Diabetes

Type 1 diabetes

  • Type 1 diabetes is a disease in which the body can no longer produce insulin.
  • Insulin is normally needed to convert sugar (also called glucose) and other food sources into energy for the body’s cells.
  • It is believed that in people with type 1 diabetes, the body’s own immune system attacks and kills the beta cells in the pancreas that produce insulin. Without insulin, the body cannot control blood sugar, and people can suffer from dangerously high blood sugar levels (called hyperglycemia).

Type 2 Diabetes

  • Type 2 Diabetes is a disease where the body’s cells have trouble responding to insulin – this is called insulin resistance.
  • Insulin is a hormone needed to store the energy found in food into the body’s cells. In prediabetes, insulin resistance starts growing and the beta cells in the pancreas that release insulin will try to make even more insulin to make up for the body’s insensitivity.
  • This can go on for a long time without any symptoms. Over time, though, the beta cells in the pancreas will fatigue and will no longer be able to produce enough insulin – this is called “beta burnout.”

Diabetes often referred to by doctors as Diabetes Mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin or both.

Patients with high blood sugar will typically experience polyuria (frequent urination) they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

What are its Diabetes Symptoms?

The common symptoms of type diabetes are:

  • Urinating often
  • Feeling very thirsty
  • Feeling very hungry even though you are eating
  • Extreme fatigue
  • Blurry vision
  • Cuts/bruises that are slow to heal
  • Weight loss even though you are eating more

If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes.

* If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycaemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes. 

Treatment-of-diabetes

Diagnosis:

The patient would require detailed clinical investigations including Body Mass Index, Polysomnography, Electroencephalography, Electrocardiography, Pulse oximetry and Blood Monitoring before proceeding with the treatment.

Treatment:

Treatment is based on provisional diagnosis

If the patient is Type 2 Diabetes, the patient may need Diabetic surgery in form of Sleeve Gastrectomy with Ileal Interposition.

Sleeve Gastrectomy is a procedure entails the endoscopic delivery and anchoring of a plastic-coated sleeve implant that extends into the jejunum and effectively excludes the duodenum.

  • The device theoretically mimics the duodenal-jejunal bypass, in that nutrients pass throughout the duodenum without contact with its mucosa, while the distal small bowel receives less processed foodstuffs.
  • The endoluminal duodenal-jejunal bypass sleeve is able to do this without disrupting bowel continuity or creating the new anastomosis.
  • Ileal interposition, previously called “transposition,” is another procedure being investigated to treat type 2 diabetes. Ileal transposition involves the removal of a small segment of the ileum with its vascular and nervous supply and inserting it into the proximal small intestine. Animal studies of ileal transposition show exaggerated release of the gastrointestinal hormone glucagon-like peptide-1. Glucagon-like peptide-1 is a potent insulinotropic hormone that improves glucose tolerance, this action being used in drug therapy for diabetes.
  • Early human studies with ileal transposition show promise and the procedure are often combined with a sleeve gastrectomy when weight loss is desired.

Benefit:

  • More than 80%of people show no signs of diabetes after surgery.
  • People usually lose 50% of their extra weight.

*Kindly find more details for the surgery at the end of the blog.

For more information contact:

Email: [email protected]

Contact No.+91-981060402, +91-7506405503

Best Hospitals and Top Doctors for Diabetes in India

Best Hospitals and Top Doctors for Diabetes in India

  1. Fortis Healthcare Limited, New Delhi is a leading integrated healthcare delivery provider, present in 11 countries, in the Asia Pacific region. The healthcare verticals of the company span diagnostics, primary care, day care specialty and hospitals. Fortis Healthcare is driven by the vision of saving and enriching lives through clinical excellence. Currently, the company operates its healthcare delivery network in India, Mauritius, Singapore, Sri Lanka and UAE with 75 hospitals, over 12,000 beds, 600 primary care centers, 191-daycare specialty centers, 230 diagnostic centers and a talent pool of 23,000 people. Fortis has “Total Patient-Centric Approach”. A number of factors make Fortis Healthcare the ideal choice for those looking for high quality diagnostic, medical or surgical services. To know more: https://hbgmedicalassistance.com/hospitals/fortis/
  • Randeep WadhawanDirector, General and Minimal Access Surgery in Fortis Hospital, New Delhi. To know more:
  1. BLK Super Specialty is one of the biggest and oldest standalone hospitals in the country with a capacity of 700 beds including 125 critical care beds, 17 modular operation theatres and specialty-specific dedicated OPD blocks. The facility is equipped with the most modern medical diagnostic & therapeutic equipments, to name a few Triology Tx Linear Acc. All the services have been designed with the intent to create dedicated areas for all specialties with their interventional services in close vicinity. Therefore, the infrastructure speaks about BLK’s commitment for a passion for healing. To know more: https://hbgmedicalassistance.com/hospitals/blk/
  1. Manipal Hospitals Manipal Hospital has achieved its current stature as a renowned player in healthcare through its unwavering focus in quality, technological advancement and patient centricity. Manipal Hospital is a 600 bedded quaternary care hospital with capabilities to treat 98% of morbidity. Manipal Hospital has a total of 56 specialties offered under one roof to bring in enhanced health delivery for the patients. The hospital is fast becoming a preferred destination for patients from over 30 countries. Close to 1.5 million patients internationally and in India place their faith in Manipal Hospitals. To know more: www.hbgmedicalassistance.com/portfolio/manipal-hospitals
  • Sampath Kumar (DNB – General Surgery, MBBS)General Surgeon, Laparoscopic Surgeon, Bariatric Surgeon, 18 Years Experience .He has done specialisation in the field of General Surgery, Gastrointestinal and Laparoscopic Surgery. Dr Sampath has a wide exposure and experience in both General, Gastrointestinal and Laparoscopic surgery. Dr Sampath was a member of the team which performed the first laparoscopic surgery at our hospital. To know more:
  1. W Pratiksha Hospital offers the highest standards in healthcare through a combination of cutting edge technology, a team of well-qualified, experienced and dedicated doctors with global education and experience, and super specialized clinicians. We bring to you 25 years of experience in treating thousands of happy patients across multiple hospitals and clinics in India. Pratiksha Hospital offers the highest standards in healthcare through a combination of cutting edge technology, a team of well-qualified, experienced and dedicated doctors with global education and experience, and super specialized clinicians. To know more: www.hbgmedicalassistance.com/know-your-hospitals/w-pratiksha-hospital
  • Mayank Madan (Head of Department), W Pratiksha Hospital .His professional qualifications are MBBS, MS – General Surgery. Dr Mayank M Madan has vast experience in Advanced Laparoscopic Surgery.  Best Paper Award for paper titled- Laparoscopic Single Port Sleeve Gastrectomy- Is It Feasible? At 20th annual conference of Indian Association of Surgical Gastroenterology (IASGCON 2010) at Hyderabad, India in October 2010. To know more: https://hbgmedicalassistance.com/doctors/general-and-minimal-access-surgery/dr-mayank-madan/
  1. Global Hospitals Group is India’s most renowned healthcare services provider offering better care, cutting-edge research and advanced education to care givers is one of the country’s fast-growing chains of Multi Super Specialty Tertiary Care Hospitals offering healthcare services of international standards. A 2000-bed Multi Super Specialty Tertiary Care facility spread across Hyderabad, Chennai, Bangalore and Mumbai. To know more: www.hbgmedicalassistance.com/global-hospitals
  • Raja Sundaram at Global Hospital Chennai. His professional qualifications are MS, MCh, DNB, FAIS, and FAMS. Dr. Raja Sundaram is a proud achiever of university rank as he has been awarded gold a medal. From the beginning, Dr. Raja Sundaram has been interested in Academics & Research.

For more information contact:

Email: [email protected]

Contact No.+91-981060402, +91-7506405503

Tentative-Treatment-Cost-for-Diabetic-Surgery-in-India

Tentative Treatment Cost for diabetic surgery in India

Best prices for Diabetic Surgery are listed below. This is the average cost of Diabetes surgery in top-ranked hospitals in India.

Hospital Doctor Location Evaluations Surgery
W Pratiksha Dr. Mayank Manjul Madan Gurgaon (Delhi-NCR) USD 600 USD 6500
Fortis Hospital Dr. Randeep Wadhawan New Delhi USD 600 USD 6800
BLK Hospital Dr.Deep Goel New Delhi USD 600 USD 7000
Global Hospital Dr. Raja Bangalore USD 600 USD 7200
Manipal Hospital Dr. Sampath Kumar Chennai USD 600 USD 7200

*Cost depends as each patient has the unique genotype and each case may differ from other. Also, case depends on room category and hospital chosen.

Inclusions of mention cost:

  • The cost of all investigations as mentioned
  • The doctor’s fee

The cost of Treatment

  • The Cost of Stay of Patient + 1 attendant in case of Hospital admission
  • The cost of all meals for The Patient and 1 Attendant in case of Hospital admission
  • The cost of Medical Consumables and Medicines as used during treatment and Chemotherapy
  • Complementary Hospital Transfers
  • The services of a Case manager and Concierge

For more information contact:

Email: [email protected]

Contact No.+91-981060402, +91-7506405503

Diabetic-Surgery---Sleeve-Gastrectomy

Diabetic Surgery-Sleeve Gastrectomy

  • Obesity can be one of the important factors for developing Type 2 Diabetes which led to a severe and chronic reduction in quality of health.
  • In recent years, laparoscopic Sleeve Gastrectomy (LSG) primary bariatric procedure for morbid obesity, by reducing the size of the stomach, allows the patient to feel full after eating less and taking in fewer calories.
  • The surgery removes that portion of the stomach that produces a hormone Ghrelin, which is commonly referred to as the “hunger hormone” that can make a patient feel hungry.
  • Ghrelin also plays a role in blood sugar metabolism, so people with type II diabetes often see an immediate decrease in their need for diabetes medications (especially oral medications) after the Sleeve Gastrectomy.

Selection of patients by following criteria:

-BMI over 35kg/m

-Moderate Type 2 Diabetes

-Controlled co-morbidity as arterial hypertension, sleep apnea, refluxes disease.

Advantage:

*Sugar blood test significantly drops off.

*The results of HbA1c drop off.

*Insulin level becomes normal after surgery.

*Blood pressure also becomes normal is some patients.

*No hyperglycemia.

Treatment for diabetes type 1 is more complicated

This entails a transplant of the pancreas which is harvested from a cadaver. But this transplant needs to be done along with a Kidney transplant provided that the candidate shows the symptoms for the need of a kidney transplant.

The surgery is done in rare hospitals and waiting time for the pancreas is long.

For more information contact:

Email: [email protected]

Contact No.+91-981060402, +91-7506405503