HOW EXERCISE HELPS PREVENT AND MANAGE TYPE 2 DIABETES

 

Understanding how type 2 diabetes causes blood glucose to rise makes it clear how physical activity can help.

The pancreas makes the hormone insulin, which enables cells to take in glucose from the blood to use as energy. In people with type 2 diabetes, a problem called insulin resistance occurs whereby the cells become less sensitive and responsive to insulin.

As a compensatory measure, the pancreas makes more insulin to get the cells to respond. However, because the pancreas cannot keep up the necessary pace, blood glucose levels eventually rise.

Exercise helps counter the effects of type 2 diabetes in several ways and also help in type 2 diabetes treatment in Navi Mumbai . It increases insulin sensitivity, which helps the cells use any available insulin to take up glucose from the blood. Also, when muscle cells contract during exercise, they are able to take in glucose even when insulin is unavailable.

The blood glucose-lowering effects of exercise last up to about 24 hours following a workout.

How To Benefit From Physical Activity

The goal is to get at least 150 minutes per week of moderate-intensity physical activity. One way to do this is to try to fit in at least 20 to 25 minutes of activity every day. Also, on 2 or more days a week, include activities that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms).

Examples of moderate-intensity physical activities include:

• Walking briskly
• Doing housework
• Mowing the lawn
• Dancing
• Swimming
• Bicycling
• Playing Sports

These activities work your large muscles, increase your heart rate, and make you breathe harder, which are important goals for fitness. Stretching helps to make you flexible and prevent soreness after being physically active.

Ways To Get Started

Finding an activity, you enjoy and having a partner helps you stick with it:

• Find Something You Like: Exercising by doing something you enjoy is important because if you don’t like it, you won’t stick with it. Find an activity that you and your health care provider agree you can do regularly for the best results.
• Start Small: If you’re not already physically active you should begin slowly and work your way up to the desired level. For example, you could park farther from the door, take the stairs, do yard work, or walk the dog. Start small and gradually add a little more time and intensity each week.
• Find A Partner: It’s more fun when someone else is counting on you to show up. Having a partner may help you continue to be active.
• Pick A Goal: An example of a goal could be to walk a mile every day for a month or to be active every weekday for 30 minutes. Be specific and realistic. Always discuss your activity goals with your health care provider.
• Schedule It In: The more regular activity you do, the quicker it will become a habit. Think of ways to link activity to daily life. For example, you could schedule walking with a co-worker after lunch. Try not to go more than 2 days in a row without being active.

Source:  https://sweetclinics.com/how-exercise-helps-prevent-and-manage-type-2-diabetes/

What Are Biomarkers? And Which Ones Are Important for Type 2 Diabetes?

 

All of us have checked our blood pressure, temperature, or blood glucose level at some point in our lives. While it’s become easy to check your blood glucose levels using modern measuring machines, the question is how do you understand the results? 

You see numbers on the machine after the test. These are called biomarkers — the measurable features of your body that show your health progress or how well your body responds to the treatment. Your temperature, blood glucose levels, cholesterol, and everything that conveys your health status in measurable terms is considered a biomarker. To understand more about this, visit a diabetologist in Nerul, Navi Mumbai. 

Biomarkers for Type 2 Diabetes

Biomarkers are seen as the warning sign for the onset of a disease. The sooner a medical condition is detected, the easier it is to cure it. 

Diabetes is a medical condition in which your body loses its ability to produce insulin, or it produces very little insulin that’s not enough to transfer glucose to your cells through blood vessels. Too much glucose in your bloodstream can lead to type 2 diabetes. 

Biomarkers are quite helpful for a diabetic patient or someone with a high risk of diabetes due to medical history. The biomarkers show your blood glucose level, which gives you a clear picture of the severity of diabetes. Your doctor will use the following biomarkers to detect vascular complications.

• High blood pressure
• Low good cholesterol
• High triglycerides
• High blood glucose level

At a diabetes center in Navi Mumbai, healthcare specialists use HbA1c to identify the level of glucose in your blood. It involves a blood test that shows how your diabetes is managed or whether the current medication is keeping the glucose levels in check. Uncontrolled diabetes increases your risk of cardiovascular diseases. So, if your glucose levels are high, the doctor might order other tests that detect your good and bad cholesterol, triglycerides, and other risk factors.

How to Measure the Results?

HbA1c test results below 5.7% are considered normal and above 6.5% indicate diabetes. The doctor will order a fasting blood sugar test, done in the morning after fasting overnight.  The reports calculate the amount of glucose per unit of blood. Glucose below 100 mg/dL is normal, while anything above 126 mg/dL indicates diabetes.

Then, your diabetologist might take a normal blood sugar test. If the results show glucose above 200 mg/dL, you have diabetes. How often you need to get HbA1c depends on whether your diabetes remains controlled. The ideal frequency for the test is twice a year, although you should get it done more frequently if you take insulin shots. 

People diagnosed with type 2 diabetes aim to keep their blood sugar levels around 7%. It’s important to use a glucometer to monitor your glucose levels regularly and follow your doctor’s instructions closely. Although insulin is not necessary, you might need to take insulin shots if the oral medication doesn’t work. 

Source: https://sweetclinics.com/what-are-biomarkers-and-which-ones-are-important-for-type-2-diabetes/

Don’t Ignore These 5 lesser-known Signs of Pre-diabetes : Diabetic Foot Pain Treatment In Vashi, Navi Mumbai

 

According to the Centers for Disease Control and Prevention, many of the Indians are at risk of pre-diabetes and 84% of this population doesn’t identify the condition. Your blood sugar levels are higher than usual in pre-diabetes, but not high enough to be considered diabetes. Here are a few lesser-known signs of pre-diabetes you should know. Also one should get a proper treatment for diabetic foot pain treatment in Vashi, Navi Mumbai.

1. You Don’t have a Stable Vision One of the common signs of diabetes is blurry vision, but only a few know that high blood sugar levels can also lead to sudden improvement in your vision. High sugar levels can cause a more defined vision or blurry vision. If you notice any kind of sudden change in your eyesight – whether it is improved eyesight or blurry vision, reach out to the practicing diabetologist in Navi Mumbai, India for an early diagnosis.
2. You Are Getting Urinary Tract Infection Frequently Another sign of high blood sugar levels is frequent urinary tract infections. If you have been getting a urinary tract infection more often than usual, your doctor might advise you to get your blood glucose level checked. The high glucose level in your blood can make your genitals vulnerable to infection, thus increasing the risk of UTI.
3.  Itchy Skin Your skin could be itchy and irritating for many reasons. Besides, there doesn’t seem to be any connection between your skin and blood sugar levels. It’s obvious you will want to go to a dermatologist to treat the itchiness, redness, and other problems in your skin. As a matter of fact, an increase in your blood glucose level can slow down your blood circulation. This reduced blood flow in your body can cause itchiness – especially around your hand, palms, feet, and genitals. Still, it is better to discuss your skin problems with a dermatologist first. But, if you don’t see any results or it doesn’t get any better, it is probably time to visit the diabetes center in Navi Mumbai, India.
4. Loud Snoring People suffering from diabetes are also at high risk of sleep apnea, which causes snoring, tiredness, and sleep disturbances. So, if your partner is complaining about your loud snores, it is time to check your blood sugar levels.
5. Changes in Your Hearing Power Your hearing may change if you have pre-diabetes. You might start watching TV at a volume higher than usual or you may have difficulty hearing low voices. Changes in your hearing is a less-known and less-common symptom of pre-diabetes, and not every diabetic patient might experience it. However, if you are unable to hear people properly, it may be a sign the inner nerves of your ear are damaged, which can be caused by high blood sugar levels. 

The symptoms of diabetes do not occur overnight, in fact, they are likely to build up gradually. The common symptoms, such as increased urination and excess thirst, are not really noticed initially. If you identify the symptoms of pre-diabetes in the initial stage, you can reverse the condition or delay it from converting into type 2 diabetes by seeking early treatment.

Source: https://sweetclinics.com/dont-ignore-these-5-lesser-known-signs-of-pre-diabetes/

Reviews By Patients For Dr. Vinod Methil On How Diabetic Patients Must Get Treatment by a Certified Diabetologist Navi Mumbai | Diabetic Foot Care Treatment In Vashi, Navi Mumbai

Mr. Sarmalkar tells how after coming to sweet clinics and consulting with our Chief Diabetologist Dr. Vinod Methil, he received the right diabetes treatment. Not just for diabetes but also for diabetes induced peripheral edema of his legs. watch the video to know more....

If you are someone who has been suffering with uncontrolled diabetes its time to you consult Dr. Vinod Methil  at Sweet Clinics, a certified Diabetologist in Navi Mumbai

Visit our website to know more about us: https://sweetclinics.com/

or our facebook page to get latest information: https://www.facebook.com/sweetclinics

To Just consult Dr. Vinod Methil at Sweet Clinics  : https://g.page/sweetclinicdiabetologist
For more details call us on +919167444888

Visit our Clinic in Vashi
Arenja Corner, 213, Palm Beach Rd, Sector 17, Vashi, Navi Mumbai, Maharashtra 400703

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Everything You Should Know About Pregnancy when you are Type1 Diabetic : Diabetes Care Centre Vashi, Sweet Clinic

 

It’s true that with diabetes, managing pregnancy can be a little challenging than you expect. Pregnancy demands a good blood sugar control during the course of pregnancy and you might want to consult your physician during these 9 months. Diabetologists in Navi Mumbai recommends your HbA1c of below 48mmol/mol when you're pregnant. The journey of motherhood is something a women would want to ride at least once in her life and for some it is with less hindrances, for many it may approach with number of concerns because of their health issues. During pregnancy, different factors come into play such as hormonal changes, nausea, vomiting, mood swings, food cravings, etc. Hence, it is quite difficult to control your blood sugar levels but even that some precautions could be taken to assure healthy child birth.

Best diabetes treatment center in Navi Mumbai advice women with diabetes to get an experienced and expert gynecologist consultation during pregnancy along with the supervision of an endocrinologist to avoid any further complications.

Before pregnancy

According to Diabetes Care Centre Navi Mumbai, Babies born to women with diabetes are at risk of being born larger than average, or with a birth defect. They may also be born prematurely or even stillborn. They are also at risk of developing type 2 diabetes in the long term. Try to get more stable blood glucose levels and if needed use an insulin pump.

There is a chance that some of the potential complications of diabetes, like eye disease and kidney disease, may develop while you are pregnant. Your doctors will keep an eye on this. There is also a risk of developing pre-eclampsia, a condition involving high blood pressure during pregnancy, which can cause problems for the baby. Patients are usually advices a high dose (5mg) of folic acid every day from when you start trying to get pregnant until you're 12 weeks pregnant. This can help you have a healthy pregnancy.

 

During Pregnancy

During pregnancy, the need for insulin also increases significantly. Diabetic Centre in Navi Mumbai, stress the importance of Insulin as it does not have any side effects on the baby, but high blood sugar does hence administering a healthy blood sugar level can make a good impact on baby as well as mother’s health. The key concern during diabetes in pregnancy to the new born are congenital malformations in the form of neural tube defects (such as spina bifida) and congenital abnormalities of the heart.

Try not to embrace your sugar cravings easily as this will upset your sugar levels. While looking for food try opting for healthier alternatives to suffice your sweet tooth such as fruits. Keep your calories in check so you know when you can treat yourself with sweets. Now-a-days number of devices are available in the market to keep a track of your blood-glucose level, such handy tools like watches and meters can help you get through this phase more efficiently. Though occasional fluctuation is not much of a concern for the baby if your HbA1C is under control. “Giving birth to a child is itself a big responsibility and a difficult stand in life, and if you have type 1 diabetes, there are even more reasons for you to be extra cautious” — Dr.Vinod Methil, Sweet Clinic, Mumbai.

Some Quick Tips for About-to-be During Pregnancy!

·         Start taking folate when you are thinking about pregnancy

·         See your gynaecologist often

·         Closely monitor your blood rly sugar levels

·         Find alternatives of sugar, and follow it

·         Avoid alcohol, smoking and drugs

·         Regularly review all your medications with the specialists

·         Never miss any vaccination during these 9 months and after.

·         Maintain healthy weight

Delivery and Birth

Delivering a baby in diabetes could a bit complicated than it usually is. Plan the birth of your baby together with your gynecologist or midwife. Many Diabetes Clinic in Navi Mumbai may suggest a caesarean delivery along with a drip with sugar and insulin while in labour. As son as the baby is born, the child will be under close observation, with a regular blood tests. This is to test for low sugar levels. Your baby may need a few days in special care in nursery.

Diabetes won’t affect your breastfeeding, hence you should be able to breastfeed your baby. Visit us to get the consultation from the Best Diabetes Hospitals in Navi Mumbai.

 

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

1. Breathless on minimal exertion & dizziness
2. Heaviness in the chest
3. 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:

1. 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.

1. 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.
2. In individuals with Diabetes having multiple atherosclerotic cardiovascular disease risk factors, it is reasonable to start with high-intensity statin therapy.
3. For subjects who are unable to tolerate the intended intensity, the maximally tolerated statin dose should be considered.
4. 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.
5. Source: https://www.sweetclinics.com/diabetes-can-increase-risk-of-heart-disease-5-steps-to-prevent-the-same/

Bone and joint issues related with diabetes

On the off chance that you have diabetes, you're at expanded danger of different bone and joint issue. Certain elements, for example, nerve harm (diabetic neuropathy), blood vessel infection and corpulence, may add to these issues — yet regularly the reason isn't clear.

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.

Identifying and Treating Diabetes Joint Pain | Sweet Clinics

Diabetes and joint pain

Diabetes and joint pain are considered to be independent conditions. Joint pain may be a response to an illness, injury, or arthritis. It can be chronic (long-term) or acute (short-term). Diabetes is caused by the body not using the hormone insulin correctly, or insufficient production of it, which affects blood sugar levels. What would a hormone and blood sugar-related condition have to do with joint health?

Diabetes is associated with widespread symptoms and complications. According to the Centers for Disease Control and PreventionTrusted Source, 47 percent of people with arthritis also have diabetes. There is an undeniably strong link between the two conditions.

Understanding diabetic arthropathy

Diabetes can damage joints, a condition called diabetic arthropathy. Unlike pain caused by immediate trauma, the pain of arthropathy happens over time. Other symptoms include:

• thick skin
• changes in the feet
• painful shoulders
• carpal tunnel syndrome

A joint is the place where two bones come together. Once a joint wears down, the protection it provides is lost. Joint pain from diabetic arthropathy comes in different forms.

Diabetes & Knee Replacement Surgery: What You Need to Know..? | Sweet Clinics

Leading a diabetic life is by no means an easy task; add to that the need of a knee replacement surgery can at times create a lot of confusion. If you are reading this article chances are you or someone you know has diabetes and want to know if a TKR safe for diabetic, will there be post surgery complications. In this article we hope to address most of the misconceptions surrounding knee replacement for diabetics and what can be done to prevent pre & post surgery trauma.Firstly, it’s important to know advancements in knee replacement surgery has come a long way. In the early days when a incision in the muscle was required to reach the joint replacement, which also required blood transfusion. Consequently, the recovery was painful and took about a month to recover. However, with the latest Painless and Minimal-Stitch knee replacement surgery most normal patients start walking on the same day and are back to normal life in a week’s time. This surgery is safe for diabetic patients aswell as long as it is performed under the guidance of experienced knee replacement surgeon and certain pre and post operative parameters are met.So let’s get down to it.

How does Diabetes Affect Joint Replacement Surgery?
Surgery and anesthesia used during a surgery creates an inflammation in the operated region initiates an autoimmune response by the body by the release of adrenaline, noradrenaline, cortisol, glucagon and other hormones. In patients with uncontrolled diabetes this can increases insulin resistance and glucose levels in the body. This can trigger significant hyperglycemia and can lead to deep tissue infection. Eventually, affecting surgical outcomes.Any surgical procedure no matter how safe puts immense stress on the human body. Diabetic patients inherently have weakened immune system, muscles and body tissues. This weakness affects the overall recovery post surgery.

Pre- Knee Replacement Surgery Measures for Diabetes patients?
“Being fully prepared for a surgery is half the battle won”.

We cannot emphasis enough on this, when it comes to diabetic & Hyperglycemic patients. Be it type-1 or type-2 diabetes a rigorous pre-op regime has to be laid out depending on the patients medical history with the objective of controlling diabetes and reducing risks.

Medical Management: When you first visit your orthopaedic a detailed screening for Diabetes and related co-morbid conditions is important. Accordingly, working with your diabetologist a plan is put in place to prepare you and your body for the surgery is important. This might require medical management of blood sugar levels and any other problems like high blood pressure, renal impairment etc. these need to be brought to stable levels to go ahead for surgery. Apart from medical management your doctor might suggest certain diet and physiotherapy to prepare for the surgery.

Diet: Type-2 diabetes is primarily a lifestyle disease and controlling your diet to reduce your HbA1c level (levels around 8% or less should suffice) plays a vital role in surgical outcomes. So what should your diet include… foods which are rich in antioxidants and have anti-inflammatory properties are essential to help mange surgical (inflammatory) stress on the body. Its highly recommended to consult a surgical dietitian who can help you get the best diet to prepare for a knee surgery.

Exercise: This is something which is suggested to even normal patients. Diabetics, generally have weak muscles, its critical to undergo muscle strengthening program before surgery. Studies have shown that pre-op exercise significantly eases and reduces recovery period. When you undergo knee replacement surgery under Dr. Shailendra Patil our Physiotherapist helps you with a home exercise program before and after surgery.

Post- Knee Replacement Surgery Measures for Diabetes patients?
Post surgery a diabetic patient with most parameters in control can start walking within a day or two. The medical management of diabetic and co-morbid conditions continue to avoid any post surgery complications, that may arise. The exercise and diet plan continues for a few months until the patient is back to his normal life.So as you have read by now that diabetic patients can undergo knee replacement surgery in a safe manner as long as it is done under professional care by your Knee surgeon and diabetologist. Especially minimally invasive techniques which involves less cutting and sticking and handling of tissue makes surgery and recovery very smooth, even diabetic patient's don’t get any healing problems post surgery. 

All You Wanted to Know About Diabetes: A Scientific Elucidation |Sweet Clinics

WHAT IS DIABETES?
Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is broken down into glucose, or sugar, which are oxidised by our tissues to produce energy. The pancreas, an organ that lies near the stomach, secretes a hormone called insulin. Insulin pumps in glucose from our blood into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin well as it should. This causes sugar to build up in your blood.

Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. There is no diabetes cure developed so far.

HOW BLOOD SUGAR IS NORMALLY CONTROLLED IN OUR BODY?
The Blood Sugar is tightly regulated between 70 to 110mg/dL in fasting state and 100 to 140mg/dL in post meal state. At any random state Blood Sugar is maintained below 180 mg/dL. This is done by the balanced action of some hormones; some of which tend to increase blood sugar while some tend to decrease.Hormones that increase blood sugar are Glucagon, steroids, Adrenaline, Somatostatin, Thyroid hormones, Growth Hormone etc.

The only hormone that reduces blood sugar is the INSULIN. Whenever there is a tendency of the blood sugar to rise above the permissible level, Insulin is secreted from the pancreas and the sugar from the blood is pushed inside the cells by insulin and the balance is achieved.

WHAT IS INSULIN?
Insulin is a protein hormone secreted from Pancreas. It is released from pancreas in two patterns.A constant secretion of insulin takes place throughout the day irrespective of meals which ensures that blood sugar in fasting state is under limits. This continuous Insulin secretion pattern is called the BASAL insulin.

On the top of this whenever there is any intake of food, Insulin senses the transient rise in blood sugar and is secreted in a pulsatile manner with each meals to bring down the post meal rise in blood sugar. This pulsatile pattern of Insulin release is called PRANDIAL Insulin.

When the doctors treat patients with insulin, they always try to match the above mentioned pattern of Insulin levels in the blood which is often difficult.

WHAT ARE MY RISKS FOR DEVELOPING DIABETES?
Roughly it can be extrapolated from researches on Diabetic genes that,

If your mother is Diabetic: You have 19% chances to develop diabetes
If your father is Diabetic: you have 14% chances to develop diabetes
If both the parents are Diabetic: You have 25% chances to develop diabetes
If your sister or brother is Diabetic: You have 75% chances of developing diabetes
If your twin is Diabetic: You have 99% chance of developing diabetes.
WHAT ARE THE SYMPTOMS AND SIGNS OF DIABETES?

People who think they might have diabetes must visit a physician for diagnosis. They might have SOME or NONE of the following diabetes symptoms

Frequent urination
Excessive thirst
Unexplained weight loss
Extreme hunger
Sudden vision changes
Tingling or numbness in hands or feet
Feeling very tired much of the time
Very dry skin
Sores that are slow to heal
More infections than usual.
Nausea, vomiting, or stomach pains may accompany some of these symptoms in the abrupt onset of insulin-dependent diabetes, now called type 1 diabetes.

WHAT ARE THE TYPES OF DIABETES?
Type 1 diabetes, which was previously called insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes, may account for about 5% of all diagnosed cases of diabetes.

Type 2 diabetes, which was previously called non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes, may account for about 90% to 95% of all diagnosed cases of diabetes.

Gestational diabetes is a type of diabetes that only pregnant women get. If not treated, it can cause problems for mothers and babies. Gestational diabetes develops in 2% to 10% of all pregnancies but usually disappears when a pregnancy is over. Top Diabetes Doctors in Navi Mumbai

Other specific types of diabetes (like diabetes insipidus) resulting from specific genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses may account for 1% to 5% of all diagnosed cases of diabetes.