It have again further division of obese (over weight) & Non-obese, which are ketosis prone or not with other subdivision Approximate 10 % of total diabetic population are IDDM

2-  IInd Group - NIDDM (Non-Insulin dependent diabetes  mellitus) effects adult or above the age of 35 years . In this type, there is  sufficient  Insulin, but body cells are partly fail to use it. 85 % diabetes are of this variety, it is again having the division of Obese and nonobese etc.

3-  IIIrd Group- MRDM(Malnutrtion related diabetes mellitus) previously this variety was not found in India. But now some patients are registered in metropolitan city hospitals, Imbalance diet is the main cause of it.

4-  IVth Group – In this variety pancreas function is effected due to inflammatory conditions stones, cyst, tumour etc. in it.

5-  Vth Group – Gestational diabetes, Stable diabetes, Brittle diabetes represents this Variety.

so one should understand the depth of diabetes and never try any medicine without consulting the Physician or Diabetologist of your city.

Dr.Alka Singhal

Can we assess Diabetic Complications earlier?

Can we assess Diabetic Complication earlier?

Yes/may be

In 1993, most popular Diabetic Control & Complication Trail study (conducted in USA) showed for the first time that strict control in patients with type-1 diabetes greatly reduced the complication of the disease, and United Kingdom Prospective Diabetes Study proved similar evidence in favour of strict control in patient with type-2 diabetes.

Both the studies stressed on quantifying the complications as earliest possible, because once a macro or micro vascular diabetic complications take place, then quality of life effect different level directly or indirectly, hence diabetic complications are –

First cause of increased expense and pain

Second cause of physical disability

Third cause of death

 Cost of medication raised by 22-25% and risk of hospitalisation raised by 30%.

Decontrol or poor blood sugar control is main reason for all diabetic complications, it causes fix by the Global scientists are – Lack of awareness of diabetes, avoid pathological tests, Self- medication, poor compliance (including diet & exercise), unable to differentiate between control and cure, and finally patient don’t want to involve know the severity, so patient rarely involve when doctor were detailing about complications of diabetes. Result pressure on hospitals is increasing every day, rate of emergencies or mortality are now multi fold as compare to last 10 years.

To avoid these most complicated situation scientists of bio-medical field introduced new generation Non-invasive instruments working on a variable frequency (low to high) with built-in ECG capabilities and computer compatibility. These instruments measure R-R interval, Power-Spectrum, Poincare-plotting Pulse wave velocity, Arterial histogram, Arterial-brachial index, Cardio-techogram, valsalva manoeuvre (in graphical presentation) and Vibro-sensometry (for feet’s).

But output of above these instrumentations was again useful for doctors only, but patients were unable to understand, so they were not involving in his problem. After a long exercise, we select some pathological tests- Haemoglobin, haemtocrit, platelet count, lipids, SGOT,SGPT, ALP, Albumin, S.Urea, Creatinine, Uric, Calcium, Magnesium, Phosphors, Sodium, Potassium, Ghb1c, C-peptide, Insulin assay, and coordinate with above said instrumentations and make very first time a new algorithm, and matched with patient complaints, results were encourgable, and the important point was patient were understand about his health status. We labelled as 1^stDiabetic Complication Assessment unit.

The comprehensive report assess risk of General  health, function of pancreas and risk of eye, cardiovascular , cerbrovasculer, kidney, sexual, neuropathic and foot.

For example- If a 35 yrs old, average wt, non alcoholic, non smoker  have diabetes last 1year with diet control having, Ghb1c-8.5. C-peptide-1.4 and insulin-7.2 then his pancreatic function will be appxcimatly  24.00 %( normal 100%), interpretation diet control and exercise are not sufficient, patient should be consult with diabetologist and switch over to anti-diabetic drug.

It is very much useful to dialectologist, because most of the time diabetic patient are unable to explain their problems or new symptom in early stage, while the doctor are busy in his own schedule, so due to communication gap new symptom gradually strengthen and get into a shape of severer diabetic complication.

A quick review of this report quantifying content tell the complete status of target organ, hint to modifying his treatment and reduced the cost of medication by 22-40%, reduced chance of OHGA failure, hypoglycaemic bout of insulin.

By this approach a group of diabetic patients could understand what is our actual status of health due to diabetes, and start efforts for better control to push back diabetes complications, and successfully improve

Quality of life by 65-75%

Reduced approximate cost of medication 22-40%,

Risk of hospitalisation y 45-50%

Complication by 55-60%

Emergency situation by 60-65%

And emergencies burden on hospitals, financial burden of individual as well as govt.

Dr.M.S.Singhal

How to prevent your loved ones from becoming Diabetic

How  to prevent your  loved ones from becoming Diabetic-

If you are type 2 diabetic, Take responsibility to save your Kids from Diabetes, just think & recall the reason ,why you became Diabetic, Is it genetic/hereditary or because of your life style.

If it is because of your faulty Life style,guide your family to improve their lifestyle, giving your own example, because such type of diabetes can be prevented with proper life style changes & diet intelligence by telling   them to eat not only for taste but for Health.

If it is genetic or hereditary, than your responsibility increases many times-

• Gift them your culture, wealth,  teachings, best education & other good things but try your best to not gift Diabetes to them.
• Try to promote healthy food habits & importance of physical activity from childhood, with health education.
• Gift   them interesting  awareness literature about Diabetes.
• Ask them to join you, when visiting  the  Diabetologist , so they may learn about the disease.   
• Take them to the Diabetic awareness & Education camps, if possible.
• Make them alert  for any new abnormal symptom ,if they feel.
• Explain them about the economic burden of diabetes, with your own expenses to manage  it.
• Explain them about the loss of working hours because of disease which include regular visits of Diabetologist, Pathological test etc.

And one most important thing “Once a Diabetic, ever be Diabetic”

For more on prevention: Visit  www.grass-diabetes.com 

Dr.M.S.Singhal

Diabetes control & Stress

Diabetes Control & Stress

The human body is very complex. Every part is controlled by brain, the influence of which can be changed by proper thought and attitude. The outside factor also affect almost every part, distrubing the functioning of various organs. Stress refers to psycho-physiological changes occurring in response to stimuli perceived as threatening or harmful. Any event that requires adaptation can trigger the physiolgical responses that charaterise stress. What we think and how we feel affects our health; the mind and the body are intimately connected.

In  modern  urban societies we are threatened and attacked, but usually in non-physical ways. Stresses are felt as a result of economic burden, difficulties in getting on with people, or competition at work or school. There is a stress response to noise, interruptions, queues, deadlines, also by threats to personal status from self imposed goals or from constant striving to meet the expectations of others.

Even though much modern stress is a long-term, psychological stress, it still initiates our stone age fight or flight response and we get steamed up. But in civilised societies, opportunities for physical outlets are few. or discouraged. So we bottle up our emotions, swallow our pride and keep ourself cool. The resulting anxiety is felt as a state of chronic readiness we cannot relax. The body is constantly tuned to a higher action level than it was designed to operate at. This makes us uncomfortable or  ill-at-ease. If this state continues too long it precipitates disease. The disease, which may be physical or mental, is the body,s way of turning out ,because when the body finds itself in a stressful situation it reacts by releasing adrenalin and cortisol. These have the effect of raising the pulse, blood pressure and respiration rate, tensing the muscles and causing a dry mouth, dilating the pupils and increasing the keenness of sight, hearing and concentration.

 The blood levels of sugar, fats and clotting factors are raised and digestion gets slow.Hence in diabetes, if the blood sugar level remains high for along period early diabetic  complications may precipitate .

So if you are diabetic try to relax your body & mind to keep your blood sugar in control.And if you are not diabetic do not let the stress to make you diabetic. Try to keep the stressors away from you,if possible.  

Was Lord Ganesha Diabetic?

YES / MAY Be.

There is no word or method which can determine the boundaries to which lord Ganesha is respected in the Hindu community worldwide. He is a total GOD-CELEBRITY in the context that the Ganesha-festival celebrated on Ganesha Chaturthi is one of the largest festivals celebrated across the world with great zeal and devotion.

His spectacular appearance with the head of an elephant and the trunk and limbs of a human being remind us of the miraculous story when his father, LORD SHIVA (called the destroyer in the hindu mythology) transplants an elephants’ head on the body of his son to make him alive on the request of his wife Goddess PARVATI  .Medically speaking, such transplants are still beyond the reach of present highly advanced medical science, but at the same time tells us about the difference between man and god i.e. the possible and impossible; the scientific and miraculous aspects of human existence.

On the first look at the God as a medical practitioner, what you see is the huge pot belly indicating a central obesity with short stature indicating high BMI. further readings into the life of the “God Celebrity” tells us that he led a sedentary lifestyle (ref. lord karthikeya-the elder brother of lord Ganesha and the running around the earth story—read hindu mythology) with mythological readings also suggesting that he had a sweet tooth with special cravings for an Indian sweet called “Laddoo” (modak). Looking at the complete lifestyle one can easily gather the information that lord Ganesha had the triad of all the important risk factors that preclude the development of the non-communicable pandemic called Diabetes (called as Madhu-Prameha – in which large quantities of urine is passed) in his adolescence. However, any reference concluding firmly over the diabetic status of lord Ganesha is non-existent to our knowledge.

Another reason that has been cited as a theoretical possibility is that the elephant’s head transplanted to him might have had an anatomically larger pituitary gland, thereby releasing large amounts of ACTH and GROWTH HORMONE, excess of both of which may have led to increased cortisol (body’s natural steroid) and somatomedines (insulin like growth factors developing in the liver due to growth hormone) respectively, which have been medically proved to be a precursor of diabetes.

It is believed that the deteriorating physical health of lord Ganesha casted a permanent stress  to the Goddess Parvati who requested lord Shiva her husband, to treat their son. Lord Shiva reviewed the surgery and the general health of lord Ganesha and suggested the need for some herbal remedies to control/reverse the condition and said—

“Gajanan bhoot ganadi sevitam, kapitha jambu fal-charu bhakshanam.

  Uma sut shok vinashkarkam, namami vigneshwaram paad pankajam.”

It can be explained as under-

Gajanan- Elephant headed (lord Ganesha)

Bhoot Ganadi Sevitam- Two meanings of this can be derived – The first is - worshiped by the existing beings, of all living beings, and the second is – Oh Lord, Please consume the “herbs of bhoot-aghna group”!

Group of Bhutaghan herbs – Bhoj Patra(Betula Utilis), Bhllatak(Semecarpus Anacardim), shayonak(Oroxylem indicum), Gorakhmundi (sphaeranthus Indicus), Jatmansi(Nordostachys jatamansi), Tulsi(Ocimum Sanctum), Gugllu(Commiphora Mukul), Devdaru(Cedrus Deodara), Sasherp(Brassica Campestris), Rudaksha(elaeocarpus Ganitrus), Durva neel (cynodon Dactylon).

According to Ayurvedic literature these herbs have been found Anti microbial, Analgesic, Wound healing properties and have individual pharmacological and also synergistic functions regulating the central nervous system with antioxidant properties, and may also play an important role to reduce the gap between animal and human post-transplant physiology (subject to research)

Kapitha jambu fal-charu bhakshanam- meaning the fruit of Kapitha(Limonia Acidissima), Jamun (Sizygium Cumini) and Charu (dubra grass, Cynodon Dactylon ) all have to be consumed.  

Ancient Ayurvedic literature suggests that all these are astringent, anti-diuretic (to control polyuria), with hypoglycaemic properties and also significant immune-modulatory, antioxidant and fertility increasing properties.

Uma sut shoka vinashkarakam- two interpretations of this are-

1.    Son of uma (meaning lord Ganesha), you are the one with the ability to put an end to one’s sorrows and grief.

2.      Son of  uma(meaning Lord Ganesha), after consuming the above drugs your sorrows(health problems) shall be finished.

Namami vigneshwaram pad pankajam- Vigneshwara (synonymous with lord Ganesha) we bow to thy feet.

However the story of his illness doesn’t finish here! It is believed that lord Ganesh continued to have problems related to his illness and the above prescribed herbal medications weren’t enough to give a permanent solution to his problems.

So then again, Goddess Parvati requested Lord Shiva to treat lord Ganesha mentioning that the earlier treatment was unsuccessful in treating him. Ancient literature suggests that hearing this, lord shiva then designed “Shiva Gutika” a herbo-mineral drug aimed to treat the disease of his younger son Lord Ganesha (elder son – lord karthikeya-read Hindu mythology) and stated that after consuming this drug, Lord Ganesha shall be cured.

However, any further references stating the health conditions after the consumption of this drug have not been found by us. But we believe that lord Ganesha might have developed diabetes mellitus/prediabetic glucosuria for which he was prescribed the aforementioned medications. 

Conclusions:

·         The occurrence of the disease Diabetes might have had an Indian origin as per the mythology

·         The presence of uniformity in the risk factors suggests that we should stay away from such life threatening   lifestyles

·         Most importantly, the ancient texts refer to the drugs which were tried over lord Ganesha and we must try these drugs over diabetic patients. The pharmacological aspects of these drugs in respect of Diabetes/metabolic syndrome should be explored for development of new path-breaking drugs in the treatment of diabetes.

 Authored and compiled by -                                                                                                                                    

Dr.M.S.SINGHAL & Dr. ALKA SINGHAL.                                               

Links & References for further reading-

http://ganesh.com/

http://mylordganesha.com/2012/09/14/is-lord-ganesha-married/

http://www.amritapuri.org/3714/ganesha.aum

http://www.speakingtree.in/spiritual-blogs/seekers/wellness/diabetics-and-lord-ganesha

http://joe.endocrinology-journals.org/content/118/3/353.abstract

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(05)73137-8/fulltext

http://www.kon.org/urc/v9/liebman.html

Charak Samhita-commentary by-Dr.Brahamnand Tripathi part 1&2, 7^th edition,2000, published by Chaukhambha Subharti Prakashan, Varanasi.

Shaligramoshad Shbadsaar (Ayurvaidiya Ayushdhiya kosh)1995, written by Shaligram, Khemraj Shri Krishan dass Prakashan Mumbai-4

Chakradutt – Vrashyadhikar/Shalok 191/ commentary by Indradev Tripathi , Chaukhambha Sanskrit Bhawan Varanasi

Dravyagun Vigyan part- 1 & 2, written by Prof. P V Sharma, Reprint 2003 Chaukhambha Bharti Academy Varanasi

Bhaishjya Ratnawali – Rasayan Prakarn / Shalok 151-173/ Ambika Dutt Shasti Chaukhambha Prakashan Varanasi

Awareness campaign Survey of Diabetes from School

Diabetes Care & Control Program-2  By  Singhal Diabetic Clinic

We are working on Diabetes from last 20 years, & performed various awareness activities through National News paper articles, Radio talks, TV programs, Awareness lectures in social organizations, Distribution of literature & 49 Free Diabetic camps till 2011.

Now in the continuation of our awareness activities we have started the survey from schools with the objective to create awareness of Diabetes  among children. World health organisation states that there is enough evidence that consumption of Junk food & lack of physical activity particularly in children is a trigger to multiply the disease occurrence.  India was estimated to have the highest number of diabetes cases in 2010 ~ 50 million approx. and by 2012 it is estimated to rise to 65 million. There is an increase in the percentage of population being exposed to diabetes in addition to the decrease in age of onset.

This can be prevented by having update information, before its onset, Therefore we have decided to collect the basic information. By which we may be able to provide better solutions for motivation to children and their parents to adopt healthy life style & diet, along with the preventive alerts regarding this complicated multi-factorial disease. As we believe that creating awareness is first step in fighting against the menace of diabetes.  To do this needful we released a Performa to be filled by the students/parents, for their welfare.