Featured Speaker

Dr. Amish Parikh

MD, FRCPC Endocrinologist Toronto, ON

BIO:

Dr. Amish Parikh has been a Staff Internist and Endocrinologist at Trillium Health Partners (Mississauga, Ontario) since 2005. He has a broad endocrinology practice including a focus on diabetes and thyroid disease. His other interests include insulin pump technology, continuous glucose monitoring, exercise and diabetes, and new technology as it relates to the care of patients with diabetes.

He completed a Master’s in Education at the Ontario Institute for Studies in Education during his Endocrine Fellowship Training and has a strong interest in continuing medical education. For the past three years, he was the Chronic Disease Prevention Physician Lead for the Mississauga Halton Local Health Integration Network (LHIN). Here, his role involves improving the experience for people with multiple chronic conditions by championing an integrated approach to the prevention and management of chronic disease and promoting optimal health and wellness in the community.

Bone metabolism/Osteoporosis * Thyroid Disorders * Pituitary Disorders * Adrenal Gland Disorders * Calcium Hemostasis Disorders * Carcinoid Syndrome * Diabetes Mellitus * Multiple Endocrine neoplasia * Parathyroid Disease * Pheochromocytoma * SIADH Referral Information Preferred referral method is Fax Details to accompany referral Complete patient profile Lab work Details of previous treatment All relevant reports Hospital Privileges Trillium Health Partners – Mississauga Hospital Trillium Health Partners – Queensway Health Centre Other Information Paid Parking: Accessible for patients with special needs CPSO#: 75058 Gender: Male Languages: English, French, Gujarati

( Dr. Amish Parikh, Endocrinologist, Toronto, ON ) is in good standing with the College of Physicians and Surgeons.

PPG is postprandial glucose, it’s a measurement of what the blood sugars are after a meal. Typically after you eat, the body makes insulin, and that helps to control the sugars after the food has been digested. In people that have diabetes, oftentimes the insulin made is not enough, and the blood sugars can go high after a meal, which is also called postprandial hyperglycemia.

PPG can influence the A1C levels. The A1C is a measurement of the average blood sugar for the past three months or so. For people that have diabetes, we usually target an A1C of less than or equal to seven percent.

High postprandial sugars can make you feel unwell, such as being tired, and over time, if the blood sugars are high on a consistent basis, this can lead to diabetes-related complications such as problems with your eyes, heart attack, and problems with your kidneys.

Mealtime insulin is designed to help control the blood sugars after you eat. They try to mimic the body’s natural response to sugar surges. They last anywhere from 40 to 120 minutes. However, they do not completely match the body’s natural response to insulin, and therefore there is still a chance postprandial hyperglycemia can occur.

If patients take their insulin as prescribed, before they eat, they have the best chance of keeping their sugars under good control and avoid postprandial hyperglycemia. If insulin is missed, then the blood sugars after meals can go very high.

Mealtime insulin helps to control sugars after meals, and should ideally be taken 30 to two minutes before a meal, depending on the type of insulin. Some insulins now, however, allow you take them 20 minutes after a meal, and still achieve good postprandial sugar control. In summary, postprandial hyperglycemia can influence A1C levels.

If you would like more information about this topic, feel free to speak to your family doctor, your diabetes team, such as the nurse practitioner or dietitian, or your endocrinologist.

Presenter: Dr. Amish Parikh, Endocrinologist, Toronto, ON

Local Practitioners: Endocrinologist

Dr. Amish Parikh, MD, FRCPC, Endocrinologist, discusses how to control post prandial glucose levels with meal time insulin.

Dr Amish Parikh

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