PowerPoint Presentation

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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