As we all know Diabetes- a metabolic cum vascular disease is presently one of the major public health issue ( more than 10 crore patients in India alone & counting…) with heavy death toll & lots of morbidities & still issue is unresolved/unaddressed-the fact is bitter, diabetes is incurable. But recent science has enabled us to keep it under good control with proper line of management to avoid long-term complications-reminding us basic principle of medical science: “Prevention is better than Cure”
Managing diabetes is not easy at individual level for either patient or doctor alone. its a “ Team Work” which demands effective management addressing every aspect of individual’s life right from Proper Diet Planning, lifestyle changes ,education, medicines to awareness….
We will be providing following care :
1) Computerized Registration, Detail evaluation & History Recording on exclusive Diabetes Patient Management Software for keeping track of chronic illness.
2) Diet counseling by expert dietician and doctor.
3) Diabetes education, awareness oriented lectures, adherence counseling and exercise planning by doctor and trained staff.
4) Expert Advice and Effective Treatment by delivering latest research based Conclusions.
5) Early screening and treatment of Diabetes Micro- and Macro- Vascular Complications: Bio-Thesiometery & Monofilament Testing for Diabetic Neuropathy, Doppler for ABI for peripheral vascular diseases, ECG, ECHO TMT for coronary artery diseases etc..
6) In patient admission facilities for those with severely uncontrolled diabetes/ Intercurrent illnesses with diabetes
7) Introducing shortly Insulin pump facility for those with Type 1 diabetics, Gestational Diabetes mellitus (GDM), uncontrolled type 2 diabetics on multiple insulin injections.
8) Diabetes Education materials-DO’s & DON’T’s, Myths & Facts for patient reference
9) Telephonic/Email support for better patient management.
Getting Enrolled to comprehensive diabetes management will definitely make perceptible difference.
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Complications from pregnancy can be alarming, but there's good news. Expectant moms can help control gestational diabetes by eating healthy foods, exercising and, if necessary, using medication. Taking good care of yourself can ensure a healthy pregnancy for you and a healthy start for your baby.
Blood sugar usually returns to normal soon after delivery in gestational diabetes. But if you've had gestational diabetes, you're at risk for future type 2 diabetes. You'll continue working with your health care team to monitor and manage your blood sugar.Causes
It is not known how and why some women develop gestational diabetes. To understand how gestational diabetes occurs, it can help to understand how pregnancy affects your body's normal processing of glucose.
The food eaten is digested by the body to produce sugar (glucose) that enters your bloodstream. In response, your pancreas — a large gland behind your stomach — produces insulin. Insulin is a hormone that helps glucose move from your bloodstream into your body's cells, where it's used as energy.
The placenta that connects your growing baby to your blood supply produces high levels of various other hormones during pregnancy. Almost all of them impair the action of insulin in your cells, raising your blood sugar. Modest elevation of blood sugar after meals is normal during pregnancy.
The placenta produces more and more insulin-blocking hormones as your baby grows. In gestational diabetes, the placental hormones provoke a rise in blood sugar to a level that can affect the growth and welfare of your baby. Gest
Gestational diabetes, for most women doesn't cause noticeable signs or symptoms. Rarely, gestational diabetes may cause excessive thirst or increased urination.
Seek health care early, if possible, when you first think about trying to get pregnant — so your doctor can evaluate your risk of gestational diabetes as part of your overall childbearing wellness plan. Once you become pregnant, your doctor will address gestational diabetes as part of your regular prenatal care. If you develop gestational diabetes, you may need more frequent checkups. These are most likely to occur during the last three months of pregnancy, when your doctor will carefully monitor your blood sugar level and your baby's health.
You may be referred to additional health professionals who specialize in diabetes management, such as an endocrinologist, a registered dietitian or a diabetes educator. They can help you learn to manage your blood sugar level during your pregnancy.
Your health care team will check your blood sugar right after delivery and again in six weeks to make sure that your blood sugar level has returned to normal after your baby is born. Once you've had gestational diabetes, it's a good idea to have your blood sugar level tested Diagnosis
There is no single set of screening guidelines for gestational diabetes. Some question whether gestational diabetes screening is needed if you're younger than 25 and have no risk factors. Others say that screening all pregnant women — no matter their age — is the best way to catch all cases of gestational diabetes.When to screen
Evaluation of your risk factors by your doctor will happen for gestational diabetes early in your pregnancy.
In case of a higher risk— for example, your body mass index (BMI) before pregnancy was 30 or higher or you have a mother, father, sibling or child with diabetes — your doctor may test for diabetes at your first prenatal visit.
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When our body becomes resistant to the effect of insulin or when enough insulin is not produced by pancreas, one can develop type 2 diabetes. Why this happens is exactly not known, although obesity and physical inactivity seem to be causal factors.The role of insulin
Insulin is one of the hormone that is secreted from the islets cells of pancreas, a gland to be found behind and below the stomach. When the islet cells are destroyed, there will be little or no insulin.
- Insulin is secreted from pancreas into the bloodstream.
- The circulating insulin helps sugar enter into cells
- Amount of sugar in ones bloodstream is lowered by insulin.
- Whenever blood sugar level drops, the secretion of insulin from pancreas also reduces.
Glucose is a sugar which is one of the main source of energy for the body cells that build up muscles and other tissues.
- Food and our liver are two main sources of glucose.
- Sugar from bloodstream, enters in the cells with the help of insulin.
- Glucose is stored as glycogen in our liver.Whenever insulin levels drops, the stored glycogen is converted into glucose by liver to keep the glucose level within a normal range.
This process works inappropriately in type 2 diabetes. Instead of sugar moving into the cells, it builds up in the bloodstream.
Type 2 diabetes' symptoms develop slowly. Sometimes patient with have type 2 diabetes for years and not know it. Various symptoms are:
- Increased thirst and recurrent urination. Excess sugar building up in your bloodstream causes fluid to be pulled from the tissues. This may leave you thirsty. As a result, you may drink — and urinate — more than usual.
- Increased hunger. Without enough insulin to move sugar into your cells, your muscles and organs become depleted of energy. This triggers intense hunger.
- Weight loss. Despite eating more than usual to relieve hunger, you may lose weight. Without the ability to metabolize glucose, the body uses alternative fuels stored in muscle and fat. Calories are lost as excess glucose is released in the urine.
- Fatigue. If your cells are deprived of sugar, you may become tired and irritable.
- Blurred vision. If your blood sugar is too high, fluid may be pulled from the lenses of your eyes. This may affect your ability to focus clearly.
- Slow-healing sores or frequent infections. Type 2 diabetes affects your ability to heal and resist infections.
- Areas of darkened skin. Some people with type 2 diabetes have patches of dark, velvety skin in the folds and creases of their bodies — usually in the armpits and neck. This condition, called acanthosis nigricans, may be a sign of insulin resistance.
Certain factors which increase the risk of developing type 2 diabetes include:
- Obesity. Obesity is a major risk factor for type 2 diabetes. The more body fat you have, the more resistant body cells become to insulin.
- Distribution of fat. If one have fat primarily in abdominal area, chances of type 2 diabetes is greater than when body stores fat elsewhere.
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