DELHI DETOX AND DE-ADDICTION CENTRE

DR . SUDESHNA BISWAS ,one of the best and famous  psychiatrist at FORTIS C-DOC ,delhi has developed a new and innovative treatment module for deaddiction. Patients abusing alcohol,nicotine,cannabis,cocaine have a new lease of hope from her treatment skills.

Her team of psychologists,social workers and nurses/paramedics along with DR. ANIRBAN BISWAS (MD) , will be involved in the DELHI  DETOX and de-addiction therapy.

At DELHI Detox and Deaddiction  Centre we offer treatment to persons with problems due to alcohol, tobacco and other drug misuse, providing out-patient consultations, in- care and through out-reach clinics. 

Specialized and individually tailored care is offered by a multi-disciplinary team of the best psychiatrists, psychologists, social workers, occupational therapist and nurses experienced in addiction medicine.Our excellent results speak for our sincere and determined efforts at DELHI Detox and Deaddiction Centre.

They have already been cured , so what are you waiting for:

LADA (LATENT AUTOIMMUNE DIABETES IN ADULTS)

Latent autoimmune diabetes in adults (LADA) is a disorder in which, despite the presence of islet antibodies at diagnosis of diabetes, the progression of autoimmune β-cell failure is slow. LADA patients are therefore not insulin requiring, at least during the first 6 months after diagnosis of diabetes. Among patients with phenotypic type 2 diabetes, LADA occurs in 10% of individuals older than 35 years and in 25% below that age. Prospective studies of β-cell function show that LADA patients with multiple islet antibodies develop β-cell failure within 5 years, whereas those with only GAD antibodies (GADAs) or only islet cell antibodies (ICAs) mostly develop β-cell failure after 5 years. Even though it may take up to 12 years until β-cell failure occurs in some patients, impairments in the β-cell response to intravenous glucose and glucagon can be detected at diagnosis of diabetes. Consequently, LADA is not a latent disease; therefore, autoimmune diabetes in adults with slowly progressive β-cell failure might be a more adequate concept. In agreement with proved impaired β-cell function at diagnosis of diabetes, insulin is the treatment of choice.

Diabetes Types Key characteristics of type 1, LADA (latent autoimmune diabetes in adults), and type 2.
	Type 1	LADA	Type 2
Typical age of onset	Youth or adult	Adult	Adult
Progression to insulin dependence	Rapid (days/weeks)	Latent (months/years)	Slow (years)
Presence of autoantibodies*	Yes	Yes	No
Insulin dependence	At diagnosis	Within 6 years	Over time, if at all
Insulin resistance	No	Some	Yes

 SURPRISE FINDING

 Doctors stumbled upon the LADA phenomenon quite by accident back in the 1970s. They were testing a way of identifying proteins called auto ­antibodies in the blood of people with type 1. The presence of these proteins is evidence of an attack by one’s own immune system. The new test was successful and confirmed for the first time that type 1 is an autoimmune disease in which the body’s immune system kills off the beta cells in the pancreas, the makers of insulin.
As part of their study, the researchers also looked for the same auto antibodies in the general population and in people with type 2 diabetes (which is not an autoimmune disease). The proteins were virtually absent in the general population, but they showed up, to the scientists’ surprise, in about 10 percent of people diagnosed with type 2. This suggested that there was a subcategory of people who could now be diagnosed as having LADA instead, even though there was no obvious difference in their symptoms from those of people with type 2.
While not everyone has settled on calling the condition LADA (some prefer “type 1.5”), or even whether it’s distinct from type 1, researchers are working on a set of criteria for its diagnosis: 1) the presence of auto­antibodies in the blood, 2) adult age at onset, and 3) no need for insulin treatment in the first six months after diagnosis. This definition would distinguish LADA from type 1—because people diagnosed with type 1 typically need to start insulin immediately—and from type 2, because of the presence of auto antibodies in the blood.

The Warning Signs YOU May Have LADA

1. You are diagnosed with Type 2 diabetes while at a normal weight.

2. Whatever your weight, either you or a member of your family has some other autoimmune disease such as thyroid disease, rheumatoid arthritis, lupus, or multiple sclerosis.

3. You lower your carbohydrate intake shortly after diagnosis to no more than 15 grams a meal and still have a fasting blood sugar over 110 mg/dl and blood sugars that rise 40 mg/dl or more after each meal.

4. No matter what your weight, you do not see a dramatic drop in your blood sugar when you take metformin, Avandia, Actos, Januvia or Byetta in combination with a lowered carbohydrate intake.

5. Your blood sugar deteriorates significantly over the period of a year despite treatment with oral drugs and carbohydrate restriction.

What To Do To Get A LADA Diagnosis

If you think you have LADA ask your doctor for:

1. A fasting C-peptide test. If the value is low, it is suggestive of LADA.

2. GAD and Islets antibody tests. High levels of these antibodies are diagnostic of LADA especially in combination with lowered C-peptide.

WHAT IS DIABETES

1) Type 1 diabetes is an autoimmune disease that occurs when the insulin-producing beta cells within the pancreas are destroyed and fail to produce insulin. Insulin is a hormone that helps the body's cells use glucose for energy. Blood glucose (or blood sugar) is manufactured from the food we eat (primarily carbohydrates) and by the liver. If glucose can't be absorbed by the cells, it builds up in the bloodstream instead. Untreated, the high blood sugars that result can be toxic to every system of the body, causing serious complications.

2) Type 2 diabetes is the most common form of the disease, accounting for 90 to 95% of all diabetes cases in America. Most people with type 2 diabetes are still able to produce insulin at diagnosis. However, the insulin they make does not work properly and is unable to perform its primary job, which is helping the body's cells use glucose for energy.  This characteristic of type 2 diabetes is called insulin resistance.

If left untreated, the high blood sugar levels from uncontrolled diabetes can cause serious long-term diabetic complications. Eventually, they damage the insulin-producing beta cells of the pancreas, reducing insulin output. 

Although the majority of people with type 2 diabetes are adults, children and adolescents are increasingly at risk for the disease due to growing childhood weight problems and sedentary lifestyles.

3) GESTATIONAL DIABETES-The hormonal changes that happen in pregnancy can cause gestational diabetes in pregnant women at risk for the condition.  Hormones produced by the placenta -- including estrogen, cortisol, and human placental lactogen (HPL) --  increase insulin resistance in some women, which results in high blood sugars.  This usually occurs between 20 and 24 weeks of pregnancy. Gestational diabetes goes away when the baby is born, but women who have had the condition are at a higher risk of developing type 2 diabetes later in life.

4) LADA- Short for Latent Autoimmune Diabetes in Adults, LADA is also known as Slow-Onset Type 1 Diabetes, Type 1.5 Diabetes, Late-Onset Autoimmune Diabetes of Adulthood, and even "double diabetes," since it has elements of both type 1 and type 2 diabetes. LADA patients, however, are closer to type 1 patients because, just as I did, they will test positive for antibodies against insulin-producing beta cells of the pancreas.

LEARN BELOW IN THIS VIDEO -WHAT IS DIABETES

pizza for diabetic

diabetic non-veg pizza(serves 6)
Ingredients:

8 ounces fat free cream cheese
1 cup egg substitute (or 8 egg whites)
1/3 cup low-carb milk
2 lbs boneless skinless chicken breasts
1 bunch broccoli (Frozen's OK)
3 cups part-skim mozzarella cheese, shredded

Directions:

1Preheat oven to 375.

2Beat together half the cream cheese, milk, and eggs until smooth. Add any seasonings you want.

3Spray 9X13 pan with cooking spray or oil.

4Place 2 cups mozzerella cheese in bottom of pan.

5Pour egg mixture over cheese.

6Bake for 30 minutes.

7Meanwhile, steam the chicken and broccoli and cut into small pieces.

8Remove crust from oven and spread the remaining cream cheese on top.

9Put chicken and broccoli on cream cheese layer, then cover with remaining cup of mozzarella cheese.

10Bake another 5-10 minutes until cheese is melted.

diabetic veg pizza (serves 6)

Instructions
Things You'll Need
11 1/2-inch thin crust Italian bread shell

1 cup pizza sauce

2/3 cup shredded part-skim milk mozzarella cheese

6 oz. turkey sausage

1 small white onion, thinly sliced

1/2 cup fresh mushrooms, sliced

1/2 green bell pepper (chopped)

1/2 red and yellow peppers (chopped)

1/2 tsp. crushed dried oregano

1/2 tsp. crushed dried basil

Crushed red pepper flakes (optional)

recipie
1
Crumble the turkey sausage and brown in a skillet. Drain on paper towels and place in a bowl. Do this ahead of time and set aside.

2
Preheat your oven to 450 degrees. Place the shell on an ungreased 12-inch non-stick pizza pan.

3
Assemble your pizza by spreading the pizza sauce over the shell, leaving a 1-inch border around the rim. Sprinkle with half the cheese.

4
Arrange the cooked sausage on top of the cheese, covering evenly.

5
Top with onion and mushroom slices along with chopped green, yellow and red peppers. Sprinkle evenly with oregano, basil and red pepper flakes (if using). Top with remaining cheese.

6
Bake for 13 to 15 minutes until the crust is crisp and the cheese is melted and browned.

7
Cut into 6 wedges and serve with a salad, low sugar applesauce or coleslaw.

Top 10 ways to live with diabetes

Top 10 ways to live with diabetes
About 59 million indians have type 2 diabetes and many more are at high risk.
Diabetes is a metabolic as well as autoimmune disorder. It is caused by the abnormal secretion of the natural hormone insulin. Though diabetes can not be cured completely but you can kept it under control and can always live a healthy life style.


Below are the top ten precautions that should be followed to live with diabetes:

1) Exercise- exercise is specially important for people suffering from diabetes. You can start exercise at any age. It is a must for diabetics.

2) Diabetic diet- be honest and strict about it, keep in mind that over eating and unhealthy eating may even kill you. Follow your diabetic chart religiously.


3) Always keep in touch with doctors, feel free to discuss any abnormality. You will always find a whole lot of diabetes gurus, you can discuss with them, but before changing anything ask your doctor. Please keep in mind diabetes is a slow killer, we can’t play with it.

4) Medicine- be serious about those, take regularly, have extensive research work, feel free to discuss about the side effects. Take insulin regularly if it is required, never stop suddenly any thing without discussing with an specialist.

5) try to feel and understand the diabetic signals, low sugar level , high sugar levels, etc.

6) A fasting blood sugar test is the best screening tool. Blood sugar level testing is a diabetes risk calculator. Frequency of testing of blood and urine depends on the situation, your doctor is the best man to judge.

7) Avoid abnormal blood pressures, high or low what ever, it is not good for diabetics.

8.) Control your weight. Measure you weight periodically. Make it a habit to check your weight at least every month. Obesity is dangerous for diabetes.

9) Take care of your skin and feet. Act urgently to detect and cure any skin problems. Always use comfortable good quality shoes or slippers.

10) Take care of your eyes. Take all shorts of precautions for you eyes. Periodical eye examination is also required.

Try to keep in touch with the diabetic world, lots of research and new ideas are coming up every day. Learn about diabetes, learn about the new medicines new tools, discuss these with your doctor, arrange group discussions, and keep going.

Hold on for a sec. if you are a diabetic, please avoid marrying another diabetic.

How type1 and type2 diabetes differs in diagnosis?

How type1 and type2 diabetes differs in diagnosis?
This is a query most of you have. You wonder why some one is diagnosed to have type1 diabetes when in the texts you will find that this is a genetic disease (from birth). Also in other cases, there is a very thin line of difference in symptoms for type1 and type2 diabetes mellitus. In this article we have attempted to cover a few differences that we found would be comprehensive and important for you.


Firstly as a start up we would like to begin with defining both forms of diseases. Diabetes Mellitus deals with an increased level of sugar in the body which is about 190-200mg/dL. Now this problem can arise from two sources:

1.Inability of the receptors of the cell to bind insulin or not enough insulin is produced - Diabetes type2(more common).
2.Lack of production of insulin - Diabetes type1
Still there are other type of diabetes with which people often get confused is that of the diabetes insipidus. It is completely unrelated to the glucose level of our body. It does not deal with the glucose metabolism by any way. this condition arises due to excessive production of hormones such as vasopressin which causes excessive production of urine.

Now there are several techniques that has come into limelight which can differentiate between type1 and type2 diabetes. Let us discuss.

A)Natural or human produced insulin includes a C- peptide chain. This C- peptide chain is nicked off from the main insulin protein chain, in a modification of cell. Till date artificially produced insulin C-peptides are not included. Therefore, in case of type1 diabetes, where the production of insulin does not happen at all, a C- peptide detection test might help a lot. This is the best test available till date to differentiate the two types.

B)Tests such as anti-islet antibody, glutamic acid decarboxylase or insulinoma associated peptide2 also identifies the type1 diabetes. In anti islet antibody test, an antibody is prepared against the insulin produced. Generally the antibody designed is radioactively tagged. Therefore if this antibody binds with the insulin produced, it can be identified concluding that it is type2 diabetes.

C)Also another effective way to diagnose type1 diabetes is insulin resistance. In this type of test the insulin resistant which incorporates a glucose tolerance test. In case of type2 diabetes, there is some reistance shown by the test, as insulin is released may be in smaller amount. But type1 diabetes will have no effect.

D)The most recent type of test is by GAD 65 which can differentiate between type1 and type2 diabetes. In type1 diabetes there is the presence of GAD65 antibody in the body, and when we are introducing GAD65 we can easily detect the disease.

The above mentioned tests are quite effective in determining the two types of diabetes mellitus, and we hope that you can choose to undergo any one of them which you find convenient.