Articles - Diabetes Integrated Wellness Society

Cardio Diabetic Workout

Aerobics is a form of physical exercise that combines rhythmic aerobic exercise with stretching and strength training routines with the goal of improving all elements of fitness (flexibility, muscular strength, and cardio-vascular fitness). It is usually performed to music and may be practiced in a group setting led by an instructor (fitness professional), although it can be done solo and without musical accompaniment. With the goal of preventing illness and promoting physical fitness, practitioners perform various routines comprising a number of different dance-like exercises.

Benefits

Benefits of cardio are listed below:

Weight loss
Stronger heart and lungs
Increased bone density
Reduced stress
Reduced risk of heart disease
Temporary relief from depression and anxiety
Increased Metabolism
Better sleep

Stretching is a form of physical exercise in which a specific muscle or tendon (or muscle group) is deliberately flexed or stretched in order to improve the muscle’s felt elasticity and achieve comfortable muscle tone. The result is a feeling of increased muscle control, flexibility, and range of motion. Stretching is also used therapeutically to alleviate cramps. Increasing flexibility through stretching is one of the basic tenets of physical fitness. It is common for athletes to stretch before and after exercise in an attempt to reduce risk of injury and increase performance, though these practices are not always based on scientific evidence of effectiveness.

Benefits

Benefits of stretching are listed below:

Regular stretching can relieve stiff muscles and creaky joints.
Stretching always keep you bright eyed
regular stretching can help you achieve better form in just about any workout
Incorporating stretching into your warm-up helps your body get ready for exercise as well as switch your brain into “workout mode”.
Stretching lower your blood sugar
Stretching can help tame tension both physically and mentally, as it relieves tight muscles while tricking you into feeling more relaxed.

Dance is a great form of exercise because it provides you with both aerobic and anaerobic movements. Our bodies need a combination of both types of exercise in order to be at their healthiest. In dance, aerobic exercise can be achieved by jumping, swaying, twirling, etc. Anaerobic exercises include holding squat positions, lifting someone else or your own body, and balancing. There are endless possibilities when it comes to getting a complete workout through dance. It helps us burn those calories away, while improving our stamina.

Benefits

Benefits of dance are listed below:

Improve flexibility
Music inspires
improved condition of your heart and lungs
increased muscular strength
endurance and motor fitness
weight management

Regular physical activity can help protect you from serious diseases such as obesity, heart disease, cancer, mental illness, diabetes and arthritis. Riding your bicycle regularly is one of the best ways to reduce your risk of health problems associated with a sedentary lifestyle. Cycling is a healthy, low-impact exercise that can be enjoyed by people of all ages, from young children to older adults. It is also fun, cheap and good for the environment. Riding to work or the shops is one of the most time-efficient ways to combine regular exercise with your everyday routine. An estimated one billion people ride bicycles every day – for transport, recreation and sport.

Benefits

Benefits of cycling are listed below:

Low impact – it causes less strain and injuries than most other forms of exercise.
A good muscle workout – cycling uses all of the major muscle groups as you pedal.
Easy – unlike some other sports, cycling does not require high levels of physical skill. Most people know how to ride a bike and, once you learn, you don’t forget.
Good for strength and stamina.
As intense as you want – cycling can be done at very low intensity to begin with, if recovering from injury or illness, but can be built up to a demanding physical workout.
A fun way to get fit – the adventure and buzz you get from coasting down hills and being outdoors means you are more likely to continue to cycle regularly, compared to other physical activities that keep you indoors or require special times or places.
Time-efficient – as a mode of transport, cycling replaces sedentary (sitting) time spent driving motor vehicles or using trams, trains or buses with healthy exercise.

Any exercise is good exercise, but when it comes to losing weight, it’s hard to beat running. After all, running is one of the most efficient ways to burn calorie. Your glutes play a significant role in your running stride. They power your body forward, help you maintain proper torso alignment, and bear running loads. Glutes become weak or inhibited for a variety of reasons, including sitting all day. When your glute muscles (maximus, medius, minimus) are weak or inhibited, other muscles (quads, calves, hamstrings, etc.) are forced to carry loads they are not meant to carry, reducing running efficiency and increasing injury susceptibility.

Benefits

Benefits of running are listed below:

Running burns crazy calories
Running doesn’t require a ton of equipment
You can run anywhere / anytime
Running strengthens your bones
Running boosts your mood
Running can make over your heart
Running keeps your eyes healthy

The first safety precaution is that you should stretch before and after doing such exercises.
Avoid training in the hottest part of the day, usually between 10 a.m. and 4 p.m., during the summer
Keep yourself hydrated all
Start slowly and boost your activity level gradually.
Listen to your body. Hold off on exercise when you’re sick or feeling very fatigued

Management and Diabetes

1) Controlling PPG & FPG together: the best approach for Indians- Dr. Vimal Upreti

OBJECTIVE:

Glucose control – The role of post-prandial hyperglycaemia

Rise PPG- better index of glycemic control

Rise in Ppg an early defect in t2dm

SUMMARY:

Historical focus on FPG as main therapeutic target
Target FPG & PPG together
PPG is a better marker of various diabetic complications than FPG
PPG is especially important in the Indian context given the high carb diet taken in the country
PPG is a significant contributor to HbA1c at all levels in Asians
Premix insulin can help in effective control of both FPG & PPG
Premix insulin can help in effective control of both FPG & PPG

2) Premixes as a choice of insulin during the month of Ramadan - Dr. Anurag Rohatgi

OBJECTIVE:

SUMMARY:

A large number of diabetes patients during the month of Ramadan fast
Physicians should clearly explain them the risk of fasting and also explain the safe methods of fasting
There are different interventions for glycemic control during the month of Ramadan- but their doses need to be adjusted prior to Ramadan
Premix insulin can be used safely during Ramadan

3) Optimizing Insulin Intensification with Lispro Mix 50- Dr. MPS Chawla

OBJECTIVE:

SUMMARY:

4) GLP-1RA as first Injectable in Type 2 DM Management- Dr. CM Batra

OBJECTIVE:

SUMMARY:

Dosing that may fit more easily into a busy life
Trulicity Offers once-weekly administration
Trulicity Can be administered at Trulicity can be taken any time of day, independent of meals
In a patient preference study, more patients preferred its medication profile vs the liraglutide profile
Regulates glucose levels throughout the week by stimulating glucose-dependent insulin release
Trulicity ready-to-use pen was designed with the patient in mind

Controlling PPG & FPG Together : The Best Approach For Indians

Vimal Upreti, KVS Hari Kumar, K S Brar

Introduction

Type 2 diabetes mellitus is characterised by progressive and inexorable decline in beta cell function so much so that at onset almost 50 to 60% of beta cell function is lost, whereas, insulin resistance the other cardinal defect, gats stabilized after initial rise and remains fairly constant in the lifetime of an individual. This rapid decline in insulin secretion is unfortunately unavoidable and leads to progressive post-prandial hyperglycaemia. Targeting fasting plasma glucose is often insufficient to produce optimal HbA1c control though it is an integral part of glycemic control.

Glycemic control of an individual is best assessed by what is known as the “glucose triad” comprising of fasting plasma glucose (FPG), post prandial plasma glucose (PPPG) and glycosylated hemoglobin (HbA1c) and all three parameters of this triad need to be targeted. Traditional approach of targeting FPG (“Fix Fasting First”) is often an suboptimal strategy to achieve optimal glycemic control. Today, there is a growing understanding of the relevance of targeting post-prandial/ random plasma glucose in optimising HbA1c that is vital for prevention of both micro- and macrovasular complications of diabetes as a person spends more time in post prandial and postabsorptive than in a fasting state on any given day.

Post prandial hyperglycemia

Post- prandial hyperglycemia (PPHG) is defined as net rise of glucose from premeal lowest to post meal highest point. Various bodies categorize it at different values: ADA (180 mg/dl), AACE (140 mg/dl), IDF (145 mg/dl), however, most widely accepted value is any post- prandial value more than or equal to 140 mg/dl. It can be assessed by various parameters including self-monitoring of blood glucose (SMBG), continuous glucose monitoring (CGM), HbA1c that assesses control of previous 3 months and 1,5 – anhydro-glucitol that assesses control of preceding 2 weeks. Of these, HbA1c is most widely used strategy to find out status of glycemic control. It is well known that FPG is main determinant of HbA1c at higher and PPPG at lower values, so much so that, at a value > 10.2% FPG is contributes to 70% HbA1c while at a value <7.3% main determinant of HbA1c with PPPG accounting for 70% of it. These figures are derived from Western studies. In Indians and Asians, while PPPG forms higher component of HbA1C, it still remains bigger contributor to HbA1c at its higher values (about 50% at HbA1c>10.2%). It is a common experience that it is more difficult to control HbA1c when it is closer to 7% than when it is at a higher level. In these cases, it is therefore imperative to target PPG for better control.

Fasting plasma glucose on the other hand depends on a variety of factors including:

Elevation in postmeal plasma glucose occurs even prior to clinical diabetes. It depends on a variety of factors including:

Hence, in order to achieve HbA1c target an action is required both on FPG and PPG.

Factors responsible for PPHG are:

Loss of first phase insulin secretion, an abnormality that is seen very early and is present even in normal first degree relatives of patients with T2DM
Consequent decreased suppression of hepatic glucose output (HGO) after meals due to insulin deficiency and consequent lack of glucagon suppression. In fact, increase in the PPG occurs as a result of continued HGO and not from differences in glucose absorption
Decreased insulin sensitivity in peripheral tissues
Emerging evidence shows that postmeal plasma glucose levels are elevated by deficiencies in the incretins (GIP, GLP1) and Amylin.

Hyperglycemia activates multiple mechanisms that mediate vascular damage. These include increased oxidative stress, overproduction of advanced glycosylation end products, increased activation of polyol pathway that lead to various micro- and macrovascular complications associated with PPHG.

Post prandial hyperglycemia is associated with multiple harmful effects that can be characterized on short term and long term basis:

a. Short Term ill effects of PPHG:

b. Long term ill effects of PPHG:

Increased carotid intima-media thickness
Decreased myocardial blood flow/volume
Early diastolic dysfunction
Increased oxidative stress
Increased inflammatory markers
Macro-vascular disease
Increased risk of retinopathy
Increased risk of pancreatic cancer

A meta-analysis of 38 prospective studies that included 194,658 patients over a mean follow-up period of 12.0 years showed that while postmeal hyperglycaemia is linearly related to CV risk across a wide range of postmeal glucose values, the trends observed for FPG are vastly different. The study by Levitan and colleagues analysed data from a subset of the original 38 studies (12 studies that reported FPG levels and 6 studies that reported postchallenge glucose) to allow for dose-response curve estimates. Risk of CV events increased in a linear fashion without a threshold for 2-hour PPG, whereas FPG showed a possible threshold effect at 5.6 mmol/L (100 mg/dL) with a steep rise in CV disease risk above this threshold value. That mealtime glucose spikes are associated with increased risk of cardiovascular disease and mortality is well established by many landmark trials including DECODE, Pacific and Indian Ocean study, Funagata Diabetes Study and The Rancho – Bernardo Study among others.

The India story

The prevalence of T2DM is increasing exponentially throughout the country though more in urban as compared to rural areas. Prevalence of T2 DM has increased from 8% (1980) to 16% (2006) in urban India in a very short span of time, specifically in Chennai.

Changes in our lifestyle namely poor dietary habits and sedentary lifestyle is largely to blame. Cereals are staple diet in India. Carbohydrates form bulk of the total calorie intake. Since 1980, the percentage of carbohydrate intake in Indian diets has remained relatively constant and is much higher than 55-65% of total calories as recommended by WHO. Excessive intake of white rice is frequently touted to be an important factor in causation of T2DM in Indians, specially in the southern part. Dietary rice is a major contributor to glycemic load. White rice loses its protective factors during polishing that include dietary fibres, magnesium, vitamins, lignans and phytoestrogens. But, is dietary white rice the real culprit? Arguments opposing this hypothesis include

Traditional diet of Asians for thousands of years
The rising incidence noted only in last few decades
Don't lose the forest inside the trees
Animal foods & Processed junk foods
Remove the toxic western diet

Dietary advice to prevent PPHG

Rice as risk factor – both uaqntity & quality important
Rice – brown is better, long grain is better
Mix legumes, vegetables etc with rice to decrease the glycemic index
Increase the fiber content of the diet
Change from white bread to whole wheat bread

Management of PPHG and FPG: The Best Approach For Indians

Ensuing from above discussion it is clear that whereas controlling FPG has remained the bottom line of treatment in the management of T2DM, PPHG also assumes equal importance so far as to effective control of HbA1c in Indians.

Agents predominantly effective in controlling FPG:

Biguanides

Thiazolidinediones

Basal insulins

Agents predominantly effective in controlling PPHG:

α-glucosidase inhibitor

DPP-4 inhibitors

Glinides

Amylin analogues

GLP-1 agonist

Bolus insulins

Agents effective in controlling both FPG and PPHG:

Sulfonylureas

SGLT2 inhibitors

Insulins – premix, basal bolus regimen

Among the insulins intermediate/ long acting basal insulins including analogues target the FPG while short/ rapid acting insulins target the PPHG. Premix insulins are a mixture of both short and long acting insulins and can potentially target both FPG and PPG. Indeed, various short term studies have confirmed this and various professional bodies such ADA, EASD, IDF and NICE support the use of premix insulins. In India, Indian Premix Guidelines also advocate the use of premix insulins as they are simple to start, convenient, no mixing required (less dosing error) and is easy to intensify using the same insulin. High ratio premix insulins can be given in cases of failure of low ratio premixes in order to intensify as it has been found to be as effective as basal bolus therapy in small studies.

Conclusion

Historical focus on FPG as main therapeutic target
PPPG is a significant contributor to HbA1c at all levels in Asians and marker of CVD
Especially important in the Indian context given the high carb diet taken in the country - healthy dietary practices need to be inculcated
Premix insulins can help in effective control of both FPG & PPG
High ratio Premix analogues help to curb PPHG

Experience :	Total Years of Professional Experience: – More than 25 years Consultant Physician Rheumatologist at PUSHPANJALI CROSSLEY Hospital, Vaishali, Ghaziabad, UP. Associate Consultant at NOIDA MEDICAL CENTRE, Noida from July 2005 to January 2006. Senior Registrar, Department of Internal Medicine, SIR GANGA RAM Hospital, New Delhi December 2001 – January 2005. Postgraduate student, Department of Internal Medicine. SIR GANGA RAM Hospital, New Delhi September 1997 – August 2000.
Awards and Orations :	Dr. P S Gupta Award for Best Resident. Thesis on “Incidence and pattern of lung involvement in Malignancy- Primary and Secondary”. Scientific papers on Myelitis in case of Chikungunya Viral Fever and Very high levels of CA 125 in tubercular ascites. Fulminant Vasculitis – A Wild Fire (Paper Presentation) Chaired many sessions in IRACON, UPAPICON, and Fitness Society of India.
Expertise :	A trusted patient focus and experienced doctor with reputation of serving patients through Diagnosis, Treatment, Counselling, and Rehabilitation. Rich hands-on experience of 14 years (post senior residency). Ability to diagnose various complex conditions including auto-immune diseases. Proficient in procedures like Immunotherapy with various biologics for RA, SLE Ankylosing Spondylitis, and Vasculitis. Intra-Articular joint injections for both small and large joints. Viscosupplementation. Bone Marrow aspiration & Biopsy, Pleural Tapping, Lumbar Puncture, etc. Independent Management of Rheumatology Clinic and IPD since 2005.
Memberships :	NAMS, API, IRA, DDA, ACR & SEOH
Achievements :	Independent Management of Rheumatology Clinic and IPD since 2005. Competency in Media briefs and Media addressal, Health Talks, and other Promotional activities. Experienced in carrying out Corporate and Out-station OPD’s. Involved in various Health Check-up Camps under social responsibility of the Hospital. Single-handedly managed around 100 patients per day in OPD during Chikungunya epidemic in 2016.

Experience :	Corporate Occupational Health Consultant Physician for various MNCs for 27 years in Mumbai including HPCL, Bharat Shell Ltd, Shell India Ltd., SAP India Ltd, De Gussa HULS India Ltd, Da Cunha Communications, Hindustan Unilever Ltd, Jacobs Engineering Ltd., to name a few. Assistant Professor – MGIMS, Sevagram Wardha & Epidemiologist for MGM Medical College, Kamothe, Navi Mumbai
Publications : Original Research Paper & Workshop Presentations :	More than 20 publications in different national and international indexed journals. More than 80 scientific papers presented as well as 70 training workshops conducted at state, regional, National and International meetings, symposia and conferences
Awards and Orations :	Lenke-Peschke Gold Medal in Office Ergonomics – Sri Ramachandra University (SRMC- Harvard Institute, Porur, Chennai) Gogate Symposium Resource Person Award from IAOH Reliance Industries Award from IAOH Bombay Port Trust Award from IAOH Britannia Award from IAOH BEL Industrial Medicine Award from IAOH Larsen & Toubro Oration from IAOH IAOH Pune Branch Oration OHSF-IAOH Mumbai Branch Oration Mathuradas Parikh Oration from IMA Greater Mumbai Honorary Fellowship of the IMA College of General Practitioners The Menda Salaskar Oration from IMA Greater Mumbai Honorary Fellowship from The Bangla Desh Academy of Family Physicians 2018 IAPSM Award for Best Research Paper- Gauhati National Conference Best Research Paper on Ergonomics at International 7^th Regional Occupational Health Conference, Kuala Lumpur Malaysia 2018
Expertise :	Occupational Health, Preventive & Public Health, Clinical, Critical Care &Emergency Medicine. Workplace Ergonomics&Musculo-Skeletal disorders Nanotechnology Education and Training in Occupational Health.
Memberships :	IOAH, ICOH, IMA, IPHA, IAPSM, WONCA, AFPI, SEOH
Achievements :	He has been invited on the Global Expert Panel of ICOH [International Commission on Occupational Health] for defining criteria for the diagnosis of musculoskeletal disorders (MSDs) in 2019. He was on the Executive Committee of IAPSM from -2008 to 2017. He has recently (2019) been elected as President of AFPI [Academy of Family Physicians] for Maharashtra Chapter. He is the AFPI representative to the WONCA World Council. [WONCA -World Organization of Family Doctors]. He is Chairperson of SIG (Special Interest Group) on Workers Health for WONCA South Asia Region- since 2018. Has been invited at Health, Safety & Environment Conclaves of The Confederation of Indian Industries (CII), BCCI, National Safety Council and Ministry of Defense, Government of India (invited as expert faculty on Nanotechnology) at the National Level. At the International level, he was awarded grant as well as invited by the American College of Occupational & Environmental Medicine to speak on current status of Environment & Occupational Health in India in May 2020 (event rescheduled to be held at Austin, Texas from 3 to 6 May 2021).

Name :	Dr. Narendra K. Rojha
Qualifications’ :	MBBS,MD,DCCP, DHM,AFIH. Certified Lead Auditor OHSAS : 18001
Current Designation :	Consultant: Occupational, Industrial, Environmental Medicine & Hospital Administration

Experience :	Hospital Administration; government, charitable &multi-super-specialty hospitals’ Advisor & Consultant ; Occupational &Industrial Health, ‘EHS’ Auditor to wide spectrum of industrial organizations, Medical & Biosafety Advisor – past & present to pharmaceutical & biotech companies including MNCs of Canada & Switzerland Visiting faculty to Regional Labour Institutes (RLI) – Faridabad, COEH- MAMC, New Delhi & NIHFW, New Delhi Chief Medical Advisor; KRDWG, an Indo- French NGO. Technical specialist to Bureau Veritas & TUV-NORD for IMS & QMS auditing
Expertise :	Hospital Administration &Management, Medical Sleuthing in Environment, Safety, Industrial &Occupational Health.Auditing – NABH, IMS & QMS, Teaching &Training
Memberships’ :	NSC, IAOH,MFS&SEOH& IAOH
Achievements’ :	Commended as The ‘Turn Around Man’ for reviving a moribund hospital, successful NABH conclusion (His First &Hospital’s Fourth Attempt) of another hospital, and received plaudits by W.H.O. Audit Team for unearthing the cryptic source of Fungal Contamination in a Vaccine Manufacturing & R&D facility

Experience :	Total Years of Professional Experience: – More than 37 years Senior Residency, SJH Delhi – 3 years.( 1983-86) Pool Officer , LHMC, Delhi – 3 years ( 1986-89) Experience in ESIC Hospitals: Specialist Medicine, ESI Hospital, Jhilmil, Delhi – 4 years.(1989-93) Specialist (Sr. Scale) , ESI Hospital , Jhilmil Delhi – 4 years.(1993-97) Senior Specialist, ESI Hospital, Jhilmil Delhi & ESI Model Hospital, Noida – 11 years. (1997-2008) Senior Specialist (SAG) ESI Model Hospital , Noida – 10 years ( 2008-2020)
Publications :	More than 6 publications in different national and international indexed journals.
Awards and Orations :	L & T Award: by Indian Association of Occupational Health (India) in 2012. Distinguished Service awards from Indian Medical Association, New Delhi Branch, Delhi Medical Association, Integrated Diabetes Wellness Society, Medical Fitness Society, Lions Clubs International 321-A1from time to time.
Expertise :	Occupational Health, Preventive &Public Health, Clinical& Critical Care Medicine. Workplace Ergonomics &Musculo-Skeletal disorders Nanotechnology Education and Training in Occupational Health.
Memberships :	IMA, DMA, MFS, IDWS, IOAH, AEOH, SEOH, AIESDA, DDF, Lions Club International, API, ICOH etc.
Achievements :	Founder President of Society of Environment and Occupational Health (India) 2017-19. Organizing Secretary and Chairpersons of fourteenInternational and National Conferences Health Camps in different parts in Society: Involved in organizing in Health camp with Honourable Minister of Labour , Shri Ashok Pradhan in planning and organizing the Health Camp for three days where in 60, 000 people came in the camp. Is organizing Health camps since 1994 at different forums of Indian Medical Association, Medical Fitness Society , Indian Association of Occupational Health And others in slum area , places of worship etc. School and College program: Organized educative health awareness, environmental, healthy life style programs in schools and colleges since 1998. Has been involved in Identifications, planning, implementation and monitoring of health needs in terms of medical services; health audits (risk assessments, audits and inspections); liaison with local and regional hospitals of ESI, Governmental health authorities and international medical service providers; and organised National and International conferences in India for National and International Bodies and chaired and presented papers.. I have organised Health camps in Delhi and other parts of India. Also organized many health awareness campaign in Schools and Colleges in India.

Integrated Diabetes Wellness Society

Cardio Diabetic Workout

Benefits

Benefits

Benefits

Benefits

Benefits

Management and Diabetes

1) Controlling PPG & FPG together: the best approach for Indians- Dr. Vimal Upreti

OBJECTIVE:

SUMMARY:

2) Premixes as a choice of insulin during the month of Ramadan - Dr. Anurag Rohatgi

OBJECTIVE:

SUMMARY:

3) Optimizing Insulin Intensification with Lispro Mix 50- Dr. MPS Chawla

OBJECTIVE:

SUMMARY:

4) GLP-1RA as first Injectable in Type 2 DM Management- Dr. CM Batra

OBJECTIVE:

SUMMARY:

Controlling PPG & FPG Together : The Best Approach For Indians

Vimal Upreti, KVS Hari Kumar, K S Brar

Introduction

Post prandial hyperglycemia

Elevation in postmeal plasma glucose occurs even prior to clinical diabetes. It depends on a variety of factors including:

The India story

Management of PPHG and FPG: The Best Approach For Indians

Conclusion

Suggested reading

Quick Link

Events

Experience:	Associated in different health awareness, research, data analysis., organizing seminar, and other activities for the past 20 years. Also worked and assisted in the projects/programs of the following reputed agencies who are very popular in the field of public health: 1. Centre for Global Health Research (CGHR), 2. India CLEN, 3. WHO, 4. UNICEF, 5. UNDP, 6. UNFPA, 7. Govt. of West Bengal, 8. NRHM, 9. WBSAPCS, 10. APSACS, 11. ICMR etc.
Publications:	12 publications in different national and international indexed journals.
Awards, Speaker Invitations and Orations:	Participated as a speaker in the CME organized by All India General Practitioners’ Association and Indian Academy of General Practice at NRS Medical College & Hospital on 23rd May, 2015. Participated as speaker in the seminar on the theme “Depression: Let’s Talk” on the occasion of World Health Day organized by South Dumdum Municipality and IPHA South Dumdum Paikpara Branch on 7th April 2017. Participated as speaker in the awareness program on “Prevention and Control of Dengue” in Bangur, Kolkata on organized by South Dumdum Municipality and IPHA South Dumdum Municipality on 30th April 2017. Competitive Examination Teacher in South Dumdum Municipality, Kolkata.
Expertise:	Data entry, data analysis, SPSS in quantitative research and management Video and photo Editing Composing MSc & PhD Reports, Supervised Field Training Programs, etc. Knowledge of SPSS in quantitative research.
Memberships:	IPHA, ISPSW, APCRI, Rotary Club of East Calcutta, SEOH
Achievements:	Attended and presented many papers in more than 34 national, international conferences, seminars, CMEs, etc. Central Council Member (HQ) of Indian Public Health Association – Term 2016-2018 Joint Editor of Rotary International Club of East Calcutta, Dist. 3291 Treasurer, IPHA SDPP Branch Executive Secretary – Rotary Club of East Calcutta

Name :	Dr. Dharmendra Kumar Gupta
Qualification :	MD, MBBS – GOLD MEDALLIST
Current Designation :	Chairman and Managing Director Felix Healthcare Pvt. Ltd.

Experience :	Medical Officer: Municipal Corporation, East Delhi, 2007-2015 Managed maternity hospital Treated Patients in OPD & IPD Established NICU Level II Master Trainer for Delhi state for RBSK Resident Doctor Dr Ram Manohar Lohia Hospital, New Delhi (Department of Paediatrics), 03-02-2004 to 30-04-2004) Resident Doctor RNT Hospital, Udaipur, Rajasthan (Department of Surgery), 02-05-2004 to 20-06-2004
Publications :	Many publications in different national and international indexed journals.
Awards and Orations :	• Awarded as “Entrepreneur of the year” in a service business (Healthcare) for Established Entrepreneur of 2017 (7th Edition) in partnership with ET NOW News Channel. Guest speaker in the BW Healthcare Summit and BW Diagnostic Summit in the year 2019. Chief speaker in Patient Experience Conclave and Awards 2019 on “Improving Healthcare Services through technology” Honoured as chief guest for Women Empowerment Awards in JANSHARAM (women and child development NGO) Honoured as a panelist speaker in India Healthcare Leadership Forum (IHLF) to discuss growth opportunities in the healthcare sector in India. Participated as a chief speaker in Patient Experience Conclave and Awards 2019 on “Improving Healthcare Services through technology”. Honoured as a speaker in ‘Annual Healthcare Innovation Summit’ organized by EletsTechnomedia.
Expertise :	Healthcare entrepreneur and Healthcare Management Expert Panellist member and eminent speaker at prestigious healthcare platforms Adept medical doctor with thirteen years of practice experience. Dedicated to exemplary patient outcomes and following all necessary medical procedures with the use of the latest industry equipment and technology. Strong focus on listening to and addressing patient concerns and answering all questions in terms patients can easily understand. Willingness to work with all members of the medical team and listen to their suggestions and input to improve results and maximize patient satisfaction.
Memberships :	CII, FICCI, ASSOCHAM, IMA, IAP, SEOH
Achievements :	Panellist member of Policymaking Delegation of Healthcare Providers, PWC & Niti Aayog. Constructive discussion on best practices and way forward for building hospitals were held with Health and Nutrition Advisor MrAlok Kumar (IAS). Received First Gold Quality Certificate in UP by Hon’ble Health Minister Dr. Harsh Vardhan in the presence of Dr. J L Meena GM Ayushman at Delhi “INTEGRATED DIABETES WELLNESS SOCIETY” 7th national annual conference of IDWS on World Diabetes Day. Represented healthcare sector in ASSOCHAM business delegation accompanying Hon’ble President of India to Manila, Philippines from 18th – 19th October 2019.