Type1 Diabetes

Insulin is essential for survival of patients with type 1 diabetes. The aim of treatment has changed from just helping patients survive the disease to having children live longer without any complications. Insulin is preferably given by 4 or more injections. The aim is to adjust the doses according to food and activity so as…

Glucose Monitoring device

Glucose monitoring is required to maintain the fine balance between high and low blood sugars. Regular glucose monitoring can help identify low sugars (hypoglycemia) and high sugars. Glucose monitoring is advised before the meal (pre-meal) to decide on the dose of correction insulin to be given. The blood sugar is checked on waking up to…

Diabetes Treatments in Children

Type 1 children and adults can get their sugars better controlled by using multiple insulin doses or insulin pumps. In this process of achieving good blood sugars there is a risk of low blood sugars. Over time, it has become clear that we need to maintain good blood sugar control even in children with type…

Treatment for Depression

Type 1 diabetes is a lifelong problem for both patients and their care givers. It involves daily monitoring of sugars, minding the diet, adjusting the life-style to prevent low sugars, 4 or more shots of insulin daily and watching out for hypoglycemia. No wonder that the risk of psychological problems are higher in subjects with…

Diabetes Causes & Treatments

Type 1 diabetes involves autoimmune destruction of the pancreatic beta cells. This basically means that the cells that produce insulin in the pancreas (Beta cells) are destroyed by cells called lymphocytes in the blood. These lymphocytes are involved in the normal defense mechanisms of the body against the bacteria and virus. However in some genetically…

Growth hormone is produced by the pituitary. The maximum secretion of growth hormone occurs during the growth stages after which the rate of production reduces in adults. GH acts on the liver where it produces IGF-1 (Insulin like Growth Factors) which mediates some of the actions of GH. By 30’s the production of GH reduces…

Most of us would know at least one person with thyroid disease. Yes, it is official: thyroid is one of the most common diseases in the community. It has been intriguing why the number of cases getting diagnosed with one or the other form of thyroid disease is increasing. Various factors may be contributing to…

I commonly come across patients presenting to me with blood sugars which are quite high (FBS > 200 mg/dl). Talking to them, I realize that they were detected to have mild to moderate elevation in blood sugars (130-140 mg/dl), which they tried managing with diet and exercise and then gave it up. It later was…

Glucometers are wonderful instruments that have revolutionized the way that we manage diabetes. These instruments continue to become smaller in size and incorporate various features in them, like the ability to sort out fasting and postprandial values, communicating with other devices (like pumps) and reporting in standardized formats. However, patients and healthcare providers continue to…

Type 2 diabetes is a progressive disease. As the years progress, more patients require different medicines and finally, injectable medicines. Some common medicines used in diabetes are further associated with weight gain and hypoglycemia. Diabetes therapies are evolving. Once a week therapies like Dulaglutide (marketed as Trulicity) have made it more convenient for patients. Medicines…

It is not unusual to be on long-term steroid therapy. Long term steroids may be used for lung diseases, rheumatological conditions, skin diseases or as a part of cancer treatment viagra 100mg prix. Although most patients detest the use of “steroids”, they are very valuable drugs. Taking steroids under supervision is safe and very effective….

When it comes to weight gain, nothing beats the thought that thyroid is the first culprit. It is a well-known fact that overactive thyroid can drive weight loss and underactive thyroid can drive weight gain. When you have an underactive thyroid, the metabolic rate of the body slows down. Further due to inadequate thyroid hormone…

insulin pump

Insulin pump is possibly the best method for delivering insulin. It is very helpful for patients with type 1 diabetes and selected patients with type 2 diabetes who want precise and timely delivery of insulin along with the flexibility of leading an active lifestyle. Most type 1 diabetes patients if not all would benefit from…

Why PCOS may be something serious?

PCOS or Polycystic Ovary Syndrome is a common medical problem. I have heard my patients say casually that they have PCOS in the family. The causes of PCOS is still not fully understood. It is true that the entire spectrum of PCOD is not very clear and it is still evolving. But every ultrasound that…

Young people with hypertension are not the same as older people with hypertension. Older persons with hypertension have something that we doctors label as essential hypertension. This basically means that the hypertension is due to a list of causes that we poorly understand in full. It is however important that we check these individuals for…

Stop misinformation

The recent outcry in the media on the reports of “ketoacidosis “with the use of a new class of diabetes medications, SGLT-2 inhibitors ( Canagliflozin, Dapagliflozin, Empagliflozin) lead to a flurry of phone calls to physicians asking if the drug can be safely continued. This has led to discussions on how qualified are the so…

Over the years in practicing Endocrinology, one of the most common questions I get asked is the role of diet in thyroid diseases. It is well known that iodine is required for the normal thyroid gland to make thyroxine. And if you have significant iodine deficiency, the thyroid gland can reduce the function. But being…

Invokana (Canagliflozin) and Forxiga (Dapagliflozin) belong to a new class of drugs used for managing diabetes. It works in the kidney to prevent absorption of glucose and in turn helps to lower blood glucose. It literally flushes the glucose out of the body and thus reduces blood glucose. What are the advantages of these drugs?…

Thyroxine is one of the most common medications in practice. It is used and misused in a variety of circumstances. The tablet is the synthetic form of L-thyroxine which is chemically similar to the thyroxine produced in the body from the thyroid gland. Thyroxine is preferably consumed in the morning in empty stomach. Many patients…

diabetic retinopathy treatment

Diabetic Retinopathy is one of the most important causes of visual loss worldwide. In individuals with diabetes, eyes can get affected in various ways including having retinopathy, cataract and glaucoma. High blood sugars along with high blood pressure will damage the blood vessels of retina and lead to retinopathy. This is often a silent complication with…

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