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