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.

Diabetes And The Eye | Sweet Clinics

The Importance Of Eye Care For Diabetics

India has a problem with diabetes, and it’s getting worse. And that means serious problems for many people’s eyesight.

What Is Diabetic Retinopathy?

Diabetic retinopathy is diabetes-related damage to blood vessels that nourish the light-sensitive retina of the eye. This damage can occur from either type 1 or
type 2 diabetes, and the longer you have the disease, the greater your risk for vision problems. In its early stages, diabetic retinopathy has no symptoms. But as the condition progresses, the retina become swollen and blood vessels begin to leak fluid and blood into the interior of the eye, causing symptoms that include:

Blurred vision and/or poor night vision
Spots floating in your vision
Darks streaks that block your vision
Partial or significant vision loss
Though there are treatments that can help limit vision loss from diabetic retinopathy, early detection and timely treatment are critical. But the best cure is prevention.

What You Can Do

First of all, it’s important to know that though obesity is a major risk factor for type 2 diabetes, you don’t have to be significantly overweight to develop the condition. Popular actor Tom Hanks’ recent announcement that he’s been diagnosed with type 2 diabetes is proof of that. This month, during American Diabetes Month and Diabetic Eye Disease Month, make a point to actively encourage all patients and customers you come in contact with to:

Schedule a routine physical exam that includes a blood test to rule out diabetes or pre-diabetes.
Have a dilated eye exam by an optometrist or ophthalmologist to rule out early signs of diabetic eye disease.
It’s That Simple.
By helping people become more aware of the dangers of diabetes and take preventative steps to avoid the disease and its complications, you’ll be helping
others enjoy a greater quality of life…and you just might save someone’s eyesight.

Diabetes And The Eye | Sweet Clinics

The Importance Of Eye Care For Diabetics

India has a problem with diabetes, and it’s getting worse. And that means serious problems for many people’s eyesight.

What Is Diabetic Retinopathy..?

Diabetic retinopathy is diabetes-related damage to blood vessels that nourish the light-sensitive retina of the eye. This damage can occur from either type 1 or
type 2 diabetes, and the longer you have the disease, the greater your risk for vision problems. In its early stages, diabetic retinopathy has no symptoms. But as the condition progresses, the retina become swollen and blood vessels begin to leak fluid and blood into the interior of the eye, causing symptoms that include:

Blurred vision and/or poor night vision
Spots floating in your vision
Darks streaks that block your vision
Partial or significant vision loss
Though there are treatments that can help limit vision loss from diabetic retinopathy, early detection and timely treatment are critical. But the best cure is prevention.

What You Can Do

First of all, it’s important to know that though obesity is a major risk factor for type 2 diabetes, you don’t have to be significantly overweight to develop the condition. Popular actor Tom Hanks’ recent announcement that he’s been diagnosed with type 2 diabetes is proof of that. This month, during American Diabetes Month and Diabetic Eye Disease Month, make a point to actively encourage all patients and customers you come in contact with to:

Schedule a routine physical exam that includes a blood test to rule out diabetes or pre-diabetes.
Have a dilated eye exam by an optometrist or ophthalmologist to rule out early signs of diabetic eye disease.
It’s That Simple.
By helping people become more aware of the dangers of diabetes and take preventative steps to avoid the disease and its complications, you’ll be helping
others enjoy a greater quality of life…and you just might save someone’s eyesight.

Diabetes Foot Care Tips will help you to keep your feet healthy : Sweet Clinics

Keep Your Blood Sugar in Target Range – 

Do not walk bare foot even at home – Keep two separate pairs of footware for home & outdoors.
Inspect your feet everyday for blisters, cuts, redness, swelling, dryness, ingrown toenails, corns & callosities- use mirror to see bottom of foot.

Use special diabetes footware. Prefer using Ketto type sandels & shoes instead of slippers.
Wash your feet daily with warm water & mild soaps – check & confirm temperature of water with elbow before inserting feet into it. After washing, dry them thoroughly , even inter digit space.
Apply moisturizers on feet & lower leg to avoid dryness of skin – don’t apply between toes.
Cut toe nails carefully after bath when they are soft – avoid cutting cuticle & digging under toenails with sharp objects.

Use cotton or wool socks – change them daily, avoid too tight socks.
Wear properly fitting shoes with ample of cushioning. It is preferable to use leather shoes than synthetic material.
Always inspect your shoes or footwear for objects like metal pins, coins etc before wearing it.

Be physically more active – it increases blood supply to feet.
Do not cross legs for longer period while sitting, In spare free time move your feet up & down and rotate at ankle joint.
Quit smoking.
If you see cuts, corns, callosities, redness, blackening or delayed healing in minor cuts seek medical attention or consult your diabetes doctor immediately. Routine foot care & prompt attention to injuries can prevent foot problems from threatening your life and amputations.

Awareness is Prevention.

Diabetologists in Mumbai for Top notch Services in India

One of the most commonly heard condition is diabetes across the world, which is the increase of blood sugar level commonly termed as ‘blood sugar’. Our body consumes blood glucose as the dominant form of energy from the food we eat. A hormone named insulin helps glucose from food get into your cells to be used for energy. Sometimes your body doesn’t make enough or any insulin or doesn’t use insulin glucose your blood stream lead to several health problems. Though! There is permanent care for diabetes, it can be managed to live healthy and long.

What are the Different Types of Diabetes?

The different types of diabetes treated in India under the Top Diabetologists in Navi Mumbai are as follows.

·         Type1 and Type2 Diabetes: These are one of the most common diabetes types, in type1 your body doesn’t make insulin leading to the destruction of the cell producing insulin in your pancreas. It is mostly found in children and these children are being administered with insulin every day. Type 2 diabetes can be developed at any stage unlike Type1 and in this case body doesn’t make or use insulin well.

·         Gestational Diabetes: It is developed in women during pregnancy in almost every case it goes away after the baby is born but they still have a greater chance of developing type2 diabetes later in life.

·         Monogenic Diabetes: Certain mutation causes alteration in a single gene leading to monogenic forms of diabetes. Also known as neonatal diabetes mellitus it form 1-4 in all the diabetes forms.

Symptoms

Common diabetes symptoms are:

•           Unusual weight loss or gain

•           Excessive thirst and appetite

•           Blurred vision

•           Fatigue

•           Increased urination

•           Nausea and vomiting

•           Dry mouth

•           Slow healing sores or cuts

Top Diabetes Clinics in Navi Mumbai

India is known for its advances medical facilities, Top Diabetes Clinics in Navi Mumbai provides comprehensive care to the patients and is known for its international standards for years now. Some of the best diabetes care centers in Navi Mumbai are as follows:  are

1.      Sweets Clinics in Vashi, Mumbai

2.      Apollo Sugar Clinic

3.      Stemrx Bioscience Solutions

4.      Swastik Clinic

5.      Isttavic Health Care

6.      Apollo Spectra Hospital

7.      Jiwadaya Healthcare Pvt Ltd.

8.      Lifespan Diabetes Clinic

9.      Laxmi Multispeciality Hospital & Icu

1.  AyurDiet Cure.

Best Diabetes Specialists in Navi Mumbai

Today, many global patients book their diabetes surgery and treatments at Top Diabetes Clinics in Vashi, Mumbai. We are one of the leading medical value partner having association with the best healthcare facilities and the top diabetes specialists across the country and assisting patients to get cure for diabetes.

The best diabetes surgeon in Mumbai, have been recognized internationally for their skills, expertise and care. These surgeons are committed to offer continuous quality improvement, evidence based medications, curative and preventive medicine at an ethnically based affordable state of the art environment at the top diabetes clinics in Mumbai.

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.