Diabetes Discussion Dr. Shriniwas Kashalikar
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Dr. Shrinivas Kashalikar raises several questions about diabetes diagnosis and treatment: 1. He asks why intracellular glucose levels are not measured instead of plasma glucose levels, and how intracellular levels correlate with plasma levels. 2. He questions whether high blood glucose could cause intracellular glucose starvation due to defective utilization. 3. He also asks if reducing carbohydrates and fat would disproportionately increase protein intake, and if that could harm the kidneys. 4. Finally, he inquires about the effects of variable absorption and excretion on blood glucose, the impact of energy output changes, and why moderate sweet foods and stress management are not more integrated into diabetes education and treatment.
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- 2. KASHALIKAR
- 3. 1. Why intracellular glucose concentration is not determined instead of plasma glucose concentration? 2. If it is measured in experiments how does it correlate with the plasma glucose levels or what are the corresponding values? 3. Is not there intracellular starvation of glucose, if blood glucose is increased because of defective utilization?
- 4. 4. If there reduction in the carbohydrate and fat intake, would not it mean that there is proportionate increase in proteins? Would not it be detrimental to kidney? 5. What is the assurance that plasma glucose is not affected by variable absorption and variable excretion in faeces? 6. Would not the variable energy output affect the blood glucose (Without deterioration of glucose metabolism)?
- 5. 7. If the glucose intake is reduced, would not it deprive the normal stimulation of insulin secretion? Would it not be alright therefore to include normal (not excessive) sweet items in diet? 8. Why is the scientific stress management (pivotal in prevention and management of hundreds of disease conditions including diabetes ) not taught in all the education courses and on electronic media? 9. How many studies have correlated the stress and diabetes mellitus
- 6. quantitatively? 10. How many studies have correlated diabetic complications with the blood glucose levels? 11. Why don't the practitioners of allopathy study and use Ayurvedic remedies and pranayama in diabetes? DR. SHRINIWAS KASHALIKAR