Dr. Sunil Gupta advises that if blood sugar is well-controlled and only mild medications are used, fasting can be observed safely. However, during fasting, one should consume light diets such as milk, fruits, or bhagar at intervals to prevent hypoglycemia.
A frequent craving for sweets may indicate prediabetes, as excessive intake can overwork pancreatic beta cells and eventually lead to diabetes. Dr. Gupta explains that insulin in the body functions in two forms — basal insulin, which works continuously 24×7, and bolus insulin, which is secreted by beta cells in response to meals.
For Type 1 diabetes, research on pancreatic or beta cell transplants, stem cell therapy etc. are ongoing, though a permanent cure remains under study.
The HbA1c target should ideally remain between 6.5–7, though elderly patients may maintain slightly higher levels for safety. (may be 7.5% or 8%)
While traveling, always carry insulin, medications, glucose tablets, and a diabetes identity card in your hand luggage. During festivals, treat prasad as a symbol of devotion rather than a food portion. Avoid excess sweets, stay active, and extra parikrama may be practiced as a healthy form of exercise.
Expert- Dr Sunil Gupta
Anchor- Mrs. Shraddha Bharadwaj
Podcast: 23/08/2019
Recorded at: Akashwani Nagpur
Episode: 95