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Hello Diabetes
Hello Diabetes

Hello Diabetes

A series of diabetes awareness programs covering the prevention and management of Diabetes in Hindi & Marathi with the multi-award-winning, internationally acclaimed, leading diabetologist of India - Dr. Sunil Gupta.

Available Episodes 10

Management of Diabetes is like a table supported by four essential pillars: Diet, Exercise, Medications, and Monitoring, but this table is incomplete without a table top which is “Education”. Of these four pillars one of them is glucose monitoring which plays a critical role, typically done through three methods: 1. Glucometers: Capillary blood glucose monitoring involves using a glucometer for precise measurements, which can differ slightly from venous blood levels. Evert PWD’s should learn Self-Monitoring of Blood Glucose (SMBG), this requires individuals to use a glucometer at home for informed insulin dosage decisions. 2. HbA1c Monitoring: Measures long-term glucose levels, with an ideal level below 5.7% for non-diabetics. 3. Continuous Glucose Monitoring System (CGMS): Emerging technologies in glucose monitoring include interstitial glucose monitoring with sensors that provide real-time data for up to 15 days, allowing for better management of blood sugar spikes. Invasive methods, such as implantable sensors and non innovative devices like glucose-monitoring watches and contact lenses, promise to enhance convenience in diabetes management in future. Dietary considerations are significant, especially regarding the glycemic index (GI) of foods like rice, which affects blood glucose levels. Consulting a dietitian for portion sizes tailored to individual needs is recommended. Recorded at Akashwani Nagpur on the 26th July 2024. Expert: Dr. Sunil Gupta Anchor: Swati Huddar Producer: Vijay Rajput

Everyone should be aware of the fact that “Diabetes increases the infection and infection increases the diabetes. Thus, both need intensive management strategies simultaneously. People with Diabetes must take special care of themselves, just like we care for our family members. Diabetes can be thought of as a child with slightly lower immunity, especially during the rainy season when the risk of infections—whether bacterial, fungal, or viral—rises significantly. To manage diabetes effectively during any active infection Basal Bolus Insulin Therapy is one of the best treatment regimens. Basal insulin provides steady, consistent insulin whether food is consumed or not, while bolus Insulin helps to manage blood sugar levels after eating. Despite common myths, insulin is a safe and powerful treatment, often outperforming oral medications. During the monsoon, primary prevention is key—maintaining hygiene and avoiding outside junk or processed foods is crucial. Even minor symptoms like fever, cold, or cough should prompt immediate consultation with a doctor, as small infections can quickly escalate into serious conditions. Proper blood glucose management is essential for infection prevention, and adult vaccination, including the pneumococcal, influenza, hepatitis B, and herpes zoster vaccines, plays a vital role in safeguarding people with diabetes' health. Recorded: Akashvani Nagpur Anchor - Swati Huddar Speaker - Dr. Sunil Gupta Producer: Vijay Rajput

This podcast was being broadcasted live from the venue Hotel of Hello Diabetes Academia 2024 at Ramdaspeth, Nagpur featuring insights from Dr. V. Mohan (Padma Shri), Dr. Shashank Joshi (Padma Shri), Dr. Vijay Vishwanathan, and Dr. Sunil Gupta. Diabetes management is a costly endeavor, and the financial burden increases significantly with complications affecting vital organs like the kidneys, heart, brain, liver, and nerves. These complications can also place a heavy strain on families and may lead to severe outcomes, including death. Therefore, Dr. Vijay Vishwanathan emphasized the importance of focusing on prevention rather than solely addressing complications. This involves both primary prevention to avert the onset of diabetes and secondary prevention to manage complications if diabetes is already present. Dr. V. Mohan highlighted that while medicine contributes only 10% to diabetes management, education and awareness play a crucial role, accounting for 80-90%. Effective management involves adhering to the ABC mantras—HbA1c, Blood Pressure, and Cholesterol—and maintaining discipline through diet, exercise, and lifestyle adjustments. Dr. Shashank Joshi advocated for a healthy lifestyle, including regular physical activity, adequate sleep, and mindful eating, to prevent and manage diabetes. He also points out the importance of addressing asymptomatic complications and managing sugar cravings through consistent lifestyle changes. Dr. Sunil Gupta emphasized upon getting connected to people at large through such education programs. “People who knows the most... Live longest” he added the quote of Prof. Elliott Joslin who is known as the father of Diabetes in the World. Speaker: Dr. V. Mohan, Dr. Shashank Joshi, Dr. Vijay Vishwanathan and Dr. Sunil Gupta Anchor: Purva Kulkarni Producer: Vijay Rajput

While there are many varieties of salt available, it’s crucial to focus on how much we consume, especially for those with high blood pressure or kidney issues, who should limit their intake to about 3 grams daily. Although all salts contain similar sodium and potassium levels, rock salt offers additional micronutrients, making it a healthier option when used in moderation. Frozen shoulder is another concern, particularly for people with uncontrolled diabetes, as it restricts shoulder movement and causes significant pain. Physiotherapy, often required for 3-4 months, is the best treatment and should be applied to both shoulders to prevent recurrence, highlighting the importance of blood sugar management and avoiding painkillers. During the monsoon season, it's essential to choose healthier foods, such as green tea, steamed vegetables, fiber-rich foods, and soups, rather than high-calorie fried items. The lockdown period showed that those who maintained good diabetes control experienced fewer complications, underscoring that diabetes itself isn’t harmful—it's the lack of discipline and neglect in managing health that poses risks. With proper care and consistent healthy, dietary and lifestyle habits, managing diabetes effectively becomes more achievable. Recorded on 28/06/2024

Snoring is often being mistaken for a deep sleep, but it is not true. Snoring can be a sign of Obstructive Sleep Apnea (OSA), which is a risk factor for diabetes, hypertension, cardiovascular disease, obesity, infertility perioperative complications etc. Adequate sound sleep of 6-8 hours is essential for a good health. Uncontrolled blood sugar & blood pressure in people with diabetes with OSA can automatically be managed to a large extent with the adequate treatment of OSA. Lifestyle modification, regular exercise, weight reduction and the use of C-PAD plays a key role in the management of OSA and Diabetes.

Though, prevalence of diabetes is almost similar in two genders, women with past history of gestational diabetes mellitus, women with post –partum weight gain, post menopausal women etc. have higher risk of developing diabetes, obesity and other cardiovascular complications. Thus, women with diabetes should practice healthy eating habits, should do regular blood glucose monitoring, proper monitoring of other target organs and should regular practice exercise. Working women can carry healthy dry snacks like nuts, makhana, sprouts etc. in place of unhealthy and fried snacks. Young mother should avoid alcohol to avoid further complication. “If you educate a Man, you educate a Man, but if you educate a Woman, you educate the Generation” added Dr. Sunil Gupta in his concluding remark. Recorded on 10/5/2024

People at large know, that alcohol causes liver damage and few are also aware of having liver injury due to viral infection (Hepatitis / Jaundice). But, very few people know that 50 to 70% of People with Type 2 Diabetes can develop fatty liver due to uncontrolled blood glucose and / or obesity. Unfortunately, few of them may progress to cirrhosis of liver, and rarely Hepatocellular Carcinoma (Cancer of Liver) Long- standing uncontrolled diabetes increases the risk of small and large vessel diseases involving kidney, eyes, nerves, heart brain & feet. But, do you know that people with Pre- diabetes have higher chances of developing macro vascular (big vessel) disease. So, life style modification is the key to success. Alcohol and tobacco in any form should be stopped completely. Finally, To protect your Liver heart, kidney, eyes and other organs keep your blood sugar, cholesterol, blood pressure, and weight under control. Recorded 26/04/2024.

Summer has Started. All of us will be planning to travel to some places. People with Diabetes should practice smart travelling. Some precautions should be taken, when you are travelling with Diabetes. While Travelling, always carry extra medicines, your Diabetes Identity Card, Glucometer, Ketone strips, healthy snacks & the most important is to visit your Doctor, get your all necessary tests done and take consent of your Doctor for the safe travelling. Regularly monitor your blood glucose even when you are travelling, Check for Hypoglycemia Carry Sports Shoes, Copy of your medical File, drugs for first aid care etc. Keep your medicines in the handbag. Insulin should not be kept in checked in luggage while travelling by air. Similarly during car travel avoid storing insulin in glove box, as the engine temperature, might affect the quality of insulin. Similarly, avoid exposure of insulin to direct sunlight. Simple precautions will help you to enjoy the safe travel. Recorded on 12.04.2024.

Holi, the festival of colours can surely be enjoyed by people with diabetes with mindful eating, good glycaemic control and portion control. Diabetes should be managed with 7 basic colors of Holi. First color is Diet, as almost all cases of prediabetes and many cases of diabetes can be managed with diet therapy alone. The second color is Exercise, ie brisk walk daily for 30-40 minutes or 150 minutes per week. Third color is the oral glucose lowering drugs to control blood glucose and can be used as single drug or combination of two or more drugs. Fourth color is the Insulin, when oral drugs alone fail to control diabetes in people with long duration of diabetes, insulin therapy is used in combination with oral drugs to manage blood glucose of people with Type 2 diabetes. Fifth color is the yoga or any meditation to control stress. 6th color is regular monitoring of blood glucose to keep check on your daily glycemic profile. The most important 7th color is the awareness on the evidence based knowledge to live happy colourful & a healthy life with diabetes. Recorded on 22nd March 2024.

Globally 8th March is marked as the “International Women’s Day”, while in India 10th March is being recognized as National “Gestational Diabetes Mellitus (GDM) Awareness day” on the occasion of birthday of Dr. V. Seshiah (Padmashri), who has done the pioneering work in the field of pregnancy diabetes in our country. High blood glucose in mother during pregnancy enters into foetal circulation which stimulates beta cells of foetus to secret insulin, causing hyperinsulinemia in the developing foetus. This increases the risk of developing non-communicable diseases like diabetes, obesity, hypertension & heart disease in their adolescent & adult life. Early detection & intense treatment of high glucose of pregnancy can save these children from developing diabetes in future, which is termed as “Primordial Prevention”. Thus every pregnant woman should be screened for diabetes at the first antenatal visit. Also, 50% of GDM women develop frank diabetes in 1-5 years after delivery. So, after delivery every GDM women should screen herself for diabetes after 6 weeks, 6 months and then annually to avoid future complications. “If you educate a man, you educate a man but if you educate a woman, you educate the generations,” said Dr. Gupta, on this occasion, while emphasizing upon the mission education of hello diabetes. Recorded on 8th March 2024.