Life and Treatment after Diagnosis of Diabetes | Sweet Clinics

Being a chronic disease in which the sugar level in the blood is elevated, the blood glucose lead to spillage of glucose into the. Resistance to insulin can also be the reason for diabetes. Typically, the blood glucose levels is regulated by insulin that lowers the blood glucose level and when there is urine an elevation in the blood glucose levels the insulin is released from the pancreas for regularizing the glucose level.

The insufficient production of insulin or absence of it causes hyperglycemia in patients with diabetes. Get an appointment with the Top Diabetologists in Vashi at Sweet Clinics in Mumbai. Diabetes is something which we all have heard about and it’s undeniably one of the common diseases in the world affecting a larger population.

When you are diagnosed with the Diabetes?

Getting news about diabetes could be overwhelmed and confusing. Understanding diabetes is the first step towards living the best way after the diagnosis. The best diabetic centers in Navi Mumbai emphasis on managing the condition through a balanced diet, regular medications and through an active lifestyle as there is no cure for diabetes.  

The type 1 diabetes occurs due to not production of insulin which doesn’t allows glucose to reach body cells. Diabetes specialist in Navi Mumbai recommends treatments like insulin therapy to manage their condition and live a long healthy life. Patients with diabetes and hyperglycemia are more prone to increased incidence of complications, increased length of hospital stay, diabetes management care clinics in Mumbai have expertise in treating with utmost care with management systems to ensure that hyperglycemic patients achieve target below glucose levels.

Benefits of Getting Diabetes Surgery in Vashi, Mumbai

The benefits of getting your diabetes surgery in Mumbai includes the low cost, highest quality medical services and care from the best diabetes surgeon in Navi Mumbai. Since diabetes has affected about 200 million people worldwide the death rate due to this chronic progressive disease increases by 50% in the next 10 years.

Surgery from the diabetes specialists in Mumbai should now be looked as a viable therapy for not only the morbidly obese but also for the diabetes patients who fall outside the current BMI guidelines. The potential benefits of metabolic surgery are enormous and the implementation needs rethinking the goals and strategies for diabetes treatments.

Surgery for Diabetes: These bariatric surgeries help to reduce weight, hence leads to decrease the risks of disease at a very low level.

•           Sleeves Gastrostomy Surgery

•           Roux-en-y gastric bypass

•           Adjustable gastric band

•           Duodenal switch

Why Sweet Clinics in Mumbai for Diabetes Treatment?

Today, many global patients book their diabetes treatments and surgery in different reputed clinics and hospitals in India, one such Super Speciality Diabetes clinic in Vashi is Sweet Clinics Navi Mumbai. It is one of the renowned clinics that facilitates diabetes surgery in a cost-effective budget. Some of the services by the clinic are as follows:

·         19 Test to track diabetes

·         Consultation by Diabetologists, Dietician, Physiotherapist & Cardiologist

·         Unlimited Telephonic/ Email-Consultations

·         10% Discount on Medicines that are delivered to your home

What to do when you're diagnosed with Type 2 Diabetes : Sweet Clinics

Understanding type 2 diabetes
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.

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. 

Risks and Causes of Prediabetes - Sweet Clinics

Risks and causes of prediabetes

Prediabetes is defined when the blood sugar is elevated than the normal values but not yet high enough to be diagnosed as diabetes . It is the pre-diagnosis of diabetes. Without lifestyle changes, people with prediabetes are very likely to progress to developing type 2 diabetes.

Diagnosis of categories of prediabetes
Impaired glucose tolerance and Impaired fasting glucose are two entities in the causes of prediabetes

Impaired glucose tolerance (IGT) is diagnosed if 2 hour post glucose load plasma glucose is between 140-199 mg/dl with a fasting plasma glucose value in the non-diabetic range.
Impaired fasting glucose (IFG) is diagnosed if fasting plasma glucose is between100-125 mg/dl
Individuals in these two categories have increased risk of progressing to diabetes and are also considered to be at high risk of cardiovascular disease.Diabetologist in vashi .

Risk factors
The same factors that increase the risk of developing type 2 diabetes increase the risk of developing prediabetes. These factors include:

Being overweight or obese: The more fatty tissue that is present, the less sensitive to glucose the cells become. This is one of the major causes of prediabetes.

Excess fat around the abdominal region: For women, a waist size over 35 inches is linked to a higher prevalence of prediabetes. For men, a waist size over 40 inches is considered a risk.

Age: Prediabetes can develop in anyone of any age, but the risk of pre-diabetes is thought to rise after the age of 45 years. This may be due to inactivity, poor diet, and a loss of muscle mass, which typically declines with age.

Diet: Excess carbohydrate, especially sweetened foods or beverages, can impair insulin sensitivity over time. Diets high in red or processed meats are also linked to the development of prediabetes.

Sleep patterns: People with obstructive sleep apnea have an increased risk of developing prediabetes.

Family history: Having an immediate relative with type 2 diabetes significantly increases the risk of developing prediabetes

Stress: During periods of stress the body releases the hormone cortisol into the blood stream, raising blood glucose levels.

Gestational diabetes: Women who develop gestational diabetes during pregnancy, and their children, are at a higher risk of developing the condition.

Polycystic ovary syndrome (PCOS): Women with PCOS are more susceptible to insulin resistance, which can lead to prediabetes,

Ethnicity: The risk of developing pre-diabetes tends to be higher for African-Americans, Native Americans, Hispanics, Pacific Islanders, and Asian Americans. The reason remains unclear.
Causes of prediabetes

In prediabetes & Type 2 diabetes, cells become resistant to the action of insulin, and pancreas is unable to make enough insulin to overcome this resistance. Instead of moving into the cells where it’s needed for energy, sugar builds up in the bloodstream. Exactly why this happens is uncertain, although it’s believed that genetic and environmental factors play a role in the development of prediabetes& diabetes . Being overweight is strongly linked to the development of type 2 diabetes, but not everyone with type 2 is overweight.

Eating healthy food, losing weight and staying at a healthy weight, and being physically active can help you bring your blood glucose level back into the normal range.

GESTATIONAL DIABETES LEVELS AMONG PREGNANT MOTHERS - SWEET CLINICS

Introduction

Gestational diabetes mellitus (GDM) is a condition of high blood glucose levels are detected for the first trimester during pregnancy.  GDM is very common and some studies have reported that 10-20% of pregnant women in India have GDM.

Who are at risk of GDM?

Older women
Overweight or obese.
Family history of diabetes
If there was a previous history of Gestational Diabetes.
Screening and diagnosis of hyperglycemia in pregnancy

 All pregnant women should be screened at the first visit to antenatal clinic. Early in pregnancy screening is done usually at the booking visit to see if the woman already has diabetes complicating pregnancy which she did not know about. Screening can be done using either fasting plasma (FPG), glycosylated hemoglobin (A1C),or random plasma glucose(RPG). If a woman has high blood sugars early in pregnancy (FPG>7mmol/l (126 mg/dl), A1c >6.5% or RPG >11.1 mmol/l(200mg/dl) then she should be treated as having pre-existing diabetes.

All women who have normal blood glucose levels of sugar early in pregnancy should be screened again with an oral glucose tolerance test (OGTT) between 24-28 weeks of the pregnancy to rule out GDM. They should come to the centre in fasting state at least 8 hrs-10 hrs and should not consume anything except water before the test. Fasting blood and urine are collected, 75 gms of oral glucose is given to drink in 300 ml of water. Blood is then drawn at one and two hrs of the glucose load. If fasting plasma glucose is between 92-125mg/dl or 1 hr of glucose load >180mg/dl or 2 hrs level is >153mg/dl (International Association of Diabetes and Pregnancy Study Group, IADPSG criteria) the woman is said to have Gestational Diabetes.

Weight gain during pregnancy

All pregnant women should gain some weight during pregnancy and the recommended weight gain is decided by the Pre-pregnancy body mass index (BMI)

                               BMI = Weight (kg)/ Height in m2

Changes of body weight based on BMI

< 18.5 Underweight
18.5-22.9 Normal
23-24.9 Overweight
>25 Obese
(According to Asian Indian guidelines1)

Recommended weight gain according to pre pregnancy BMI

BMI Weight gain
<18.5 12.5-18 Kg
18.5-24.9 11.5-16 KG
25-29.9 7-11.5 KG
>30.0 5-7 KG
Managing Gestational Diabetes

Gestational Diabetes levels can be managed through balanced and healthy diet, medication and exercise. Medication is usually indicated if blood sugars do not come to normal with diet and exercise. Recommended levels of glucose are fasting<90mg/dl(5.0 mmol/l),1 hr<140mg/dl(<7.8 mmol/l),2 hrs <120mg/dl(<6.7 mmol/l)

General guidelines for healthy eating

Generally good nutrition is important during pregnancy and en effective way to manage gestational diabetes levels. A dietitian can guide to take portion size, right amount of protein, fat and carbohydrate.

Here are some general tips:-

Eat variety of foods distributing calories, carbohydrate and taking enough protein
4-5 serving of vegetables is recommended
Adequate fluids 2-3 liters should be taken but however water has to be restricted if there is  pedal edema.
Iron rich foods should be included. Eg: – Greens
Consume 650 ml of milk/ day to meet calcium requirements.
Avoid direct sugars, artificial sweeteners.
Avoid Alcohol and tobacco.
Use a combination of oils Eg: – Mono unsaturated fats and Poly unsaturated fats
Include plant protein like pulses, dhal etc.
Restrict animal protein like red meat.
Healthy plate

One way to decide how much to eat to divide the plate is given below. Up to half plate should contain vegetables and fruits, about one quarter of plate should be starch or grains and the reminder protein and calcium rich foods.

Physical Activity

Aerobic activity of moderate intensity for 30mins/day on most days of the week has shown benefits in metabolic control. Start with light to moderate exercise. Any simple physical activity is better than no activity.

Insulin

Insulin is indicated when target blood glucose levels are not attained with diet and physical activity. Different types of insulin is prescribed by the Diabetologist.

Materials required for insulin injection

Insulin
Syringe or pen type needle.
Denatured spirit
Cotton.
General guidelines for patient on bottle type insulin

Insulin must be refrigerated, not frozen
Store away from heat
It must be rolled between two hands before using.
Common site for taking Insulin are upper part of thigh. You may not want to use abdomen during pregnancy, hence arms and legs are preferred.
If refrigerator not available (ex. in villages) Insulin can be stored in clay pot.
Each bottle type contains 400 units
If using 100 u insulin then use a 100u  syringe
If using 40u  insulin then use a 40u  syringe.
General guidelines for patients on pen type insulin

The pens can be stored at room temperature while in use.
Should not get exposed to direct sunlight
Pen needle can be used 4-5 times without sterilization.
Each pen contains 300 units of insulin.
Insulin pens are available in two basic types, disposable and reusable.
 Insulin pens are portable,discreet and convient to carry,

It's All About (The) DIABETES CLINIC IN VASHI

What is Albumin Creatinine Ratio [ACR] 


It is proportion of egg whites and creatinine in pee discharge.


What is the significance of ACR in the executives of Diabetes? 

Raised ACR is a pointer of Kidney brokenness in Diabetes. Ordinarily no protein is discharged in pee. Nearness of protein in pee with no Urinary Tract Infection is a marker of Kidney pathology like Diabetic or Hypertensive Nephropathy.

ACR is the most exact and favored technique for identifying Diabetic Nephropathy

What is the ordinary dimension of ACR? 

Under 30mg/g is the typical dimension

What is the perfect recurrence of doing ACR levels? 

When a year

Diabetes Care Centre Vashi

How might I diminish my ACR levels? 

Controlling glucose and circulatory strain levels

Diet control

The Secret of DIABETES

Eye Health & Diabetes

What is Diabetic Retinopathy? 

Diabetic retinopathy is an eye issue brought about by long standing diabetes. It influences inward eye called retina. Diabetic retinopathy can influence all diabetics and increment the danger of visual impairment in the event that it is left untreated. 

What are the indications of Diabetic Retinopathy? 

Early retinopathy without manifestations 

Obscured vision 

Twofold vision 

Eye floaters 

What are the hazard factors for creating Diabetic Retinopathy? 

Uncontrolled blood sugars 

Hypertension 

Protein urea 

Can Diabetic Retinopathy be avoided? 

Indeed, Good glycemic control and ordinary eye check up [Fundoscopy] can distinguish diabetic retinopathy at a beginning period. Through Fundoscopic examination internal eye[Retina] can be envisioned in detail and appropriate treatment can be suggested. This is the most exact accessible examination of retina. Diabetes Clinic in Vashi

For what reason is it required to experience Fundoscopy in Diabetes? 

Diabetes influences inward eye[Retina].Routine eye check up can't reach and envision retina. Fundoscopy is the main strategy by which we can envision retina and the encompassing vasculature. 

Best diabetes treatment center in Vashi

Ailments like retinal hemorrhages, retinal separation can be recognized through Fundoscopy.