Diabetes & high cholesterol, diet, fat, oil, sugar

1. Diabetes, High Cholesterol :
Is There a Way Out ?
Dr Jitendra Ingole
MD Internal Medicine

4. Life throws Surprises !

5. Health & Happiness is inherent
desire of every living being.

6. Technological advances
have increased
dramatically.

7. But Are We Really Healthy ?

8. What is relevant yesterday, may not
be relevant today.

15. Don't let the
Information
confuse you...

17. Soup, Alcohol, Starter, Chicken,
Coke Or Ice cream ?

18. All Of The Above

19. Why Diabetes / Hyperlipidemia ?

21. Genes are like Govt Committee

24. What We Eat

25. Eating habits are contagious

26. Binge eating, fasting

27. Family History of Diabetes …
Really ?

28. Diabetes
doesn’t run in
Family …

29. Problem is that
NO one runs in
Diabetic
Family

33. Effects of Diabetes

35. One of my Patient Had Heart
Attack

37. Knee Osteoarthritis

39. Pregnancy

47. Diabetic Retinopthy

50. TV Commercials

51. Noodles, Soupy noodles, soups :
High Salt contents

72. Dog and Pizza

74. Mark Twain

81. Pressing Need of The Hour to
Identify early and Treat Diabetes
and High Lipid Levels

83. Sleepy ?

84. The Salt Debate

87. Vadapav : Salt Per serving 400mg

88. Chips : Salt Per serving 500mg

89. Papad : Per serving 200mg

92. Average of 10 gram of Salt in a day !

95. 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; 93:2127–2133.

96. Salt Sensitive and Salt Insensitive

97. Many Grey areas
Many Grey areas
Many Grey areas
Many Grey areas
Many Grey areas

98. Lion Test

99. The bottom line is: We never
evolved to eat a high salt diet

100. Eat Only When you are hungry

101. What to use for Taste then ?

102. Stress and Hypertension

103. Can You swim as good
as me in water ?

105. Sleep

106. Best time to Sleep is ..

108. 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.

109. Vitamin D & Hypertension

116. 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.

123. 30 Minutes of Running

124. 35 Minutes of Running

126. Exercise

129. www.time.com

132. Checklist
• Starting Proper drug
• In Proper dose
• At Proper Interval
• Sleep
• Stress
• Drug Compliance
• Home sugar monitoring
• Creative Reminders
• Periodic Evaluation
• Diet
• Exercise
• Obese patients : Reduce
body weight
• Salt restriction
• Electrolytes evaluation
• Vitamin
• Check for side effects
• Modifying drug dosage if
required

133. Formula of

134. Keep Below 80
• Lower value of BP
• Fasting sugar
• Resting heart rate

135. 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

136. Beverages : Eight Types
• Sugar–sweetened beverages (including soft drinks, fruit
drinks)
• Diet drinks such as diet soda
• Milk (including whole milk)
• Fruit juice
• Coffee and tea with sugar
• Coffee and tea without sugar
• Alcoholic beverages.
• Water

137. Patient Story

142. Thanks
To
All Of You

143. T H A N K S
Dr Jitendra Ingole
MD Internal Medicine

144. Any Questions ?

145. T H A N K S
Dr Jitendra Ingole
MD Internal Medicine