Dr Noble Zachariah, empowers patients to overcome their acute and chronic health conditions. His area of expertise are removal of insulin injection in patients with Type 2 diabetes, reversal of early Type 2 diabetes, diagnose the causes and treat uncontrolled blood pressure, diabetes, asthma and allergy, heart failure etc.

Dr Noble Zachariah | Internist and Diabetologist | Kuwait

Those who are on a continuous care monitoring plan , please use the Note in Trackers to ask questions free.

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Dr Noble Zachariah is one of the best Internal Medicine Doctors consulting at the Dar Al Shifa Hospital, Kuwait. He specializes in offering treatments for Lipid abnormalities and Arthritis.

Internal Medicine Doctor | Kuwait | Dr Noble | Anxiety Treatment

Dr Noble Zachariah specializes as one of the best Internists in Kuwait. His field of interest includes Diabetology, Preventive Medicine, Neurology, Internal Medicine and Cardiology.

One of the best Internists in Kuwait | Dr Zachariah

Dr Zachariah pursued his MD in General Medicine from the Christian Medical College (CMC), Vellore. His professional expertise includes Preventive Medicine, Haematology and Cardiology.

Dr Noble Zachariah | MD (General Medicine) | Depression Treatment in Kuwait

Dr Noble is an experienced Internist in Kuwait who was awarded with George Chacko Memorial Award at the CMC, Vellore for best outgoing student of 1970.

Internal Medicine Physician | Dr Noble’s Achievements | Kuwait

Having more than 25 years of experience in Medicine, Dr Noble specializes in offering treatments for Headaches, Arthritis and Stress related problems.

Dr Zachariah Offers Heart Disease Treatment in Kuwait 

Submit your question to get quick and valuable answers from Dr Noble who specializes as the Internist and Diabetologist in Kuwait.

Ask a Diabetologist in Kuwait | Dr Noble | Abdominal Pain Treatment

Several stae of the art diagnostic and monitoring services are available. Ambulatory BP diagnoses missed hypertension , ECG Holter diagnoses silent heart disease and dangerous rhythms, Lung function test diagnoses asthma, COPD, post covid lung issues, Sleep apnea screening for several uncontrolled conditions.

Ambulatory Blood Pressure monitoring, Holter ECG,  Lung Function test, Sleep apnea screening, Continuous Glucose monitoring

Book appointments online to consult Dr Noble Zachariah regarding high cholesterol treatment. He consults at the Dar Al Shifa Hospital, Kuwait.

High Cholesterol Treatment | Consult Dr Noble Zachariah | Kuwait

Dr Zachariah maintains this blog online to make patients aware on how to control high blood pressure and diabetes.

How to Control High Blood Pressure | Dr Zachariah’s Blog | Kuwait

Undergo skin allergy treatment in Kuwait offered by Dr Noble who specializes in Internal Medicine and Diabetology.

Skin Allergy Treatment | Kuwait | Gallery by Dr Noble

Get to know more about Dr Noble’s treatments by reading these testimonials which is entered by his patients.

Headache Treatment & Arthritis Treatment | Patients’ Review about Dr Noble

Long term difficult to treat medical conditions are Dr Noble's special interest. Removal of insulin and other injections in Type 2 diabetes and achieving better sugar control, reverse early diabetes, treatment of high blood pressure, asthma and other lung disease, allergies and conditions leading to swelling of the legs and body are special challenges.

Treatment of all chronic and difficult to treat medical conditions

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Welcome to our **Continuous Care web portal.** We aim to empower you to manage your chronic conditions well.

Dr Noble Zachariah has more than 40 years’ experience in Internal Medicine in premier institutions and primary care after his medical education (MBBS and MD) at the internationally recognised Christian Medical College ( CMC), Vellore, India. He was trained further by western universities and has wide experience in all sub specialities of Internal Medicine. He follows the principle of treating the patient and not the disease.

**Prathyasa (Hope) Care**  is our area of special interest. We try to rekindle hope and improve quality of life with better disease control at the least expense in the following difficult to treat conditions.

**1. Uncontrolled diabetes in spite of multiple injections and tablets.**

**2. Uncontrolled blood pressure, headache, palpitations and distress.**

**3. Breathlessness, leg swelling**

**4. Chronic abdominal pain**

**5. Non healing ulcers**

**6. Fibromyalgia and chronic painful conditions.**

**7. Nasal allergy, asthma and chronic sinusitis.**

The first consultation should be an in clinic consultation and further consultations can be virtual with the 'Continuous Care Health App'.

**Continuous Care service** can be used from the comfort of your home or work place. You are constantly connected with your doctor. It is not a substitute for a physical consultation, but compliments it when physical consultation is not possible.

***This way your doctor becomes your constant companion who is with you always even on holidays and at remote locations.***

***This is NOT AN EMERGENCY SERVICE. You should go to the emergency section of the nearest well equipped hospital for acute symptoms.***

At the time of the clinic consultation, you would be gifted an account in the 'Continuous Care ' . Follow up consultations can be online for frequent interaction and continuous monitored care. Whenever required, you are welcome to come for in clinic consultation.

The  following are the features of Continuous Care Service:

1 . **Cloud based electronic medical record** which is a fully secure, private and anytime accessible **Personal Health Record ( PHR)** where your medicines, tests reports from different doctors can be stored. These anytime accessible records will be of help to different doctors to coordinate to solve your health issues quicker, with fewer medicines, less expense and less side effects.

It can be life saving in an emergency as you can show the doctor on the spot, all your valuable investigations like ECG, ECHO, Angiograms, CT or any other test report you have stored in your PHR. These can be quickly accessed with a single click in the free **'Continuous Care Health App'** ( downloaded from Apple/Play Store)

***All records are password protected and only you and your doctor can access them.***

2 . **Free health trackers** like blood sugar, blood pressure, pulse, weight, sleep, mood and over 50 parameters. These are also available as trend graphs for you and your doctors . With remote monitoring your doctors can give you feed backs to control your abnormal parameters quicker , with fewer medicines and less expense.


3 . **Remote monitoring** of these trackers by your doctor with empowering feed back is available at a highly affordable rate.

[**Monitoring Service**](http://www.drnoblezachariah.com/home/health-monitoring) helps those with a chronic condition like diabetes, high blood pressure, cholesterol abnormalities or heart disease to achieve targets with amazing quickness and maintain them with fewer medicines . Monitoring plans can be tailor made to suit each health condition(s).

Check them out at [**Remote monitoring plans**](https://www.drnoblezachariah.com/home/health-monitoring)

These packages can be tailor made to suit each individual and health condition.

4 . [**Video consultation**](http://www.drnoblezachariah.com/home/video-appointments/book_appointment/video)  is available at the cost of a fraction of a regular clinic consultation and is available on holidays days and outside office hours also.

To derive maximum benefit from Video consultation, please ensure that all your details like Health Issues, Medicines, Allergies etc are entered and test results are uploaded under Medical Reports in your record.

You can book [**Video consultation**](http://www.drnoblezachariah.com/home/video-appointments/book_appointment/video)  here

For Clinic appointment, please call 22205777  in Kuwait or 8606667344  in India.

5 . Empowering [**Blogs**](https://www.drnoblezachariah.com/home/post-updates) to help you take care of your health better.

 All these facilities are available through the free **'Continuous Care Health App'** downloadable from Apple or Play stores after sign up.

**All services are free except the Video Consultation and the remote monitoring for those who consult through Dar Al Shifa Hospital Clinic, Maidan Hawally, Kuwait or Prathyasa Care, Muttathil Lane, Kadavanthra , Kochi**

[**Others please use this link to register.**](https://www.drnoblezachariah.com/secure/registration)

A small donation for the upkeep of this free service is welcome. [**Donate to keep this service free**](https://www.paypal.com/donate/?hosted_button_id=RFUMDLVR8RTEQ)



The premium paid services are [**Video consultation**](http://www.drnoblezachariah.com/home/video-appointments/book_appointment/video) and [**Remote monitoring**](https://www.drnoblezachariah.com/home/health-monitoring) with empowering feed back .


[**Text consultation**](http://www.drnoblezachariah.com/home/ask-a-doctor), [**Video consultation**](http://www.drnoblezachariah.com/home/video-appointments/book_appointment/video) and [**Continuous Care Monitoring**](http://www.drnoblezachariah.com/home/health-monitoring) are available on all days from computer or smartphone.


A number of **special tests and investigations** not usually found in primary care medical centres are available.
[more](http://www.drnoblezachariah.com/home/services)


[**Monitoring Service**](http://www.drnoblezachariah.com/home/health-monitoring) **helps those with a chronic condition like diabetes, high blood pressure, cholesterol abnormalities or heart disease to achieve targets quickly and maintain them with fewer medicines . Monitoring plans can be tailor made to suit each health condition(s).**

24 hour Ambulatory Blood Pressure Monitoring

Sleep apnea diagnosis

 24  or 48 hour 12 lead ambulatory ECG  Holter monitoring

Lung Function Test

Ambulatory Pulse Oximetry for COPD, Post Covid lung issues

Continuous Glucose monitoring with guidance

Our Services

Noble Zachariah

Daisy Zachariah

Expert Health Care

Dr Noble Zachariah Kuwait

Prathyasa Care Kochi

Practice Location

Diabetes is a metabolic disease affecting 25% of the adults and is increasing like an epidemic. It is the major cause of blindness, kidney failure needing dialysis or transplant, heart attacks, strokes and leg amputations. So diabetes not only reduces quality of life but also shortens it.


	 There are 2 types of diabetes mainly. In Type 1, the insulin production in the pancreas is absent or severely reduced so that the afflicted need to receive insulin injections to stay alive. This type is mainly present in children and young adults and account for less than 10% of the total number of people with diabetes. In Type 2, there is sufficient insulin production but the body is resistant to insulin and these needs to be corrected. Insulin injections in such people make matters worse. This occurs in over 90% of the people with diabetes. So both needs to be treated differently and what follows mainly deals with Type2 diabetes.


	 Even though labeled as a ‘lifestyle disease’, the cause of diabetes is a combination of genetic and life style factors. Having received the genes for diabetes from the parent(s), the individual is like a loaded gun. For the gun to fire, the trigger has to be pulled. Similarly there are several triggering factors which precipitate and perpetuate diabetes. As of now there is no way of removing the genes for diabetes, so in the strict sense a ‘cure’ is not possible now. But most triggering factors can be removed or controlled, so diabetes can be prevented or can be ‘reversed’ if these factors are taken care of.


	 What is reversal of diabetes?


	 When blood sugar can be controlled and HbA1c brought down below 6.5% without the use of medicines, diabetes is reversed.


	 The reversal of diabetes is possible in anyone who has sufficient insulin production in their pancreas. Reversal of diabetes reduces the risk for complications leading to less morbidity and mortality.


	 Many of my patients have reversed their diabetes through avoidance of triggering factors under my continuous care monitoring. It is easier in recent onset diabetes but is possible in people who have it for years and even in Type 2 diabetes on Insulin injections.


	 Even a partial reversal has a lot of health benefits. With each 1% reduction in HbA1c, the overall complications decrease by 21% ranging from 14% for heart attacks to 35% for blindness and kidney failure.


	 There are economic benefits also as the number of medicines used would be less with partial reversal.


	 If you want to have an assessment for diabetes reversal, you are welcome to fill the Google form with your details.


	 <a href="https://forms.gle/Z8bqydaVDx1jeX1Q6">https://forms.gle/Z8bqydaVDx1jeX1Q6</a>


	 It is possible to participate in this program online or offline at my clinic.

Diabetes is a metabolic disease affecting 25% of the adults and is increasing like an epidemic. It is the major cause of blindness, kidney failure needing dialysis or transplant, heart attacks, strokes and leg amputations. So diabetes not only reduces quality of life but also shortens it.       There are 2 types of diabetes mainly. In Type 1, the insulin production in the pancreas is absent or severely reduced so that the afflicted need to receiv

Can diabetes be cured?

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60-80% of the people with diabetes mellitus die from coronary artery disease. If detected early, many of the heart attacks can be prevented improving life span and quality of life .


	 Angina is the symptom of coronary artery disease (CAD). Classic description is a pain or pressure like sensation in the middle of the breast bone at the time of exercise, exertion or emotional stress. However pain occurring from umbilicus up to lower jaw and at the time of exertion in a high risk person can be due to CAD. Pain may not occur in a significant percentage of people with diabetes, alcoholism or other causes of neuropathy. The first presentation in such high risk individuals may be a heart attack or sudden cardiac death. So it is advisable for people with diabetes, hypertension or other high risk conditions to be screened for silent CAD.


	 How can silent ischemia be diagnosed?


	 A resting ECG is the basic screening test. Some of the patients with CAD may show ST-T changes of CAD.


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/a9deb77f-cf54-407c-8992-cc147e40b84e/8c34fe58-4.jpeg">


	 Those with diagnostic changes of coronary artery disease are given the choice of medical treatment or further investigations.


	 But in the majority, there may be nonspecific ST or T changes only.


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/068280b8-3a38-4cda-9602-abd56df48e19/036ccb4d-8.png">


	 Such non specific changes need to be further investigated in high risk individuals. The usual way would be to do a stress test (Tread Mill Test).


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/81272fbf-82ff-4daa-9893-5749dcca2463/89110c28-6.jpg" style="width: 322px;">


	 One is made to run on a treadmill under ECG monitoring and the observer looks for signs which indicate the likelihood of insufficient blood flow through the coronary arteries of the heart.


	 What follows a positive TMT?


	 For the vast majority only medical treatment with lifestyle changes, management of co-morbidities and tablets to improve the ischemia and heart rhythm are required.


	 If the person does not respond to medical treatment , the positive TMT stress test may be followed up by visualizing the coronary arteries after injecting a dye. If there is narrowing of coronary arteries impending the blood flow procedures like angioplasty and stent placement or Coronary artery bypass surgery may be done if the blocks are at places where it is difficult to deploy stents.


	 Is there any alternative to tread mill test if the person is unable to run due to arthritis, unsteadiness of gait or any other issue?


	 12 lead ambulatory ECG monitoring cum Holter Monitoring continuously records the ECG for 24 hours or more.


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/349afd49-9622-4a0d-b708-afbed2712212/9f2fe5a9-7.jpeg" style="width: 628px;">


	 The person goes about doing the normal activities. If there is any symptom of chest discomfort, sweating, breathlessness, dizziness or anything suspicious, the person presses a button and also logs the symptom. After the monitoring period, the record is analyzed by special software which detects any ECG change suggestive of CAD, any abnormal heart beat, any evidence of cardiovascular autonomic neuropathy and HRV. HRV ( Heart Rhythm Variability) is related to the Parasympathetic and Sympathetic nervous systems which play a role in several conditions including fitness, anxiety and depression. If the person developed a symptom during the monitoring period, the cause of the same may be evident.


	 This facility of 12 lead ambulatory ECG is available at Dar Al Shifa, Maidan Hawally.


	 Further Reading:


	 <a href="https://www.texasheart.org/heart-health/heart-information-center/topics/silent-ischemia/#:~:text=If%20ischemia%20is%20severe%20or,cases%20are%20called%20silent%20ischemia.">Texas Heart Institute</a>


	 <a href="https://www.mayoclinic.org/diseases-conditions/myocardial-ischemia/diagnosis-treatment/drc-20375422">Mayo Clinic</a>


	 <a href="https://www.ahajournals.org/doi/full/10.1161/01.cir.0000088001.59265.ee">American Heart Association</a>

60-80% of the people with diabetes mellitus die from coronary artery disease. If detected early, many of the heart attacks can be prevented improving life span and quality of life .     Angina is the symptom of coronary artery disease (CAD). Classic description is a pain or pressure like sensation in the middle of the breast bone at the time of exercise, exertion or emotional stress. However pain occurring from umbilicus up to lower jaw and at th

Silent Coronary Artery Disease

Many people face health challenges which reduce their quality of life and longevity. 
This video explains the philosophy behind this and is a dedication to my leading light.
We will feature common challenges and my solutions. Do watch and subscribe.


Many people face health challenges which reduce their quality of life and longevity. This video explains the philosophy behind this and is a dedication to my leading light.We will feature common challenges and my solutions. Do watch and subscribe.

Dedication of my 'Health Solutions' Channel

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Home is the safest place now for people with health conditions like diabetes, hypertension and heart or lung disease or above the age of 60.


	 The morbidity and mortality of these people are increased due to non-accessibility to adequate care.


	Continuous Care service is a solution for this under the present circumstances.


	 <a href="https://www.drnoblezachariah.com/secure/registration">You can sign up for this service free by clicking here</a>


	 After your registration is enabled, <a href="https://www.drnoblezachariah.com/secure/login/auth">you log in here</a> to access your record. Your user id is your email and the password is what you created to sign up.


	 If you are accessing your medical records from the computer , the opening page would appear like below


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/2f51a4ae-903d-4b90-8d21-153fee2294a1/104bb402-7.jpg">


	 You should enter height, weight, the health conditions (diseases), medicines, allergies, past and family histories etc in Health Profile.


	 Also upload your photo and photo id.


	 If you have test reports, test results, enter/ upload them under Medical Reports ( See the 3rd button on the left panel)


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/2a1f5b76-a22a-4e5f-9f03-2d1fcbcf6407/a963c60a-3.jpeg" style="width: 622px;">


	 The buttons on the left panel can be used for fixing appointment for videoconsultation, for text consultation, for entering trackers like sugar, BP, weight, sleep, mood etc. The trackers of those under monitoring are reviewed daily with feedback counseling to achieve better control of blood sugar, blood pressure and other parameters.


	 For ease of accessing your records or consultation on the go, ‘Continuous Care Health App’ is available free in Apple and Play stores.


	 When you log in to the app with your email and password ,the home page looks like below.


	<img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/11d1aec9-bc4f-4026-9f4c-dd7ad46cd33c/50372fda-a.jpeg">


	 You can enter your details under each heading. If you are under continuous care monitoring, you see the doctor's review advice for the trackers you have entered by clicking on the monitoring. If you have booked video consultation or asked a query in the text consultation, you can access them through 'Consultations'


	 Your records are cloud stored, secure and private. Only you and your doctor can access them and it can be done any time from anywhere. Please explore the web portal and the app and utilise all the facilities provided. Most of them are free. Only text , video consultation and remote monitoring are charged and your subscription for these would be helping some needy persons in India in this difficult time.

Home is the safest place now for people with health conditions like diabetes, hypertension and heart or lung disease or above the age of 60.             The morbidity and mortality of these people are increased due to non-accessibility to adequate care.Continuous Care service is a solution for this under the present circumstances. You can sign up for this service free by clicking here             After your registration is enabled, you log in her

Dr. Noble' Continuous Care Service

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Detected to have diabetes- What to do next?


	 Don’t panic, you are one among the nearly 425 million in the world. 50 years ago diabetes was uncommon and was considered to be a ‘rich man’s disease’. Now 1 out of 5 , both rich and poor, suffer from it. 


	 You can live an almost normal life if you take care from the beginning. The problems occur mainly if you delay in taking care of yourself.


	 Please see the star of diabetes care.


	<img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/1f937f51-1038-4d26-b6f0-84fc5de59130/d3ce49ba-8.png">1 Correct awareness and guidance


	 In this era of social media, one gets messages and forwards which are often incorrect and there are many myths regarding diabetes and its treatment. There are so many such messages regarding diabetes that one can get lost. Believe only authentic scientific information and not quick fixes, commercial dietary and unproven (often masqueraded as medical) advices. Take advice from well qualified doctors and not from friends or quacks. Each person requires an individualized guidance based on the type of diabetes, its precipitating and aggravating factors. More than 90% of the people with diabetes have Type 2 diabetes which is due to causes that make the body resistant to the insulin produced in the pancreas. The triggering factors of the disease include improper food, unhealthy life style, sedentary habits which lead to overweight and obesity. Stress is becoming a very important factor in the current scenario. Advancing age is also a factor. One should be empowered to manage diabetes well based on food, life style, stress management, self-monitoring and periodical assessment by doctor. When needed, medicines should be individualized.


	 2. The food plan should be wholesome with low calorie, low carb salads and vegetables, adequate in proteins and healthy fats. The carbohydrates should be restricted to 40 -50% of the calories and should consist of mainly of low GI (Glycemic Index) items.


	 High GI food leads to sharp rise in blood sugar and weight gain. Low GI foods do not raise the blood sugar to high levels; produce less hunger and less weight gain. All family members may eat the same low GI food as it would also prevent/delay diabetes in others at risk. First and foremost you should have proper awareness.


	 Please read more about food at <a href="http://www.drnoblezachariah.com/post/how-to-control-blood-sugar-and-weight-through-food/2643">http://www.drnoblezachariah.com/post/how-to-control-blood-sugar-and-weight-through-food/2643</a>


	 3. Life style management includes avoiding of smoking and second hand smoking, alcoholism, moderate exercise for at least 30 minutes a day. It is advisable that those with diabetes and starting exercise for the first time consult a doctor and discuss regarding the best suited exercise on an individual basis. Stress is a very important factor for precipitating diabetes and for worsening diabetes and its complications. It has to be managed well.


	 4. Regular monitoring of the important parameters and proper record keeping are essential. Checking of blood sugar, weight, blood pressure and pulse rate can be done at home. These can be monitored remotely by the doctor/diabetes care team giving feedback including corrective suggestions. HbA1c is a pointer towards the risk of complications due to diabetes. Studies have shown that 1% change in HbA1c changes the risk of overall complications by 21% with 14% for heart disease and 35% for kidney and eye disease. HbA1c is related to the average blood sugar of the past 3 months. Lipid profile, microalbuminuria indicative of early kidney involvement, ECG, eye examination and foot examination have to be done periodically by the doctor.


	 These and other tests, other health issues , medicines , allergies and other relevant information can be stored electronically in a cloud based Personal Health Record ( PHR) and would be accessible by the patient any time, even during foreign travel. The availability of such records can be time, money and lifesaving in emergencies. It also empowers patients to manage diabetes themselves without the need for frequent doctor visits.


	 5. Last but not the least, medicines are important. There are 12 groups of medicines including the injectable and more than 75 different molecules. Choice of medicines depends on several factors like the type of diabetes, built of the person, other coexisting medical conditions, interactions and tolerability. Along with blood sugar, weight, blood pressure and cholesterol control are important for the best outcome. A medicine that is working well for one person may not be the best for his friend or relative.


	 Role of Insulin


	 Insulin is the hormone that felicitates entry of blood sugar (glucose) from the blood to the cells to give us energy. It is produced in the beta cells of Pancreas which is situated in the abdomen. Many people are under the impression that insulin injections are the best treatment. This is wrong. Insulin is required in people whose pancreas does not produce enough. In vast majority of people there is sufficient insulin production and insulin injection in such people can do harm like weight gain, hypoglycemia (plunging sugars) and increase the risk of heart disease and strokes. Insulin injection can be removed from such people with careful monitoring and continuous care, giving them a better quality of life. It is a myth that insulin injection cannot be removed from people once it is started.


	 It is possible to get better control in majority of people, thereby reducing the risk of complications which are life threatening and decreasing the quality of life. For this one has to be vigilant and willing to follow the Golden Star approach incorporating good awareness, low GI diet, exercise and healthy life style, proper monitoring with accessible records and appropriate medicines.


	 With this approach over 80% of the people with diabetes achieve target blood sugar readings and HbA1c without the side effects of weight gain and hypoglycemia.


	 On Continuous Care monitoring, about 90% of those with Type 2 DM on insulin injections could stop or reduce insulin injections. They achieved better quality of life with better blood sugar control, weight reduction and less hypoglycemia. Let us work together to contain the epidemic of diabetes and to improve the quality of life and longevity in people afflicted by it.

Detected to have diabetes- What to do next?       Don’t panic, you are one among the nearly 425 million in the world. 50 years ago diabetes was uncommon and was considered to be a ‘rich man’s disease’. Now 1 out of 5 , both rich and poor, suffer from it.        You can live an almost normal life if you take care from the beginning. The problems occur mainly if you delay in taking care of yourself.       Please see the star of diabetes care.1 Corr

Detected to have diabetes - What to do next?

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The secrets of controlling weight and blood sugar through what you eat.


	 You are familiar of food calories and that you should restrict calories to manage weight and blood sugar well. There is another important but less known factor called Glycemic Index (GI). It is a number associated with a food that indicates the food's effect on a person's blood sugar. This number compares the blood sugar elevation to that produced by glucose which has the GI of 100. For example if a food item has a GI of 50, it raises the blood sugar by 50% of what pure glucose of the same weight would raise.


	 Why is this important?


	 When the sugar in the blood rises, insulin is released from the pancreas and drives the sugar from the blood into the cells. The sugar in excess of the energy needs is converted into fat and leads to weight gain. So higher the blood sugar rise, higher the chance of weight gain. The blood sugar falls provoking hunger and on eating a high GI food, the blood sugar rises producing a vicious circle of high, low sugars and hunger.


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/30ad772c-4735-4d23-9e3f-954589964684/69ac1038-2.png">


	 This yo yoing of blood sugar is a significant reason of weight gain and uncontrolled blood sugars . In those who do not burn the sugar through manual work or exercise, the blood glucose is converted into fat. This fat is stored mainly in the liver leading to fatty liver or in the abdomen leading to truncal obesity.


	 So it is important to eat foods that are low in GI and preferably below GI of 40. The GI of the commonly used foods are available on searching the internet. Here are some


	 <img src="https://s3.amazonaws.com/data.needstreet.com/users/postimage/115668c0-4657-4a58-ba77-5007c67ede81/53768113-d.jpg">


	 Weight and blood sugar can be controlled with the ABCD of dietary advice.


	 A. Amount: It should be calculated as per the basal metabolic rate and activity. Your doctor or dietitian can help you calculate it. If you are overweight or obese reduce 500 - 1000 Calories per day from the requirement to lose weight gradually.


	 B. Balance : Food should be well balanced and wholesome with fruits, vegetables, proteins and healthy fats.


	 C. Combine and Compensate : Always include low GI foods in your diet to compensate for the high GI foods.


	 D. Different foods. Eating the same food daily may be monotonous. Vary the food using food exchanges taking care of the calories and the GI.

The secrets of controlling weight and blood sugar through what you eat.       You are familiar of food calories and that you should restrict calories to manage weight and blood sugar well. There is another important but less known factor called Glycemic Index (GI). It is a number associated with a food that indicates the food's effect on a person's blood sugar. This number compares the blood sugar elevation to that produced by glucose which has t

How to control blood sugar and weight through food

Health News

I wish I met dr. Noble years before and followed his continuous care for diabetes . 
Dr. Noble lives his name , a noble , sincere , humble and knowledgeable doctor with high professional ethics and always available for consultation and advise . I was on insulin for last 10 years and never thought that I could get off the insulin and go back on OHA with similar blood glucose values . I am glad just after two weeks of his guidance and advise I have achieved this .
I would highly recommend him for those with diabetes and his continuous care was really helpful for me

Dr noble Sakaria is very gentle caring and understanding doctor. He has given me the right encouragement and confidence to loose my weight and control my diabetes.
His approach to a patient is admirable. I wish Dr Noble Zachariah all success in his career to help the patients meeting him .
Sirajuddeen, Senior Engr, KNPC  On 24/11/2017 05:10 PM
Shared via the ContinuousCare app
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Appreciate the great efforts of Dr. Noble Zachariah in helping many diabetic people aware of the need for strict control of blood sugar level and the need for reducing their medicine intake. His valuable directions helps us in identifying the correct food and quantity. I have been on insulin for the past several years and I am very glad that following the diet as per the directions helped me in bringing down the blood sugar level and stopping insulin intake  .

Thank you doctor for your sincere and valuable efforts.

Iype George Vengal

I was diagnosed to be diabetic and hypertensive around eight years back. I consulted many doctors here and in India too. I was put under heavy oral medication and 36 units of insulin. These however could not help reduce my Blood Sugar level. It continued to be in the range of 12 to 13. 
I came to know about Dr. Noble Zachariah through someone and consulted him. His continuous monitoring and proper understanding has shown excellent results. My insulin in totally stopped and even the oral medicines are one third of what I was taking earlier. Understanding his approach and following his advice to attack the cause  (even if it may sound weird in the beginning) is the key. My blood sugar level and Blood pressure now has come down considerably. Blood pressure is normal though the blood sugar is around 9. I feel much better and am looking forward to still better results in due course.

Kumary Ravin
I have been suffering from diabetic over 10 years and 53 years old. During the last 2 years, my sugar level was out of control though medicines changed, consulted many doctors and tried almost all diabetic medication available in the market. As a last resort, insulin started 10 months back, still it was not under control and it was really painful taking injections 4 times a day. I also have thyroid, and varicose veins problems. When taking insulin my weight also considerably increased. I was really depressed and reached to a point to go back to India with my husband taking an early retirement. During this time one of my friends suggested seeing Dr Noble Zachariah. Since I met many eminent doctors in India and in Kuwait before, I did not felt nothing special about him. After meeting Dr Noble my perception is totally changed, I felt he is a different type of doctor unlike many I have seen before. I am under his treatment for more than 2 months now, the insulin injections stopped, glucometer readings during the last 45 days average value shows sugar level below 7 mg/L (125 mg/dl) on just tablets medication,  it was over 14-15 mg/L  three months ago, also my weight 6 Kgs reduced in 2 months. Four months back my HbA1c reading was 9.6, and I am waiting for the next test after two months. And I firmly believe, it will be below 7 on my next HbA1c test. I am glad to say that his holistic approach, dedication and empathy to patients definitely make any patient comfortable under his treatment and give a hope for those who are depressed. His online service is a great help for patients for regular monitoring also continue treatment if they are moving out of Kuwait. I wish Almighty give him good health and long life so that many patients who suffered like me get a hope in their life. If you are diabetic, you can trust my words, it is from my heart. Email: ravin33@gmail.com

After many trials and disappointments, I reached Dr. Zacharia who put me ona  combination of drugs. initially I was sceptical. But the medications started working, my energy level is back to normal, my sugar reading is at 6 from 13 and 14 and I am loosing weight. I have 2 more Kgs to loose according to the doctor. 

I am happy that things are working. I have hope now. Thanks to doctor and his combination of drugs.

I am a diabetic who started consulting Dr. Noble with an A1c of 8.83 in Dec '15, and within 4 months, I have managed to bring it down to 6.7 - thanks to Dr. Noble! Since I have been consulting Dr. Noble, my outlook has changed completely. From thinking that I could never dream of achieving good results on the medical tests, I now continuously strive to achieve even better results, and with confidence that it will be better. 
I cannot thank Dr. Noble enough for having put me on the right track from day one, and hope that he continues to guide more and more people with his immense knowledge and friendly attitude.

Ancy Mathew First of all I want to share my happiness when I got my blood reports today morning. My Glycosylated Hemoglobin has come down from 8.5 to 6.37 in 2 months, which is amazing. Being a diabetic since last 19 years and even after taking 70 units of insulin every day, my glycosylated hemoglobin have never come down to a level below 8 till date. I met Dr. Noble Zachariah couple of months back after hearing about him from Chandana, a friend of mine who not only stopped her insulin injections but was also able of loose weight and bring her sugar level under control. Since I was very impressed by my friend's achievement, I decided to meet the Doctor thinking at least I can also loose some weight because I was very sure I will not be able stop taking insulin injections which I have been taking since last 8 years. On Feb 17th when I first met the Doctor, he advised me to stop my insulin injection from the very next day and started me with 3 new tablets to be taken once a day. Thereafter I started monitoring my blood sugar level 4 to 5 times daily and slowing after a week my sugar level started getting stable with fasting not going above 6 or 6.5 and post bf or lunch it was always within 8. As per Doctor's advise I slowly changed my diet and eating habits and in 2 months I am proud to say that I have not only lost 5.5 kgs of my body weight, but my Glycosylated hemoglobin has also come down to 6.37 from 8.5. I believe this is a great achievement and I want to thank Dr. Noble Zachariah getting me out of my insulin injections and helping me to control my blood sugar level with new medications. I want to take this opportunity to say that Continuous Care is a great app and I want to thank Doctor for continuous monitoring my blood sugar levels 3 to 4 times a day on the app and giving me his valuable advise on a continuous basis, without which I would not have been able achieve control of my blood sugar level and come out of my insulin dependence. I am proud of my achievement and as per Doctor my sugar level is in the pre diabetic range and at my age I can try to get to non diabetic range (less than 5.6). Thank you doctor, I will aim to get there soon and also lose another 5 kgs to reach my target weight !