“DO NOT START  INSULIN IN TYPE II  DIABETES”
I Request All Physician To Stand Over My Views Writen to International Forum, London 2019:-
AUTHOR:-DR PREMANIDHI PANDA,
M.D(MED),HON PhD IN DIABETES(USA),MRCP,FRCP
DIRECTOR,Prof. Panda DIABETES INSTITUTE( INDIA)
DO NOT START INSULIN INITIALLY IN TYPE II DIABETES,THIS SPEECH IN "DUBAI" GAVE ME "BEST SPEAKER AWARD:-2015".MY SPEECH THRILLED THE WORLD FOR WHICH I HAVE BEEN INVITED BY FIVE COUNTRY
EARLY INSULIN THERAPY I DIFFERED IN TYPE II DIABETES
I am requesting all the physician of the world not to start insulin initially in type ii diabetes as EIT I defered as because:-
(1)Insulin Word makes a patient panic
(2)Hypoglycemia
(3)Obesity
(4)Insulin Resistance
(5)All most 90% Patients are under OHD. Even i am taking for last 17years with triple combination. My HBA1C 5.7 to 5.8.
(6)My opinion when HBA1C >7.0 We have to add Long acting Basal Insulin.
(7)I HAVE CHANGED FROM INSULIN TO OHD MORE THAN 2000PATIENTS ALL ARE WELL AND GOOD.
(8)INCREASE IN TG LEVEL
(9)INSULIN VS OHD BETA CELL FAILURE NO EFFECT.AS IT IS AUTOIMMUNE DISEASE.
(10) Insulin may increase ESRD risk in type 2 diabetes, study finds(VERY IMPORTANT)
Type 2 diabetes patients who were insulin users had an increased risk of end-stage renal disease, regardless of their A1C levels, compared with those not taking the drug, according to a study presented at an American Society of Nephrology meeting. Researchers used a cohort of 188,544 US veterans with type 2 diabetes.Recent study shows.
MY VIEW INSULIN THERAPY IN TYPE II DIABETES:- Six conditions in type II diabetes.
• (1)In Type II Diabetes when maximum oral hypoglycimic drug does not work.
• (2)You are having infection.
• (3)You are undergoing surgery.
• (4)When target organs involved(BRAIN,HEART,KIDNRY,NERVES)
• (5)Fulminating Conditions.
• (6)Gestational Diabetes