Q. Who is at risk of developing Type 2 diabetes mellitus?

Those having any one or more of the following:
1. Those having prior reports of having pre-diabetes
2. Those with first degree family members with T2DM

(Contd..)
3. Those with Triglyceride value more than 250 mg/dl and/or HDL less than 35 mg/dl
4. Those with previous reports suggestive of fatty liver
5. Women with a history of PCOS and/or history of gestational diabetes
6. Those with prior history of cardiovascular disease

(Contd..)
If you have any of these, screen yourself for type 2 diabetes.

Let the good of euglycemia (normal sugars) win against the evils of hyperglycemia (high sugars)

#HappyVijayadashami #HappyDassehra

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More from @omlakhani

27 Jul
1. Any form of weight loss can lead to diabetes remission. (The right word to use here is remission and no reversal.) You DON'T NEED LOW CARB DIET for the same. The same can be achieved with any strategy which produces weight loss
2. Similar results can also be achieved with a balanced low-calorie diet, meal replacement (as shown in the DIRECT trial), bariatric surgery (as shown in several trials) and SGLT2i/GLP1 receptor agonist (as shown in several trials)
3. While we talk about "low carb" diet or any other fancy diet, how many patients do we know are able to sustain it over a long period of time ? Answer 0. Any form of unnatural diet cannot be sustained by any patient over a long period of time.
Read 11 tweets
24 Jun
If Toto Wolff gives a contract to Russell instead of Bottas for 2022, and then Hamilton retires, what happens next?
a) Ocon is already locked with Alpine till 2024

b) Lando is locked with McLaren

c) Leclerc and Sainz are unlikely to move out of Ferrari

d) If Max wins his maiden title with Red Bull, he is unlikely to leave the seat
They can retain Bottas, but after the humiliation will he stay ? Perhaps he would, but what if he decides to move on. Williams may potentially be more competitive next year
Read 7 tweets
24 Jun
Q1. Do statins reduce the risk of heart attack and stroke ?

"Statin therapy significantly reduces the incidence of major vascular events and vascular mortality in a wide range of people."
"Reduction of LDL cholesterol using statin therapy reduces all-cause mortality by about one tenth for each 1 mmol/L (39 mg/dl) reduction in LDL cholesterol, principally reflecting a significant reduction in vascular mortality."

Ref: cttcollaboration.org/efficacy-web-p…
Q2. Does more intensive LDL reduction with more dose of statin or with more powerful statins have incremental benefit ?

"Further reductions in LDL cholesterol produce definite further reductions in the incidence of major vascular events"
Read 13 tweets
24 Jun
If you want to look about the use of Statins (Cholesterol lowering medications) to prevent heart attack and stroke, you don't need to look beyond the series of excellent meta-analysis conducted by the "Cholesterol Treatment Trialists' Collaboration"

A thread ....

#Medtwitter
This GIF sums up everything nicely. It tells us three things

1. Statins work
2. More LDL reduction - lower the risk of heart attack, stroke etc
3. More statins/ more powerful statins- more LDL reduction Image
Q1. Do statins reduce the risk of heart attack and stroke ?

"Statin therapy significantly reduces the incidence of major vascular events and vascular mortality in a wide range of people."
Read 14 tweets
24 May
Let us answer all the questions asked by this Dhongi Baba. I will try and answer 1 or 2 questions every day for the benefit of the general public. Please share so that the falsehood of this person is exposed on a daily basis.

Please retweet with the hashtag #RemoveRamdev....
Answer 1:

First, there is nothing like "Allopathy". Allopathy is a term used by the

Wikipedia says

"The terms were coined in 1810 by the inventor of homeopathy, Samuel Hahnemann. It was originally used by 19th-century homeopaths as a derogatory term for heroic medicine"
Q. What is "Heroic medicine" ?

"Heroic medicine was based on the belief that disease is caused by imbalance among the four "humours" (blood, phlegm, yellow bile, and black bile) and sought to treat disease symptoms by correcting that imbalance"

Ref: @Wikipedia
Read 16 tweets
23 May
Dear @verified

Please remove the verified status of one Mr Ram Kisan Yadav with the Twitter handle @yogrishiramdev . The person has violated the regulations of @Twitter and @TwitterIndia on several occasions. A suspension may also follow.

#SuspendRamdevfromTwitter
These are the policies that this person has violated on several occasions

help.twitter.com/en/managing-yo… Image
Recently the said person launched a video abusing doctors and health care professionals. This triggered the @IMAIndiaOrg and other organization to file official complaints against the person

timesofindia.indiatimes.com/city/ludhiana/… @TOIIndiaNews
Read 12 tweets

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