effect. After a week again her fasting blood glucose was checked. This time it was 92 and body weight increased by little more than 1 kg. She followed the diet for one more week. The result was as expected. She already joined the club of diabetes population of India, her fasting blood glucose crossed the 100 mg/dl mark and weight increased by further 1.5 kg and according to the 2003 definition of ADA; she is already a diabetic.
It’s not that the dietician of Apollo Hospital purposefully wanted her every patient to become diabetic. Rather something grossly wrong happening at the educational level in medical colleges. The syllabus of the medical education is highly influenced by the drug industries and the medical colleges are no more producing doctors rather they are producing Marketing Agents of the pharmaceutical companies, whose sole purpose is to keep the disease alive, only then they will exist otherwise they may get extinct.
No surprise that the top diabetologists (doctors specializing in diabetes) across the world are themselves diabetic, whether you talk of America’s top most diabetologists Dr.
David G.
Marrero, director of the Diabetes Translational Research Centre at the Indiana University School of Medicine or India’s so called authority in Diabetes, the much decorated doctor with Padam Shree, Dr.
Anoop Misra (Director and Head, Department of Diabetes and Metabolic Diseases, Fortis Group of Hospitals).
What puzzles me most is that for what Dr.
Anoop Misra has got Padma Shree, the top civilian honor from Govt. of India?
Is it because he has cured thousands of diabetes patients (which I doubt he has ever cured even a single patient) or is it because of his ability to ensure a patient with diabetes to remain diabetic lifelong?
He is also seen on many occasions acting as a sales man of Britannia diabetes friendly biscuit (in reality there is no scientific basis that Britannia’s diabetes friendly biscuit are healthier for diabetes patients).
You can well imagine the fate of patients under the care of Dr.
Anoop Misra with an example of Mr.
S.C.
Gulati, who is a senior officer with a renowned bank in Faridabad and was under the care of Dr.
Anoop Misra for the past seven years only to realize that the dose of medication and complications increased quite uniformly throughout.
It was only on 5 May, 2014 when he was referred to us by one of his acquaintance and to his pleasant surprise within 10 days of following our D1D2C diet, he not only got free of diabetes and the drugs but also of many complications including losing about 5 kgs of unwanted bodyweight (see his interview in the documentary).
Chapter Two
The Common Sense of Diabetes Imagine that you are a care taker of an aquarium.
You love and take care of the fishes inside.
You also understand that for those fishes the aquarium is their world.
In spite of all your care, the water in the aquarium gets polluted after sometime.
As a result, a fish starts falling sick.
Now ask yourself what you might have done if you or some member of your family falls sick.
You would have visited the doctor!
So you decided to take the sick fish to a doctor.
The doctor upon examining the fish gave some tablets and told that the fish must take it for a week and will be cured.
You become happy seeing that everything is getting alright.
Since the water is still polluted, after some days the fish again falls sick.
This time a little more serious.
You didn’t want to take a chance.
So, you decided to take the fish to the best hospital of the city.
Doctor advised to admit fish in the hospital for a few days.
Some injections and medication did the magic again.
He is alright and discharged from the hospital.
You again dropped the fish into his house i.e. aquarium.
But again, after a few days the fish got seriously ill.
This time the general physician referred him to a specialist may be a diabetologist and upon testing, the Sr.
Doctor revealed that the fish is diabetic and must take Metformin two times a day for the rest of his life and everything will be perfect.
You trained the fish and instructed him to follow the doctor’s advice religiously.
In spite of all the best efforts from fish and you, after some time the fish again fell ill.
So, the basic question is what do you do now?
Where is the problem?
I know by now you must have already guessed the moral of the story.
The problem was never in the fish!
It was the polluted water!
You simply, have to change the water.
Even the best doctor of the world will not be able to cure the fish.
Trying to cure the fish without finding the cause of the disease is like chasing a mirage.
Every time, it will appear that the cure is just nearby but you will never be able to achieve it.
In this process, you will drain yourself of the health and wealth as well.
Sometimes, to understand the solution you may not need the ultra-scientific approach towards the problem but just a common sense, which most of the modern day doctors lack.
Diabetes is not a disease where you may require the knowledge of advanced microbiology to understand the problem.
It is just a specific homeostatic condition of the body which can be understood and corrected with a little common sense.
To make the subject simple let’s take the analogy of an airport.
Imagine airport is your body and the passengers entering the airport are the carbohydrates or sugar that you eat.
Now all the passengers called carbohydrates or glucose needs to be transported to their respective aircrafts, that is the various cells of the body.
The activity of transportation will be facilitated by the bus (the insulin of the body).
Under normal conditions, there is a regular flow of passengers (the food) and simultaneously the passengers are transported with the arrival of fleet of buses (insulin) to the respective aircraft (the cells of the body). The whole system works in harmony. This is called homeostasis of the body or in this specific case the glucose homeostasis of the body.
Now imagine that everything is perfect in the airport except the fact that the supply of bus (insulin) is stopped.
What will happen?
The passengers (food) will get crowded at the terminal of the airport whereas the aircraft will be waiting empty, craving for the passengers.
This condition is called Diabetes Type 1, where the body stops producing insulin (the bus).
This means the airport authorities have to outsource the bus services.
That means a patient suffering from Diabetes Type 1 have to take insulin from outside source every time he eats food.
Now imagine that there is a regular supply of bus (insulin) but the door of the bus remains either fully closed or opens partially making it difficult for the passengers to get in.
This means very less number of passengers will be transported to the aircraft that too at an extremely slow pace. This condition is referred to as Diabetes Type 2, where the body is still producing and supplying insulin (bus) but it is not doing its job effectively. This means that the airport authorities have to hire some technicians and have to place them at the site of terminal gate so
that the technicians may help in opening the bus gate, so as to make the transportation of the passengers smooth.
That’s what the diabetes drugs like Metformin do.
They increases the sensitivity of the insulin so that it may work effectively and let the glucose molecules inside the cells.
But the story is not over here.
Try to understand, in both the above conditions it is a burden on the airport authorities as they have to either outsource the bus or hire the technicians on continuous basis.
That’s what you can relate with the side effects of insulin or diabetes medication such as blindness, amputation, kidney damage, heart attack and brain stroke.
Technically speaking an average size human being has roughly 5 litres of blood and at any point of time the amount of glucose which must circulate in the blood should be around 1 gm per litre.
This means the total amount of glucose circulating in the blood will be roughly 5 gm.
Here upon testing, the glucometer will show reading as 100 mg/dl.
Now if your glucometer is showing say 200 mg/dl, that means per litre of your blood there is about 2 gm of glucose instead of 1 gm.
At this point it is important to understand that the body is not designed to tolerate too much of fluctuations in the blood sugar level.
Neither more nor less.
What will happen if the blood glucose level is less than say 50 gm (i.e. 1/2 gm of glucose in per liter of blood).
As you know that the blood glucose is the greatest and constant source of energy needed all the time by more than 100 trillion body’s cells.
Now if the level goes down to 50 gm/liter that means all the body’s cell will not get enough energy supply for the proper functioning.
As a result most of the body’s organs may not function properly.
You may not able to see clearly or may even faint.
Medically this condition is called hypoglycemia.
On the other hand, if the glucose level shows 200 mg/dl or more in glucometer, this means more glucose is flowing in the blood circulation than the body could handle.
This extra flow of glucose in the blood is medically called hyperglycemia.
This extra glucose reacts with protein and form a poisonous compound called advanced glycation end products or in short AGE .
AGE make the arteries hard leading to high blood pressure, heart disease and even become a major contributor to heart attack and brain stroke.