Why Should You Take Medicines Only After Prescription?

Dr. Arun Kumar Singh hun. Endocrinologist, Delhi and Faridabad mein practice kerta hun.

Is video ke baagjan se mein aap sab se diabetes ke barey mein kuch jaankariyan share kerna chahta hun, jisey aap sab hi apni diabetes sahi tareeqay se niyanant ker sake aur diabetes ke sath mein hone wali swaas o samasyaun se bach saken aur lamba aur suwat jeevan jee saken.

So aap sab hi ko pata hai ke diabetes ek buhat bari muha bimari hai , humare desh mein aur vishun ke dusre deshon mein bhi. Qareeb qareeb 6 crore hindustani hain jin ko diabetes hai. Agar vespon ki baat karen tau 20% se 30% tak logon ko shehri ilaqon mein aur 10-15% logon ko gramid ilaqon mein diabetes hai.

Agar diabetes ka sahi samay se sahi tareeqay se ilaj na kiya jaye, tau dusri suwas sambaddi samasyain open hoti hain. Jaise ke heart attack ana paralysis hojana kidney failure ankhein kharab hojana, ankh ke peche jau parda retina hota hai uska kharab hojana, andhapan aur kaye sari samasyain hain - agar diabetes ka sahi samay se sahi ubchaar na kiya jaye tau.

So kuch jaankariyan diabetes ke barey mein: ziada tar log apni diabetes ka kuch checkup nahi karate hain who sochte hain ke jab hum ko diabetes ke lakhshan unge symptoms hunge tab woh diabetes ke liye test kerwaenge, jau ke ghalat hai kyun ke kahin per aisa hota hai diabetes apko kaye saalon se hota hai aur apko pata nahi chalta. Symptoms jau hain who sab hi ko nahin hote hain.

Kaye sare log atey hain jau heart attack ke sath atey hain hospital mein ya kidney failure ke sath atey hain , paralysis ke sath atey hain , unko pehli baar diabetes jab yeh sari samasyain jab uttang hojati hain , tab pata chalta hai jab ke unko diabetes kaye salon se hoti hai aur diabetes ki wajah se yeh sari samasyain hoti hain.

So jau bhi jin ki bhi umar 30 saal hochuki hai, un sab hi ko samay samay per kam az kam 2 ya 1 baar apna diabetes ka test kerwa lena chahye jis se diabetes sahi samay per pata chal jaye aur iska ubchar hosake. Dusra hai kuch log sochte hain kuch logon ko diabetes pata bhi chal jata hai ke unko diabetes hai aur sugar barhi hue hai lekin who treatment shuru nahi kerte.

Woh sochte hain ke mujhe koi symptoms hi nahi hain diabetes ki wajah se mujhe koi problem hi nahi horae tau treatment kyoun shuru kiya jaye. Who bhi ghalat hai agar apki blood sugar barhi hue hai diabetes hogaya hai, apko so apko symtoms hona zaruri nahi hai ziada tar logon ko symptoms nahi hote hain .

High sugar ki wajah se but jau sugar apka barha hua hai blood mein jau glucose barha hua hai , woh dirantar sharer ke dusre bhaag se dusre hisson mein dusre system mein lagatar nuqsan puhanchata rehta hai , aur ussi ki waja se agey kuch saal mein jaker apki ankhein kharab hojati hain kidney fail hota hai, aur jau dusri samsyain hai pehle mene bataen woh sari hoti hain kyoun ke apka sugar kaye salon se barha hua hota hai.

Tau diabetes ka treatment shuru kerne ke liye apko symptoms hona zaruri nahi hai - apko pata chal gaya ke apka blood mein glucose barha hua hai aur apko diabetes hai tau apko treatment immediately shuru kerdena chahye. Woh depend kerta hai ke sugar kitna ziada hai agar buhat ziada hai tau medicine bhi shuru kerni parengi ya sirf borderline thora sa barha hua hai tau lifestyle mein dinchariyan mein jevanchariyan mein exercise aur khanpaan ke perhaiz se jau halki borderline diabetes hai usko control kiya ja sakta hai.

Phir kuch ghalti log kerte hain ke jaise kisi ko diabetes pata chala tau who unke family mein ya unke friend ko diabetes hai who wohi dawae khana shuru kerdete hain aur bolte hain ke kyounke uska control tha tau me bhi yehi dawae kha raha hun phir who baad mein test bhi nahi kerte.

Samay samay pe jaanne ke liye ke sugar control bhi hai keh nahi control hai , tau who bhi ghalat hai jaise har insan unique hai sab ka sharer alag bana hua hai . Sab ka physiology alag hai ,sab ka anatomy alag hai , tau sab ki diabetes bhi alag hoti hai . Yeh zaruri nahi hai ke jin dawaiyoun se kisi ek ka diabetes control hai ussi se apka bhi control hojaye. Aap alag ho us insan se apka sharer alag hai , apka diabetes bhi alag hai, so apko zaruri nahi hai ke ussi dawaye se apka diabetes control hojaega.

Phir kuch log dawaye tau khate hain , per who test nahi kerwate hain samay samay p eke diabetes control bhi hai keh nahi control hai unko pata nahi hota, who phir aker yehi bolte hain keh agar mera sugar barhta hai tau mujhe pata chal jata hai . Yeh xyz aise aise lakshan ajate hain sugar ke , tau phir se wohi pehle wali baat ke sugar barha hai tau sab ko lakshan nahi atey hai.

Tau jab buhat high hojata hai 300-400 emergency wali situation ati hai tab uske symptoms atey hain, otherwise symptoms nahi hote hain . Jau sugar level jau khali pait fasting jau hai 100 ke aas paas hona chahye jau khan eke 2 ghantey baad 150 ke aas paas honi chahye so agar usey 50 ya 100 point ziada bhi hai , fasting kisi ka 150-200 hai khane se 250-300 hai tab bhi unko bhi symtoms hunge .

Yeh zaruri nahi hai tau ape k hi tareeqa hai pata kern eke liye ke diabetes ka control hai bhi ken ahi hai who hai samay samay per blood test kerte rehna apna fasting aur post prandial PP jau 2 ghante ke baad hota hai , sugar jaisa doctor ne salah di ho ya kam se kam 2 mahinay mein 3 mahinay mein ek baar tau kerwa hi lena chahye pata chal jata hai ke apka diabetes control hai ya nahi control hai aur ap diabetes control kerke usse hone wali samasyaun se apko khud ko bacha sakte hain.

Phir diabetes control hai tab bhi ap unse hone wale khatron se bach sakte hain uska risk kam kiya ja sakta hai but guarantee nahi hoti ke apko yeh problem hogi hi nahi. But risk kam hojata hai jaise agar 50% risk hai apko heart attack ka tau ap control kerloge tau apko 10% hojaega but phir bhi diabetes walon ko heart ki bimariyan paralysis kidney failure ziada hota hai agar hum unki tulna karen unse jinko diabetes nahi hai.

Tau dusri bimariyon ka bhi yehi hai keh ap unke liye bhi samay samay se har saal test kiya ja sakta hai kidney disease ke liye heart ke liye ankhon ke liye kyoun ke unke bhi symptoms jau hai early stage mein nahi atey hain jab symtoms atey hain jaise rectnopatti ka symptom ayega tau early bimari buhat advance stage mein hoti hai kidney failue ka symptom ayega tau bimari kidney ka damage advance stage mein hota hai .

Usko jaldi pakarne ke liye aur sahi samy se ubchar kerne ke liye jisse who bimari samasya agey na barhe us ka bhi samay samay pe test hota hai tau har saal ap apna kidney ka test kerwaen,  har saal apna urine ka test kerwaen, urine mein protein tau nahi araha hai-  har saal ap apne eye specialist se milen , ankhon ke specialist se milen retina ki janchna kerwaen.

Har saal ap cholesterol ki janch kerwaen BP blood pressure aap jab bhi doctor ke pas jatey hai , aap uski janch kerwaen aur doctor se aur ap pochte rahen ke apko aur koi test kerwane ki zarurat tau nahi hai , diabetes se hone wali samasyaun ko jaldi pakarne ke liye aur apko yeh pata hona chahye keh jau controlled diabetes hota hai fasting sugar khane se pehle jau hai khali pait jau hai 100 ke aas paas 10-20 point ke andar hona chahye aur khane ke 2 ghantey baad maximum 50 se 30-20 point oper ki range mein honi chahye.

Dhanewaad sunne ke liye agar apko kuch aur jaan kari leni hai agar apke pas kuch aur questions hain tau ap mujhe kabhi bhi contact ker sakte hain. Ap apne shehar mein doctor se ya endocrinologist se mil sakte hain dhanewaad!