Lost your password? Please enter your email address. You will receive a link and will create a new password via email.
Please briefly explain why you feel this question should be reported.
Please briefly explain why you feel this answer should be reported.
Diabetes
Following points to be implemented to prevent relapse of DM post tapering Stop Wheat and wheat related products like maida and Suji for 90 days post reversal. Encourage the patient to consume complex carbs like Jowar, Bajra, Ragii, Besan and other relted products. Any complex carb atta he uses to maRead more
Following points to be implemented to prevent relapse of DM post tapering
I am sure, if you educate the patient for above points, you can surely prevent the relapse of disease post reversal.
See lessInsulin tapering
Hello Doc, First of all congrats on helping the patient reduce his 76 IU of Insulin in such a short interval. Post tapering the sugar levels do fluctuate. Now you have two options. Either continue Prameha diet kit and control the sugar levels for one more month without Insulin injectables. After thiRead more
Hello Doc,
First of all congrats on helping the patient reduce his 76 IU of Insulin in such a short interval. Post tapering the sugar levels do fluctuate.
Now you have two options.
I would strictly advise not to restart the insulin injectables again if the compliance from the patient is intact.
Involve the relatives for this task and congratulate the patient and his relatives for what has been achieved and put them on the next goal of further reversal process.
See lessCan 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 lessDM
A major stimulus for muscle gain is exercise. hecen the best way to increase muscle mass is weight training. patient should be adivsed to do weight training exercises of forearm , arm, upper back , lower back ,chest , core , glut, thighs and calf . genrally I advise one diet kit( with 40 ml ghee /Read more
A major stimulus for muscle gain is exercise.
hecen the best way to increase muscle mass is weight training.
patient should be adivsed to do weight training exercises of forearm , arm, upper back , lower back ,chest , core , glut, thighs and calf .
genrally I advise one diet kit( with 40 ml ghee / day ) for first 28 days so as to reverse insuline resistance .
after that patient can be kept on diet chart and monitoring .
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??
Good job, you have perfectly addressed this problem of high fasting sugar. Metformin works well in fasting hyperglycemia as it inhibits hepatic glucose production. as hepatic glucose production is stimulated by stress we need to reduce down stress by advising Pranamyama and yogasana. Now you need tRead more
Good job,
you have perfectly addressed this problem of high fasting sugar.
Metformin works well in fasting hyperglycemia as it inhibits hepatic glucose production.
as hepatic glucose production is stimulated by stress we need to reduce down stress by advising Pranamyama and yogasana.
Now you need to monitor this patient for perfect execution of guidelines given by you.
The patient should do a minimum 15 min yogasan and pranayama in evening and 30 min in the morning.
in this session Anulom vilom , bhramari and chandranuloma plays a key role.
You should also think of giving small tasks to patients like maintaining records of thoughts.
Along with this morning exercise, use of virechan drugs and medhya rasayana will be helpful to control fasting sugar .
remmber one thing after withdrawing medicines you must educate your patient for such type of sugar fluctuations which is generaly expected .
but in this phase we must remain stable and focus on continious lifestle modifications .
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 less