DIABETIC PATIENTS REQUIRE SPECIAL CARE : DR. SAQIB KHAN

Diabetes – A silent killer is affecting more and more people in today’s modern society due to erratic lifestyle and stressful environment. Diabetes, if not treated on time can lead to serious health issues. It can effect our kidneys, eyes, heart, brain etc. Apart from these wounds may take longer time to heal in diabetic patients. Diabetes is caused due to increased level of glucose in blood and is increasing at a fast pace in our country. The causes of diabetes are irregular eating habits, mental stress, obesity and lack of exercise and diabetic patients require proper care and monitoring on regular basis.

Lucknow based Chandan Hospital is providing world class services, to people, since 2018. It has become a centre of excellence now in healthcare services. Diabetic patients are specially served here with multi modality and integrated care with utmost dedication.

Diabetes is a state of persistent excess blood glucose level. Diabetes is a Lifestyle disease and so a lifestyle modification is also needed under supervision. Chandan hospital is giving an excellent opportunity to Diabetic patients to learn to live well with diabetes, seek care for their co-morbidities and uncontrolled blood glucose levels under one roof!

Types of Diabetes

Diabetes is a heterogeneous disorder where raised blood glucose levels may be due to various etiologies. Of those types, there are 3 common varieties. Type 1 diabetes, type 2 diabetes and gestational diabetes. Type 1 Diabetes is usually an autoimmune disorder and more common in young people. Insulin is essential for these people to survive. Type 2 diabetes, is most common variety and is responsible for up to 95 % of diabetic cases. Family history of diabetes, sedentary lifestyle, obesity and stress are contributors to this lifestyle disorder.

Gestational diabetes is a form of glucose intolerance, due to diabetogenic milieu of advanced gestation, in predisposed women. Timely diagnosis, control of weight gain according to need, via medical nutrition therapy can deter the problem.

Symptoms of Diabetes

  • Excessive thirst
  • Increased urinary frequency
  • Weight loss
  • Fatigue
  • Recurrent infections
  • Non healing ulcers

Requirement of comprehensive care from the outset

Diabetes requires a comprehensive care from the outset. Discipline in life, in the form of diet and lifestyle modifications, regular follow up and timely intervention by an endocrinologist and a good team can delay or avoid altogether, severe consequences of this slow killer.

GDM provides a unique model in which treatment for a medical condition (GDM) acts as prevention for another condition (diabetes mellitus in the mother’s future, which is approximately 50% in rest of her life) and also acts as prevention for condition in another person (future diabetes mellitus in the unborn child). GDM, therefore, is a perfect window of opportunity for prevention of diabetes. The opportunity provided by GDM can be utilised only if optimal medical and obstetric care is provided to the antenatal patient with GDM. This, in turn, will be possible if GDM is detected as early as possible.

MELLITUS: MISSED OPPORTUNITY OF TREATING GENERATIONS

The prevalence of diabetes is increasing globally and India is projected to become diabetes capital of the World! In parallel with type 2 diabetes pandemic, the incidence of gestational diabetes mellitus (GDM) has risen rapidly. GDM has been found to occur in 12-21% of Indian women. Asian women are also ethnically more prone to develop glucose intolerance compared to western counterparts.

The primary prevention is likely to reverse or halt this trend. But for this the need is to focus at the intrauterine environment as the “prevention starts even before birth of child”. Intrauterine exposure to raised blood glucose levels during the critical period of fetal development programmes the development of pancreas negatively and affects the future’s insulin secretory function.

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