Dr. Arun Kumar Singh hun. Endocrinologist, Delhi and Faridabad mein practice kerta hun.
Is video ke baagjan se me ap sab se diabetes ke barey mein kuch jaankariyan share kerna chahta hun jisey aap sab bhi apni diabetes sahi tareeqay se niyanant ker sake aur diabetes ke sath mein hone wali swaas o samasyaun se bach saken aur lamba aur suwat jeevan jee saken. So ap sab hi ko pata hai ke diabetes ek bahut bari muha bimari hai humare desh mein aur vishun ke dusre deshon mein bhi. Qareeb qareeb 6 crore inhustani jau hain jin ko diabetes hai. Agar vespon ki baat karen tau 20% se 30% tak logon ko shehri ilaqon mein aur 10-15% logon ko gramid ilaqon mein diabetes hai.
Agar diabetes ka sahi samay se sahi tareeqay se ilaj na kiya jaye tau dusri suwas sambaddi samasyain open hoti hain. Jaise ke heart attack ana paralysis hojana kidney failure ankhein kharab hojana ankh ke peche jau parda retina hota hai uska kharab hojana andhapan aur kaye sari samasyain hain agar diabetes ka sahi samay se sahi ubchaar na kiya jaye tau. So kuch jaankariyan diabetes ke barey mein: ziada tar log apni diabetes ka kuch checkup nahi karate hain who sochte hain ke jab hum ko diabetes ke lakhshan unge symptoms hunge tab who diabetes ke liye test kerwaenge jau ke ghalat hai kyun ke kahin per aisa hota hai diabetes apko kaye saalon se hota hai aur apko pata nahi chalta. Symptoms jau hain who sab hi ko nahin hote hain. Kaye sare log atey hain jau heart attack ke sath atey hain hospital mein ya kidney failure ke sath atey hain paralysis ke sath atey hain unko pehli baar diabetes jab yeh sari samasyain jab uttang hojati hain tab pata chalta hai jab ke unko diabetes kaye salon se hoti hai aur diabetes ki wajah se yeh sari samasyain hoti hain.
So jau bhi jin ki bhi umar 30 saal hochuki hai un sab hi ko samay samay per kam az kam 2 ya 1 baar apna diabetes ka test kerwa lena chahye jis se diabetes sahi samay per pata chal jaye aur iska ubchar hosake. Dusra hai kuch log sochte hain kuch logon ko diabetes pata bhi chal jata hai ke unko diabetes hai aur sugar barhi hue hai lekin who treatment shuru nahi kerte. Woh sochte hain ke mujhe koi symptoms hi nahi hain diabetes ki wajah se mujhe koi problem hi nahi horae tau treatment kyoun shuru kiya jaye. Who bhi ghalat hai agar apki blood sugar barhi hue hai diabetes hogaya hai apko so apko symtoms hona zaruri nahi hai ziada tar logon ko symptoms nahi hote hain high sugar ki wajah se but jau sugar apka barha hua hai blood mein jau glucose barha hua hai woh dirantar sharer ke dusre bhaag se dusre hisson mein dusre system mein lagatar nuqsan puhanchata rehta hai aur ussi ki waja se agey kuch saal mein jaker apki ankhein kharab hojati hain kidney fail hota hai aur jau dusri samsyain hai pehle mene bataen woh sari hoti hain kyoun ke apka sugar kaye salon se barha hua hota hai.
Tau diabetes ka treatment shuru kerne ke liye apko symptoms hona zaruri nahi hai apko pata chal gaya ke apka blood mein glucose barha hua hai aur apko diabetes hai tau apko treatment immediately shuru kerdena chahye. Woh depend kerta hai ke sugar kitna ziada hai agar buhat ziada hai tau medicine bhi shuru kerni parengi ya sirf borderline thora sa barha hua hai tau lifestyle mein dinchariyan mein jevanchariyan mein exercise aur khanpaan ke perhaiz se jau halki borderline diabetes hai usko control kiya ja sakta hai. Phir kuch ghalti log kerte hain ke jaise kisi ko diabetes pata chala tau who unke family mein ya unke friend ko diabetes hai who wohi dawae khana shuru kerdete hain aur bolte hain ke kyounke uska control tha tau me bhi yehi dawae kha raha hun phir who baad mein test bhi nahi kerte.
Samay samay pe jaanne ke liye ke sugar control bhi hai keh nahi control hai tau who bhi ghalat hai jaise har insan unique hai sab ka sharer alag bana hua hai sab ka physiology alag hai sab ka anatomy alag hai tau sab ki diabetes bhi alag hoti hai yeh zaruri nahi hai ke jin dawaiyoun se kisi ek ka diabetes control hai ussi se apka bhi control hojaye. Ap alag ho us insan se apka sharer alag hai apka diabetes bhi alag hai so apko zaruri nahi hai ke ussi dawaye se apka diabetes control hojaega. Phir kuch log dawaye tau khate hain per who test nahi kerwate hain samay samay pe ke diabetes control bhi hai keh nahi control hai , unko pata nahi hota . Woh phir aker yehi bolte hain keh agar mera sugar barhta hai tau mujhe pata chal jata hai. Yeh xyz aise aise lakshan aa jate hain sugar ke tau phir se wohi pehle wali baat ke sugar barha hai tau sab ko lakshan nahi atey hai .
Tau jab buhat high hojata hai 300-400 emergency wali situation ati hai, tab uske symptoms atey hain otherwise symptoms nahi hote hain . Jau sugar level jau khali pait fasting jau hai 100 ke aas paas hona chahye jau khan eke 2 ghantey baad 150 ke aas paas honi chahye so agar use 50 ya 100 point ziada bhi hai fasting kisi ka 150-200 hai khane se 250-300 hai tab bhi unko bhi symtoms hunge yeh zaruri nahi hai tau ape k hi tareeqa hai pata kern eke liye ke diabetes ka control hai bhi ken ahi hai who hai samay samay per blood test kerte rehna apna fasting aur post prandial PP jau 2 ghante ke baad hota hai sugar jaisa doctor ne salah di ho , ya kam se kam 2 mahinay mein 3 mahinay mein ek baar tau kerwa hi lena chahye pata chal jata hai ke apka diabetes control hai ya nahi control hai aur ap diabetes control kerke usse hone wali samasyaun se apko khud ko bacha sakte hain.
Phir diabetes control hai tab bhi ap unse hone wale khatron se bach sakte hain uska risk kam kiya ja sakta hai but guarantee nahi hoti ke apko yeh problem hogi hi nahi. But risk kam hojata hai jaise agar 50% risk hai apko heart attack ka tau ap control kerloge tau apko 10% hojaega but phir bhi diabetes walon ko heart ki bimariyan paralysis kidney failure ziada hota hai agar hum unki tulna karen unse jinko diabetes nahi hai. Tau dusri bimariyon ka bhi yehi hai keh ap unke liye bhi samay samay se har saal test kiya ja sakta hai kidney disease ke liye heart ke liye ankhon ke liye kyoun ke unke bhi symptoms jau hai early stage mein nahi atey hain jab symtoms atey hain jaise rectnopatti ka symptom ayega tau early bimari buhat advance stage mein hoti hai, kidney failue ka symptom ayega tau bimari kidney ka damage advance stage mein hota hai . So usko jaldi pakarne ke liye aur sahi samy se ubchar kerne ke liye jisse who bimari samasya agey na barhe, us ka bhi samay samay pe test hota hai.
Har saal ap apna kidney ka test kerwaen har saal apna urine ka test kerwaen urine mein protein tau nahi araha hai har saal ap apne eye specialist se milen ankhon ke specialist se milen retina ki janchna kerwaen har saal ap cholesterol ki janch kerwaen BP bllod pressure ap jab bhi doctor ke pas jatey hai ap uski janch kerwaen aur doctor se aur ap pochte rahen ke apko aur koi test kerwane ki zarurat tau nahi hai diabetes se hone wali samasyaun ko jaldi pakarne ke liye aur apko yeh pata hona chahye keh jau controlled diabetes hota hai fasting sugar khane se pehle jau hai khali pait jau hai 100 ke aas paas 10-20 point ke andar hona chahye aur khane ke 2 ghantey baad maximum 50 se 30-20 point oper ki range mein honi chahye.
Dhanewaad sunne ke liye agar apko kuch aur jaan kari leni hai agar apke pas kuch aur questions hain tau ap mujhe kabhi bhi contact ker sakte hain. Ap apne shehar mein doctor se ya endocrinologist se mil sakte hain dhanewaad!read more
Aap sabhi ko mera namaskar, mai Dr Arun Kumar Singh hoon Endocrinologist Delhi and Faridabad mein practice karta hoon.
Iss video ke madhyam se aap sabse mein insulin ke baare mein kuch jankariyan share karna chahta hoon, kyunki diabetes ek bahut hi badi mahamari ho gayi hai hamare desh mein aur diabetes se kam se kam 6 crore hindustani grast hain is bimari se or diabetes ki wajah se hazaro logo ko roz heart attack, paralysis, kidney failure hota hai. Kidney failure ka number one jo reason hai diabetes hai hamare desh mein, diabetes ka ilaj nahi kiya jayega agar uncontrolled hai toh usse doosri bhi swasth samasyayen utpann hoti hain. So insulin jo hai hormone hai jo normal physiology main jisko diabetes nahi hai, jisko diabetes hi bahut hai main role hai insulin ka blood glucose control karne mein, carbohydrate metabolism mein. So insulin hormone jo hai woh pancreas banta hai or diabetes bhi isilye hoti hai ya toh insulin ki kami hoti hai shareer mein aur yad toh insulin jo hai sahi tarike se kaam nahi kar pata hai shareer mein. So type 1 diabetes mein toh sabko insulin hi diya jata hai shuru se hai sabka upchar insulin se shuru kiya jata hai aur zindagi bhar jeevan bhar jaye insulin hi lete hain. Lekin type 2 diabetes jo generally vayasco mein hoti hai aur late age mein 30, 40 ke baad hoti hai to usme ilaj mein kai baar hum tablets ka istemal karte hain, shuruvat mein aur kuch saal baad so hai insulin advice karte hain kuch patient ko, kuch mareejo ko. Lekin insulin ke baare mein kai sare brahm hai logo ke beech mein, isse woh sahi samay pe istemal nahi karte hain aur woh phir baad mein jakar diabetes se hone wali samasyaon se joojhte hain aur pachtana padta hai. So insulin ke baare mein kuch brahm hai number 1, jisko insulin aap ko salah dete hain hum log toh patient darte hain aur bolte hain ki insulin lene se habit ban jayega, habitual ho jayenge agar ek baar insulin shuru kar diya toh band nahi hoga, jo ki galat hai. Aisa nahi hai ki insulin lene se habit ban jati hai insulin kai baar temporarily use karte hain, kuch dino ke liye use karte hain aur sugar control ho jati hai uske baad band kar dete hain. Agar kisi ko diabetes kai saal se hai 10 saal se hai 15 saal se hai toh uski body me insulin banna lagbhag band ho jata hai, aur usko insulin ki zaroorat hoti hai isliye usko hum prescribe karte hain ki aap insulin lete raho usse habit nahi banti hai, uski requirement hoti hai healthy rehne ke liye. Dusra, brahm hai log darte hain insulin ko istemal karne se bolte hain ki insulin se kidney fail ho jayegi, insulin se heart attack ho jayega toh yeh bhi puri tarah se galat hai, insulin kisi bhi body part ke liye nuksaan dayak nahi hai aur sach mein baat ki jaye toh insulin se aap, insulin ka sahi samay se istamal karke, aur apni diabetes ko niyantrit karke aap diabetes se hone wali samasyaon se bacch sakte hain. Insulin jo hai sabse prabhavi tarika hai diabetes ko control karne ka jo log samay se jab doctor unko bolte hain uss samay se insulin lagana shuru kar dete hain, istemal karna shuru kar dete hain woh inn sab samasyaon se bacch jaate hain, aur woh doosre log hote hain jo insulin bataya jata hai istemal karne ke liye aur woh nahi use karte hain baad mein jaake high sugar ki wajah se unko heart attack, kidney failure, aankhen kharab hona yeh sari samasyein hoti hain aur baad mein woh insulin ka upyog shurs krte hain, toh uska kuch fayda nahi, hai sahi samay par jaldi shuru kare toh jyada fayda hota hai. Dusra hai, ab log insulin ko istemal karne ke liye tayyar bhi toh unko lagta hai ki bahut hi jatil prakriya hai puri, ghar pe kar pana bada mushkil hai hamare liye. Toh pehle ke samay mein aisa hota tha ab advanced technology ke sath mai kai sari nai-nai devices or technology ho gaee hai, toh insulin pen aa gaya hai aur insulin delivery system jo hai insulin ko istemal karne ka tarika bahut hi saral ho gaya hai thodi si guidance se, thoda sa medical supervision se, aapko doctor ya nurse training dedega aur aap aaram se ghar pe insulin ka istemal kar sakte hain aur ghar par manage kar sakte hain, koi jatilta nahi hai isme. Type 1 diabetes ke bacche bhi insulin ko ghar pe khud se istemaal karte hain thodi si training ki jarurat padti hai uske liye. Fir kai log sochte hain ki insulin jo hai ekdum advance stage ya last stage diabetes mein use kiya jata hai, ya last option hai. Aisa bhi nahi hai kai baar jab bhi aapka diabetes control na ho raha ho tablet se ya aapka blood sugar level bahut high ho, jaise ki 300 ho 400 ho. Toh kai baar jisko diabetes first time pata chalti hai unke bhi blood sugar 300 aur 400 hote hain, toh iss samay pe insulin se hi sabse jaldi jo hai blood sugar control hoti hai, tablet se bahut samay lag jata hai aur ho sakta hai ki bahut samay baad bhi aap ka itna high sugarho, tablet se control na ho. Toh insulin last option nahi hai, jiska blood sugar jab bhi bahut jyada hota hai tu usko insulin ki madad leni padti hai aur insulin se blood sugar control kar ke baad main unko tablet pe rakha ja sakta hai aur aapki baad mein sugar tablet se control mein reh shakti hai. Toh kai sare log ye bol ke katrate hain insulin istemal karne se ki shayad mujhse hai koi galti ho gayi ab main theek kar loonga ya unko ek sense of personal failure ya guilt, sense of personal failure hota hai ki main hi galti karta hoon nahi to control ho jayega woh aise bol bol ke katrate rehte rehte hain, aur insulin jo hai jab shuru kar lena chahiye ke main ek saal doh saal yeh hi bolke nikal dete hain. Toh unko samjhata hoon isme hamesha aapki patient ki galti nahi hoti hai, ye bimari hai aise hi kijo shuru mein thoda bahut insulin ban raha tha tablet dene se pancreas main aur insulin bana hai aur aapka diabetes control hua, lekin jaise jaise samay yeta jata hai 5 saal, 10 saal diabetes ke nikal jate hain pancreas ki jo ability high insulin banane ki dawaiyon ki madad se wo kam ho jati hai, aur pancreas insulin nahi bana pata hai. Toh natural course hi hai bimari ka ki lagbhag 50 percent logo mein diabetes ke 5 yah 10 saal baad aapko insulin ki zaroorat padegi, chahe bhale aap apni jeevan shaili mein sab kuch sahi kar rahe ho, aap regular exercise kar rahe hain, aap khana-peena sahi kr rahe hain, lekin phir bhi aapko insulin ki zaroorat padegi, aur aapko insulin ki zaroorat padhte hi iska matlab yeh nahi ki aapne kuch galat kiya hai, yeh bimari hi aisi hai ki 50% logo ko insulin ki jarurat padti hai.
So aaj ke video mein bas yehi hai, agar aapko aur koi jankari chahiye toh aap kabhi bhi mujhse contact kar sakte hain, sunne ke liye dhanyavad.
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Hello everyone ! I'm doctor arun kumar singh practicing endocrinology at metro heart institute Faridabad and also in Delhi. So, today I'm going to talk about growth hormone deficiency. First, what is growth hormone? So as its name suggests it is a hormone which secreted by master endocrine gland "Pituitary gland" and it is very essential for normal development and growth of human being and also other animals. Apart from its effects on normal growth it also has an important role in our metabolisms like regulating the metabolism of lipids, proteins and carbohydrates and it's essential for normal development of our muscles and bones and required for normal functioning of almost all organs in our body.
So what is growth hormone deficiency?
This is clinical situation when pituitary gland is not making enough of growth hormones which is required for normal development process and this clinical entity usually present in childhood because that is the time when it is most needed and without growth hormone even if all systems are functioning normally and child is getting good nutrients but he face to gain his normal height as he should gain as per his genetic potential.
So growth hormone is very important during our phase of growth that is childhood early infancy to the PSF adolescence.
So what are symptoms of growth hormone deficiency? So the most common symptom the common symptom is the child is not growing and he is shorter than almost all other children who are of same age group and sometimes these children are even shorter than their younger siblings. So that is very serious and it clearly indicates there is something wrong with the child and these children should be investigated through a growth hormone deficiency. Generally, if there is no other medical problem, these children appear healthy, they look younger for their age, and they don't have any other symptoms. So that's why the condition is neglected and they are brought to the hospital at late age i-e 15 years, 16 years and 20 years and they are diagnosed late so they don't get the benefit of effective therapy.
If its treatment at the early age then the result is very good and they can achieve there genetically determined height. But if there is delaying diagnosis and treatment is started very late then they don't get the maximum benefit of growth hormone therapy.
Why growth hormone deficiencies occur?
So there are few causes i-e it is synthesized and secreted by endocrine gland pituitary, so any development affecting pituitary gland or any head injury, trauma, radiation or surgery of the brain can cause growth hormone deficiency and there is very effective and easily available treatment and these children can grow tall and they can achieve normal height with growth hormone replacement.So that is all about growth hormone deficiency. So if you have any queries or any more question you can always contact me on Lybrate.com or in my clinic.
Doctor in Diabetes Thyroid and Hormone Clinic
Treatment of Hyperthyroidism
Treatment of Sexual Disorders
Treatment of Osteomalacia
Treatment of Growth Hormone Deficiency
Treatment of Rickets
Type 1 Diabetes Treatment
Type 2 Diabetes Treatment
Treatment of Pituitary Tumor
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Hyperprolactinemia
Treatment of Precocious Puberty
Treatment of Short Stature
Gestational Diabetes Management
Evaluation & Treatment of Infertility
Treatment of Primary Hyperparathyroidism
Treatment of Osteopetrosis
Treatment of Pseudohypoparathyroidism
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Patient Review Highlights
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I found the answers provided by the Dr. Arun Kumar Singh to be caring. Thank u doctor we will go to the dr today for more consultation.
I found the answers provided by the Dr. Arun Kumar Singh to be very helpful. Very good advice
Dr. Arun Kumar Singh provides answers that are very helpful. Thanks for the consultation
I have been diagnosed with chronic pancreatic and taking tablet s for that. I have been diabetic also. Recently you have lost taste. Every food I take doesn't taste. And I don't put on weight. I am just 61. I have been taking panlipase 10000 along with food 3 times a day. And for diabetes I am taking tengyln M 500 1 tablet before breakfast daily. So please recommend me anything for getting taste back and putting bit of weight.
I am 42 years old male. I have lots of dizziness. I got my thyroid tested and TSH looks quite high. Could you suggest further actions? THYROID STIMULATING HORMONE (TSH) C.M.I.A µIU/ml0. 35 - 4.94 --> 8.04 FREE TRIIODOTHYRONINE (FT3) C.M.I.A pg/ml 1.71 - 3.71 --->> 2.66 FREE THYROXINE (FT4) C.M.I.A ng/dl 0.70 - ---- >>> 1.48.
Insulin is the most effective treatment option to control diabetes but many misconceptions about insulin stop patient to use it timely, which puts them at risk of harmful effects of high blood sugar levels. Here are few misconceptions and facts about insulin...
Myth 1. Insulin is used in only late stage of diabetes.
Fact - Insulin can be used at any stage of diabetes. whenever blood sugars are very high i.e. > 300 mg/dl, insulin should be used to control diabetes rapidly. Insulin is advised to people with newly diagnosed diabetes as first treatment option if blood sugars are more than 300 mg/dl.
Myth 2. Once patient starts using insulin, he has to use it for lifetime.
Fact - Many times use of insulin is for short duration of time. use of insulin is not habit forming. insulin is used temporarily for many patients when they have infections, during surgery, during critical illness etc.
Myth 3. Insulin is harmful to kidneys and other organs.
Fact - Insulin in not harmful to any organ. in fact timely use of insulin can help people to control their diabetes and save them from ill effects of diabetes like heart attack, paralysis, kidney failure, diabetic retinopathy, foot problems etc.
Myth 4. Use of insulin is very complex procedure and it can NOT be managed at home.
Fact - With help of newer devices like insulin pens and ultra fine needles, self injection of insulin has become very easy with little training by medical personnel. Even children with type 1 diabetes are able to inject insulin themselves. If you have any more questions, you are welcome to contact me. USE INSULIN, DEFEAT DIABETES.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Growth hormone is one of the many hormones secreted by master endocrine gland i.e. pituitary gland. As its name suggests, growth hormone has a central role in the overall growth of human being. It plays a much more important role during childhood than adulthood. Growth hormone also controls our metabolism. Deficiency of growth hormone results in poor growth (short height) during childhood and also disorders of metabolism.
Growth hormone deficiency can be caused by abnormal development of pituitary gland, head injury, intra cranial tumors etc. or it can be idiopathic (reason not known). It is very important to identify the problem as early as possible because results are very good when treatment is started early. And also, because growth hormone deficiency can be caused by serious underlying disorders, for example - intracranial tumors. Following are few hints to possible diagnosis of growth hormone deficiency.
- If your child shows any of these signs, take him/her to an endocrinologist (hormone specialist) for assessment of his/her growth
- If your child is frequently mistaken for being much younger for his/her age.
- If your child is being teased or bullied by his/her friends due to short height.
- If your child is fitting into same clothes or shoes for more than 2 years.
- If your child is much shorter than children of same age and sex. If your child is growing less than 4 cm in a year.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetes is very common metabolic disorders. It is estimated that at least 6o to 70 milloin Indians are affected by diabetes. One third to half of the urban Indian adults have diabetes or pre-diabetes. Diabetes is the most common reason for heart attack, kidney failure, blindness etc. in our country. With right management and tight control of diabetes, many of these complications can be avoided. All patients with type 1 diabetes and large number of patients with type 2 diabetes require multiple daily injections of insulin to control their diabetes.
Insulin pumps can be used for these patients to minimize fluctuations in blood glucose levels, to reduce the risk of hypoglycemia and to avoid multiple daily injections. Insulin pump is a small device which is worn and carried by patient everywhere. It is connected to subcutaneous tissue with tubing and very thin catheter. It has a reservoir which is filled with insulin to be infused continuously for 24 x 7. Insulin pumps can be programmed to inject a different dose of insulin every hour depending on patient’s need.
With an insulin pump, the patient does not need to inject insulin multiple times but he has just to just give a command to pump and it delivers ordered a dose of insulin immediately in a painless way.
Benefits of insulin pump in diabetes therapy:
- No need to inject insulin multiple times daily.
- Insulin dose can be adjusted for each hour of day as per patient needs.
- Fluctuations in blood glucose levels can be minimized.
- It provides flexibility in lifestyle. Bolus insulin can be delivered after snacks also for better control of diabetes.
- Risk of hypoglycemia (low blood sugar) is minimized.
- Newer models of insulin pumps can predict impending hypoglycemia and terminate insulin infusion automatically for short period of time.
- Newer pumps can do continuous blood glucose monitoring as well and alarm patient when blood glucose levels are below or above set limits.
Drawbacks of insulin pump
- It’s costly. Basic pumps cost approximately 2.5 Lakh INR.
- Though very small and portable, device has to be carried by patient everywhere.
- Patient should be able to understand how to operate pump.
In case you have a concern or query you can always consult an expert & get answers to your questions!