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Diabetes Management

Written and reviewed by
Dr. Brij Mohan Makkar 85% (10 ratings)
MD - Medicine, MBBS, FICP, FRCP (Glasgow), FACE
Endocrinologist, Delhi  •  38 years experience
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Hello, I am Dr Brij Mohan Makkar, I specialise in management of diabetes and obesity. Jaisa ki aap jante hain ki diabetes bahut hi teji se puri duniya mein aur India may bhi bad rahi hai, aur khaas taur pe ye Indian population mein diabetes jo hai ek younger age pe hoti hai. Agar western population mein diabetes 50 se 55 saal ki age mein hoti hai, toh Indians main dus saal pehle yani ki 40 45 saal ki age me hona shuru ho jati hai aur Jaise Jaise motapa bad raha hai diabetes aur jaldi bardna shuru ho gayi hai. Toh jaise hi patient ko diabetes hoti hai bahut common sawal hamare paas aata hai ki doctor sahab kya isko hum Jad se khatam kar sakte hain, iska answer jo hai kuch had tak han hai aur kuch had tak na bhi hai. Woh patients jinki diabetes abhi bilkul recent onset hai, ya initial char se paanch saal ke andar hai aur young age mein hui hai aur agar unka weight jyada hai, toh agar hum unko aggressively manage kare to unki diabetes kuch hadd tak reverse ho sakti hai. Actually mein usko reversal nahi kahunga, revolution kahunga kyunki hamien ye nahi pata ki woh lifelong rahegi ya nahi rahegi. Ye ho sakta hai ki paanch saal baad, dus saal baad, panrah saal baad unki sugar fir se badd jaye per definitely agar hum aggressively manage kare, toh sugar ko hum bilkul normal level pe la sakte hain aur hamare bahut sare aise patients hain jinka humne sugar normal level pe le aayen hai jinki sugar ki dawaiyan, blood pressure ki dawaiyan sab hum band kar chuke hain, aur teen-teen char-char saal se woh aise hi follow kar rahe hain. Iska jo sabse important factor hota hai ki hame bahut aggressively weight reduced karna padta hai patient ka, jinka weight jyada hai aur uske liye bahut aggressive lifestyle changes aur kuch dawaniya hum use karte hain jo weight kam karne mein madat karti hain. Aur yadi hum yeah aggressively follow karte hain toh kaafi saare hamare patients hain jinki diabetes hum normal stage pe la sakte hain. Iska sabse bada fayda yeh Hai Ki yadi aapki diabetes paanch-dus saal ya pandra saal ke liye bhi tal jati hai, toh aane wale time mein sugar badti hai toh aap ki complication 15 se 20 ya 30 saal ke liye aage khisak jati hain jo ki aapke prime of life mein aap normal healthy life jeete hain aur complications ka risk bilkul aap ke 70, 80 saal ki age pe jake pahunch jata hai jo aapko bahut jyada pareshan nahi karta. Is liye bahut zaroori hai ki agar aap ki diabetes recent onset hai, bahut seriously iska ilaj kare or rivers karne ki bhi koshish kare agar kar sakte hain yadi aap iske baare mein hame contact karna chahte hain toh aap hame ya Lybrate ko contact kar sakte hain.

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