Sub Logo

Dr K K Aggarwal

All about Diabetes

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off on All about Diabetes

  • Type 2 diabetes can be delayed or prevented, and both types 1 and 2 diabetes can be managed to prevent complications
  • People with diabetes are nearly two times more likely than people without diabetes to die from heart disease, and are also at greater risk for kidney, eye and nerve diseases, among other painful and costly complications. Type 2 diabetes can be delayed or prevented, and both types 1 and 2 diabetes can be managed to prevent complications.
  • In type 1 diabetes, the body does not make insulin. In type 2 diabetes the body makes insufficient insulin or does not use insulin well.
  • Gestational diabetes occurs in some women during pregnancy. Though it usually goes away after the birth, these women and their children have a greater chance of getting type 2 diabetes later in life.
  • Type 2 diabetes has begun to affect young people.
  • Losing a modest amount of weight — about 15 pounds — through diet and exercise can actually reduce your risk of getting type 2 diabetes by as much as 58 percent in people at high risk.
  • In type 1 diabetes, tight control of blood sugar can prevent diabetes complications.
  • Choose healthy foods to share.
  • Take a brisk walk every day.
  • Talk with your family about your health and your family’s risk of diabetes and heart disease.
  • If you smoke, seek help to quit.
  • Make changes to reduce your risk for diabetes and its complications — for yourself, your families and for future generations.

Alcohol: Benefits Vs Risk

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Alcohol: Benefits Vs Risk

  1. There is consensus that nondrinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications.
  2. Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  3. The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  4. For young to middle–aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  5. Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  6. Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  7. Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 g per day. Medically safe limits are 10 g in one hour, 20 g in a day and 70 g in a week. (50% for the women).

How to prevent getting lifestyle diseases including heart attack

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on How to prevent getting lifestyle diseases including heart attack

Wild animals do not get heart attack, blood pressure, diabetes or stroke. These are all lifestyle disorders. But they can occur in a lion caged in a zoo, a rabbit in a laboratory or a pet dog in the house.
The biggest challenge, therefore, in cardiology internationally is – how to prevent development of lifestyle diseases including heart attack.

Most lifestyle disorders are linked to abdominal obesity, which is the latest epidemic in the society in the west. It is also becoming an epidemic in urban India and is now gradually shifting to the middle class. It is linked to eating white sugar, white rice, white maida and not exercising.

Traditionally, Indian sages knew that Indians are prone to getting abdominal obesity, therefore, they promoted observing fast at least 80 days in a year which involves one fast every week, one extra fast on Ekadashi and two Navratras of nine days each at the onset of summer and winter. Traditionally, the Indian fast includes not eating cereals on the fast day. Avoiding cereals 80 days in a year does not allow a person to develop metabolic syndrome and insulin resistance, which is responsible for inflammation of arteries and subsequent lifestyle disorders including heart attack and paralysis.

The other challenges at an international level in cardiology involve safer alternatives for surgery and angioplasty. Today, most angioplasties with stenting and bypass surgeries last for 6–10 years. We want such procedures to last lifelong, obviously with control of risk factors. Stents may be needed, which can be resorbed completely.

A large number of patients die because cardiac transplant facilities are not available in many countries, especially the Asian countries. Every country should have all transplant–friendly laws so that any patient who dies in an accident and is brain dead, but has a living heart ends up as a heart living brain dead donor. In India, thousands of patients die every year for want of a heart donor.

Diastolic dysfunction, heart failure and atrial fibrillation are the other new epidemics of the society. In diastolic dysfunction, the heart does not relax properly and leads to breathlessness on exertion. It is again linked to obesity. If not treated in time, it causes enlargement of the left smaller chamber of the heart called left atrium. This leads to atrial fibrillation, where the heart beats are irregularly irregular. This is the commonest cause of paralysis in elderly age group.

Most lifestyle disorders are also linked to eating high salt diet and/or a diet high in transfats. Every country must come out with its policy and guidelines in which they must restrain various restaurants and hotels from using trans fats in their food and limiting the content of salt in their dishes.

They are also challenges for cardiologists. A cardiologist must practice what he preaches. A patient will not listen to the cardiologist if he/she (the cardiologist) is overweight and has abdominal obesity, drinks excessive alcohol or smokes.

Cardiologists internationally also face legal threat. Most of the law suits in the west are filed against cardiologists, especially those linked to the need of putting a stent or doing bypass surgery. Clear cut guidelines should be laid down and impunity should be given to doctors, if they follow those guidelines.

It is a duty of the cardiological association of every country to come out with transparent and standard guidelines in the treatment of heart diseases and when not to put devices in a patient.
Due to lucrative packages, a large number of cardiologists are shifting towards interventional cardiology. Very few people, a time will come, will remain in clinical, preventive or diagnostic cardiology. It will be sad scenario to watch, if it happens.

Young doctors and medical students should devote their life to combat these challenges. They must learn the principles of Vedic philosophy, especially ethical earning. They must follow the principles of counseling as taught by Lord Krishna to Arjuna. Krishna took 18 counseling sessions. In the first, he only listened, in the second he counseled in great detail, from 3 to 17, he gave reasoning at every stage and in the last session, he revised.

The budding doctors must remember that the word ‘Dr.’ as a prefix is given to them as an honour which differentiates them from the society. These prefixes or suffixes are not even available even to Prime Minister or President of India. They must maintain nobility of the medical profession.

In Islam, one of the five pillars mentioned is compulsory charity. The budding doctors should decide at this stage that throughout their life they will involve in doing 10% of charity on a daily basis.

Vaccination for elderly

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Vaccination for elderly

The best gift to your grandparents is to get them vaccinated if they have not been vaccinated earlier.

  • Annual influenza or flu vaccine is recommended for all persons aged 6 months and older.
  • Pneumonia vaccine should be given to all adults aged 65 years and older.
  • Tetanus Toxoid should be given to all irrespective of age after every 10 years.
  • A single dose of herpes zoster vaccine is recommended for adults aged 60 years and older regardless whether they have had a previous episode of herpes zoster. The vaccination begins at 60 years of age.
  • Hepatitis B vaccine should be given to all if they have not been vaccinated earlier.
  • All diabetics aged 60 years or older should be vaccinated for hepatitis B. This recommendation is based on increased need for associated blood glucose monitoring in long term care facilities.
  • All patients with chronic liver diseases should also be given the Hepatitis B vaccine.

Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips to prevent them.

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips to prevent them.

  • Both malaria and dengue mosquitoes bite during day time.
  • It is the female mosquito which bites.
  • Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.
  • Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.
  • Malaria fever often presents with chills and rigors. If the fever presents together with joint and muscle pains, one should suspect Chikungunya.
  • Both dengue and malaria mosquitoes grow in fresh water collected in the house.
  • The filaria mosquito grows in dirty water.
  • There should be no collections of water inside the house for more than a week.
  • Mosquito cycle takes 7–12 days to complete. So, if any utensils or containers that store water are cleaned properly once in a week, there are no chances of mosquito breeding.
  • Mosquitoes can lay eggs in money plant pots or in water tanks on the terrace if they are not properly covered.
  • If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.
  • Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.
  • Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.
  • Both malaria and dengue mosquitoes do not make a sound. Therefore, mosquitoes that do not produce a sound do not cause diseases.
  • Wearing full sleeves shirt and trousers can prevent mosquito bites.
  • Mosquito repellent can be helpful during the day.
  • If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.
  • There are no vaccines for malaria and dengue.

Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips:

By
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Malaria, Dengue, Chikungunya and Filaria are diseases spread by mosquitoes and are totally preventable. Here are a few tips:

  • Both malaria and dengue mosquitoes bite during day time.
  • It is the female mosquito which bites.
  • Dengue mosquito takes three meals in a day while malaria mosquito takes one meal in three days.
  • Malaria may infect only one person in the family but dengue will invariably infect multiple members in the family in the same day.
  • Malaria fever often presents with chills and rigors. If the fever presents together with joint and muscle pains, one should suspect Chikungunya.
  • Both dengue and malaria mosquitoes grow in fresh water collected in the house.
  • The filaria mosquito grows in dirty water.
  • There should be no collections of water inside the house for more than a week.
  • Mosquito cycle takes 7-12 days to complete. So, if any utensil or container that stores water is cleaned properly once in a week, there are no chances of mosquito breeding.
  • Mosquitoes can lay eggs in money plant pots or in water tanks on the terrace if they are not properly covered.
  • If the water pots for birds kept on terraces are not cleaned every week, then mosquitoes can lay eggs in them.
  • Some mosquitoes can lay eggs in broken tires, broken glasses or any container where water can stay for a week.
  • Using mosquito nets/repellents in the night may not prevent malaria and dengue because these mosquitoes bite during the day time.
  • Both malaria and dengue mosquitoes do not make a sound. Therefore, mosquitoes that do not produce a sound do not cause diseases.
  • Wearing full sleeves shirt and trousers can prevent mosquito bites.
  • Mosquito repellent can be helpful during the day.
  • If you suspect that you have a fever, which can be malaria or dengue, immediately report to the doctor.
  • There are no vaccines for malaria and dengue.