Diabetes Care Package

FACT SHEET
For a variety of reasons, Indians have a larger than normal likelihood of developing diabetes mellitus. The disease promises to be one of the major healthcare burdens for this country in the coming decades.
Many myths and misconceptions exist with regards to this disease. Most importantly, the belief that the disease is related only to "sugar" and is manageable by controlling or limiting the intake of sweet foods. The word sugar is used in a loose sense and should really be rephrased as "energy (calorie) giving foods"; of which the starches (sweet or otherwise) are the main group. The control of diabetes revolves around controlling the body's energy mechanisms, for which a wide range of strategies are available. A significant proportion of the effort in managing this disease lies with the patient and includes, in large measure, lifestyle modifications that have to be continuously maintained.
DIABETES IN INDIA
Statistics

• It is currently estimated that there are 35 million diabetics in India. The number is expected to increase by another 60% by the year 2025.
• Almost 20% of patients seen by our physicians in the out-patient department of SMF has diabetes.
• As much as 10% of adult in-patients at SMF are diabetic.
• 60% of patients admitted to the ICU at SMF with heart attacks have diabetes.
• 30% of patients admitted to SMF with stroke are diabetic.
• 90% of patients admitted for complex foot infections are diabetic.

These complications are significantly reduced if the patient is able to achieve what is called tight control of the disease. Life long vigilance is needed.

DIABETES - more than just sugar control Any effort at understanding diabetes mellitus has to start with the grasp of the concept that this is not a disease that affects blood sugar levels in isolation. Over the years, the disease damages a wide variety of organ systems in the body such as the heart, kidneys, eyes and arteries leading to complications such as:

• Heart attack
• Kidney failure
• Blindness
• Stroke
• Complex foot infections
• Blockage of the major arteries to the lower limbs leading to amputations.

Happily, strategies are now available that can significantly reduce the chances of developing these problems. Today, the successful management of diabetes involves access to a programme that stands on 3 pillars.

1. An out-patient based diabetic clinic where a competent primary physician examines the patient and advises him or her about the relevant tests and interventions that are needed.
2. The availability of a range of specialists such as cardiologists, nephrologists, ophthalmologists, neurologists and reconstructive surgeons to deal with the problems mentioned above.
3. In-patient care in a full-facility hospital when needed.

The Diabetes Care Package at Sundaram Medical Foundation is tailored to span the entire spectrum of needs of diabetic patients in one location.
THE PACKAGE The Diabetes Care Package is a carefully structured, cost-effective compilation of a group of tests and examinations that will permit an accurate estimation of the diabetic status and allow us to provide the required advice. It will consist of the following items.

1. Registration
2. Laboratory tests - fasting
3. Detailed questionaire
4. ECG
5. Comprehensive foot evaluation including pedobarographic studies and doppler pressures
6. Complete evaluation by physician
7. Laboratory tests - post-prandial
8. Ophthalmlogist's evaluation
9. Pedopowergraph fat evaluation
10. Dietician's evaluation and advice
11. Review with physician-in-charge with all reports
12. Recommendations and follow-up advice
13. Handing over of final reports

The Diabetes Care Package include following tests:

• Urine analysis
• Fasting and post-prandial plasma glucose
• Lipid profile
• Serum creatinine
• HbA1C glycosylated hemoglobin estimation
• ECG
• Urine protein excretion
• Pedopowergraph

Please note: The schedule listed above may not be done in the same sequence as outlined for logistic reasons. However, the entire package will be covered within the day.
REGISTRATION & TIMINGS

• This package is designed exclusively for the individual who is already diagnosed as having diabetes. It aims to provide an accurate assessment of the present status of the person and to offer advice regarding ongoing management of the problem.
• Patients may register at the clinic on any working day - Monday to Saturday.
• Appointments may be made in person or over the phone.
• The package will take several hours to complete (7:30 AM to 3:30 PM). It will usually be completed on the same day.
• Patients should be on an empty stomach (nothing to eat or drink from 10:00 PM of the previous night).
• Current medications should not be discontinued. Please contact us for any clarifications.

For appointments and information, please phone:9835365988
Rs 1500/- Based on this package, additional consultations and investigations may be recommended. The charges for such items will be additional.

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Diabetes Complications

Diabetes can affect any part of your body. When your blood sugar level stays high for a long time, you may have a greater chance of a heart attack, a stroke, kidney damage, or blindness. Other long-term complications of diabetes include bone and joint disorders, skin problems, digestive problems, sexual dysfunction, and problems with your teeth and gums. The links below takes you to trusted resources for information on diabetes complications.

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Complications

• Diabetic eye problems/Diabetic retinopathy
• Diabetic kidney problems/Diabetic nephropathy
• Diabetic nerve problems/Diabetic neuropathy
• Diabetic foot problems
• NIH Retinopathy Rising

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What is an Electrolyte?

In chemistry, an electrolyte is any substance containing free ions that make the substance electrically conductive. The most typical electrolyte is an ionic solution, but molten electrolytes and solid electrolytes are also possible.
Electrolytes commonly exist as solutions of acids, bases or salts. Furthermore, some gases may act as electrolytes under conditions of high temperature or low pressure. Electrolyte solutions can also result from the dissolution of some biological (e.g., DNA, polypeptides) and synthetic polymers (e.g., polystyrene sulfonate), termed polyelectrolytes, which contain charged functional group.
Electrolyte solutions are normally formed when a salt is placed into a solvent such as water and the individual components dissociate due to the thermodynamic interactions between solvent and solute molecules, in a process called solvation. For example, when table salt, NaCl, is placed in water, the salt (a solid) dissolves into its component elements, according to the dissociation reaction

NaCl_(s) → Na⁺_(aq) + Cl⁻_(aq).

It is also possible for substances to react with water when they are added to it, producing ions, e.g., carbon dioxide gas dissolves in water to produce a solution which contains hydronium, carbonate, and hydrogen carbonate ions.
Note that molten salts can be electrolytes as well. For instance, when sodium chloride is molten, the liquid conducts electricity.
An electrolyte in a solution may be described as ''concentrated'' if it has a high concentration of ions, or ''dilute'' if it has a low concentration. If a high ''proportion'' of the solute dissociates to form free ions, the electrolyte is ''strong''; if most of the solute does not dissociate, the electrolyte is ''weak''. The properties of electrolytes may be exploited using electrolysis to extract constituent elements and compounds contained within the solution.

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Hormone Replacement Therapy

Also called: ERT, Estrogen replacement therapy, HRT, Menopausal hormone therapy

Menopause is the time in a woman's life when her period stops. It is a normal part of aging. In the years before and during menopause, the levels of female hormones can go up and down. This can cause symptoms such as hot flashes and vaginal dryness. Some women take hormone replacement therapy (HRT), also called menopausal hormone therapy, to relieve these symptoms. HRT may also protect against osteoporosis.

However, HRT also has risks. It can increase your risk of breast cancer, heart disease, and stroke. Certain types of HRT have a higher risk, and each woman's own risks can vary depending upon her health history and lifestyle. You and your health care provider need to discuss the risks and benefits for you. If you do decide to take HRT, it should be the lowest dose that helps and for the shortest time needed. Taking hormones should be re-evaluated every six months.

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25-hydroxy vitamin D test

The 25-hydroxy vitamin D test is the most accurate way to measure how much vitamin D is in your body.
In the kidney, 25-hydroxy vitamin D changes into an active form of the vitamin. The active form of vitamin D helps control calcium and phosphate levels in the body.
This article discusses the blood test used to measure the amount of 25-hydroxy vitamin D.

How the Test is Performed

A blood sample is needed. For information on how this is done, see: Venipuncture

How to Prepare for the Test

Usually you will not need to fast. However, this depends on the laboratory on the testing method used.

How the Test Will Feel

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the Test is Performed

This test is done to determine if you have too much or too little vitamin D in your blood.

Normal Results

The normal range is 30.0 to 74.0 nanograms per milliliter (ng/mL).
The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some laboratories use different measurements or test different samples.Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean

Lower-than-normal levels can be due to a vitamin D deficiency, which can result from:

• Lack of exposure to sunlight
• Lack of enough vitamin D in the diet
• Liver and kidney diseases
• Poor food absorption
• Use of certain medicines, including phenytoin, phenobarbital, and rifampin

Low vitamin D levels are more common in African-American children (especially in the winter), as well as in infants who are breastfed only. Low vitamin D levels have also been associated with an increased risk of developing cancer. For more information, see the article on vitamin D deficiency.
Higher-than-normal levels may be due to excess vitamin D, a condition called hypervitaminosis D.

Risks

Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:

• Excessive bleeding
• Fainting or feeling light-headed
• Hematoma (blood accumulating under the skin)
• Infection (a slight risk any time the skin is broken)

Alternative Names

25-OH vitamin D test; Calcidiol; 25-hydroxycholecalciferol test

References

Weng FL, Shults J, Leonard MB, Stallings VA, Zemel BS. Risk factors for low serum 25-hydroxyvitamin D concentrations in otherwise healthy children and adolescents. Am J Clin Nutr. 2007;86(1):150-158.
Lappe JM, Travers-Gustafson D, Davies KM, Recker RR, Heaney RP. Vitamin D and calcium supplementation reduces cancer risk: results of a randomized trial. Am J Clin Nutr. 2007;85(6):1586-1591.
Specker BL, Valanis B, Hertzberg V, Edwards N, Tsang RC. Sunshine exposure and serum 25-hydroxyvitamin D concentrations in exclusively breast-fed infants. J Pediatr 1985;107(3):372-376.

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Preventive Health Check up at Home

Healthcareontime introduces Preventive Health Checkup at home from THYROCARE Technologies Limited. Thyrocare is a Pathology Lab based in Mumbai, India. It is certified with  ISO 9001-2008 and accredited by the College of American Pathologists (CAP) as well as NABL (National Accreditation Board for Testing and Calibration Laboratories) certified company. Thyrocare has more than 20,000 collection centres across India.


This is a unique concept in India Diagnostic industry wherein Technicain visits patients place to collect Blood samples. Thyrocare provides complete Blood Tests at your Home with onsite service. All this is possible using its innovative and intelligent logistics. Entire LAB is barcoded so there are no chances of samples getting mixup or any manual errors. Using air cargo logistics every specimen is carried in temperature controlled as well as air pack bags so as to make sure that samples are intact & not deteriorated.

WHAT IS TESTOSTERONE?

Testosterone is a male hormone (androgen) made by the body. Most of the testosterone in a man's body is produced in the testes.

Testosterone helps:

• Maintain reproductive tissues
• Stimulate sperm production
• Stimulate and maintain sexual function
• Increase muscle mass and strength
• Maintain bone strength

Normal Levels of Testosterone

Just like your cholesterol or blood pressure, there is a numerical range of testosterone levels (also known as
T levels) that are considered normal. The brain and the testicles work together to keep testosterone within this range. When levels of testosterone are below normal, the brain signals the testicles to make more. When testosterone levels reach a normal level, the brain signals the testicles to make less.

Our Mission

Our mission is to provide affordable & quality Pathology service to Patients. Our objective is create awareness about preventive care rather than sick care.

Health check up Packages

 *free home collection services duration under city.
contact us 9835365988.

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Weight loss is possible with ayurvedic medicines. Yoga, pranayams, diet control and medication all together gives very god results in reducing weight. Make a regular schedule of practicing yogasanas and pranayams. Kalalbhati is very helpful in reducing weight. Take more and more fresh fruits, vegetables, sprouted grains and light home made meals for better control over weight gain. Take timely meals and reduce snacks in between meals or with tea. Avoid fatty fried and fast foods. Increase water intake. Take help of DIVYA MEDOHAR VATI to decrease weight. This is very useful ayurvedic medicine to reduce weight and burn fat stored in body. This is a perfect combination of rare useful herbs having fat dissolving activity. A regular use of divya medohar vati with DIVYA LOKI JUICE reduces weight at faster rate. These are safe ayurvedic medicines to get slim without any side effect. We recommend you to make a regular course of these medicines for almost three months or so to get the best results. Increase water intake and practice pranyams to help the medicines act faster.

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