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/

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/

Little Known Ways to DIABETES SELF-MANAGEMENT | Sweet Clinics

Diabetes Self-Management Tips

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.