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BRIEF COMMUNICATION
Year : 2017  |  Volume : 21  |  Issue : 3  |  Page : 482-483

Diabetes destiny in our hands: Achieving metabolic karma


1 Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India
2 Department of Medical Affairs, Boehringer Ingelheim, Mumbai, Maharashtra, India
3 Department of Endocrinology, Excel Hospitals, Guwahati, Assam, India

Correspondence Address:
Sanjay Kalra
Department of Endocrinology, Bharti Hospital, Karnal, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijem.IJEM_571_16

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Karma is the ancient Indian philosophy of cause and effect, which implies that an individual's intentions, and actions, both have consequences. None can escape the consequences of one's actions. Applying the principle of karma to medicine and healthcare, the significance of optimal and timely interventions at various stages of disease, may be realized. A holistic approach to metabolic control in diabetes translates into improved clinical outcomes, as evident from the result of STENO-2, EMPA-REG OUTCOME, or LEADER trials. The principle of karma in the management of diabetes may have implications at the transgenerational level during pregnancy and nursing, at the individual patient-level based on phenotype, and at the community level in preventive medicine. The concept of metabolic karma can be used as an effective motivational tool to encourage better health care seeking behavior and adherence to prescribed interventions.


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