00:00In India in the time of the diabetes of diabetes, the patients get torrentialis.
00:08In the School of diabetes, the diabetes of the child can be increased with diabetes.
00:17The doctor has seen a surprising point that in children's diabetes are a signal for which
00:26At this time we are in the endocrinology department where we will talk to Dr. Soham Mukherjee.
00:36Sir, in the situation, the issue of diabetes is very much in adults.
00:45First, tell us about how many types of diabetes are these types?
00:49And who is the type of diabetes?
00:53If you look at the child's diabetes, we say that if the diabetes starts from 25 years old,
01:03then we call the youth onset diabetes.
01:08These are mainly two types.
01:11One is more common type 1 diabetes and the other is type 2 diabetes.
01:17The type 1 diabetes is usually a young age onset.
01:23This is insulin dependent.
01:25You have to give insulin out of it.
01:27Because in your pancreas, the beta cells are destroyed.
01:32And the insulin secretory capacity is lost in this type of diabetes.
01:36The other type of diabetes is usually adult onset diabetes, type 2 diabetes,
01:42which is often after 40-50 years old.
01:46But then it can be used to be a young age age.
01:52It is also a type of diabetes that looks at the age of 25.
01:53So it is also a type of diabetes that becomes a small age.
01:55The age of adults are still in this type of diabetes.
01:57Even if we look at the age of 25,
01:58and even to 10-12 years old, people are still in this type of diabetes.
02:01So the type of diabetes is still in the age of 10-15 years old.
02:03The type 2 diabetes is also in children, but if you look at the frequency, the type 1, which is the first type of type 1, the frequency is much more than 85-90% and approximately 5% type 2 diabetes.
02:20Sir, you have told me that type 1 and type 2 are different patterns and there are more cases in type 1, but in the case, there are also cases in type 2.
02:32So, I would like to know, which is the cause of the type 1 diabetes?
02:43So, type 1 diabetes is more common, as you have told me.
02:48This is why you have insulin secretory capacity in the pancreas.
02:55Insulin is an important hormone which is necessary for glucose metabolism.
03:01The glucose in the cell will reach insulin.
03:05If there is no insulin, the glucose is not in the cells.
03:09As you have petrol, there is glucose in the cell's fuel.
03:14Without it, there is no energy.
03:16Without it, you can't survive.
03:18So, this is type 1 diabetes, which is not in the production of insulin.
03:21Why since you need mown into the cell, it helps you.
03:23It helps your blood sugar and you can get all the symptoms from your blood.
03:27The second thing is, what I have asked about, is the type 2 diabetes.
03:31What is usually based on the population, doing typical child, does it all become unique?
03:34Why it is the cause of child?
03:36Because it is because of the main reason, that it is insulin resistance.
03:39When it is your body, it is the result of insulin, but it is not working.
03:43Why do you not work with the chewiness of the blood?
03:45So, what is happening today?
03:49Children are also big.
03:51Why?
03:52Because the physical activity and the healthy lifestyle
03:55traditionally is over.
03:58Children are not playing.
04:00They are involved in computers.
04:02They are eating fast food.
04:04Their habits have become westernized.
04:06We are starting to leave our Indian traditional lifestyle.
04:10So, they are also growing in their children.
04:14And so, they are showing type 2 diabetes.
04:19Sir, you have told that the children have type 2 diabetes
04:23they are related to their food.
04:25Because they are obesity and they are more.
04:28Children are told by the mother-in-law.
04:33But if the mother-in-law starts to give them wrong food,
04:37they will go further.
04:39So, what do you think?
04:41What do you think about the parents' diet?
04:44Because they are more mood swings.
04:46Because they are in growing age.
04:48They want to eat their own food.
04:50So, what do parents need to take their own techniques?
04:54What precautions should they be able to stay away from the child?
04:59Actually, like the child's first schooling is on the home.
05:04The education is on the home.
05:05The education is on the home.
05:06Actually, it starts with the home.
05:08So, the diet, lifestyle, physical activities.
05:12If you only say this to the child,
05:16do not do this, do not do this, do not do this,
05:18do not do this, do not do this.
05:19They will not listen to you.
05:20They will show you.
05:21First of all, parents have to go to the park and exercise.
05:25Then, the child will follow them.
05:27First of all, parents have to stop eating fast food,
05:30or cold drinks.
05:31Then, the child will show you.
05:34So, this is what you have to do.
05:36You have to create an example.
05:38Then, the child will be proper education.
05:40They will become a better place.
05:41In this case, you need to follow a lot of the things.
05:43In this case, everything we have to do is follow.
05:48So, you have to follow a diet.
05:54No, fast food, food outside, oil, wheat, food,
06:01or cheese.
06:02Fatty food, pizza, burgers.
06:03In this case, you have to avoid some physical activity.
06:07Today, the park is open and the kids are playing in the park, so please send them out of the night and give them a play.
06:15They will be able to play, their health will be fine, so their brain will also work.
06:20But if you think that you will be able to play, you will be able to study, coding, computer class,
06:28they will be able to play, but their actual health will be bad.
06:33And because of that, their young age will be able to get diabetes,
06:37and their job will be able to lose their lives.
06:40Sir, if there is a research in which you have seen,
06:45the doctors of PGI have seen that there are very strange data,
06:51so there is such a reward in the case of diabetes.
06:56So, our Young Diabetes Registry is actually a Pan-India Registry,
07:02where we study young diabetes patients' prevalence, incidence and risk factors.
07:08We have seen that in the low age of diabetes,
07:13the prevalence of type 2 of diabetes is 5 to 10 percent.
07:17So, this was a lot less than the age of 20-15 years.
07:23Now we are seeing that there are also types of diabetes,
07:27which is actually a red flag sign.
07:29And this indicates that it is a preventable disease.
07:32And if you can prevent it from being a little bit,
07:35you can prevent it from being a little bit,
07:37so that is what is showing to our children's health.
07:41And this is an alarming trend.
07:43And if you don't prevent it from being a proper lifestyle, diet, exercise,
07:49you will not prevent it from being a little bit,
07:51then this is going to increase.
07:53Sir, now let's talk about that,
07:55the patients are coming in front of this patient.
07:58Does this have a lot of disease,
07:59which can be used to be a normal disease?
08:01Or do you know that it is in the early stages,
08:04like you have said,
08:05exercise or diet?
08:08Actually, we also say that if someone has type 1 diabetes,
08:14then they have insulin-dependent.
08:16but we say that this is a lifestyle disease, but if you have a type 2 diabetes, it is difficult to keep it properly.
08:29If you have a type 2 diabetes, you will have glucose, sugar, wasn't good, BP or cholesterol,
08:39if you have a type 2 diabetes, you will have a type 2 diabetes, but you will have a type 2 diabetes.
08:59So, you can keep the sugar, so that it doesn't get complications.
09:06One is your diabetes, and the other is the complications.
09:09When the sugar is uncontrolled, and the age 1 is not controlled,
09:12then you can create complications in your organs.
09:16This is why type 2 diabetes is called silent killer,
09:20because it is your heart, kidneys, nerves, heart,
09:25all the systems, your blood vessels,
09:28so if you have a sugar control,
09:31then you can get a lot of complications from it.
09:35And the other thing is, type 2 diabetes,
09:37which is in young age,
09:39and the type 2 diabetes, which is 40-50 years old,
09:42is a little difference.
09:44If someone is diagnosed with diabetes in the age of 50,
09:47in the age of 20-30 years,
09:50then your life will be fine.
09:53But if someone has a type 2 diabetes in the age of 10 or 12,
09:56then we have to keep it in the age of 70,
10:00or 75, or 80 years old,
10:02then there will be a lot of complications,
10:04because the duration of diabetes is also more in this case.
10:08And the other thing,
10:10the type 2 diabetes is also different.
10:12The type 2 diabetes is also different,
10:14and the type 2 diabetes is more aggressive.
10:16and the other thing,
10:17then there will be a lot of complications of happening.
10:19And the type 2 diabetes can be more aggressive.
10:21You mentioned that type 2 diabetes
10:26is made different,
10:29it seems more aggressive.
10:31If it has any child's disease
10:34as well,
10:36which way is able to prevent this,
10:37and which way can it improve?
10:39This way is also made sense?
10:42I have told you that it is difficult to cure it, but you can keep it in control.
10:48First of all, the most important thing is your lifestyle.
10:52I am telling you that your diet will be fine,
10:55your child's physical activity will be fine if you don't start.
10:59Also, there are many medicines for type 2 diabetes.
11:03They are mostly oral tablets which can keep it in control.
11:08If it is very bad, then the doctor will give insulin.
11:13Thank you, sir.
11:14This is our PGI Assistant Professor Dr. Soham Mukherjee,
11:20who has told us that the type 2 is aggressive in children,
11:24while in adults, the pattern is different.
11:28If there is diabetes type 2,
11:31it can only be controlled.
11:34If there is any disease,
11:36if there is any disease,
11:38if there is any disease,
11:42you will be able to prevent it from getting it,
11:43and the disease is full of sugar.
11:46Then the parents will be able to prevent it from the child's child's child's brain.
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