Dr.Bhaskar's Comprehensive Diabetes Care Centre

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Dr.Bhaskar's Comprehensive Diabetes Care Centre Early Detection and Optimal control of Blood Sugar Is important in Diabetes.Prevention and Early Detection of Diabetes Complications also holds the Key.

——New update ——Lowering LDL cholesterol to below 40 mg/dL significantly reduces cardiovascular events and stroke risk in...
21/11/2025

——New update ——
Lowering LDL cholesterol to below 40 mg/dL significantly reduces cardiovascular events and stroke risk in ischemic stroke patients, without increasing hemorrhagic stroke risk, suggesting a potential shift in treatment guidelines.

World Diabetes Day(WDD) was created in 1991 by International Dabetes Federation(IDF) and the WHO in response to growing ...
13/11/2025

World Diabetes Day(WDD) was created in 1991 by International Dabetes Federation(IDF) and the WHO in response to growing concerns about the escalating health threat posed by diabetes.It is maked every year on 14th November,the birthday of Sir Frederick Banting ,who along with Charles Best ,is credited with the discovery of therapeutic insulin in 1922.

This years(2025)World Diabetes Day Theme:-
“Diabetes and well-being at work”
Globally mllions of people with different types of diabetes face daily challenges managing their condition in the workplace. Challenges include stigma,discrimination and exclusion.This has negative impact on their well-being.This World Diabetes Day let’s join together for diabetes care.Employees and employers around the world should unite for diabetes and well-being at work.And start the change for a better Diabetes Life.
Some facts & figures as per IDF —-

7 in 10 people living with diabetes are of working age.

3 in 4 people living with diabetes are have experienced anxiety,depression or another mental health condition because of their diabetes.

4 in 5 people living with diabetes experienced diabetes burnout.

13/11/2025

Diabetes is not just about SUGAR .It puts 80% of patients at risk of heart & kidney damage.

🧬 Diabetes Breakthrough: Gene-Edited Cells Let Man Make His Own InsulinFor the first time in medical history, a person w...
04/11/2025

🧬 Diabetes Breakthrough: Gene-Edited Cells Let Man Make His Own Insulin

For the first time in medical history, a person with type 1 diabetes is producing insulin naturally again — without needing immune-suppressing drugs.

In a revolutionary trial, scientists in Sweden and the U.S. used CRISPR gene editing to reprogram donor pancreatic islet cells so the body wouldn’t attack them. Two key genetic edits removed the immune “red flags” that normally trigger rejection, while a third added a “don’t eat me” signal (CD47) — allowing the cells to survive and function inside the patient.

After transplantation into his forearm, the engineered cells began producing insulin — marking the first time this has ever been achieved in a human. While the patient still uses some insulin therapy, this milestone proves it’s possible to restore natural insulin production safely, bringing researchers closer to a functional cure for type 1 diabetes.

This gene-editing innovation could one day free millions from daily injections — rewriting what’s possible in regenerative medicine and diabetes care.

📖 Source: Carlsson, P.-O. et al., The New England Journal of Medicine (Aug 4, 2025)

In CGMS(Continuous Glucose Monitoring System)data some important metrics-CGM is a powerful tool for behavioural change.B...
02/11/2025

In CGMS(Continuous Glucose Monitoring System)data some important metrics-CGM is a powerful tool for behavioural change.But from recent study it was found that there is a different correlation with CGM reports from people without diabetes.
*Time based metrics were closely associated with A12 in the patients with Type 2DM including Time in Range(TIR) 70-180mg% and time in tight range(TITR) 70-140mg%.
*In the group with pre diabetes ,the associations between CGM metrics and A1c maintained significant but much less strongly than for T2DM.
*However among those without diabetes,the CGM metrics showed minimal or no significant associations with A1c.Time based metrics showed inconsistent relationships with A1c.The relationship with mean glucose remained significant,although weak.

Shout out to my newest followers! Excited to have you onboard!Prashant Pawar, Shakuntala Thorat
31/08/2025

Shout out to my newest followers! Excited to have you onboard!

Prashant Pawar, Shakuntala Thorat

Shout out to my newest followers! Excited to have you onboard!Deepak Vamsidhar, Vinod Satav
23/08/2025

Shout out to my newest followers! Excited to have you onboard!

Deepak Vamsidhar, Vinod Satav

Type 3c Diabetes(Pancreatogenic Diabetes):—This diabetes can be due to -1)Acute or chronic pancreatitis.Chronic pancreat...
17/08/2025

Type 3c Diabetes(Pancreatogenic Diabetes):—
This diabetes can be due to -1)Acute or chronic pancreatitis.
Chronic pancreatitis accounts for around 75% of cases of type 3c diabetes.
2)Other causes include pancreatic cancer,pancreatic surgery,trauma to pancreas,cystic fibrosis and haemochromatosis.
Type 3c diabetes often occurs quite early from diagnosis of pancreatic cancer.
……………………………………………
Why it is important to accurately identify type 3c diabetes?
1-Patients with type 3c diabetes are nearly twice as likely to have sub-optimal glycemic management and
2-They are at increased risk of hypoglycaemia.
Hypoglycaemia in these patients can be quite longer lasting.This is because of loss of GLUCAGON production from the alpha cells in the pancreas.So this lack of glucagon blunts the response to hypoglycaemia in these patients.
Additionally people living with type 3c diabetes are much more likely to need INSULIN within 5 years of diagnosis of their diabetes.
Specific features that may point towards type 3c diabetes or pancreatic exocrine insufficiency include-diarrhoea & steatorrhoea(fatty,frothy,foul smelling stool that floats), abdominal discomfort,flatulance and bloating,weight loss,fatigue and erratic blood glucose management.
…………………………………………….
Useful tests —-
1)Fecal elastase 1 level in stool-Low level of f***l elastase 1 are suggestive of pancreatic exocrine insufficiency.
2) plasma C-Peptide levels are generally low.
3)pancreatic antibodies are absent.
………………………………………….
Management:-
Appropriate management of malabsorption with pancreatic enzyme replacement therapy.
Type 3c diabetes does carry an increased risk of osteopenia & osteoporosis due to possible VIT D malabsorption.So Vit D supplementation should also be considered.
Type 3c diabetes itself sadly carries an increased risk of PANCREATIC CANCER.So we should remain clinically vigilant to this .
Incretin based therapies should be avoided.These agents are thought to be associated with pancreatitis and potentially worsening of gastrointestinal symptoms with these therapies.
We can use Metformin.Metformin have possible protective effect against pancreatic cancer.
Sulfonylureas such as glipizide are less effective due to declining beta cell function in type 3c diabetes and their increased risk of hypoglycaemia.
SGLT2 inhibitors can be considered although there is an increased risk of diabetic ketoacidosis(insulin deficiency in type 3c diabetes).
Ultimately INSULIN is required for most patients with type 3c diabetes to deal with this INSULIN DEFICIENCY.HbA1c is markedly elevated in these type of patien

ADA 2025 update:-Metformin is a commonly used medicine to control blood glucose in diabetic patients(Type 2 DM).Metformi...
03/08/2025

ADA 2025 update:-Metformin is a commonly used medicine to control blood glucose in diabetic patients(Type 2 DM).Metformin sharpens the ageing brain.Older adults with insulin resistance showed better memory,faster thinking & increased brain volume after 10 months on *METFORMIN*.It’s not just about glucose-it’s brain -protective too.

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Lifeline Hospital Pune Nagar Road Wagholi
Pune
412207

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