- 6 hours ago
Diabetes doesn’t affect everyone the same way - and for women, it can bring unique changes that often go unnoticed.
In this exclusive podcast, Dr. B. Deepak Kumar, Consultant General Physician at Kauvery Hospital Salem, breaks down the subtle signs, the risks many overlook, and the steps women can take to stay healthier and stronger.
In this exclusive podcast, Dr. B. Deepak Kumar, Consultant General Physician at Kauvery Hospital Salem, breaks down the subtle signs, the risks many overlook, and the steps women can take to stay healthier and stronger.
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00:00What is the difference between the diabetes and the people?
00:05What is the difference between the diabetes?
00:07How does diabetes affect the diabetes?
00:13In the age of age, the men are the same as women.
00:17But the complications are the same as diabetes.
00:23In the age of age, women are the same as women.
00:28When we have a secretive insulin, we have no sensitivity.
00:34In other words, we are talking about resistance.
00:36While there is a risk of genetic influence, there is a risk of PCOS.
00:41When there is a risk of genetic influence, there is a risk of infertility.
00:46There is a risk of post-menopausal complications.
00:50How many PCOS issues are there?
00:55There are 30% of PCOS development of diabetes.
01:0030%?
01:01Actually, in this research, 40-50% of PCOS can develop diabetes in the future.
01:07When we have a proper secretive insulin,
01:12we have a breakdown of free fatty acids.
01:17That is also overweight and obesity.
01:20That is why they have diabetes.
01:22They have cholesterol and blood pressure.
01:25They have blood pressure.
01:26So, if they have 3 patients, they have diabetes.
01:31When they have diabetes, they are very common.
01:35That is very common, doctor.
01:36It is very common.
01:37It is very common.
01:38Then, if I look at 110 in a hospital,
01:40one is very common.
01:41Right?
01:42Now, if they have diabetes,
01:43one is very common.
01:44If you have diabetes,
01:46one is very common.
01:47Diabetes was painful and what is the problem.
01:50What is the problem?
01:52The problem is,
01:53if they have diabetes he is going to a C-section,
01:55there are no complications.
01:57Yes, of course.
01:59For example, when you see the complications of diabetes in pregnancy,
02:03what are you seeing?
02:07How many diabetes have you seen?
02:09How many of you have seen it?
02:11There are some complications.
02:15But when you see the C-section,
02:17what is the problem of that?
02:19You know, it's not a native treatment,
02:22it's not a stomp,
02:24so that's why you see the infection.
02:27It's not a good doctor.
02:31Pregnant ladies eat a lot of food.
02:34Two juice and they eat a lot of food.
02:36They eat a lot of food.
02:38If they are there, they can control a proper diet.
02:44Why are there any problems?
02:47If a mother is pregnant, that's a stress.
02:52Nutrition is a little less.
02:55Fatty foods are a little bit less,
02:57increase in the amount of fat,
02:58so it's very helpful.
03:00If you eat very well, you eat well.
03:01That's the most important thing.
03:03If you eat a lot of patients,
03:04there's a sugar in a lot of patients,
03:06there's a sugar in 30 or 28 years.
03:10If you tell us,
03:12if you start to make a diagnosis of pregnant diabetes,
03:15you should check the doctor.
03:17You should check the five years.
03:19So, you don't miss five years.
03:22For example, if you compare men and women,
03:24If women have a heart problem, that's why there are consequences like a heart attack or a heart failure, men have 7.5 times.
03:33If you have a diabetes in women, 50% of them are not proper sleep.
03:39They are very important in sugar control.
03:42If you have any diabetes, every 10 years, 30% protein is reduced.
03:48They are reduced muscle mass.
03:52That's why we have a lot of protein in 50 years.
03:56You said that the diabetes is not only a diabetes.
03:59It is a shocker.
04:03But do you have a pen?
04:05No.
04:06If you have a pen, you don't have a pen.
04:10If you have a pen, you need to read it.
04:13If you have diabetes, it is important.
04:16There is a difference between your people and your people.
04:19If you have any diabetes, what do you want to know about it?
04:22If you want to discuss, I want to invite you to come.
04:24I want to invite you to Dr. Deepak Kumar, General Physician Kaveri Maharthu.
04:27I want to invite you to talk about diabetes.
04:29I want to invite you to discuss a lot of diabetes.
04:31But how do you speak about diabetes?
04:33What is it?
04:35How do you speak about diabetes in women?
04:37Yes, I am.
04:39I think that we can talk about diabetes in women.
04:45You said that men and women are all the same.
04:49Of course, everyone is equal.
04:51But, ladies are very important to see the diabetes in women.
04:57So, let us get to diabetes.
04:59As a homemaker, as a queen of the family, as a homemaker, as a queen of the family.
05:05So, diabetes women will be affected by women.
05:09In the past, diabetes is influenced by men.
05:15Men will not be influenced by men.
05:17That's how we can see one by one.
05:19Although, prevalence, that is, in the past, diabetes is the same.
05:25But, in the past, diabetes is the same.
05:30If you look at the complications, women are the same.
05:33So, the ratio is the same.
05:35That's why it affects the women's lives.
05:37Yes, exactly.
05:38That's the consequences.
05:39That's why it affects the side effects.
05:41It affects the diabetes.
05:43All the diabetes is affected by women.
05:46So, you said that in the past,
05:48you have said that the issue of the food is the same.
05:51So, we have to look at the food.
05:53If you look at the diabetes,
05:54you have to look at the diabetes.
05:55If you look at the diabetes,
05:56you have to look at the diabetes.
05:57Then, after that,
05:58you have to look at the diabetes stage.
05:59The first time,
06:00you have to look at the puberty stage.
06:01In the past,
06:02there is a PCOS.
06:04We have to look at the Indian government's data.
06:06So, the PCOS, the puberty,
06:09the diabetes is the same.
06:11The diabetes is the most common endocrine problem in the world.
06:16There is a PCOS.
06:18In the past,
06:21there are many factors.
06:22There are overweight and insulin resistance.
06:27So, the insulin resistance is very important.
06:29So, the insulin resistance is very important.
06:31In the past,
06:32there is a genetic effect in the past.
06:33There is a genetic effect in the past.
06:34So, the sensitivity is very important.
06:35So, that is the resistance.
06:37In the past,
06:38there is a genetic effect in the past.
06:42That is,
06:43that pain is very important.
06:45Yes, exactly.
06:46In the past,
06:47there is a genetic influence in the past.
06:49There is a risk of PCOS.
06:51There is a obese PCOS.
06:53There is a lean PCOS.
06:55There is a lot of PCOS.
06:57There is a risk of PCOS.
06:58Okay.
06:59So, that is,
07:00just from womb,
07:01there is a risk of PCOS.
07:03There is a risk of environmental factors,
07:06lifestyle change,
07:08overweight,
07:09height,
07:11junk foods,
07:13that is,
07:14that is,
07:15that is,
07:16that is,
07:17that is,
07:18that is,
07:19that is,
07:20menstruation,
07:21that is,
07:22that is,
07:23that is,
07:24then,
07:25that is,
07:26that is,
07:27that is,
07:28that is,
07:29that is,
07:30that is,
07:31post-menopausal complications.
07:32But,
07:33there is a genetic awareness of PCOS.
07:35But what I said is,
07:36what I said is,
07:37a PCOS problem is irregular periods.
07:39You were saying that there is over-weight.
07:40I have no idea whether there is diabetes
07:41in this case of a coroner,
07:43which is not a type of diabetes.
07:44Because,
07:45there is a dieapadise,
07:46where does this diabetes mean?
07:47What is your name?
07:48Have you been with diabetes?
07:49?
07:51The PCOS is a 30% about
07:5330% of PCOS can develop diabetes in the future.
07:5830%?
07:5930%
07:59Actually, in the latest research, 40-50% of PCOS can develop diabetes in the future.
08:06Same time, age one, you said that it's 11-18.
08:09Yes, it doesn't come in the future.
08:13That's why they are pregnant.
08:15Pregnancy related to gestational diabetes.
08:19Type 2 diabetes mellitus is also developing.
08:22So, this is a triggering factor in the PCOS.
08:25Yes, PCOS, as I mentioned earlier, is the start of insulin resistance.
08:29So, PCOS, diabetes is a metabolic syndrome.
08:33So, if you look at the metabolic syndrome, that is the insulin resistance.
08:38So, if you look at the proper and secret insulin, it's a good function.
08:43If you look at the fatty acids, it has become a breakdown of free fatty acids.
08:48So, that's why it's a cholesterol level.
08:51So, cholesterol, especially triglycerides and total cholesterol level.
08:57That's why they are overweight and obesity.
09:00So, that's why they have diabetes.
09:03So, that's why they have diabetes.
09:05So, that's why they have diabetes.
09:06That's why they have insulin resistance.
09:08So, basically, PCOS, we have insulin resistance.
09:12That's why we have insulin resistance.
09:14So, we have insulin resistance.
09:15So, we have insulin resistance.
09:16So, their insulin resistance is 10 1963 pec.
09:17So, insulin resistance is 10 проп.
09:19So, with the exbach fat fat fatigue rate.
09:21So, there is higher insulin resistance.
09:23So, there have a high insulin resistance resistance突 see Alzheimer's tolerance,
09:40So diabetes is one of the best cholesterol and blood pressure, so it's very important.
09:47So this is the three of them, they are very important.
09:53So PCS is one of the first periods we target.
09:58So it's a whole metabolic syndrome.
10:01Especially weight, waist circumference.
10:05Even if it's a diet, I won't have diabetes, I won't have diabetes.
10:11It's a frank diabetes.
10:14Just fasting and diabetes in a pre-diabetes state,
10:18if it's a metabolic syndrome, it's a problem.
10:20So insulin resistance is what we say when we say diabetes is stable.
10:27That's what we say at the proper stage.
10:30Yes, that's how we say it.
10:33So, if you have PCOS, it will be very good.
10:36That is why we have diabetes and metabolic issues.
10:39In all of the pancreas, it will be secreted insulin and glucose level.
10:44So, it will be a proper level.
10:47If we have sugar, insulin will be secreted by glucose level.
10:52If glucose level is lower, the insulin will be secreted by glucose level.
10:57So, if we have imbalance, all of the problems will start.
11:02So, there will be a pain in the same way.
11:06If it is in the puberty stage, it will be different.
11:09If it is in the body.
11:10If it is in the ovary or PCOS,
11:14then it will be a problem for them.
11:16Then it will be a problem for them.
11:19So, if we know the basic idea of this,
11:23let's look at male and female.
11:25The main reason for diabetes is visceral obesity.
11:31The main reason for diabetes is fat.
11:33That is the main reason.
11:34Actually, our fat is very low.
11:37Overall fat is very low.
11:38Overall fat is very low.
11:39But the other fat is low.
11:41For example, subcutaneous fat.
11:43That is the fat fat.
11:45So, that is normal.
11:47The fat fat is very low.
11:48That is normal.
11:49It is normal.
11:50The fat fat is very low.
11:51This is normal.
11:53If the person is equal to girls, they are almost equal to lean mass and fat mass
12:02So that is almost equal to fat mass, lean muscle mass is less than a lean mass
12:10Girls for example, fat is less than a muscle mass is less than a weight
12:15This is normal
12:18If the person is equal to fat mass, the testosterone is less than a muscle mass
12:27So that is increased by muscle build, physical activity is increased by testosterone is less than a weight
12:38If the person is equal to testosterone, the risk of diabetes is less than a weight
12:44So if the person is equal to the woman if the woman is equal than about PTSD, they elle�
12:49How Lamb Facts that weight is less than a weight
13:02So this is the movement of men to rev ardent
13:07We will conserve the fat properly and use the fat properly.
13:14That is the main thing for the female.
13:17But for the gents, the fat will be formed in the white group.
13:24In other words, male android and gynide,
13:30the fat will be formed in the white group.
13:38That is why they have a visceral adipose tissue
13:44and have insulin resistant diabetes.
13:49That is not the case for ladies.
13:51That is why they have menopause and the fat is protective.
13:55If you have estrogen correct,
13:57the diabetes is very low.
14:00In fact, that is protective.
14:03If you are pregnant,
14:06post-menopause, the fat is very low.
14:11Visceral fat is very low.
14:14In white group, the fat is very low.
14:17That is why you have menstruation.
14:22If you have diabetes, the risk is very low.
14:25After 50.
14:26After 50.
14:27Exactly.
14:28After 50.
14:29Exactly.
14:30Actually, this is a complex structure, Doctor.
14:32If you are 30 years old,
14:34do you have a substance for 50 years?
14:39I can't say anything about it.
14:41Actually, this is a protective mechanism.
14:44When we have problems,
14:47in the reproductive age,
14:49especially ladies in the 20 to the 48 age,
14:53they have diabetes.
14:57They have diabetes.
14:58They have diabetes.
15:00They have less estrogen.
15:03They have testosterone.
15:05They have testosterone.
15:07and have sex hormone imbalance.
15:10They have diabetes.
15:15I'm sorry.
15:16I'm a doctor who is going to get a doctor.
15:19I'm going to get a gynecologist.
15:20If you have PCOS issues,
15:22they have to take any medication.
15:24They should be able to take any medication?
15:26Or they should have to be able to cancel any other doctors?
15:28Like you told us,
15:29it's a must-up.
15:31Must-up.
15:32The PCOS is not a fertility person.
15:35They have a history.
15:38They have sugar.
15:42They have height, weight and BMI.
15:45They have food, lifestyle, food habits.
15:51That is basic blood test, cholesterol test.
15:55Especially BMI more than 25.
15:58If they are overweight or BMI 30,
16:02they have cholesterol and sugar.
16:05Fasting, postnatal, HB1C.
16:08If they are normal, they can follow up.
16:13The PCOS patients have 60% diabetes.
16:18If they are pregnant, they have gestational diabetes.
16:23If they are pregnant, they have a common test.
16:29If they are pregnant, they have diabetes.
16:31They are very common.
16:33That is not a problem.
16:35That is very common.
16:37That is very common.
16:38It is very common.
16:40It is very common.
16:41It is very common.
16:42But now, there are gestational diabetes.
16:46That is a mandatory test.
16:48Yes.
16:49Gestational diabetes has increased.
16:52But, the best patients are diagnosed with diabetes.
16:54Because of this, they use a sort of breast inflammation.
16:57If they are pregnant, they also have hormones.
16:59Placenta, lactogen and lactogen.
17:00They are very common.
17:01They are very common.
17:02They are very common.
17:03It is very common.
17:04Our fetus is very common.
17:05But, even if they are in qualitative condition,
17:07they have to save glucose.
17:10These are common.
17:11So, it is a fetus
17:12And they are very common.
17:13This is also a fetus.
17:14The fewer patients are living.
17:15But there are many patients and many people who have 3 gestational diabetes, 2nd delivery, 3 gestational diabetes, or 35 years of age, advanced stage of marriage.
17:33Next, their family is close degree, their mother is sugar, PCOS, over weight, BMI is more than 30.
17:44They have a gestational diabetes.
17:51Is it lifelong or after delivery?
17:54No, it doesn't come.
17:57If someone has a normal diet, they have a normal diet.
18:01Suppose if they have a gestational diabetes, they reduce their weight, they have a doctor's advice, they have a diet, they have a lifestyle, they have a gestational diabetes.
18:13But they have a lot of weight, they have a lot of sugar, they have a lot of insulin, they have a lot of insulin.
18:23And if someone has a type 2 diabetes, they have a lot of insulin, they have a lot of insulin.
18:30They have a lot of insulin.
18:31Now, if you have diabetes, they have a lot of insulin, they have a lot of insulin.
18:37Now, if you have diabetes, they have a lot of insulin, they have a lot of insulin, they have a lot of insulin.
18:44So, if you have diabetes, they have a lot of insulin and they have a lot of insulin, they have a lot of insulin.
18:57Polyhydraminescent. So that's what happens.
19:00So that's what happens.
19:02They have BP, preeclampsia, and they have wipes.
19:06Plus, they have wipes.
19:11So, they have wipes.
19:13Plus, they have wipes in the future.
19:17Now, what's going on in the delivery?
19:20First, what's going on in the delivery?
19:24Nutrient load is not going on.
19:26The insulin and sugar are not going on.
19:30So, they have to go to baby.
19:32They have to go to macrosome.
19:37They have to go to 4kg.
19:39That's a very common macrosome.
19:42When they are pregnant, they don't control diabetes.
19:46Sugar has to go on.
19:48They have a heart problem,
19:52a neural tube defect,
19:54a congenital heart block.
19:55It's not going on.
19:57It's not going on.
19:57To get rid of the urine tract.
19:59The urine tract.
20:00The urinary tract.
20:00Infection.
20:01The urinary tract.
20:03The urinary tract.
20:04The urinary tract.
20:06Amen.
20:07It is still birth and still iugr.
20:10So there are many complications.
20:13Do you know diabetes in your body?
20:17There are many complications from the newborn.
20:21The first was immediately the sugar is low.
20:25Because the baby passed in the body by the mother's wife and her wife.
20:31So insulin is very high for the baby and the first few hours after birth, sugar is low, hypoglycemia is low.
20:39In the future, they are overweight and have diabetes because they are very high for the baby.
20:45In the case of cesarean section, they are overweight, macrosomia.
20:52So that is why the shoulder dystocia is very high for the baby.
20:59So that is why the delivery is very high for the baby.
21:03There is a lot of blood, sugar is low, hypocalcemia, magnesium is very high for the baby.
21:11In the case of cesarean section, do you have any problem with that?
21:16If you are a doctor, you have to keep the doctor's advice and you have to wipe it.
21:21But there is no negative treatment, you have to say, you have to say, you have to say, you have to wipe it.
21:25You have to wipe it in your stomach, you have to wipe it in your stomach.
21:30So, if you do that, you will get a lot of infection.
21:32If you go to the doctor, you will get a lot of sepsis and a lot of sepsis.
21:38Now, in the pregnancy time, how do you treat the diabetes?
21:42Why do you have a lot of restrictions?
21:45If you have a tablet or a tablet, you will get a fever, you will get a fever.
21:52So, how do you address the diabetes?
21:55Basically, there are no doubts about this.
21:58If you have a fetus or a placenta, you will get a connection.
22:04So, if you cross the barrier, you will cross the doctor.
22:09So, basically, if you cross the barrier, you will get a fetus or you will avoid it.
22:16So, basically, the treatment of the carbohydrates, there are mostly 4.
22:22First, medical nutrition therapy.
22:25It is very important to eat.
22:27So, the fat is low, you will eat, you will eat.
22:31Calorie intake, you will eat.
22:32Fiber, you will eat, you will eat.
22:35Plus, the exercises is a good routine.
22:38If you do the diabetes, you will eat.
22:40Diabatic patients, pregnant and diabetic patients, walk a light exercise, walk a lot of them and walk a lot of them.
22:51When you eat sugar, you can also eat sugar. So this is number one. Number two is exercises. Number three is pharmacotherapy.
23:00Treatment of medicines.
23:02For the medicines, our pregnancy, gestational diabetes, mellitus treatment is the mainstay of insulin.
23:11There are many controversies in the tablets and medformin.
23:15Approved medications are insulin. Insulin is very safe.
23:18That's why people don't have any problem.
23:21That fetus is transmitted.
23:24Insulin is very safe.
23:26We need to monitor the diabetes.
23:28Periodically, we need to monitor the pregnant ladies.
23:34We need to monitor the baby's weight.
23:37We need to scan the baby's weight.
23:41If the weight is appropriate, if there is weight, or if there is overweight, that's proper.
23:47So the four issues are very important. Medical nutrition therapy, exercises, treatment in form of insulin.
23:52We need to monitor the insulin.
23:54With health increase, it's very important that can be used to diet and drink 2.
23:56They eat a good diet.
23:57If they eat a good diet, they will need to eat well.
23:58They eat more, you can eat well.
23:59If they eat better and you eat well.
24:00When you're hungry, you eat well.
24:01They eat well and don't eat well.
24:02They eat well and eat well.
24:06You can eat well.
24:07Then you eat well.
24:08If there is a proper diet and Civilian diet, you can edit your diet.
24:12After a long time, you have to monitor a body of diabetes.
24:15So you can do diabetes, you can eat well.
24:17How will the diabetes be well?
24:18So you can eat the diet as well.
24:19How will the health defense be well?
24:20Do you have any problems, Doctor? How do you address a mother?
24:27Basically, pregnancy is a diabetic state.
24:30For pregnancy, there is a reason for diabetes.
24:33It is called a diabetogenic state.
24:36But if everyone has diabetes, there is no risk factors.
24:41There are risk factors like overweight,
24:43there is no risk factors like diabetes.
24:47Basically, we have to screen.
24:50All pregnant ladies,
24:52we have to screen at least three days.
24:55First, six to eight weeks,
24:58we have to screen at least three days.
25:01What is this?
25:02We have to check at least three diabetes.
25:05Pre-gestational diabetes.
25:07Diabetes is not a pregnancy,
25:09but we have to check at least three diabetes.
25:11So, suppose if it is normal,
25:13then it is normal.
25:14If it is normal,
25:15then it is a diabetes.
25:16There is a cut-off.
25:19No, it is not normal.
25:22There is a criteria that is normal.
25:25It is a gestational diabetes.
25:28So, we have to follow them periodically.
25:31First, four weeks,
25:32medical nutrition therapy.
25:33We are going to get insulin.
25:35We are going to get insulin.
25:37We are going to get insulin.
25:39First, medical nutrition therapy.
25:41Calories.
25:42We are going to check.
25:44We are going to suggest insulin.
25:48So, we are going to get nutrition.
25:51Nutrition is low.
25:53Fatty foods are low.
25:55Fatty foods are low.
25:57Monosaturated fatty acids are low.
26:00Poly unsaturated fatty acids are low.
26:03Muses are low.
26:04All the nuts are low.
26:05It is very easy to drink.
26:06They are very much helpful.
26:07They are good eating.
26:08It's important if they are good eating,
26:10for pregnant lady eating,
26:11they are rich.
26:12It is nutritious.
26:14We are bad eating.
26:15Basically,
26:16in our diet,
26:1780-90% of carbohydrates are fat.
26:18carbohydrates.
26:19Protein, healthy fats, fiber, all the protein.
26:22That's 60% carbohydrates.
26:25Meat is 30% or 20% protein, fiber, and fat.
26:31Walking is not advisable.
26:36Any pregnant ladies, you can avoid juices.
26:39That means fruits are not too much.
26:42If you have juice, you can add sugar and sugar.
26:47Just because of the blood.
26:49If you have a milk, you will drink it.
26:51It's better to have water.
26:54Dr. Tamuna, I tell you,
26:57if you are pregnant, you can have juice.
26:59No, I don't do anything.
27:01I'm talking to diabetes patients.
27:04If you have a diabetes patients,
27:08I'm talking to you.
27:09There is sugar in fruits.
27:11Don't you give it any sugar?
27:13Yes, I am saying that.
27:15If you have fruits, you can avoid sugar and glycemic loadings.
27:22If you have apples, apples, apples, they can eat.
27:28You can eat daily and limited lemon, 75 grams.
27:32I don't know all fruits.
27:35If you have fruits and juices, you can eat all fruits.
27:40If you eat a fruit, you can add all fiber and a fiber filter.
27:45If you eat a fruit, you can eat a fruit.
27:49After pregnancy, there will be any changes in this treatment?
27:54Gestational Diabetes.
27:56After Diabetes, do you say Diabetes food?
28:00No, I'm talking about the treatment.
28:02You said Diabetes is a treatment for pregnancy.
28:05We are following four steps.
28:08If you have a regular Diabetes patient, do you have a treatment for regular Diabetes patients?
28:15We have two steps.
28:17Six weeks after delivery.
28:20Then, we will see where sugar is.
28:22Then, there will be any criteria for pregnant.
28:25Normally, there will be no sugar.
28:29We will do that criteria.
28:32So, if you have Diabetes,
28:34Then, we will treat it for normal.
28:38Then, we will treat it for 12 weeks.
28:41Then, we will treat it for a sugar.
28:43Then, we will treat it for lifelong.
28:46Once in one to three years.
28:48Once in three years.
28:48Once in three years.
28:50Once in one year.
28:52Then, we will have a disability forầuvers.
29:00Hopefully, there will be others.
29:01Forals in one year.
29:03Then, for Cheryl.
29:05So, we are waiting.
29:06There are 50% risk. They are developing type 2 diabetes.
29:10How many people have a pregnancy time in a pregnancy time?
29:13How many people have a prolonged life long?
29:17That's why 50-75% of them can develop type 2 diabetes.
29:21No, Doctor.
29:22Do they develop in the future?
29:24Do they continue and prolong?
29:27No.
29:28You don't want to talk about gestational diabetes.
29:30If you have a proper weight reduction, you usually have type 2 diabetes.
29:36That's normal.
29:38If you look at patients like O.P. or 30 or 28 years, there will be sugar.
29:47If you look at the history of the diabetes, you should check the doctor.
29:53Then you should check the doctor.
29:55You should check the doctor for 5 years.
29:57For example, in 24 years, if you get pregnant and we get treatment from a child,
30:03then you need 8-7.5% sugar.
30:08So to be pregnant, if you get pregnant different times, they will have diabetes.
30:13So 5 years, then you don't want to check the doctor for 5 years.
30:15So, if you check the doctor for 5 years, there will be diabetes.
30:21So that is how life-style it is.
30:24The problem is that it is less than 50% of menopause.
30:28Yes, exactly.
30:29I was told that post-menopause is a hormone imbalance.
30:32So, there is a lot of diabetes.
30:36What are you talking about in post-menopause?
30:39You said that it is a fatigue,
30:41but it is less than 50% of the diabetes.
30:45It is a hormone imbalance.
30:47They are secreted by estrogen.
30:50Normally, post-menopause is a positive and protective effect of the heart.
30:57So, it is a lot of pain.
30:59It is a lot of cholesterol, sugar, and estrogen is a lot of pain.
31:04Post-menopause is a hormone imbalance.
31:06They have diabetes and insulin resistance.
31:09They have overweight and obesity.
31:11They have to work.
31:13If they are a heavy worker,
31:15they have to burn calories properly.
31:21Food intake is a lot of weight.
31:24Food intake is a lot of weight,
31:25but there is no workout.
31:28If they are young,
31:29if they are young,
31:30they have to work.
31:32But it is a lot of weight.
31:34Men and women are equal.
31:36But it is a lot of weight.
31:38The hormones are not a lot of weight.
31:40But there is no weight.
31:41You used to have it.
31:42You know,
31:43I became a little bit like diabetes.
31:44But the hormones are not a lot of weight.
31:45The hormones are not a lot of weight.
31:46You could talk sometimes,
31:47but the hormones are not a lot of weight.
31:48But you could talk about the hormones.
31:49Now, the hormones have no blood.
31:50The hormones are not a lot of weight.
31:51But you could talk about how things they eat.
31:52If the hormones don't have any weight.
31:53Let's tell us whether it is a lot of weight.
31:54If a person has any attention to it,
31:55it is important to ask them.
31:56For example,
31:57Men and women compare.
31:58People have a heart problem.
32:00So,
32:01if you see some of the consequences,
32:02Men have become 7.5 times the heart problems.
32:04heart attack, heart failure, men have been 7.5 times.
32:09If men have been 5 times, women have been 7.5 times.
32:13The protective effect of men and women have been 7.5 times.
32:17Plus, age-related, that is normal diabetes patients
32:21over 50 years, they have muscle protein.
32:25They are tolerant.
32:26Yes, they say sarcopenia.
32:28So basically, what are you doing with the path?
32:31What are you doing with the sugar?
32:33What are you doing with the protein?
32:35That is why you have wrinkles, they are very aged.
32:39Weight is not that much, but they are very aged.
32:42That is why it is age-related sarcopenia, muscle loss.
32:46Heart problems are very important, heart problems are very important.
32:51So, usually, there are psychosocial issues.
32:55Females don't come and neglect them.
32:59That is why they do it.
33:00Actually, ladies, post-menopausal, heart attack, heart valley and symptoms are very important.
33:07Okay.
33:08That is why they do it properly.
33:10Plus, ladies usually have stress in the family, lack of sleep.
33:16If you have a lot of diabetes and women, 50% of them are not proper sleep.
33:21They are very important in sugar control.
33:24So, if you have a lot of depression, they have a lot of diabetes and cardiac problems.
33:33So, post-menopausal, they have bones, like estrogen.
33:41So, estrogen is very important to bone health.
33:43So, post-menopausal osteoporosis is very common.
33:50So, post-menopausal bone fractures is very common.
33:57So, they have a lot of diabetes patients.
34:00So, if you have a lot of diabetes, then you can check the vitamin D, calcium and calcium.
34:05They are very important to treat it.
34:07Okay.
34:08If you have a lot of diabetes, you know, a 50% of the diabetes is very common.
34:14If you have sugar or weight loss, do you know that?
34:23How do you look at that doctor?
34:27Frailty or sarcopenia are almost the same.
34:32In old age, muscle protein loss is the main reason.
34:35So, it is not a problem.
34:38Actually, there is no diabetes.
34:39Every 10 years, there is no protein in any other diabetes.
34:46They are less muscle mass, lean mass.
34:50So, that is why we have a lot of protein in 50 years.
34:55Generally, there is no diabetes.
35:00However, sarcopenia is very low.
35:07Sarcopenia accelerations are very low.
35:09So, that is why we have said that diabetes patients are very low.
35:14So, it is a normal physiology.
35:16But, if you look at that, what you do is protein, exercise.
35:23Weakly, 3 or 4 times, simple weight lifting.
35:26Weakly, 2 kg or 3 kg weight lifting.
35:30Weakly, 2 kg or 3 kg weight lifting.
35:34Weakly, 1 gram per kg protein.
35:37Weakly, 1 gram per kg protein.
35:40Weakly, 10 gram per kg.
35:42Weakly, maximum carburetates.
35:44Protein is very deficient.
35:46That is the reason.
35:48It is ok.
35:49The first thing we suggest is that diabetes is very common.
35:53But, it is not a lot of protein.
35:57It is a lot of protein.
36:00You said that diabetes is not only diabetes.
36:02It is a lot of protein.
36:06It is very shocking.
36:07But, there is awareness of it.
36:10There is no awareness of it.
36:12It is not a woman's conscience.
36:17Nobody knows about it.
36:18Many people even know it.
36:19Many people don't want to ask them.
36:22Many people who say the women are sugar.
36:22They say one added stress family.
36:24Many people don't want to say.
36:27They are the mostblue.
36:28At least, they will be the children.
36:30They will be the ones and the ones who will be the ones who will be the ones.
36:33Diabetes and women will not consider men.
36:36In fact, there is a research because of women's diabetes that's called diet.
36:40There should be a specific guide line for women, so that's why the topic is an unexplored area.
36:57So this is a medical issue, it's also a social issue?
37:01Yes, it's a social issue.
37:03So family has to take care of those pens and take care of those pens and take care of those pens.
37:13Thank you so much Dr. Ravanas.
37:17I think we will reach this very soon.
37:20Anyway, we will talk about diabetes in the first of the family.
37:28Thank you so much Dr.
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