00:00do you need to be able to make this area of your vehicle,
00:01even if you love your vehicle, like you are on your vehicle,
00:02you may need to remove your vehicle.
00:04In eighty-day, daily Reeves may be also able to remove your vehicle,
00:13but to get rid of your vehicle,
00:17when you need to drive your vehicle in Canada,
00:19when you need to drive your vehicle,
00:21we can release stations through your vehicle.
00:24In order to remove your vehicle,
00:26when you do not show off your vehicle,
00:28patients who have insulin in their body and who have elderly people who have dehydration
00:33quickly.
00:34So, those who have diabetes are uncontrolled, who have insulin injection, or who are elderly
00:41are frequently in the warm weather, especially liquids, so that they don't have dehydration.
00:46Sir, one thing is that if someone has diabetes, then you should leave the meat,
00:52you should leave the cheese, what do you think about this?
00:54Sir, what do you think about this?
00:58Ideally, I would say that the chini or glucose doesn't have a need for our body.
01:03Ideally, if you don't do the chini or the meat, then it's a good thing.
01:08But the chini and the meat has a need for our tongue.
01:11Because in our mouth, we don't have a need for diabetes.
01:18If doctors say that you have to eat it, then it's very frequent.
01:31We just have to get up for their diet.
01:35If you have to eat it, you have to eat it.
01:39If you want to eat it, you will eat it.
01:44So, you will eat it.
01:47You will eat it.
01:48If you want to eat it, you will eat it, you will eat it.
01:53when you take diabetes, you can also say that there are other organs that can be affected by other organs.
02:00What kind of organs have diabetes?
02:04When we went to college, our professors said that diabetes can cause anything other than pregnancy.
02:12This means that every disease in your body has diabetes.
02:16When the sugar is very uncontrolled, your immunity will be reduced.
02:29You can also see that your body, the other organs will burn the blood treatment.
02:31An addiction via this response is only one person you would see.
02:31First, the inability of the blood sugar is affected by the blood sugar.
02:36You can have any other words of blood.
02:36If the heart is blocked by bleeding, then you will have a heart attack.
02:39For the産 с mama, you can also see that blood sugar is affected by bleeding.
02:45If you have the heart or the blood sugar, every heart attack is affected by bleeding.
02:50repeat
02:51rate
02:51a
02:51lot of
03:18thyroid
03:18trauma
03:18murder
03:19bourbon
03:21In this case, diabetes can be used in many ways and it can be used in many ways.
03:28One thing that has been seen recently in the past 15 years is the fatty liver.
03:35In India, the fatty liver can be used in many ways.
03:40Fatty liver is a benign thing, but fatty liver means that you have extra fat.
03:47A few weeks after the fat fat, then the fatty liver and the fatty liver.
03:51Diabetes is a big difference.
03:54This is all of a diabetes.
03:56This is just a type of diabetes.
03:58This is the type of diabetes.
04:00If it's a type of diabetes, it's a type of diabetes.
04:03It's a type of diabetes.
04:06It's a type of diabetes.
04:14in the past, diabetes
04:15in the past.
04:17There was a lot of damage to diabetes
04:20and the effect of lipglycemia
04:24was compared to a lot of the risk.
04:30It was also a lot of damage from the liver.
04:32In the past 20 years,
04:34there was a lot of damage that was safe.
04:37It was not a huge damage,
04:43So the treatment of diabetes is a very big change.
04:47The treatment of diabetes is a very big change.
04:49We think about many things.
04:50It's a personalised therapy concept.
04:53It's a different concept of a person.
04:55Depending on their body structure, their co-morbidities, their complications.
05:01We don't look at sugar control.
05:03So the treatment of diabetes is very small and really bad.
05:06We also don't.
05:06This recording may help others.
05:13For example, a hot smoke.
05:17For example, we call a compound of diabetes of diabetes.
05:18We call a compound of diabetes.
05:21We call it a compound of diabetes.
05:28You call it a compound of diabetes.
05:29You call it a compound of diabetes.
05:33This is a solution which is a CGM sensor, which is a small sensor, which is a coin size,
05:38which is on your arm.
05:40This is on your arm.
05:41You can check your sugar in every minute.
05:44You can check your sugar in your mobile app.
05:46When you look at CGM, you can see your glucose profile in 24 hours.
05:51You can see how much sugar is increased, how much food is reduced.
05:56You can see the hypoglycemia, which is low in the episodes,
05:59and you can see how much sugar fluctuates.
06:03So, CGM is a very good technology,
06:05and it's very important for the patients for diabetes.
06:09It was a little costly charge,
06:12but now it's very low.
06:14If you use a sensor, it works for about 15 days,
06:18and it works for about 4-5 thousand dollars.
06:20Sir, let's talk about awareness.
06:24What can you do in schools, colleges,
06:26and other NGOs that we can be aware of?
06:31What programs can you do in schools?
06:35Yes.
06:36The introduction of mind has to detail.
06:40No.
06:41No.
06:44I will say this a little bit longer.
06:46Because we need to do so many things.
06:48Recently, two years ago,
06:50we released a paper in a conference,
06:53which was published in a conference.
06:55We have written all the things we need to do in the systematic way.
06:57We have written all the things we need to do in the government,
07:02NGOs, schools, societies,
07:04and even parents, diabetes patients,
07:08or children,
07:10what do we need to do in schools?
07:10We have written all the things we need to do in schools.
07:12First of all,
07:13the first thing is,
07:15if the prevalence of diabetes is young people,
07:18then we need to start to work with schools.
07:20Because in school age,
07:23when your life-style is not healthy,
07:25then your children will grow up.
07:27If you go to school today,
07:28you will see you from most of your school days,
07:31and then you will see you in your right-hand method.
07:34If you look at school and obese,
07:36and you will see you in any room,
07:37that they can get the diabetes,
07:38so that you will be aligned with the diabetes.
07:42I believe that you will come through here.
07:42That's why we will provide you to school.
07:45For the Most of the levels of the school year,
07:46you will come to school and be able to work with you.
07:50That you will still be doing that to me.
07:52One of the most of the most of the most minor things,
07:52is that if you don't have a best option.
07:56Most of the most important symptoms of the health and health,
07:57and that is what we will do in school.
08:01At school administration level, we need to be able to eat the food in the canteen.
08:08We need to be healthy.
08:09Unhealthy packaged food, high carb food is not in school.
08:12On the other hand, a very important population,
08:17which we need to target,
08:18is our young children.
08:21I will tell you that because the prevalence of diabetes is young age,
08:31it is not even a factor in obesity.
08:33If the dates be bad,
08:35we can see in our population with babies.
08:35We need to get from our pregnant people,
08:46and to our age as well,
08:52we need to develop a child in poverty.
08:53So, we need to take an advantage,
08:53because the diabetes in our population is had to be also needed.
08:54So, we need to take an advantage for the pregnancy.
08:55That's why we need to pay.
08:56एक अलग से campaign करके
08:57कोशिश करना जरूरी है कि
08:59जो बच्चा आपके पेट में या कोक में पल रहा है
09:20उसका स्वास्त उसमें प्रोग्राम हो जाता है
09:22अच्छे स्वास्त के लिए
09:23तो बढ़ते हुए prevalence का कारण एक ये भी है कि pregnancy हमारे यहां बहुत healthy नहीं हो पा रही
09:27है
09:28तो हमें इस पर काम करना जरूरी है और जो NGOs है या सरकारी संस्ता है
09:34उनकी लेवल पर सरकार अपनी लेवल पर सब काम करी रही है
09:36सरकार ने अभी screening 30K में कंपसरी कर दिया है और और भी बहुत सारे प्रयास कर रही है
09:40लेकिन awareness about obesity and diabetes और बढ़ाना चाहिए
09:45सर आखरी सवाल है आप लंबे समय से कई सालों से diabetes का इलाज कर रहे हैं
09:51कुछ एक ऐसा patient आपके पास आया हो जिसको diabetes हो लेकिन आपको उसके
09:58इलाज को लेकर कुछ और सोचना पड़ा हो कुछ ऐसा कोई वाक्या आपके साथ हुआ है तो ऐसे वाक्ये बहुत
10:16सारे होते रहते हैं
10:20मेरे पास आई तब शादो 18-19 साल के थी और पिछले 2-3 साल से वो insulin ले रहे
10:23थी लगातार लेकिन उसी sugars control नहीं थी और जब मैंने उसको
10:28एक्जामीन किया और उसके history ली तो मुझे लगा कि यह type 1 diabetes नहीं है यदि आप थोड़ा broadly
10:33सोचते हो तो आप और चीजे सोच सकते हो और उस बच्ची को actually type 2 diabetes था तो उस
10:38बच्ची की insulin बंद हो गई और वो tablets पर control हो गई तो her life changed उसके पहले उसे
10:44दिल में 3-4 इंजिशन लगाने
10:55उसका मैं इंसुलीन चुलवा दिया just by doing a proper history examination ठीक है second side में ऐसे cases भी
11:02है कि जहां पर बहुत दुख होता है मेरे पास में ऐसे कुछ बच्चे है जिने type 1 diabetes बहुत
11:07कम उमर में हो गया और हम उन्हें शुरुआत से ही यह समझानी कोशिश करते है कि आपका sugar control
11:12रखना जरूरी है व
11:23और बार बार समझाने के बाद भी वो control नहीं कर पाते हैं and then after 5-10 years they
11:28come back to you with some complication तो बहुत कम उमर में बच्चों को मैं देखा है जिनकी किड्नी खराब
11:33हो गई जिनकी आखे खराब हो गई और वो देखकर फिर दुख भी होता है कि शायद हम इनफ नहीं
11:38कर पाए उन बच्चो
11:39को educate करने के लिए जो हम अजदी करते अच्छी तरह से तो शायद हम बचा सकते हैं इसी में
11:45क्रिशन में को एड करना चाहूंगा इतने सालों से आप इलाज कर रहे हैं अब भविशे किस तरह से देखते
11:51हैं पूरा अगर इस बीमारी की बात करें एक तो I might sound very pessimistic बट अभी जि
12:03इससे बहुत बड़ा खत्रा है हमारे देश की health system पर ही क्योंकि young age में diabetes होने के कारण
12:09complications young age में आते हैं जैसा आप जानते हो कि heart attack की बहुत ज्यादा प्रमान बढ़ रहा है
12:14हमारे देश में तो heart की बिमारिया, kidney की बिमारिया, जब आपको 30-35 साल की उमर में होती है
12:19तो एक जो working
12:20class है, जो आपका वैसा class है जिसे काम करना चाहिए वो बिमार बढ़ जाता है, तो it might affect
12:26the whole health of the country itself, तो ये एक बड़ा serious मुद्दा है हमारे देश के लिए, साथ ही
12:33एक अच्छी बात ये भी है कि अभी recently obesity पर बहुत ज्यादा awareness हो गई है और अब obesity
12:39का इलाज संभव है, आज से कु
12:50तो I think there is a mixed picture, एक तरफ हमारे बढ़ता prevalence है obesity और diabetes का, दूसरी तरफ
12:57अच्छी अच्छी दवाईया और तक्निक आ रही है, यदि प्रॉपर awareness लोगों में आए और लोग सही समय पर इसका
13:03निदान करके इलाज करना शुरू करें तो बविश अच्छा ही होगा, बिल्कुल डॉ
13:08प्राकेश पारिक से हमने बातचीत की, इस diabetes को लेकर awareness सबसे ज़्यादा जरूरी है इस बिमारी को लेकर और
13:16ये ना समझे कि कम उम्मर में diabetes नहीं हो सकती, trend बदला है, cases बढ़ने लगे हैं, तो ऐसे
13:23में prevent सबसे ज़्यादा जरूरी है, सहयोगी विजंदर के साथ, ETV भारत के
13:27ये आटी है, हनोने नहे हैं, ले डवत्त
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