Total Care Control Diabetes Care Centre

Hi,

I am Dr. Rajesh Kesari, Endocrinologist. Diabetes ek aisi bimari hai ki agar kisi ko ho jaaye toh vo zindagi bhar sath nahi chodti. Diabetes ek aisi bimari hai jiski vajaha se koi taklif nahi hoti. Iske koi lakshan bhi nahi hote hain. Isliye log iske baare mein kuch nahi karte. Lekin diabetes ek bahut hi ghatak bimari ho sakti hai. Isliye iska ilaj karna, iska dhyaan rakhna bahut jaruri hai. Diabetes kya hai, kyun hota hai, kya kar sakta hai, iske baare mein hum charcha karenge. Diabetes ek snake ki tarah hai. Khali sugar badhne se aap ko koi taklif nahi hoti. Sabse badi diabetes ki complication hai dil ki bimariyan like heart attack kyuki dil mein khoon ki nali jaam hone se heart attack ho sakta hai. Agar dimag mein stroke ho toh paralysis ho sakta hai. Aankhon ke parde mein sujan ho jaati hai. Retinopathy ki vajaha se aankhon ki roshni jaa sakti hai.

Gurde andar se sukad jaate hain. Kidney kharab ho jaati hai. Kidney failure ho sakta hai jiske vajaha se dialysis and kidney transplant karne ki jarurat pad sakti hai. Pairon ki nasen kharab ho sakti hain. Chote ghav ho jaate hain jo thik nahi hote and kabhi kabhi itne jyada ho jaate hain ki uske liya paun ka hissa katnapad jata hai. Diabetes ki vajaha se depression ho sakta hai. Sexual problem ho sakti hai. Isliye diabetes control karna bahit hi jaruri hai. Diabetes kyun hota hai? Kyuki humare sharir mein ek organ hai pancreas, vo thik se agar insulin nahi bana raha hai ya fir kam ya kharab ban raha hai. Type 1 diabetes mein insulin bilkul nahi banti and type 2 diabetes mein insulin banti toh hai lekin jitni jarurat hai us se kam banatai hai.

Hum jo bhi khate hain us se sugar nikalti hai jo khoon mein jaati hai and usse khoon mein sugar ki matra badhti hai. Usko kam karne ya contriol karne ke liya humara sharir banata hai insulin. Ye khoon mein sugar ki matra ko kam karti hai. Diabetes mein insulin banna bilkul band ho jaata hai ya fir bahut kam banta hai. Agara kisi ko ho gayi hai toh kya kar sakte hain. Sabse badi baat diabetes ka ilaj kewal medications and injections se nahi ho sakta hai. Diabetes mein aap apni madad khud kar sakte hain. Diabetes ek lifestyle disease hai. Aap ko apne lifestyle ko change karna hoga. Aap ko apne jiwan ke tor tarike change karne honge. Khane peene mein hari chizen khoob khayein. Jitna ho sake utna salad khayein.

Peat bhar ke aap ko salad khana hai. Rice, maida, potato, inko bahut hi kam matra mein lein ya na hi lein. Wholegrains jyada lein. Fruits jyada khayein. Iske sath sath apne body ki activities increase karien. Jyada se jyada walk karein. Regular walk apka diabetes control rakhta hain and cholesterol kam karta hai. Excess weight bahut badi problem hai. Diabetes ke liya agar aap ko medications prescribed hain toh lete rahein. Diabetes ki medicines har patient ke liya ek jaise nahi hoti hain. Aaj kal diabetes ki aur bhi medicines aa gayi hain jinse aur bhi benefits hote hain. Blood tests bahut important hain khaas kar ki HbA1C. Agar doctor ne aap ko insulin prescribe kiya hai toh lete rahein kyuki ye safe hai. Jaise bhi problem ho, doctor se jarur discuss karien. doctors hi aap ke friends hote hain jo aap ko sahi guidance dete hain.

Thank You.

Hi,

I am Dr. Rajesh Kesari, Endocrinologist. Today I will talk about diabetes. What is diabetes and what we can do even if we have it? Diabetes is a chronic lifestyle disease. It always is there with you for your whole life. Why do we need to treat diabetes? What can we do in diabetes even without doctor's help? It is caused because of insulin resistance or lack of insulin. Insulin is a hormone produced by your pancreas. It decreases the amount of sugar from your blood. Whenever you eat anything, especially carbs, it contains glucose and then the level of glucose rises in your blood after having food. And with the help of insulin, his level of glucose is normalized. What happens in diabetes that insulin is not produced in sufficient quantity so, the sugar level is always high in the blood. So, what happens that a high level of sugar causes a lot of complications that is why diabetes is called a silent killer.

Diabetes crawls like a snake and suddenly bites. The worst complications are a heart attack, stroke, kidney disease, kidney failure, diabetic retinopathy, diabetic neuropathy, infections in the feet. If the sugar is not controlled they are bound to happen. But, you can prevent them from happening. Diabetes cannot be treated by taking pills, medicines, or injections. There is a lot you can do yourself, to help and to treat diabetes. Now, I will tell you what can you do? First, modify your lifestyle. Start with your diet. Eat a lot of greens. You can have it as much as you want. Eat more fresh and uncooked vegetables. It a lot of grains. Food which has a lot of fiber in it which delays the rise of glucose. Eat fruits which is very important. And another important thing is an active lifestyle. The walk is very important. Climb stairs, exercise, so try to find an opportunity where you can walk, exercise.

Increase physical activity in your life. Changing diet and exercises can do a lot and helps in bringing down your sugar levels and prevents the complications of diabetes. There are some myths about diabetes. If a Dr has prescribed your medications, you must take it. If you have any problem with medications, you must consult a Dr and ask for the change. Now, diabetes patients need constant monitoring. Don't do the mistake of taking the same medicines continuously for a long period of time without consulting a Dr. Because it can happen that medicines will stop acting on your body. So, consult a Dr and you need to go for regular testing. You must do some basic tests like HbA1c, urine test, at least once in 3 months to know that your sugar levels are under control. At least once a year you go for lipid profile, kidney and liver test. And you should also monitor yourself with a glucometer from time to time.

People are very afraid of taking insulin. If your Dr prescribes that insulin is required, then you must take it. Insulin is a diabetics best friend. The whole problem in diabetes is that you do not have sufficient insulin. Take care of weight. Just by decreasing weight, a lot of medicines can be stopped. Diabetes can be controlled, blood pressure can be controlled, cholesterol can be controlled. So, these are small things if you are incorporating in your life, if you change some of your habits, control diet, physically active, take your medicines regularly, you can have a very happy and healthy life. And if you have any problem despite all these, we Drs are here, I am here to help you.

Thank You!