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DIABETES: Much more than just the BLOOD SUGAR!

Diabetes is one of the most talked about diseases across the world affecting around 455 million people worldwide and the numbers are mounting rapidly every year. Unfortunately, India is amongst top 3 countries with high diabetic population and the number has doubled in 13 years in India with a whooping increase from 32 million in 2000 to 63 million in 2013.

Seeing such exponential increase, India certainly has a challenge to face which deliberates all of us to know the disease well and understand its adverse effects.

Diabetes is not just having high blood sugar levels! It is much beyond that. Besides few manageable complications of skin disease, pregnancy complications, hypoglycaemia (Low blood glucose), hyperglycemia (High blood glucose), Mental Health, hearing loss or gum diseases, the devastating effect of diabetes can be seen in the form of few major complications that may lead to surgical interventions at times. Let’s see how:

COMPLICATIONS OF DIABETES

The fact that diabetes may be the world’s 7th largest killer by 2030 (Source: WHO), urges us to share the various complications that may arise in badly controlled diabetic patients. 

  • Cardiovascular problems–Diabetes may affect the heart and blood vessels resulting into fatal complications such as coronary artery disease (heart attack) and stroke (blood supply to part of your brain is suddenly interrupted). These conditions may probe you to rush to hospitals for immediate surgical intervention that may involve Cardiac Surgery (coronary artery bypass grafting (CABG) , carotid artery surgery, carotid stenting )
  • Eye complications– Chronic diabetic cases may have severe eye problems that may lead to Vision impairment  due to diabetic retinopathy, Glaucoma,  cataracts  all resulting into surgical interventions. Huge strides may be required for the treatment of diabetic retinopathy. When laser treatment in the form of photocoagulation (laser treatment for retinal repair) fails and the retina gets detached or when lot of blood leaks into the eyes, vitrectomy surgery (to remove scar tissue and cloudy fluid from inside the eye) may be required.
  • Neuropathy (Nerve Damage)- Nerve damage from diabetes is called diabetic neuropathy. It is more common in chronic patients. Diabetes can cause damage to the nerves throughout the body when blood glucose levels are too high. This can lead to problems with digestion, erectile dysfunction and many other functions. Among the most commonly affected areas are the extremities, in particular the feet leading to pain, weakness and loss of feeling in the foot, ulcers, and sometimes gangrene which may require foot amputation as well.
  • Kidney disease (Diabetic Nephropathy): Diabetes can damage the kidneys and cause them to fail. High levels of blood sugar make the kidneys filter too much blood. All this extra work is hard on the filters. Subsequently, they start to leak and useful protein is lost in the urine. Moreover, failing kidneys lose their ability to filter out waste products, resulting in kidney disease.

Reducing the burden of diabetes

Diabetes certainly increases the risk for many serious health problems, but the good news is that with the correct treatment and preventive measures, many people with diabetes are able to prevent or delay the onset of above complications.

PREVENTION

The scary picture of complications can be averted by taking few preventive steps that needs to follow the strict rule book of diet, exercise, regular checkups, change in lifestyle and practicing good foot care. 

TREATMENT

Handling diabetes doesn’t begin or end with insulin injections only. It is much beyond that.

-Diabetics can get rid of their symptoms without medication, through a combination of exercise, diet and body weight control.

-Since Type 1 diabetics cannot use oral pills, they require regular insulin injections. Insulin may be taken by means of a shot (often several times a day), or infused through catheter (a small needle) attached to an insulin pump. Type 2 diabetic are usually treated with tablets, but sometimes insulin injections are also required.

-Oral antihyperglycemic drugs reduce blood glucose levels by enhancing insulin secretion by the pancreas, increasing the sensitivity of the peripheral tissues to insulin and by impairing gastrointestinal absorption of glucose.

SURGICAL TREATMENT

Considering the colossal burden of diabetes in our country, metabolic surgery represents a cutting edge in diabetic treatment.

Bariatric surgery has proven successful in treating not just obesity but also type 2 diabetes. This surgery constitutes a powerful option to improve diabetes in patients affected by severe obesity by:

  • Lowering blood sugar
  • Reducing the dosage and type of medication required
  • Improving diabetes-related health problems

Pancreas Transplant

pancreas transplant is an organ transplant that involves implanting a healthy pancreas (one that can produce insulin) into a person who usually has diabetes. Whole organ pancreas transplant is often performed when a patient also needs a kidney transplant.

Islet Transplantation

Islets are cluster of cells (beta cells) scattered throughout the pancreas and produce the hormone insulin. In this procedure, the islets from pancreas are purified, processed and transferred into another person. The advantages of this transplant over pancreas transplantation are that it does not require a major operation and the procedure has a small complication rate. 

IDENTIFY YOUR STAGE

“Diabetes can be curbed at the initial level by introducing lifestyle changes, controlled through medicines in early stages and treated by administration of external insulin or surgeries in advanced stages. So identify your present status and act now!”

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Injections For Knee Osteoarthritis & Their Facts

The best knee surgeons in Delhi NCR and India can offer a variety of treatments to relieve your symptoms. And of the most common treatments are inject medication into your knee. Some people find it painless and quickly effective whereas other people find them with full of side effects. The best thing is to know about before opting for it.

There are different types of injections, and they’re an important part of treating knee osteoarthritis for many people who are suffering severe knee issue. Injections can be especially helpful for people who haven’t gotten relief from NSAIDs like ibuprofen, or people who can’t take those drugs due to side effects.

What Is Osteoarthritis?

Osteoarthritis is a degenerative disease and a common form of arthritis that very often affects the joints, especially knees. It develops when the cartilage, the smooth covering that protects the bones in the joint breaks down. The surface of the bones becomes damaged, causing pain, swelling, stiffness, and disability. If it is not treated early and properly, it can cause immobility to the person and even sometimes so severe that the person can’t do their daily chores.

How Knee Injections Work

The first and foremost task is that your doctor will give you a shot of anaesthetic to numb your knee. He or she may use a needle to draw out any extra fluid that’s in or around your knee. After that, you’ll get the pain-relieving injection, usually just below your kneecap. Take care while having the shot though the inject will not hurt you, and the drug will work throughout the joint.

Different treatments have side effects that you should discuss with your doctor beforehand. The two most common types of knee injection for OA are Corticosteroids and Hyaluronic acid.

Reduce Inflammation With Steroids

Corticosteroid injections

Corticosteroid injections are more useful that the hyaluronic acid as it treats flare-ups of osteoarthritis pain and swelling with fluid buildup in the knee. These injections help relieve knee problem’s symptoms by reducing inflammation in the joint.

Surgivisor is presenting you some facts regarding the injection that you need to know:

  • They work fast and in a short span of time – usually within 24 to 48 hours.
  • The pain relief lasts from 6 to12 weeks, according to the intensity of your pain and its source.
  • Avoid using them more frequently. A corticosteroid shot often works best the first time and after that, they tend to give less relief.
  • Patients can use these shots two to three times a year. Using them too often may damage cells in the knee that make cartilage.

Hyaluronic Acid

Most of the fluid in a healthy knee is hyaluronic acid and to retain that, this injection is introduced. When the knee have started showing symptoms of knee osteoarthritis, the hyaluronic acid in your knee thins. This is why best knee replacement surgeon in Delhi NCR and India opt to inject more hyaluronic acid into your knee to boost the supply.

Thought this injection shot is not the first or traditional approach. But in some cases, they are suggested by the surgeons and doctors:

  • Your symptoms aren’t improved by pain-relief medications or non-drug treatments.
  • You can’t take other pain relievers.
  • A steroid shot doesn’t help enough.
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10 Best Exercises Helpful After Hip Replacement Surgery

Surgivisor advices you to begin your treatment or take any type of action after consulting with your hip replacement surgeon in Delhi, NCR and India. It is very important to consult with your physiotherapist and surgeon first because they will tell your immune system, level of hazard you have gone through with and time of recovery you will take. And only after these facts, the type of exercises will be recommended.

Though it is very important to exercise after surgery to increase the strength and flexibility in your new hip, it is also very important to know your body strength level first. Do you know that recommended exercises help to prevent blood clots? Yes, and this is why most of the orthopedic surgeons advice to do exercises as a necessary attempt. After hip replacement surgery, you may feel uncomfortable at first and a bit difficult but it will soon become normal like everyday activities sooner. You can increase the intensity of doing these exercises or can repeat repeat each one every day. Keep up the balance and repeat the exercises on both legs to make them equally strong and flexible. Do them slowly and with control.

Exercise 1: Increase Hip Flexibility And Strength

  1. Lie on your side with hips and knees bent and a pillow between your knees.
  2. Keep your feet together.
  3. Do not twist or use your back muscles.
  4. Lift the top knee off the pillow like a clam shell opening.
  5. Hold for a count of 3 to 5 and slowly lower the knee to the pillow. Repeat.

Exercise 2: Increase Hip Flexibility And Strength

  1. Lie on your side with the bottom leg bent to stop you from rolling onto your back.
  2. Keeping the top leg straight, lift it toward the ceiling making sure you do not roll forward or backward.
  3. Slowly lower the leg. Repeat.

Exercise 3: Increase Hip Flexibility And Strengthen Hips And Stomach Muscles

  1. Lie on your back with one leg bent.
  2. Tighten your stomach muscles and lift your bent leg being careful not to bend it more than 90 degrees.
  3. Keeping your stomach muscles tight, slowly lower the leg back to the starting position. Repeat. And discuss this exercise with your hip replacement doctors in Delhi, NCR and India.

Exercise 4: Strengthen Hips

  1. Lie on your stomach.
  2. Tighten your buttocks and lift one leg.
  3. Hold for a count of 3 to 5 and slowly lower your leg. Repeat.

Exercise 5: Increase Leg Flexibility And Strengthen Back Thigh Muscles

  1. Lie on your stomach with your legs straight.
  2. Bend one leg, lifting the heel toward your buttocks.
  3. Slowly lower your leg to the starting position. Repeat.

Exercise 6: Strengthen Front Thigh Muscles

  1. Sit in a steady chair and place an elastic loop around both ankles.
  2. Lifting your first foot, straight your leg while keeping the other foot on the floor as you stretch the elastic loop.
  3. Slowly lower your foot and return to the starting position. Repeat.

Visit surgivisor.com to know more about hip replacement cost in Delhi, NCR and India.

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