• 6 hours ago
Sehat Mand Pakistan - Episode 8

Naimat e Iftar | Shan e Ramzan | ARY Qtv

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Transcript
00:00Brought to you by
00:02Aao Milkar Manai Pakistan
00:04An initiative of
00:06ARYP Global
00:30Welcome to
00:32Healthy Pakistan
00:34Healthy Pakistan
00:36is providing you
00:38complete health checkup
00:40in which BMI, Cholesterol
00:42and other dangerous factors
00:44as well as general health
00:46risk analysis is included
00:48along with this you will be given
00:50a special precautionary plan
00:52so that you can live a healthy life
00:54and every 3 months
00:56you will be followed up
00:58for a health checkup
01:00a pre-test will be arranged
01:02a program which will take
01:04a lot of care of your health
01:06the sooner you start taking care of your health
01:08the more chances you will have
01:10that your heart will be healthy
01:12for the rest of your life
01:14and it will be, God willing
01:16to become a part of this program
01:18our whatsapp number is on the screen
01:20please come and register
01:22it is an affordable preventive care program
01:24it is a health program
01:26you will get all the benefits
01:28we think it is a small problem
01:30it will pass
01:32but when it increases
01:34it is not a problem
01:36so before that time comes
01:38be careful
01:40and to keep yourself fit
01:42give yourself to us
01:44we will try our best
01:46to keep you super fit
01:48God willing you will be healthy
01:50healthy Pakistan
01:52energetic Pakistan
01:54God willing
01:56we have with us today's guest
01:58Prof. Dr. Ashar Fawad
02:00Prof. Dr. Ashar Fawad
02:02has more than 20 years of experience
02:04he is an expert in diabetes
02:06he is a researcher and consultant
02:08he is a diabologist
02:10and he is the Dean of
02:12Baqai Medical University
02:14he is the Director Research
02:16and Joint Secretary
02:18in Pakistan
02:20he is the founder of
02:22National Diabetes Survey
02:24IML
02:26Insuline My Life
02:28more than 3500
02:30type 1 diabetes patients
02:32are being provided
02:34free treatment
02:36he has written more than
02:38180 research articles
02:40and is associated
02:42with many international institutions
02:44Welcome to Sehatman Pakistan
02:46Thank you
02:48for a nice introduction
02:50Thank you for providing this platform
02:52Alhamdulillah, you are always welcome
02:54and it is a pleasure for us
02:56that you are with us
02:58and giving us time
03:00and such a big personality is with us
03:02so we should take advantage
03:04and you are already an informed person
03:06Quran has said you are the best person
03:08who has benefitted people
03:10May Allah be pleased with you
03:12and may your ranks be high
03:14you can call us live
03:16if any diabetes patient is watching us
03:18you can call us anytime
03:20we will answer your questions
03:22and give you expert advice
03:24we have a caller with us
03:26Assalamu Alaikum
03:28How are you?
03:30I am fine
03:32I am fine
03:34I am fine
03:36I am fine
03:38I am fine
03:40I am fine
03:42I am fine
03:44I am fine
03:46Assalamu Alaikum
03:48Walaikum Assalam
03:50What is your question?
03:52Sir, I am 72 years old
03:5472 years, alright
03:56Yes, I am 72 years old
03:58My sugar level
04:00lowers after 2 hours
04:02I eat and it lowers
04:04Are you a diabetic patient?
04:06Are you a diabetic patient?
04:08Sorry?
04:10Are you a diabetic patient?
04:12I don't use any medicine
04:14I only use sugar and dates
04:16I only use sugar and dates
04:18because it lowers
04:20Because it lowers
04:22Is this diabetic patient or not?
04:24I think you have diabetes
04:26Does it lowers after 2 hours?
04:28Does it lowers after 2 hours?
04:30It lowers
04:32Alright
04:34Doctor will tell you
04:36The question is
04:38Why does sugar lowers after 2 hours?
04:40Your age group
04:42Your age group
04:44Your age group
04:46Your age group
04:48Your age group
04:50Your age group
04:52Your age group
04:54Your age group
04:56Your age group
04:58Your age group
05:00Your age group
05:02Your age group
05:04Your age group
05:06Your age group
05:08Your age group
05:10Below is called low, which is dangerous and should be taken.
05:15Above 100, normal food should be taken and then rest.
05:19But considering his age, he should review his medicines with his knowledge and get his tests done.
05:26Absolutely right.
05:27Doctor, I have a couple of questions.
05:30I also have a question which is a question of common sense.
05:34What should be the diet of diabetic patients in Sehri?
05:37If they are fasting,
05:39should there be a diet which is consistent throughout the day
05:43and the blood sugar level should also be maintained?
05:47Look, it is very clear that the diet plan should be individualized.
05:52First of all, I would like to give this message.
05:54If it comes that you have to take this or not, then this is not right.
05:59So, what is the age, what is the gender, what are the requirements, comorbidities,
06:03I mean, what else is there, blood pressure is 7, cholesterol is 7.
06:07So, if we talk about Sehri for that particular thing,
06:10if it is only diabetes, then we advise them to take a good protein diet.
06:15I mean, there should be egg, chicken, mince, roti and sometimes if there is no other risk factor,
06:21then paratha is also allowed, milk, curd.
06:24So, if we look at the calorie count,
06:26then according to the whole day,
06:29almost half or one third of it will be given,
06:34but it will be given in the form of protein so that it stays throughout the day.
06:39Absolutely right. There is one more caller, we will include him.
06:41Assalamualaikum.
06:42Waalaikumassalam.
06:43Yes, what is the question?
06:45The question is from Dr. Sir that,
06:47there is a sugar test, HbA1c test,
06:51its borderline is 6 or 5.7?
06:55Absolutely right.
06:56The second question is that,
06:57there is sugar in my family, my brother has sugar,
07:00so my BMI is more, my weight is 84,
07:05so the HbA1c that I used to get,
07:09earlier it used to be 5.7, 5.9,
07:11I have started diet restriction, so it is 5.3, 5.4.
07:15So, the query from Dr. Sir is that,
07:17should we continue the diet restriction or should we do some other test,
07:21or what is the advice of Dr. Sir?
07:23So, these two questions.
07:24Yes, Dr. Sir.
07:25Yes, absolutely,
07:26it is a common scenario,
07:28and nowadays,
07:29because awareness is increasing,
07:30so people are doing it themselves.
07:32But, I would like to give this message very clearly from this platform that,
07:35HbA1c is not a diagnostic test in our scenario.
07:39Okay.
07:40So, this is a prognostic test,
07:42that is to see the progress after diabetes.
07:44Okay.
07:45So, the common people who want to know that,
07:48whether I have diabetes or not,
07:50so ideally,
07:51it should go only on fasting plasma glucose,
07:53that is on normal sugar.
07:55Okay.
07:56So, the scenario that he has told,
07:58they will have to continue on diet, definitely.
08:01Most likely, he is falling in the impaired,
08:03that is the borderline category,
08:05and then,
08:06there are more tests,
08:07lipid profile will also be there,
08:09like BMI is more,
08:10so diet plan will be made,
08:12and sometimes,
08:13for long term protection,
08:16some medicines are also available,
08:19which can be advised.
08:20Absolutely right.
08:21Absolutely right.
08:22You register us,
08:24and become a part of Healthy Pakistan,
08:26so that,
08:27there is a big group of talented and genius doctors,
08:33who will guide you,
08:35will provide awareness,
08:36that what you need now,
08:38and what you may need in future.
08:40Our number,
08:41WhatsApp,
08:42I will tell you,
08:430333
08:44166
08:45981
08:47You register on this,
08:48and forward this number to people,
08:50give this number to your friends and family network,
08:53if you want to take care of their health,
08:55if you are honest with them,
08:56if you are loyal,
08:57if you want them to be healthy,
08:58you should also be healthy,
08:59then Healthy Pakistan is an affordable health plan,
09:02which will tell you,
09:03after every 3 months,
09:04what is the deficiency,
09:05what is the excess,
09:06and what needs to be done.
09:08Doctor Sir,
09:09one more question,
09:10in Iftar,
09:11in Sehri,
09:12in Iftar,
09:13what should be the diet of diabetic patients,
09:14after 12,
09:1513,
09:1614,
09:1715 hours fasting?
09:18Right,
09:19see,
09:20the most important thing in this is,
09:21the reaction of the patient,
09:22after taking so many hours of fasting,
09:25Doctor Sir,
09:26sorry to interrupt,
09:27can I take a caller?
09:28Yes,
09:29take a caller first,
09:30it is more important.
09:31Assalam-o-Alaikum
09:32Assalam-o-Alaikum
09:33Assalam-o-Alaikum
09:34Assalam-o-Alaikum
09:35Son,
09:36I also want to say,
09:37I also have diabetes,
09:38for 10-12 years,
09:39and my age is 45,
09:40and son,
09:41the problem is,
09:42the diabetes I get from Nihar,
09:43goes up to 70,
09:44and the problem is,
09:45the diabetes I get from Nihar,
09:46goes up to 70,
09:47and the problem is,
09:48the diabetes I get from Nihar,
09:49goes up to 70,
09:50and the problem is,
09:51that after eating food,
09:52once I take care of it,
09:53sometimes it goes up to 60,
09:54and sometimes get fixed in 60.
09:55I also wanted to know it,
09:56I told him.
09:57But now,
09:58now the issue with my diabetes is this,
09:59that when someone gives me,
10:00let me take also,
10:01with light food,
10:02like anything,
10:03then my stomach gets over-over,
10:04the job is over,
10:05so I face lot of separation.
10:06So I got a sharp test done,
10:09that if my gums are having
10:12any sort of problem,
10:16I do not want that test,
10:18lets see if there is anything else.
10:19I
11:49Now coming back to
11:51The first caller you don't make Western Kia on KSAT multiple more problems lagging in the high blood glucose
11:58Konichiwa, Nikolai Unka liver
12:01unkay stomach or
12:03kidneys in sub K test and ultrasounds who opt in physician just a report
12:08Carver a and in say large Carver a or you do high glucose level in a yammy
12:13Yes, I lent Lee Dima key Taranja Rauta and
12:17How many say we feel or out a giver's meda disturb a yet or a weakness a is Kofori towards your day or checking?
12:24Karka foreign doctor sir after Karka according to the test a bugger insulin is over at the end of our insulin
12:30Don't know key to school I just carvalho
12:32Third point yo-yo, so I'm gonna charge a while back
12:35I won't numbness a diabetic neuropathy just to get a give us to know Jatia so diabetes duration
12:41Along with the amputation, it also affects the nerves.
12:44The first problem is diabetes, neuropathy or nerves.
12:48It comes in the feet.
12:49Why is it important to identify it early?
12:52It is the second leading cause of amputation after trauma.
12:57That is, if someone has a loss after an accident,
13:02then diabetes is the main cause,
13:04in which there is a loss of foot and ankle.
13:06So when you don't feel it,
13:08I have seen such cases,
13:09like this is the floor of a mosque,
13:11and it is hot,
13:12one person did not feel it,
13:14he went back and prayed,
13:16so the skin is coming off like a banana.
13:18Allahu Akbar!
13:19The nail that you say,
13:22the nail has gone inside,
13:24the patient does not know,
13:25the person behind is telling,
13:26that it is happening in your foot.
13:28It has become thin.
13:29It has become thin.
13:30This much feeling is lost.
13:31What?
13:32There is another extreme to this,
13:33in which in the morning and at night,
13:35the person is very much in discomfort,
13:37but to detect this early,
13:39this is our primary care physician,
13:41like your Sehatman Pakistan program,
13:44through that,
13:45it can be detected early.
13:46Absolutely right.
13:47Doctor, one more caller.
13:48Yes, please.
13:49Assalamu Alaikum.
13:50Walaikum Assalam.
13:51I am from Chakwal.
13:52Yes.
13:53I wanted to know about sugar,
13:56that my sugar is in fasting 140.
14:01Okay.
14:02Okay, so if I eat something sweet,
14:05then my sugar goes up to 200.
14:08Right.
14:09Or up to 170.
14:10Absolutely right.
14:11So, this work started after my miscarriage,
14:14and in the three months test,
14:16my sugar is 5.8.
14:18Absolutely right.
14:19Okay.
14:20There are two important points in this.
14:23First of all, miscarriage,
14:25means diabetes with pregnancy,
14:27and post-pregnancy.
14:29This is a very important thing,
14:31in which we should have a message,
14:33that diabetes should be screened in every pregnancy.
14:36Absolutely right.
14:37Number one.
14:38The reason for miscarriage is also that,
14:40there is hormonal disturbance,
14:41and diabetes is the leading cause,
14:43that disturbs the hormones.
14:45After miscarriage,
14:46blood glucose level increased.
14:48Now, 140 fasting,
14:49as I said in the last question,
14:51itself is enough to diagnose,
14:53that he is diabetic,
14:54and he needs proper treatment,
14:56at least lifestyle modification,
14:58and most of the times,
14:59drug should be given,
15:00because now,
15:01Masha Allah,
15:02child bearing age is going on,
15:04so there will be pregnancy in future also.
15:06The second thing is,
15:07HbA1c 5.8.
15:08Here, I will talk,
15:09by linking it with my first question,
15:11that we don't have standardization of care.
15:14Absolutely.
15:15So, the labs,
15:16unfortunately,
15:17I am not saying this to everyone,
15:18there is a very good work being done.
15:19For example,
15:20the lab associated with Sehatman Pakistan,
15:22they do HbA1c in a standardized way.
15:25So, every HbA1c 5.8,
15:27is not the same.
15:28Means, it is not the same.
15:30Absolutely.
15:31So, you have to do it in a standardized way,
15:33from a good place,
15:34and as a whole,
15:36you have to approach it.
15:37Ideally, she should consult,
15:39some good physician or diabetologist.
15:41Alright, Doctor,
15:42thank you so much,
15:43that you joined us today,
15:44and in a very short time,
15:45our knowledge also increased,
15:47and you also helped people.
15:49May Allah give you more blessings,
15:52and help people.
15:53Our WhatsApp numbers are present on your screen,
15:56whose questions are left,
15:58or any questions related to health diseases,
16:01or any personal diseases,
16:03in your surroundings,
16:04you can call us anytime,
16:06from anywhere,
16:07we are present here 24x7 for you,
16:10we will also answer your questions.
16:12Register your name, city,
16:14mobile number 0333 166981,
16:18and join us.
16:20Become a part of Sehatman Pakistan.
16:22After the break,
16:23InshaAllah,
16:24we will meet you,
16:25and meet you with Aqabir Sahiba.
16:28Assalamualaikum Warahmatullahi Wabarakatuh.

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