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Generally the treatment of Diabetes commences as just Diet Control. Subsequently progressing to use of anti-diabetic medication (tablet) in incremental doses, from only 1/2 tablet per day to multiple doses of the same tablet or combination of different generics.

Enter the Insulin:
You cannot be insulated from Insulin for a long time. When the need arises, the needle comes forth.

This can be depicted as follows -
Pancreas = Bank
Money = Insulin
Tablets = Checks/Pay Orders

When you have enough money (Insulin), you make merry just popping a few pills now and then. But when the deposit dissolves, bankruptcy looms large, calling for external funds (Insulin Injections). Balance the book (Maintain insulin levels) to prevent insolvency. Accept the reality or reserve a seat in Heaven.........or Hell (wherever you fit in). Health is paramount, all else is nil account. Ok, count on...

yours truly,
Dr.Ravindranath

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If life is like Mahabharatha, a Diabetic is akin to Draupadi. As the disease progresses, the diabetic develops many complications, which can be depicted like her five consorts, the Pancha Pandavas.

1. Neuropathy - Affliction of Nerves
2. Retinopathy - The diminishing vision
3. Nephropathy - The progressive Kidney damage
4. Cardiopathy - The weakening heart and its portals, the blood vessels
5. Myopathy - The enfeebled muscles

Unfortunately none of the Pathys (Husband) can be divorced. So learn to live with them amicably
, yet keeping them in check, without going into Agnyadha-vasa.

yours truly,
Dr.Ravindranath

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“Wounds that don't heal
Nerves that don't feel.
No food I can eat at ease
What a disease I have” -- Diabetes!

Specialists call me by another name like Tripathy
As I induce painless or painful nerves, Neuropathy
And also vandalise the vast vascular network, Vasculopathy
Before I damage the camera of the eye, Retinopathy.

It is not due to what you eat, katta or meeta,
But as your lifeboat wrecks on the Islets of Langerhans
Even though you feel secure with the insulin of Best & Banting
Alas! the ultimate cure is still wanting!

As all your diet fails, you put on tablet
Your therapist says 'take it' or order your 'stone tablet'
As the needle-less therapy still cannot prevent you becoming lean
You lean on needle therapy with insulin, from which you may not wean.

Makes me pee all day & night putting me at stand-at-ease
No more about-turn once I develop hypertensive disease
The 'Nephro' says “No more kidding with your kidney”
Beg, borrow or steal to live on with your kith or kin's kidney”.

As the moiety forms the callous cataract
With the society - you fail to interact
All the afflictions of the errant eye
If you don't care, may bid a permanent bye!

You ask your Queen of hearts for some more tart
“Risk not dear, No more of them” comes the reply so curt.
Even as your ego takes the beating with the hurt
Odd becomes the arrhythmic beating of your heart.

As you cannot 'rise to the occasion' and vex
The urge ushers you to the sentinels of specialist in sex!
Waxing and waning of the velocity of your life's Niagara
Calls on you to fall on the pellets of Viagra!

When all the faltering organs invite diabetic coma
Your soul plays dilly-dallying within your soma.
Even as you recollect all the deeds of your karma
There comes the 'appointed time' with Yamadharma.

Initiated by the ineptitude & apathy, failing to gain sympathy
You wander hither - thither from naturopathy to homeopathy
If all your pathys cannot be allayed even by Allopathy
You become their prey or pray Venkatachalapathy!

____________________
yours truly,
Dr.R.Ravindranath M.D.
Diabetes & Heart Care Clinic

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