Prevention is better than cure !
Strategies to prevent diabetes have proven to be the need of the hour than the treatment of diabetes and its associated complications. There are four levels of prevention in the natural diabetes history and it can be done at each level.
This is more to do with reducing the risk elements for diabetes. Ex., Obese control or preventing obesity to eliminate or to reduce future diabetes risk.
It’s primarily targeted towards people in the Pre-diabetes stage to avoid onset of diabetes. People in this stage encouraged towards healthier life style, Regular Screening, Healthy diet and enough exercises to keep weight under control and to prevent diabetes
This is for people who have already developed diabetes. Secondary prevention can be done by controlling blood sugar, Blood Pressure and lipid levels with the help of anti-hyperglycaemic drugs ad pursuing healthy lifestyle.
It is to prevent end stage Complications in those who have already developed complications clubbed with limited physical ability and moving towards rehabilitation. The tertiary prevention is more of health restoring for individuals with the disease.
At our facility, Diabetes patients are encouraged to get in to physical activity and to reduce the obesity or over weight in both children and adults in our regular sessions on diabetes awareness have helped lot of people to overcome this disease and also understand the risks involved in diabetes
We emphasize a lot on healthy eating by high consumption of vegetables and fruits, right category of Cereals intake along with Wheat, Millets and Rice.
Our clinicians look for preventive measures owing to devastating and vicious nature of diabetes complications and we categorised the preventive measure in 3 levels.
Level 1: Is for about early detection and suitable Treatment.
Level 2: Is for the inclusion of specific drugs for patients who have already complications.
Level 3: Will be more of surgery to patients who are already in critical stage.
Dietary service, Diet counselling and Diet analysis forms the base or so called 3 Ds of nutrition department. Diet plays a vital role in controlling diabetes.
The Department of Nutrition and Dietetics is a vital part of the hospital The 3 D’s of the nutrition department -Dietary service, Diet counselling and Diet analysis- are vital to the control diabetes by Encouraging suitable diet, thus facilitates prevention of complications and has a direct influence on the attitudes of patients and their families working towards control of diabetes.
Our dietician, take full responsibility of reviewing a patient’s diet along with medication, educate them about home monitoring of blood glucose, insulin techniques and offer training on how to use kits. We also indulge a lot in organizing diabetes awareness educational programmes to help people with healthy diet plans. We also have group therapy sessions for type-1 patients every month contributing to patient’s mental well-being.
Know Diabetes Weight Loss
Obesity is a chronic disorder with multiple serious health complications. Previously it used to be a concern only for developed countries, but now it is becoming a problem for developing countries as well. There is a global epidemic of obesity with prevalence as high as 30 to 40% in a few regions. In India, approximately 130 million people are obese (INDIAB study).
Follow these to control your cravings.
Right Attitude, Planning and Determination. Are the three key things which will help you to Stay Fit.
Do not fast all day and then go binge eating or drinking at the party. Eating your regular meals on time prevents you from overindulge at the party.
The body needs few calories for energy and metabolism, so eat small meals at regular intervals and do not overeat at night.
Drink minimum eight to ten glasses of water Instead of sodas or mixed drinks. High water content foods like cucumbers that will help you lose weight.
Small plates are a big help with portion control. Use salad plates to eat instead of a dinner-sized plate.
Pleasure is best when shared. This is best way to satisfy your taste buds and by doing this portion size decreased. Eat to enjoy each bite.
Rather than indulging in eating and drinking in a party, channelize your focus on socialising and making new friends with conversations and meaningful interactions. Walking around and meet other guests is a true benefit for dieters.
Exercise must be an important part of the daily life and write it down to maintain the schedule. A workout partner will help you stay committed.
Eating, while channel surfing will end up gaining weight. Healthy and light food choices will help us manage weight.
Understanding Diabetes Stress Management
Psychosocial aspects of diabetes has been constantly monitored and investigated by The Department of Stress Management, which will have major influence on the prescribed regimen of self-care, and to come up with better ways of Stress management of diabetes and its complications.
Constant Stress, anxiety and depression are the three most important problems for patients with diabetes. Generally, a psychological evaluation of the above-mentioned is done for appropriate care. And further suitable measures for behavioural change which include counselling patient and motivating them to make required changes for better lifestyle. If stress not managed properly, it shall affect health outcomes and lead to further health complications.
Department of Stress Management and Counseling main aims include:
This is a model of how medical practices customize health care, and treatments customized to the individual patient level. Diagnostic tests and therapies are selected on the basis of generic symptoms and by the specific risk factor.
At our facility
Understanding Insulin Management for Diabetes Patients may be suggested to start insulin treatment based on the type of diabetes and the level of sugar control. Regular adjustment of insulin doses based on the sugar levels is vital practice to improving glycolic control and preventing further diabetes-related complications.
Different insulin regimen is based on the pattern of sugar levels. The diabetes consultants at our Centre are highly experienced to help patients choose the best possible insulin regimens for their lifestyle.
Insulin pumps are proven to provide a better quality of life they are shown to improve glucose control for patients on multiple doses of insulin. An insulin pump delivers a small amount of insulin continuously around the clock. This has lead to major improvements in controlling blood glucose and thereby assuring higher standard in diabetes management.
Promotes better glycemica control –It mimics the secretion of insulin from the normal pancreas and helps in a tighter control of diabetes.
Insulin pump therapy helps patients to prevent:
• More flexibility in lifestyle–Patients with injection therapy will have to stick with rigid schedules of insulin shots and meals but patients using an insulin pump can program insulin delivery based on when and what they eat.
Understanding Hypoglycemia in Diabetes
It’s a state with low glucose in the blood, associated with giddiness, weakness, anxiety,, hunger, palpitation, blurred vision and headache. And in severe cases, paralysis, seizures or coma.. Hypoglycemia is seen when a meal is missed or delayed, following unaccustomed heavy exercise.
Management of hypoglycemia expects the patients to carry soe sort of ID or health status card which states that they have diabetes in case of any emergencies. Oral glucose (20-30g) in the form of sugar, candy can be given. If the patient is conscious and medical help should be sought immediately if the patient is unconscious.
Prevention
To prevent hypoglycaemia the following strategies can be adopted,
Know Diabetic Retinopathy
It is a common vision-threatening complication which causes damage to the retina. In patients who have had uncontrolled diabetes for a period of time are at the risk of developing retinopathy.
Research confirms that about 70% of patients who have had diabetes for 15 years will have some damage to their eyes. But however there are methods to detect high-risk retinal lesions and blindness due to diabetes.
Successful implementation of a screening programme for retinopathy has become possible due to combined continuous effort of dialectologists and ophthalmologists. The main problem is that patients will not have any visual symptoms until the central seeing area of the retina (macula) is affected. This calls for the retinal examination once a year.
Every patient with diabetes to take an annual comprehensive eye examination:
Understanding Diabetes Foot Care
One of the major organs that can get affected by diabetes is the foot. The Foot Clinic at our facility is fully equipped for early detection and diagnosis of diabetes foot complications.
A routine foot examination to check for early symptoms of neuropathy (A condition where the nerves get affected), ischemia (reduced blood supply), and deformities in the foot, callus formations resulting from neuropathy and infection and necrosis is done at the Foot Clinic
This helps to detect and quantify loss of foot sensation in patients with diabetes.
Developing heart related problems are at 4 times high in A patient with diabetes compared to others same age without diabetes. At out centre a specialised computerised unit is set up to look after diabetes-related heart.
A computerised treadmill and echocardiography are other facilities readily available to treat pr diagnose conditions such as coronary artery.
A major contributor for heart disease is diabetes. This is one of the seven major controllable risk factors for cardiovascular disease confirms The American Heart Association. Further its is considered to be the major cause of morbidity and mortality among Diabetics and also causing higher risk of developing coronary artery disease (CAD), by a narrowing or blocking of the blood vessels that go to the heart.
The heart ailment, known as ‘silent ischemia’, where in none of the heart-related symptoms present in a person with diabetes is seen upfront and this lack of symptoms may give one a false sense of good health and may prevent one from seeking medical care. We at our centre do regular screening and follow up’s which can help one to identify risk factors and heart problems before they worsen.
Understanding Diabetic Kidney Care
Diabetes contributes More than 40% of kidney disease in our country. This complication can be reversed if detection happens at an early stage.
Our Centre is equipped well enough to do the early and late markers of kidney disease and also detect diabetic nephropathy. One go for ‘microalbuminuria’ every 3-6 months to ensure kidneys are in order and no sign of diabetes.
At our centre we offer prior appointments to Patients to consult our nephrologists.
Dialysis helps individuals to live productive lives despite mal functioning kidneys. It is a procedure that substitutes the normal functions of the kidney of patients with renal failure.
Our centre has a dialysis unit to take care of patients. Our dialysis unit is best-equipped with facilities to manage patients with diabetes on regular hemodialysis.
Diagnosis
The laboratory comprises of state-of-the-art equipment and team carrying immense experience & knowledgeable and qualified who are constantly producing reliable results for last several years.
We have practise of labelling the blood samples with bi-directional barcodes to prevent cross contamination and pre analytical error. Bi-directional bar coded samples are directly fed into the respective analyzer where in results are automatically transmitted to Laboratory Information System (LIS).
Diabetes mellitus results from the body’s inadequate production of insulin or the body’s altered response to insulin or both. This shoots up the glucose levels (hyperglycemia), circulatory problems, and even nerve damage in most of the cases.
Diabetes is a chronic condition affecting people of all ages. Exercise plays a vital role in control and prevention of diabetes. Our Physiotherapists are experts in prescribing for people with chronic illnesses and carry years of experience in providing advice on physical activity.
Our expert physiotherapists will make excellent use of specific exercise programmes, massage and electrical devices to treat musculoskeletal conditions which can develop with diabetes. A customized treatment plan will be outlined after assessing patient’s condition.
A combination of resistance and aerobic exercises yields best results.
The heart and respiratory strengthening happens with Aerobic exercise.
Stored calories are burnt to reduce unwanted fat.
Our Lab are unique in nature, we make extensive use of advanced technology and have walk away systems fully automated in the field of Biochemistry, Haematology, Pathology, Microbiology and Serology which provide round the clock service.
Our pharmacy department aims at delivery of authentic drugs to the patients at home. We are strongly committed to accurate prescription delivery and review of medications to ensuring healthy results. Pharmacy functions around the clock throughout the year for dispensing medicines for inpatients and outpatients.
Procurement of Medicines is from companies that matches our quality standards.
Special life style modification programs for corporate are in place to bring in awareness on chronic illness and thereby contributing immensely to improve their work pace productivity.
With the commitment to enable our patients to get access to facilities like Cashless Admission, we has empanelled TPA & Health Insurance Companies For cashless admission, and here all the patients need to produce their health insurance policy card at the time of hospitalization.
World class patient care services are in place for international patients at reasonable cost. Our dedicated team of Consultants under the tutelage of our Chairman Dr. Raghavendra Raj .
Other Service for International Patients