Dr. Vikram .R. Lotwala

Larger the #waist line ..... More are the #health issues. #nLightenClub

Gujarat Guardian is one of the Gujarati leading newspaper which carried our nLIGHTEN group's news. It says that as now the Govt of India too have recognized, Bariatric surgery not only reduces weight but also is helpful in diabetes, blood pressure control. Thus its is now covered in CGHS scheme for central govt employees. Some other Health Insurances companies have too started reimbursement for bariatric surgery. 1st Obesity Patient support club "nLIGHTEN" in south gujarat meeting was duely covered by the press. The intention is to invite patients to share their doubts, difficulties and experience in dealing with their weight in day to day life. The patient are nlighted about the hazards of obesity and are encouraged and motivated to fight this menace. We had 11 families of our patients, 2 patients operated at Indore and one in Mumbai. Overall 80 people were there in audience. We have received a tremendous response from patients after reading this newspaper a...

  Mrs. Desai 45 yrs was referred to us for opinion by a renown doctor of Surat. She has been a known case of type 2 diabetes mellitus and hypertension since 12 years. Her BMI was 37 and had morbid obesity. So thus she was a patient of Metabolic Syndrome. The issue with her was that her sugars were uncontrolled and now not even responding to medication and Insulin Injections. Also she had an umbilical hernia. Patient was advised Laparoscopic sleeve Gastrectomy with laparoscopic cholecystecomy with Umbilical hernia repair. Patient came for follow-up on 7th day and is off  her Insulin injection with only 1 medication each for Diabetes and Hypertension which hopefully will also stop as time progress with the weightloss. The  pictures show the retrieved specimen of Remnant Stomach , gall bladder and the omentum from umbilical hernia.The X ray shows the new stomach without any fundus part of stomach. Total fundal excision is imperative for excellent sugar control. Pa...

Top 10 facts about Diabetes 1. Diabetes is a silent epidemic and according to WHO there are 246 million people in the world living with diabetes. This is almost 6% of the world's adult population. 2. Diabetes in Asians is five times the rate of the white population 3. India is the diabetes capital of the world. It is estimated that currently there are 40 million people with diabetes in India and by 2025 this number will swell to 70 million. This would mean every fifth diabetic in the world would be an Indian. 4.Central obesity or apple shape of the body and insulin resistance is the main reason for diabetes increase in Indians 5. Diabetes causes 6 deaths every minute and one in 20 deaths in the world is due to the condition. Every year it is estimated that 3.2 million people in the world die due to the diabetes or its related causes. 6. Diabetes is an important 'silent killer disease' as there is usually no early symptom of the disease. The commo...

Researchers from Columbia University and Duke University complicated two groups of portly diabetic patients at a sanatorium in New York. 10 people had a sort of gastric alternative route surgery that basically reduces the size of the stomach,and 11 people were put on a despotic diet. People in both groups mislaid from 22 to 26 pounds on average.  Scientists measured and assessed the circulating amino acids and acylcarnitines in the blood of subjects — animal studies have suggested they might be related to insulin resistance. (Amino acids are the office building blocks of proteins; acylcarnitines are oily acids that have held to carnitine ). And truly they found a significant decrease in “branched chain” amino acids inside of a month amid the patients who had weight-loss surgery. But even after two months, the patients on dietary involvement had really small or no change in branched-chain amino acids.This WebMD story offers a fuller mural of the research. Essentiall...

When you're living with diabetes, what you can't feel can still hurt you. This is especially true when it comes to your feet and the nerve damage you may be suffering. If you've just learned you have diabetes, you should arrange to meet with a podiatrist and talk about the importance of foot care, say experts Erika M. Schwartz, DPM, a spokesperson for the American Podiatric Medical Association (APMA) and Dr. David G. Armstrong, a podiatric surgeon and professor at the University of Arizona's Department of Surgery. Here, help for sidestepping the foot pain complications of diabetes. People with nerve damage should avoid wearing sandals with straps that weave between the toes, or those that place pressure against the foot. Q. When it comes to foot care, what is the first thing ...

A person with some or all of the following listed health risk factors may never develop type 2 diabetes. However, the latest medical findings show that the chances of getting type 2 diabetes increase the more health risk factors you have. * A family history of diabetes . If a parent or sibling in your family has diabetes, your risk of developing type 2 diabetes increases. * Age over 45. The chance of getting type 2 diabetes increases with age. * Race or ethnic background . The risk of type 2 diabetes is greater in Hispanics, blacks, Native Americans, and Asians. * Metabolic syndrome (also called insulin resistance syndrome) * Being overweight . If you are overweight, defined as a body mass index (BMI) greater than 25, you're at higher risk of type 2 diabetes. * Hypertension. High blood pressure increases the risk of developing type 2 diabetes. * Abnormal cholesterol levels. HDL ("good") cholesterol levels under 35 mg/dL (milligrams per decil...

Today is World Kidney Day (WKD). The purpose of celebrating such kind of evet is, to create awareness in people regarding the end stage or chronic renal disease and its causes, sign and symtoms and how to deal with it. Half of the patients suffering CRF are not even aware of it. Half the patients who are knowing about it are not taking medications. Half of the patients who are taking medications are not following the life style changes advised. Nearly half of the patients of CRF are suffering due to diabtes and hypertension The focus of the WKD 2009 campaign is to: • Raise awareness about our “amazing kidneys” and stress the importance of early and comprehensive screening for people at risk of kidney disease. • Highlight that high blood pressure is a key risk factor for chronic kidney disease (CKD). Better blood pressure control slows the progression of CKD, and makes it less likely that a patient will require dialysis or suffer from heart or other cardiovascular diseases. • Educate al...