diabetes specialities centre dr. mohan's diabetes ...€¦ · diabetes 6 monitor dr. ponnusamy...

Vol.No.37

2016 Issue No.2

Dr. R. Guha Pradeepa, M.Sc., Ph.D.

Editor

Mrs. K. S. Chella, M.Phil., MBA.,

Co-Editor

Diabetes Monitor,

6B, Conran Smith Road,

Gopalapuram,

Chennai - 600 086.

Ph : (044) 4396 8888

Fax : (044) 2835 0935

E-mail : [email protected]

Website : drmohansdiabetes.com

M.D., F.R.C.P (Lond, Edin & Ire), Ph.D., D.Sc.,FNASCGlasg,

Dr. R. M. Anjana, M.D., Ph.D.,

&

Dr. V. Mohan,

Designed & Printed atComputer Graphics,

Nungambakkam,

Chennai - 600 034.

Ph : 28172508, 28170187

Dr. Mohan's Diabetes Specialities completed 25 years of service in Diabetes Care

Dr.Mohan's Diabetes Specialities Centre (DMDSC) has

completed 25 years of its existence in August 2016. DMDSC

was established in September 1991 by Dr. V. Mohan, an

internationally acclaimed diabetologist and his wife late

Dr. M. Rema, internationally known specialist in diabetic eye

diseases in Chennai with a dream of setting up a World Class

Centre of excellence for diabetes care, research and education

in the heart of Chennai. DMDSC is one of the few centres of its

kind in the country to offer a 'One-Stop' comprehensive

diabetes treatment facility at affordable cost under one roof.

DMDSC has been designated as a World Health Organization

DIABETES SPECIALITIES CENTRE

DIABETES SPECIALITIES CENTRE

Pulse : News & Events...?

DiabetesDiabetes MonitorMonitor2

(WHO) Collaborating Centre for Non-communicable Diseases - Prevention and

Control. Today with over 4,00,000 registered patients, DMDSC is one of the

largest diabetes centers in the world and is making rapid strides in its march

towards 'Total Quality Management'. The journey from 1991 till 2016 has indeed

been a long and remarkable z one.

thThe 'Silver Jubilee Celebrations' of DMDSC, was held on 16 September, 2016

at ITC Grand Chola. The 25 years journey of devoted service to society was

celebrated through a grand function gloriously. Dr. J. Radhakrishnan IAS,

Principal Secretary to Government, Health & Family Welfare was the Chief

Guest. The Guests of Honour were His Highness Nawab Mohammed Abdul Ali,

Prince of Arcot, & Mr. T. P. Imbichammad, Chairman of Avalon Group of

companies in India and Sienna Group of Companies in the US.

Five doyens and legends in the field of medicine and surgery were awarded

“DMDSC Lifetime Contribution Award”. They included (in alphabetical order)

Dr. G. Arjundas, Senior Consultant Neurologist & Former Professor of

Neurology Madras Medical College Chennai, Dr. S. Kameswaran, Prof.

Emeritus, National Academy of Medical Sciences, New Delhi & Patron, Madras

ENT Research Foundation, Chennai, Dr. Sarada Menon, Founder Schizophrenia

Research Foundation (SCARF), Chennai, Dr. V. Shanta, Chairman, Cancer

Institute (WIA), Chennai, and Prof. K. V. Thiruvengadam, Eminent Physician

and Medical Teacher, Chennai.

Around 150 patients who have been with us since 1992 onwards were selected and

honoured as “Diabetes Ambassadors” of DMDSC.

This was followed by the “Village Adoption Program” wherein 25 villages near

Chunampet were adopted to provide diabetes care to the needy patients as a

Corporate Social Responsibility activity.



Dr. G. Arjundas being honoured Dr. V. Shanta being honoured

Dr. Sarada Menon being honoured

Dr. S. Kameswaran being honoured Diabetes Ambassadors of DMDSC

Handing over of Village adoption certificate to the Village Heads

Prof. K. V. Thiruvengadam being honoured



Dr. MOHAN'S INTERNATIONAL DIABETES

UPDATE -2016

Dr. Mohan's Diabetes Education

Academy, an unit of Dr. Mohan's Diabetes

Specialities Centre, organized the second

Dr. Mohan's International Diabetes th stUpdate - 2016 which was held from 29 to 31

July 2016 at Hotel ITC Grand Chola, Guindy,

Chennai. The main aim of this diabetes update

was to provide insights into the basics as well

as latest advances in diabetes management in

an interactive manner. Distinguished

International Faculty along with the eminent

National Faculty participated in this event. The

Diabetes Update

Orations,

Open discussion forums. The

focus was on current and topical practice

related issues and hence was of immense

benefit to the participated physicians. More

scientific sessions during the

included Plenary Sessions, Debates,

Workshops and

Inauguration of the Dr. Mohan's International Diabetes Update - 2016 by Dr. Mullasari Ajit, Director - Cardiology, The Madras Medical Mission, Chennai. Also in Photo [left to right]: Prof. S. M. Sadikot, President IDF, Dr. A. Muruganathan, Dean, ICP, Dr. V. Mohan, Chairman, DMDSC Dr. R. M. Anjana, Managing Director, DMDSC, Dr. Ranjit Unnikrishnan, Vice Chairman, DMDSC

than 1800 doctors registered for this update.

This event was proven to be

an academic feast for all those who attended it.

Dr. Mohan's International Diabetes Update-th2016 was inaugurated on Friday, 29 July by

Dr. Mullasari Ajit, Director- Cardiology,

The Madras Medical Mission, Chennai.

The Special Guests of Honour during the

inaugural function were Dr. S. M. Sadikot,

President, International Diabetes Federation

(IDF), Dr. A. Muruganathan, Dean, Indian

College of Physicians and Dr. S. R. Aravind,

President, Research Society for the Study of

Diabetes in India (RSSDI).

During the occasion six prestigious Gold Medal

102

National and 7 International faculty in the field

of diabetes shared their knowledge in their

fields of expertise.


ndDr. Louis H. Philipson, receiving 2 DMDEA Gold Medal Oration from Dr. S. M. Sadikot, President, IDF and Dr. V. Mohan, Chairman, DMDSC

thProf. Stephano Del Prato, receiving 26 DMDSC Gold Medal Oration from Dr. S. R. Aravind, Director, Diacon Hospital, Bangalore and Dr. R. M. Anjana, Managing Director, DMDSC.

r dDr. Kamlesh Khunti , receiving 3 Prof. M.Viswanathan Gold Medal Oration from Dr. A. Muruganathan, Dean, Indian College of Physicians and Dr. Ranjit Unnikrishnan, Vice Chairman, DMDSC

th Dr. K. M. Venkat Narayan, receiving 8 MDRF Gold Medal Oration from Dr. Louis H. Philipson, Director, University of Chicago and Dr. V. Mohan, Chairman, DMDSC.

Orations were conferred. The recipients of the

orations were Dr. Louis H. Philipson,

Professor of Medicine and Pediatrics and

Director, Kovler Diabetes Center, The ndUniversity of Chicago, USA, the 2 DMDEA

Gold Medal Oration, Prof. Stephano Del

P r a t o , P r o f e s s o r , D e p a r t m e n t o f

Endocrinology and Metabolism, School of

Medicine and Chief, Section of Diabetes, thUniversity of Pisa, Italy the 26 DMDSC

Gold Medal Oration, Prof. Kamlesh Khunti,

Professor, Primary Care Diabetes and Vascular

Medicine, University of Leicester, UK, the rd3 Prof. M. Viswanathan Gold Medal Oration,

Dr. K.M. Venkat Narayan, Ruth and

O.C. Hubert Chair of Global Health, and

,

Professor, Department of Medicine &

Epidemiology, Emory University, Atlanta, th USA, the 8 MDRF Gold Medal Oration,

Dr. Ponnusamy Saravanan, Associate

C l in ica l P ro fessor and Consu l t an t

Physician, Department of Diabetes,

Endocrinology and Metabolism, Warwick rdMedical School, Coventry, UK, the 3

Dr. Rema Mohan Gold Medal Oration and

Dr. Nikhil Tandon, Professor and Head,

Depar tment o f Endocr ino logy and

Metabolism, All India Institute of Medical

Sciences and Head, Capacity Building, Centre

for Chronic Disease Control, New Delhi, the nd2 Dr.Mohan's International Diabetes Update

Oration.



rdDr. Ponnusamy Saravanan, receiving 3 Dr. Rema

M o h a n G o l d M e d a l O r a t i o n f r o m

Dr. A. G. Unnikrishnan, CEO, Chellaram Diabetes

Institute, Pune and Dr. R. Guha Pradeepa, Senior

Scientist and HOD, Dept of Research Operations,

MDRF.

ndDr. Nikhil Tandon, receiving 2 Dr.Mohan's

International Diabetes Update Oration from

Dr. C. S. Yajnik, Director, Diabetes Unit, King Edward

Memorial Hospital, Pune and Dr. R. M. Anjana,

Managing Director, DMDSC.

'WORLD DIABETES DAY' CELEBRATION BY Dr. MOHAN'S DIABETES SPECIALITIES CENTRE

thThe World Diabetes Day was celebrated globally on 14 November, 2016. The

World Diabetes Day was created by International Diabetes Federation (IDF) and World

Health Organization (WHO), with the aim of coordinating diabetes advocacy worldwide

and the global awareness campaign of the diabetes prevention and care.

As Dr. Mohan's Diabetes Specialities Centre and Madras Diabetes Research

Foundation are designated as a WHO collaborating Centre for Non communicable disease

we took up the task creating awareness of diabetes and its prevention on a massive scale.

To illustrate the importance of controlling diabetes and to spread awareness about diabetes

and its complications, several programmes were organized to commemorate World

Diabetes Day. Multiple programmes were organized at our main centre at Gopalapuram,

and all its branches to raise awareness and to reduce the impact of diabetes and its

associated complications. Diabetes screening camps, Media Campaigns, awareness talk,

awareness walk, exercise demonstration, quiz programmes on diabetes and its

complications and live demonstration of healthy low calorie recipes were conducted at our

main centre and also in all our branches in Tamil Nadu, Puducherry, Andhra Pradesh,

Telangana, Goa, Muscat to celebrate World Diabetes Day.




Diabetes Screening Camp Diabetes Awareness Walk

Healthy Receipe demonstration

th NOVEMBER 14 2016th NOVEMBER 14 2016

GLIMPSES OF WORLD DIABETES DAY ACTIVITIES GLIMPSES OF WORLD DIABETES DAY ACTIVITIES GLIMPSES OF WORLD DIABETES DAY ACTIVITIES

Awareness lecture

Conversation Map Diabetes Quiz


r iot ta y nae l sC uH o tn agrr iot ta y nae l sC uH o tn agrr iot ta y nae l sC uH o tn agr

OUR CHAIRMAN Dr. V. MOHANOUR CHAIRMAN Dr. V. MOHANToTo

For being honoured with WHL award for “Distinguishing services in the prevention of

cardiovascular and metabolic disorders” by World Hypertension League (WHL) and “OPPI

Award for Improving Access to Diabetes Care” by the Organization of Pharmaceutical

Producers of India (OPPI)

Dr. V. Mohan, receiving OPPI award from Dr. Jitendra Singh, Union Minister, Govt. of India, in the presence of our Cricketing Legend of India, Mr. Sachin Tendulkar, Mr. Lars Reiben Sorensen, CEO of Novo Nordisk (Global), the Health Secretary of India, the Director General of Health of India

Dr. V. Mohan receiving the WHL award from Dr. C. Venkata S. Ram, Director, World Hypertension League South Asia Regional Office

Awards & Honours...?

Healthy Receipe – Rajma Chawal

Basmathi Brown rice – 100g Turmeric powder – ¼ tsp

Rajma – 25 g Cumin seed powder – ½ tsp

Onion (Chopped)- 100g Coriander powder – ½ tsp

Garlic – 6 cloves Garam masala powder – ¼ tsp

Red chilli powder – ¼ tsp Oil - 1 tbsp

Ginger chilli paste – ½ tsp Salt – to taste

Coriander leaves (Chopped) - few

Ingredients

Method

Soak rajma overnight. Cook in a

pressure cooker adding little

salt. Cook rice in a pressure

cooker. Heat oil in a pan. Add

the chopped onion and fry till golden brown. Add

garlic, ginger chilli paste and fry for a minute. Add

red chilly powder, turmeric powder, coriander,

cumin seed powder and garam masala powder.

Cook for a minute. Add rajma, salt and mix with

cooked rice. Garnish with coriander leaves. Serve

hot with vegetable raita.

Calories – 278 Kcal Fat- 8.7 g

Carbohydrate – 54.3 g No.of.serving - 2

Protein – 7.9 g Portion Size – 1 bowl

Nutritive Value


Type 2 diabetes mellitus (earlier known as non insulin dependent diabetes) is associated with a marked increase in the risk of atherosclerotic disease, including coronary artery disease (CAD) or narrowing of arteries supplying the heart leading to heart attacks (total blockage of supply), peripheral arterial disease leading to amputations, and cerebrovascular disease leading to stroke. Diabetes is now considered as a cardiovascular risk equivalent. This is because a diabetic individual has the same risk of developing a heart attack as a non-diabetic person who has already suffered one heart attack. Type 2 diabetes is associated with a two to three fold higher risk of CAD compared to non diabetic subjects and they also occur at a younger age in diabetic patients.

CAD is one of the clinical end points of atherosclerosis, which in its earlier stages involves both functional and structural changes in the arteries. These early changes can be studied using sophisticated non-invasive techniques and at Dr. Mohan's Diabetes Specialities Centre, Gopalapuram, Chennai, several such techniques have been established to measure early atherosclerosis. These include carotid intimal medial thickness (IMT), endothelial dysfunction and arterial stiffness.

How does diabetes produce coronary heart disease?

In diabetic patients, there is a deficiency eitherin the production of insulin or in its

action, which affects the body's ability to utilize blood sugar. As the insulin level decreases, blood sugars increase. The excess blood sugar gets converted to fat, leading to increased fat levels in the blood, thereby enhancing the risk of atherosclerosis or thickening of arteries. Consequently the blood vessels to the heart become partially or totally blocked by these fatty deposits also called plaques, thereby reducing the blood supply to the heart. Most often it is a sudden rupture of the plaque that leads to a sudden heart attack.

Symptoms

The following are the most common symptoms of heart disease. However, each individual may experience symptoms differently. Symptoms which invariably occur, if one develops a heart attack includes:

?Chest pain or discomfort ?Pain or discomfort in your arms, back,

jaw, or neck ? Indigestion or stomach pain ?Shortness of breath ? Sweating ? Nausea or vomiting ? Light-headedness

However, in diabetic individuals, heart disease can present itself without any symptoms whatsoever. Patients who had just come for diabetes check up and a routine ECG have shown evidence of a recent heart attack. This is called 'silent ischemia' or a 'silent heart attack'. The lack of symptoms may give a false sense of good health, which may prevent one from

Dr. V. MOHAN

Chairman & Chief Diabetologist Dr. Mohan's Diabetes Specialities Centre, Chennai.

DIABETES & HEART DISEASESDIABETES & HEART DISEASESDIABETES & HEART DISEASES

Diabetes Management...?


seeking medical care until more serious complications set in.

Risk factors for diabetes and heart disease

Diabetes itself is a risk factor for heart disease and stroke. Also, many people with diabetes have other conditions that increase their chance of developing heart disease and stroke. The table below shows the risk factors for heart disease. Physical inactivity, obesity, smoking and stress are common preventable risk factors for both diabetes and heart disease, which if corrected, can help not only to prevent heart attacks but, if started early in life can prevent diabetes itself !

Steps to prevent heart disease in diabetic individuals

Luckily, the risk factors that can place a

diabetic patient at increased risk of heart

disease can be modified as well as controlled.

The first step for this is to detect diabetes early.

Unfortunately, nearly half of those with

diabetes in India are not even aware they have

the condition. Diabetic individuals can take

steps to lower their risk of heart disease and

stroke by emphasizing the "ABCs” where, A

stands for A1C or hemoglobin A test, which 1c

measures average blood glucose over the past

3 months (Target <7%), which is to be checked

twice to thrice annually, B for Blood pressure

(Target <130/80 mmHg), to be monitored at

every visit and C for-Cholesterol (Target Low

density Lipoprotein <100 mg/dl), to be

checked at least annually.

Prevention of diabetes and heart disease is a societal problem. If we have to save the next generation from the twin burden of diabetes and heart disease, a team effort by the family, neighborhoods, schools, health care providers, government and media is mandatory. The emphasis would be on changes in lifestyle stressing optimal caloric intake, increasing physical activity, weight reduction and cessation of smoking as they have been shown to have beneficial effects in preventing diabetes and associated heart problems. Individuals who have an increased waist measurement are also at very high risk of developing diabetes and heart disease. Thus the adage, “shorter the belt longer the life” seems to be true. By following the 'Ten Commandments' listed below, diabetic individuals can reduce/prevent the risk of developing heart complications. The bottom line for prevention is to follow a diabetic heart-healthy lifestyle!


RISK FACTORS FOR HEART DISEASE

ØTobacco use (Smoking)

ØIncreased low density cholesterol ('bad' cholesterol)

ØDecreased high-density lipoprotein (HDL) levels ('good' cholesterol)

ØHigh triglyceride levels

ØDiabetes

ØHigh blood pressure

ØFamily history of heart disease

ØAbdominal obesity (accumulation of fat in the abdomen)

ØPhysical inactivity

ØStress

Detect diabetes early and control blood sugars well

Healthy Diet – decrease fat, sugar and calorie intake

Exercise regularly

Maintain ideal body weight

Keep blood pressure under control

Lower blood lipid levels aggressively

Quit smoking

Use alcohol only in moderation

Take prescribed medications regularly

Reduce stress through relaxation techniques

1

2

3

4

5

6

7

8

9

10

TEN COMMANDMENTS TO

PREVENT HEART DISEASE

IN DIABETES



Physical activity and its benefits

PHYSICAL ACTIVITY GUIDELINES

The benefits of physical activity has been well established and regular moderate to vigorous intensity physical activity can reduce the risk of cardiovascular diseases, diabetes, metabolic syndrome, colon and breast cancer and depression. In addition, physical activity is the key determinant of energy expenditure and is the basis to energy balance and weight control.

Doing any regular physical activity is better than doing nothing. One should look for different possibilities to add it in our daily lives and limit the sedentary behaviour which can set a good role model for your family. Teaching and encouraging young children to be active will establish good habits which will be carried throughout their lives.

Humans are designed to move from the minute we are born. A practical and easiest way to be more physically active is to include a number of activities as a part of our family routine. We should keep in mind that the activities done are age and development appropriate.

Physical activity – particularly supervised floor-based play in safe environments - should be encouraged from birth.

Be physically active every day for at least three hours, spread throughout the day.

Children and young people should accumulate at

a. Infants (Birth to 1 year)

b. Toddlers (1-3 years) and Pre-Schoolers (3-5 years)

c. Children (5-12 years) and Young People (13-17 years)

least 60 minutes of moderate to vigorous intensity physical activity every day.

They should do a variety of aerobic activities including some vigorous intensity physical activity every day. Engaging in more activity up to several hours per day for additional health benefits.

Adults should accumulate 150 to 300 minutes (2.5 hours to 5 hours) of moderate intensity physical activity or 70 to 150 minutes (1.25 to 2.5 hours) of vigorous intensity physical activity, or an equivalent combination of both moderate and vigorous activities each week.

If currently not involved in any physical activity then start doing by some and gradually build up to the recommended amount.

Sedentary behaviour is the time you spend in sitting or lying down except when you are sleeping. One should limit sedentary behaviour time every day to reduce the risk of poorer health outcomes including type 2 diabetes. You should minimize sedentary behaviour at home, at work during travel and for leisure every day even if you are physically. Activities like reading, doing school work, working on a computer or travelling may need to be done while sitting but the key is to find a balance and look for opportunities to stand and move whenever you can.

a. Children (0-5 years) – Should not be sedentary, restrained or kept inactive for more than one hour at a time with the exception of sleeping.

d. Adults (18-64 years)

Reducing sedentary behaviour

SEDENTARY BEHAVIOUR GUIDELINES

Dr. Aarthy Ramasamy

Research Fellow, Physical Activity Research,

Madras Diabetes Research Foundation, Chennai.

LET'S “M O V E …...” Every Step Counts!!!



b. Children (5-12 years), Young people (13-17 years) and Adults (18-64 years)- Minimise the sedentary time spent every day. Break up long periods of sitting as often as possible.

Screen time – The time spent using electronic media such as television, seated electronic games, portable electronic devices or computers for entertainment is called as screen time. They involve either by sitting or lying down for longer time periods.

Children aged less than 2 years- It is recommended that they do not spend any time watching television or any other electronic media like DVDS, computer and other electronic games.

Children (2-5 years) – Sitting and watching television and use of electronic media like DVDs, computer and electronic media should be limited to less than one hour per day.

REDUCING SCREEN TIME:

Toddlers (1-3 years) 3 hours Moderate to vigorous and Pre-schoolers spread throughout the day (3-5 years)

Children (5-12 years) 60 minutes daily Moderate/vigorous intensityand young people (13-17 years)

Adults (18-64 years) 150-300 minutes Moderate/vigorous combination per week / 70-150 of bothminutes per week

Old age (65 years 150-300 minutes Moderate/vigorous combination and above) per week / 70-150 of both

minutes per week

Intensity

What are moderate and vigorous intensity activities?

lC l e a n i n g ( Va c u u m i n g , m o p p i n g , scrubbing, sweeping, ironing)

lWashing Clothes, Utensils,etc

lGardening

l

lJogginglDancing lHorse-ridinglYogalLow impact aerobics Cricket

Cycling

b. Vigorous Intensity Activities- It requires more effort and makes you breathe harder and

faster. Example of vigorous intensity activities.

l

lLoading furniture (stoves, fridge)

lInstructing spinning (fitness)

Cycle Rickshaw driving

Labouring (Shovelling sand) l

lSoccer lTennislBallet dancing lFast swimming/cycling

Jogging

Age GroupWHO Guidelines

Duration Intensity

a. Moderate Intensity Activities: Activities which takes some effort. But you will be

able to talk while doing them

Example of moderate intensity activities.

Work-related Leisure/spare time related

Work-related Leisure/spare time related


Children (5-12 years) and Young people (13-17 years) – Limit the use of electronic media for entertainment for example television, computer use to not more than two hours a day.

Other ways to limit family screen time vHaving allotted t ime periods for

electronic media and preferably not to use them at daytime when one can be active outside.

vTurning off the television during meal times.

vMaking bedrooms as television and computer free zones.

The common barriers to regular physical activity includes.

vNo time/too busy vExercise will not help me vLack of confidence vEmbarrassed of appearance vToo costly vExercises not interesting / painful

Ways to overcome these barriers

vTry to add physical activity to your daily routine. For example walk or ride to work. Exercise while you watch TV, park your vehicle faraway from your destination.

vActivities which require minimal time c a n b e i n c l u d e d l i k e w a l k i n g , jogging or stair climbing.

vInvolve your fr iends and family member s t o exe r c i s e w i th you . Plan some social activities which includes exercise.

vExercise with the kids – Go for a walk together, play tag or other running games, get an aerobic dance or exercise tape for kids and exercise together and you still get your exercise.

BARRIERS TO PHYSICAL ACTIVITY AND WAYS TO OVERCOME THEM

vbecome more active instead do less. Spend more time in gardening, walking wi th the dog and p l ay ing wi th grandchildren. Children with short legs and grandparents with slower gaits are often great walking partners.

Smart watches and Fitness trackers are rapidly gaining traction in India as it provides an easy health tracking mechanisms to the users.

These devices can be used as activity tracker,

pedometer, calorie counter, setting goals and can

be connected with the mobile phone

applications.

Mobile applications- The advancements in

mobile technology has made a lot easier to lose

weight, burn calories and to stay fit than before.

A number of popular applications are like

Make it Easy, Make it Fun and Make it Daily!

If retired then use it as an opportunity to

Use of Technology to monitor physical activity levels

My

Fitness Pal, Fit bit, My Tracks can be used in

our smart phones which can be easily

downloaded and used.

In conclusion, physical inactivity levels are on a

rise in India and alarmingly among children. The

guidelines mentioned above should used as a

guidance to increase the levels of physical

activity among individuals and as well among

family members. With the improvement in

technology the gadgets also aid in to reduce the

increased sedentary activity in India and

motivates us to keep moving towards a better and

healthy India.


Fitness trackerSmart Watch



DMDSC – Headed by Dr. V. Mohan -Truly engaged Physician Leader – ofPhysician Scientist Cadre and Stature…Competent Consultants…Committed Paramedical Staff…Patient-friendly Environment…Precision & Personalized Treatment…

You must have heard about “Helping Hands”

What's silently happening at DMDSC is …“Helping Pancreas” – and other Organs

too!Total Diabetes Care….Under one Roof…Diabetes Care forAll forms and kinds of diabetes…..

Diabetes associated Heart careHeart-felt remedies for Neuropathy, Nephropathy, Retinopathy…Wound is soundly healed here….You smile better with the Dental care…Treatment here is not just…Symptomatic or Sympathetic…It's Empathetic Therapy…Empowering Therapy…

Centralized laboratory…Universally harmonized lab tests…NABL and CAP accreditations…National and International certifications…Among several isolated centres…DMDSC is ISO certified Diabetes Centre

Dr. M. Balasubramanyam

Dean of Research Studies & Senior Scientist, MDRF.

While Education is Commercialized everywhere…Diabetes Education is totally free here…You need not be 'idle' after giving fasting

blood…You will be feasted with 'diabetes

education'Taught to empower your metabolic

disorder…

Waiting time is less here…Weigh reduction is more here…Weight reduction is by all means and

ways…Emergency Surgery has become here as –Essential Surgery or Metabolic Surgery toOffer the best metabolic benefits for the

patients…

There is no “One size fits All” treatment here…

There is no “Trial and Error” treatment here…

Everyone get the 'essential and holistic' treatment…

Both the diagnosis and treatment areSupported here not only by 'algorithm' But also by Advanced Research…

State-of-the-art treatment…Whatever the state of the disease – the patients are in….State-of-the-art treatment to everyoneState to State DMDSCs…Many more to come… Wait and See…

What's Special about

“Dr.Mohans' Diabetes Specialities Centre”

(DMDSC)?

Your Questions Answered...?


1. What are the health consequences of

being overweight or obese?

2. Why soft drinks lead to diabetes?

Obesity/overweight in the developing world is

a result of series of changes in diet, physical

activity, health and nutrition. The rise in

overweight and obesity can be attributed to an

imbalance between calories consumed and

calories expended. Obesity is strongly

associated with and predispose to a number of

other co-existing condition including type 2

diabetes, insulin resistance, high blood

pressure and abnormal lipid levels (high

cholesterol, triglycerides and low HDL

cholesterol l) which further contribute

independently to the development of heart

disease/stroke. Obesity also increases the risk

for Polycystic Ovarian Syndrome (PCOS) - a

hormonal imbalance which is a major cause of

infertility as well as a source of skin

conditions, excess facial and body hair and

male pattern baldness in women. In addition

increases joint pain (osteoarthritis) that

interferes with one's ability to move and

psychological disorders such as depression,

eating disorders.

Sugary drinks may contribute to weight gain

because they are high in calories, but do not

satisfy hunger. People who drink sugary drinks

therefore continue to eat a normal amount of

food, and may end up consuming too many

calories each day. Excess calories are stored as

fat, which leads to weight gain. It is

noteworthy that a can of 360 ml (1/3 litre) of

sugar-sweetened soft drink contains 150

calories and 40-50 grams of sugar. It is

estimated that consumption of a single can of a

soft drink every day can lead to a weight gain

of 6-8 kg a year if these calories are added to a

typical day's diet without reducing the intake

of other caloric sources. Being overweight or

obese is a risk factor for type 2 diabetes.

Sugary drinks may increase the risk of type 2

diabetes partly because they increase weight

gain. To stop the epidemic of obesity and type

2 diabetes in young children, the following

strategies are essential i) improving the quality

of diets by increasing consumption of fruits

and vegetables; ii) increasing physical

activity; iii) limiting television viewing; iv)

restricting the intake of sugars-sweetened soft

drinks and energy-dense, micronutrient-poor

foods and v) promoting intake of traditional

micronutrient and fibre rich foods.

Dyslipidemia refers to an abnormal lipid levels

in the blood, including overproduction or

deficiency. It may be manifested by elevation

of the total cholesterol, the "bad" low-density

lipoprotein (LDL) cholesterol and the

triglyceride levels, and a decrease in the

"good" high-density lipoprotein (HDL)

cholesterol concentration in the blood, or there

may be multiple abnormalities that can

comprise a dyslipidemia. Defects in insulin

action and hyperglycemia could lead to

changes in lipid levels in the blood in

3. What is Dyslipidemia? Will this

condition affect my health as I have diabetes?


Your Questions Answered...?

individuals with diabetes. Moreover,

development of dyslipidemia itself may be a

forerunner of future diabetes. The two

important reasons to correct l ip id

abnormalities in individuals with diabetes are

i) to prevent pancreatitis due to severe

hypertriglyceridemia and ii) to reduce the risk

of cardiovascular disease. Dyslipidemia is a

treatable risk factor for diabetes.

If one has low sugar (hypoglycemia)

symptoms while driving, stop the vehicle

immediately if he/she feels dizzy or sleepy.

Mild hypoglycemia may not impair the

driving, but could affect one's judgement.

Hypoglycemia unawareness is a serious

condition where one is not aware of low sugar

and has a false sense of well being. Do not take

chances. Inform the co-passengers about the

difficulty and take sweets/ chocolates/ juice

with sugar. Wait for at least 45 minutes to one

hour before resuming the drive. It is better to

check the blood sugar before one starts driving

again. Changing a tyre, pushing a car or

4. What should I do if I have low sugar

symptoms while driving?

carrying baggage can cause low blood sugar.

So be careful!

Eat a variety of foods to get a balanced

intake of the nutrients the body needs –

carbohydrates, protein, fats, vitamins

and minerals.

Reduce the amount of fat one eats by

choosing fewer high fat foods and

cooking with less fat.

Eat more fiber rich foods every day.

Use less salt in cooking and at the table.

Eat fewer foods that are high in salt, like

canned and packaged foods, soups,

pickles and processed meats.

Restr ic t the amount of ref ined

carbohydrates such as polished rice,

refined flour, sugar & jaggery which are

high in calories and low in nutrients.

Eat smaller portions and never skip meals.

Learn about right serving sizes .

Learn how to read food labels.

Limit use of alcohol.

5. How to create a healthy meal plan?

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Dear Readers, we invite your contributions to 'Diabetes Monitor' in the form of Diabetes related queries, anecdotes or

personal experiences. Please send / email:

Editor, Diabetes MonitorEmail: [email protected]

Dr. R. GUHA PRADEEPA M.Sc., Ph.D.,

diabetes specialities centre dr. mohan's diabetes ...€¦ · diabetes 6 monitor dr. ponnusamy...

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