Gyan Prakash, MD, FACP, FASN

Disease free world is reality

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🧘‍♂️ Yoga for Healthy Kidneys
Studies suggest yoga may improve: • Blood pressure control • Sleep quality • Stress & anxiety • Physical fitness • Quality of life in CKD
A simple step today for healthier kidneys tomorrow. 💚
#InternationalYogaDay2026 #KidneyHealth #CKD

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🫀 PISCES Trial | NEJM 2026
In 1,228 patients on maintenance hemodialysis, high-dose n-3 fatty acids (4 g/day) significantly reduced serious cardiovascular events.

Lok et al. N Engl J Med 2026.
#Nephrology #Dialysis #CardioRenal #NEJM #PISCES

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🌞 छठ पूजा और किडनी की सेहत 🌿

छठ पूजा आस्था का पर्व है, पर किडनी रोगियों के लिए सावधानी भी ज़रूरी है 🙏

💧 पानी सीमित मात्रा में पिएँ (डिहाइड्रेशन या ओवरलोड से बचें)
🍎 सेब, पपीता, नाशपाती जैसे सुरक्षित फल लें
⛔ केला, नारियल पानी, सूखे मेवे से बचें
💊 दवाइयाँ समय पर लें, कभी न छोड़ें
⚠️ चक्कर, सांस फूलना या सूजन हो तो उपवास तुरंत तोड़ें

सच्ची आस्था वही जो समझदारी से निभाई जाए।
#ChhathPuja #KidneyCare #HealthyFasting #NephrologyAwareness #छठपूजा

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🌞 Chhath Puja & Kidney Health 🌿

Chhath is devotion, purity & sunlight — but for kidney patients, fasting needs caution. 🙏

💧 Sip water wisely (avoid dehydration and overhydration)
🍎 Choose safe fruits – apple, pear, papaya (avoid banana, coconut water)
💊 Take prescribed medicines, never skip doses
⚠️ Stop fasting if dizzy, breathless, or swelling appears

Faith shines brighter when paired with awareness ✨
Stay Devoted. Stay Safe. Stay Healthy.

#ChhathPuja #KidneyCare #HealthyFasting #NephrologyAwareness #KidneyHealth #Chhath2025

[Vineeth K @DealsDhamaka]

THE COBRA EFFECT

During the British Raj, officials grew concerned about the rising number of venomous cobras in Delhi. To tackle the issue, they introduced a bounty for every dead snake.

At first, the policy seemed successful, many cobras were killed.

But soon, an unintended consequence appeared. Enterprising locals began breeding cobras to claim the reward. Once the government realised this loophole and scrapped the bounty programme, the breeders released their now-worthless snakes.

The result? The cobra population surged to even higher levels than before.

This episode is remembered as the Cobra Effect, a classic example of how well-meaning incentives can backfire, producing the exact opposite of the intended outcome

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

Not every “type 2” is truly type 2. 🚩
Type 3c diabetes = diabetes from pancreatic damage (loss of insulin + digestive enzymes).

🔍 Suspect if:
• History of pancreatitis, pancreatic surgery, or cancer
• Steatorrhea, weight loss, brittle sugars
• Low C-peptide, low fecal elastase, negative autoantibodies

💊 Treat with early insulin + pancreatic enzyme replacement.
#Type3cDiabetes #MedTwitter #Endocrinology

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

💉 Still skipping your flu shot because of old myths?
It’s time to bust them with science. 👇

🚫 Myth: “The flu shot gives you the flu.”
✅ Truth: It contains inactivated virus — it cannot infect you. It trains your immune system.

🚫 Myth: “I have an egg allergy, so I can’t take it.”
✅ Truth: Over 4,000 egg-allergic patients (incl. those with anaphylaxis) have safely received flu vaccines. No serious reactions reported.

📚 Backed by trials. Recommended by global health bodies.
🛡️ The flu shot saves lives — especially in the elderly, chronically ill, and immunocompromised.

Protect yourself. Protect others. Get vaccinated.
#FluVaccine #MythBusting #PublicHealth #VaccinesWork #FluSeason #StayProtected

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🌧️ Kidney patients, don’t let the rain catch you off guard!

✅ Boiled/filtered water only
✅ No street food
✅ Don’t miss your dialysis
✅ Take your meds on time

🚨 Fever, swelling, breathlessness?
📞 Call your nephrologist without delay!

#CKD #KidneyCare #Dialysis #MonsoonHealth #StaySafe

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🛑 Kidney patients participating in #KanwarYatra must take precautions:

✔️ Avoid dehydration & heat exposure
✔️ Do not miss prescribed medications
✔️ Wear protective footwear
✔️ Avoid infections & unsafe food
✔️ Recognize warning signs (breathlessness, cramps, swelling)

👉 Consult your nephrologist before the journey.
#CKD #Dialysis #Transplant #NephrologyAwareness #SafeYatra

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🛑 कांवड़ यात्रा में भाग लेने वाले किडनी मरीज सावधानी बरतें:

✔️ डिहाइड्रेशन व हीट एक्सपोजर से बचें
✔️ दवाएं नियमित रूप से लें, उपवास में भी न छोड़ें
✔️ सही जूते पहनें, पैर की देखभाल करें
✔️ संक्रमण व असुरक्षित भोजन से बचें
✔️ सांस फूलना, ऐंठन, सूजन जैसे लक्षणों को नज़रअंदाज़ न करें

👉 यात्रा से पहले नेफ्रोलॉजिस्ट से सलाह ज़रूर लें।
#किडनी #डायलिसिस #ट्रांसप्लांट #NephrologyAwareness #SafeYatra

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

Kidney patients are at significantly increased risk for Herpes Zoster (shingles).
Immunosuppression, uremia-associated immune dysfunction, and older age contribute to this risk.
🔹 The burden is often underestimated in CKD and dialysis populations.
#Nephrology #CKD #PreventiveCare

🩺 Why is this important?
• Higher risk of complications (e.g., postherpetic neuralgia, ophthalmic zoster)
• Greater morbidity and hospitalization rates
• Limited antiviral efficacy in advanced CKD if not caught early
#ZosterVaccine #CKDcare

💉 Varicella Zoster Vaccine is recommended for:
✔️ CKD Stage 4 & 5
✔️ Dialysis patients
✔️ Kidney transplant recipients (pre- or post-transplant per guidelines)
✔️ All adults ≥50 years (per CDC/ACIP)

#Vaccination #CKD

📌 Shingrix (recombinant, adjuvanted) is preferred over live vaccines
• Given in 2 doses
• Safe in dialysis and immunocompromised patients
• Offers ~90% protection, even in older adults
#Shingrix #Immunization

✅ Include Varicella Zoster vaccination in pre-transplant evaluation and dialysis care pathways
✅ Educate patients early
✅ Preventive care saves lives and cost

📢 It’s time to act—not just treat, but prevent.
#NephrologyMatters #ZosterPrevention #RenalCare

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🔴 किडनी मरीजों के लिए बाढ़ में जरूरी सावधानी!
✅ दवाएं – 2 हफ्ते की वॉटरप्रूफ पैक में रखें
✅ डायलिसिस छूटे? कम नमक-पानी वाला डाइट अपनाएं
✅ गंदे पानी से बचें – संक्रमण का खतरा
✅ डॉक्टर का नंबर व रिपोर्ट पास रखें
🛡️ किडनी की देखभाल में देरी नहीं चलेगी!
#बाढ़_सावधानी #किडनी_स्वास्थ्य

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🔴 Kidney Patients – Don’t Let the Flood Risk Your Life!
✅ Store meds for 2 weeks in waterproof bag
✅ Missed dialysis? Eat low salt, low fluid diet
✅ Avoid floodwater – deadly infections possible
✅ Keep doctor’s number & reports handy
🛡️ Your kidneys can’t wait!
#FloodAlert #KidneyCare #Dialysis

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🧬 Groundbreaking discovery in transfusion medicine:
A new blood group, Gwada-negative, has been identified — found in only one known individual from Guadeloupe.

🔹 No compatible donor
🔹 Caused by a rare PIGZ gene mutation
🔹 Implications for transfusion safety, genetics & lab-grown blood research

#GwadaNegative #Hematology #TransfusionMedicine #Genetics #MedicalResearch #RareBloodType #PersonalizedMedicine

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

Diabetic Striatopathy is a rare but reversible neurological complication of non-ketotic hyperglycemia, often misdiagnosed as stroke.

🩺 Seen as unilateral chorea/ballismus
🧠 MRI: T1 hyperintensity in the striatum
💉 Prompt glycemic control is key

#DiabetesAwareness #NeuroEndocrinology #Striatopathy #Chorea #BrainHealth

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

Diabetic Striatopathy — बिना कीटोन के हाई शुगर (non-ketotic hyperglycemia) में होने वाली एक दुर्लभ लेकिन रिवर्सिबल न्यूरोलॉजिकल समस्या।

🧠 लक्षण: एक तरफ का chorea/ballismus
🧪 MRI: striatum में T1 hyperintensity
💉 इलाज: ब्लड शुगर को तुरंत नियंत्रित करें

#DiabetesAwareness #NeuroHealth #Striatopathy #Chorea #PublicHealth

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

📢 QWINT-1 ट्रायल | NEJM
टाइप 2 डायबिटीज़ के नए मरीज़ों में Efsitora Alfa (साप्ताहिक इंसुलिन), रोज़ाना वाले Glargine जितनी ही प्रभावी (52 सप्ताह):

✅ HbA1c में समान कमी
✅ कुल इंसुलिन डोज़ कम
✅ हाइपोग्लाइसीमिया की घटनाएं कम
✅ कम डोज़ एडजस्टमेंट
✅ मरीज़ों के लिए ज़्यादा सुविधा

#डायबिटीज़ #Efsitora #QWINT1 #NEJM #Insulin #Type2Diabetes

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

📢 NEJM | QWINT-1 Trial
Once-weekly insulin Efsitora alfa is noninferior to once-daily insulin glargine in insulin-naïve T2D adults over 52 weeks.

✅ Similar HbA1c reduction
✅ Lower insulin dose
✅ Fewer hypoglycemia events
✅ Fewer dose adjustments

🔗 Simplified & safer alternative?

#Diabetes #Insulin #Endocrinology #NEJM #QWINT1

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🩺 eGFR (अनुमानित ग्लोमेरुलर फिल्ट्रेशन रेट) किडनी की कार्यक्षमता मापने का एक महत्वपूर्ण मानक है।
यदि यह <60 mL/min/1.73m² लगातार 3 माह से कम है तो यह क्रोनिक किडनी डिज़ीज (CKD) का संकेत है।

⚠️ विशेष रूप से आवश्यक:
• डायबिटीज़
• हाई ब्लड प्रेशर
• किडनी रोग का पारिवारिक इतिहास

📌 समय पर पहचान से रोग का बेहतर नियंत्रण संभव है।
#Nephrology #eGFR #CKD #किडनी_स्वास्थ्य #DrGyanPrakash

[Gyan Prakash, MD, FACP, FASN @drgyanclass]

🩺 eGFR (Estimated Glomerular Filtration Rate) is a crucial parameter to assess kidney function.
Persistent eGFR <60 mL/min/1.73m² for ≥3 months indicates Chronic Kidney Disease (CKD).

🎯 Especially important for patients with:
• Diabetes
• Hypertension
• Family history of CKD

📌 Early detection = Better outcomes
#Nephrology #eGFR #CKD #KidneyHealth #DrGyanPrakash