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 the importance of normal insulin stimulation through inclusion of some sweet foods in the diet.

1. DIBETES
DISCUSSION
DR.
SHRINIWAS

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