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Can we use madhavshakti aata for 8-12 yrs old obese patients….
Yes Doc! YOu can surely use Madhavshakti atta for all age groups. Its absolutely safe for all gender and age groups for Prevention basis also. Its not necessary that the patient should be diabetic to consume the said atta. Due to low glycemic index of barley, one can advise this Madhavshakti atta foRead more
Yes Doc!
YOu can surely use Madhavshakti atta for all age groups. Its absolutely safe for all gender and age groups for Prevention basis also. Its not necessary that the patient should be diabetic to consume the said atta.
Due to low glycemic index of barley, one can advise this Madhavshakti atta for long term intervention also helping the subject to prevent further lifestyle diseases.
You can expect weight loss and blood sugar level reduction and control both.
If to be advised for faster action, the roti should be made with atta less than 30 gms of Madhavshakti atta. Maximum 4 rotis a day should be advised for better glycemic response.
See lessWhy is BAH to be given after meals and not before meals?
http://https://clinicaltrials.gov/ct2/show/results/NCT02767869 This trial suggests that banaba can be administered before food also.
http://https://clinicaltrials.gov/ct2/show/results/NCT02767869
This trial suggests that banaba can be administered before food also.
See lesswhat is the cause of fluctuatuions in blood sugar level once the allopathy medicines are close to tapered nil for eg only metformin or metformin+glimipiride??
I completely agree with Dr. Gurudatta. As rightly said, high fasting sugar levels indicate that stress is adding to the production of glucose, this can be the most likely reason for high BSL. Interventions like meditation and Bhramari Pranayam do help to control elevated blood sugar levels. To add tRead more
I completely agree with Dr. Gurudatta. As rightly said, high fasting sugar levels indicate that stress is adding to the production of glucose, this can be the most likely reason for high BSL. Interventions like meditation and Bhramari Pranayam do help to control elevated blood sugar levels.
To add to the whole answer, I suggest to go back and talk to the patient about his diet recall. Many times, unknowingly, patient consumes some foods which add to insulin resistance.
As we all know, fasting blood sugar elevation is a sign of high insulin resistance. The GLUT 4 receptors are not able to allow the blood sugar to enter the muscles in resting state due to being blocked by fatty tissue.
Advise the patient to refrain from following 4 foods
High fasting BSL indicates that there is still a huge scope of weight reduction in the patient, the liver still has a huge depot of fats to be utilized.
Advise the patient to have some additional aerobic or strength training exercises to utilize the stored fats.
Few drugs like antibiotics, β-blockers, thiazide diuretics, corticosteroids, cyclosporine and protease inhibitors used for viral infections may elevate blood glucose levels in those with or without diabetes. If so, a judicious call has to be taken for the same.
See lessPULMONARY ARTERIAL HYPERTENSION
Hello Doc, Pulmonary Hypertension is defined when the PASP [ Pulmonary artery systolic pressure ] is raised beyond 20 to 25 mm of hg. There are 4 major types of PAH, Idiopathic, no cause known Left heart failure Some lung disorders Thromboembolic disorders in lung If you find a acute increase in theRead more
Hello Doc,
Pulmonary Hypertension is defined when the PASP [ Pulmonary artery systolic pressure ] is raised beyond 20 to 25 mm of hg.
There are 4 major types of PAH,
If you find a acute increase in the PASP >70 mm of hg accompanied by hemoptysis, consider it to be related to thromboembolic disorder and will require acute management.
If you find acute increase in PASP>60 to 70 mm of hg, without hemoptysis, think of acute Heart failure which can have high mortality if untreated. Normal PASP is expected to be below 25 mm of hg. If any increase in PASP beyond this value on 2 D Echo needs fluid management. Treat the patient with diuresis and Fluid restriction below 1 litre a day till the PASP doesn’t come back below 30 mm of hg.
Chronic elevation of PASP may indicate chronic obstructive pulmonary disorder or Interstitial lung disease. Need to assess the FEV1/FVC ratio on PFT as a further investigation. Management of such patients is a challenge. Line of treatment can be based on Phuphus snehan and Pranayam to improve the oxygen saturation in blood which can be a prognostic parameter.
See lessC peptide
Doc, Congrats for treating such a tough case so confidently. C peptide is a substance made by pancreas along with Insulin. It is not a diagnostic tool but a marker which can help the doctor in his clinical analysis. Many times differentiating between a Type 1 and Type 2 DM is very difficult especialRead more
Doc,
Congrats for treating such a tough case so confidently.
C peptide is a substance made by pancreas along with Insulin. It is not a diagnostic tool but a marker which can help the doctor in his clinical analysis.
Many times differentiating between a Type 1 and Type 2 DM is very difficult especially in a low BMI diabetic patient. At times, we reject the patient considering him untreatable due to him being in low BMI, but our internal research has shown that our Madhavbaug treatment has seen to be equally effective in low BMI DM patients also.
So once again congrats for your success.
See lessMedicine
Selection of treatment will depend on patients expectation. Scene 1. If the patient says that i have come to treat my obesity and I am ok with my BP, in that case, Obesity management is expected. Scene 2. If the patient says that I have come to treat my BP and weight doesn't matter to him as a priorRead more
Selection of treatment will depend on patients expectation.
Scene 1. If the patient says that i have come to treat my obesity and I am ok with my BP, in that case, Obesity management is expected.
Scene 2. If the patient says that I have come to treat my BP and weight doesn’t matter to him as a priority, treat him for HTN.
As a clinician, you have to treat his HTN as a priority which will help his weight to reduce also, thus helping the patient to achieve both the goals simultaneously.
Nocturnal polyuria will also reduce down as you will reduce the total body volume of fluids in the body due to weight reduction.
However, if prostatomegaly is diagnosed, that will be left untreated as of now.
See lessArial Fribrillation
Hello Dr. Shraddha, Atrial fibrillation if acute and ongoing, can be fatal in few cases, but can majorly lead to complications like stroke and heart failure. It is caused usually due to sympathetic overactivity. It can be as a result of hypertension, obesity, sleep apnea, in cases of low EF, Tight MRead more
Hello Dr. Shraddha,
Atrial fibrillation if acute and ongoing, can be fatal in few cases, but can majorly lead to complications like stroke and heart failure.
It is caused usually due to sympathetic overactivity. It can be as a result of hypertension, obesity, sleep apnea, in cases of low EF, Tight Mitral stenosis, High blood sugar levels and high alcohol intake and in cases of hyperthyroidism also.
Panchakarma treatment can be performed in patients of A. fibrillations when they are not in acute phase of fibrillation. If they are seen in acute phases, hospitalization along with blood thinners and heart rhythm medications is to be advised.
To manage an obese patient with H/O Atrial fibrillation, weight reduction by more than 10% is advisable. Controlling the risk factors like Ischemia, Heart failure, blood sugar levels and blood pressure levels along with maintaining healthy electrolyte levels is advisable to prevent future attacks of AF.
Monitoring the Left atrial size and Left atrial volume is a good strategy to prevent further attacks. Managing fluid volume through liquid intake, and good controlled diuresis through mutra or purisha virechan can be helpful. Various researches have proved that several types of Pranayama like Bhramari can be helpful to control the Sympathetic overactivity and improve the Autonomic nervous system, thus preventing further episodes of AF.
See lessGTT for Type 1 Diabetics
A very logical question Doc. Now one needs to understand that there is no definitive test to differentiate Type 2 DM from Type 1. It majorly depends on clinical experience. Few years back Type 2 was also considered as irreversible disease, but you people made it possible and reversed the disease. AsRead more
A very logical question Doc. Now one needs to understand that there is no definitive test to differentiate Type 2 DM from Type 1. It majorly depends on clinical experience.
Few years back Type 2 was also considered as irreversible disease, but you people made it possible and reversed the disease. As of now, Type 1 DM is a irreversible disease, may be in the future you people might be able to reverse type 1 DM also. Who knows?
As a clinician, we have to keep our mind on and keep on assessing for possibilities. If GTT of this so called Type 1 DM patient comes negative, two possibilities arise
1. He was not a type 1 DM, may be he was Type 2 DM and misdiagnosed as Type 1.
2. Type 1 DM can be reversed if he was actually in type 1 DM
whatever it is, we have to keep on exploring new opportunities. May be this exercise can give us a new way ahead to reverse Type 1 DM also.
At the end, if the GTT comes to be normal, the patient will be very happy. So lets do it. Hope for the best!!
See lessGtt
GTT can be performed as soon as you find the patient off the OHA's and still in euglycemic levels irrespective of the duration of treatment. No need to wait for 90 days. if you reverse the patient before 90 days, you are doing an excellent job. Congrats! Keep it up.
GTT can be performed as soon as you find the patient off the OHA’s and still in euglycemic levels irrespective of the duration of treatment. No need to wait for 90 days. if you reverse the patient before 90 days, you are doing an excellent job. Congrats! Keep it up.
See lessIs Hypertension is Reversible?
Yes. Primary Hypertension is completely reversible. If Hypertension is due to some secondary cause like renal or adrenal pathology, reversal becomes a bit difficult. Gobipi diet kit if followed as per plan by the patient, beginning of reversal can be seen in first week itself. If patient continues tRead more
Yes. Primary Hypertension is completely reversible. If Hypertension is due to some secondary cause like renal or adrenal pathology, reversal becomes a bit difficult.
Gobipi diet kit if followed as per plan by the patient, beginning of reversal can be seen in first week itself. If patient continues the same for next 12 weeks, hypertension can be reversed to a very good extent along with tapering of antihypertensive medications.
From a doctors point of view following should be the key for reversal
- Give hopes of reversal to the patient while enrollment
- Start monitoring patients BP on a digital monitor every morning before breakfast and before blood pressure medicines and ask him to record it on Pulse app.
- Monitor patients weight every third day and ask him to record it on pulse app.
- Taper antihypertensive medicines as per protocol judiciously.
See less