I am Dr Shyam Mohan Nayak from Kanpur (UP) I have done my MBBS fand MD medicine from Moti Lal Nehru Medical college and about years back 13 years back I am in Delhi and practicing in ministry of Labour at ESI hospital, Okhla.

Every day I have see almost, 150 plus patients two third among them are of metabolic syndrome. Hypertension, thyroid, chronic kidney disease, chronic liver disease, cardio vascular disease.

Diabetes is a lifestyle disorder. There are two types one can be triggered by genes another is purely lifestyle related .

If it is coming through genes you can control it you can control up to some extent.

I feel you need to control three things, salt, sugar and get 8 hours of sleep. I think almost 50 to 60% of symptoms can be controlled through this.

If you are diabetic, the patient is losing their beta cell mass. So if you are in that phase that you can lose beta cells very rapidly if you are taking too much of sugars, they have to work fast, they are exhausted fast.. Likewise, if any person works for 18 to 20 hours in a day there is a consequence as life span shortens because our body/vital organs also require some rest. So if you want to give rest to your pancreas, which is mostly dealing with diabetes, you have to give some rest to your beta cell mass. How can you do that, you have to take less sugar, so that your beta cells dont exhaust .

Incase of diabetes, when about 50 percent of Beta cells are lost there is a deficiency of insulin-either due to less secretion or less beta cell mass or due to insulin resistance because of the metabolic syndrome, some of our patients are obese. Almost 60 to 70% patients are now coming in overweight or mild obesity or moderate obesity category. So they, these type of patients are more and more prone for metabolic syndrome, diabetes, hypertension, dyslipidemia.