Dr Rajiv Desai

An Educational Blog

SELF MONITORING (MEASUREMENT) OF BLOOD GLUCOSE (SMBG)

 _______ SELF MONITORING (MEASUREMENT) OF BLOOD GLUCOSE (SMBG): _______ _______ Prologue: Way back in 1991, on a Sunday afternoon, a young Parsi lady from Mumbai who was holidaying in a nearby village came to me with sudden breathlessness at my nursing home at Vapi, 160 km north of Mumbai. Clinical examination was normal except severe breathlessness. I suspected diabetic ketoacidosis and asked about history of diabetes. Patient and her relatives flatly denied any history of diabetes and told me that she was investigated in Mumbai for weakness recently and there is no diabetes. In those days, glucometer was not available in India. We used to blood sugar by Folin-Wu method. Being Sunday, laboratory was closed, so I could not do blood and urine sugar. I believed the story of relatives, ignored my gut feeling of diabetes, did ECG and X-ray chest which were normal, gave some primary care and sent […]

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SELF MEASUREMENT OF BLOOD PRESSURE (SMBP):

SELF MEASUREMENT OF BLOOD PRESSURE (SMBP): ________ The figure above shows correct way to measure blood pressure at home. _______ Prologue:  When the heart beats it generates a pressure in the arteries to pump blood around the body. In some people, the pressure generated is too high and this is called hypertension. Way back in 1981, Dr. R. C. Hansoti was head of cardiology department in Nair hospital, Mumbai and he was taking a clinic on hypertension for a group of medical students and I was one of the medical student attending his clinic. He asked a question to everybody: What are the symptoms of hypertension?  Some said headache, some said giddiness and some said palpitation. When my turn came, I said hypertension has no symptoms. Dr. Hansoti was satisfied with my answer. He said that there is only one wise doctor among the crowd. I felt elated. Even today, I […]

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