Dr. Shriniwas Kashalikar raises several important questions about factors that can influence diabetes treatment but are often overlooked. These include autonomic nervous system function, hormones, liver function, gastrointestinal absorption and movements, stress, sleep, vomiting/diarrhea, and common illnesses. Considering these additional physiological elements could help optimize drug treatment and dosing for individual diabetes patients.

1. DIABETIC
DOUBDTS
Dr.
Shriniwas
Kashalikar

2. 1. Is adequate attention paid to the
factors like autonomic nervous function,
hypothalamic hormones, pituitary
hormones, glucagon, epinephrine,
cortisol,
norepinephrine, thyroxine while treating
diabetes?
2. Is the functional status of liver
considered while deciding the drug
treatment (and doses) of diabetes?

3. 3. How does the variation in
gastrointestinal absorption, secretion and
gastrointestinal movements affect the
treatment of diabetes?
4. How does stress and stress
management affect the treatment of
diabetes mellitus?
5. How does the vomiting or diarrhea
affect the treatment of diabetes mellitus?
6. How does sleep affect the treatment of
diabetes?

4. 7. How do the common conditions such
as common cold affect diabetes
treatment?
DR. SHRINIWAS
KASHALIKAR