Diabetes & high cholesterol _ Dr Ingole
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22-Oct-2014 -
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Diabetes, High Cholesterol : Is There a Way Out ?
Dr Jitendra Ingole MD Internal Medicine
Life throws Surprises !
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Health & Happiness is inherent desire of every living being.
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Technological advances have increased dramatically.
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But Are We Really Healthy ?
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What is relevant yesterday, may not be relevant today.
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Don't let the Information confuse you...
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Soup, Alcohol, Starter, Chicken, Coke Or Ice cream ?
All Of The Above
Why Diabetes / Hyperlipidemia ?
Genes are like Govt Committee
What We Eat
Eating habits are contagious
Binge eating, fasting
Family History of Diabetes Really ?
Diabetes doesnt run in Family
Problem is that NO one runs in Diabetic Family
Effects of Diabetes
One of my Patient Had Heart Attack
Knee Osteoarthritis
Pregnancy
Diabetic Retinopthy
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TV Commercials
Noodles, Soupy noodles, soups : High Salt contents
Dog and Pizza
Mark Twain
Pressing Need of The Hour to Identify early and Treat Diabetes and High Lipid Levels
Sleepy ?
The Salt Debate
Vadapav : Salt Per serving 400mg
Chips : Salt Per serving 500mg
Papad : Per serving 200mg
Per plate Pavbhaji : 670mgCoke : 50mg
Average of 10 gram of Salt in a day !
Muscle (Protein) Loss
Mitch WE, Medina R, Grieber S, et al. Metabolic acidosis stimulates muscle protein degradation by activating the ATP dependent pathway involving ubiquitin and proteasomes. J Clin Invest. 1994; 93:21272133.
Salt Sensitive and Salt Insensitive
Many Grey areas
Many Grey areas
Many Grey areas
Many Grey areas
Many Grey areas
Lion Test
The bottom line is: We never evolved to eat a high salt diet
Eat Only When you are hungry
What to use for Taste then ?
Stress and Hypertension
Can You swim as good as me in water ?
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Sleep
Best time to Sleep is ..
Sleep & Hypertension
Sleep deprivation has been linked to increases in incidence and prevalence of hypertension.
Likewise, sleep disruption also increases the likelihood of having hypertension.
Vitamin D & Hypertension
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Vitamin D, Diabetes and Hypertension
Tamez H, Thadhani RI. ; Vitamin D and hypertension: an update and review : Curr Opin Nephrol Hypertens. 2012 Sep;21(5):492-9.
30 Minutes of Running
35 Minutes of Running
Exercise
www.time.com
Checklist
Starting Proper drug In Proper dose At Proper IntervalSleepStressDrug Compliance Home sugar monitoringCreative RemindersPeriodic EvaluationDiet
ExerciseObese patients : Reduce body weight Salt restriction Electrolytes evaluation Vitamin Check for side effects Modifying drug dosage if required
Formula of
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Keep Below 80
Lower value of BPFasting sugarResting heart rate
Formula of 80
Brisk Walk for half hour daily with speed of 80 steps / min Per year 80 days of No Carbohydrate intake 80 times slow breaths during Pranayama daily
Beverages : Eight Types
Sugarsweetened beverages (including soft drinks, fruit drinks)Diet drinks such as diet soda Milk (including whole milk)Fruit juiceCoffee and tea with sugarCoffee and tea without sugarAlcoholic beverages.Water
Patient Story
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Thanks
To
All Of You
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T H A N K S
Dr Jitendra IngoleMD Internal Medicine
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Any Questions ?
T H A N K S
Dr Jitendra IngoleMD Internal Medicine
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