Indian Write- Ups

Management    
   
Post-Prandial Hyperglycemia in The Context of Diabetes Specific Complications
  - Dr Moutusi Raychaudhuri MD DM, Dr Sainath Mukherjee MD DM  
 

The relative contribution of post-prandial glucose level to the HbA1c level remains a gray area. In contrast to the earlier belief that HbA1c levels related closely to the fasting glucose levels, some recent studies opine that there is a better correlation with post-prandial glucose levels

 
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Insulin Initiation – Will Make A Way
  Dr. Sailesh Lodha, DM, Jaipur
 

Insulin is a potent anabolic peptide hormone having varied effects on carbohydrate, protein and fat metabolism. Its use in Type-1 diabetes is unambiguously clear. Insulin therapy in Type-2 diabetes has improved the quality of life of those patients.

 
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Profile of Diabetes Mellitus in the Elderly
  Dr Yogini V Meisheri
 

In India, the elderly population above 60 years at the turn of 2nd century was 75 million & is projected to reach a figure of 326 million by 2050. Diabetes mellitus (DM) is a disease associated with ageing. In our country, it is of foremost concern due to large number of diabetic elderly surviving beyond the seventh decade.

 
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Prevention Of Diabetes Starts Before Birth
  - Dr.V.Seshiah, Dr.V.Balaji
 

The recent concept that many of the chronic diseases have fetal origin, has consequently, resulted in the attention at present being focused on creating an ambient intrauterine environment. This approach may be the first step in the prevention of diseases like diabetes, hypertension and heart diseases.

 
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Insulin use in Type 2 Diabetes Mellitus
  - V. K. Bhardwaj
 

The aim of treatment in Type 2 diabetes mellitus is to relieve the patient of his/her symptoms and to prevent/delay the development of diabetes related organ damage.

 
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Post-Prandial Hyperglycemia
  - Dr A K Das
 

It is widely believed that blood sugar levels should be maintained as close to normal as possible in a diabetic. However, this primary goal of treatment has been very difficult to achieve in clinical practice. Among the numerous obstacles faced, post-prandial hyperglycemia is the important problem.

 
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Pregnancy & Diabetes
  - Dr. Anirban Majumder
  Diabetes may antedate pregnancy (pregestational) or it may develop in the later part of pregnancy (gestational). Prevalence of diabetes in our country varies between 1.2% to 12% and approximates the prevalence of western.
 
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Erectile Dysfunction In Diabetics
  - Dr. Nilanjan Sengupta, Dr. Subhankar Chowdhury
  Impotence or erectile dysfunction (ED) is a common, but often neglected complication of diabetes mellitus. Patients often suffer silently but are ashamed of communicating their problem to physician.
 
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Gestational Diabetes – Not An Uncommon Disease
  Dr. Paulose. K.P., Dr. Rema, S.U.T. Hospital, Pattom, Trivandrum, Kerela
  Gestational diabetes is a high risk problem from conception till well past delivery. Diagnosis and prompt management at the right time during pregnancy is absolutely essential for a favorable outcome for both mother and the foetus.
 
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Interpretation of Blood Glucose Results
  - Dr. Alka Ganesh
 

The blood glucose level is a glimpse into a metabolic state of the diabetic patient. A comprehensive assessment however, would require several estimations, as also the use of other biochemical tests such as the glycosylated hemoglobin.

 
Role Of Oxidant Stress in Diabetic Retinopathy
  A P S Narang, Department of Biochemistry, et al
Source: Indian Medical Gazette
  Diabetic Retinopathy is one of the common complications of diabetes. It is clinically significant since it can cause 85 percent of blindness in diabetic patients. The prevalence of retinopathy is positively associated with duration of diabetes. A good control of blood sugar may delay its development.
 
Diabetic Retinopathy
  - Annie Mathai, Nihal Thomas
 

Diabetic retinopathy is one of the leading causes of blindness in persons aged 20-74 years. Because of disproportionately large number of patients with type 2 diabetes, this group comprises a substantial proportion of patients with visual impairment secondary to diabetic retinopathy, even though type 1 diabetes mellitus is associated with more frequent and severe ocular complications.