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Dr. Dina Shrestha

Dr. Dina Shrestha is the President of Diabetes and Endocrine Association of Nepal and Vice President of South Asian Federation of Endocrine Society. She also works with Norvic International Hospital and Sidhi Poly Clinic as Endocrinologist Consultant. Excerpts from a short interview with her:

What are the types of diabetes, how are they different?
There are mainly three types of diabetes. They are Type 1, type 2 gestational and secondary. Age, family history cause treatment everything is different accordingly.
Type 1 DM can affect children or adults, but was traditionally termed “juvenile diabetes” because a majority of these diabetes cases were in children.
Type 2 DM is the most common type of diabetes mellitus. A number of lifestyle factors are known to be important to the development of type 2 DM, including obesity, lack of physical activity, poor diet, stress, and urbanization.
Gestational diabetes mellitus (GDM) resembles type 2 DM in several respects, involving a combination of relatively inadequate insulin secretion and responsiveness. It occurs in about 2–10% of all pregnancies and may improve or disappear after delivery.

Diabetes is a lifestyles disease how can it be prevented?
Education, exercise and diet control with stress management can help.

Does diet modification alone help?
A little.

Especially for women what are its symptoms? What is the treatment and methodology?
Can be classic. Too much hunger, too much thirst, too much urination and weight loss. Or tingly feet, un-healing wounds, urine infections and blurred vision should be addressed.

What are the complications if left untreated?
Short term coma and even death, long term blindness, heart disease, stroke, kidney failure.