Diabetes

People with diabetes can travel safely and comfortably. They just need to follow a few travel guidelines. These tips have been curated based on inputs from experiences of frequent travelers with diabetes and vetted by Dr. Shital Patel. To begin with, it is important to note that diabetes related supplies are allowed on the plane.  Carry medications in hand luggage and in original packaging.  Insulin & insulin pens, alcohol swabs and unlimited numbers of unused syringes  …

Rekha Khanduri, 73 from Mumbai has diabetes for a while and lost her eyesight due to diabetic retinopathy, a diabetes related complication. She talks about how she has since learnt to live with such an irreparable loss. Please tell us a bit about your condition : I have Blood Pressure as well as diabetes. In fact, I lost my left eye due to diabetes. When were you diagnosed with diabetes? About 35 years back. Diabetes runs in the family as both my grandfathers had it. My paternal grandfather had…

Diabetic retinopathy is a complication of diabetes and can cause blindness if left undiagnosed and untreated. It affects persons with any kind of diabetes - Type 1, Type 2 and gestational. Dr. Raja Narayanan, Principal Investigator IHOPE and Consultant Opthalmologist, Vitreo Retinal Diseases answers questions on the risk factors, treatment and prevention of Diabetic Retinopathy. The video below covers the following topics:  - What is Diabetic Retinopathy  - Symptoms of Diabetic…

A panel discussion with Dr Rajan Ravichandran and Dr Arun Gupta highlighted the need for better product labeling and regulatory changes around advertising and marketing of processed foods. For parents to be aware of the link of salt, sugar and ultra processed foods with diabetes, hypertension and Chronic Kidney Disease in children. (Video below) Participants: Aparna Mittal, Founder , PatientsEngage (AM) Dr Rajan Ravichandran – Senior Nephrologist (RR) Dr Arun Gupta – Pediatrician (AG) AM : Why…

Dr. R.Asha Rajini, 66 from Chennai loves running marathons. A hamstring injury upset her rhythm and affected her physical and mental health, especially  diabetic control. She talks about the challenges of dealing with this setback and the lessons she learnt in the process of recovery  I was doing very well in my running training, almost every Sunday I was running about 21 to 25kms as I was getting ready to run a 50km Ultra in November 21. On August 13th I went to the gym to strengthen…

Heart failure can be avoided by working on lifestyle changes and decreasing your risk factors if any: Regular exercise is a must. 5 days or 150 hours of cardiovascular exercises per week is the recommended goal to stay physically active. Maintain optimal body weight. If you are overweight or obese, lose the excess pounds. Eat healthy foods such as vegetables, fruits, lean meats, fish etc. Avoid processed, packaged and preserved foods. Stop smoking and use of other tobacco products to reduce…

What lifestyle changes does one need to make after implantation of cardiac devices? How can people reduce their risk for HF? All patients with heart failure should restrict their salt and fluid intake. They should stop smoking, alcohol and other illicit drugs. They should control their other co-morbidities like blood pressure, diabetes and cholesterol. They should regularly monitor their weight, blood pressure and heart beats and should regularly consult their physician. Patients with AICDs or…

What is the treatment of heart failure Immediate management of heart failure includes medications to form urine – diuretics which will reduce the congestion and relieve the symptoms of breathlessness. Other therapy includes oxygen therapy or use of ventilation therapy (non-invasive ventilation or invasive ventilator support based on the severity of the heart failure). Blood pressure stabilizing medications are usually needed to reduce the blood pressure if the BP is high or vice versa increase…

How is Heart Failure diagnosed? Heart failure is a clinical diagnosis. The doctor will take into account the symptoms and risk factors and correlate those with clinical examination findings of heart rate, blood pressure, pressure wave forms of the venous pulse (JVP), chest and cardiac examination and examination of your abdomen and limbs. If the diagnosis of heart failure is suspected, certain blood tests like BNP ( B-type Natriuretic Peptide), NT-ProBNP (N Terminal B-type Natriuretic Peptide)…

What are the risk factors associated with heart failure? Patients prone to heart diseases are all prone to heart failure as well. This includes patients with high blood pressure, diabetes mellitus, high cholesterol, smoking, alcohol consumption, stress, family history of heart attacks, heart valve diseases, arrhythmias, renal failure, anemia, thyroid diseases, etc. Rarely, the heart can be affected by congenital heart disease from birth, diseases of the heart muscle (cardiomyopathy), infections…