Diabetes and heart health are closely connected, and understanding this link is important for long-term wellbeing. Proper management of diabetes can play a key role in protecting the heart and preventing complications.
In this episode of the Kauvery Podcast, Dr. P. Gowri, Senior Consultant Diabetologist, Kauvery Hospital Trichy, and Dr. S. Aravinda Kumar, Chief Consultant Interventional Cardiologist and Lead Consultant, Heart Failure Services, Kauvery Hospital Trichy, discuss how diabetes can influence heart health and share insights on prevention, early detection, and effective management.
#DiabetesCare #HeartHealth #DiabetesAndHeart #CardiacHealth #DiabetesAwareness #HeartCare #HealthyHeart #PreventiveHealth #LifestyleMedicine #ChronicDiseaseCare
In this episode of the Kauvery Podcast, Dr. P. Gowri, Senior Consultant Diabetologist, Kauvery Hospital Trichy, and Dr. S. Aravinda Kumar, Chief Consultant Interventional Cardiologist and Lead Consultant, Heart Failure Services, Kauvery Hospital Trichy, discuss how diabetes can influence heart health and share insights on prevention, early detection, and effective management.
#DiabetesCare #HeartHealth #DiabetesAndHeart #CardiacHealth #DiabetesAwareness #HeartCare #HealthyHeart #PreventiveHealth #LifestyleMedicine #ChronicDiseaseCare
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00:00There is a myth in the public.
00:02There is a chest pain.
00:04We finally end up in an angiogram.
00:07Is it necessary, really?
00:08There is a question.
00:10What is your take on that?
00:12The problem in the heart is very easy.
00:15But the problem is very difficult.
00:17The basic thing is ECG, ECO blood test.
00:21This is 3 positive angiogram.
00:22If you have a diabetes, I have a heart patient.
00:25If you have a heart patient,
00:27you will have a heart patient.
00:29You can have a heart patient.
00:31If you have a heart patient,
00:31you are healthy.
00:34Do not have a heart,
00:38but if you have a heart patient,
00:39when you have anything in the heart,
00:41I do not say it.
00:43Fruit is a must.
00:44Three to five servings of fruits per day.
00:48I think it is 3 to 5 times.
00:50In terms of what they have,
00:51we are very pleased.
00:54We have seasonal fruits.
00:55There are many other fruits.
00:56How many of them can be?
00:57No, we don't eat a lot.
01:00We don't eat a lot of myths.
01:02We don't have a heart problem with sugar.
01:04We don't have a heart problem.
01:11I am Dr. Gauri, Consultant Diabetologist.
01:16Caveri Hospital.
01:18We don't know if we don't have sugar or heart problems.
01:25We don't have a lot of myths.
01:28I am Dr. Arvind Kumar.
01:34I am Dr. Arvind Kumar.
01:35I am Dr. Arvind Kumar.
01:35I am Dr. Arvind Kumar.
01:36We are doing a small deal with heart disease.
01:39Hello sir, good morning.
01:41Good morning.
01:42How are you?
01:42I am very good.
01:43How are you here?
01:45Very good.
01:46I am a small dialogue with sugar and heart.
01:52As a Diabetologist, I am here.
01:53I am Dr. Arvind Kumar.
01:55We are looking at many Diabetic patients.
01:58There is a lot of heart problems.
02:00There is a lot of kidney.
02:01There is a lot of kidney.
02:03There is a lot of kidney.
02:03Sugar is very bad.
02:06But still, there is a lot of heart problems.
02:08There is a lot of kidney issues.
02:23I am Dr. Arvind Kumar,
02:31my blood and heart problems in the heart rate.
02:35This is a major heart problems.
02:41The heart problems are the kicker.
02:45The heart problems are the back in the heart.
02:46my blood problems are the heart problems.
02:47With the heart problems,
02:50I am Dr. Arvind Kumar.
02:50Now, in Tamil Nadu, Kerala,
02:5310 Indi Mavattu,
02:55Vaniilangu,
02:57Peraambalum,
02:58Heart bathic jeans.
03:00So, that's why,
03:01Heart bathic jeans.
03:02So, that's why,
03:02Heart bathic jeans.
03:03Heart bathic jeans.
03:11So, that's why,
03:12Heart bathic jeans is dangerous.
03:15So, already genetically susceptible
03:19That's why,
03:20That's why,
03:21It's a different type of lifestyle.
03:24Life style,
03:24I think,
03:26You know,
03:28You know,
03:28Life style,
03:28Life style,
03:29That's why,
03:32Diabetologists,
03:33What are you doing?
03:34We don't concentrate on the diet,
03:37You know,
03:40You know,
03:42You know,
03:44You know,
03:44You know,
03:45You know,
03:45But,
03:45That's why,
03:46You know,
03:47You know,
03:47You know,
03:48You know,
03:48You know,
03:49You know,
03:49You know,
03:49You know,
03:50Sleep.
03:51Sleep,
03:54You know,
03:56You know,
03:57You know,
03:58Heart control,
03:59You know,
03:59You know,
04:01Life style,
04:01Advice.
04:02You know,
04:03You know,
04:07Heart attack,
04:08It is strong,
04:09I don't,
04:11It's a sense.
04:13You know,
04:13You downright,
04:13health is not pronounced
04:15Work Indoственный,
04:18You know,хат
04:31Ouais
04:32TBV eradicate it does not need to.
04:35That was in the hospital.
04:37Polio was able to get it.
04:40So that is what we have to do.
04:41Because it is difficult to get it.
04:45Heart attack can get it.
04:46We have to get it.
04:49We have to get it.
04:52Life style is important.
04:54We have to get it.
04:56Life style is important.
04:57We have a lifestyle disease.
04:59to become the path to die.
05:02If you get the path to die, you can get the path to die.
05:04If you get the path to die, you will fall on the same path.
05:09That is the path to die.
05:09That is the path to die.
05:10This is the fifth step of life.
05:14What I feel is the path to the diabetes patients,
05:18you have to work with a doctor.
05:20I have been practicing the hospital for 10-15 years.
05:25I'm thinking about diabetes patients
05:32But there is an entity called pre-diabetes.
05:34Diabetes is one of the most important things, but it is not an awareness.
05:42As a cardiologist, what will you say regarding pre-diabetes?
05:48Diabetes is one of the first stages, so you can see that.
05:51Diabetes is one of the pre-diabetes.
05:52There is an affair in the world, so if you say that,
05:57you put it on the body.
06:05So let's say that the body is the body.
06:08And you know, that body is also the body.
06:16So the body is also the body,
06:18and the body is also the body.
06:21So the body is the body.
06:21When the body is also the body,
06:22it's not possible for the body.
06:23When you are eating, it's not your diabetes.
06:27You can eat you in the next stage of your diabetes.
06:30You can get a big problem with diabetes.
06:30But if you have diabetes earlier, you might have to eat your diabetes.
06:34You could have to eat your diabetes.
06:34Now, you can eat your diabetes.
06:37Without diabetes, you can eat your diabetes.
06:41I need the health checkups.
06:43If you can eat your diabetes, you can eat your diabetes again.
06:47Predominantly, someone without diabetes.
06:49If she is an adult,
06:50she is a child in her age,
06:53and she is not angry.
06:54So, when she comes to her,
06:56if she is a patient,
07:01she can call a parent,
07:04She is a child to get a doctor.
07:06And, if she is just a child.
07:07She can be angry.
07:08She can be tired and die.
07:13And, you see the child who is angry,
07:15she can be angry.
07:16She is angry for them.
07:17The child is angry.
07:18We are targeting our young people.
07:23My point of view is that we are in school, college,
07:26so that lifestyle is a good thing.
07:28So, if we are in our young people,
07:30maybe in future generations,
07:33there is a higher incidence of diabetes or cardiac problems.
07:35Any problem.
07:36Any problem is that it is a good thing.
07:38We are educating people.
07:40It is a basic thing.
07:42It is a good thing.
07:43It is a good thing.
07:46We are doing a night.
07:49It is a good thing.
07:49We are working here.
07:53We have a night shift.
07:56We are doing a night shift.
07:57We are avoiding it.
07:57We have to avoid it.
07:59There is a very essential service that is the night shift.
08:01But it is for the most people who are doing it.
08:03It is difficult to tell you.
08:04If you are a fuller,
08:07you are going to get to the Armini.
08:09So, you can get to the Armini.
08:11Okay.
08:13So, that's the first world.
08:13We need to build our bodies.
08:14We need to build our bodies.
08:15And we need to build our bodies.
08:16In our bodies, we need to build our bodies as well.
08:19So, our bodies are the most important changes in life.
08:24So, in the action, we are the same.
08:27If it's any life-stay, I won't go to the school.
08:31If we need to grow the bodies,
08:33or also grow the bodies,
08:34so if you can take an exercise in your life, you can take a different heart attack,
08:44you can take a different lung and you can take a different thought about it.
08:54So, this is the basic and essential thing we have to do with our work.
08:58Now, how do you talk about the heart and the two things?
09:03Now, in practice, you have been in your practice.
09:08In practice, when you talk about the heart and the other things you talk about,
09:13you talk about the society and you talk about the heart and the other things you talk about.
09:18In practice, you have 100 names, 15-20 names.
09:27There are 50% of the body line of sugar.
09:31If you have an OP number, it's not only diabetes,
09:38you have to deal with many problems.
09:41For example, if you have 10 years old,
09:44you have a heart problem or kidney problem.
09:48Now, if you have a heart and the other things you talk about,
09:52you have to do a check-up,
09:54you have to do a BPA,
09:57you have to get a heart problem.
09:59So, there are complications.
10:01In 1 or 2 years, there are complications.
10:04Pre-diabetes, you have to miss the practice.
10:06You have to miss the practice.
10:08Yes.
10:08Pre-diabetes, you have to miss the pre-diabetes.
10:10Health check-ups are very essential.
10:12What is the issue?
10:15There are doctors who are doing the health check-ups.
10:19But, what do you think?
10:20That's a lot.
10:21Health check-ups are very easy to identify.
10:26So, I think everybody,
10:27more than 40 years,
10:30should go for a health check.
10:32Do you have a heart problem or
10:36stroke or kidney problem?
10:39What is the problem?
10:39See, if I look at the group of people,
10:42I would say neuro-pathy.
10:44Neuro-pathy is having a patient,
10:45as they are taking a patient,
10:46because they are taking a patient.
10:47They are taking a patient's body.
10:49That's what we call first.
10:51Why?
10:51Neuro-pathy is directly related to high sugar control.
10:54That's why they are a patient,
10:57cholesterol or a patient is coming in,
10:59is not the risk.
11:00There is a patient with sugar,
11:02but there is no sugar control.
11:04If it is a patient,
11:06all the patients have come in,
11:08immediately when they have patients
11:09So, in my practice, patients have neuropathy symptoms.
11:12They have a great sugar control.
11:13They have a healthy lifestyle.
11:16Neuropathy symptoms are completely 100% recovered.
11:19So, neuropathy is very important in my group of people.
11:22Now, sugar control is what we have to do.
11:27In practice, patients have any value.
11:32Okay.
11:33When we are doing sugar, what we are doing now?
11:37We advise you to take a glucometer.
11:40If you go to the lab and check a month,
11:43check a month and check a month.
11:46There is a thought process.
11:48But now, we are frequently checking a lot of awareness.
11:54They should buy a glucometer.
11:58There are very advantages.
12:00When we are in the hospital, we can check a month.
12:03If you go to the lab, you can go to the hospital.
12:07So, a glucometer is a must for every diabetic patient.
12:10If they have a type 1, type 2, pregnant ladies,
12:14if they have a glucometer, they will tell you about a particular time.
12:18If you have a drink, you have a drink, you have a drink.
12:20If you have a drink, you will say, you will be very important.
12:21Sometimes, you will mean it will happen.
12:23Sometimes, if they have a drink, you need the bedtimes.
12:24So, the time of your diet is good if you have a drink and eat a drink.
12:29Especially when they have a cough, you will need a drink.
12:32You will want to know that they may get a drink.
12:36Therefore, the food comes in the night, they will need a drink.
12:41Sometimes, you will need to know the drink for 5th grade.
12:50Like the food comes in the night, you will need an attack.
12:50glucose sensor. Continuous glucose monitor
12:53devices. That is the button. They have to just
12:58place it on there. Anywhere. Kaila,
13:00Vahitla, Thodayla, etc. That is the two weeks
13:03continuous glucose profile.
13:07We are going to check it out. Just one sensor
13:10read it. Yeah, yeah. And one sensor
13:15device is there. Now the app is
13:18if you have a phone, we can do that.
13:21It is helpful. Now the patients have
13:23followed up. That is the case of glucose.
13:2915 to 20. We are looking at the blood.
13:33We are looking at the interstitial fluid.
13:36We are looking at the cells,
13:38so we are looking at the blood.
13:42Glucose sensor is the main advantage.
13:46It gives glycemic variability.
13:49Glycemic variability is the same thing.
13:51If you have a sugar, you can see
13:53100% of the sugar.
13:54If you have a sugar, you can see
13:55100% of the sugar.
13:55If you have a sugar, you can see
13:55any of the sugar.
13:56So the ups and downs are the same.
14:00The graph is the same.
14:01But in the math test,
14:02you can see the results at a particular point.
14:05Now the first time,
14:06we are looking at the HbA1C.
14:07We are doing it.
14:08HbA1C is the average.
14:11That's the average.
14:12It does not tell about highs or lows.
14:15So HbA1C is the drawback.
14:16So HbA1C is the average.
14:19So HbA1C is the average.
14:19The highest.
14:20As it is,
14:21even if you have a sugar,
14:21you can see the value of the sugar,
14:23or you can see the amount of sugar.
14:27So we are now advising the Controvers Glucose monitoring.
14:31Sugar tight control. Neuropathy one, sugar proportionate.
14:37Duration of sugar.
14:42Duration of sugar,
14:4350% of sugar.
14:4650% of sugar is good.
14:52Metabolism is good.
14:55I can relax and control.
14:59See, there is an entity called the Metabolic Memory,
15:03which says that as early as possible,
15:06Diabetes, you hit hard.
15:10You hit faster.
15:11You hit faster.
15:12You control very well.
15:14If you go, go, go, go, go, go.
15:17We control very well.
15:19That is a good aspect of metabolic memory.
15:24That doesn't mean after 10 years,
15:26we don't need to relax.
15:28There is a need to be tight control.
15:31But your meal has to be flexible.
15:32If we go, go, go, go, go, go, go, go, go.
15:37Then we should know,
15:38that is a carbohydrate exchange.
15:41This is a carb counting.
15:43There are many apps.
15:44There are many health apps.
15:46There are many patients who follow up.
16:00You try to manage your calories and carbs.
16:07You try to manage your calories and carbs.
16:17And then the carbohydrates will determine our calories.
16:21It will be called that.
16:21So, the carbs will be added and the proteins and fats are added.
16:26You can lead a happy life with sugar.
16:28Fear of any heart attack.
16:31Do you want to see a heart attack?
16:35You can see a heart attack.
16:41I don't know how to present the heart attack.
16:48The heart attack is certain.
16:51in this country, so I loved it as a bro.
17:04That's my father.
17:05Today, the only three years were created by war.
17:07Nobody wanted to know The지는 he turned.
17:07Now the peace came down again
17:08Only as before it passed we gained.
17:12We always held it.
17:13So so the two and a half Jeremy who grew alive
17:16As a girl who was feeling,
17:19but the treatment is correct.
17:22Correct treatment is correct.
17:23The treatment is not correct.
17:27It's easy to look at the health check.
17:30Completely.
17:31The heart is normal.
17:32You know the heart is normal.
17:34They are happy and we are happy.
17:36Treatment is successful.
17:38The patient is also happy.
17:39The patient is also happy.
17:42In this question,
17:45in your emergency department,
17:47there is a patient with a severe chest spine.
17:51Then there is a diabetic patient with a chest spine.
17:54There is a diabetic patient with a chest spine.
17:57How do you approach the two?
18:00The heart is common.
18:03Diabetes is non-diabetes.
18:05It's a great approach.
18:07But the diabetes is a little bit.
18:09There is a long duration.
18:11The heart is very low.
18:14The heart is normal.
18:18The heart is very low.
18:22The heart is very low.
18:24The heart is very low.
18:37I tried to explain what happened now.
18:39It was that the experience of my tests were taken ,
18:42and I told you,
18:42My advice was,
18:43I took a long time.
18:43I took a long time to try the medications,
18:44and that was very difficult.
18:49I took a long time to try.
19:00You have to do a bad thing.
19:01It is great.
19:04It iseasame.
19:05Specific complaints.
19:07Good but it's not easy to understand.
19:09But our patient needs to understand.
19:14For now, you will see the Angioplasty now.
19:17If there are complications,
19:19we may have to go through the diabetic patient.
19:21You can stand up.
19:22Once we have to take a lot of pain,
19:23no complications.
19:27Exact application.
19:27Anything operation is done, seal is one.
19:31In the heart, brain and the body, the body has this problem.
19:39So, it is actually patient.
19:44Acidosis.
19:45The Cavalry oxygen is very much lower.
19:50It is very low and good.
19:52The body is very low.
19:52The body is very weak and the body is very weak.
20:24the person, the person, the person who needs a disease,
20:25It is very difficult.
20:26It is very difficult.
20:27If you have a patient or a patient,
20:29it is very difficult.
20:31Now, we have to look at the Diabetes later.
20:33What is the type 1 and type 2?
20:36How many types are Diabetes?
20:38Diabetes is very difficult.
20:4295% is Type 2.
20:44We are all genetic makeup.
20:48The remaining 5% is very difficult.
20:53This is Type 1.
20:55Type 1 is a healthy Pancreas.
20:58This is the same type of insulin in the pancreas.
21:02This is what is called autoimmunal antibodies.
21:05This is the type 1 diabetes and type 2.
21:10This is the type 2 diabetes.
21:11This is the type 2 diabetes.
21:11This is the amount of insulin in the pancreas.
21:14The insulin will be good.
21:17That will be insulin resistance.
21:18I will tell you the type of insulin resistance.
21:21There are other factors to create insulin resistance.
21:26So, this is a tight tune.
21:27If you have a group, if you have a type of genital diabetes,
21:32you will tell you the type of pregnancy diabetes.
21:34As a result, there are many placental hormones.
21:39There are many placental hormones.
21:42How do these hormones do it?
21:44They are all anti-insulin.
21:45Insulin against our valance engine, sugar is one of them.
21:49That is the pregnancy diabetes.
21:52This is the first time...
21:53Pregnant diabetes.
21:55I call it a normal diagnosis.
21:59I call it a pregnant stem.
22:01I call it a pregnant stem.
22:01I call it insulin.
22:04That's why I call it a misconception.
22:06I call it a diagnosis.
22:09Diabetes is accepted.
22:11But I call it a treatment.
22:12That's why...
22:14Diabetes in pregnancy is the best treatment of insulin.
22:19Insulin is the first and best treatment.
22:21That's why someone is afraid of asking.
22:23Insulin will not cross the placenta.
22:26If we go to the hospital, we reach the hospital.
22:29Sugar control is very important.
22:31The hospital is very important.
22:32The hospital is very important.
22:34The hospital is very important.
22:36There is a big baby.
22:38There is a hospital.
22:41The hospital is low.
22:42The hospital is very important.
22:44it will not do the hospital.
22:45There is a hospital on the hospital.
22:47It will also have a physical store.
22:50With the hospital,
22:52In the hospital,
22:53The hospital will not take care of the hospital.
22:55Now,
22:56it is important to control the hospital.
23:00It is important to treat it, but it is insulin.
23:04No doubt.
23:06All pregnant ladies say insulin is insulin.
23:10Type 1, Type 2, Pregnancy Diabetes.
23:13It is not because of pancreas.
23:17For example, pancreas, there is cancer.
23:22Infection, inflammation.
23:24There are many drinks.
23:26Pancreatitis.
23:27It is not because of the disease.
23:28It is because of the pancreas and the blood pressure.
23:31It is caused by insulin secretion.
23:34That is because of the hormone imbalance.
23:37There are hormones.
23:38When the insulin hormone is sent to the insulin hormone,
23:42it is corrected by insulin.
23:43That is a group of diabetes.
23:46It is not because of drugs.
23:49Drugs in the sense, there are many drugs.
23:51Steroid is a drug.
23:54Steroid is a life-saving drug.
23:56So, I am telling you.
23:57We have done the same drug.
23:58We did the same drug.
24:00But, Steroid is a small problem.
24:03Sugar will raise the same drug.
24:04So, if we have treatment,
24:06we will check the same drug.
24:08The drugs in the sense of the drug.
24:12We have to talk about the drug.
24:13In a small way, we have to tell you.
24:16We have to tell you what they have to do with disease.
24:17And for that, they will be a little bit more than the disease.
24:23They will be a little bit more than the disease.
24:25They will be a little bit more than the disease.
24:35Yes.
24:36You say that the LV is a very good one.
24:38See, sugar control is not the same from age 40 to age 80.
24:43I have to say that the LV is a very healthy one.
24:48They are healthy and healthy.
24:50They are not the same as the complications.
24:52They are strict control.
24:54Hp1c6.5.
24:56Sugar is not the same as the control.
24:58They are not the same age.
25:00They are 75 plus.
25:01They have a heart problem.
25:03They have a kidney problem.
25:04They have cancer.
25:08They have food intake.
25:10So, there is a lot of comorbidities.
25:13There is low sugar.
25:15There is a strict control.
25:17There is no benefits.
25:20There is a relaxed lifestyle.
25:22So, there is a lot of Hp1c7.5 to 8.
25:25Sugar will be maintained by 200.
25:28We want to give them a good quality of life.
25:31So, that is the main point.
25:32If you have a mental health,
25:33you will need sugar is very strict control.
25:35That is how you should say.
25:37Sugar is strict control.
25:39It is much different in the way.
25:41But there is a lot of different.
25:42And when we are young people,
25:43we are young people not to approach it.
25:45If they are young people,
25:46they will not eat meat.
25:48They will not eat meat.
25:49They will not prepare.
25:50They are not tried to address it.
25:51They don't know.
25:52They are young people that are not good.
25:54They are fruits are a must.
25:553 to 5 servings of fruits per day.
25:58If you eat 3 to 5 times, you can eat.
26:02You can eat.
26:05See, when you eat fresh fruits,
26:07you can eat fresh fruits.
26:11There are many fruits.
26:13You can eat.
26:17You can eat.
26:18You can eat.
26:20You can eat.
26:20You can eat.
26:22You can eat.
26:23You can eat, you can eat.
26:25There are potassium, fiber.
26:30You have to eat.
26:31You have to eat.
26:34You can eat three to three foods.
26:37You can eat sugar,
26:41you can eat fruits.
26:43But one advice is that all fruits and meals are combined with our meals.
26:49Because meals are not sugar, then fruits are not sugar.
26:52Fruits are snacks in a cold time.
26:55One afternoon, one o'clock, evening time.
26:58So, when sugar is down, we will eat fruits.
27:02A biscuit, cake, healthy nuts, seeds.
27:08In the seeds, there are chia seeds, pumpkin seeds, protein and fiber.
27:14So, the seeds are added plus badam.
27:16The badam is very low, glycemic index is very very low.
27:20If you add 20 badam, you will eat sugar.
27:23If you eat 4 biscuits, you will eat.
27:24So, badam is a good snack.
27:26Sir, you can eat biscuits?
27:29No.
27:31You can eat biscuits.
27:32You can eat fruits, seeds and nuts.
27:36You can eat snacks.
27:37You can eat healthy, snack.
27:39Biscuit is also...
27:40Everyone is eating nuts and nuts.
27:43So, we can eat a meal or eat or eat a meal.
27:46So, you can eat a meal or eat a meal or eat a meal.
27:48No.
27:48It's a meal or eat a meal.
27:50So, let's eat a meal, sugar-free biscuits.
27:52Don't eat sugar-free biscuits.
27:52Sugar-free biscuits if you want to eat.
27:57That's a side effect.
27:58My point of view, all packaged items have preservatives.
28:03so your biscuits also come in that packaged items so don't please take packaged foods fresh
28:11freshrukt
28:11GLORIA haha
28:11no
28:12no
28:13no
28:13no
28:20no
28:21no
28:22If I please any of them I will try to mention that
28:26why you give me the produit?
28:28Then, I will explain that
28:30you should calculate that
28:31and its prawdLAIN
28:32by using the rice
28:32The rice you go to the 3-4qa
28:45and it will earn wontr
28:463 vs pay in and then
28:49That is a concept that makes a lot of difference.
28:53Yes, yes. See, World Health Organization,
28:55food plate method is known.
28:57We are in OP's.
28:59But what we are saying is,
29:01we will see a picture of the person who is in the world.
29:05We will see the diagram.
29:07So, we have a plate in our OP's.
29:09And the plate is 4.
29:1125, 25, 25.
29:12So, in a quarter, there is rice based item.
29:15In a quarter, there are proteins.
29:17We may add, we may add, we may add, we may add, we may add.
29:20In a quarter, there is,
29:22vegetables and fruits.
29:23The remaining quarter, there is,
29:25curd, oil, nuts and seeds.
29:27If we add protein, we may add, we may add, we may add, we may add,
29:32We may add non-vegetarian patients.
29:34The cake is quite simple.
29:35If we eat a curry or meal,
29:38or a meal.
29:40But any curry is not.
29:42Now, it is all the food.
29:43That is.
29:44That's why I'm going to address this, I'm going to be easy to address it.
29:48Vegetarian, what kind of protein do you have?
29:51Vegetarian, there is a good quality protein.
29:54Soya protein. Soya protein is the best protein.
29:57Paneer and tofu.
29:59Soya milk, soya, soya.
30:05This is a good protein.
30:09Soya protein is the best protein.
30:11Soya protein is the best protein.
30:16Rajma, Karamani, Pattani.
30:19There is a healthy protein.
30:22You can eat all of it.
30:23You can eat all of it.
30:24You can eat all of it.
30:24You have a little amount of saturated.
30:28As cardiologist, you should be knowing.
30:30I think there is an antioxidant.
30:32That's why I'm going to eat.
30:33Over one spoon.
30:35Limited quantity of ghee is good.
30:37It improves immune system.
30:39It is good for gut health.
30:41Soya ney is good.
30:42And that's a good concept.
30:44Ney is really good.
30:47You can eat all of it.
30:48If you eat all of it,
30:51I will go to eat some advice.
30:53I will eat some food.
30:56I will eat some food.
30:57I will eat some food.
30:57We will eat some food.
30:59We will eat some food.
31:00See, food, food, food, etc.
31:06They will eat some food.
31:12They can cook.
31:13If you eat the meat, you can cook it.
31:17If you cook it, you can eat the acidity.
31:22If you eat the meat, you can cook it.
31:26But that is limited amount.
31:28Heart disease patients are important to test angiogram.
31:33This angiogram is very important.
31:38There is a myth in the public.
31:41There is a chest pain.
31:44We finally end up in an angiogram.
31:47Is it necessary really?
31:49There is a question.
31:50What is your take on that?
31:52No.
31:53If you go to a general,
31:56it doesn't come to the heart.
31:58It doesn't come to the heart.
32:00It doesn't come to the heart.
32:03It doesn't come to the heart.
32:08It doesn't seem that you have to Guidaho.
32:12However, the question is really important.
32:15Yeah, not that only do we write.
32:17Meaning people are living yourself every day,
32:20you're living themselves using the money.
32:25So this is why I said,
32:26when I was given,
32:27when I was given,
32:27I wasn't from that,
32:28the doctor was the doctor,
32:28he was the doctor.
32:28That's the first point.
32:30When I was given through this,
32:31he was the doctor,
32:34the doctor did not wait for the doctor,
32:36But I am aware I will see it again.
32:40So, with an ECG he was controlled by the same example.
32:45It's a sense of sensitivity.
32:4770% would say.
32:48But the ECG could have been another 70 percent.
32:52The more people are controlled by the heart attack,
32:53we all say that.
32:55So, this is the limitation of investigation.
32:57We know that.
32:58ECG happens.
32:59They will never see the doctor.
33:01So, it's a limitation.
33:33blood test. This is the basic treatment test.
33:36This 3 is the positive.
33:39ECG level, and the echolive level.
33:41Blood test level where it is.
33:43This is the severe problem.
33:45This is the angiogram.
33:48This is the treatment.
33:50Now, ECG level is the blood test level.
33:53It is the echolive level.
33:55Blood test level is the angiogram.
33:58The 2 are the same.
34:00This is the blood test, the blood test is negative.
34:06The blood test is negative.
34:09Now we have doubt about it.
34:12This is the reason for it.
34:15If there is a bad patient, 30 days,
34:18a lady will come to the blood test.
34:20She will come to the blood test.
34:22She will come to the blood test.
34:26It is known when this is a miracle.
34:29We have to do a miracle in advance.
34:31If there are no miracles,
34:32this is a miracle in advance.
34:34A miracle in advance is done.
34:38Angiogram is very bad and inside.
34:41That is what we have to do with the situation.
34:48The only problem is that we need to go through this situation.
34:55The angiogram is 10-20% of the angiogram.
34:59This is the selection criteria.
35:01This is the basis of ECG, ECO, Blood Test.
35:05This is the 3 positive angiogram.
35:06This angiogram is CT angiogram and conventional angiogram.
35:14There is a doubt about it.
35:16It's about 40-45 days.
35:18If you look at Veli Naad, you can see it in Dubai.
35:21You can see it in Dubai.
35:21If you look at the angiogram, you can see it.
35:22It's inaccurate – it's rather difficult.
35:24It's painful as you can see it.
35:26By the angiogram, ...
35:27there are 2 people to prove.
35:321 is厲害.
35:34It's perceived as the old angiogram.
35:37If this is the angiogram, we have not seen one angiogram.
35:46Since its ego, we have no soul.
35:48This is the angiogram.
35:50So, when I told you that you had a CT Angeogram,
35:52I just decided to do CT Angeogram.
35:54You had no block. It's good.
35:56You can go to the hospital.
35:57If you were there, you were there.
35:59You were afraid.
35:59If you were there, you would be afraid.
36:00If you were there, you would be afraid.
36:03So, in that case, can we tell us,
36:08if there is a problem,
36:10there is a CT Angeogram?
36:13If there is a CT Angeogram,
36:16there is a CT Angeogram.
36:18If you know the problem, you will go to a
36:22Convention Angeogram.
36:25If you say the CT Angeogram,
36:27it is a CT Angeogram.
36:29It is a CT Angeogram.
36:31If you say the CT Angeogram,
36:31it is a CT Angeogram.
36:34So, if you are there,
36:36it is an Angeogram.
36:37If you are there,
36:40you will see CT Angeogram.
36:42Now, we told you about the CT Angeogram.
36:47I think that OC Angefik means
36:49like this,
36:51I know the CT Angeogram has a study for you.
36:53You can imagine
36:53how right now you are a CT Angeogram.
36:57So for example,
37:00what curatar is about
37:04the people in blood.
37:09You have 1-8 campuses.
37:11You will really get grass
37:11with us about which cows
37:16And that, you can see it.
37:17When you're going to head to a bed.
37:20The pressure is very fierce and a bit of pressure.
37:23We don't know.
37:25The pain starts.
37:27We don't have any pain.
37:28We all need to eat a bit of a heart.
37:32If you eat a whole lot of sleep,
37:34we eat a whole life style with water.
37:36You eat a whole lot of sleep,
37:37and you eat a whole lot of pain.
37:41Diabetes is an auto treatment.
37:43A step wise treatment.
37:45We start with lifestyle medication.
37:47Lifestyle medication is not a medicine.
37:50Lifestyle is a medicine.
37:51If you think about it,
37:52if you are doing lifestyle,
37:54there will be side effects.
37:57As long as your sugars are under control with lifestyle medicines,
38:01you can maintain your lifestyle.
38:04But in between,
38:05if you are in a doctor,
38:07you have to control your lifestyle.
38:10You can't check up.
38:12We will do exercise and diet.
38:13If you are looking for a doctor,
38:16you will see what happens.
38:18This is my point of view.
38:20Once in a while,
38:21from 3 months to 6 months,
38:23we will check up the doctor.
38:25We will maintain the targets.
38:28We will continue the lifestyle.
38:30That is,
38:30when the targets meet,
38:32it is not a lifestyle.
38:34Then, we will add medicines.
38:36In the medicines,
38:37we have 10 years,
38:423 months,
38:43you will be in your hands.
38:44But now,
38:45let's say,
38:45we have a path that leads to diabetes.
38:49If we are going to a target,
38:51there are many diseases.
38:54There are many diseases.
38:56There are many diseases.
38:56There are many diseases.
38:59This is essential.
39:02And also,
39:03there are many research,
39:05and many studies.
39:07So,
39:07there are many benefits.
39:09One medical professional will be the app person to discuss.
39:13So, if you follow a diet exercise, you will be able to do the same thing.
39:20Medical advice on and off is very important.
39:23Lifestyle modification is repeated.
39:26What is the target?
39:28The height?
39:30There is BP.
39:32There is sugar.
39:33There is number.
39:33The weight is very simple.
39:38The height is very simple.
39:40The height is 100 or minus 10.
39:42We get a value.
39:43That should be a centimeter.
39:46So, the weight is 170 centimeter.
39:49Their ideal weight will be 70 kg.
39:51So, you will be able to monitor the weight.
39:54Now, what are you talking about?
39:55All the weight of obesity and obesity.
39:58So, when it comes to obesity,
40:00there is a great lifestyle.
40:01But you will have a lot of sugar.
40:03I have mentioned the sugar target.
40:05The sugar target is a small weight.
40:06The sugar target is a little target.
40:08The weight is a full weight.
40:08In weight of obesity,
40:10the weight is 180.
40:12It is the height of the range.
40:15The weight of obesity is a low weight.
40:15If you are strict,
40:16the weight of obesity is 6.5 kg.
40:18The weight of obesity is 100.
40:20The weight of obesity is 140 to 150.
40:23This is for sugar.
40:24For BP,
40:26120 to 80 is the target.
40:28When age goes high,
40:29and renal failure, heart problem are 140 to 90.
40:33If you are 130 to 90, you are saying that.
40:37So, that should be the BP target.
40:39You should be the better person to tell about cholesterol targets.
40:43No.
40:44If you look at the cholesterol target,
40:46we are using LDL,
40:47generally,
40:49we are using 70 kilos.
40:51If you say that cholesterol,
40:52we are using 70 kilos.
40:54We are using 90 kilos.
40:58We are using 50 kilos.
41:01We are using LDL,
41:01which will be the cholesterol in the first place.
41:03If we look at the cholesterol in the first place,
41:05then we look at the cholesterol at the bottom of the second place,
41:11so that cholesterol is critical.
41:19Because cholesterol is 500 kilos or 50 kilos.
41:21we elected to your cholesterol to 40 kilos.
41:21We are usually at the bottom of the testosterone in the second place.
41:21In the second place,
41:22it goes to which cholesterol is 50 kilos.
41:24It is 50 kilos.
41:51So, what will be an ideal diet for lowering the cholesterol?
42:22So, what will be an ideal diet?
42:54So, what will be an ideal diet?
43:23So, what will be an ideal diet?
43:25So, what will be an ideal diet?
44:10So, what will be an ideal diet?
44:13So, what will be an ideal diet?
44:41So, what will be an ideal diet?
45:14So, what will be an ideal diet?
45:46So, what will be an ideal diet?
46:16So, what will be an ideal diet?
46:17So, what will be an ideal diet?
46:20So, what will be an ideal diet?
46:43So, what will be an ideal diet?
46:43So, what will be an ideal diet?
46:43So, what will be an ideal diet?
46:43So, what will be an ideal diet?
46:43So, what will be an ideal diet?
46:43You
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