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In Delhi and other big metros Diabetes prevalence close to 10% of the population, Diabetes is a chronic illness and now rampant in our society, by various estimates every 5th-12th person living in this country’s cities could be suffering from Diabetes,– it is now also spreading its tentacles in the smaller towns and villages. As urbanization is spreading to smaller towns more and more people are getting affected by the lifestyle diseases like Diabetes, High Blood Pressure and Heart Diseases leading to the lethal consequences of Heart Attack and Stroke.
Majority of Diabetes in our country is Type 2 Diabetes, Type 1 Diabetes accounting for 5% or less of all the Diabetes cases. Diabetes requires lifelong treatment or management, even though patients own efforts are very important in controlling Blood Sugar and other important parameters but most of the times they are not sufficient at the best. Diabetes Specialist inDelhi Dr Rajesh Kesari shares some of the key reasons why despite good efforts people fail to control Diabetes:
Lack of understanding of the disease process- may be due to improper of insufficient counseling of patients who are laymen and not supposed to be too familiar with diseases
Insufficient understanding of the consequences of uncontrolled Diabetes- When people are told of the ghastly consequences of Diabetes they tend to take Diabetes more seriously, control diet, do regular exercise and take their medicines regularly.
Delay in initiating Insulin,- Most of the Diabetics require extraneous Insulin after about 10 years of Diabetes, some may require earlier- depending on the Type of Diabetes and the average control of Blood Sugar- but most are reluctant to start taking Insulin- this perhaps is the biggest impediment in achieving adequate control of Diabetes.
Inappropriate Insulin dose- It’s often seen that people start taking Insulin but not in adequate quantities hence are unable to achieve their targets, here the responsibility may lie also with the Diabetologist. In Delhi at our Centre- Total care Control we pay a lot of emphasis on timely Insulin initiation and Insulin dose titrations to achieve our patient’s goals of Diabetes.
Lack of Regular Testing and Follow up- Patients must regularly test their Blood Sugar levels and do other essential tests as HbA1C to assess their Diabetes control. Since Diabetes is asymptomatic patients do not understand whether the Blood Sugar levels are normal or not. Diabetes cannot be cured and has to be managed- so we must use the principles of management to achieve best results, hence regular controls are important to monitor the progress.
डायबिटीज (Diabetes) Tips
मधुमेह (Diabetes) एक बहुत ही आम और खतरनाक बिमारी है. भारत में हर पांच में से एक व्यक्ति को डायबिटीज (diabetes) है.आज हम इसी बीमारी के बारें में detail में जानने की कोशिश करेंगे.
क्या होता है मधुमेह ?
Diabetes information In Hindi
मधुमेह (Diabetes) एक ऐसी बीमारी हैं जिसमें रोगी के खून में ग्लूकोज़ की मात्रा (Blood sugar level) आवश्यकता से अधिक हो जाती है.ऐसा दो वजहों से हो सकता है : या तो आपका शरीर पर्याप्त मात्रा में insulin नहीं produce कर रहा है या फिर आपके cells produce हो रही insulin पर प्रतिक्रिया नहीं कर रहे. insulin एक हारमोन है जो आपके शरीर में carbohydrate और fat के metabolism को Control करता है. metabolism से अर्थ है उस प्रक्रिया से जिसमे शरीर खाने को पचाता है ताकि शरीर को उर्जा मिल सके और उसका विकास हो सके.
हम जो खाना खाते हैं वो पेट में जाकर energy में बदलता है जिसे glucose कहते हैं. अब काम होता है इस energy/glucose को हमारे body में मौजूद लाखों cells के अन्दर पहुचाना, और ये काम तभी संभव है जब हमारे pancreas (अग्न्याशय) पर्याप्त मात्रा म…
This is the story of Manisha, who's just celebrated her 34th birthday and is a mother of 2, she works in an MNC as an accounts executive.She works for long hours and is constantly under stress to manager both her professional and personal responsibilities. She visited Total Care Control- Diabetes Care Centre three months ago, complaining of frequent urination and excessive hunger, weight gain and excessive fatigue. I advised her to get the blood glucose level checked. She was hesitant at start, saying she cannot develop this endemic disease. Also, her family had no history of diabetes. When, Diabetologist in Delhi Dr Rajesh Kesari saw her report, her blood glucose level were alarming. She immediately had to start medication along with strong lifestyle modification that included diet plan, physical activity and stress management. After 3 months, she stills follows all the medication and diet, but has her Blood Sugar level under control. Our country has many such Manisha’s who are no…