Dr. Vinod Methil is inviting you to a scheduled Zoom meeting.
Check Diabetes Life blogs to get new updates on how to manage diabetes and way to take care and precautions to prevent it with Dr. Vinod Methil tips and suggestions.
Friday, August 28, 2020
Diabetes And Lockdown Meeting With Dr Vinod Methil : Join Meeting On 30 Aug, 2020
Topic: Diabetes and Lockdown meeting with Dr Vinod Methil
Time: Aug 30, 2020 12:00 PM Mumbai, Kolkata, New Delhi
For More info Contact: 9167 444 888
Diabetes Can Increase Risk of Heart Disease, 5 steps to Prevent The Same : Suggestion By Diabetologists In Vashi, Navi Mumbai | Dr. Vinod Methil
Diabetics in general have a higher risk of heart ailments. Studies have suggested that 60% of diabetic patients above the age of 65 years are at a risk of heart attack. Over the past few years we are increasingly seeing this in younger population. The central pathological mechanism in Heart disease is atherosclerosis. Atherosclerosis is known to lead to coronary heart disease and cardiovascular events. With close to 70% mortality, cardiovascular disease (CVD) is the leading cause of death in people with type 2 diabetes. The risk factors of CVD are age, obesity, tobacco use, dyslipidaemia, and hypertension. Diabetes itself is an independent risk factor of CVD.1
How does diabetes affect the heart?
People with diabetes (particularly type 2 Diabetes) frequently have many traditional risk factors for CVD, including central obesity, dyslipidaemia (high serum triglyceride, low-density lipoprotein, and free fatty acid levels and low high-density lipoprotein levels), and hypertension, the combination of which constitutes the metabolic syndrome. These factors, together with the independent risk factor of diabetes, can independently as well as cumulatively increase risk of CVD significantly over time. Hyperglycaemia and insulin resistance, when combined with dyslipidaemia, hypertension and chronic inflammation, can damage blood vessels, resulting in macrovasculopathy and CVD in people with type 2 Diabetes
It has been shown that the risk of myocardial infarction (Heart attack) in people with diabetes is equivalent to the risk in nondiabetic patients who have already had a Heart attack.
Further evidence of the association between diabetes and CVD is provided by the observation that most patients with coronary heart disease have insulin resistance or frank diabetes.
Diabetes generally occurs due to insulin resistance in the body. This resistance can also lead to high blood pressure. It occurs because as the blood sugar level goes up, the body tries to compensate by increasing the insulin levels leading to hyperinsulinemia. Which leads to Atherosclerosis (blockage of the blood vessels. The diabetogenic lipid condition significantly increases the rate of cholesterol deposition in the blood vessels as compared to a non-diabetic. Which can occur anywhere in the body. However, preliminary symptoms can be seen in places where the blood vessels are relatively thin like the brain, heart, renal blood vessels or where the sources of blood supply is limited like the foot. However, due the increasing bad lifestyle, we are witnessing an increase in diabetes induced heart complications. This is increasingly being seen in younger diabetic patients.
Who is at a risk of severe diabetic heart complications:
Generally speaking, almost every diabetic patient who does not have his critical parameters in check is at a risk of severe diabetic heart condition. Nonetheless, patients who have a family history of heart condition have an increased risk of heart condition.
Early symptoms of heart ailments due to Diabetes:
Unlike a normal person who would have severe chest pain when having a heart attack; a diabetic patient may not experience similar pain. Hence, diabetes is known to be a silent killer However, there are some symptoms which could occur. Some early signs could be
- Breathless on minimal exertion & dizziness
- Heaviness in the chest
- Palpitations
How we at Sweet Clinic saved a patient form a heart attack
We had a 45 year old female patient who was diabetic with a high blood pressure but no cardiac history. She was on typical medication for controlling her diabetes and high blood pressure. She even did her regular medical check-ups. Nonetheless, in one of her regular diabetic check-ups she mentioned of breathlessness. Our Diabetologist; Dr. Vinod Methil, who is quite pedantic when it comes to such symptoms in his patients, immediately asked her to do a heart rate variability test (We being the only clinic in Navi Mumbai to offer such a test). The test result suggest that she might have Cardiac Autonomic Neuropathy (CAN)a frequent but underdiagnosed complication of Diabetes. Following which she was referred to a heart specialist for an angiography. During angiography a heart block was identified and needed a stent to remove the block. This prompt action saved her form a potential heart attack and helped save her life too. All thanks to Dr. Vinod Methil and his team at Sweet clinics.
Steps to prevent diabetic heart complications:
Most diabetic patients only concentrate on blood sugar fasting & PP. They often ignore other critical parameters like cholesterol, lipids, creatinine etc. which can help prevent from diabetes induced complications. Hence, at Sweet clinics some of the preventing measures that we do with our patients include:
- First and foremost, one needs to bring the Blood sugar, Blood pressure & cholesterol in tight control.
It’s important to know that normal blood pressure in Diabetic patients is slightly lower than that of a regular person. For Diabetic and hypertensive individuals at higher cardiovascular risk (existing atherosclerotic cardiovascular disease or 10-year atherosclerotic cardiovascular disease risk >15%), a blood pressure target of <130/ 80 mmHg may be appropriate, if it can be safely attained.
- Similarly, the lipids & cholesterol need for Diabetics with no high blood pressure and LDL cholesterol of 100 milligrams per decilitre of blood is considered ok. However, if a Diabetic has already had a cardiac problem identified the LDL cholesterol should be less than 70 milligrams per decilitre of blood.
- In individuals with Diabetes having multiple atherosclerotic cardiovascular disease risk factors, it is reasonable to start with high-intensity statin therapy.
- For subjects who are unable to tolerate the intended intensity, the maximally tolerated statin dose should be considered.
- The above parameters need to be brought in control by using medications and bringing about lifestyle changes like controlling ones weight, employing healthy lifestyle like regular exercise and stop smoking while limiting or eliminating alcohol altogether.
- Source: https://www.sweetclinics.com/diabetes-can-increase-risk-of-heart-disease-5-steps-to-prevent-the-same/
Thursday, February 6, 2020
How Does Diabetes Affect Your Feet...?
Persistent levels of high blood sugar take their toll, however. It’s long-term exposure to high levels that causes damage, and your feet are potentially a site of diabetes complications. In particular, high glucose levels can harm the nerves and blood vessels in your feet.
Diabetic neuropathy
The medical term for nerve damage, neuropathy happens in diabetics due to the presence of high blood sugar levels over time. Also called peripheral neuropathy since it affects your feet and legs on the periphery of your body, diabetic neuropathy can have several effects on your feet.
Loss of feeling
Nerve damage usually starts with numbness in your feet. That may not seem like much of a problem at first, but when neuropathy progresses to the point where you’re unable to feel damage to your feet, you may develop secondary problems that lead to infection and even gangrene. Half of all foot amputations in the United States are due to diabetic neuropathy.
Phantom pain
Diabetic neuropathy can also create painful tingling or aches that originate in the nerves themselves, not from physical injury. Along with this phantom pain, you may still be missing pain from blisters, sores, and other actual damage.
Muscle control
Sensation isn’t the only function of nerves. Diabetic foot pain Treatment in Vashi can also interfere with the normal function of your feet, leading to imbalances and pressure on localized areas rather than evenly spread.
Peripheral artery disease
Diabetes also increases your risk of arterial problems, again due to long-term exposure to high levels of blood glucose. Peripheral artery disease (PAD) is much like coronary artery disease except that, instead of the heart, the vessels of your feet and lower legs experience the effects of blockages.
When fatty blockages build up in larger arteries, it may take time for blood flow to be compromised. In your feet, even the largest arteries are smaller, so it takes less for a blockage to slow or, in some cases, completely block blood vessels.
Complications from PAD include pain, particularly while you’re walking. One foot may feel colder than the other, due to a blockage on one side. Cuts or sores on your feet may take a long time to heal, or they may not heal at all without medical treatment. Impaired blood flow also contributes to gangrene, for which diabetic neuropathy already raises the risk.
Wednesday, February 5, 2020
What can diabetic patients do to prevent vision loss...?
Diabetes occurs when there is too much sugar in the blood, leading to injury of the small blood vessels throughout the body. Patients with diabetes can experience dysfunction in the kidneys, a loss of sensation in the hands and feet and other problems related to their condition.
Diabetes and the Eyes
Diabetes can threaten a patient’s sight in a few ways:
blood vessels become leaky, leading to swelling of the retina (diabetic macular edema).
an interruption of blood supply to the retina (ischemia), sometimes leading to the formation of new abnormal blood vessels.
a progressive degeneration of the retina (diabetic retinopathy).
Sweet Clinics Diabetes eye Care clinic in Vashi offered the following sight-saving tips for patients diagnosed with diabetes:
1) Get dilated eye exams as often as your doctor recommends.
In general, patients with diabetes should be seen by an ophthalmologist at least once a year.there are certain factors that may warrant more frequent visits. “Patients who are pregnant or have more advanced features of diabetic eye disease could be asked to come in as often as every month,”.
2)Keep track of hemoglobin A1C, and take steps to lower your blood sugar if it’s too high.
The hemoglobin A1C test is a blood test performed in a doctor’s office that measures your average level of blood sugar over the past 3 months. If the test comes back high, controlling your blood sugars will help to bring it down.
3)Eat a healthy diet.
Choosing healthy foods and maintaining a healthy weight will lower blood pressure, reduces “bad” cholesterol and leads to overall better diabetic control — and it lowers your risk for diabetic eye disease.
4) Exercise.
Exercise is also very important and leads to better diabetic control. Exercising regularly helps to lower “bad” cholesterol and raise the “good,” lowers blood pressure, lowers weight and reduces your risk of just about every diabetes-associated condition, including diabetic eye disease.
5)Don’t smoke.
while there isn’t conclusive evidence that smoking is a risk factor for diabetic eye disease, he always tells his patients to avoid smoking. Smoking increases your risk of hypertension (high blood pressure) and associated cardiovascular risk factors.
Monday, February 3, 2020
Bone and joint issues related with diabetes
Become familiar with different bone and joint issue, including indications and treatment choices.
Charcot joint
What's going on here?
Charcot (shahr-KOH) joint, additionally called neuropathic arthropathy, happens when a joint falls apart in view of nerve harm — a typical confusion of diabetes. Charcot joint basically influences the feet.
What are the manifestations?
You may have deadness and shivering or loss of sensation in the influenced joints. They may turn out to be warm, red and swollen and become insecure or twisted. The included joint may not be extremely excruciating in spite of its appearance.
How is it treated?
Whenever recognized early, movement of the infection can be eased back. Constraining weight-bearing exercises and utilization of orthotic supports to the influenced joint and encompassing structures can help.
Diabetic hand disorder
What's going on here?
Diabetic hand disorder, additionally called diabetic cheiroarthropathy, is a confusion wherein the skin on the hands gets waxy and thickened. In the end finger development is restricted. What causes diabetic hand disorder isn't known. It's generally basic in individuals who've had diabetes for quite a while.
What are the indications?
You might be not able to completely broaden your fingers or press your palms together level.
How is it treated?
Better administration of blood glucose levels and exercise based recuperation can slow the advancement of this condition, yet the restricted versatility may not be reversible.
Osteoporosis
What's going on here?
Osteoporosis is a confusion that makes bones become feeble and inclined to break. Individuals who have type 1 diabetes have an expanded danger of osteoporosis.
What are the manifestations?
Osteoporosis once in a while causes side effects in the beginning periods. In the long run, when the sickness is further developed, you may encounter loss of stature, stooped stance or bone breaks.
How is it treated?
A solid way of life, including weight-bearing activity, for example, strolling, and eating a fair eating regimen plentiful in calcium and nutrient D — including supplements if necessary — are the most ideal approaches to address this condition. In certain patients with increasingly extreme or propelled illness, meds to forestall further bone misfortune or increment bone mass might be required.
Osteoarthritis
What's going on here?
Osteoarthritis is a joint issue described by the breakdown of joint ligament. It might influence any joint in your body. Individuals who have type 2 diabetes have an expanded danger of osteoarthritis, likely because of stoutness — a hazard factor for type 2 diabetes — instead of to the diabetes itself.
What are the side effects?
Osteoarthritis may cause joint agony, expanding and solidness, just as loss of joint adaptability or development.
How is it treated?
Treatment includes practicing and keeping up a solid weight, thinking about and resting the influenced joint, exercise based recuperation, prescriptions for agony, and medical procedure, for example, knee or hip substitution (joint arthroplasty). Correlative medicines —, for example, needle therapy and back rub — likewise might be useful for overseeing torment.
DISH
What's going on here?
Diffuse idiopathic skeletal hyperostosis (DISH), likewise called Forestier illness, is a solidifying of ligaments and tendons that normally influences the spine. DISH might be related with type 2 diabetes, maybe because of insulin or insulin-like development factors that advance new bone development.
What are the indications?
You may encounter agony, firmness or diminished scope of movement in any influenced piece of your body. On the off chance that DISH influences your spine, you may encounter firmness in your back or neck.
How is it treated?
Treatment includes overseeing side effects, generally with torment relievers (Tylenol, others), and in uncommon cases may expect medical procedure to expel bone that has become because of the condition.
Dupuytren's contracture
What's going on here?
Dupuytren's contracture is a deformation wherein at least one fingers are bowed toward the palm. It's brought about by thickening and scarring of connective tissue in the palm of the hand and in the fingers. Dupuytren's contracture is basic in individuals who've had diabetes for quite a while, maybe because of the metabolic changes identified with diabetes.
What are the indications?
You may see thickening of the skin on the palm of your hand. In the end, you will be unable to completely fix at least one fingers.
How is it treated?
On the off chance that you have torment, a steroid infusion may help by decreasing irritation. Medical procedure, collagenase compound infusion and an insignificantly intrusive strategy called aponeurotomy to break separated the thick tissue are different choices if the condition keeps you from having the option to get a handle on objects.
Solidified shoulder
What's going on here?
Solidified shoulder is a condition portrayed by shoulder torment and constrained scope of movement. It normally influences just one shoulder. Despite the fact that the reason is frequently obscure, diabetes is a typical hazard factor.
What are the indications?
Solidified shoulder causes torment or delicacy with shoulder development, firmness of the joint, and diminished scope of movement.
How is it treated?
Whenever began early, forceful exercise based recuperation can help safeguard development and scope of movement in the joint.
Wednesday, January 29, 2020
Life and Treatment after Diagnosis of Diabetes | Sweet Clinics
Friday, January 24, 2020
What to do when you're diagnosed with Type 2 Diabetes : Sweet Clinics
Diabetes develops when your blood sugar is too high.
Why does diabetes occur?
Diabetes develops when your blood glucose, also called blood sugar, is too high.
A hormone called insulin helps glucose from food get into your cells and be used for energy. Sometimes your body doesn’t make enough (or any) insulin or doesn’t use insulin well. Glucose then stays in your blood and doesn’t reach your cells.
Over time, having too much glucose in your blood can starve your cells and harm your eyes, nerves, kidneys, and heart.
What is type 2 diabetes?
Type 2 diabetes is also called “adult onset” diabetes, since it typically develops after age 35 (though a growing number of younger people are now developing type 2 diabetes.)
How is diabetes diagnosed?
To diagnose diabetes, your doctor may order a blood test called Fasting Plasma Glucose. These blood tests are done in the morning on an empty stomach. Glucose levels above a certain point on more than one occasion indicate diabetes.
How is diabetes treated?
Often, type 2 diabetes is associated with being overweight and having a sedentary lifestyle, so treatment focuses on diet and exercise. If lifestyle changes don’t control your blood sugar, then your doctor will recommend medications to help your body use its own insulin more efficiently.
Warning symptoms
If you have type 2 diabetes and have symptoms such as confusion, weakness, or extremely high blood sugar, get medical help immediately. These symptoms may mean that you have a life-threatening condition.
Finding the right care
Start by seeing your primary care doctor.
Get regular preventive care
If you have diabetes, plan to see your primary care doctor at least once a year for checkups that include regular blood sugar tests, blood pressure checks, foot examinations for nerve and artery disease, and diabetes education.
Your primary care doctor will also make sure you get annual flu and pneumonia vaccines. Diabetes Care Centre Vashi People with diabetes are at greater risk for complications from these illnesses, so these are especially important.
See a specialist if you need help managing your condition
If you have difficulty controlling your diabetes, you should also see an endocrinologist (a doctor who specializes in diabetes) once or twice a year for more specialized care. An endocrinologist can teach you about new advances in diabetes care and advise you on the best way to control your blood sugar.
Don’t skip annual vision and dental exams
Because diabetes can cause damage to the retina, people with diabetes should visit an eye doctor for regular (annual) eye exams.
Because high blood sugar can increase your risk for cavities and gum disease, it’s important to have regular dentist check-ups (every 6 months to one year) and tell your dentist that you have diabetes.
Choosing a treatment plan
To control diabetes, it’s important to monitor your blood glucose levels.
Treating diabetes
Your doctor will recommend a treatment plan based on several factors, but the main factor is the level of your blood sugar and how stable it is over time. For example, people with “well-controlled” diabetes (blood sugars less than 150 mg/dL) are often able to manage diabetes with diet and exercise and/or medication. Others who have high blood sugar levels (greater than 200 mg/dL) and other complications, despite medication, may need more specialized treatments and medications like insulin injections.
Monitor and manage diabetes
People with diabetes need regular blood tests called Hemoglobin A1c tests. These check average blood sugar levels over the course of three months. Frequency will depend on the severity of your condition, but four tests per year are typical.
If you have trouble controlling your diabetes or have complications from diabetes, you may need home monitoring to check your own blood sugar frequently. Your doctor will tell you how often, but you may need to check multiple times per day.
If you have symptoms of decreased blood flow, are over 50 years of age, have high blood pressure, or smoke, you may also receive an ankle-brachial index test. This test checks if enough blood is flowing to the legs.
Friday, January 10, 2020
Do You Have Diabetes? Here Are 5 Ways To Protect Your Eye Health
Maintaining control of your diabetes is crucial. Regular visits to your physician are necessary, along with adherence to your doctor’s instructions on diet, exercise and medication. Following the right steps to maintaining your diabetes can greatly reduce your risk of developing diabetic retinopathy. Protect your eye health. Follow the tips below to take care of your eyes if you have diabetes.
SCHEDULE REGULAR, COMPREHENSIVE EYE EXAMS.
Talk to your Midwest Eye Consultants optometrist about how often you should schedule a dilated eye exam. This type of exam allows for better visualization of the retinas, which can give an indication of the presence of a diabetic eye condition. Our doctors can handle your changing eyes with new glasses or contact lenses. In some cases, surgical procedures may be necessary.
MAINTAIN A HEALTHY LIFESTYLE.
Are you monitoring your blood sugar regularly? Exercising, eating healthy, taking your medication as prescribed by your doctor and monitoring blood sugar regularly are all great steps to controlling your blood sugar and living a healthy lifestyle. According to the ADA (American Diabetes Association), people with uncontrolled blood sugar levels are four times more likely to develop diabetic retinopathy.
MONITOR YOUR BLOOD PRESSURE & CHOLESTEROL
Changes in the retina can be due to high blood pressure. This condition is called hypertensive retinopathy. This condition can lead to blockage of retinal arteries or veins, which can ultimately result in the loss of vision. Your doctor will look for tiny cholesterol-containing plaques in the retinal blood vessels as well as other blood vessel changes like narrowing and thickening. Make sure you are monitoring your blood pressure and taking care of your health; cut back on caffeine, quit smoking, limit alcohol intake, reduce sodium in your diet, and see your doctor regularly.
EAT FOR YOUR EYES.
Use the diabetes plate method for healthy meals. Fill half of your plate with watery veggies like kale, spinach, cucumber, brussels sprouts or broccoli. One quarter of your plate should be reserved for meat, fish, poultry, tofu, eggs, nuts or other foods high in protein. Reserve one quarter for breads, starches or grains which includes dry beans and starchy vegetables. Fill one small cup with milk or yogurt and one small cup with fruit, applesauce, or fruit juice. Use healthy fats in small amounts for cooking or include nuts, seeds or avocados. Eating healthy foods will help prevent the conditions that come with diabetes, including diabetic retinopathy.
GET REGULAR PHYSICAL ACTIVITY.
Exercise is considered an integral part of diabetes therapy. Not only does exercise improve respiratory and cardiovascular function, it helps with flexibility and well-being. However, you should discuss with your doctor to develop an exercise regimen that works for you. For example, patients who have had significant eye complications caused by diabetes are advised to avoid contact sports that could injure the eye further. Moderate-intensity activity, like walking or bicycling, are great options for exercise.
Take care of your eyes. Schedule a comprehensive eye exam today at Best Diabetes eye Care clinic in Vashi and follow these tips to prevent diabetic retinopathy from affecting your life.
Monday, January 6, 2020
Little Known Ways to DIABETES SELF-MANAGEMENT | Sweet Clinics
Overseeing diabetes doesn't mean never enjoying nourishments you appreciate, which is the reason you'll discover more than 900 diabetes-accommodating plans on this blog. Diabetes Self-Management additionally offers posts about item surveys, sustenance, dinner arranging, and exercise, in addition to apparatuses for checking carbs, arranging exercises, and substantially more.
Tip #1 – Eat a balanced diet with a variety of foods
Aim to eat mostly fruits, vegetables, whole-grain foods, low-fat dairy products, and lean meat, poultry, fish or meat alternatives. Developing a plan with a registered dietitian knowledgeable about diabetes-specific nutrition is a good idea, especially if you’re just starting out.
You might also consider the Diabetes Plate Method, which is a visual way to make sure each meal is diabetic-friendly. Here’s how it works:
Half your plate should have non-starchy vegetables
One-quarter of your plate should have whole grain or starchy foods
One-quarter of your plate should have with lean proteins
Depending on your meal plan and calorie needs, you can include fruit and low-fat dairy on the side.
Tip #2 – Follow a consistent meal plan and schedule
Some people with diabetes need to eat at about the same time each day, while others can be more flexible with the timing. A lot depends on whether you have type 1 or 2 diabetes, how well it’s controlled if you’re on medication, and if you take insulin. Depending on your diabetes medication or type of insulin, you may need to eat the same amount of carbohydrates at the same time each day.
It’s critical to understand your specific needs by talking to your healthcare professional. Then, be careful to follow their instructions.
Tip #3 – Develop an exercise routine
Physical activity is an important part of managing your blood glucose level. The American Diabetes Association recommends at least 30 minutes of physical activity that increases the heart rate five days per week. Exercise and weight loss have been shown to decrease certain risk factors associated with diabetes, such as high blood pressure and high cholesterol. In addition, over time, physical activity can allow for improved blood flow and decreased risk for stroke and other associated heart diseases.
However, before you start, talk to your healthcare provider to make sure you’re healthy enough for physical activity. They can also decide the best time of day for you to exercise. If you take insulin, you need to balance your activity with your insulin doses and meals so you don’t get low blood glucose.
Tip #4 – Check your blood sugar as directed
If you need to test your blood sugar, be sure to follow the instructions from your healthcare provider regarding frequency and time of day. This information may identify blood sugar patterns, which can help your healthcare team adjust your treatment.
Always check your blood sugar if you have high blood sugar symptoms (thirst, frequent urination, fatigue, blurry vision). You should do the same for low blood sugar symptoms (lightheadedness, dizzy, confusion, sweating, shaking, fast or pounding heartbeat). Remember to immediately take a simple carbohydrate like fruit juice or glucose tablets.
Tip #5 – Ask for the right tests and checkups
A critical part of managing diabetes is getting routine tests and checkups that can spot problems early so you can avoid potential complications. Strive to be an active participant in your Diabetes Care Centre Vashi, keeping track of results and asking questions to make sure diabetes complications aren’t developing.
A1C test – This blood test measures your average blood sugar levels over the previous two or three months, which indicates how well your blood sugar is being controlled.
Blood pressure checks – Diabetes can cause high blood pressure, which increases stroke and heart attack risk. Have your blood pressure checked every time you see your primary care doctor.
Cholesterol test – Diabetes also increases your risk of heart disease, so be sure to have a blood test to check your cholesterol annually (more frequently if it’s already high).
Foot exam – Get a complete foot exam at every office visit to test your reflexes and check your feet for calluses, infections, sores, and loss of feeling.
Eye exam – Get a yearly eye exam from an ophthalmologist for early signs of glaucoma, cataracts, and diabetic retinopathy.
Kidney test – High blood glucose can damage the blood vessels in your kidneys over time. You should get tested every year for kidney disease if you have type 2 diabetes have had type 1 diabetes for more than five years.
Dental exam – See your dentist for a regular cleaning every six months and keep up with self-care like flossing and brushing daily.

