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)

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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.