Doctor in Sakthi Hospital and Research Centre
Treatment Of Erectile Dysfunction
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Adult Diabetes Treatment
Type 1 Diabetes Treatment
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Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among young people. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, oral insulin intake, taking healthy diet, increased physical activity and controlling blood pressure and cholesterol levels.
Type 2 diabetes is a condition wherein the body refuses to use insulin in order to carry glucose to each and every cell of the body. The pancreas try to produce more insulin in order to counter the condition but soon give up due to an increased blood pressure. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.
Gestational diabetes is observed in many pregnant women. The hormones produced during pregnancy can block insulin to be used by the body. While insulin resistance is common during pregnancy, failure of the pancreas to fill in the additional insulin in the body can result in gestational diabetes. Women who are overweight are more likely to develop this condition. Although gestational diabetes goes automatically after the baby is born, it often recurs in the form of type 2 diabetes in a later stage of life.
Risk factors for diabetes
- Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
- Inactivity: Immobility increases the risk of diabetes in a person. It stacks up glucose in the body, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes.
- Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is very likely that his immediate family or extended family has a history of diabetes.
- Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts. Lifestyle and eating habits are the major reasons for diabetes in these races.
- Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group.
Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.
A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.
Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.
TYPES OF SURGERIESBASED ON TIME
- BASED ON PURPOSE
- TYPE OF PROCEDURE
- BY BODY PART
- BY EQUIPMENTS USED
There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.
Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.
Classifications of foot infections
- A depth of the infection
- The severity of the infection
- The amount of tissue involved
- The anatomic site affected
- The causative factors
The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present
Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.
Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.
The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person.
Various risk factors that are associated with diabetes and depression are as follows-
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.
When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes.
If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin.
People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy.
Various signs that can be observed in a state of depression are as follows:
- Complete lack of interest in doing any activity
- Irritation or mood swings
- Depressed mood
- Disturbed sleep pattern
- Changes in the appetite
- Constant feeling of despair
- Guilt Fatigue, weakness
- Difficulty in concentration, transient memory loss
- Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users.
Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.
In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.
Test tube babies is the term given to the babies who are born with the help of IVF treatments. The cost of test tube baby in India, is less than the western countries. Advanced technology and expert doctors are present all over India especially in Delhi , who have a very high success rate of 65%. The cost of the entire treatment can vary from Rs. 1,10,000 to Rs. 2,00,000. Cost is dependent on many factors like use of fertility drugs and the kind of treatments opted for. It also depends upon the number of cycles.
Some of the best test tube baby centers in Delhi are:
Consultation fees: ₹500
Benison IVF Clinic provides all kind of fertility treatments under one roof like IUI, IVF, ICSI, Egg Donation, Sperm Donation and Surrogacy. They have a team of case managers, nurses, technicians, and experienced gynecologists who treat their patients with utmost warmth and care. Years of experience of these gynecologist helps them with designing customized treatment and delivering a high success rate.
Consultation fees: ₹500
Baby Joy is a state of the art IVF & Surrogacy Centre which is known to provide advanced treatment at an affordable cost. They are know to provide an end to end to solution with their team. The center is also known for high success rates. Doctors here follow international protocols and use of latest technologies. The centre is known for fertility treatment, IUI-Intrauterine-insemination, ICSI and Surrogacy.
Consultation fees: ₹800
The New Life India Clinic is an initiative of international chain from Europe- Global Lotus Clinics in India. The clinic are known to meet the standards of Europe and Asia as well as the laws framed by Govt. of India. Some of the services offered by the clinic are In Vitro Fertilization (IVF), Micromanipulation (ICSI), Surrogacy, Blastocyst, Egg Donation and Cryopreservation.
The team is highly professional in their ethics and with years of experience have been delivering the best results.
Consultation fees: ₹500
World IVF Centre is considered as a pioneer Super Specialty Centre of Delhi. The center has treated hundreds of patients from India and abroad successfully. The gynecologist here are known to focus on methodologies which are known to increase the chances of natural pregnancy before proceeding for IVF. The centre meets International Standards and is also among few centers in India that provide IVF training to Doctors. Some of the facilities provided in the hospital for better treatment are infertility evaluation and treatment, use of ART techniques like Intra-Uterine Insemination (IUI). They have an in-house IUI Lab.
Consultation fees: ₹500
Indira IVF clinic is a trusted and successful chain of fertility centers in Delhi. Some of the various treatments provided here are assisted reproductive technologies like IUI, IVF/ICSI, IMSI. The team here consists of best gynecologist, sonographers, embryologists, nurses and counselors that provide a holistic approach. Latest and advanced methods to treat the cases of infertility in both men and women. They have a very high IVF success rate and has become a preferred center for treatment.
Consultation fees: ₹1000
Bloom IVF Group is amongst India’s 1st centre which was established in 1991. Under the leadership of Dr Hrishikesh Pai and Dr Nandita Palshetkar,who are a reputed name in the field of obstetrician and gynecologist. There are various techniques of assisted reproduction that help in treating infertility in males and females. Bloom IVF Group is amongst the most premiere chain of hospitals to treat fertility. They have treated over 25000 patients from India and abroad. The success rate is exceptionally high, especially, in women above 35 years of age. The rate is over 35-40% per started cycle.
Consultation fees: ₹800
The apollo group of hospitals has a team of doctors who specialize in reproductive medicine, nurse-counselors, ultrasonographers, embryologists and andrologists. They provide world class infertility treatment using advanced procedures and equipment. They have a high success rate using assisted reproduction therapy and surrogacy.
Consultation fees: ₹1200
Max hospital is a well known name in healthcare world. It has some of the best IVF specialist at their Panchsheel center like Dr. Richa Seth. She has 10 years of experience and her areas of special interest are Intrauterine Insemination, Ovulation Induction Treatment (OI), sperm donor programs and blastocyst transfers.