DIABETES

Diabetes is a hassle-some disease. So we don’t want the added hassle of waiting and finding Specialists, going to different diagnosticcenter, finding products in another place etc. At Umkal we take the stress out of diabetes. We provide everything a diabetic might need, under one roof. Right from diagnosis to speaking to a dietician, educator, diabetologist, footcare, eye care and Heart care. As a patient, you don’t have to keep going from pillar to post. So life is easy and convenient for the Diabetes Patient.

Introducing Full Care Diabetes Treatment plans

Umkal offers diabetics Full Care treatment, personalized treatment as per your health status and target based to help you achieve your health goals and control of Diabetes.

You can choose from wide range of Diabetic Care plans and customized Plans to take care of your Diabetes.

Diabetes has currently affected more than 62 million Indians, which is more than 7.1% of the adult population. Diabetes is a major cause of premature illnesses across the world. It requires timely diagnosis and treatment. Untimely care can increasethe chances of getting other related ailments. The best hospital for diabetes treatment, Umkal Hospital, providesquality treatment and care to the patients depending on type of diabetes at the affordable cost with no compromise in Quality.

What is Diabetes:

Diabetes is disease which affects the production and supply of insulin in the body. The food which we eat is converted into glucose, a type of sugar. This sugar is then used as energy needed by our body to perform various activities throughout the day. Glucose is then transported into the blood and muscles and other tissues.Insulin, a hormone, absorbs glucose from our blood, which helps our bodies obtain energy from food. A person suffers from diabetes when his or her body doesn’t produce enough amount of insulin.

Types of diabetes:

1) Type 1 (Insulin dependent diabetes mellitus diabetes): It generally occurs at young age often below 25 yr. of age due to destruction of insulin forming beta cells in pancreas by a particular type of viral infection. Patients with type 1 diabetes requires insulin injections. Many people get type 1 diabetes during their childhood or pre-adult years and they are dependent on insulin injection for their survival. Sometimes ketones appear in blood & urine (called as diabetic keto-acidosis). This may be sometimes life threatening.

2) Type 2 (Non-Insulin Diabetes of young) diabetes happens when the pancreas does not make enough insulin or the body does not use insulin properly. It typically happens in adults, although in some cases children may be affected. Individual with type 2 diabetes usually have a family history of diabetes and 90% are overweight or obese. People with type 2 diabetes may require insulin injections few years down the line.

3.) MRDM (Malnutrition related Diabetes)

4) Fibrocalcific Pancreatic Diabetes (FCPD)

5) Drug induced: steroid induced

6) Auto-antibody induced

7) Secondary diabetes

Risk factors for Diabetes

1) Hereditary factors: There are two type of inherited defect in gene of the persons with diabetes as:

a. First one is defect in genes of insulin producing cells so that their insulin producing beta cell (in pancreatic gland) is not able to secrete enough insulin so that less insulin is produced i.e. insulin deficiency.

b. The second hereditary defect, there is inherited defect in insulin molecule or its working mechanism so that whatever insulin is being produced is not very effective in lowering the blood sugar level because either insulin itself is defective or their body organs are inherently resistant to secreted insulin action i.e. insulin resistance.

2) Many drugs as steroids, growth hormone, diuretics taken for longer times leads to decreased insulin secretion & makes insulin less effective causing drug induced diabetes.

3) Many hormone disorders, as excess of Cortisol hormone, growth hormone, hyper aldosterone’s etc. decreases insulin secretion & lead to diabetes.

4) Chronic alcohol use may lead to pancreatic damage leading to insulin deficiency & diabetes.

5) Diabetes during pregnancy occurs due to release of certain hormone during pregnancy which decreases the effect of insulin secreted from pancreas leading to diabetes. The diabetes which develops during pregnancy is called Gestational Diabetes

6) Borderline diabetes

7) Impaired Fasting Glucose

Symptoms of Diabetes include:

• Increased hunger

• Increased thirst

• Weight loss

• Frequent urge to urinate

• Blurry or foggy vision

• Tiredness

• Wounds that don’t heal

Facilities of Diabetes:

• Nutrition & Dietetics

• ECG

• Biothesiometry

• Doppler

• Surgical Dressing

• Foot Clinic

• Eye Department

• Pharmacy

• Laboratory

• Diabetic Foot Wear

• Home Care

Diabetes and eyes – Diagnosis of Diabetic retinopathy

• • Diabetic retinopathy is a progressive diabetic eye problem that leads to blindness without proper diabetes control and proper management. In fact, in most people damage to the blood vessels and the nerves of the eyes occurs even before the diagnosis of diabetes.

  • Diabetic retinopathy stages progress as the illness exacerbates leading to many changes in the retina and can lead to complications like retinal detachment, and glaucoma.

  • In the beginning, diabetic retinopathy starts as non-proliferative diabetic retinopathy. It later progresses to mild non-proliferative diabetic retinopathy, and then to moderate non-proliferative diabetic retinopathy.

  • Later, it progresses to severe non-proliferative diabetic retinopathy and then proliferative diabetic retinopathy. All through these stages, there are structural changes in the retina leading to vision loss and blindness in the end.

  • However, it is only after a significant amount of damage to the retina due to high blood sugar levels that this condition manifests in the form of symptoms. Also, this condition is detected in the early stages only through an eye examination. That is why diabetes doctors and ophthalmologists advise periodical eye examination. Diabetic foot problems

  • Over time, diabetes may cause neuropathy in the feet, which may result in a loss of feeling.

  • The two main foot problems that affect people with diabetes are: Diabetic neuropathy

  • Over time, diabetes can cause nerve damage that makes it hard for people with diabetes to feel sensation in their extremities.

  • The condition also makes it difficult for a person to feel an irritation on their foot or notice when their shoes are rubbing. This lack of sensation and awareness leads to an increase in the risk of cuts, sores, and blisters developing.

Peripheral vascular disease

• Diabetes leads to changes in the blood vessels, including arteries. fatty deposits block these vessels beyond the brain and heart. It tends to affect the blood vessels leading to and from the extremities, reducing blood flow to the hands and feet.

Reduced blood flow can lead to pain, infection, and slow healing wounds. Severe infections may lead to amputation. When you have diabetes, you’re more at risk of heart disease. This is also called cardiovascular disease (CVD) or coronary disease, and can lead to heart attacks and strokes.

Why does diabetes increase your risk of heart disease?

If you have high blood sugar levels for a period of time, even slightly high, your blood blood vessels can start to get damaged and this can lead to serious heart complications.

This is because your body can’t use all of this sugar properly, so more of it sticks to your red blood cells and builds up in your blood. This build-up can block and damage the vessels carrying blood to and from your heart, starving the heart of oxygen and nutrients.

So keeping as close as possible to your target HbA1c level will help protect your blood vessels and in turn your heart. Even mildly raised blood sugar levels can, over time, put you more at risk.

Managing your diabetes and your heart

We’ve talked about the link between high blood sugar levels and your heart health. But it’s not all down to blood sugars. Blood vessels are also damaged by high cholesterol (blood fats) and high blood pressure.

So you can help prevent damage to your blood vessels by looking after your:

• Blood sugar levels

• Blood pressure

• Cholesterol (blood fats)<

Getting your HbA1c, cholesterol and blood pressure checked at least once a year is part of your health check.

By managing these three things, you’ll be helping to manage your diabetes and protecting yourself against heart complications. But there are lots of other things you can do to reduce your risk of heart disease.

Here we’ll explain what can happen in your body to cause these heart complications.

Let’s start with the major blood vessels in your body, these are your:

• arteries – they carry blood away from your heart

• veins – they carry blood back to your heart.

If these arteries and veins get damaged, it can be harder for blood to flow around the body and get to the areas it’s needed.

If your cholesterol is too high, then the extra fat in your blood sticks to the walls of your blood vessels. Over time, this fat hardens and is known as plaque. Hard plaque can block up the blood vessels, which makes the space narrower and leaves less room for blood to flow.

This is called arteriosclerosis or atherosclerosis and is the most common cause of a heart attack.

In the narrower space, blood flow slows down and causes some of the blood cells to group together and clot. If a blood clot breaks away, it will travel through your arteries and veins until it reaches a section too narrow to pass through, making it partially or completely blocked.

This can starve the heart of oxygen and nutrients and this is what causes a heart attack.

Not only does the blood struggle to flow through the blood vessels, but over time atherosclerosis makes the walls of your blood vessels more rigid and less elastic. This can lead to high blood pressure (also called hypertension) or make high blood pressure worse.

High blood pressure puts extra strain on your blood vessels too. That’s on top of the strain from high cholesterol and high blood sugar. Narrowing of the blood vessels can affect other parts of the body too, like your arms or legs. It’s called peripheral vascular disease (PVD) and if left untreated, can also lead to amputation. Find out more about reducing your risk of serious foot problems.

The good news is; you can reduce your risk of having a heart attack or developing heart disease.

• Get your HbA1c, blood pressure and blood cholesterol (blood fats) measured at least once a year as part of your annual diabetes health check make sure you get advice and support from your healthcare team to keep them within your target range

• Don’t smoke. Smoking makes it harder for blood to flow around your body, especially to your heart.

• Eat a healthy, balanced diet to protect heart reducing how much saturated fat you have is a good place to start.

• Be physically active and do some regular exercise.

• If you’re overweight, try to get down to a healthy weight. Being within the right weight range reduces the strain on your heart.

• Take your medication as prescribed. Some medicines help to protect your heart by reducing high blood pressure and you may take these even if you don’t have any blood pressure problems.

Treatment of Diabetes:

Treatment of diabetes consists of Diet, Exercise, and Drugs or Insulin. ut the body.