DIABETES,OBESITY(OVER WEIGHT),THYROID & HARMONES

BLOD GLUCOSE NEVER REMAINS STABLE....

2008-08-28T22:27:00.000-07:00

BLOD GLUCOSE NEVER REMAINS STABLE....
MOST DIABETICS THINK THAT ONCE BLOOD GLUCOSE IS CONTROLLED IT WILL REMAIN STABLE BUT THIS IS NOT TRUE.
THERE FORE BLOOD GLUCOSE SHOULD BE MONITORED VARY OFTEN EVEN IF YOU DONT HAVE ANY PROBLEM.
DR RAJESH AGRAVVAL

THANKS

2008-07-01T09:57:00.000-07:00

THANKS TO ALL THOSE WELL WISHERS APPARENT AS WEL AS THOSE WHO ARE BEHIND THE CURTAIN WHO EXPRESSED THIER WISHES SHARED LOVE WITH ME & SHOWED INTEREST & BLESSED ME.
I AM REALLY THANKFUL TO ALL OF YOU .GOD BLESS YOU WITH GOOD HEALTH AND PROSPERITY.
DR RAJESH AGRAVVAL

HEALTHY WISH

2008-07-01T09:51:00.000-07:00

HEALTHY WISH FOR GOOD HEALTH ON DOCTORS DAYTO ALL MY BLOG VIEWERS AND ALL OTHERS IS
"SMILE & KEEP YOUR SELF FIT BY EXERCISING FOR 30 MINUTES A DAY,AND KEEP LOW WEIGHT"
DR RAJESH AGRAVVAL

PREDIABETES

2008-06-28T03:31:00.000-07:00

PREDIABETES IS A CONDITION BETWEEN NORMAL & DIABETES.YOU CAN PREVENT CONVERSION OF PRE DIABETES INTO PRE DIABETES BY REGULAR EXERCISE AND WEIGHT REDUCTION.
NORMAL BLOOD GLUCOSE LEVELS ARE :-
FASTING BLOOD GLUCOSE =LESS THAN 100 MG/DL
POSTMEAL BLOOD GLUCOSE =LESSTHAN 140 MG /DL
RANDOM BLOOD GLUCOSE MEANS ANY TIME BLOOD GLUCOSE =LESSTHAN 140 MG/DL

PRE DIABETES
FASTING BLOOD GLUCOSE =100-125 MG/DL
POSTMEAL BLOOD GLUCOSE = MORE THAN 141 BUT LESSTHAN 199
RANDOM BLOOD GLUCOSE MEANS ANY TIME BLOOD GLUCOSE =LESSTHAN 140 MG/DL

DIABETES
FASTING BLOOD GLUCOSE =MORE THAN 126 MG/DL
POSTMEAL BLOOD GLUCOSE =MORE THAN 200 MG /DL
RANDOM BLOOD GLUCOSE MEANS ANY TIME BLOOD GLUCOSE =MORE THAN 200 MG/DL

DR RAJESH AGRAVVAL

GYNECOMASTIA

2008-06-26T09:19:00.000-07:00

GYNECOMASTIA MEANS DEVOLOPMENT OF BREAST IN MALES OR MAN . IT MAY BE A HARMONE DISEASE.DONT IGNORE IT

AVAILABILITY

2008-06-23T12:03:00.000-07:00

AVAILABILITY @ HIS DOT CKINIC i.e. @ 29 B PATEL NAGAR ,OPP SAPNA SANGEETA INOX INDORE-452001
PHONE-0731-2464300
MONDAY TO SATURDAY FROM 11.30 TO 2.00/5.30 TO 8.00

EASY TO FIND OUT WHETHER YOU ARE SHORT STATURE

2008-06-14T22:32:00.000-07:00

VARY SIMPLE WAY...
IF YOUR CHILD IS STANDING IN FIRST FIVE IN HIS CLASS WHEN A ROW IS MADE MEANS HIS HEIGHT IS LESS THAN AN AVERAGE AND U SHOULD CONSULT IMMEDIATELY.

SUSTAINED WT LOSS

2008-06-02T11:42:00.000-07:00

A LADY WHO LOST 28 KG IN 6 MONTHS AND SINCE LAST 5 YEARS SHE IS WITHOUT DRUG AND WEIGHT LOSS IS STILL SUSTAINED WITH REGULAR DIETING AND EXERCISE.
GREAT ACHEIEVEMENT

MEDICAL SHOP

2008-05-19T10:49:00.001-07:00

MEDICAL SHOP
IS AVAILABLE ON RENT
@ 29 B PATEL NGR INDORE-452001

CALL-PANKAJ ON-94259-12298

diabetes education

2008-05-13T21:40:00.000-07:00

HOW TO IMPART DIABETES EDUCATION
EVERY ONE OF US KNOWS THE IMPORTANCE OF DIABETES EDUCATION IN THE MANGEMENT OF LIFE LONG BURDEN OF DIABETES AND ITS ROLE IN IMPROVING QUALITY OF LIFE PREVENTION AND REDUCTION OF MACRO AND MICRO VASCULAR COMPLICATION AND THEIRBY REDUCING THE MORBIDITY AND MORTALITY .
DIABETES EDUCATION WAS STARTED IN 1920 BY PIONEERS IN THE FIELD AND FATHER OF DIABETES ELIOT P JOSLIN IN USA AND
EARNESTO ROMA IN POURTGAL, ROBIN D. LAWRENCE IN ENGLAND.
• IN 1970-80 Diabetes Education Study Group OF THE European Association for the Study of Diabetes CAME IN PICTURE
‘DESG EASD’ CAME IN PICTURE 1991 WHO RECOGNIZED DM A GLOBAL HEALTH PROBLEM.
LAND MARK TRIALS IN THE FIELD OF DIABETES I.E.DCCT & UKPDS HIGHLIGHTED THE IMPORTANCE OF DIABETES EDUCATION
VARIOUS STUDIES HAD PROVED 55 TO 85 % REDUCTION IN COMPLICATION RATE OR SEVERITY OF COMPLICATION

VARIOUS WAYS OF DIABETES EDUCATION

• INDIVIDUAL
• GROUP DISCUSSIONS
• PUBLIC (MASS)LECTURES
• LITEREATURE BOOKS
• DIABETES EDUCATION AT PATIENT’S DOOR ‘DEAD’
AIMS OF DIABETES EDUCATION
• EDUCATE DIABETICS AND PREDIABETICS
• EDUCATE SUSCEPTIBLES
• EDUCATE NEAR AND DEAR ONES
• AWARENESS ABOUT SCREENING FOR COMOPLICATION
• PREVENT MORBIDITY AND PREMATURE MORTALITY
• PREVCOMPLICATION OF DM
WHY DIABETICS REQUIRE EDUCATION ? BECAUSE …..
DIABETICS MAY BE CARELESS
TO PREVENT DIABETES
•
• CONSULT WHEN THEY HAVE PROBLEMS
• NO PROBLEM NO BLOOD GLUCOSE
• VARIOUS MYTHS ABOUT
– TREATMENT
– DIET
– CURES
– ALTERNATIVE MEDICINE
• ONCE BLOOD GLUCOSE CONTROLLED STOP MEDICATION OR REDUCE ON THEIR OWN
• SILENT PROGRESSION OF DIABETIC COMPLICATION
• EXPENSIVE MANAGEMENT EXTRA BURDEN ON BUDGET
• SAVING OF CONSULTATION
• LITTLE KNOWLEDGE
– FREQUENCY OF
• BLOOD GLUCOSE
• CONSULTATION
• SCREENING FOR COMPOLICATION
PROBLEMS IN EDUCATING THE PATIENT INDIVIDUAL TEACHING
• NEITHER PATIENT NOR DOCTOR HAVE TIME FOR INDIVIDUAL TEACHING
• DIFFICULT TO EDUCATE INDIVIDUAL PATIENT
• NO TIME TO READ AND LEARN
• MORE EDUCATION MORE RESTRICTIONS
• MORE PRECAUTION
• WANT TO IGNORE THE DIAGNOSIS AND COMPLICATION AS LONG AS POSSIBLE BECAUSE OF SEVERAL INHIBITIONS LIKE
• DIETARY REGULATION AND INHIBITIONS
• FREQUENT AND MORE MEDICATION
• MORE FREQUENT INVESTIGATIONS
• MORE STRINGENT CONTROL OF BLOOD GLUCOSE
• EXPENSIVE

PATIENT EDUCATION PROGRAMMES
GROUP TEACHING
• AUDIO VISUAL SEMINAR INVITING PATIENTS AND RELATIVES
• RESULTS
– POOR ATTENDANCE
– EXPENSIVE
– NOT COST EFFECTIVE
– TIME CONSUMING
– SMALL GROUPS ARE EDUCATED

PUBLIC AWARENESS PROGRAMME
MASS EDUCATION
• ATTENDED BY LARGER GROUP
• WIDE MEDIA COVERAGE
• COSTLY
• TRANSIENT EFFECT
DIABETICS ARE NOT VARY SERIOUS ABOUT THEIR DISEASE BUT RELATIVES ARE…..
THERE FORE WE STARED “DIABETES
EDUCATION AT PATIENT’S DOOR STEP
DIABETICS REQUIRE CONTINIOUS

EDUCATION AND HAMMERRING

WE STARTED WITH DIABETES EDUCATION AT PATIENT’S DOOR STEP
• INITIALLY CYCLOSTYLE NOTES
• HIGHLIGHTING VARY SMALL THINGS EG FASTING MEANS NO CALORIC INTAKE FOR 8 HRS
• IN HINDI AND ENGLISH
• COST EFFECTIVE
• ONE COPY EDUCATES NOT ONLY ONE DIABETIC BUT THE WHOLE FAMILY CONTAINING PREDIABETICS

MADUMEH.COM”

• MONTHLY DIABETES MAGAZINE
• SMALL MAGAZINE YOU CAN READ IN 10 MINUTES
• HINDI AND ENGLISH BOTH COMBINE
• ONE MAGAZINE EDUCATING ONE FAMILY
• DIABETES EDUCATION TO THE PATIENTS AND RELATIVES
• REGISTERD WITH REGISTRAR NEWS PAPER OF CENTRAL GOVERNMENT

• PRESERVED AS PERMANENT RECORD
• HELP THEM IN THEIR DAY TO DAY MANAGEMENT OF DIABETES
• INFORMED ABOUT LATEST IN THE FIELD OF DIABETES
• REMOVING MYTHS
• EFFORT WERE APPRECIATED NOT ONLY BY PATIENTS BUT CONSULTANTS LIMCA BOOK OF RECORDS AND THE “MADUMEH.COM” IS INCLUDED IN LIMCA BOOK 2005
A SMALL THING CAN MAKE A MILE STONE : LIMCA RECORD

IMPACT
• SELF CONFIDENCE
• PATIENTS ARE DEMANDING
• SCREENING FOR COMPLICATION INCREASED
• FREQUENCY OF INVESTIGATION INCREASED
• INCREASED FREQUENCY OF BLOOD GLUCOSE
• SMBG INCREASED
• COMPLICATION RATE DECREASED
• NUMBER OF DIABETIC ADMISSION DECREASED SIGNIFICANTLY
• MORE FREQUENT CONSULTATION
• POSTAL REGISTRATION AND CHARGES WERE RS 0.25 / BOOK POST
• STARTED WITH 100 COPIES

8000 COPIES/MONTH
FREE OF CHARGE TO THE PATIENTS
LIFE MEMBERSHIP AND LUCKY DRAW
• IT IS SINCE FEB 2000
• ALMOST MORE THAN FIVE YEARS
• CONTACTED LIMCA RECORD CONSULTANTS
• THEY ASKED FOR ALL THE DETAILS
• ULTIMATELY INCLUDED IN LIMCA BOOK OF RECORDS IN 2005 EDITION