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 And Lockdown Meeting With Dr Vinod Methil : Join Meeting On 30 Aug, 2020

 Dr. Vinod Methil is inviting you to a scheduled Zoom meeting.

Topic: Diabetes and Lockdown meeting with Dr Vinod Methil

Time: Aug 30, 2020 12:00 PM Mumbai, Kolkata, New Delhi

Join Zoom Meeting

https://us04web.zoom.us/j/78923072860?pwd=NitRRnVHODJWb1ExNHFiVjFSUUpVUT09

Meeting ID: 789 2307 2860
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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/

How Does Diabetes Affect Your Feet...?

Those new to the world of diabetes are sometimes surprised to learn about the far-reaching effects that high blood glucose can have on their bodies. After all, glucose is the fuel that your body needs to function and therefore you might wonder why high levels are a problem, since there’s glucose in your blood all the time.

Persistent levels of high blood sugar take their toll, however. It’s long-term exposure to high levels that causes damage, and your feet are potentially a site of diabetes complications. In particular, high glucose levels can harm the nerves and blood vessels in your feet.

Diabetic neuropathy

The medical term for nerve damage, neuropathy happens in diabetics due to the presence of high blood sugar levels over time. Also called peripheral neuropathy since it affects your feet and legs on the periphery of your body, diabetic neuropathy can have several effects on your feet.

Loss of feeling

Nerve damage usually starts with numbness in your feet. That may not seem like much of a problem at first, but when neuropathy progresses to the point where you’re unable to feel damage to your feet, you may develop secondary problems that lead to infection and even gangrene. Half of all foot amputations in the United States are due to diabetic neuropathy.

Phantom pain

Diabetic neuropathy can also create painful tingling or aches that originate in the nerves themselves, not from physical injury. Along with this phantom pain, you may still be missing pain from blisters, sores, and other actual damage.

Muscle control

Sensation isn’t the only function of nerves. Diabetic foot pain Treatment in Vashi  can also interfere with the normal function of your feet, leading to imbalances and pressure on localized areas rather than evenly spread.

Peripheral artery disease

Diabetes also increases your risk of arterial problems, again due to long-term exposure to high levels of blood glucose. Peripheral artery disease (PAD) is much like coronary artery disease except that, instead of the heart, the vessels of your feet and lower legs experience the effects of blockages.

When fatty blockages build up in larger arteries, it may take time for blood flow to be compromised. In your feet, even the largest arteries are smaller, so it takes less for a blockage to slow or, in some cases, completely block blood vessels.

Complications from PAD include pain, particularly while you’re walking. One foot may feel colder than the other, due to a blockage on one side. Cuts or sores on your feet may take a long time to heal, or they may not heal at all without medical treatment. Impaired blood flow also contributes to gangrene, for which diabetic neuropathy already raises the risk.

What can diabetic patients do to prevent vision loss...?

Diabetes is a complicated condition, and its impact on the eyes — known as diabetic eye disease — is the leading cause of blindness in middle-aged adults.

Diabetes occurs when there is too much sugar in the blood, leading to injury of the small blood vessels throughout the body. Patients with diabetes can experience dysfunction in the kidneys, a loss of sensation in the hands and feet and other problems related to their condition.

Diabetes and the Eyes
Diabetes can threaten a patient’s sight in a few ways:

blood vessels become leaky, leading to swelling of the retina (diabetic macular edema).
an interruption of blood supply to the retina (ischemia), sometimes leading to the formation of new abnormal blood vessels.
a progressive degeneration of the retina (diabetic retinopathy).

Sweet Clinics Diabetes eye Care clinic in Vashi offered the following sight-saving tips for patients diagnosed with diabetes:

1) Get dilated eye exams as often as your doctor recommends.
In general, patients with diabetes should be seen by an ophthalmologist at least once a year.there are certain factors that may warrant more frequent visits. “Patients who are pregnant or have more advanced features of diabetic eye disease could be asked to come in as often as every month,”.

2)Keep track of hemoglobin A1C, and take steps to lower your blood sugar if it’s too high.
The hemoglobin A1C test is a blood test performed in a doctor’s office that measures your average level of blood sugar over the past 3 months. If the test comes back high, controlling your blood sugars will help to bring it down.

3)Eat a healthy diet.
Choosing healthy foods and maintaining a healthy weight will lower blood pressure, reduces “bad” cholesterol and leads to overall better diabetic control — and it lowers your risk for diabetic eye disease.

4) Exercise.
Exercise is also very important and leads to better diabetic control. Exercising regularly helps to lower “bad” cholesterol and raise the “good,” lowers blood pressure, lowers weight and reduces your risk of just about every diabetes-associated condition, including diabetic eye disease.

5)Don’t smoke.
while there isn’t conclusive evidence that smoking is a risk factor for diabetic eye disease, he always tells his patients to avoid smoking. Smoking increases your risk of hypertension (high blood pressure) and associated cardiovascular risk factors.

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.

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