Author: arun karthik

Pregnancy Diabetes

Pregnancy Diabetes:

GESTATIONAL DIABETES OR DIABETES DURING PREGNANCY IS AN UNFORTUNATE, BUT A COMMON OCCURRENCE THESE DAYS , WHICH MAY CAUSE SERIOUS DAMAGE TO THE CHILD’S HEALTH, IF NOT TREATED EARLY.USUALLY IT STARTS AROUND THE 7 TH MONTH OF PREGNANCY,AND IS IDENTIFIED WITH AN OGTT (ORAL GLUCOSE TOLERANCE TEST), SINCE, IN GESTATIONAL DIABETES SYMPTOMS AREN’T PRESENT.THE SUGAR LEVELS DURING THIS TIME NEEDS TO BE UNDER VERY TIGHT CONTROL SO AS TO ENSURE A HEALTHY CHILD.

GESTATIONAL DIABETIC DIET IS EXTREMELY INDIVIDUALISED. WE NOT ONLY NEED TO MANAGE MOTHER’S FOOD QUANTITY, BUT ALSO ENSURE THAT THE CHILD GETS ADEQUATE NUTRITION AS WELL.HOWEVER WE HAVE BEEN DOING THIS FOR AGES AND ARE EXPERTS IN THIS TIGHTROPE WALK AND WE DO THIS RATHER GRACEFULLY.AND WHAT’S MORE ,THE MOTHER DOES NOT HAVE TO VISIT US FOR MORE THAN ONCE AND KEEP IN TOUCH DIGITALLY THROUGHOUT PREGNANCY

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Stress Management

STRESS MANAGEMENT:

DID YOU KNOW THAT STRESS IS A MAJOR REASON WHY DIABETES DOES NOT GET CONTROLLED IN MANY PEOPLE?.PEOPLE WITH HIGH STRESS LEVELS CLASSICALLY HAVE A VERY HIGH FASTING BLOOD SUGAR DUE TO SECRETION OF CERTAIN ANTI DIABETIC HORMONES IN THE BODY.

AT DIACARE, A CAREFUL ANALYSIS OF MENTAL HEALTH OF THE INDIVIDUAL IS MADE AND NECESSARY CHANGES MADE IN LIFESTYLE AND MEDICINES TO REDUCE THE STRESS AND IN TURN THE SUGAR LEVELS DOWN.

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Hypoglycemia Treatment

HYPOGLYCEMIA(LOW SUGAR) MANAGEMENT:

HYPOGLYCEMIA OR LOW BLOOD SUGAR(I.E A VALUE OF LESS THAN 70 MG/DL) IS ONE OF THE FREQUENT SIDE EFFECTS OF DIABETES MEDICINES.HYPOGLYCEMIA SYMPTOMS / LOW BLOOD SUGAR SYMPTOMS SHOULD BE IDENTIFIED AND CORRECTED ACCORDINGLY.IN ELDERLY PATIENTS IT CAN LEAD TO DIZZINESS AND FALLS WHICH IN TURN CAN CAUSE GRIEVOUS INJURIES.

IN SUCH CASES THE DIABETES MEDICINES WHICH THE PERSON IS TAKING SHOULD BE REDUCED IN SUCH A WAY THAT SUGAR LEVELS DO NOT DROP TOO LOW. AT THE SAME TIME, CARE MUST BE TAKEN NOT TO REDUCE THE MEDICINES TOO MUCH TO CAUSE A HIGH BLOOD SUGAR.

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Insulin Management

INSULIN PUMP:

INSULIN PUMP IS A DEVICE (THE SIZE OF A PAGER), WHICH CAN BE USED TO DELIVER INSULIN INSIDE THE BODY.IT IS A BOON TO PATIENTS WHO ARE TAKING INSULIN INJECTIONS SEVERAL TIMES A DAY, BECAUSE THEY CAN AVOID MULTIPLE PRICKS EVERY DAY.

THE DEVICE HELPS IN DELIVERING INSULIN 24*7 INSIDE THE BODY THROUGH A THIN CANNULA AND THEREBY HELPS TO ACHIEVE EXTREMELY GOOD SUGAR CONTROL. IT IS WIDELY USED IN CHILDREN WITH TYPE 1 DIABETES.

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Cardiac Care

CARDIAC CARE:

DID YOU KNOW THAT A MAJORITY OF THE PEOPLE WITH HEART PROBLEMS ARE ALSO DIABETICS.WHY? THE ANSWER IS QUITE SIMPLE. DIABETES DAMAGES THE HEART. THEREFORE, A PROPER SCREENING OF THE HEART IS A PART OF OUR COMPREHENSIVE DIABETES SCREENING PACKAGE.

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Foot Care

FOOT CARE:

DIABETES AFFECTS THE FEET IN A MAJORITY OF PEOPLE WITH DIABETES. THERE MAY BE SEVERAL WARNING BELLS LIKE BURNING OF FEET, NUMBNESS ETC. THEREFORE DIABETIC FOOD CARE IS A SEPARATE SPECIALTY IN ITSELF. SO WE ENSURE WE MAKE A CAREFUL ASSESSMENT OF THE NERVES OF FEET(BIOTHESIOMETRY), BLOOD FLOW TO THE FEET(DOPPLER STUDY AND FOOT PRESSURE STUDY (PODISCAN).

WITH THESE PARAMETERS WE PRESCRIBE THE NECESSARY OFFLOADING FOOTWEAR TO PREVENT WOUND FROM DEVELOPING IN THE FEET .

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Eye Care

EYE CARE:

DIABETIC EYE DISEASE OR DIABETIC RETINOPATHY , IS ONE OF THE LEADING CAUSES OF BLINDNESS IN INDIA. BUT THE PROBLEM IS IT HAS A VERY LATE PRESENTATION . BY THE TIME PATIENT EXPERIENCE DIABETIC RETINOPATHY SYMPTOMS LIKE REDUCED VISION,UPTO 80% OF THE EYES ARE DAMAGED IRREVERSIBLY.

HOWEVER, THE GOOD NEWS IS THAT WITH EARLY SCREENING OF RETINA WE CAN PREVENT THIS CATASTROPHE FROM OCCURRING. FOR THIS WE HAVE THE RETINAL FUNDUS PHOTOGRAPHY WHICH CAPTURES THE RETINAL IMAGES FOR ANALYSIS AND TREATMENT OF DIABETIC RETINOPATHY.

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Exercise Therapy

EXERCISE THERAPY:

EXERCISE FORMS ANOTHER IMPORTANT PILLAR IN DIABETES TREATMENT. SO HOW CAN ONE SIZE FIT ALL?.HENCE WE HAVE EXERCISE FOR REDUCING INSULIN RESISTANCE, EXERCISES FOR WEIGHT LOSS, EXERCISE FOR MUSCLE GAIN ,AMONG OTHERS.THAT’S WHY AT DIACARE WE PRESCRIBE EXERCISE AS PER THE CLIENT’S AGE AND LIFESTYLE NEEDS

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Diet Counselling

DIET COUNSELLING:

DIET ,AS YOU MAY KNOW, FORMS THE MOST IMPORTANT PILLAR OF DIABETES TREATMENT. UNFORTUNATELY IT IS ALSO THE MOST NEGLECTED.THIS IS BECAUSE MOST OF THE PRESCRIPTION DIET REGIMEN IN MANY PLACES ARE IN TERMS OF QUANTIFICATION,(EG. YOU MUST TAKE THIS MANY IDLIS,DOSAS, THIS SIZE CUP OF RICE,THIS MANY ROTIS ETC.).FURTHER THERE ARE FOODS THAT LOWER BLOOD SUGAR,FOODS TO BE AVOIDED IN A KIDNEY PROBLEM,FOODS THAT REDUCE INSULIN RESISTANCE ,FOOD FOR WEIGHT LOSS, MEAL PLAN FOR GESTATIONAL DIABETES, AND SO ON AND SO FORTH

THEREFORE, AT DIACARE,WE LET THE PERSON’S STOMACH/HUNGER GUIDE THEIR FOOD,AS WE UNDERSTAND THAT THE NEEDS OF A FARMER IS QUITE DIFFERENT FROM THE NEEDS OF A BANKER.WE NOT ONLY LOOK AT FOOD AS A WHOLESOME EXPERIENCE, BUT ALSO MAKE SURE THAT IS VERY EASY FOR THE CLIENT TO FOLLOW , AS PER THEIR NEEDS AND JOB PROFILE.

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Diabetes Laboratory

DIABETES LABORATORY:

WE BOAST ONE OF THE WORLD CLASS LABORATORIES IN THE COUNTRY, WITH STATE OF THE ART INSTRUMENTS AND GADGETS:

A FULLY AUTOMATED BIOCHEMISTRY ANALYSER FOR SEVERAL TESTS LIKE BLOOD SUGAR,HbA1c,CHOLESTEROL,KIDNEY AND LIVER FUNCTION TESTS.
HPLC TECHNOLOGY- THE GOLD STANDARD METHOD FOR HbA1c ( 3 MONTH AVERAGE)TEST.
C-PEPTIDE: TO ASSES THE INSULIN SUPPLY AVAILABLE IN THE BODY
NUMEROUS OTHER HORMONE ANALYSERS AND TESTS RELATED TO DIABETES

Pregnancy Diabetes:

STRESS MANAGEMENT:

HYPOGLYCEMIA(LOW SUGAR) MANAGEMENT:

INSULIN PUMP:

CARDIAC CARE:

FOOT CARE:

EYE CARE:

EXERCISE THERAPY:

DIET COUNSELLING:

DIABETES LABORATORY:

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