Delhi docs find us origin flatbush diabetes in india

1. Delhi docs find US-origin
Flatbush diabetes in India
Research Claims 39-Yr-Old Driver Showed Symptoms In 2011
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2. Contd..
You may have heard about Type-I and Type-II diabetes. But new
findings suggest that a number of patients in India may be suffering
from a third type -Flatbush diabetes -which has the characteristics of
both.
This possibility has been highlighted by Delhi doctors in a research
article published in the medical journal `Diabetes Care'. They claim to
have identified the first case of Flat bush diabetes in a patient of Indian
origin.
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3. Contd..
The patient, a 39-year-old driver, visited Max Super-specialty in Saket,
for the first time in 2011. His blood sugar was above 500 mgdl which is
very high but it came down within few days on insulin therapy .
“The symptoms reappeared twice again, in 2012 and 2013, and it was
treated with insulin therapy for a few weeks, which is not possible in
Type-I or Type-II diabetes. While the former requires life long insulin
therapy , the latter requires drastic modification, for example weight
reduction, for recovery ,“ said Dr Sujeet Jha, director, department of
endocrinology at the hospital.
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4. Contd..
Jha said further testing and antibody analysis confirmed Flatbush
diabetes, which has so far been described in patients of African,
American, Chinese, Japanese and Hispanic descent, but never in the
Indian population.
“During diagnosis, patients with Flatbush diabetes present very high
blood sugars and ketones (a substance produced when the body starts
o break down fat for energy in he setting of high blood glucose levels).
Initially , they need insulin to control their blood sugars. However, once
heir blood glucose levels improve, they can be transitioned onto oral
therapy .
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5. Contd..
We have seen many patients that it into this clinical picture. They do
remarkably well off insulin and on oral drugs. A few have been able to
manage heir diabetes with diet alone,“ the doctor added.
According to Dr Amit Bhargava, consultant, division of endocrinology at
Max hospital, there is an increasing need to identify patients with
Flatbush diabetes for better care. “Besides providing patients with
relief from using insulin, where it is not required, the transition to oral
therapy will have a significant impact on urban and rural family
budgets. It is well known that the bulk of private healthcare spending in
India s out-of-pocket,“ he said.
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6. Contd..
Dr Anoop Misra, chairman, Fortis-C-DOC
Centre of Excellence for Diabetes, Me
abolic Diseases and Endocrinology , said
the treatment modality followed in India
is based on the western concept. “The
new findings stress upon need for
research into Indiacentric patient care
methodology ,“ he added.
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