JUSTIFIED?

One small question to all of you.. All of us follow western  guidelines for treatment of Indian patients. Will western guidelines match the profile of Indian patients? Why we don't have guidelines for many diseases in India. What is preventing us from developing our own guidelines?

What's your opinion?

Note- I am not against guideline from another country. It's my humble opinion that blindly following guidelines will not be appropriate. Docs tend to do so.. guidelines should match our population, eating patterns, BMI, climatic conditions etc etc....

GASTRO & URINARY SYMPTOMS IN DIABETES

Long standing Type 1 & Type 2 Diabetes affects the motility of gastrointestinal and genito-urinary tracts. Patients may present with symptoms like

Gastrointestinal

Delayed emptying of stomach

• Anorexia

• Nausea

• Vomiting

• Early satiety

• Abdominal bloating

Altered small & large bowel motility

• Constipation

• Diarrhoea

Genitourinary symptoms

Cystopathy

• Inability to sense full bladder

• Failure to void completely

• Incontinence

• Recurrent urinary tract infection

Erectile dysfunction

• Failure to sustain erection

• Reterograde ejaculation

Female sexual dysfunction

• Reduced sexual desire

• Dyspareunia

• Reduced vaginal lubrication

TREATMENT

• CONTROL BLOOD SUGARS

• SMALLER FREQUENT MEALS

• DRUGS TO INCREASE MOTILITY OF INTESTINE (CONSULT YOUR DOCTOR)

• DIABETIC DIARRHOEA CAN BE MANAGED BASED ON THE ETIOLOGY

• CYSTOPATHY

• TIMED VOIDING

• SELF CATHETERISATION

• ERECTILE DYSFUNCTION

• 5 PHOSPHO-DIESTERASE INHIBITORS

• SEXUAL DYSFUNCTION IN FEMALES

• VAGINAL LUBRICANTS

• TREATMENT OF VAGINAL INFECTIONS

• SYSTEMIC / LOCAL ESTROGEN REPLACEMENT THERAPY

BEWARE!