From 500 ml soft drinks daily to regular walk, diet change: Doctor shares diabetes patient’s incredible transformation journey

Diabetic Dr Rahul Baxi shared a very interesting case on the microblogging platform Twitter.

On October 19, Dr Baxi shared the lipid profile of a 30-year-old man newly diagnosed with the disease. Diabetes, afterward. The lipid report shows a person’s triglyceride level of 3352.4, which is several times higher than the normal and acceptable level of triglycerides in the body. While the overall cholesterol level was 440.7, more than double the desired level, the levels of low-density lipoprotein or LDL and high-density lipoprotein or HDL were less.

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500 ml cold drink daily!
It was the patient’s diet that drew the attention of netizens. He consumes 500 ml of cold drinks per day; and even more if someone else is with him.

“30 years, USA

Newly diagnosed diabetes

Breakfast – order dosa or medu vada or vada pav

Lunch and dinner – “I love Chinese food, always buy from outside. I also like Thums Up”

“How much, 300 ml?”

“No, 500 ml or 1 L if someone comes with me”

Meanwhile, TG levels,” Dr Baxi tweeted.

The Twitter thread initiated by Dr Baxi has been an active and open place of engagement for doctors, professionals and others ever since.

Blood sugar range
To a comment asking about a patient’s FBS, PP2BS and HbA1C, Dr. Baxi answered 320, 400 and 15.7%, respectively.

For those already in the know about diabetes and blood sugar, this may seem like a serious case.

FBS or Fasting Blood Glucose is considered normal when it is 99 mg/dL or lower.

PP2BS or normal postprandial blood glucose level is less than 140 mg/dL.

HbA1C or average blood glucose level for 2-3 months should be less than 5.7%.

High triglycerides and low LDL
Several Twitter users have pointed to extremely high triglyceride levels and low LDL levels in patients.

“Sir. TG is very high! Seems to be familial combined hypertriglyceridemia. They have high TG levels and high levels of very low-density lipoprotein (VLDL). However, LDL cholesterol and HDL cholesterol are usually low. High carb diet and alcohol consumption can Dr. Sandeep Rai said.

Quite expected. But LDL seems artificially low, doesn’t it? Textbook of the case of lifestyle-induced comprehensive metabolic syndrome, an ongoing pandemic, Dr. Bhaumik Kamdar tweeted.

Are triglycerides important?
Right! Much of the general knowledge about cholesterol assumes that higher LDL levels are not good.

Triglycerides play an important role in the body. High amounts of these fats harden the arteries, increasing the risk of stroke, heart attack and heart disease.

Too high a triglyceride level as seen in this case leads to acute inflammation of the pancreas resulting in a condition known as pancreatitis.

Complications associated with triglycerides make it a potential marker of health.

Why was he offered to take the tests?
Doctor Baxi said that the patient felt tired, urinated at night and passed blood many times.

Nocturia is a condition in which the patient wakes up more often to urinate; this is often seen in older people and is also seen in people with diabetes.

Polydipsia is a condition of extreme thirst.

But why the lipid test, when he was offered a blood sugar test?
To the question asked by a Twitter user, Dr. Baxi offered a common answer that doctors hear frequently.

“Good question, his GP only asked him about HbA1c and glucose levels because he suffered from fatigue, nocturia and polyuria. He said, ‘Maine socha ki poora hi kara fir package. leta hoon lab se”

However, it saved him because he could have been diagnosed at the right time.

Is it reversible?
Three days after tweeting the report, Dr Baxi shared another screenshot of a lipid test on October 20, where a person’s triglyceride was 1378 mg/dL, a decrease of more than 2000 units. .

“TG drops several thousand people with 3 days of diet and medication changes,” Dr Baxi tweeted. The patient was given Fibrate and Saroglitazar in addition to a change in diet.

On November 3, almost 15 days later, Dr. Baxi shared another lipid test report, in which triglyceride levels continued to drop to 315 mg/DL. The normal limit for triglycerides is less than 150 units. “And now repeat, drop another thousand. He made significant changes to his diet and started walking regularly. Blood glucose levels also improved,” Dr. Baxi tweeted. .

And he gave up cola too!

Check out the full tweet here: