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Is diabetes is curable disease. I want to get rid of this I am diabetic for last 20 years and on tab metformin 500.
Gestational diabetes is a form of diabetes where the blood sugar levels of the body increase during pregnancy. When you are expecting, your body is more repellent to insulin so that a larger amount of glucose is manufactured for the baby’s nourishment. However, this excess blood glucose can build up within the body which causes gestational diabetes. This can lead to health problems for both the mother and the baby. At the end of the gestational period i.e. once the baby is delivered, blood sugar reduces to normal.
When are you at a risk for gestational diabetes?
Gestational diabetes can also be hereditary. If a family member or a relative has diabetes, you are more likely to develop gestational diabetes.
If you are overweight, you are more susceptible to developing gestational diabetes.
What causes gestational diabetes?
During pregnancy, the placenta connects your baby to the blood supply. This produces other hormones which reduce the levels of insulin. This increases the level of blood sugar in your blood. As your baby develops, your body manufactures more of such hormones which block your insulin levels leading to gestational diabetes. This usually occurs from the 20th week of your pregnancy.
Increase in Birth Weight – Extra glucose crosses through the placenta which instigates the baby’s pancreas to manufacture more insulin. This can make your baby very large. Sometimes, it becomes difficult for the baby to pass through the birth canal during childbirth as a result.
Premature Birth and Respiratory Diseases – High blood sugar may increase the risk of an early labor. It may make the baby due before the 37th week of pregnancy. This also makes the baby more susceptible to respiratory disorders.
High Blood Pressure – Gestational diabetes also raises your risks for high blood pressure. This can be fatal for you as well as your baby’s health.
Follow a healthy eating schedule. Limit the amount of carbohydrates and ensure you have a healthy and balanced meal.
Do light exercises regularly during pregnancy. This helps you to control your blood sugar level. Physical activities which require low levels of energy utilization such as swimming and walking will control your blood sugar level without exerting you too much.
- Taking insulin shots and medicine for diabetes will also control your blood sugar levels if you have a pre-existing condition. If you wish to discuss about any specific problem, you can ask a free question.
Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.
The preoperative assessment consists of--
A test for your existing glasses prescription:
It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.
A full ocular examination: This includes looking at-
- The eyelid anatomy and inflammation.
- The state of the tear film, dry eye changes could make surgery difficult
- The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
- The amount of dilation the iris undergoes with dilating drops.
The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule.
The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.
This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.
This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.
Optical Coherence Tomography (OCT)
This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.
Blood Pressure Measurements
It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.
Blood Sugar Measurements in Diabetic Patients
Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher. In case you have a concern or query you can always consult an expert & get answers to your questions!
Why hypertension and diabetes are not permanently curable. When we have lot many doctors in this world, why we cannot prepared the medicine for this, is that a curse for humankind coz I have seen many people who are suffering with these disease.
I have a dibaties or sugar so what is a precautions of this disease so and it can make my improved by fast.
How can I control sugar legal 284. Any medicine? Or ayurvedic medicine? at now I walk every day 5km.
Glucose is the primary ingredient within the body, which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, our body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.
Symptoms of type 2 diabetes:
- Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this the tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
- Frequent infections and slow healing - If you are afflicted with type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
- Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally.
- Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
- Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is known darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds of skin in areas, such as the neck and armpits and is a direct result of insulin resistance.
Causes of type 2 diabetes:
Some of the most common causes of type 2 diabetes could be:
- Being overweight
- Lack of physical activity
- Genetic predisposition or family history
- If you are more than 45 years of age
- Hormonal problems such as Polycystic ovarian syndrome
Treatment or management of type 2 diabetes:
In most cases, major lifestyle changes can easily keep the symptoms of type 2 diabetes in check although, in certain cases medications may also be required. Some of the steps necessary are as follows:
- Change in diet and healthy eating
- Physical activity and exercising
- Regular blood sugar monitoring and
- Blood sugar medication along with insulin therapy, if necessary