Hello Diabetes

Diabetes and Neuropathy: Understanding Nerve Damage and Its Prevention

Dr. Sunil Gupta, Swati Huddar — Fri, 20 Mar 2026 02:30:00 +0000

During the live phone-in programme “Hello Doctor” on Akashvani, Dr. Sunil Gupta explained that diabetes can affect many organs of the body when blood sugar remains uncontrolled for a long time. One of the most common complications is diabetic neuropathy, a condition in which nerves are gradually damaged due to prolonged high blood glucose levels. This complication usually develops over several years and most often begins in the nerves of the feet and hands. Dr. Sunil Gupta stated that common symptoms of neuropathy include burning sensation, tingling, numbness, reduced sensation, and pain in the feet. Many patients may not notice minor injuries or wounds because of decreased sensitivity. Sometimes, even slippers may slip off while walking without the person realizing it. Due to this loss of sensation, the condition is often referred to as a “high-risk foot” situation. He further explained that if nerve damage is combined with poor blood circulation (neuro-ischemic foot), wound healing becomes slow and difficult. In severe cases, untreated wounds may lead to serious complications such as infection or gangrene, making it at high risk for amputation. Dr. Sunil Gupta also highlighted that diabetes affects both small blood vessels (microvascular disease) and large blood vessels (macrovascular disease), which can impact important organs such as the heart, kidneys, eyes, and feet. He emphasized that maintaining proper blood sugar control, regular medical check-ups, foot care, and early detection of complications are essential for preventing long-term damage and improving quality of life for people living with diabetes. Expert- Dr Sunil Gupta Anchor- Swati Huddar Podcast: 27/02/2026 Recorded at: Akashwani Nagpur

Diabetes and Neuropathy: Symptoms, Causes, and Prevention

Dr. Sunil Gupta, Ms. Kalyani Gokhale — Thu, 19 Mar 2026 02:30:00 +0000

During the Akashvani live phone-in programme “Hello Doctor,” Dr. Sunil Gupta discussed various complications of diabetes and explained that the condition can affect almost every organ in the body. He highlighted that one of the most common and serious complications is diabetic neuropathy, a gradual damage to the nerves that develops over the natural course of the disease. Dr. Sunil Gupta explained that neuropathy usually begins in the nerves of the feet and hands. Common symptoms include burning sensation, tingling, numbness, reduced sensation, slippers slipping off while walking without noticing, and unrecognized wounds. This condition is considered a “high-risk foot” state. If poor blood circulation is also present (neuro-ischemic foot), wound healing becomes difficult and, in severe cases, may lead to gangrene. He also emphasized that diabetes affects both small and large blood vessels (microvascular and macrovascular disease), thereby impacting the heart, kidneys, eyes, and feet. Expert- Dr Sunil Gupta Anchor- Kalyani Gokhale Podcast: 03/02/2026 Recorded at: Akashwani Nagpur

Lifestyle Changes, Obesity, and Diabetes: Causes, Risks, and Prevention

Purva Kulkarni, Dr. Sunil Gupta — Fri, 27 Feb 2026 02:30:00 +0000

Dr. Sunil Gupta provided detailed guidance on diabetes, obesity, insulin resistance, and lifestyle-related health risks. He explained that diabetes management must be individualised, with treatment goals varying according to age, duration of diabetes, and associated conditions such as heart, kidney, or liver disease. Modern diabetes medications, he noted, not only help control blood sugar but also offer protective benefits for vital organs. Dr. Gupta highlighted that rising obesity, reduced physical activity, excessive screen time, and rapid lifestyle changes have made Indians especially vulnerable to diabetes. He explained the role of insulin resistance, visceral (abdominal) fat, and genetic factors, stressing that waist circumference and waist-to-height ratio are more important risk markers than body weight alone. The discussion also covered fasting and post-meal blood sugar patterns, dawn phenomenon, Somogyi effect, and the importance of correct insulin dosing. Emphasising prevention, Dr. Gupta stated that prediabetes can be reversed through lifestyle modification, including regular exercise, weight control, and healthy eating, often without medication. He concluded by describing diabetes as a lifestyle condition rather than a disease, urging people to focus on early testing, sustained lifestyle discipline, and long-term awareness to prevent complications. Expert- Dr Sunil Gupta Anchor- Purva Kulkarni Podcast: 28/11/2025 Recorded at: Akashwani Nagpur Episode: 105

World Diabetes Day 2025: Emphasise Prevention, Awareness, and Lifestyle Management

Purva Kulkarni, Dr. Sunil Gupta, Dr. Kavita Gupta — Fri, 20 Feb 2026 02:30:00 +0000

The session featured Dr. Sunil Gupta and Dr. Kavita Gupta, who provided detailed guidance on diabetes awareness, prevention, and long-term management. Dr. Sunil Gupta explained the historical significance of the discovery of insulin by Frederick Banting and highlighted how insulin transformed the lives of people with Type 1 diabetes. He stressed that type 2 diabetes is largely a lifestyle-related condition and warned that India is facing an epidemic, with nearly one in four adults (above 18 years age) are affected by diabetes or prediabetes, so called dysglycemia. He emphasised early screening, weight control, regular exercise, stress management, and avoidance of tobacco and alcohol to prevent complications such as heart disease, stroke, retinopathy, kidney failure, and limb amputations. Dr. Sunil Gupta also discussed the concepts of primary, secondary, and tertiary prevention, stating that many diabetes-related complications are preventable through timely intervention and awareness. He explained the differences between Type 1 and Type 2 diabetes, insulin resistance, and recent advances aimed at delaying the onset of Type 1 diabetes. Responding to audience queries, Dr. Kavita Gupta highlighted the importance of balanced nutrition in children and adolescents, regular meal timing, reduced screen time, and physical activity. She explained early warning signs of diabetes in children while answering one query she advised to stop using sugar, jaggery, or honey, as they all raise blood glucose levels. The programme concluded with a strong message that diabetes can be prevented and controlled through disciplined lifestyle choices, awareness, and community support. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Purva Kulkarni Podcast: 14/11/2025 Recorded at: Akashwani Nagpur Episode: 104

Can Obesity and Diabetes Affect Pregnancy

Bhavana Lokhande, Dr. Sunil Gupta — Thu, 12 Feb 2026 02:34:05 +0000

Dr. Sunil Gupta spoke in detail about the growing link between obesity, diabetes, pregnancy-related risks, and modern lifestyle habits. He explained that obesity—particularly abdominal or visceral fat—is a major driver of Type 2 diabetes, heart disease, hypertension, and other metabolic complications. Dr. Gupta expressed that Indians are especially vulnerable due to a tendency toward central obesity even at lower body weight, making early screening through BMI and waist circumference measurements essential. Dr. Gupta highlighted that unhealthy dietary patterns, physical inactivity, excessive screen time, and high consumption of fast food and sugary beverages are key contributors to the rising burden of diabetes among children, adolescents, and young adults. He stressed that gestational diabetes and poor glucose control during pregnancy significantly increase the lifetime risk of diabetes for both the mother and the child. Breastfeeding, regular physical activity, post-delivery weight management, and long-term follow-up were emphasized as important protective measures. Addressing common myths, Dr. Gupta clarified that diabetes is not caused by sugar alone but by sustained excess calorie intake, insulin resistance, and genetic predisposition. He also strongly warned against tobacco use in any form, stating that it accelerates diabetes-related complications such as heart disease, kidney failure, stroke, and limb-threatening gangrene. The session concluded with a clear preventive message—eat less, walk more, sleep well, and smile (to reduce stress) Expert- Dr Sunil Gupta Anchor- Bhavana Lokhande Podcast: 23/01/2026 Recorded at: Akashwani Nagpur Episode: 103

Cold Weather & Low Sugar: Hidden Dangers of Diabetes

Swati Huddar, Dr Rakesh Parikh, Dr. Sunil Gupta — Fri, 30 Jan 2026 02:30:00 +0000

Extreme cold exposure can have a significant impact on people with diabetes, especially those with long-standing disease and pre-existing vasculopathy. Dr. Gupta explained that vasoconstriction and vascular damage in people with diabetes can increase the risk of heart attack, stroke, and peripheral gangrene. He advised avoiding prolonged exposure to cold, maintaining body warmth, and seeking immediate medical care if warning symptoms appear. A major portion of the discussion centered on hypoglycemia (low blood sugar). Dr. Gupta noted that blood glucose levels below 70 mg/dL indicate hypoglycemia, while levels below 54 mg/dL can cause significant symptoms. He highlighted common causes, including long gaps between meals, prolonged action of insulin or certain oral medications like sulfonylureas, kidney dysfunction, and the use of some painkillers or antibiotics. The concept of hypoglycemia unawareness, caused by autonomic neuropathy, was explained as a dangerous condition in which warning symptoms may be absent. Dr. Rakesh Parikh (Jaipur) added that wide glucose fluctuations and long duration of diabetes increase the risk of autonomic dysfunction. He emphasized the role of Continuous Glucose Monitoring (CGM) devices in identifying unnoticed low-sugar episodes and preventing serious complications. He also reinforced the need for regular screening of target organs—eyes, kidneys, nerves, heart, and cholesterol—especially in people with long-standing diabetes. Expert- Dr Sunil Gupta & Dr Rakesh Parikh (Jaipur) Anchor- Swati Huddar Podcast: 09/01/2026 Recorded at: Akashwani Nagpur

Diabetes Prevention should be our focus

Dr. Sunil Gupta, Ms. Kalyani Gokhale, Dr. Kavita Gupta — Fri, 23 Jan 2026 06:01:27 +0000

In this AIR-Vividhbharti live phone-in program, Dr. Sunil Gupta focused on the growing diabetes epidemic in India and emphasized the urgent need for early prevention and screening. He highlighted that diabetes is increasingly being diagnosed at a younger age due to sedentary lifestyles, unhealthy dietary habits, stress, and genetic predisposition. Dr. Gupta pointed out that diabetes often remains silent in its early stages and is frequently detected only after complications have developed. He advised regular screening after the age of 30–35 years, early recognition of warning symptoms such as excessive thirst, frequent urination, fatigue, and vision changes, along with strict control of blood sugar, blood pressure, and cholesterol to prevent long-term complications. He further clarified that diabetes “reversal” should be understood as remission, which can be achieved through sustained lifestyle modification, weight management, regular physical activity, and appropriate medical treatment. Dr. Kavita Gupta, a nutrition and lifestyle expert, addressed practical dietary strategies for diabetes prevention and control, particularly during festive and social occasions. She stressed that moderation, rather than deprivation, is the cornerstone of healthy eating. Dr. Kavita Gupta recommended beginning meals with fiber-rich foods such as salads and vegetables, followed by adequate protein intake then Carbohydrate to help stabilize blood sugar levels. Podcast- 26/12/2025 Anchor- Mrs. Kalyani Gokhale Expert- Dr Sunil Gupta & Dr Kavita Gupta

Early Control of Blood Sugar, Cholesterol & Blood Pressure Is the Key to Prevent Diabetes Complications

Purva Kulkarni, Dr. Sunil Gupta — Wed, 31 Dec 2025 03:38:38 +0000

Dr. Sunil Gupta explained the complications of diabetes in simple and easily understandable language, highlighting the serious consequences of long-term uncontrolled blood sugar. He stated that persistent hyperglycaemia leads to microvascular complications such as diabetic neuropathy, retinopathy, and nephropathy, while major events like heart attack, stroke, and gangrene are associated with diseases of the large blood vessels. He described early symptoms of diabetic neuropathy, including burning sensation, numbness, tingling, and pain in the feet, and urged patients not to ignore these warning signs. Dr. Gupta clearly emphasized that diabetes control cannot be achieved by medicines alone. He stressed the importance of regular monitoring of blood glucose, HbA1c, blood pressure, cholesterol, and vitamin levels, along with avoiding wide fluctuations in blood sugar levels. He described insulin as the safest and most effective treatment for diabetes and cautioned that unnecessary delay in initiating insulin therapy can significantly increase the risk of complications. He also emphasized that before managing gangrene or planning surgery, strict control of blood sugar, blood pressure, and cholesterol, along with regular walking, quitting smoking and tobacco use, avoiding alcohol, and maintaining a disciplined lifestyle, are extremely important to improve outcomes and prevent limb loss. Expert- Dr Sunil Gupta Anchor- Mrs. Purva Kulkarni Podcast: 12/12/2025 Recorded at: Akashwani Nagpur Episode:100

Delaying Insulin Therapy Raises Risk of Diabetes Complications

Dr. Sunil Gupta, Dr. Kavita Gupta, Mrs Shraddha Bharadwaj — Wed, 31 Dec 2025 03:31:26 +0000

Dr. Sunil Gupta highlighted that insulin remains the most effective and life-saving treatment for diabetes, especially when oral medications fail. He explained that many people with Type 2 diabetes eventually require insulin, and delaying its initiation can lead to serious complications such as neuropathy, retinopathy, kidney disease, heart disease and diabetic foot problems. Addressing common fears, he clarified that modern insulin pens are almost painless and newer insulin analogues closely mimic natural insulin action, significantly reducing the risk of hypoglycaemia, particularly at night. He stressed the importance of regular blood sugar monitoring, HbA1c testing and annual health check-ups after 30 years of age, noting that many individuals with diabetes may remain asymptomatic. He also drew attention to insulin-requiring diabetes in undernourished adults in India and the need for timely specialist referral. Kavita Gupta emphasized healthy dietary practices, explaining why whole fruits are better than fruit juices due to fiber and lower glycaemic index. She advised consuming low-GI foods and shared practical tips to prevent hypoglycaemia through timely meals and planned nutrition, especially for children, the elderly, and physically active individuals. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 10/05/2019 Recorded at: Akashwani Nagpur Episode: 99

November: A World Diabetes Awareness Month

Ms. Kalyani Gokhale, Dr. Sunil Gupta, Dr. Kavita Gupta — Wed, 31 Dec 2025 03:21:14 +0000

Dr. Sunil Gupta emphasized that World Diabetes Day, celebrated on November 14, marks the birthday of Frederick Banting, who discovered insulin. Today, it is not limited to a single day but observed throughout November as a month of awareness activities. Among the elderly, diabetes often coexists with complications like high risk of hypoglycemia, associated neuropathy, and other health issues, making regular monitoring, proper medication, hydration, and adequate sleep is essential. Diabetic neuropathy, which causes tingling or numbness in the feet, results from nerve damage but can be reversible in the early stages through good sugar control, exercise and timely check-ups. While answering the query he advised that diabetes should not be hidden—informing friends or colleagues ensures timely help during a low-sugar episode. Insulin remains a lifeline for Type1 diabetes, and over time, many with Type 2 diabetes may also require it. Dr. Kavita Gupta highlighted that stress hormones like cortisol and adrenaline can raise blood sugar levels. Thus, making meditation, positive thinking, and balanced routines is vital. During festivals, healthier options such as fruit baskets or nuts can replace sweets. She added that people with prediabetes should begin focusing on diet, weight, and exercise now to help prevent a future diabetes epidemic. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs. Kalyani Gokhale Podcast: 31/10/2025 Recorded at: Akashwani Nagpur Episode: 98

Myth-busting in diabetes is vital

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Mon, 15 Dec 2025 03:47:35 +0000

Dr. Sunil Gupta addressed several common diabetes-related myths—especially those that spread during festivals—such as the false belief that diabetes spreads through touch, that bitter gourd juice is a cure, or that eating sweets directly causes diabetes. He clarified that such misconceptions can misguide people and delay proper care. Dr. Gupta explained that tingling or numbness in the hands and feet is not always due to high sugar levels; it can also be caused by nerve pressure, sitting posture, or Vitamin B12 deficiency. In Type 2 diabetes, medicines may reduce with disciplined lifestyle changes, but complete cure is rare. Diabetes may get “reversed” in specific situations such as gestational diabetes after delivery, stress-induced diabetes, or after bariatric surgery. He also highlighted that children’s late-night gaming habits harm mental health and sometimes require psychological guidance. Dr. Gupta discussed the stages of Diabetic Retinopathy, noting that retinal damage cannot be reversed, though progression can be slowed with timely treatment. Conditions like Vitamin D3/B12 deficiency, infections, high BP, or glaucoma can also affect vision—so both diabetes and eye specialists should be consulted. Dr. Gupta emphasized that diabetes is a lifestyle condition and individuals should not be labeled as “patients.” Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 11/10/2019 Recorded at: Akashwani Nagpur

Practical Guidance for a Healthier and Happier Life with Diabetes

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Fri, 12 Dec 2025 02:30:00 +0000

Throughout the session, Dr. Sunil Gupta shared practical and easy-to-follow advice on managing diabetes effectively in daily life. He emphasized the importance of moderation during festivals, advising people to enjoy the “sweetness of words” rather than consuming excessive sweets. A positive attitude, self-discipline, and mindful choices, he said, are crucial for maintaining good health. Dr. Gupta encouraged individuals with diabetes to monitor their blood sugar regularly using a glucometer or continuous glucose monitoring (CGM) system to understand their glucose trends and make timely adjustments in diet, medication, and physical activity. Highlighting that 50–70% of people with diabetes are overweight, he explained the “Fit Fat Concept,” which means that even if a person carries extra weight, staying active and physically fit can significantly reduce diabetes-related risks. He also recommended avoiding HFSS foods (High Fat, High Salt, and High Sugar) and instead including more fiber-rich foods, vegetables, and fruits in the daily diet. Stressing the importance of consistent exercise, proper hydration, and stress control, Dr. Gupta concluded that diabetes management goes beyond medicines — it requires awareness, lifestyle balance, and a positive mindset for long-term well-being. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 25/10/2019 Recorded at: Akashwani Nagpur Episode: 96

Safe Fasting and Smart Diabetes Management

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Thu, 11 Dec 2025 02:30:00 +0000

Dr. Sunil Gupta advises that if blood sugar is well-controlled and only mild medications are used, fasting can be observed safely. However, during fasting, one should consume light diets such as milk, fruits, or bhagar at intervals to prevent hypoglycemia. A frequent craving for sweets may indicate prediabetes, as excessive intake can overwork pancreatic beta cells and eventually lead to diabetes. Dr. Gupta explains that insulin in the body functions in two forms — basal insulin, which works continuously 24×7, and bolus insulin, which is secreted by beta cells in response to meals. For Type 1 diabetes, research on pancreatic or beta cell transplants, stem cell therapy etc. are ongoing, though a permanent cure remains under study. The HbA1c target should ideally remain between 6.5–7, though elderly patients may maintain slightly higher levels for safety. (may be 7.5% or 8%) While traveling, always carry insulin, medications, glucose tablets, and a diabetes identity card in your hand luggage. During festivals, treat prasad as a symbol of devotion rather than a food portion. Avoid excess sweets, stay active, and extra parikrama may be practiced as a healthy form of exercise. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 23/08/2019 Recorded at: Akashwani Nagpur Episode: 95

Insulin is Safe and Best for Diabetes Control

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Wed, 10 Dec 2025 06:30:04 +0000

Dr. Sunil Gupta shared key insights for diabetes patients. Diabetes affects not just the pancreas but blood vessels throughout the body, with the liver being particularly vulnerable. Hyperinsulinemia (excess insulin) and long-term high blood sugar, high cholesterol, and high triglycerides can lead to fatty liver, which may progress to fibrosis or cirrhosis of liver. Dr. Gupta emphasized that human insulin is safe and effective, while insulin analogs (ultra-fast and ultra-long) are more physiologically aligned with the body’s needs. Doses should be adjusted based on weight. Every person with diabetes should have a glucometer, as frequent monitoring helps control sugar levels and adjust doses. Diet and lifestyle play a crucial role. Limit sugar, jaggery, sweets, and honey, and prefer brown rice for its lower glycemic index. Exercise, weight management, and controlling blood pressure and cholesterol are essential. Foot care, eye check-ups, and avoiding alcohol, smoking, and tobacco are vital. For children with Type 1 diabetes, parent training, workshops, and insulin learning programs ensure safe management and prevent complications. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 14/06/2019 Recorded at: Akashwani Nagpur Episode: 94

Diabetes in Older Adults: Key Steps for Safe and Healthy Living

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Wed, 19 Nov 2025 02:30:00 +0000

Dr. Sunil Gupta explained that diabetes is common in adults over 65 years and often occurs alongside other health issues such as high blood pressure, cholesterol, heart, kidney, or eye problems. Managing diabetes in seniors typically follows a stepwise approach: diet and exercise first, followed by oral medications, and insulin if needed. Blood sugar fluctuations can be dangerous in elderly people, so regular monitoring is essential. If a meal is missed or appetite is low, blood sugar should be checked, and light food, fruits, or milk can be consumed by them. Dr. Gupta emphasized that special care is required for those with comorbid conditions, and newer medications help control blood sugar without increasing the risk of hypoglycemia. Similarly, modern insulin formulations can lower the risk of nocturnal hypoglycemia by up to 30–40%. Foot care in elderly is critical, as poor circulation and nerve damage increase the risk of infections or amputations. Regular foot checks, proper footwear, and avoiding smoking or tobacco are essential. He also noted that Type 1 diabetes, common in children aged 5–15, can occur at any age. Parents should attend training to manage insulin and handle emergencies at home. Regular check-ups and doctor consultations are crucial to prevent complications and maintain overall health in both seniors and children. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 28/06/2019 Recorded at: Akashwani Nagpur Episode: 93

How can a person with diabetes enjoy eating fruits?

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Tue, 18 Nov 2025 02:30:00 +0000

Dr. Sunil Gupta highlighted several key aspects of diabetes management, emphasizing the importance of balance, awareness, and regular monitoring. He explained that both glucose and fructose are simple carbohydrates, but glucose has a glycemic index of 100, while fructose is slightly lower. Eating sweets or sugary foods leads to a rapid spike in blood sugar, so it is better to avoid fruit juices and consume whole fruits instead, as their fiber helps reduce the glycemic load and glycemic index. People with controlled diabetes should choose low-sugar fruits such as apple, jamun (black plum), and papaya, while high-sugar fruits like mango, chikoo, pineapple should be taken in limited quantities—around 50 grams or two slices. Including protein and complex carbohydrates in meals helps slow sugar absorption and prevents nighttime low sugar (hypoglycemia). Dr. Gupta further explained that swelling in the body can be due to kidney problems, heart failure, liver disease (such as Non-Alcoholic Fatty Liver Disease), or certain diabetes medications; in such cases, both salt and water intake should be limited. He stressed that about 70% of diabetic patients die from heart attacks or brain strokes, making regular heart check-ups is essential even if the ECG appears normal. Because diabetes weakens immunity, infections occur more easily, and wounds heal slowly; hence, maintaining blood sugar control is vital. To prevent hypoglycemia, one should eat something every three to four hours. Finally, he advised that diabetes screening should be done at least once a year—or earlier if symptoms like fatigue, weight loss, or frequent urination appear. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 24/05/2019 Recorded at: Akashwani Nagpur Episode: 92

Diabetes Awareness is the Key to Success…!!

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Mon, 17 Nov 2025 02:30:00 +0000

Diabetes care is not just restricted to a person but it is a social challenge, and therefore both families and society must be educated about it. Dr. Sunil Gupta explained the normal blood sugar range, the effects of hypoglycemia and hyperglycemia, and how diabetes impacts digestion and metabolism. He discussed diabetes in women, obesity, and the “fit-fat” concept, explaining that even people with normal weight can have internal fat called “visceral fat” that increases diabetes and heart attack risk. Dr. Gupta highlighted that lack of sleep, stress, and an undisciplined lifestyle are major contributors to the rise in diabetes. He described discipline, a balanced diet, regular exercise, and an informed society as the key elements to achieving a “Diabetes Complication-Free India.” Dr. Gupta also mentioned that unexplained weight loss in diabetes could indicate thyroid disorders or other underlying conditions. He concluded with a simple yet powerful message: “Eat less, walk more, sleep well, stay stress-free, and help build an educated, healthy society.” Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 25/01/2019 Recorded at: Akashwani Nagpur Episode: 91

Staying Safe with Diabetes During Summer and Fasting

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Thu, 30 Oct 2025 02:30:00 +0000

Dr. Sunil Gupta explained that during the summer season, people with diabetes are at higher risk of dehydration, low blood sugar, and infections, making it essential to stay well-hydrated with fluids like water and buttermilk. Discussing diet, Dr. Gupta recommended moderation in mango and fruit intake, emphasizing that fruit juices should be avoided because they can cause rapid spikes in blood sugar. He also addressed the importance of caution during fasting periods, such as Ramadan or religious fasts, when there is a risk of hypoglycemia (low sugar). In such cases, he stressed that medication adjustments must be made under medical supervision. For those traveling or unwell, Dr. Gupta suggested following travel and sick-day guidelines—carrying two sets of medicines, a glucometer, and glucose tablets, and never discontinuing medications during illness or vomiting. He warned that dehydration can worsen diabetes control. Concluding his advice, Dr. Gupta reminded that diabetes cannot be completely cured, but with proper lifestyle management, it can be effectively controlled for a healthy, active life. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 19/04/2019 Recorded at: Akashwani Nagpur Episode: 90

Special Focus on Pregnancy Care

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Wed, 29 Oct 2025 02:30:00 +0000

Dr. Sunil Gupta explained that the prevalence of diabetes in pregnancy (gestational and pre-gestational) is high and may vary from 5% to 20% in different populations in India. He said that 90% of women may not have any symptoms of diabetes, but others may experience symptoms such as frequent vaginal infections, polyuria (increased urination), polyphagia (increased hunger), polydipsia (increased thirst), unexplained weight loss, and fatigue, etc. Dr. Gupta said that frequent nighttime urination may be one of the symptoms of diabetes. He clarified the difference between Type 1 and Type 2 diabetes, especially the causes and presentation in children. Addressing common myths, he emphasized that regular use of prescribed medication does not cause serious side effects. Answering a question on increased urinary frequency, he explained that recurrent urinary tract infections (UTIs) and autonomic bladder neuropathy are often overlooked complications causing such symptoms. He highlighted that maintaining proper blood sugar control before and during pregnancy is essential to prevent complications for both the mother and the baby. Dr. Gupta also stressed the importance of timely testing, diet management, exercise, and insulin dose adjustment during pregnancy. Concluding his session, he advised that the entire family should take collective responsibility for supporting the expectant mother, calling it a shared “pregnancy project” to ensure a safe and healthy outcome for both mother and child. Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 22/03/2019 Recorded at: Akashwani Nagpur Episode: 89

Women’s Health and Diabetes Awareness

Dr. Kavita Gupta, Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Tue, 28 Oct 2025 02:30:00 +0000

On the occasion of Women’s Day, Dr. Sunil Gupta emphasized the importance of awareness about diabetes in women, especially gestational diabetes during pregnancy. He highlighted that in India, one out of every six women may develop high blood sugar during pregnancy, making glucose testing essential in every trimester. Dr. Gupta explained that uncontrolled blood sugar during pregnancy can lead to low sugar (hypoglycemia) episodes in newborns at the time of birth. He also emphasized that women with diabetes, if planning for pregnancy, should first achieve proper blood sugar control to ensure a healthy outcome for both mother and child. Dr. Kavita Gupta discussed the vital role of balanced nutrition and lifestyle in maintaining women’s health. She advised that women with diabetes should limit oily, fried foods and fast food, while including vegetables, salads, pulses, paneer, soy, and sprouts in their diet. During pregnancy, the intake of protein and calcium should be increased for proper growth and development. She also recommended drinking adequate water, coconut water (in moderation), and consuming seasonal (as per recommendation) whole fruits during summer to stay hydrated. Addressing the issue of anemia in women, she stressed the importance of iron-rich foods and green vegetables. Her message was clear — “Every woman should maintain balance in her diet, just as she maintains balance in her home and life.” Expert- Dr Sunil Gupta & Dr. Kavita Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 08/03/2019 Recorded at: Akashwani Nagpur Episode: 88

Comprehensive Holistic Diabetes Care is a Must for All People with Diabetes

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Mon, 27 Oct 2025 02:30:00 +0000

In this education program through Vividh Bharati (All India Radio), Dr. Sunil Gupta explained in detail that diabetes is a multifactorial disease that can affect multiple organs including the eyes, nerves, liver, kidneys, heart, and even sexual health. He highlighted that non-alcoholic fatty liver disease (NAFLD), sleep disturbances, frozen shoulder, and sexual dysfunction are among the common complications associated with diabetes. He elaborated that diabetes medications—such as Metformin, Glitazones, and SGLT2 inhibitors—work in different ways: some drugs like sulfonylureas increase insulin secretion, others improve insulin sensitivity, while some help eliminate excess sugar through urine. Dr. Gupta clarified that starting medication does not necessarily mean lifelong dependency; if blood sugar levels remain under good control, the dosage can be reduced under dose monitoring or, in some cases, the medication can be stopped under medical supervision. Concluding his address, he emphasized that “the true treatment of diabetes is not just controlling blood sugar but taking care of the whole body through a disciplined and healthy lifestyle.” Expert- Dr Sunil Gupta Anchor- Mrs. Shraddha Bharadwaj Podcast: 22/02/2019 Recorded at: Akashwani Nagpur Episode: 87

Do not ignore your muscle loss while practicing weight loss programs…!!!

Dr. Sunil Gupta, Ms. Kalyani Gokhale — Thu, 16 Oct 2025 02:30:00 +0000

Dr. Sunil Gupta explained that Type 2 Diabetes is a multifactorial disorder, influenced by several interconnected factors such as genetics, obesity, physical inactivity, unhealthy diet, and stress. He highlighted that even people who appear lean or fit can develop diabetes due to visceral fat—the hidden fat that accumulates around internal organs and disrupts metabolism. Dr. Gupta elaborated that unexplained weight loss in diabetes often occurs when insulin deficiency causes glucose to be excreted through urine. However, he cautioned that persistent or sudden weight loss may sometimes signal other underlying conditions such as tuberculosis or cancer and should not be ignored. He also discussed sarcopenia—the loss of muscle mass commonly seen in people with diabetes—and emphasized the importance of sufficient protein intake, muscle-building resistance exercise, regular physical activity, and a well-balanced diet in preserving muscle strength and metabolic health. Proper exercise, he noted, improves insulin sensitivity and overall blood sugar control. Concluding his address, Dr. Gupta warned that individuals whose blood sugar levels remain above 180 mg/dL (HbA1c > 7%) for long periods are at higher risk of weight loss and other severe complications. He urged everyone to adopt a proactive lifestyle with mindful eating, exercise, and regular medical check-ups for long-term diabetes management. Expert- Dr Sunil Gupta Anchor- Mrs.Kalyani Gokhale Podcast: 3/10/2025 Recorded at: Akashwani Nagpur Episode: 86

Glycemic Happiness: How to Make People with Diabetes Happy?

Mrs. Manjusha Ambulkar, Dr. Sunil Gupta — Wed, 15 Oct 2025 02:30:00 +0000

In the All India Radio (Vividh Bharati) program, Dr. Sunil Gupta emphasized that effective diabetes management extends beyond medication and relies equally on mental peace, emotional balance, and a positive outlook—what he calls “glycemic happiness.” Stress, anxiety, and depression, he explained, can disrupt blood sugar control and heighten the risk of complications, making emotional well-being a key component of diabetes care. He urged individuals to focus on early detection of prediabetes and to adopt timely lifestyle modifications to delay or even prevent the progression of the disease. Balanced nutrition, regular physical activity, and consistent monitoring, he said, form the foundation of long-term diabetes control. Dr. Gupta also highlighted the worrying trend of diabetes affecting younger age groups, often due to sedentary routines, poor dietary habits, and increasing stress levels. He advised maintaining a positive mindset, staying active, and adhering to regular medical check-ups and prescribed therapy. Awareness and education, he stressed, are vital to empowering individuals to take control of their health. Concluding his message, Dr. Gupta warned that diabetes is a “sweet killer”—a silent condition that can cause serious harm if ignored but can be effectively prevented and managed through awareness, timely intervention, and adopting a disciplined, healthy lifestyle. Expert- Dr Sunil Gupta Anchor- Mrs. Manjusha Ambulkar Podcast: 1/10/2025 Recorded at: Akashwani Nagpur Episode: 85

Diabetes : Genes are the loaded guns…It’s the environment which pulls the trigger

Dr. Sunil Gupta, Ms. Kalyani Gokhale — Tue, 14 Oct 2025 04:23:04 +0000

Dr. Sunil Gupta began his address by extending warm greetings for Navratri and emphasized the importance of maintaining moderation and dietary discipline during festivals. He explained that “low blood sugar” (hypoglycemia) can be more dangerous in elderly individuals and that diabetes management goals should be personalized according to a person’s age and associated health conditions. He elaborated on the concepts of “Thrifty Genotype” and “Thrifty Phenotype,” explaining that both our genetic makeup and poor nutrition during pregnancy contribute to the rising burden of diabetes. Addressing the younger generation, he advised adopting a healthy lifestyle, regular physical activity, and effective stress management to reduce the genetic risk. He stated “Genes are the loaded guns, It’s the environment which pulls the trigger.” Responding to audience questions, Dr. Gupta provided simple and practical insights on topics such as hypoglycemia, liver and kidney health, and managing low blood sugar. He concluded by stating that awareness, regular check-ups, and a balanced lifestyle are the most effective keys to keeping diabetes under control. Expert- Dr Sunil Gupta Anchor- Mrs.Kalyani Gokhale Podcast: 26/09/2025 Recorded at: Akashwani Nagpur Episode: 84

Diabetes in Youth: A Concern for Bharat

Ms. Vaidehi Chowre, Dr. Sunil Gupta — Wed, 8 Oct 2025 02:30:00 +0000

Dr. Sunil Gupta expressed concern over the growing incidence of diabetes in young Indians, noting that the unique “Indian phenotype” makes the population more prone to central obesity, insulin resistance, and early diabetes compared to Western countries. He explained that while diabetes was earlier common in people in their 50s–60s, it is now increasingly being seen in the 30s and 40s, even among lean or physically active individuals. Contributing factors include high-carb, low-protein diets, sedentary lifestyles, stress, genetic risk, and intrauterine influences on diabetes risk (“sitting is the new smoking” he added). The session further emphasized the need for annual check-ups after age 30–35, awareness of warning signs such as excessive thirst, frequent urination, fatigue, and vision changes, he stressed 150–250 minutes of exercise per week. He also explained different types of diabetes in youth—Type 1, Type 2, and LADA—stressing that early diagnosis and management are crucial. Concluding the talk, Dr. Gupta warned that diabetes is a “silent sweet killer” but can be prevented through timely tests, lifestyle changes, and medical supervision. Expert- Dr Sunil Gupta Anchor- Mrs.Vaidehi Chaware Podcast: 3/09/2025 Recorded at: Akashwani Nagpur Episode: 83

“Glycemic Happiness”: How to keep person with diabetes happy?

Ms. Kalyani Gokhale, Dr. Kavita Gupta, Dr. Sunil Gupta — Tue, 7 Oct 2025 02:30:00 +0000

Diabetologist Dr. Sunil Gupta emphasized that managing diabetes goes far beyond just taking medication. He introduced the concept of “glycemic happiness”—the combination of peace of mind and a positive outlook—as a crucial factor in effective blood sugar control. According to him, stress, anxiety, and depression can significantly disrupt glucose levels and increase the risk of diabetes-related complications. He also highlighted the importance of early detection of prediabetes and timely lifestyle interventions, which can help delay and even prevent the onset of diabetes. By maintaining regular monitoring, following a balanced diet, engaging in consistent physical activity, and nurturing mental well-being, individuals can successfully manage the condition over the long term. Dr. Kavita Gupta addressed women’s and family-related concerns. She noted that during festivals and special occasions, completely avoiding sweets is not necessary; instead, making healthier choices and practicing portion control is more practical. She suggested simple ways to make traditional delicacies like modaks more nutritious and provided safe-use tips for sugar-free or artificial sweeteners. Dr. Kavita also emphasized the importance of addressing gestational diabetes and women’s mental health during pregnancy, stressing that family support plays a crucial role in both. Expert- Dr Sunil Gupta Anchor- Mrs.Kalyani Gokhale Podcast: 29/08/2025 Recorded at: Akashwani Nagpur Episode: 82

How to Ensure Healthy Moms and Babies in Diabetic Pregnancy?

Dr. Kavita Gupta, Ms. Vaidehi Chowre, Dr. Sunil Gupta — Mon, 6 Oct 2025 02:30:00 +0000

Diabetes management during pregnancy, nutrition, and breastfeeding. Maintaining proper blood sugar control is essential for women with pre-existing Type 1 or Type 2 diabetes, as well as those with gestational diabetes. Pre-conception counseling is important to ensure that HbA1c, fasting, and post-meal blood glucose levels are within safe limits, along with monitoring blood pressure, cholesterol, and weight to reduce pregnancy complications. During pregnancy and delivery, insulin doses are carefully adjusted, and breastfeeding initiation is emphasized, as insulin is safe during lactation and helps maintain blood sugar stability. Postpartum, women with gestational diabetes should continue healthy habits to minimize the risk of future diabetes and metabolic disorders. Early detection of mildest form of hyperglycemia and its intensive treatment is mandatory in pregnancy. To protect the growing fetus from diabetes, obesity and other non-communicable diseases in their adult life. This is termed as primordial prevention. This concept also plays an important role in reducing transgenerational diabetes risk. Dietitian Dr. Kavita Gupta provided practical guidance on nutrition for pregnant and lactating women. She highlighted the benefits of high-fiber foods, high protein diet with nuts, seeds, and millets, and encouraged using multi-grain flour for balanced meals. She explained portion control, protein requirements across trimesters, and during lactation, and emphasized incorporating nutrient-dense foods while avoiding excess fats and sugars. Dr. Kavita also discussed the importance of washing vegetables thoroughly, lightly steaming sprouts, and using vitamin-rich foods to enhance absorption. She stressed that supplements are only necessary if a deficiency is confirmed, otherwise balanced diet alone is sufficient. Her advice focused on improving milk quality, maternal and infant health, and sustaining energy levels for mothers during pregnancy and breastfeeding. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs.Vaidehi Chaware Podcast: 25/07/2025 Recorded at: Akashwani Nagpur Episode: 81

Does diabetes affect immunity? Session 2

Dr. Sunil Gupta, Ms. Kalyani Gokhale, Dr. Kavita Gupta — Fri, 3 Oct 2025 07:32:04 +0000

Diabetes is a metabolic risk which weakens immunity, making patients more susceptible to viral, bacterial, and fungal infections, and increasing the severity of illnesses like what we have seen during COVID-19 pandemic. It is important to control blood sugar, blood pressure, cholesterol, and weight to strengthen the body’s defense system. Patients should pay attention to medication timing, blood glucose monitoring, and assess hypoglycemia risks. Diabetes-related complications include retinopathy, cataract, glaucoma, gum infections, neuropathy, kidney disease, and cardiovascular risks, highlighting the need for preventive eye checkups, foot care, early recognition of symptoms, and lifestyle modifications such as regular exercise, avoiding smoking/alcohol, and a healthy diet. A practical A–H formula for long-term diabetes care can be followed: ● A is for HbA1c (target < 7%) A1C ● B for blood pressure (target <130-180 mmHg) ● C for LDL Cholesterol (target < 100mg%) ● D for Diet control ● E for (target 150-250 minutes per week) Exercise ● F for Frequent glucose monitoring ● G for attending Good quality education program ● H for Happiness Dr. Kavita Gupta emphasized diet and lifestyle as key pillars of diabetes care. She explained that medical nutrition therapy is essential for maintaining blood sugar levels and preventing complications. Along with regular exercise, mindful eating, and glucose monitoring, she highlighted the importance of balanced meals, portion control, avoiding excess, and adopting consistent healthy food habits tailored to individual needs. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs. Kalyani Gokhale Podcast: 12/07/2025 Recorded at: Akashwani Nagpur Episode: 80

Does Diabetes affect your immunity ? Session 1

Dr. Sunil Gupta, Ms Pranjali Bawaskar — Fri, 3 Oct 2025 07:26:26 +0000

In this interview guidance was shared on diabetes-related complications and their prevention. It was explained that diabetes weakens the immune system, making patients more vulnerable to viral, bacterial, and fungal infections, which can become severe. COVID-19 was highlighted as a major example of this risk. It was emphasized that regular exercise, healthy diet, and maintaining control over blood sugar, blood pressure, cholesterol, and weight strengthens the body’s immunity. On the question of the timing of medication, it was informed that time of consumption of glucose-lowering drugs differs for each drug. Some need to take it before meals, others after or few in between the meal. No changes should be made without consulting a doctor. The use of Continuous Glucose Monitoring (CGM) was recommended for consistent tracking of blood sugar levels, especially in those people who are on multiple doses of insulin therapy (e.g.T1DM and T2DM on insulin therapy), or those where glucometer readings don’t match with HbA1c report, or those with recurring hypoglycemia, unawareness, etc. Expert- Dr Sunil Gupta Anchor- Mrs. Pranjali Bawaskar Podcast: 11/07/2025 Recorded at: Akashwani Nagpur Episode: 79

Acute Risks and Long-Term Challenges in Diabetes

Ms. Kalyani Gokhale, Dr. Sunil Gupta — Fri, 3 Oct 2025 07:18:20 +0000

At the beginning of the program, Dr. Sunil Gupta explained that the complications of diabetes are of two types: acute complications, such as hypoglycemia (low blood sugar) and diabetic ketoacidosis especially in Type 1DM, both of which can cause sudden and immediate danger. Chronic complications develop slowly over time and affect the eyes, kidneys, heart, brain, and nerves. Hypoglycemia occurs when blood sugar falls below 70 mg/dl, and the main causes could be drug-induced, like insulin or sulfonylurea group of drugs, skipping of the meal, excessive exercise, vomiting or diarrhea, and due to use of drugs like painkillers (analgesics) or a few antibiotics along with glucose-lowering drugs. However, the risk of hypoglycemia has become lower with the use of newer medications compared to older ones. In response to audience questions, it was emphasized that the decision to stop or reduce medication should always be made under the supervision of a doctor. People with prediabetes (HbA1c 5.7–6.4%) can often avoid developing diabetes altogether through timely lifestyle changes. If diabetes runs in the family, the risk of children developing it at an early age is significantly higher. The importance of an annual health check-up covering the eyes, heart, kidneys, and feet was stressed, described as the “greatest gift” a person with diabetes can give themselves is of “Good Health.” When anemia coexists with diabetes, fatigue and complications tend to worsen, making it essential to identify the underlying cause and provide treatment. In cases of leg pain or neuropathy, vitamin deficiencies, blood vessel health, and side effects of a few medicines like statin should all be carefully evaluated. Expert- Dr Sunil Gupta Anchor- Mrs. Kalyani Gokhale Podcast: 27/06/2025 Recorded at: Akashwani Nagpur Episode: 78

Understanding Diabetes: Types, Treatment, and Legacy Phenomenon…!

Dr. Sunil Gupta, Purva Kulkarni — Tue, 30 Sep 2025 05:17:35 +0000

Diabetes is a condition in which the body cannot regulate blood sugar properly. There are different types of diabetes, each with unique causes and treatment needs. Type 1 diabetes usually occurs in children or young people when the pancreas stops producing insulin completely, making lifelong insulin injections necessary. Type 2 diabetes, more common in adults but increasingly seen in children, occurs when insulin is produced but does not work effectively due to insulin resistance. It may initially be controlled through diet, exercise, and tablets, but many patients eventually require insulin. Gestational diabetes typically develops during pregnancy and often disappears after delivery, yet both the mother and child remain at higher risk of developing diabetes later. Secondary diabetes can occur due to pancreatic infections, steroid use, alcohol, or chronic pancreatitis etc. Another form, known as NODAT (New Onset Diabetes After Transplant), has also been identified. Malnutrition-related diabetes (Type 5) arises when poor maternal nutrition during pregnancy prevents proper development of the child’s pancreas, leading to early beta cell failure in adult life. A condition called “double diabetes” is also seen when children with Type 1 diabetes develop the features of Type 2 due to obesity. Diagnosis for Type 1DM often involves a C-peptide test, which measures how much insulin the body is still making. Importantly, early and strict sugar control provides lasting benefits, known as the Legacy Effect and Good Glycemic Memory, helping prevent complications of the kidney, heart, eyes, nerves, and other organs in subsequent years of life. Good glucose control also keeps mitochondria healthy, ensuring better long-term health. In addition, new GLP-1 analogs such as Tirzepatide and Semaglutide have shown benefits for weight reduction and organ protection, though they should only be taken under medical guidance. Expert- Dr Sunil Gupta Anchor- Mrs. Purva Kulkarni Podcast: 13/06/2025 Recorded at: Akashwani Nagpur Episode: 77

Obesity… Beta cell health… Insulin release… Glucose fluctuation…!!

Dr. Kavita Gupta, Dr. Sunil Gupta, Ms. Kalyani Gokhale — Tue, 30 Sep 2025 05:12:31 +0000

The relationship between diabetes and obesity was explained in simple terms, highlighting how excess weight leads to insulin resistance. As obesity increases, the effect of insulin in the body decreases. To compensate, the pancreatic beta cells have to work harder to maintain normal blood sugar. Over time, this constant strain on beta cells causes beta cell fatigue and eventual failure. Insulin is secreted from beta cells in two phases. The first phase of insulin release covers the postprandial spike of glucose, while the second phase continues its action for 4–6 hours. In type 1 diabetes, both these phases of insulin release are absent, which is why insulin replacement becomes absolutely necessary. While in T2DM, the first phase of insulin is lost, causing postprandial hyperglycemia. Dr. Gupta emphasized that HbA1c alone cannot provide a complete picture of diabetes control. While it reflects the average sugar level, it does not capture dangerous fluctuations. Glycemic variability—frequent ups and downs in sugar—poses a high risk, and therefore continuous glucose monitoring (CGM) is extremely valuable. CGM not only shows the average but also the trends and time-in-range, helping patients and doctors achieve better stability. Dr. Kavita Gupta mainly focused on lifestyle and diet management. She explained the benefits of intermittent fasting and early dinner, pointing out that heavy meals late at night increase both sugar and weight. She suggested the “plate method” of eating: half the plate vegetables, one-fourth pulses or proteins, and one-fourth complex carbohydrates. She emphasized salads, sprouts, yogurt, and the importance of portion control. Addressing common confusion about fruits, she clarified that diabetic people can safely eat seasonal fruits in moderation, as long as juices are avoided and quantity/timing are considered. She also recommended a light “pre-dinner snack” such as fruit between lunch and dinner to prevent hypoglycemia and curb junk food cravings. Her overall message was clear: balanced diet, correct timing, and mindful eating are essential pillars of diabetes care. Expert- Dr Sunil Gupta & Dr Kavita Gupta Anchor- Mrs. Kalyani Gokhale Podcast: 23/05/2025 Recorded at: Akashwani Nagpur Episode: 76

Let Us Preserve Our Beta Cells…!!! Obesity, Beta Cells, and the Hidden Link to Diabetes

Ms. Kalyani Gokhale, Dr. Sunil Gupta — Thu, 25 Sep 2025 02:30:00 +0000

Obesity is one of the strongest risk factors for type 2 diabetes. Around 60–70% of people with diabetes are either obese or overweight. For Indians, even a BMI above 23 is considered overweight, above 25 obese, and above 30 morbidly obese. Excess body fat, especially inside the abdomen (visceral fat), increases insulin resistance, forcing the pancreas to work harder to maintain normal blood sugar. The pancreas does this through its beta cells, which normally keep glucose between 70–140 mg/dL. But repeated exposure to high-calorie, high-sugar, low-fiber diets puts these cells under constant strain. Over time, beta cells become fatigued and begin to fail. By the time fasting blood sugar reaches 126 mg/dL—the cut-off for diabetes—nearly half to two-thirds of beta cells are already lost. Preserving the remaining cells is therefore of utmost importance. Lifestyle changes are the most effective way to protect beta cells. Regular exercise, a healthy diet, and maintaining normal weight reduce the workload on the pancreas. Indians require at least 250 minutes of brisk walking per week, compared to 150 minutes for Caucasians. Avoiding sweets, fried foods, and excess fat, while ensuring adequate hydration (1.5–2 liters per day), is equally important. Medications that overstress beta cells should be used cautiously to avoid accelerating their decline. Protecting beta cells through lifestyle, diet, regular exercise, and the use of a few drugs (SGLT2i, GLP-1a, etc.), which help protect beta cells, delay their aging, and improve their secretory function, is essential for a healthy future for people with diabetes. Technology is the key to delaying complications and living healthier with diabetes. Expert- Dr Sunil Gupta Anchor- Mrs. Kalyani Gokhale Recorded on: 20/05/2025 Recorded at: Akashwani Nagpur

Higher Insulin Secretion from Your Pancreas is Risky

Dr. Sunil Gupta, Purva Kulkarni — Wed, 24 Sep 2025 02:30:00 +0000

When your body begins to lose its ability to respond to insulin effectively, this condition is known as insulin resistance. It places extra pressure on the beta cells of the pancreas, which are responsible for keeping blood sugar levels between 70 to 140 mg/dL. In a healthy individual, even after consuming something sweet—for example, mango juice—blood sugar gets automatically controlled through the quick response of beta cells, which release extra insulin to restore normal glucose levels. However, frequent consumption of high-calorie, high-sugar, or fatty foods significantly increases the workload on these beta cells. Over time, this constant strain can impair their function, disrupt the body’s glucose regulation, and eventually lead to diabetes. Importantly, diabetes is not just a “sugar problem”—it is also a vascular disease. It damages both large and small blood vessels throughout the body: - Large vessel complications include heart attacks (coronary artery disease), strokes (cerebrovascular disease), and leg artery blockages (peripheral artery disease), which can lead to gangrene. - Small vessel complications affect the eyes (diabetic retinopathy), kidneys (diabetic nephropathy), and nerves (diabetic neuropathy), damaging delicate blood vessels of these target organs and impairing vital filtering mechanisms. Thus, diabetes is a chronic, systemic condition that impacts the entire vascular system and requires a comprehensive approach for prevention and management. Expert- Dr Sunil Gupta Anchor- Purva Kulkarni Recorded on: 24/04/2025 Recorded at: Akashwani Nagpur

Low Blood Glucose (Hypoglycemia) is more risky, CGM is a game changer

Ms. Kalyani Gokhale, Dr. Sunil Gupta — Tue, 23 Sep 2025 01:43:35 +0000

Hypoglycemia (low blood sugar) can be more dangerous than hyperglycemia (high blood sugar), especially because it can lead to immediate and life-threatening situations. While high sugar levels over time can damage organs and increase the risk of complications, a sudden drop in glucose can impair brain function, cause unconsciousness, seizures, stroke and even be fatal if not treated promptly. This is where Continuous Glucose Monitoring (CGM) systems have become a game-changer. Although traditional glucometers are still widely used, especially by individuals who take insulin three to four times a day, CGMs offer a more convenient and accurate option. Many people on insulin therapy are advised to check their blood sugar at least three times daily — which isn’t always easy. CGMs solve this by offering real-time tracking and alerts via your smartphone. Worn on the arm or abdomen, CGMs can be programmed to alert you when your glucose levels begin to drop. For instance, if you set an alert at 90 mg/dL, the device might warn you at 88 mg/dL, giving you enough time to take action. This is especially beneficial for those with hypoglycemia unawareness, where symptoms are no longer felt even at dangerously low levels. It is also important to know that if someone has one episode of hypoglycemia, his risk of developing 2nd episode of hypo is higher and during this 2nd / 3rd hypo, the threshold for symptoms of recognition may go further low, this is known as Hypoglycemia-Associated Autonomic Failure (HAAF), can worsen with repeated episodes. Thus, we should avoid recurrent hypoglycemia episodes. To stay safe, especially for those new to diabetes care, never go more than 3.5 to 4 hours without eating. Even if you're not hungry, regular small meals are essential. Prioritize your health — and don’t hesitate to communicate your needs at work or school. Expert - Dr. Sunil Gupta Anchor – Ms. Kalyani Gokhale Recorded on: 28/03/2025 Recorded at: Akashwani Nagpur

Rethinking Diabetes Care: Beyond Molecules to Glycemic Happiness

Dr. Sunil Gupta, Ms Pranjali Bawaskar — Thu, 29 May 2025 03:30:00 +0000

Finland ranks as the happiest country, while our happiness index has dropped. To be in the top ten, we need to improve significantly. This shift highlights the concept of glycemic happiness in diabetes, where the psychosocial aspects are often overlooked. Most diabetes awareness programs focus on molecular treatments, driven by commercial interests, with no "pill" for happiness. Diabetes management varies by type. Children with Type 1 diabetes often require multiple insulin injections daily—sometimes four, five, or even six times—depending on their needs. In Type 2 diabetes, beta cells in the pancreas partially deteriorate, but some still function. Treatment typically starts with oral medications, and insulin is introduced if necessary. In India, where carbohydrate-rich diets are common, managing postprandial blood sugar is challenging. To address this, a combination of short-acting (Rapid acting) and long-acting insulin is preferred to maintain effective blood sugar control. There are few oral medications which also help to manage post-meal blood sugar levels. Beyond physical health, the emotional impact of diabetes can lead to distress or depression, highlighting the need for greater focus on diabetes-related happiness and well-being. This can be achieved through education, awareness counselling with psychologist, psychotherapist at different stages of the triggering factors of stress. Expert: Dr. Sunil Gupta Anchor: Ms. Pranjali Bawaskar Recorded on: 21/03/2025 Recorded at: Akashwani Nagpur

Mindful Smart Eating: The Best Mantra for Healthy Life

Dr. Sunil Gupta, Dr. Kavita Gupta — Wed, 28 May 2025 03:30:00 +0000

During extreme stress, the body releases counter-regulatory hormones like adrenaline, growth hormone, and cortisol, which raise blood sugar levels. While insulin lowers sugar, these hormones can counteract its effects. For instance, a person experiencing a heart attack may initially see a drop-in blood sugar, but it later stabilizes. Some may need insulin temporarily before managing diabetes through diet alone. Before fasting, it is crucial to consult a doctor, just as one would before surgery. Certain diabetes medications, especially insulin and sulfonylurea tablets, increase the risk of hypoglycemia, particularly during prolonged fasting of 12–14 hours. Low blood sugar can be severe, requiring careful monitoring. However, advancements in diabetes treatment have introduced newer medications that reduce this risk, allowing safer fasting for diabetics. Proper medical guidance ensures balanced blood sugar levels, minimizing complications. Dr. Kavita Gupta highlights the vital role of women as the foundation of a family. She stresses the importance of proper nutrition from adolescence, as many young girls today follow unhealthy diets influenced by social media. A balanced diet with dal, rice, and vegetables is essential for growth, development, and future maternal health. She also emphasizes mindful eating during fasting. For Sehri, she recommends nutritious foods like milk or porridge, while Iftar should start with dates and plenty of water. She advises against fried and oily foods, encouraging fresh vegetables and wholesome meals for overall well-being. Expert: Dr. Sunil Gupta & Dr. Kavita Gupta Anchor: Kalyani Gokhale Recorded on: 28/02/2025 Recorded at: Akashwani Nagpur

Diabetes in the Young Generation is worrisome

Dr. Sunil Gupta, Ms Pranjali Bawaskar — Tue, 27 May 2025 11:26:50 +0000

Diabetes is a growing concern, particularly among younger individuals. It is a condition where the body either doesn’t produce enough insulin or/and becomes resistant to insulin. Type 1 diabetes, is diagnosed in childhood and is now being seen in children which can be as young as at six months age. On the other hand, Type 2 diabetes, which was traditionally observed in adults aged 50-70, is increasingly affecting people between the ages of 20 and 40 years. People diagnosed at young age have longer life span and thus they need to remain more cautious for their blood glucose, blood pressure, cholesterol & weight control targets. To remain complication free for 30-40 years, they need to be more alert than others. Diet plays a significant role in managing diabetes. The glycemic index (GI) of foods affects how quickly sugar enters the bloodstream. Foods with a high GI, such as simple carbohydrates, can cause rapid spikes in blood sugar levels, while foods with a low GI, like complex carbohydrates, lead to slower, more controlled blood sugar rises. To manage diabetes, it’s essential to focus on portion control, limit sugary foods, and incorporate healthy, balanced meals. Expert: Dr. Sunil Gupta Anchor: Pranjali Bawaskar Recorded on: 31/01/2025 Recorded at: Akashwani Nagpur

Diabetes: “Genes are the loaded Guns….”

Swati Huddar, Dr. Sunil Gupta — Tue, 20 May 2025 11:22:51 +0000

The beta cells of the pancreas are responsible for producing insulin, a hormone essential for regulating blood sugar levels. When these beta cells become damaged, insulin production declines, leading to impaired glucose metabolism. As a result, glucose, which is needed for energy, accumulates instead of being properly utilized by the liver, adipose tissue, and muscles. Without sufficient insulin, blood sugar levels rise, potentially leading to diabetes. Additionally, environmental factors such as obesity and stress contribute to the risk of diabetes. Maintaining a healthy diet and regular exercise can help safeguard against these issues. If you have a family history of diabetes—such as parents, grandparents, uncles, or aunts—it is crucial to minimize environmental stressors to protect your health. Addressing obesity can significantly reduce the risk of future complications. So Genes are the loaded Guns….. Environment pulls the trigger. Expert: Dr. Sunil Gupta Anchor: Swati Huddar Recorded on: 24/01/2025 Recorded at: Akashwani Nagpur

Prioritise fetal health to shield future generation from diabetes

Purva Kulkarni, Dr. Kavita Gupta, Dr. Sunil Gupta — Wed, 2 Apr 2025 13:03:54 +0000

We Should concentrate on pregnancy, her healthy nutrition, dietary habits, dietary quality, biochemical parameters, and obesity; by focusing on these aspects, we can protect future generations from diabetes. Currently, if we prioritize fetal health, we have the potential to shield future generations from diabetes. Regarding type 2 diabetes, as you inquired, the initial phase of insulin release does not occur properly in this condition, which means the beta cells struggle to release insulin effectively, resulting in postprandial hyperglycemia and excess sugar being released from the liver, causes fasting hyperglycemia. Dr. Kavita Gupta highlights that high carbohydrate intake from foods like wheat, rice, and jaggery contributes to elevated sugar levels. To manage this, adjusting meal order and portion sizes can help. Start meals with fiber-rich foods like salads and vegetables, followed by protein sources like pulses, eggs, or lean meats, and then consume roti or rice. Using smaller plates divided into sections—half for vegetables and the rest split between protein and carbohydrates—ensures balanced nutrition. This approach reduces carb intake, prevents sugar spikes, and supports weight management, making it an effective strategy for diabetes control and overall health. Podcast 10/01/2025 Anchor – Purva Kulkarni Expert - Dr. Sunil Gupta & Dr. Kavita Gupta Recorded on: 10/01/2025 Recorded at: Akashwani Nagpur Episode: 68 Priorities fetal health to shield future generation from diabetes.

Managing Blood Sugar: Essential for Health

Vaidehi Chaware, Dr. Sunil Gupta — Wed, 12 Mar 2025 07:59:34 +0000

Maintaining a healthy weight, eating nutritious foods, and avoiding fast food are key to reducing the risk of diabetes. Currently, nearly one in four adults over 18 is living with diabetes. Women are especially vulnerable during pregnancy due to hormonal changes, making regular screening crucial. Consulting a doctor ensures tailored guidance for managing gestational diabetes effectively. Uncontrolled blood sugar levels pose serious risks during surgery. While sterile procedures generally avoid infections, high blood sugar can delay healing, increase infection risks, and complicate recovery. In surgeries like bypass operations, infected stitches may lead to scarring or further complications. Stabilizing blood sugar before surgery and maintaining it during anaesthesia are vital for safe outcomes. Gestational diabetes results from hormones like human placental lactogen (HPL) reducing insulin effectiveness. During pregnancy, the pancreas must produce up to 50% more insulin to meet rising demands. If beta cells cannot keep up, blood sugar levels rise, stressing the body and increasing diabetes risk. High blood sugar damages nerves, impairing their function and delaying wound healing due to reduced immunity. Nerve damage often starts symmetrically but may affect only one foot. Managing blood sugar is essential for nerve health, faster healing, and preventing infections Recorded on: 11.12.2024 Recorded at: Akashwani Nagpur

Diabetic Neuropathy and Urinary Bladder control

Vaidehi Chaware, Dr. Sunil Gupta — Thu, 16 Jan 2025 02:30:00 +0000

Nervous system is responsible for multiple functions of our body. It is divided into peripheral nervous system (PNS) & central nervous system (CNS). The PNS has motor and sensory component, while the motor system consists of Autonomic (Involuntary) and somatic (Voluntary). Autonomic Nervous System (ANS) controls our urinary bladder functioning, which if affected can cause reduction of urinary bladder contractibility causing post void retention of urine in bladder, increase frequency of urination & recurrent UTI. Water intake may need to be restricted in people with poor pumping capacity of heart or kidney failure or any having any other condition with fluid overload. To maintain overall health, focus on walking more, getting adequate sleep, and staying positive. A cheerful attitude and smiling can contribute to your well-being and that of your loved ones, ensuring a healthier future for everyone. Recorded on: 29.11.2024 Recorded at: Akashwani Nagpur

Understanding Pre-Diabetes, Gestational Diabetes, and the Journey to Type 2 Diabetes

Dr. Sunil Gupta, Ms Pranjali Bawaskar — Wed, 15 Jan 2025 07:00:23 +0000

Pre-diabetes marks the initial phase of diabetes. A fasting blood sugar level below 110 mg/dL is considered normal. If it ranges from 110 to 126 mg/dL, you are classified as pre-diabetic. The Oral Glucose Tolerance Test (OGTT) involves consuming 75 grams of glucose, followed by a blood sugar test two hours later. A result below 140 mg/dL is normal, while a range of 140 to 199 mg/dL indicates pre-diabetes. Additionally, HbA1c levels provide long-term insights into blood sugar control. Levels below 5.7% is normal, 5.7% to 6.4% indicate pre-diabetes, and 6.5% or higher signify diabetes. All people with diabetes cases progress through the pre-diabetes stage. World Diabetes Day and Awareness World Diabetes Day is celebrated on November 14th, coinciding with the birthday of Frederick Banting, the discoverer of insulin. This global initiative, led by the International Diabetes Federation, promotes awareness with an annual theme. The 2024–2026 theme focuses on Diabetes and Well-Being, and the 2024 sub-theme emphasizes Breaking Barriers, Bridging Gaps, highlighting the importance of a fulfilling life alongside managing diabetes. Gestational Diabetes and Pregnancy Hormones During pregnancy, placental hormones like human placental lactogen, (HPL), progesterone and estrogen increase insulin resistance by over 50%, impairing insulin's effectiveness. Typically, if someone's pancreas is producing about 50 units of insulin daily, during pregnancy, it may need 75–80 units per 24hr. If beta cells cannot meet this increased demand of pregnancy, blood sugar levels rises, leading to gestational diabetes. A glucose challenge test with 75 grams of glucose, followed by a blood sugar measurement after two hours, acts as a stress test for beta cell function. Levels below 140 mg/dL are normal, while levels above 140 indicate gestational diabetes. Early detection and management are crucial to ensure a healthy baby's birth. Recorded on: 8.11.2024 Recorded at: Akashwani Nagpur

Breaking the Cycle: Managing Diabetes, Infections, and Obesity Effectively

Dr. Sunil Gupta, Ms Pranjali Bawaskar, Dr. Kavita Gupta — Sat, 11 Jan 2025 03:30:00 +0000

People with Diabetes are more prone to infections like pneumonia due to weakened immunity, which worsens with prolonged, unmanaged diabetes, especially with age. Vaccinations, such as the pneumococcal 13 vaccine followed by a booster with pneumococcal-23 after 1 year, are essential in reducing the risk of secondary infections, although they do not address allergies. Obesity significantly contributes to diabetes and related conditions like hypertension, high cholesterol, sleep apnea, and certain cancers etc. In India, obesity affects 40-70% of the population, paralleling global trends. Addressing obesity holistically can prevent diabetes and reduce the risk of multiple health issues. Dr. Kavita Gupta emphasizes that pre-diabetics can reverse their condition through lifestyle changes. A balanced diet with vegetables, lentils, whole grains, and fiber is key, along with maintaining a healthy weight. Regular physical activity and limiting screen time are equally important to combat sedentary habits. These measures can help transition from pre-Diabetes to non-Diabetes status. In summary, managing diabetes involves vaccinations, healthy eating, weight control, and physical activity. These proactive steps prevent nerve damage, complications of diabetes, and address obesity, improving overall health and quality of life. Recorded on: 25.10.2024 Recorded at: Akashwani Nagpur

Stress and Diabetes | Adult Vaccination | Fasting in Diabetes

Ms Pranjali Bawaskar, Dr. Sunil Gupta, Dr. Kavita Gupta — Fri, 10 Jan 2025 01:01:30 +0000

Stress hormones are released immediately during challenging situations, making stress a significant yet subjective experience. These stress hormones increase insulin resistance & cause hyperglycemia unlike physical weight, stress cannot be quantified—it varies for everyone, making it a deeply personal phenomenon. Uncontrolled blood sugar can lead to complications like early-onset cataracts, often appearing as early as 45 or 50, especially in diabetics. Retinal issues and glaucoma are also common, emphasizing the need for annual eye exams. People with Diabetes should inform their doctors and prioritize regular evaluations to detect and manage potential eye complications effectively. Awareness promoted by the government and media highlights the importance of vaccinations. A disease Herpes zoster or shingles can affect individuals with diabetes. This virus resides in everyone but becomes active when the immune system weakens. Fortunately, a vaccine with 90% efficacy is available for those over 50. Administered in two doses, the first dose is followed by the second after two months, within a six-month window. Adult vaccination schedules should include common vaccines such as hepatitis B, pneumococcal, influenza, and herpes zoster. Evaluations for neuropathy (nerve damage) and vasculopathy (blood vessel damage) are also critical. Neuropathy affects nerves, while vasculopathy leads to arterial damage. Dr. Kavita Gupta advises caution during fasting, as starchy foods like potatoes and sabudana can spike blood sugar levels. Instead, opt for foods with a low glycemic index to avoid sugar surges. Increase fiber intake while avoiding sugar and jaggery. Common fasting foods like halwa, sago vada, and khichdi can elevate sugar levels. A better alternative is incorporating salads, roasted chickpeas, lemon water, small amounts of coconut water, or fresh coconut. Bhagar (a low glycemic index grain) combined with vegetables like tomatoes, peas, and carrots is beneficial. Including protein and lean meat can further improve dietary balance. Recorded on: 11.10.2024 Recorded at: Akashwani Nagpur

The Growing Concern of Diabetes During Pregnancy | Hello Diabetes

Dr. Sunil Gupta — Sat, 7 Dec 2024 01:30:00 +0000

The alarming trend shows that every 5th or 6th pregnant woman in India is diagnosed with diabetes, highlighting an urgent need for interventions and enhanced medical treatments. Approximately 24% of adults (Above 18yrs age) in India are affected by dysglycemia (Diabetes & Prediabetes) which, considering the adult population exceeding 90 crores, this indirectly suggests that nearly every 4th & 5th woman of child bearing potential is likely to be having some from of dysglycemia, which itself is a risk factor for Gestational & Pre-gestational diabetes. Uncontrolled diabetes during pregnancy can lead to severe complications, including miscarriage, larger fetal size, and an increased likelihood of the child developing diabetes and obesity in their future life. Notably, the first 6-8 weeks of pregnancy are crucial, as the baby’s all organs like brain, heart, lungs GI tracts, limbs etc. get fully formed by this time. Instability in a mother’s blood sugar levels during this period can lead to potential organ defects. While infants may appear healthy at birth, they could face health challenges later due to uncontrolled blood glucose of gestation. Recorded on: 27.09.2024 Recorded at: Akashwani Nagpur Anchor : Purva Kulkarni Speaker : Dr. Sunil Gupta

Diabetic Neuropathy and food Care | Hello Diabetes

Dr. Sunil Gupta, Purva Kulkarni — Fri, 6 Dec 2024 08:14:11 +0000

With nearly 40 years of medical experience, I often encounter questions about sugar consumption. My consistent advice is to avoid sweets and focus on managing blood sugar levels, as poor glycemic control can weaken the overall immune system and may trigger infections & other chronic complications. Basal bolus therapy is the best insulin regimen, specially for type 1DM. It involves taking prandial insulin three times daily with meals and administering basal insulin once or twice daily, depending on individual needs. The dose is typically calculated based on body weight and blood glucose readings. Using Continuous Glucose Monitors (CGMs) helps track blood sugar fluctuations. Uncontrolled blood sugar can lead to serious complications affecting various organs, including the eyes, kidneys, heart, brain and nerves. Diabetic neuropathy, often referred to as "dry skin syndrome," can cause significant discomfort and pain, including symptoms like burning feet numbness, tingling, insensitive feet etc. Managing blood sugar is crucial in preventing neuropathy. Deficiencies of vitamins like D3 and B12 may experience symptoms of sensory neuropathy. Medications like pregabalin or gabapentin if prescribed by certified registered practitioner can provide relief for neuropathic pain. Recorded on: 13.09.2024 Recorded at: Akashwani Nagpur Anchor : Purva Kulkarni Speaker : Dr. Sunil Gupta

Pathophysiology of Type 2 Diabetes

Dr. Sunil Gupta — Fri, 22 Nov 2024 01:30:00 +0000

One should know that type 2 DM is not only caused by beta cell dysfunction of pancreas. There are eight different organs of body involved in the pathophysiology of T2 DM. 1. Beta cells of pancreas, that they don’t produce enough insulin. 2. Alpha cells of pancreas produce disproportionately high glucagon as there is poor suppression of glucagon in the post meal phase, causing post prandial hyperglycemia. 3. Liver produces extra glucose causing high fasting blood glucose. 4. Skeletal muscles have poor uptake of glucose, which increases blood glucose. 5. Adipose tissue produces higher fatty acid. 6. Incretin hormone from intestine also show dysregulation (GLPl & GIP) 7. Kidney increase glucose reabsorption from proximal convoluted tubules 8. Brains satiety centers show dysregulation. 9. Thus, while treating a case of T2 DM, we should address all Eight Arms of, So called “Ominous Octet”. Recorded at Akashwani Nagpur on the 30th August 2024 Anchor – Kalyani Gokhale Speaker – Dr. Sunil Gupta

How Can we Prevent Long-Term Diabetes Complications

Dr. Sunil Gupta — Thu, 21 Nov 2024 08:41:46 +0000

The piece underscores the critical need for early blood sugar control to prevent long-term diabetes complications. Elevated blood sugar can harm organs such as the brain, eyes, heart, nerves and kidneys etc. With 20-30% of adults developing diabetes in a very young age, it is essential to manage blood sugar early to avoid the formation of Advanced Glycation End products (AGEs), which can Cause chronic complications of diabetes. Maintaining healthy blood sugar levels, cholesterol, and blood pressure heathy diet, exercise, managing stress, taking good sleep, and avoiding smoking and alcohol, is crucial. The "Hello Diabetes" campaign promotes primary and primordial prevention, encouraging healthy habits in children and pregnant women to reduce future risk of diabetes. Follow key management recommendations of “ABCDEFGH” formula: ● A: To Keep A1C levels under 7%. ● B: To Maintain Blood Pressure less than 130/80 mm of Hg . ● C: Control LDL Cholesterol below 100 mg/dl and aim to bring is below 70 mg/dl ● D: Follow a Healthy Diet. ● E: Exercise for ~ 250 minutes per week. ● F: Frequent blood glucose monitoring. ● G: Engage in Good quality education programs. ● H: Stay Happy always. Recorded at Akashwani Nagpur on the 9th August 2024. Expert: Dr. Sunil Gupta Anchor: Producer: Vijay Rajput

The Four Pillars of Diabetes Management - Hello Diabetes

Dr. Sunil Gupta, Swati Huddar — Fri, 18 Oct 2024 12:35:52 +0000

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

How people with diabetes can prevent Infections During Monsoon Season - Hello Diabetes

Dr. Sunil Gupta, Swati Huddar — Wed, 16 Oct 2024 09:10:50 +0000

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

The key to success for effective management - Hello Diabetes Education

Dr. V. Mohan, Dr. Shashank Joshi, Dr. Vijay Vishwanathan, Dr. Sunil Gupta — Mon, 14 Oct 2024 07:13:47 +0000

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

The Importance of Salt, Sugar Control, and Healthy Habits in Diabetes Management (Hello Diabetes)

Vijay Rajput, Dr. Sunil Gupta, Dr. Kavita Gupta, Swati Huddar — Thu, 19 Sep 2024 01:30:00 +0000

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 an alarm of poor metabolic health (Hello Diabetes)

Swati Huddar, Dr. Sunil Gupta — Tue, 13 Aug 2024 09:38:46 +0000

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.

Do Risk of Diabetes differ in Women versus Men? (Hello Diabetes)

Dr. Sunil Gupta, Ms Pranjali Bawaskar, Dr. Kavita Gupta — Fri, 5 Jul 2024 01:30:00 +0000

Hello Diabetes: Liver & Diabetes

Pooja Kulkarni, Dr. Sunil Gupta — Thu, 4 Jul 2024 07:11:24 +0000

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.

Hello Diabetes: Travel & Diabetes

Ms Pranjali Bawaskar, Dr. Sunil Gupta — Wed, 26 Jun 2024 06:19:01 +0000

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.

Hello Diabetes: Holi ke Rang Diabetes ke sang

Ms. Pranjal, Dr. Sunil Gupta, Dr. Kavita Gupta — Fri, 24 May 2024 07:35:05 +0000

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.

Hello Diabetes: “Women and Diabetes” on the occasion of International Women’s Day

Swati Huddar, Dr. Sunil Gupta, Dr. Kavita Gupta — Sat, 6 Apr 2024 01:30:00 +0000

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.

Hello Diabetes: Can a women with diabetes get conceived?

Kalyanee Gokhale, Dr. Sunil Gupta — Fri, 5 Apr 2024 05:55:29 +0000

Amongst, known people with diabetes, 50% of them are women. These women are more prone to have hypertension, coronary artery disease stroke, cancer etc., versus non-diabetic women of the same age. Most of the young women with diabetes can get married and get conceived with proper care of blood glucose, blood pressure, cholesterol & weight. But preconception counselling is must and they should visit their diabetologist before getting conceived to take fitness for pregnancy. According to the ICMR data, published in Lancet Journal (2023), 101 million people have diabetes and approximately 140 million have pre-diabetes in India. Almost 50% of these people with pre-diabetes are likely to develop diabetes in next 5-10 years. Thus, it is important for all of us to focus on prevention strategies for this group of people. Recorded on 23rd February 2024.

Hello Diabets: Diabetes in Young Age

Dr. Sunil Gupta, Swati Huddar — Mon, 25 Mar 2024 02:43:42 +0000

Traditionally, it is presumed that diabetes, if seen in children and young adults will expectedly a case of Type 1 Diabetes Mellitus (Insulin Dependent Diabetes Mellitus), while those who develop in middle and old age will be Type 2 Diabetes Mellitus. But nowadays, many people are developing Type 2 DM between 20-35 years of age, and due to childhood obesity, Type 2 DM is also seen in the teenagers. There is another type, which is called as 1.5 diabetes, this is a slowly progressing disease, which behaves as Type 2 DM in the beginning but becomes Type 1 Diabetes Mellitus after 1-2 years and they have GAD-65 Antibody positive. It is also called as LADA (Latent Autoimmune Diabetes in Adult or slow onset Type 1 DM). Serum C-peptide levels, GAD-65 antibody and clinical features that can differentiate Type 1 DM v/s Type 2 DM, when present in young age. Recorded on the 12th January 2024

Hello Diabetes: Sitting is a New Tobacco

Swati Huddar, Dr. Sunil Gupta, Dr. Kavita Gupta — Tue, 19 Mar 2024 03:24:34 +0000

Sitting is a new Tobacco. If you are sitting for a long time, you are likely to enter into a high risk zone of developing diabetes & other co-morbid diseases. So try to be physically active & if you are in a sitting job, try to get-up and move after every 1 hour. To check whether you are diabetic or not, get your Glycosylated Haemoglobin A1c (GHb%) test or Oral Glucose Tolerance Test (OGTT) with 75gm of glucose. OGTT is the gold standard for the diagnosis of diabetes, informed Dr. Sunil Gupta. Answering on a query online, Dr. Kavita expressed that calories distribution is different for different person and also depends on whether you are sedentary or moderate or hard worker. While answering a question on millets, she said that people with diabetes may consume millets as they are rich in fibre & micronutrients. The post prandial blood sugar spikes, can be controlled by splitting of meal or changing the order of the meals, she added. Diabetes is your life partner and one should take it’s care with utmost personal attention, quoted Dr. Gupta. Recorded on 9th February 2024.

Hello Diabetes: Women and Diabetes

Purva Kulkarni, Dr. Sunil Gupta — Tue, 19 Mar 2024 03:16:40 +0000

Everyone is aware of Type 1 DM (Insulin dependent diabetes, seen commonly in children) & Type 2 DM (usually seen in adults & majority are controlled on oral drugs & Lifestyle Modification ). Gestational Diabetes Mellitus (GDM) is a kind of diabetes, which appears in the 2nd or 3rd trimester of pregnancy and disappears after delivery. GDM occurs when the woman’s beta cells are not able to overcome the antagonism created by the anti-insulin placental hormones of pregnancy. Which causes increase in the blood glucose during pregnancy. Women with a history of GDM are at increased risk of future diabetes; predominately type 2 diabetes, as are their children. Almost every 5th or 6th pregnancy women in India, may have GDM. Diabetes In Pregnancy Study Group of India (DIPSI) recommends fasting or non-fasting Oral Glucose Tolerance Challenge Test with 75g of glucose with a cut-off of ≥ 140 mg/dl after 2-hours, Every pregnant woman should be screened for glucose intolerance in the first trimester itself. If found negative, the screening test is to be performed again at 24th – 28 th week and finally around 32 nd – 34 th week. Once diagnosis is made, Medical Nutritional Therapy (MNT) is advised initially for two weeks. If MNT fails to achieve control i.e., FPG ≥ 90mg/dl and/or 2 hr PPG ≥120mg/dl, oral drugs or insulin may be initiated. Recorded on 28th January 2022.

Hello Diabetes: Mindful eating to enjoy Indian festivals

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj, Dr. Kavita Gupta — Tue, 19 Mar 2024 03:11:47 +0000

As the festive season approaches, it is important for people with diabetes (PWD) to celebrate festival with a balance approach. Sankranti is marked by the exchange of a typical sweets (laddu & chikki) made of Til and Gud (Sesame & Jaggery). Sesame seeds (Til) have many benefits to and is good source of iron, magnesium, vit –B, protein, fibre and calcium. Jaggery is rich in iron & has thermogenic effect. PWD should avoid sweets in all such occasions. Rarely if you consume in a very small amount, it should not be taken immediately after the meal, and should be taken 3-4 hrs after the meal. Mindful eating is the success mantra to enjoy festive seasons without disturbing blood sugar level. Monitor blood sugars regularly, stay physically active and stay hydrated. You can do additional exercise to burn the extra calories consumed during celebration of the festival. Recorded January 14, 2022.

Hello Diabetes: New year Resolution for people with diabetes

Mr. Vivek Aloni, Dr. Sunil Gupta, Dr. Kavita Gupta — Tue, 23 Jan 2024 08:44:07 +0000

Type 2 diabetes is multifactorial ailment. Genes, age, obesity, dietary habits, lifestyle, physical activity and many more factors are responsible for diabetes occurrence. Many people have positive family history (genetic risk), but still don’t develop diabetes, because they protect themselves from environmental risk factors. Diet play an important role like, healthy breakfast is very important to start the day- said Dr. Kavita Gupta. She also added seasonal fruits can be taken in moderation if blood sugars are under control. Dr. Sunil & Dr. Kavita Gupta appealed that, every person with diabetes and their caretakers should take a pledge as a part of new year resolution that they will not call themselves as patient, will eat healthy at interval of 3-4, hours will practice regular exercise, take medicines on time, will check my blood glucose at home regularly, will take care of their feet, always carry glucose to avoid low sugars, will carry their Diabetic Identity card, will do regular annual checkups & will educate others for their healthy future. Eat less, walk more, sleep well & smile is the mantra to healthy lifestyle said Dr. Gupta. Broadcasted on: 29/12/23

Hello Diabetes: Genes are the loaded guns, environment pulls the trigger

Dr. Sunil Gupta, Radhika Patrikar, Dr. Kavita Gupta — Sat, 13 Jan 2024 10:32:09 +0000

In India 101 millions people above 18 year age have diabetes & 135 millions have pre diabetes (> 18yrs age) thus, almost every 4th adult have some form of dysglycemia. Earlier data showed that diabetes prevalence in urban people is 10-12% and in rural it is around 6-8 %. Uncontrolled diabetes is mostly associated with complications related to heart, eyes, kidneys, nerves etc. All these complications are preventable through control of blood glucose, blood pressure, lipids & following healthy lifestyle. Type 2 diabetes & pre-diabetes, if detected early, can be prevented by lifestyle modification. Dr. Gupta said that “Genes are the loaded guns and it is the environment which pulls the trigger.” More over diet & exercise play an utmost important role in achieving glycemic, lipid & blood pressure targets, expressed by Dr. Kavita, They added that “Man is the only animal who eats even if he is not hungry”, thus, the awareness should start from schools to prevent childhood obesity. Which ultimately leads adult obesity, diabetes & other non-communicable diseases. Broadcasted on - 8th Dec 2024

Hello Diabetes: Double Diabetes

Radhika Patrikar, Dr. Kavita Gupta, Dr. Sunil Gupta — Tue, 19 Dec 2023 02:30:00 +0000

The prevalence of obesity is increasing globally, which increases the risk of type 2 diabetes mellitus, hypertension, dyslipidemia, cardiovascular diseases etc. Around 70 % of people with diabetes are either overweight or obese. In last 1-2 decades, obesity is also affecting children / people with T1DM, primarily due to changing dietary habits and poor exercise compliance. Individuals with T1DM who are overweight/ obese, have clinical features of insulin resistance (as that of Type 2 DM), are known as "double diabetes". It is challenging for a person with double diabetes to achieve reasonable glycemic control. A sedentary lifestyle, a high-calorie diet rich in fats and simple sugars, and a low-fibre diet in T1DM also lead to poor metabolic control, weight gain, and other disorders like depression that further aggravate the condition. Proper treatment & lifestyle modification helps to achieve better control.

To prevent double diabetes, every child / person with T1DM should practice regular outdoor sports or regular exercise. They should consume healthy diet through the concept of mindful eating. Yoga may compliment for the better management of double diabetes….!

Broadcasted on 24.11.2023

Hello Diabetes: World Diabetes Day (WDD)

Dr. Sunil Gupta, Dr. Kavita Gupta, Radhika Patrikar — Sun, 17 Dec 2023 02:30:00 +0000

We in India celebrate 14th November as Children’s Day, which is the birthday of the 1st Prime Minister of India Shri Jawaharlal Nehru. Similarly, World Diabetes Day is celebrated on the same date to mark the birthday of Dr. Fredrick Banting who discovered insulin along with Charles Best in 1921, for the treatment of diabetes. In January 1922, Leonard Thompson, a 14-year-old boy became the first human being to receive insulin injection. Millions of people with diabetes around the world do not have access to diabetes care. People with diabetes require ongoing care and support to manage their condition and avoid complications. Thus, the theme for World Diabetes Day for the year 2021-23 is Access to Diabetes Care. The focus is to provide people with diabetes the importance of having access to the right information and care to ensure better treatment and management. Dr. Kavita Gupta highlighted about how to celebrate your Diwali in a healthy way. She discussed on alternatives to simple sugars, fried items, transfat, portion control and mindful eating. Let us listen to the podcast……! Broadcasted on 10.11.2023

Hello Diabetes: Diabetic Neuropathy

Dr. Sunil Gupta, Dr. Kavita Gupta, Radhika Patrikar — Fri, 15 Dec 2023 03:30:00 +0000

Uncontrolled high blood sugar damages nerves and interferes with their ability to send signals, leading to diabetic neuropathy. High blood sugar also weakens the walls of the small blood vessels (capillaries) that supply the nerves with oxygen and nutrients. High blood glucose levels and high levels of fats, such as triglycerides, cholesterol can damage nerves. Different types of nerve damage cause different symptoms. Symptoms can range from pain and numbness in your upper & lower limbs & it may also affect the functions of internal organs, such as heart and urinary bladder, sex organ etc. The most common symptoms of diabetic neuropathy are numbness, tingling, a burning feet, aching, cramps and weakness. There are different types of neuropathy, the Peripheral Neuropathy (very common and typically affects feet and legs), autonomic neuropathy (causes damage to nerves that control internal organs, leading to problems with heart and blood pressure, digestive system, urinary bladder, sex organs, sweat glands, and eyes. ). Peripheral neuropathy can be detected with the filament test or biothesiometer. Cardiac autonomic neuropathy requires multiple tests through Cardiologist. Keeping your blood sugar, cholesterol & blood pressure within a healthy range and avoiding alcohol & smoking is the best way to decrease the developing of diabetic neuropathy. Broadcasted on 27.10.2023

Hello Diabetes: Diet during Navratri

Dr. Sunil Gupta, Radhika Patrikar, Dr. Kavita Gupta — Thu, 14 Dec 2023 12:17:12 +0000

Wish you all a Happy Navratri festival. Many people with diabetes wishes to practice fasting during these 9 days of Navratri. So, during fasting they should practice smart fasting, keep yourself hydrated, include healthy fat like nuts, seeds, avocados in your diet. Eat at small intervals. Avoid high fat & tried foods. Check your blood sugars regularly. Always consult the physician before fasting. (Narrated by Dr. Kavita Gupta) Dr. Sunil Gupta expressed his view on lipids. Lipid abnormalities are observed in 70-80% of PWD. This include high triglycerides increase in smaller & denser low density liproproteins (LDL) particles & decreased levels of high density liproproteins (HDL). Every person with diabetes should check their lipid profile annually. In case of abnormalities, they need to re-check lipid levels, 6-8 weeks after initiating lipid lowering therapy. PWD have 2-3 times increased risk of coronary artery disease (CAD) versus their non-diabetic counterpart’s, and dyslipidemia is one of the strong contributing risk factor for CVD. Broadcasted on - 13.10.2023

Insulin Therapy for Type 2 DM -2

Dr. Sunil Gupta, Radhika Patrikar — Fri, 10 Nov 2023 13:05:00 +0000

Insulin is a hormone secreted by Beta – Cells of pancreas. People with Type 1 DM require insulin throughout their life to manage their blood sugar as their body produces no insulin or very little insulin. In T2DM, insulin is required when people with diabetes (PWD) on oral drugs, fail to adequately control blood glucose or when they present with severe symptomatic hyperglycaemia (where FBG > 250mg & or PPBG > 350mg/dl or GHb- >9-10 % along with symptoms) to reduce beta cell exhaustion & glucose toxicity. It can be given in combination with metformin. It is a temporary condition & insulin can be stopped, once noromoglycemia is achieved in case of Type 2 DM. Insulin remains the drug of choice during major surgery or in presence of any infection or during any acute illness. 20-30% of T2DM may required insulin within 3 years of diagnosis of diabetes, as they fail to respond to oral drugs, and almost 90% will fail to respond to the maximum dose of oral glucose therapy in 14-16 years duration of diabetes. Importantly, most of the people will need insulin sooner or later in the natural course of T2DM. Insulin therapy can be used alone or in combination with oral drugs to maintain normoglycaemia. Insulin is the best drug of choice in diabetes management. (Recorded 22nd Sept 2023)

Oral glucose lowering drugs in T2DM

Ms. Vaidehi Chowre, Dr. Sunil Gupta — Fri, 3 Nov 2023 03:53:17 +0000

India is the second Capital of diabetes in the World and hosts approx. 10 crores diabetics & 13 crores pre diabetics according to the recent lancet study. People with T2DM are usually treated with oral drugs, but in some cases, C- peptide test is done to check whether insulin is being produced properly by the pancreas. People with low C- peptide do not respond to oral drugs & need insulin therapy. Oral drugs are of different types and have different mechanism of actions. The dose and type of oral drugs are prescribed on the basis of overall profile of an individual. One size may not fit all. Every medicine have its effects and side effects. Some increase the risk of hypoglycemia, while some may increase weight, some work on postprandial sugars, now-a-days, oral drugs like SGLT2 inhibitors are introduced which are beneficial for heart kidneys, liver etc. and also helps in reducing weight, which is one of the major concern nowadays. These SGLT2i can also be given to non –diabetic people with heart failure or kidney disease. Various oral glucose lowering drugs are metformin (improves insulin sensitivity), sulphonylureas (reduces blood glucose by stimulating beta cells of pancreas), meglitinides (short-acting glucose lowering drug), pioglitazone (improves glycemia by reducing insulin resistance), alpha - glucosidase inhibitors (controls post prandial blood glucose), Oral GLP-1 analog Semaglutide (not only control blood glucose, but reduces weight, have low risk of hypoglycemia & good for heart and kidney functioning). Thus, always start your medicine by consulting your doctor. Self medication can be harmful.

Insulin Requiring Diabetes Mellitus (But not Type 1 DM)

Ms. Vaidehi Chowre, Dr. Sunil Gupta — Fri, 3 Nov 2023 03:32:19 +0000

Insulin requiring diabetes mellitus (IRDM) is an uncommon form of diabetes seen in rural people with low –socio economic background in India. They present with very low BMI (< 18.5 kg/m2 ) with symptoms of severe weight loss and very high blood glucose. Despite very high blood glucose, they don’t develop diabetic ketoacidosis as we see in Type 1 Diabetes. They don’t respond to oral drugs & need insulin throughout their life. Secondary Diabetes also occurs due to pancreatitis either alcoholic & non-alcoholic. There are several reasons for pancreatitis like infection, smoking, auto- immune, alcoholism and gallstones, etc. Post pancreatitis diabetes may present with pancreatic calcification called as Fibro-Calculus Pancreatic Diabetes (FCPD).They also need insulin therapy. Secondary Diabetes Mellitus can also occur due to drugs like steroid therapy & drugs used in Oncology, HIV cases etc. People with few endocrine diseases can also develop secondary DM.

Type 1 Diabetes Mellitus: Diet and Insulin Therapy

Radhika Patrikar, Dr. Kavita Gupta, Dr. Sunil Gupta — Wed, 11 Oct 2023 04:28:17 +0000

People with T1DM have to take insulin every day, often 4 or 5 times daily. There are different types of insulin & are grouped according to their action profile and content like Rapid or short acting insulin helps to reduce meal time blood glucose, while intermediate and long- acting insulin acts as basal insulin. Mixed insulin are combination of either rapid acting or short acting along with intermediate insulin. Every insulin has its own action profile. Insulin needs to be stored correctly at temperature of 2-8◦C in freeze during hot summers and can be stored at room temperature during winters and rainy season. Correct insulin technique, storage, site rotation all plays a vital role in insulin absorption. Diet also plays a vital role in management of T1DM. To achieve target A1C goal and target blood sugars, it is important to understand how to balance between food intake, physical activity and insulin. Making healthy food choices & portion control has long term effects on blood sugars. Eating constant amount of food daily and adjusting insulin accordingly helps to improve blood glucose levels. What to eat, how much to eat plays crucial role in blood sugar control. They need to keep balance between macronutrients & micronutrients. Carbohydrates are the main source of the energy & have great impact on blood glucose levels. The amount of carbohydrates in meals can be calculated with the help of carb counting. Keeping watch on carbs in your meals can help match your insulin according to blood glucose and also helps in maintaining target blood glucose levels. Recorded on 28.07.2023.

Type 1 Diabetes Mellitus

Radhika Patrikar, Dr. Sunil Gupta — Wed, 27 Sep 2023 09:35:17 +0000

Children and adults with Type 1 Diabetes Mellitus (T1DM) are at high risk of the acute and chronic complications. The acute complications are Hypoglycemia (low sugar attack) and Diabetic ketoacidosis (DKA). Diabetic ketoacidosis (DKA) is a life-threatening problem that usually affects people with T1DM. It occurs when the body starts breaking down fat at a rate that is much too fast. The liver processes the fat into a fuel as ketones, which causes the blood to become acidic. Diabetic Ketoacidosis begins with mild ketosis in a person with T1DM due to their high blood glucose, dehydration, infection or same precipitating cause. It should be checked in urine ( by keto-Diastix ) if fasting glucose is more than 250mg/dl or Postmeal / Random Glucose is> 350 mg/dl or during any episode of vomiting, fever abdominal pain, drowsiness or any sick day symptoms. (Recorded on July 14 2023 at Akashvani Nagpur) Hypoglycemia means when the blood glucose falls to below 70mg/dl, which requires to be corrected by oral glucose or Sweets or any available food. Mild and moderated hypoglycemia can be managed at home, but severe hypoglycemia presents with unconsciousness, abnormal behaviour, seizures or rarely paralysis which needs hospitalization. To prevent hypoglycemia, much effort must be invested in education regarding risk factors, warning signs, and treatment of hypoglycemia at an early stage. Also Diabetic Identity Card (DIC) plays an important role. Every diabetic should have DIC which will help them in emergency conditions to get the immediate treatment.

Type 1 Diabetes Mellitus and its Complications

Dr. Sunil Gupta, Radhika Patrikar, Dr. Kavita Gupta — Fri, 11 Aug 2023 09:44:33 +0000

Complication are major cause of morbidity and mortality in people with diabetes. Type 1 Diabetes Mellitus are at high risk of a acute and chronic complications. The acute complications are Hypoglycemia (low sugar) and Diabetic ketoacidosis (DKA). Hypoglycemia means when the blood glucose falls to below 70mg/dl, which requires to be corrected by oral glucose or Sweets or any available food. Mild and moderated hypoglycaemia can be managed at home, but severe hypoglycemia presents with unconsciousness, abnormal behavior, seizures or rarely paralysis, such cases need Hospitalization. Diabetic Ketoacidosis begins with mild ketosis due to high blood glucose, dehydration, infection etc. It should be checked in urine ( by keto-Diastix ) if fasting glucose is more than 250mg/dl or Postmeal / Random Glucose is > 350 mg/dl or during episode of vomiting, fever abdominal pain or any sick Day. Early correction of Blood glucose by insulin correction of dehydration and antibiotic for infection may prevent hospitalization, which is otherwise mandatory during severe DKA. Chronic complication may appears after many years of duration and can be related to Eyes (Diabetic Retinopathy), Kidney (Diabetic Nephropathy), Nerves (Diabetes Neuropathy), Sexual Dysfunction, Heart (CVD), Brain (Stroke) etc. All these complication are preventable by control of glucose, lipids, blood pressure & healthy lifestyle. Therefore health care providers should counsel and educate people with type 1 diabetes to help them live stress free life with diabetes. Recorded on 23rd June 2023 with Radhika Patrikar, at Akashwani Nagpur.

Nurses should be trained as Diabetes Educator in developing countries, like India

Radhika Patrikar, Dr. Kavita Gupta, Dr. Sunil Gupta — Wed, 2 Aug 2023 12:35:06 +0000

Nurses play an important role in supporting people with diabetes (PWD). Nurses account for half of the global health. As the number of people with diabetes are increasing every day, the role of nurses as an educator becomes increasingly important. By creating nurse educators, a person with diabetes can receive a high quality evidence based knowledge & a good clinical care, which can help to maintain their blood glucose, blood pressure & lipids to the target levels and thus can avoid life threatening preventable complications of diabetes. Educators can burst the myths & misconceptions from the mind of a lay person, which prevails due to unawareness and sharing of non-scientific evidence based data in various social media platforms. Nurses can save PWD’s from unnecessary sufferings & can help for their psycho- social wellbeing. (Recorded June 9, 2023)

Type 1 Diabetes Mellitus : Living with Diabetes

Dr. Sunil Gupta, Dr. Kavita Gupta — Mon, 24 Jul 2023 11:12:51 +0000

Type 1 diabetes can occur at any stage of life. Educating parents/caretakers regarding management of diabetes can improve the quality life of a person with Type 1 DM. Children with Type 1 Diabetes Mellitus faces different challenges with advancing age like, from early childhood, schooling, adolescent age, career, at work place, marriage etc. Regular Monitoring of different organs and good blood sugar control, practicing healthy eating habits and regular physical exercise helps in achieving the glycemic, Lipids & blood Pressure goals. Emotional support also plays an important role in managing diabetes. Thus, Diabetes Self-Management Education (DSME) and Support is mandatory for empowering, each individual with Type 1 Diabetes Mellitus and their family member at every stages of life. (Recorded on 26th May 2023)

Hello Diabetes: Type 1 Diabetes

Dr. Kavita Gupta, Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Tue, 18 Jul 2023 13:46:46 +0000

Type 1 Diabetes Mellitus(T1DM) is also known as Juvenile or Insulin Dependent Diabetes Mellitus. In This, Beta Cells of Pancreas produce either very little or no Insulin thus they need to take insulin injections for their whole life. Type 1 DM most commonly occurs between 5 to 15 years of age, but it can occurs at any age after 6 months of birth and even in elderly people. In T1DM beta–cells of pancreas get destroyed completely due to autoimmunity or post-viral infection or idiopathic (Unknown Cause). India ranks at first position in the prevalence of Type 1 Diabetes Mellitus in the World. It’s common symptoms include polyuria.(increased urination), polydipsia (increased thirst), polyphagia (increased appetite) & weight loss. Their treatment includes Insulin and medical nutrition therapy. They have to take insulin injection 4 times a day or sometimes even more Acute complications of T1DM includes Diabetic Ketoacidosis (DKA) & hypoglycemia, which needs immediate action. Some important diagnostic tests for T1DM include fasting C-Peptide, GAD 65 antibodies test and antibody to Celiac Disease etc. Recorded on the 12th May 2023 at Aakashwani Nagpur.

Hello Diabetes: Pre Diabetes

Dr. Kavita Gupta, Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Fri, 30 Jun 2023 02:30:00 +0000

Type 2 Diabetes doesn’t develop in a day. It starts much early as Pre Diabetes, where ,Fasting blood glucose is between 100-125 mg/dl called as Impaired Fasting Glucose(IFG) and/or 2 hours post prandial blood glucose 140-199 mg/dl called as Impaired Glucose Tolerance (IGT). Both IGT & IFG are being classified as Pre Diabetes. So, T2DM develops after a period of 3-7 years of pre diabetes in India. This is a golden opportunity in the life of a person with T2DM, that if they follow consistent structured Life Style Modification (LSM), at least 50% of these people with pre diabetes can become normal, remaining 50% either will remain Pre Diabetes or will become T2DM in next 5-10 yrs. Thus, screening and early detection of Pre Diabetes can play a vital role in prevention of T2DM. Dr. Sunil Gupta also discussed about how ketones develop in Type 1 diabetics, adhesive capsulitis or Frozen shoulder, heart health, Stress , importance of exercise in diabetes. He also highlighted on Primordial prevention of diabetes during pregnancy. Recorded on 27th April 2023.

Hello Diabetes: Diagnosis of Diabetes

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta, Dr. Kavita Gupta — Thu, 29 Jun 2023 02:30:00 +0000

Every 11th adult in the world may have diabetes. Diabetes can be tested by Oral Glucose Tolerance Test (OGTT) in which you have to do an overnight fasting of 8-14 hrs before the test. After withdrawing fasting blood sample, consume 75 gms of glucose in appx 250-300ml of water and test the blood glucose after 2 hours. During this period avoid any type of physical exertion and smoking. If 2 hours, post (75gm) glucose blood sugar level is less than 140 mg/dL it is considered as normal, if it is between 140 to 199 mg/dL this indicates you have Pre Diabetes, and when it is 200 mg/dL or higher indicates that you have diabetes. Another method diagnosis diabetes is HbA1c test. An A1C below 5.7% is normal, between 5.7 and 6.4% indicates you have Pre Diabetes and 6.5% or higher indicates that you have diabetes. Similarly, A fasting blood sugar level of 99 mg/dL or lower is normal, 100 to 125 mg/dL indicates you have pre diabetes, and 126 mg/dL or higher it indicates you have diabetes. Dr Gupta also discussed about ICMR and other studies which indicates that more and more younger population is getting affected with diabetes which is a concern for the healthcare system. Moreover 50-70% of our adult population is overweight which increases the risk of non communicable diseases (NCDs) like diabetes. Studies have shown that Life Style Modification (LSM) alone can prevent diabetes. Researches have shown that LSM can prevent 54% of people with prediabetes from developing frank diabetes. Metformin has been recently approved by the Government for the treatment of Prediabetes in India. To make India diabetes free, focus should be on Obesity & Prediabetes .We should preach “Eat less, chew well, walk more, sleep well & Smile”! (Recorded on 31st March 2023)

Hello Diabetes: Healthy Diet during Ramadan and Navratri fasting

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta, Dr. Kavita Gupta — Fri, 31 Mar 2023 04:56:13 +0000

Fasting may have some general health benefits. It helps in weight loss, lowers bad cholesterol (Triglycerides, LDL-Cholesterol) and increases good cholesterol (HDL-C) and helps improve your blood sugar level. People with diabetes (PWD) should practice smart fasting .During Ramadan, PWD should have protein rich, high fiber meals at Sehari and should avoid high fat, high carb meals at Iftar. Instead of sharbat and juices opt for buttermilk, soups, lime water, jaljeera to keep yourself hydrated. During Navratri, try to eat at regular intervals and instead of fried food & sweets choose low fat foods, bhagar , kuttu ka aata, fresh fruits and vegetables, nuts and oilseeds. Avoid Vigorous exercises during fasting but be physically active. Monitor blood glucose frequently while fasting and also watch for low blood sugar. Recorded on 24th March 2023 at Akashwani Nagpur.

Hello Diabetes: Ramadan Navaratri Fasting and Diabetes

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj, Dr. Kavita Gupta — Sat, 25 Mar 2023 06:00:26 +0000

The pious month of Ramadan and Navratri has commenced and many people would observe fasting with food, without food and water (for limited hours). Approximately 80% of diabetics can observe safe fasting. International Diabetes Federation (IDF) has made global guidelines on Ramadan fasting for People with Diabetes (PWD), which should be followed during fasting. According to these guidelines, most of PWD can do fasting with precautions. Those who have Brittle Diabetes with lot of fluctuations of blood glucose should avoid fasting. PWD on many oral drugs or multiple doses of insulin should avoid fasting to prevent hypoglycemia, hyperglycemia or ketosis. Many T1 Diabetics (T1DM) are on Insulin Pump, where insulin doses can be adjusted as per the carbs in their meal, lifestyle and blood glucose. They must consult their treating Doctor before commencing any type of fast. Similarly, T2DM those who are on single or multiple drug combinations or on diet control should also consult their doctor before fasting. Few medicines like Biguanides (Metformin), Gliptins etc. are safer during fasting and have low risk of hypoglycemia. Those who are on insulin, the dose may need to be reduced to prevent hypoglycemia. PWD with associated complications like heart disease, brain stroke, kidney failure, retinopathy, Cancer etc. and those with history of any recent major surgery should avoid fasting. It is advisable to take a fitness certificate for fasting from your Doctor and practice smart fasting. While fasting, mild exercises like daily household work, walking, yoga & Pranayam can be incorporated, however we should avoid vigorous exercises. Women with diabetes in pregnancy should avoid fasting for a healthy fetal growth. Awareness about fasting should be created amongst the health care professionals, para medical staff and diabetes educators, so that they can counsel their PWD for safe fasting.

Hello Diabetes: Why Diabetes Education is important...?

Dr. Kavita Gupta, Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Fri, 3 Mar 2023 13:43:16 +0000

If the management of diabetes is being presumed as a “Table”, it will have 4 pillars, 1st is Diet, 2nd is Exercise, 3rd pillar is Drugs (Insulin & Oral drugs), 4th pillar is Monitoring. But, despite all four pillars in place, the table is incomplete without a Table-Top, this tabletop is “Education.”Education plays a key role in the management of diabetes. Without education, the prescription of diabetes is incomplete. Every clinician, nurse or paramedical staff involved in diabetes care, can focus on educating people for better management of diabetes and can play the role of a successful educator. With the growing burden of diabetes, it is imperative to empower people with evidence-based knowledge and help them to live a healthy and happy life with diabetes. Education can be One to One, in a small group, in a conference hall and for masses through radio, print media, television and social media. It can be conducted in a small clinic, corporate/government hospitals, rural/ urban health care centers, in different offices, and at public places like parks, with/without the help of NGOs. Education is needed at different phases of the transition of diabetes, like from very early childhood to adolescence, adult, during a change of job, marriage, pregnancy, menopause, elderly etc. A key focus of diabetes education involves lifestyle changes (Diet, Exercise, weight & stress management), annual screening for target organs, compliance of medicines and visits to treating doctor, management of acute complications like hypoglycemia or ketosis at home etc.Sunil’sDiabetes Care n’ Research Centre (DCRC) is actively involved in educating society under the banner of “Hello Diabetes” for the last 30 years. Apart from the general population, we also focus on specific groups like Juvenile Diabetes(JD-Con), Couple Diabetes, Gestational Diabetes, Type 2 Diabetes and so on. DCRC & DCFI (Diabetes Care Foundation of India) also create diabetes educators through a certificate course NDEP (National Diabetes Educators Program) and take annual conferences for Nurses (Nu-Con), for Women (Wo-Con), for educators (DE-Con) and Hello Diabetes Academia for doctors. Hello Diabetes Education is also done through the YouTube channel & Podcast of Dr Sunil Gupta.

Hello Diabetes: New Year Resolution - Ten Commandments for People with Diabetes

Dr. Kavita Gupta, Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Thu, 19 Jan 2023 03:00:00 +0000

Here are Dr. Sunil Gupta's 10 Commandments for Diabetes Management:

1. I presume diabetes as a Condition and Not a Disease. I will avoid saying that I Have diabetes but will say with by pride that “I am a Person with Diabetes”

2. I will eat healthy diet every 3-4 hours interval.

3. I will exercise regularly and keep my weight normal.

4. I will take my prescribed medicines regularly.

5. I will monitor my blood glucose regularly as advised.

6. I will always carry glucose/sugar/sugar candy with me which can be consumed to treat my hypoglycemia related emergency.

7. I will not ignore any illness/infections and keep my feet as healthy as that of my face.

8. I will keep my HbA1c to Less than 7% and will do this at every 3-4 moths.

9. I will do screening tests of Eyes, Kidney, Nerves, Heart, Teeth, Lipids every year.

10. I will empower myself with evidence based knowledge as educator and will educate others to save them from unnecessary & premature sufferings of diabetes.

Hello Diabetes: Diabetes in young

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta, Dr. Kavita Gupta — Tue, 10 Jan 2023 05:22:57 +0000

Hello Diabetes: Diabetes in Young, was recorded at Akashwani Nagpur on the 23rd of December 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta. The number of young people with diabetes is gradually increasing in India. Almost every 4th newly detected person with diabetes is of less than 30yrs age. The prevalence is also slowly increasing in rural population due to rapid urbanisation of their lifestyle. Early onset of diabetes in young age is going to have a big burden on the health care system. Diabetes in young can be a case of Type 1 DM (Insulin dependent DM), Type 2 DM of young (commonly have strong family history of DM, Obesity etc), LADA (Latent Autoimmune Diabetes of Adult) which presents at young age as T2DM and responds to oral glucose lowering drugs but ultimately get converted to insulin dependent Type 1 DM within 1year, They are (GAD 65 antibody Positive) and Maturity onset Diabetes of Young (MODY), which responds to oral drugs (Sulphonylurea).

Hello Diabetes: Lipids & Diabetes

Dr. Kavita Gupta, Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Wed, 21 Dec 2022 04:30:00 +0000

Hello Diabetes: Lipids & Diabetes recorded at Akashwani Nagpur on the 25th of November 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Hello Diabetes: World Diabetes Day 2022

Mrs Shraddha Bharadwaj, Dr. Kavita Gupta, Dr. Sunil Gupta — Mon, 19 Dec 2022 11:14:13 +0000

Hello Diabetes: World Diabetes Day 2022 was recorded at Akashwani Nagpur on the 11th of November 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Hello Diabetes: Complications of Diabetes: Heart

Mrs Shraddha Bharadwaj, Dr. Kavita Gupta, Dr. Sunil Gupta — Fri, 11 Nov 2022 01:30:00 +0000

Hello Diabetes: Complications of Diabetes: Heart recorded at Akashwani Nagpur on the 28th October 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Hello Diabetes: Take the ownership of diabetes

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj, Dr. Kavita Gupta — Tue, 8 Nov 2022 06:47:38 +0000

Take the ownership of diabetes - recorded at Akashwani Nagpur on the 14th October 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Hello Diabetes: Hypoglycemia, Prevention of Diabetes

Mrs Shraddha Bharadwaj, Dr. Kavita Gupta, Dr. Sunil Gupta — Mon, 31 Oct 2022 08:30:37 +0000

Hello Diabetes: Hypoglycemia , Prevention of Diabetes - recorded at Akashwani Nagpur on the 23rd of September 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Diabetes can affect all organs of body - Food Pyramid, Abdominal fat & Heart/Brain Attack

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj, Dr. Kavita Gupta — Sat, 22 Oct 2022 02:30:00 +0000

Hello Diabetes: Diabetes can affect all organs of body - Food Pyramid, Abdominal fat & Heart/Brain Attack - recorded at Akashwani Nagpur on the 9th September 2022 with Dr. Sunil Gupta & Dr. Kavita Gupta.

Hello Diabetes: Diet in Diabetes

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta, Dr. Kavita Gupta — Tue, 11 Oct 2022 05:23:42 +0000

Hello Diabetes: Diet in Diabetes - recorded at Akashwani Nagpur on the 26th August 2022 with Dr. Kavita Gupta & Dr. Sunil Gupta.

Hello Diabetes: Obesity in Diabetes

Dr. Sunil Gupta, Dr. Kavita Gupta, Mrs Shraddha Bharadwaj — Tue, 27 Sep 2022 12:44:48 +0000

Hello Diabetes: Obesity in Diabetes - recorded at Akashwani Nagpur on the 12th August 2022 with Dr. Sunil Gupta.

Hello Diabetes: Diabetes and Brain, other complications and remedies

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj, Dr. Kavita Gupta — Tue, 27 Sep 2022 12:38:35 +0000

Diabetes and Brain, other complications and remedies - Recorded at Akashwani Nagpur on the 22nd July 2022 with Dr. Sunil Gupta.

Hello Diabetes: Diabetes, Hypertension, Dyslipidemia & Thyroid

Dr. Kavita Gupta, Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Fri, 16 Sep 2022 08:03:39 +0000

Hello Diabetes: Diabetes, Hypertension, Dyslipidemia & Thyroid. Recorded at Akashwani Nagpur on the 8th July 2022 with Dr. Sunil Gupta

Hello Diabetes: Fasting vs Post meal vs Random blood glucose. Technology in DM

Dr. Kavita Gupta, Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Thu, 25 Aug 2022 06:07:33 +0000

Hello Diabetes: Fasting vs Post meal vs Random blood glucose. Technology in DM. Recorded at Akashwani Nagpur on the 17th June 2022 with Dr. Sunil Gupta

Hello Diabetes: Glycemic Variability in Diabetes

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Wed, 3 Aug 2022 03:30:00 +0000

Hello Diabetes series - Glycemic Variability in Diabetes, recorded at Akashvani Nagpur on the 10th June 2022 with Dr. Sunil Gupta.

Hello Diabetes: Management of Diabetes in Different Ages

Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Thu, 14 Jul 2022 18:30:00 +0000

Hello Diabetes - Management of Diabetes in Different Ages, recorded at Akashvani Nagpur on 27th May 2022

Hello Diabetes: Travel & Reversal of Diabetes

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Tue, 12 Jul 2022 11:08:52 +0000

Hello Diabetes - Travel & Reversal of Diabetes recorded at Akashvani Nagpur on 13th May 2022

Hello Diabetes: Diabetes & Heredity 22.04.2022

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Fri, 1 Jul 2022 09:57:02 +0000

Hello Diabetes - Diabetes & Heredity recorded at Akashvani Nagpur on 22nd April 2022

Hello Diabetes: World Health Day 8/4/2022

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Wed, 22 Jun 2022 08:07:57 +0000

Hello Diabetes - World Health Day Special recorded at Akashvani Nagpur on 8th April 2022

Hello Diabetes: Prevalence of diabetes & importance of blood glucose control

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Mon, 6 Jun 2022 09:53:46 +0000

Recorded at Akashvani Nagpur on 25th March 2022

Hello Diabetes: Prgenancy & Diabetes 11th March 2022 (Hindi/Marathi)

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Mon, 6 Jun 2022 09:48:50 +0000

Recorded at Akashvani Nagpur on 11th March 2022

Hello Diabetes: Diabetes & Pregnancy (Hindi/Marathi)

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Tue, 17 May 2022 14:27:26 +0000

Recorded at Akashvani Nagpur on the 28th January 2022

Hello Diabetes: Diabetes & Diet - Sankranti 2022 (Hindi/Marathi)

Dr. Kavita Gupta, Mrs Shraddha Bharadwaj, Dr. Sunil Gupta — Tue, 17 May 2022 14:22:02 +0000

Recorded at Akashvani Nagpur on Sankranti - 14th January 2022. Topic: Diabetes & Diet

Hello Diabetes

Dr. Sunil Gupta, Mrs Shraddha Bharadwaj — Sat, 2 Apr 2022 03:30:00 +0000

Akashwani Nagpur, 11th February 2022