Sehat Mand Pakistan - Episode 18 | Shan e Ramzan 2025 | ARY Qtv
Host: Salman Gul
Guest: Dr. Asher Fawwad
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Host: Salman Gul
Guest: Dr. Asher Fawwad
#SehatMandPakistan #ShaneRamzan #aryqtv
Join ARY Qtv on WhatsApp ➡️ https://bit.ly/3Qn5cym
Subscribe Here ➡️ https://www.youtube.com/ARYQtvofficial
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LifestyleTranscript
00:00Brought to you by
00:30Welcome to Pakistan ARYB Global Initiative
00:33Affordable and Accessible Health and Preventive Care Program
00:37You can register with us
00:39God willing, we will take care of you
00:41There is a huge team of doctors
00:44who are our global partners
00:46There are labs, hospitals, medical sectors
00:50There are renowned doctors
00:52who will take care of you and guide you
00:55They will tell you what you need to do
00:57and what you don't need to do
00:59So let's welcome our guest today
01:01Prof. Dr. Ashar Fawad
01:04He is a diabetic doctor with more than 25 years of experience
01:09He has done a lot of research
01:12He is also associated with Bakai Medical University
01:14Bakai Diabetes Center BIDE and DAP
01:19Prof. Fawad, Ashar Fawad
01:21Dean, Director, Research Consultant, Diabologist
01:24and serving as Joint Secretary
01:28Insulin My Life
01:30Insulin Glucometer for more than 3,500 young people
01:35You have been providing this for the past 15 years
01:39There are strips with it
01:41Yes, there are strips
01:43You have been providing this for the past 15 years
01:46You are providing free treatment
01:47For more than 3,500 young people
01:52You are providing this for free
01:54May Allah accept your services
01:56You are the author of more than 180 international articles
02:01You are associated with many international institutions
02:05You have represented Pakistan all over the world
02:08Sir, thank you very much
02:10Dr. Ashar Fawad, welcome again
02:13Let's start today's program with you
02:16Motivate people again with this initiative
02:21I would like to tell you that our team of doctors is available from 12 am to 5 pm
02:26You can call us on the helpline whenever you want
02:28You can talk to the doctor and share your problems
02:30In Ramadan Mubarak
02:31There is a special 5-hour period for you
02:34In which the doctor is available
02:35You can call us free of cost
02:37There are no charges and no appointments
02:39Let's start with Dr. Ashar Fawad
02:41Yes, doctor
02:42Thank you very much
02:43I would like to say this for Sehatman Pakistan
02:46Everyone says that this is an exact share
02:49But I don't remember
02:50I am so weak in the matter of shares
02:53Everyone says what the country has given us
02:57But no one thinks what I have given to the country
03:01So in your capacity, whatever you can give
03:04You give to your country
03:06And definitely we have problems and problems
03:11But still we can manage
03:13If individual capacity
03:15Then combine it
03:17Now I am coming from a meeting
03:20Pakistan is one of the few countries in this region
03:24Where there is a tradition of doing research together
03:28Means people are like-minded
03:30So the basis of health and care is evidence
03:35For example, how much is needed at one place
03:40If you keep any feast, you take an estimate of it
03:43So in the same way, estimated numbers
03:45And then keep cost-effective medicines
03:48Because you know that our people are middle and low income
03:51And you say that without fees
03:53So it's just a matter of prayers
03:55Whatever you get, God willing
03:57And we are always at your disposal
04:00Whenever you say, we are available for you
04:03Thank you very much
04:05You have made yourself available
04:07It is a noble cause for this cause
04:09Making Pakistan healthy is obviously a big mission
04:12And if you are together, it will be easy
04:14You can also call us live
04:16You can call us whenever you want
04:18Dr. Ashar Fawad is sitting here
04:20Who is a renowned diabetic doctor
04:23And if you want
04:24If you have any question or query about diabetes
04:27You must include it in the program
04:29Dr. Ashar Fawad will answer you live
04:31So Dr. Fawad, how is diabetes sugar in children
04:34Different from diabetes sugar in adults?
04:37This point, topic is very important
04:40And the time is coming
04:42In the 60s, 70s, 50s
04:46We read in the book that diabetes starts at the age of 50-40
04:51Now the normal diabetes, which we call type 2 diabetes
04:55Which starts with pills
04:57We have started seeing it at the age of 20
05:00So now diabetes is falling in two categories in children
05:04Type 1 diabetes, which you were talking about
05:08Type 2 diabetes
05:10In type 1 diabetes, it is very clear
05:12That the child is thin from the beginning
05:14Family history is not important
05:17And very soon the child gets symptomatic
05:19And the treatment starts with insulin
05:21In type 2 diabetes, the child starts with obesity
05:24And symptoms come
05:26And then pills and lifestyle modification
05:30So here it is very important for our doctors to differentiate
05:34That if there is family history
05:36If there is obesity
05:37If there are other risk factors
05:39Screen the child for type 2 diabetes from now
05:41Here I will give a reference
05:43Of my 15 years old research
05:46In which we judged in schools
05:48That their cholesterol, diabetes levels
05:51Were already at higher quartiles
05:53And they were below 10th class
05:56So here you think
05:58What is the condition of children
06:00And we are happy to see
06:03That our child is healthy
06:05But it is not like a health
06:08Yes, the child is metabolically healthy
06:10Now the children think
06:12That the overall dietary habits of the house should be changed
06:17They should be put on physical activity
06:19Their screen time should be reduced
06:21There should be positive physical habits in their schools
06:24Checking should be done
06:25These are all things
06:26So the diabetes of children is very different from that of adults
06:29One last point
06:30That this duration of exposure is very high
06:33Someone got it in 50 years
06:35And was 70 years old
06:36So the exposure was 20 years
06:37Here I am giving an example of 20 to 70 years
06:40So diabetes has 50 years
06:42To trouble you
06:44To complicate you
06:46And that complication
06:47How much resource Pakistan will take
06:50You can't imagine
06:52We did only one study
06:53On diabetic foot
06:55Only on that one disease
06:57The budget required
06:59Even if Pakistan's entire health budget is spent on it
07:01It is still not enough
07:02Absolutely right
07:03So you told us about early diabetes
07:06Can early stage diabetes sugar be controlled with diet alone
07:10Or medication is also necessary
07:12It depends
07:15Nowadays there is a lot of awareness
07:17And families come to us
07:19To get their children tested
07:21Or their siblings
07:23So if early diabetes is diagnosed
07:26On an impaired level
07:27Or on the level of obesity
07:29We use a term
07:30High insulin levels
07:32So on that level
07:33It can be stopped on lifestyle modification
07:36But I talked about it in the last program
07:38That we have to observe
07:40There are responders
07:42There are a lot of people
07:43Who can't respond
07:45Only to lifestyle
07:46So there are drugs for them
07:48They are safe drugs
07:49They can be monitored
07:51What is the purpose?
07:52To prevent diabetes
07:55So whatever measures can be taken
07:58Asians will have their own guidelines
08:00Next month
08:02There will be a board for guidelines
08:06In which
08:07How to prevent diabetes in Asia
08:09Absolutely right
08:10So tell me
08:12How can we assess
08:14Obesity in children
08:17How can we prevent it
08:21Before the time
08:22And what special considerations are needed
08:25If a child is diagnosed with diabetes
08:29Okay
08:30First let's talk about obesity
08:31So now if we
08:33Sir
08:34Let me take a call
08:35Please
08:36If you
08:37Yes, definitely call
08:38Yes, Assalamualaikum
08:39Walaikumassalam
08:40Yes
08:41I want to tell you
08:42That I am a diabetic patient
08:43For a very long time
08:44Okay
08:45So I abstain
08:47I keep eating sweets
08:49But I don't eat anything
08:51Now
08:52I stopped drinking tea
08:54Because I don't add sugar
08:56If I drink tea in Ramadan
08:58I will get diabetes
08:59So I am telling you
09:00If you add sugar
09:01It won't harm you
09:03She is talking about zero calories
09:04Okay
09:05Okay, let's go
09:06My sister said
09:07You have to hit your heart
09:09So my sister
09:10Hitting your heart
09:11And avoiding complications
09:13If you
09:14Come to see
09:15What are the consequences
09:17Hitting your heart is very good
09:19And Inshallah
09:20It is our faith
09:21Hitting your heart is better than hitting yourself
09:22Hitting yourself
09:23And before hitting yourself
09:24There is a time period of complications
09:27One is on and off
09:28That you
09:29Went
09:30And the matter is over
09:31This doesn't happen in diabetes
09:33In diabetes
09:34There are complications
09:35For a very long period
09:36Of dialysis
09:37Of heart attack
09:38And avoiding that
09:39Inshallah
09:40So
09:41Your main question is
09:42Zero
09:43Alternatives
09:44Yes
09:45There is something
09:46Based on aspartame
09:47Which has
09:48Some concerns
09:49So now
09:50There are some natural products
09:51I think
09:52I can safely name
09:53Stevia based
09:54Which
09:55You can use
09:56You can use
09:57Absolutely
09:58But again
09:59Water
10:00There is a
10:01Famous saying
10:02That a wise person's drink
10:03Is water
10:04Absolutely
10:05So if
10:06You want to use
10:07Any other drink
10:08Then you can make
10:09Curd milk lassi
10:10So
10:11You won't need
10:12Without sugar
10:13Without sugar
10:14Absolutely
10:15Tell me
10:16What I asked
10:17In the early stage
10:18Obesity
10:19And diabetes
10:20How to prevent it
10:21If we talk about obesity
10:22We just did
10:23National Diabetes Survey
10:24Of Pakistan
10:25Ministry of Health
10:26And all
10:27The main people
10:28Were on board
10:29So in short
10:30In our country
10:31Prevalence of obesity
10:32Is three-fourth
10:33Which
10:34Is in adults
10:35Similarly
10:36In children
10:37We did
10:38Surveys in small areas
10:39So
10:40In our country
10:41Obesity
10:42Prevails more than
10:4370-80%
10:44So
10:45What will be
10:46Its impact
10:47That later on
10:48These diseases
10:49Blood pressure
10:50Diabetes
10:51Hypertension
10:52They have to go ahead
10:53So how to prevent it
10:54That
10:55A poor kid
10:56A middle class kid
10:57And a rich kid
10:58They have to change
10:59Their whole lifestyle
11:00If they want to eat
11:01They can eat at home
11:02Whatever they like
11:03Sometimes
11:04They want to eat
11:05Barbecue
11:06Sometimes
11:07They want to eat
11:08Something else
11:09But
11:10Overall
11:11They should eat healthy
11:12They should not eat
11:13Fried items
11:14Outside things
11:15They should not eat junk food
11:16And the most important thing
11:17They should do physical sports
11:18Our screen time
11:19Has increased a lot
11:20We are not physically
11:21Active anymore
11:22So
12:23There is no
12:24Time to go
12:25Nothing to worry
12:26We just need
12:27Proper treatment
12:28Absolutely
12:29Okay
12:30Doctor
12:31Please tell me
12:32In a
12:33Childhood
12:34How can
12:35Education
12:36Play its role
12:37How to manage
12:38Diabetes
12:39What role
12:40Should teachers
12:41Play
12:42In this
12:43In what way
12:44According to me
12:45The role
12:46Of teachers
12:47In children
12:48Is very important
12:49And in this
12:50I request
12:51At my level
12:52Because
12:53I am a dean
12:54So I design
12:55The curriculum
12:56Of what children
12:57Should be taught
12:58At the university level
12:59So right from
13:00The school level
13:01About these
13:02Diseases
13:03According to their
13:04Level
13:05Then
13:06According to
13:07Their safety
13:08According to
13:09Their healthy
13:10Lifestyle
13:11They should
13:12Be informed
13:13And this
13:14Is the job
13:15Of teachers
13:16To involve
13:17Them in
13:18Different activities
13:19And then
13:20This should
13:21Go on
13:22And
13:23This
13:24Should
13:25Go on
13:26And
13:27If
13:28This
13:29Should
13:30Go on
13:31Then
13:32They
13:33Should
13:34Be
13:35Informed
13:36About
13:37This
13:38And
13:39At
13:40The
13:41University
13:42Level
13:43They
13:44Should
13:45Be
13:46Informed
13:47About
13:48This
13:49And
13:50I have taken medicines but I am not getting any relief.
13:56Do you have back pain and on the left side?
13:59No, on the opposite hand.
14:01You have pain on the opposite hand and on the back.
14:03You have taken medicines but you are not getting any relief.
14:05Doctor, would you like to ask anything?
14:06Yes.
14:07Yes, absolutely.
14:08My specialty is diabetes but we become physicians first.
14:13So, my advice is that if this back pain is associated with other symptoms,
14:19it can be a renal cause for which you will have to get an ultrasound done,
14:23urine test done and if it is muscular,
14:26then you will have to treat the simple muscular stretch with physiotherapy and muscle relaxation.
14:30But diagnosis is important.
14:32Diagnosis is important because until it is diagnosed, it will not be diagnosed.
14:37We have another caller with us.
14:38Yes, Assalamu Alaikum.
14:39Hello.
14:40Yes, Assalamu Alaikum.
14:41Yes, Assalamu Alaikum.
14:42Yes, Assalamu Alaikum.
14:43Yes, how are you?
14:44I am calling from Prof. Tahir Rehmi Khan.
14:48Yes, Sir.
14:49I am a sugar patient and I take insulin.
14:52Right.
14:53Alhamdulillah, I am fasting too.
14:54Okay.
14:55Now, it is happening like this,
14:59the amount of sugar I took in the morning and evening,
15:03I take it once in the night, 10 units.
15:06Okay.
15:07When I take 10 units, my sugar level is getting low.
15:11Sugar is getting low.
15:12Now, I am seeing 100 in the evening,
15:16it is 110 in the afternoon.
15:19Okay.
15:20So, in this way, I would like to ask Dr. Sir,
15:24should we keep it low to do it ourselves,
15:30should we keep reducing insulin,
15:33other sweet things, I take sugar.
15:37Okay, I will answer.
15:38I am taking sugar.
15:39Okay.
15:40See, there are many factors in this.
15:42In the case of long diabetes,
15:44insulin goes out of the body late.
15:48And especially in the case of fasting,
15:50our Diabetes and Ramadan Study Hajj group,
15:53they are active in Pakistan,
15:55they have made guidelines,
15:57that you have to adjust insulin and dose before fasting.
16:01If this dose has been adjusted,
16:03then there are no such problems.
16:05Still, in short, I can give them this guideline,
16:07what I feel is that,
16:09if they are feeling low,
16:11I said last time also,
16:13what are the terms of low,
16:14people do not know,
16:15that they are saying low to 100,
16:17they are saying low to 120.
16:19So, check this thing,
16:21and until you are not getting safe,
16:26do not use insulin,
16:28and do monitoring only.
16:30If the readings go above 200,
16:32then use insulin.
16:34And do all your basic tests,
16:36with your doctor.
16:38Because there are 2-3 things,
16:40I do not want to say on this platform right now,
16:42they can be very concerning,
16:44that a person who is using insulin,
16:47and his insulin requirement decreases,
16:50then it might be something noticeable,
16:52which his doctor will have to see.
16:54Thank you so much, Dr.
16:55You came and answered a lot of things.
16:57We had a good time with you.
17:00I salute you for your services.
17:03And do come,
17:05so that the service of this Ummah,
17:07continues in the holy month of Ramadan.
17:09I would like to tell you,
17:10that daily from 12 noon to 5 pm,
17:13our helplines,
17:14which you can see on the television screen,
17:16through that,
17:18you can directly talk to the doctors,
17:22and whatever your concern is,
17:24you can tell the doctors.
17:26If you have to adjust your sugar,
17:28or check the insulin dose,
17:30or adjust it,
17:31or change it,
17:32then you can directly call,
17:34and whatever the situation is,
17:36whatever the complications are,
17:37whatever the problems are with you,
17:39you can directly tell the doctor.
17:40Contact us.
17:41Sehatman Pakistan,
17:43will take care of you.
17:45021-111-000162
17:49is our helpline.
17:50Your health is at a call distance.
17:53Come and connect with us.
17:54Daily from 12 noon to 5 pm,
17:57you can call us anytime,
17:59and talk to the doctors.
18:01We would like to thank our partners,
18:03in this initiative,
18:04that is,
18:05Sehatman Pakistan,
18:06which is a global partner of RYB Global,
18:08which includes health partners,
18:09Advanced Labs,
18:10Dental Partners,
18:11Modern Clinics,
18:12and Takaful Insurance Partners,
18:14of United Insurance.
18:16If you are also from the medical sector,
18:18like Doctors, Labs,
18:20or any medical field,
18:22then you can be our partner,
18:24in this initiative,
18:26in this mission.
18:27You can be our help.
18:29Contact us on our helpline,
18:31and there are WhatsApp numbers as well.
18:32Register,
18:33and take care of your health.
18:34After the break,
18:35InshaAllah,
18:36we will meet you,
18:37with the respected Ulema of Pakistan.
18:39May Allah bless you.
18:52For more information, visit www.fema.org