Managing Diabetes Mellitus is a long term journey, a condition requiring continuing medical care, ongoing education & support to prevent acute complications and reduce risk of long term complications. Education that improves understanding and self-management with the help of your doctor is the one of the best way for managing diabetes related problems. There’s a lot to learn, but you don’t have to do it alone. We are passionate about delivering evidenced-based, trustworthy and personalized diabetes care.We at Health Roots Clinics have a group of dedicated doctors who cater to the needs of all those with diabetes and related problems.
We also are also committed to reducing the burden of diabetes and its complications in the community and would warmly welcome you join us in improving health of our families.

FAQs: frequently asked questions

1. What is diabetes?
Our blood always has some glucose in it because our body needs glucose for energy for its normal function. But too much glucose in the blood is not good for our health. Diabetes means that your blood glucose [often called blood sugar] is too high. Diabetes develops when the hormone by name insulin is not secreted by the organ called pancreas, located behind the stomach; or the target cells(muscle,liver,fat etc) are resistant to the action of available insulin.
Normally our blood sugar (glucose) level before eating is 70-100mg/dl and after eating is < 140mg/dl. DIABETES is said be there if Blood sugar before eating (fasting/FBS) is ≥ 126mg/dl and 2 hours after eating(postmeal/PPBS) is ≥ 200mg/dl.
To remain healthy your blood sugar should not be too high or too low

2. How do I know if I have diabetes?
Patients with diabetes may present with extreme thirst, frequent urination, extreme tiredness, significant weight loss, impaired healing of wounds, numbness, tingling sensation of the extremities, blurring of vision, etc. But remember some of you may not have any symptoms and can incidentally be detected to have diabetes during routine health check.

3. What are the different types of diabetes?
The types of Diabetes Mellitus are
a) Type 1 diabetes – requiring Insulin from onset of disease due to self-destruction of cells that make insulin Type I diabetes: This can occur at any age but occur more commonly in children, teenagers or young adults. In this condition the pancreas produces little or no insulin and hence insulin therapy is a must in these patients.
b) Type 2 diabetes: This is the most common type of diabetes. This occurs usually in adults above 40 years of age. In this type of diabetes the pancreas does not make enough insulin, and /or the fat, muscle, or liver cells do not use it properly. Being overweight can increase the chances of developing Type II diabetes Such patients require oral tablets, insulin, or both to maintain their blood sugar.
c) Gestational Diabetes – transient high blood glucose during pregnancy
d) others-(Drug like steroid induced etc) your doctors will let you know if you have it.

4. Why are high sugars not good? – What are the complications of diabetes?
High sugars damage the Blood vessels and nerves hence all the parts of our body may be affected. But the major problems are depicted in the image below:

Diab compl

5. How do I manage diabetes?

4 simple steps are:
a. Therapeutic Eating: EAT HEALTHY, EAT SLOWLY. RESTRICT SUGARS, SALT AND OIL

b. Therapeutic Exercise: Be active : To get maximum health benefit you should exercise at least 30-60minutes a day, for at least 10 –20 minutes each time. Start by walking about 1 Km in 20 Mins. Your pace should go upto 2 kms in the same time in about 2 months. Other exercises: Some of the other activities like swimming, dancing, cycling, playing volley ball, basket ball etc are also beneficial in diabetic patients.

c. Regular medications :
1. What are the tablets/medicines used in diabetes? The tablets used are those which increase insulin secretion (glimepiride, glibenclamide, glipizide, gliclazide) or reduce the resistance of the cells ( metformin, pioglitazone)
2. Insulin: All the patients with type 1 diabetes require insulin. Some patients with type 2 diabetes who initially respond to diet and / or oral diabetic medications eventually require insulin therapy. There are a wide variety of different insulin preparations available now. These differ in onset of action, time to peak effect and duration of action. Your doctor will prescribe you the type of insulin, which suits your needs.

d. Regular monitoring : Monitoring:Blood sugar monitoring is the key for good care.
If you have diabetes (diabetes mellitus), the most important thing you can do is to control your “ABCs”:
• “A” stands for A1C or HbA1C – HbA1C is a blood test that shows what your average blood sugar level has been during the last 2-3 months. (Goal is to attain A1C levels below 6.5 – 7 %)
• “B” stands for “blood pressure” – If you have diabetes, High blood pressure puts you at risk for heart attack, stroke, and kidney disease. (goal is to attain a BP below 140/90 mmHg)
• “C” stands for “cholesterol” and complications–High cholesterol (fat) increases your risk of heart attacks, strokes, and other serious problems. ( Goal is to attain LDL cholesterol level below 100 )
• Meet your doctor to adjust the dosage of medicines to achieve ABC targets and evaluate you for presence of any complications.

6. Can I stop medicines when my diabetes is controlled?
In most of the cases diabetic patients require medicines throughout the life. Hence you should never stop the medicines even after blood glucose is controlled. Always take medicines according to the doctor’s advice.

 

  • Diabetes care [ Type 2 diabetes, Type 1 diabetes, MODY, Gestational Diabetes, other secondary & rare forms )
  • Diabetic foot care [ Callosity removal, Non healing ulcer etc ]
  • Comprehensive diabetic foot examination [ ABI, Biothesiometry, Monofilament ]
  • Eye Check ups 
  • Investigations [ Renal function/ 
  • Specialists consultation [ *Cardiology, *Pulmonology, *Endocrinology, *Nephrologist , *Neurologist etc ]
  • [ * Telecommunication would be considered on need basis and mutual consent ] 

Dr.Mahesh.D.M
MBBS, MD(Medicine), DM(Endo, CMC,Vellore), DNB(Endo)
Consultant – Endocrinology & Diabetes

Dr. Saikiran. S
MD (Fam Med), MPH, PGDCC
Consultant – Family Medicine, Diabetologist

Dr.Ramakrishna Prasad
MD (Fam Med), MPH, AAHIVS
Consultant – Family Medicine & Infectious Diseases

Dr. Hema H R
MBBS, M Med (Fam Med), CCEBDM
Consultant – Family Medicine, Diabetologist