ARTICLES ON Diabetes

Diwali is around the corner and a majority of people with diabetes will gorge on sweets and snacks deep-fried in oil. There can be unhealthy indulgence during the festival season and diabetics will find it hard to control their cravings. But, it is imperative for the ones with diabetes to take utmost care of themselves and maintain blood sugar levels in the recommended range to stay healthy. In the below article, we tell you about some of the vital tips that can be helpful for those with diabetes. Do follow these tips and you will surely be able to seek benefit from the helpful advice given by your expert. Festival time can be tough for those having diabetes or high cholesterol. It is the time of fasting and feasting, and a majority of people tend to overindulge in sweets, namkeens, and other fried foods that can take a toll on their overall well-being. Yes, you have heard us here! Those tempting sweets, snacks, or namkeens made out of unhealthy oil can have a negative impact on your blood sugar levels. Artificial sugar sweeteners and flavors can lead to fluctuating blood sugar levels and steal your peace of mind. Try to follow these foolproof measures to keep your sugar levels in check during this festive season. Here are some important tips that individuals considering diabetes surgery should not miss: If traveling to meet your near and dear ones follow COVID-appropriate precautions.For Any Query Or If you need any additional input please call Dr. Sudarshana PatilConsultant Internal Medicine, & Critical CareWockhardt Hospitals, Nashik To book an appointment call: +918669998260

While proper healthy management is a must to manage diabetes. Keeping in mind, we have few healthy detox drinks that you should definitely add in your diabetes-friendly diet now. Diabetes has been one of the major health concerns across the world. It is a major lifestyle disease affecting half the population of the world. While proper health management is a must to manage diabetes. Keeping in mind, we have a few healthy detox drinks that you should definitely add to your diet. The best part is it’s all-natural and easy to make at home. So, here are 5 nutritious detox diabetic drinks to reduce high blood sugar levels. 5 Homemade Drinks for Diabetics Drinks to Avoid in Diabetes Sugary beverages should always be avoided wherever feasible. They can contribute significantly to your daily suggested calorie intake and elevate your blood sugar levels. Sugar-filled beverages don’t really offer anything nutritious to your diet. Let’s get to know some of them. Treatment and Surgery For Diabetes Insulin injections or the use of an insulin pump, regular blood sugar monitoring, and carb counting are all part of the treatment for type 1 diabetes. Islet cell or pancreatic transplantation may be the option for certain individuals with type 1 diabetes. Changes in lifestyle, blood sugar monitoring, oral medications, insulin, or both are the mainstays of treatment for type 2 diabetes. Monitoring Blood Glucose: Regularly check blood sugar levels to track and manage diabetes effectively. You may take and record your blood sugar readings up to 4 times a day or more frequently if you’re on an insulin supplement, depending on your treatment plan. Insulin Therapy: To improve blood sugar regulation, certain people may need to receive insulin injections. Insulin is a necessary blood sugar management component for patients with type 1 diabetes. Insulin treatment is also required for a large number of patients with type 2 diabetes or birth defects. Medication Management: Diabetic patients often require oral medications and/or insulin injections to regulate blood sugar levels. Certain diabetic medications stimulate your pancreas to produce more insulin. Some medications stop your liver from producing/releasing glucose, which reduces the insulin required to transfer sugar into your cells. Transplantation: An alternative for certain Type 1 diabetics may be a pancreas transplant. Insulin-producing cells are transplanted during the islet cell transplant process to help with blood sugar management. Bariatric Surgery: For obese individuals with diabetes, weight loss surgeries like gastric bypass may improve insulin sensitivity. Individuals with gastric bypass surgery have had significant changes in their blood sugar levels. Treatment for Gestational Diabetes: Monitoring your blood sugar levels may be part of your treatment plan for gestational diabetes, in addition to following a nutritious diet and engaging in regular exercise. You could occasionally additionally take insulin or oral medications. Conclusion Adopting healthy detox drinks can be a proactive approach to regulate and maintain stable blood sugar levels and promote overall well-being. These beverages, coupled with a balanced diet and regular exercise, contribute to a holistic approach to health. However, it’s crucial to consult healthcare professionals before making significant dietary changes ensuring compatibility with individual health conditions.  Wockhardt Hospitals encourages a mindful approach to nutrition, empowering individuals to make informed choices for sustained blood sugar control and enhanced vitality in the journey towards diabetes wellness. Dr. Jinendra JainConsultant PhysicianWockhardt Hospitals, Mira Road To book an appointment call: +918108101104 Source: https://www.india.com/health/diabetes-5-healthy-detox-drink-recipes-to-maintain-blood-sugar-levels-5587187/ FAQs on Health Drink for Diabetes Q. Can diabetes be cured? Diabetes cannot be cured, but it can be effectively managed through lifestyle modifications, medication, and ongoing medical supervision to control blood sugar levels and minimise complications. It’s a lifelong condition that requires consistent attention to maintain optimal health. Q. How to get sugar out of your system immediately? The easiest way to get sugar out of your system and bring blood sugar levels back to normal is to drink a lot of water. Exercising is another way to do it. Additionally, taking fast-acting insulin also lowers blood sugar levels fast. Q. How to detox from sugar? Here are a few ways to sugar detox your body: Replace sugar with healthier natural alternatives Avoid sugary drinks Avoid sugary desserts Consume full-fat foods Avoid processed foods Include more fibre and protein in your diet Stay hydrated Manage stress Q. Is lemon and cucumber water good for diabetes? While lemon and cucumber water may not be a super drink people expect, it still provides ample health benefits, like getting Vitamin B, C, & K along with copper, phosphorus, potassium, and magnesium. Q. What are homemade sugar detox drinks? Homemade sugar detox drinks include options like lemon water with mint, cucumber and ginger-infused water, Tulsi Water, Neem water and herbal teas. These beverages can aid in reducing sugar intake, promoting hydration, and supporting overall health. Q. What are homemade drinks for diabetes to lower blood sugar? Homemade drinks to help lower blood sugar in diabetes include cinnamon-infused water, methi water, bitter gourd juice and green tea. These beverages may have potential benefits in managing blood sugar levels, but it’s essential to consult with a healthcare professional for personalised advice. Q. What is the safest drink for a diabetic? Water is the safest drink for a diabetic, as it has no added sugars or carbohydrates, helping to maintain hydration without impacting blood sugar levels. Additionally, unsweetened herbal teas or black coffee in moderation can be safe options for those with diabetes. Q. How much water should a diabetic drink daily? Water consumption helps your body eliminate extra glucose in addition to preventing dehydration. Diabetics are generally advised to drink at least 8 glasses of water per day to stay hydrated, and support overall health, but individual needs may vary.

The World Health Organization (WHO) describes Diabetes as a chronic metabolic disease characterized by elevated blood sugar levels (or blood sugar), which over time can cause severe damage to the heart, blood vessels, eyes, kidneys and nerves. It also states that approximately 422 million people worldwide have diabetes, most of whom live in low- and middle-income countries, and that 1.5 million deaths are directly attributed to diabetes each year. Type 1 diabetes is an autoimmune disease in which the pancreas cannot produce enough insulin while at Type 2 diabetes, the body develops insulin resistance, resulting in abnormally high blood sugar levels. As such many diabetic patients life depends on insulin treatment, which can be given by injection or pump, to keep their blood sugar levels under control. But a new technology automated insulin delivery is attempting to mimic the role of the pancreas, paving the way for breakthrough methods of diabetes surgery and its many manifestations. Also called artificial pancreas (AP) or closed-loop systems, the technology combines diabetes Devices, namely an insulin pump connected to a continuous glucose monitor (CGM) and a smartphone program. While insulin pumps have been used since the 1980s to mimic the secretion of a healthy pancreas for patients with type 1 diabetes, “these have to be done manually multiple times a day and therefore have not lived up to expectations,” said Dr. Jothydev Kesavadev. However, the artificial pancreas automatically monitors blood sugar levels, calculates and dispenses the amount of insulin needed at different times of the day. This system helps control blood sugar levels and makes it easier for people to keep them in range. What is AP and How Does it Work? “AP consists of three parts – glucose sensor, program and pump. Continuous glucose monitor (CGM) tracks blood glucose levels every few minutes using a tiny sensor placed under the skin and wirelessly sending the information to a program. The sensor sends the necessary information to the smartphone or an insulin infusion pump. Based on the reading, the insulin pump then delivers small doses of insulin throughout the day when blood glucose is above the target range,” said Dr. David Chandy. “You know how much insulin you need and the insulin infusion pump gets a signal when insulin needs to be delivered. The insulin infusion pump then delivers the required insulin. However, values vary with expert guidance,” said Dr. Pritam Moon, Medical Specialist and Diabetologist, Wockhardt Hospital Mira Road. The Predictive Suspend system calculates blood glucose levels and stops insulin delivery before your blood sugar levels becomes too low. “Stopping insulin delivery at the right moment can help a person with type 1 diabetes avoid low blood sugar or hypoglycemia, a condition in which a person’s blood glucose level is below the target range,” said Dr. chandy The gap, however, was in automating insulin delivery — which “used to be a dream,” said Dr. Kesavadev. “Surgical methods have been tried for more than 75 years, but all of these clinical trials have failed. Automation began with the availability of continuous glucose monitoring and algorithms to control insulin delivery. Although “artificial pancreases” have been available for 10 years, automation success has only been 40-60 percent,” said Dr. Kesavadev. Why are we Talking About Diabetes Treatments? The cost of treating diabetes is similar to treating heart attacks. Kidney disease, strokes, neuropathy, blindness, amputations, mental illnesses, etc., all of which can be prevented by “proper treatment of the underlying disease”. “This is why such expensive devices are being made available free of charge in many countries, as they will prove extremely cost-effective in the long run,” said Dr. published in Therapeutic advances in endocrinology and metabolism Magazine in October 2021. In the paper mention Dr. Kesavadev, Gopika Krishnan and Viswanathan Mohan, how the diabetes community uses various technologies such as connected glucose meters, continuous glucose monitoring systems, continuous subcutaneous insulin infusion, closed circuit systems, digitization of health data and diabetes-related apps to prevent and treat the condition. The WHO also states that for people with diabetes, access to affordable treatment, including insulin, is vital to their survival. “There is a globally agreed goal to halt the rise in diabetes and obesity by 2025,” says the WHO website. In a previous interview with indianexpress.com Luke Coutinho, Holistic Lifestyle Coach – Integrative and Lifestyle Medicine and Founder of YouCare – All about YOU said that “integrating technology into diabetes management” is an excellent step in changing the face of this epidemic in our country and the world . “One thing we are constantly reminded of through our daily practice is the fact that each of us is bio-individuals, not just in terms of genes, but also in the way our bodies respond to a particular one Food or a specific ingredient reacts. This is where technology like CGMS (Continuous Glucose Monitoring System) can help us personalize our approach and tailor it to a specific individual,” he explained. What Types of AP are There? There are different types of artificial pancreatic systems, said Dr. Chandy They include: Threshold suspend and predictive suspend systems The Threshold Suspend and Predictive Suspend systems can temporarily halt or “suspend” insulin delivery when blood glucose levels drop. Threshold suspend system What is AP’s 780G? 780G is an advanced type of insulin pump that automatically monitors the insulin level to be delivered depending on food intake. “This is the first time that 780G has achieved 80 percent success in automation and many patients using it have had success with a time in range (glucose within normal range) greater than 90 percent in 24 hours”, said Dr Kesavadev. according to Dr Kesavadev, 780G is an international product from the United States. “Similar technologies have not yet reached India. It’s life-saving, especially for children with type 1 diabetes who struggle day and night to keep glucose levels in the right range,” he said. How Does 780G Work? Dr Kesavadev, who along with Dr. Arun Shankar, Gopika Krishnan and Geethu Sanal used and trained 780G in a 26-year-old person with type 1 diabetes, said that 780G automatically increases the insulin dose when

There was a time when taking insulin every day was a very painful event in the day.  But nowadays taking insulin has become an almost painless experience.  So today we will try to answer a few common questions about how to use insulin if it has been prescribed by your clinician. On which part of the body, insulin should be taken? 1. Insulin can be taken on the abdomen. The outer side of the thighs and on the outer side of the shoulder also. But if it is being taken on the shoulder it is better to be given by someone else. Another important point is, it should never be taken around two inches of the navel. 2. In younger children it can be given on the upper parts of the hips also. Should we keep on changing the site of insulin and if yes, then how? Keep on changing the site of insulin makes it more effective. If one keeps on taking insulin at the same site then it leads to the accumulation of fat tissue on that site, which is called lipodystrophy. Taking the insulin on the lipodystrophy area leads to a lot of variation in its effectiveness. The easiest way of site rotation is to fix to take insulin on one part of the body at one time of the day and on another part of the body at another time of the day. Plus within the part also one should keep changing the point of injection every time. For example, one can fix to take insulin on the abdomen in the morning and to take on the thigh in the evening time. And within abdomen and thighs also he should keep on changing the point of injection every time as well. Should I shake the pen or insulin vial before taking insulin? There are different types of insulin. The insulin which are premixed formulations like 30/70, 50/50, or 25/75, look milky in color, and they need to be gently shaken and mixed before taking the insulin. How to take the insulin with the pen? There are very few simple steps to take insulin:- What happens if someone has dialed more than the required dose? If someone has dialed more than the desired dose, there is no need to worry, it can be dialed back to the desired dose. If one sees a drop of blood after removing the pen then what to do? It may happen sometimes when you see a drop of blood after removing the pen. It is not bothersome at all, Just take an alcohol swab and press that area for 2 minutes. After how many injections one should change the needle? Ideally, the insulin needle should be changed every time, but if someone wants to reuse it, the same needle can be used a maximum of 2 or 3 times only. Where should I keep the insulin which is in use? If someone injects very cold insulin it leads to pain but if we take insulin that is of room temperature it doesn’t cause pain. We can keep the in-use vial or cartridge at room temperature (<30 degrees Celsius) for up to four weeks. So we can keep the in-use insulin out of the refrigerator in cold weather for up to 4 weeks. But when it is a very hot season like May and  June, then in use insulin should be kept in the refrigerator and it should be kept out of the refrigerator 30 minutes before the prick. Where should the extra insulin vials or cartridges be stored? The extra insulin vials or cartridges which are not in use, should always be stored in the refrigerator and to be kept at 4 to 8 degrees Celsius. It should never be kept in the freezer or chiller trey. Few Tips to take insulin in a painless way:- If one wants to take insulin in an almost painless way, he should keep these things in mind: There is no need to be scared of insulin. Nowadays it is very easier to take insulin and now it is even painless too. If we want we can defeat diabetes. Apart from lifestyle modifications, regular exercise, and medications, one should be investigated every year to detect diabetes complications early, especially considering the potential benefits of diabetes surgery. In wockhardt hospital. Mira road we have developed an entire diabetes body scan program. through which we can detect the complications at an early stage and treat them. We all can come together to defeat and diagnose diabetes. Dr. Jinendra JainMD (Internal Medicine), Fellowship in Diabetes.

It has been over a year that the world is still fighting Coronavirus. To curb the spread of Covid-19 in our country, people have been asked to follow the Covid protocols like wearing a mask, maintaining social distance and staying indoors. Working from home is one of them and most of us have been doing this now for a year. Constantly staying at home, bingeing on sugary and junk foods, lacking physical workout, etc. have contributed to weight gain in many people. Some are also suffering from diabetes. During the pandemic, existing diabetes-diagnosed patients found it challenging to manage their weight and reduce their blood sugar levels, leading some to consider diabetes surgery as a potential solution. But we cannot accept this helplessness and let our blood sugar levels spike. We have to use certain easy hacks at home to lose weight and control diabetes. So, Dr Rajiv Manek, Consultant Minimal Access and Bariatric Surgeon, Wockhardt Hospitals, Mira Road, Mumbai, has shared some tips regarding this issue. Watch what you put into your mouth Mindful eating is essential. Try to break down the foods into proteins, fats, and carbohydrates to determine if the food is good or bad for you. If you have diabetes or are obese then avoid eating food laden with sugar or high in carbohydrates. Get physically active People have been asked to avoid traveling and work from home. There is not much physical activity in our space. Hence, people should include exercises like brisk walking while maintaining social distance. Keep stretching throughout the day to stay active and fresh. Opt for desk workouts, try to do squats, push-ups, pull-ups, and light-weight bearing exercises. Plan your meals Have a proper structure of what you are going to eat and avoid. Get rid of processed, oily and junk food. Read the nutrition labels before buying snacks. Do not start your day with fried foods as you may end up feeling lethargic. Keep your workspace away from the kitchen or else you will keep on eating and gaining weight. Avoid using electronic gadgets while eating and do not skip your meals. Maintain the same meal timing every day. Follow a well-balanced diet Incorporate a lot of fresh fruits and vegetables into the diet. Replace your fried meals with a bowl of salad or soup to skip those calories. That will keep your glucose levels in control and help you deal with insulin resistance. Out of 5 meals in a day, replace at least one meal with a big bowl of salad and another with a bowl of fruits. Fresh fruits are packed with antioxidants, vitamins, and minerals. Instead of popping vitamin supplements or pills, just eat fresh fruits. Opt for an early dinner that is by 7.30 PM in the evening. Desserts should be consumed in the first half of the day. Try to stay hydrated by drinking lots of water. Have green tea, black tea or black coffee for that metabolic boost. Practice portion control and bid adieu to your habit of midnight snacking. Avoid grazing in between the meals. Prefer baked snacks and avoid sugar-laden cookies. Curb your urge for binge eating. Avoid emotional eating just because you are overwhelmed. Keep a tab on your diabetes Avoid skipping medication and take the ones prescribed by the doctor. Do not self-medicate as it can be fatal for you. Get a sound sleep at night Cortisol is a stress hormone. High cortisol levels lead to elevated blood sugar levels. It also promotes unhealthy eating habits. So, sound sleep at night will reduce cortisol levels. Try to get at least 7-8 hours of sound sleep during the night and taking power naps in the day can be helpful. Get rid of stress Yoga and meditation will help you stay stress-free. Spend time doing what you like. Speak to your family and friends via video calls or phone. Take out some me time for self-love. Be at peace with your inner-self. Pay attention to what your body is telling you.

COVID-19 is a serious public health concern and people with chronic medical issues such as diabetes and hypertension are at a higher risk of getting sick from coronavirus. Here’s how people with diabetes and hypertension should take care of themselves during the pandemic. Follow these guidelines and stay hale and hearty. Coronaviruses (CoV) belong to a large family of viruses that may lead to respiratory illnesses, ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). this year, a new strain of coronavirus was discovered, which has not been previously identified in human beings, also known as a novel coronavirus (nCov). COVID-19  causes respiratory disease and in serious cases, it can lead to pneumonia, hence, the entire country is under lockdown.  COVID can affect those with chronic illnesses such as diabetes, high blood pressure, or hypertension as they are in the ‘high-risk’ category. If one gets diabetes, not only does his/her blood sugar level get impacted but the insulin production level also gets compromised. People with high or unmanaged blood sugar levels have less than normal blood flow and their body finds it difficult to harness nutrients and heal. People suffering from diabetes are prone to develop infections and may take a longer time to get fit and fine owing to the weakened immune system. Not only this, but uncontrolled blood sugar levels can also invite diabetes-related complications. Similarly, people with hypertension need to be careful. Hypertension can be described as a condition wherein the long-term force of the blood against one’s artery walls is high enough that it may invite major health problems like heart disease and stroke. The risk factors can be attributed to obesity, family history, too much alcohol intake, and smoking. Since people have been advised to stay at home their blood sugar levels and hypertension may go out of control. Hence, they should take charge of their health and stay healthy. Tips for people with diabetes and high blood pressure

It is but natural that during the festivities, everyone gets involved in bingeing and inevitably turns into weight gain. In this air of festive vibes, everyone gets involved in bingeing and later all this bingeing turns into weight, calories, and sugar worries — but u can enjoy the festival with no regrets this season. 1) Eat small portions , relish the taste, it will last longer and control your urge to take another piece. Along with this, try to avoid a second helping. 2)Try eating homemade laddoos made from jaggery and dry fruits as they control your calorie intake. Also, note that high sugar intake can put extra burden on your liver. 3)Increase your water intake: Stay hydrated with low caloric smoothies, juices, coconut water. Keep water infused with lime, mint, berries, cucumber and any other citrus fruit of your choice and sip throughout the day. 4)Exercise as much as you can, walk when you shop or visiting friends and family. This way you can burn some calories. You burn off 200 calories in just 30 minutes 5)Restrict the amount of sugar and salt intake A High salt intake may cause swelling, puffiness and water retention in body and in lower extremities. 6)Go preferably for spritzers or wine in case you think of alcohol. 7)After every heavy meal you can either have a glass of milk, buttermilk, cold coffee, fruit salad or try some low carb fat-free foods. 8) Detoxification after festivities can help invigorate and improve overall health and rejuvenated long term glow. Some suggestive tips for detoxification are:

The most common non communicable disease affecting India today is Diabetes Mellitus. It is a metabolic disorder, in which an individual has an increased level of blood sugar. As per research, it currently affects an estimated 143 million people worldwide and the number is growing rapidly. In India, about 5 per cent population suffers from diabetes. Diabetes can be regarded as a potential epidemic in India with more than 62 million diabetic individuals currently diagnosed with the disease. What is Diabetes? Diabetes is a disorder affecting the pancreas which produces the hormone insulin. Insulin helps the body use food for energy. The condition is due to either insufficient insulin being produced or no insulin being secreted by the pancreatic cells, or both. Insulin works together with glucose in the bloodstream to help it enter the body’s cells for all metabolic activity. Therefore if insulin does not functioning properly, glucose cannot enter the cells and this produces an imbalance. This end result is that glucose levels in the blood sugar tend to rise, creating a condition of high blood sugar or diabetes, and leaving the cells without glucose for the basic energy in the body. If left untreated, Diabetes can tend to cause various complications and affects the vital organs. Some Complications are Retinopathy (eye disease), Nephropathy (kidney disease) & Neuropathy (nerve disease). What are the Symptoms of Diabetes? The most common symptom of diabetes is fatigue and increased thirst and hunger, along with frequent urination. Excessive sweating Diabetes symptoms can vary from patient to patient depending on the type and age. What are the types of diabetes? There are two common forms of diabetes:  Type 1 Diabetes and Type 2 Diabetes. What is Type 1 Diabetes? In Type 1 diabetes:  Affects the age group of 20-30, but it can occur at any age In type 1 Diabetes, The insulin-producing cells are damaged and no insulin is produced in the body for it to utilise it for energy. Generally one would have to   use insulin injections to control their blood glucose in this type of Diabetes. What is Type 2 Diabetes? Affects 40 yrs. of age and who are predisposed to being overweight. In this condition enough insulin is not produced or the insulin does not work optimally. It generally involves a combination of diet, weight management and exercise. Sometimes treatment also may include oral glucose-lowering medications or insulin injections. What are the causes of diabetes? How is diabetes diagnosed? 1) Fasting blood sugar and Post Prandial blood sugar level. A Normal fasting blood glucose is between 70 and 100 mg/dl. A person is said to be diabetic if his fasting blood glucose level of 126 mg/dl we say he is crossed the borderline and if the random blood glucose level is 200 mg/dl. 2) Another accurate test to measure is Glycosylated haemoglobin, or HbA1c, in the blood. This test determines   blood glucose control for the past 2 to 3 months. How to cure Diabetes? Diabetes is treated and controlled by the following: Maintaining your blood sugar level by having a balance diet, taking the medication and exercise is vital for controlling diabetes. It is advisable also to maintain Blood cholesterol and triglyceride (lipid) levels. Managing blood pressure is also essential. How to Control & Prevent Diabetes? Living with diabetes can be difficult. You need to take full control of your diabetes…. It’s in your hands to make it better. In case of any further queries regarding diabetes surgery, treatment, investigation and overall care do visit us at Wockhardt Hospitals. Wockhardt Hospitals, a chain of tertiary care super-specialty hospitals has more than 25 years of experience in the creation and management of Super Specialty Hospitals in India. We are a premiere hospital in the country specializing in the treatment of all medical conditions. We provide comprehensive diagnostic and treatment under one roof to our patients. Our medical speciality at Wockhardt Hospitals has renowned clinical expertise in treating diabetes and providing overall management. Wockhardt Hospitals have been regarded as centers of excellence in medical science with facilities in North Mumbai (Mira road), South Mumbai (Mumbai Central), Navi Mumbai (Vashi), Nagpur, Nasik, Rajkot and Surat. Wockhardt Hospitals is having state-of-the-art infrastructure. Our prime objective is patient safety and quality of care all levels. The guiding philosophy is to serve and enrich the Quality of Life of patients and to make life win.