New proposed guide lines for Indian diabetics.

[patliputra]

India may soon come up with a new set of treatment guidelines for patients of diabetes. This means medicines would be prescribed depending on the stage of the disease and kind of patient. Leading endocrinologists and diabetes experts from across the country have proposed a new treatment guideline or algorithm for type-2 diabetes specific to Indian patients. Currently, doctors use the guidelines as prescribed by the American Diabetes Association.

However, doctors say as incidence of diabetes has been increasing in India, there is need for a shift to specific parameters based on the requirements and body types of the Indian population.

"Treatment guidelines or algorithms developed and validated in developed nations may not be relevant or applicable to patients in India. In India, there are several factors such as early age of onset of diabetes, occurrence of diabetes in non-obese and sometimes lean people, differences in the relative contributions of insulin resistance and frequent infections including tuberculosis which impact treatment," says Dr Anoop Misra, chairman, diabetes and allied specialities in Fortis CDOC hospital.

Diabetes has emerged as a serious disease burden for India over the past two decades. While diabetes rate has increased by around 45% globally, it jumped 123% in India between 1990 and 2013, according to latest assessment by the Institute for Health Metrics and Evaluation at the University of Washington.

Estimates by International Diabetes Federation showed nearly 6.9 crore people in India were suffering from diabetes in 2015 and it is expected to swell to 12.5 crore by 2040. According to the new treatment proposal, type-2 diabetes in Asian Indian differs significantly from that found in white Caucasians. Any treatment decision in Indians should take into account not only these differences, but also socio-economic and cultural factors (such as dietary practices), which may render some therapeutic options less suitable in this population.

The proposal also recommends use of some less expensive medicines and more lifestyle based interventions.

The proposal, published in an international journal Diabetics Technology & Therapeutics, contains views from 32 medical experts and endocrinologists from across the country .

Times of India , 4 th March 2016.

[patliputra]

Details of proposal is not known. Hence

no hypothetical comments.

[patliputra]

Right. Let us wait for details of life style interventions.

[Hidden]

Diabetes is not a diseases but blood disorder. So the question of cure diabetes is meaningless Similarly some of experts and in so many blogs they says the diabetes is reversible ? All these are only slogans and they prefer to sale their products either drugs or supplements etc

The main important fact is diabetes is to be controlled and not curable

so strict lifestyle proper diet if needed medicine may help.

For here one more point to be kept in mind that

1 70 % to be controlled by proper diet

2 10 % to be controlled by proper lifestyle that is excercises yoga walking aerobic or from machinery like treadmill etc

3 10 % from drugs which may be taken at last step when the above 2 may not possible to control enough .

4 the hereditary fact it comes our previous generation or relatives through jeans it may not possible to avoid but above 1 and 2 is maintained by proper way this may notso much problem at least so much years and also up to our life.

So by observing above these points any guideline or any method or any drugs may not possible without maintaining 1 and 2

So for diabetic diseases any good drug may be not help without the patient co-operation Patient co-operation is nothing but maintaining 1 and 2 strictly

For this some of the Doctors also misguide the patient and given so much of drugs and also prescribed insulin injected

Above is found in previous discussion in this forum itself one of the member just 5 years of diabetic has prescribed Janumet and sulfunalurea with metformin and also some insulin . How much is good or whjat purpose he may prescribed His BS FBS 159 and Further some of members were posted diabetes is curable and given email ID and give the phone no. for sales of some powders They says it is ayurvedic drug.

PPBS 229 ( sorry i am forgotten the links which is available in this forum itself )

Some of them given advertisemen tdiscussion diabetes is curable by usingtheir Ayurvedic powder.

Simply they may not given the name ingredients and cost also. and how much it curable may not given and simply write from mail or advise to contact with phones.

Ayurvedic or homeopathic or allopathic medicines may not curable and controlable

So any researchers or scientiests may not given any guidelines for this This belongs the person and his diet and lifstyle this is for T2 persons For T1 they have not insulin in the body so theymust take insulin here also if they maintain proper diet and lifestyle their insulin dose may be rediced from what Doctor prescribed dose

However scientiests and medical members to be thankful by discover and introduced to marke tthe METFORMIN tablets and INJECTED INSULIN which helps the diabetic persons atmost if these may not introdced the fate of lakhs of diabetics is what happened .

[Harikishan in reply to Hidden]

It is a well known fact and 100% proven results among diabetics who follow LCHF diet. If you could switch over to LCHF diet strictly, there is no need to consult any Doctor as long as you follow LCHF and save lot of valuable time in going to a Doctor as well as money spent on Doctor and medicines. No body can dispute this fact. Unfortunately, there are thousands of books on Diabetes but I did not find any Book on LCHF diet particularly in Indian context.

[patliputra]

Statistically you are right,but you ever wondered why it is so ?

[suramo Star]

Dear indiacratus.

You say "man can survive with meat alone for a very long time.years together!!!"

But can we digest raw meet and will it be safe to eat raw eat which is usually contaminated with parasites hazardous to our health?

Further it's very difficult to eat raw meat. Also the nutrition in the raw meet is very difficult to be procured by our digestive system.

I'm thinking of the era when humans did not invent and or control fire. There were many easy foods available to them than killing animals for food. They had plenty of fruits at least better in taste and easy to get than killing animals. They had no knowledge of nutrition as we have now.

So i think carb diet was easily available to us at that time. Also our digestive system is such that it digests carbs easily than prot and fats.

Also if the animals and birds were the major food for our ancestors they would have colonised in forests rather than in planes near river where they could grow crops easily .

I don't know when, how and why humans started killing animals and birds for their food but i would hesitate to accept what you say

[karch]

koreans still eat raw fish , live octopus and meat ...and they like it very much ...just like "man vs wild" show on Discovery

Meat is filled with protien and fat , which must have kept hunters full for longer and no need to hunt for much time once they were done with one meal properly

Lions hunt once and then eat stomach full and dont eat for several days...did u watch the movie "croods"...though cartoon movie, but in that movie they have shown that humans did not hunt and eat everyday ...

[patliputra in reply to karch]

Yes agree, it has become a part of life in many parts of world to eat different non veg items RAW. Sushi restaurants are burning examples. Always full of customers, a delicacy for them.

[patliputra]

Indiacratus, it is not always the economic factor. Our dietary habits have changed. We have moved away from our traditional meal plans and modified our eating habits.

[tejkumar]

Million apologies; I'm not consistent with my log-in @this forum; however, Anup, you are a GENIUS! a deeply educated/knowledge-possessed person; you're as also many other contributors, are all God's Angels asked to represent and serve interests of all diabetics; if you are able to write an informative book on LCHF diet and related topics I suggest, Private Equity and liquidity is dirt-cheap in today's financial markets; just get hold of few elites, HNI's or Ultra-HNI's or approach direct a few Angel investors/venture capital fund managers, etc. there are millions waiting for people like you and I'm confident sourcing capital wouldn't be a problem for you; just make a splash, go for it, you're a fighter and have fought off this debilitating disease and pls have the same courage & determination and raise capital, integrate the fund managers on profit-sharing and you don't have to put in a single penny of yours; I'd appreciate communications outside the forum: viz. [e-mail]

God bless us all with good health, happiness; for the platform/forum authorities, creators, your good deeds being recorded as rich productive ethically rich and morally enriching ‘ASSETS’ in your books with GOD!!!!!!!!!!!!!!! Keep it up!!!

[patliputra]

Though diet and exercise play a very impressive role in the management of diabetes,drugs have also a role to play in controlling diabete in many cases. Drugs were,whether indigenous or any systems, the only means to effectively control the diabete, when role of diet was not defined.So please do not demean it.

[tejkumar]

many thanks for responding; good luck, I wish you all success and God Bless us all in our endeavors,

[tejkumar]

what does SFA stand-for/mean?????

[tejkumar]

thanks;

[ShooterGeorge]

Nice & useful details. Thank you indiacratus.