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Cpeptide
Please find answer in the attachment.
Please find answer in the attachment.
See lessC Peptide
Hello Doctor, Administration of exogenous insulin suppresses pancreas function of producing endogenous insulin in the case of type 2 Diabetes Mellitus. It doesn't get mix with the c peptide directly, but it does affect endogenous insulin and c peptide synthesis. So it is recommended to stop InsulinRead more
Hello Doctor,
Administration of exogenous insulin suppresses pancreas function of producing endogenous insulin in the case of type 2 Diabetes Mellitus.
It doesn’t get mix with the c peptide directly, but it does affect endogenous insulin and c peptide synthesis.
So it is recommended to stop Insulin before undergoing C Peptide test.
With hold insulin as per its type,
Hold Short Acting insulin for minimum 8hrs
Hold Intermediate acting insulin for minimum 12 hrs
Hold Long acting insulin for minimum 24hrs
Also, C Peptide test alone is not completely reliable for diagnosing Hypoinsulinemia or Type 1 Diabetes.
Along with C peptide, look for the below conditions to arrive at the diagnosis of type 1 diabetes.
1. Onset of DM less than 30yrs of age
2. Patient BMI less than 21
3. If the patient has suffered from Diabetes ketoacidosis anytime in his life
4. HBA1C is recorded high above 16 anytime in his life.
5. Onset of DM after suffering from any critical illness like acute pancreatitis, covid etc ,Chemotherapy or Surgery.
6. Patient BSL not responding to more than 3 OHA and having hba1c more than 14.
These above conditions along with low C Peptide levels helps us to diagnose Type 1 DM, Hypoinsulinemia condition.,
Lifestyle modification, Low Carb Diet, Exercise, Yogasana, Stress management , Panchkarma and Ayurvedic medicines helps in managing BSL in both the cases.
See lessWeight
Hello Doctor, Thanks for asking this very important question. Whenever you encounter such patients of weight loss first rule out whether this weight loss is intentionally done or it happened on its own i.e unintentional weight loss. If the patient has done some changes in his diet or exercise or lifRead more
Hello Doctor,
Thanks for asking this very important question.
Whenever you encounter such patients of weight loss first rule out whether this weight loss is intentionally done or it happened on its own i.e unintentional weight loss.
If the patient has done some changes in his diet or exercise or lifestyle then it is ok, weight loss occurred here is due to these changes.
In case of unintentional weight loss we need to rule out following
1. Uncontrolled DM
2. Hyperthyroid
3. Any Chronic illness
4. GIT troubles – Hyperacidity, IBS, Constipation etc
5. Malignancy
6. Grief
7. Koch’s
8. HIV
Following investigations may help you to arrive on conclusion
CBC : reduced haemoglobin may occur with chronic disease, malabsorption, chronic kidney disease, liver failure.
Raised erythrocyte sedimentation rate (ESR) : nonspecific indicator of disease, malignancy, infection, connective tissue disorder.
Renal function and electrolytes: may indicate chronic kidney disease, Addison’s disease.
Fasting PP blood glucose : diabetes mellitus.
LFTs , clotting screen: liver failure.
TFTs : thyrotoxicosis.
CXR : malignancy, tuberculosis.
Other investigations will depend on the context of the weight loss. Possible further investigations may include HIV serology, endoscopy and autoimmune disease screen
See lessFailure mode
Hello Doctor, In 95% of cases, our diet boxes are capable of giving improvement. In very few cases we need to think of something different. Apart from our regular diet boxes, we use the following diet plans in different conditions. Moong Diet - Laghu aahar, easy to digest, Rich in NO provides reliefRead more
Hello Doctor,
In 95% of cases, our diet boxes are capable of giving improvement. In very few cases we need to think of something different.
Apart from our regular diet boxes, we use the following diet plans in different conditions.
Moong Diet – Laghu aahar, easy to digest, Rich in NO provides relief from Angina,
We use it for treating Stable – Unstable – Postprandial Angina, in all three cases it can be used.
Soup Diet – Low carb, low protein, low-fat Low-calorie diet plan, rich in micronutrients and fibre. improves appetite and digestion. we use it for treating postprandial angina provided patient is not in CHF. Also, we can use it in patients not losing weight.
Smoothies – Low carb, rich in fibres, we can use it Uncontrolled DM, replace 1 meal with a smoothie to reduce total calorie burden on that day.
Renal Diet – Perfectly designed diet plan for CKD patients, use it in patients with high creatinine, raised potassium
different types of plans are available considering language, DM and Pottasium levels.
Platu break diet – This diet includes ingredients that help in increasing metabolic rate and burning fat, use it in a patient who is not losing weight despite following a diet kit. Use it for a maximum of 4 days then again shift to a diet box to prevent nutrition deficiency.
Virechan Diet – This diet is prescribed on Amari oil virechan day
GTT diet 7 day plan – This diet is prescribed 7 days before conducting GTT test
Intermittent Fasting – This type of diet plan helps in keeping blood insulin levels low for a certain time periods, Keeping insulin levels low helps in catabolism of fats and weight loss. You can advise it in the form of alternate-day fasting, periodic fasting, and daily 2 time meal-restricted feeding.
I have uploaded all our diet plans to this link.
Click on the below link to download respective diet plans
https://drive.google.com/drive/folders/1B23PG-yR3kXqMiJeptjVobN_O3y21i0x?usp=sharing
See lessPlateau stage in weight loss
Weight loss happens when we put our body into a Negative calorie balance that means calories burned are more than calories consumed. So here we need to rule out whether our patient is in negative calories or not. you can go through the below-mentioned checkpoints. In this case, your patient is walkiRead more
Weight loss happens when we put our body into a Negative calorie balance that means calories burned are more than calories consumed.
So here we need to rule out whether our patient is in negative calories or not. you can go through the below-mentioned checkpoints.
Also, check whether your patient sweats during exercise. Sweating indicates that the patient is doing a good level of exercise.
2. Once again take diet recall, check whether your patient is consuming 800kcal diet only, rule out the addition of home atta, rice intake, check the amount of oil in vegetables, check whether the patient is adding salt applying oil over chapati, in vegetables check if the patient is consuming potatoes, yam, and other underground grown vegetables. eating any sweets, halwa, etc in the name of prasad.
2. Check for Day Sleep, day sleep slows down metabolism and affects weight loss.
3. Keep watch on water intake, adv pt to drink water as per thirst only no need to drink excessive water unnecessarily.
4. Also check his allopathy medicine list for medicine having weight gain as side effects like secretagogues Sulphonylureas e.g glimepiride, gliptins, insulin, etc, steroids, beta-blocker, etc.
5. You can also add our lekhan medicines like Golekh, Mednox, Lipox, Linolive,Aloori, SMP, Templex etc, additional swedan followed by Nanotrim gel application will also help in getting rid of excess salt and water with inch loss.
if you don’t find anything then first give Platu Break diet for 3 days monitor wt and AG…..shift to 800kcal diet.
If it doesn’t work then you can move on to Sasneh Virechan….do ghrutpan and give virechan. During the virechan process, the patient will lose 2 to 3kg wt.
I hope these suggestions will help you in your mission of 100% disease reversal. Thank you.
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