services
Diabetes is an increasing health burden in India. India is the diabetes capital of the world. It is widely accepted fact that 35 – 40% of people show presence of diabetes related complications at the time of the diagnosis. Diabetes is a silent killer. It causes many diseases related to the heart, cholesterol, nerves, feet, eyes and circulatory system if uncontrolled for a long time. Since prevention is better than cure, a multidisciplinary approach is required to control the disease and more important to prevent complication. Every patient is unique hence the diabetes clinic offers comprehensive medical care for diabetic patients based on their unique requirements. The diabetes clinic offers the following services.
AFNION ANALYSER
On Spot Reports
1. To measure HbA1C - 3 Months average of blood sugar level.
2. To measure Lipid profile
3. To measure ACR (urinary Albumin: Creatinine ratio) – to rule out diabetes kidney disease.
6 PORT DOPPLER
We get report as Ankle-Brachial Index
1. To study Circulation in legs
PODIASCAN
1. To detect abnormal pressure of feet, which can cause corn, calluses and ulcers.
BIOTHESIOMETER
1. To detect decreased sensation in feet, tingling, numbness in their feet.
ECG
1. To rule out heart disease.
KARADA SCAN
We obtain Body Fat Analysis which includes body fat, skeletal mass, lean body mass and hydration status with the help of KARADA SCAN.
Diabetes Prevention
Preventive clinic - Pre-diabetics/high risk individuals
- Overweight / obese
- Family history of Diabetes
- Stressful lifestyle
- Sedentary lifestyle
- Diabetes in pregnancy
- Polycystic Ovary Syndrome (PCOD)
In the above cases we can prevent early onset of diabetes by correction of diet, proper exercise and lifestyle modification along with timely check-ups.
Obesity and Diabetes (Trained Dietician by appointment)
To manage obesity we have a trained dietician who will solve all the queries regarding diet &prescribe an individualized diet according to his/her weight. height & lifestyle.
Psychological counselling (Trained counselor by prior appointment)
One in every four diabetic patients suffers from recurring problems with depression, anxiety, or eating disorders. These conditions respond well to psychological treatment, and in many cases, relief of distress is associated with improved glycaemic control.
The psychologist provides direct services to the patient via promotion of health behaviour’s and treatment of psychological problems, and also provides consultation to the medical team on how to incorporate psychological principles into patient care to enhance clinical outcomes.
Services
- Screening for depression, anxiety, and disordered eating using validated and appropriate measures.
- Screening for diabetes distress using validated and appropriate measures.
- Screening for psychosocial problems and other barriers to diabetes self-management such as limited financial, logistical, and support resources.
- Screening for disordered or disrupted eating using validated screening measures when hyperglycaemia and weight loss are unexplained based on self-reported behaviour’s related to medication dosing, meal plan, and physical activity.
Pregnancy and Diabetes Management
- Pre- pregnancy counselling
- Diet and insulin therapy
- Self-monitoring of blood glucose
- CGMS and Insulin pump
- Management during delivery
- Post-partum care of diabetic patients
Type 1 Diabetes Care
- Diet and insulin therapy
- Self-monitoring of blood glucose
- Management of emergencies (Hypoglycaemia, diabetic keto-acidosis) Sick day regime
- Psychological counselling on issues(schooling, employment, marriage, pregnancy)
- CGMS and Insulin pump
Surgery and Diabetes Management
Adequate glycaemic control during pre, intra and post-operative period
Diabetes and Thyroid Management
Thyroid dysfunction is common in diabetic patients and can produce significant metabolic disturbances. Regular screening (TSH) in all diabetic patients will allow early treatment of subclinical thyroid dysfunction.
Management of diabetes in young patients
Nowadays diabetes is increasingly appearing much earlier in Indians as compared to the western countries (Early 20s - 30s). Due to this chronic long term complications are occurring earlier, progressing more rapidly and reaching hard endpoints in diabetics at relatively young age. Young patients (whether Type 1 or Type 2) require continuous care.
Appropriate prescription of medicines & Insulin
Each patient is provided detailed information about medicine dosage, timings with meals, side effects & insulin injection techniques.
Prevention, Early detection and treatment of Diabetic Complications
- Cardiovascular diseases
- Kidney disease (Diabetic nephropathy)
- Eye disease (Diabetic retinopathy- needs special referral to Ophthalmologist)
- Blood pressure and cholesterol problem
- Sexual dysfunction
Diabetics Foot Clinic
- Detection of high risk foot
- Evaluation of vascular status by hand Doppler
- Evaluation of peripheral neuropathy
- Foot care advice and footwear prescription
- Thickened nail cutting and callus care
Advice on diet and exercise
Due to fast-food & junk-food culture, people are going away from traditional healthy food & adopting wrong dietary habits leading to diabetes & many other disorders. Exercise is an essential step in managing diabetes. Advice on correction of diet and pre-exercise work up for every patient is done
The aims of nutritional management provided are:
1. To encourage appropriate eating behaviour and healthy life long eating habits while preserving social, cultural and psychological well-being.
2. To prevent bingeing.
3. To provide a framework for regular monitoring of blood glucose (BG) levels.
4. To prevent and treat acute complications of diabetes such as hypoglycaemia, hyperglycaemic episodes, illness and exercise-related problems.
5. To reduce the risk of micro- and macro-vascular complications.
Advanced Diabetes Management
Advanced Diabetes Management requires comprehensive understanding of glucose control.
We offer:
- Ambulatory Blood Glucose Profiling (AGP) is an effective method of analysing glucose data in diabetes patient for 14 days.
- Continuous glucose monitoring (CGMS) data reveals readings that traditional monitoring may miss. It identifies four times more serious glucose excursions than self monitoring by glucometers. Variable blood sugars may be more damaging than consistently high blood sugars. The system is used to measure an average blood sugar for up to 5 to 6 days.
- Insulin Pump delivers insulin by using canula inserted in the subcutaneous tissue in the abdomen. It minimizes insulin variability and tries to mimic normal insulin production in our body.
Diabetes Educator
Diabetes self-management education (DSME) is the ongoing process of facilitating the knowledge, skill, and ability necessary for diabetes self-care. This process incorporates the needs, goals, and life experiences of the person with diabetes and is guided by evidence-based standards.
The overall objectives of DSME are to support informed decision-making, self-care behaviour’s, problem-solving and active collaboration with the health care team and to improve clinical outcomes, health status, and quality of life.
Services
- Education of disease
- Education of acute complications like hypoglycaemia and hyperglycaemia & chronic complications like retinopathy, nephropathy and neuropathy.
- Education of social and behaviour change towards healthy lifestyle.
- Education of smoking cessation – Advising all patients not to use cigarettes and other tobacco products and include smoking cessation counselling and other forms of treatment as a routine component of diabetes care.
- Education of immunization advice – By provide routine vaccinations for children and adults with diabetes according to age-related recommendations.
- Education of dental care – As periodontal disease is more severe and may be more prevalent in people with diabetes than in those without.
- Self-management of Blood Glucose (SMBG) and foot care.
Fibroscan of Liver
- Fibro Scanis a type of liver elastography. Fibro Scan is a special ultrasound technology that measures liver stiffness (hardness) and fatty changes in your liver.
- These measurements help your healthcare provider learn more about your liver disease.