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Investigation
Hello Doc, Serum Insulin levels are to be advised to a patient in following scenarios If you are in doubt whether the patient is in Type 1 or Type 2 DM If the patient is NOT on injectable Insulin doses, in that case, C peptide can be an option If the patient complains of Malaise and you suspect himRead more
Hello Doc,
Serum Insulin levels are to be advised to a patient in following scenarios
These are major scenarios where it can be advised. Many more also can be mentioned if required.
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1] if fasting blood sugar level is high then we have to think about liver metabolism , as per twin cycle hypothesis accumulation of liver fat with eventual spill over into the pancreas. These self-reinforcing cycles between liver and pancreas eventually cause metabolic inhibition of insulin secretioRead more
1] if fasting blood sugar level is high then we have to think about liver metabolism , as per twin cycle hypothesis accumulation of liver fat with eventual spill over into the pancreas. These self-reinforcing cycles between liver and pancreas eventually cause metabolic inhibition of insulin secretion after meals and onset of hyperglycaemia.
2] check for stress realated history, stress is one of the reason for FBS ,in this condition u can do ABPM and check dipping pattern.
3] dawn phenomenon and the Somogyi effect,These causes of high morning blood sugar levels are a result of body changes and reactions that happen while sleeping.
See lessC-Peptide Test
C peptide report is very useful in predicting the prognostic journey of any DM patient irrespective of the patient's BMI, weight loss history, and medication history. It is also useful in deciding certain intricacies of treatment including diet and drug tapering too. Hence it can surely be advised iRead more
C peptide report is very useful in predicting the prognostic journey of any DM patient irrespective of the patient’s BMI, weight loss history, and medication history. It is also useful in deciding certain intricacies of treatment including diet and drug tapering too. Hence it can surely be advised in most of our DM cases.
But it is very important to check in following circumstances
1. History of weight loss (irrespective of medicine history)
2. History of DM more than 15 years
3. History of Insulin dependency more than 2 years ( irrespective of BMI/wt loss history)
4. Diabetes is diagnosed before 30 years of age, especially in low to average BMI patients.
but all said C peptide is not a benchmark of Sadhya-Asadhyatva in DM patients and should not be constructed as much. It is always important to give equal importance to clinical history.
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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 lessDo you want to know, How to Reverse Diabetes with mibPULSE App?
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What happens with GTT Negative patient after 1 year?
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Why 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.
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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 .
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