Our Department of Diabetes and Diabetes Surgeries at Yashoda Hospital is the most sought after for its excellent results, customized experience and best doctor's guidance not only during the treatment and surgery but also for the post-op care. In our hospital, we assign each patient with a care team made up of endocrinologists, certified diabetes educators, nutritionists and exercise physiologists.
Our Diabetes and Diabetes Surgery Department offers patients access to a multidisciplinary team, including endocrinologists, diabetes educators, a pharmacist and a nurse practitioner. We aim to encourage patients to receive early specialty care and education. This will ensure that they are on the right track with their diabetes control and management before returning them to their primary care physicians for on-going management.
Our Diabetes and diabetes centre provides surgery to those patients who are in dire need for it. We also offer both individual and group diabetes education classes year-round for patients and their families.
With our multidisciplinary approach, we ensure that people with Diabetes receive the most advanced medical care, education and aggressive prevention and management of complications.
What is Diabetes?
Diabetes refers to a group of diseases that causes high blood sugar. The causes of Diabetes vary by type. The hormone insulin transfers sugar from the blood into your cells to be stored or used for energy. With Diabetes, your body either doesn't produce enough insulin or can't effectively use the insulin it generates.
There are three main types of Diabetes:
- Type 1 diabetes: This is caused by the body's immune system, which usually fights harmful bacteria or viruses turning against it and destroying the pancreatic beta cells that produce insulin. Your body creates little or no insulin. And thus, a person with Type 1 diabetes must take insulin every day. Type 1 diabetes is usually diagnosed in children and young adults, and genetic susceptibility and environmental factors are said to be the root cause of it.
- Type 2 diabetes: The most common type of diabetes occurs when your cells become resistant to the action of insulin when the pancreas does not make enough insulin or a combination of the two. It's believed that genetic and environmental factors play a role in the development of type 2 diabetes too, though the exact cause of it is not known. It is generally diagnosed in older adults. For patients with Type 2 diabetes, weight loss and exercise are proper treatments. But most patients need medications, pills, insulin and injectable medications to achieve target glucose values.
- Gestational Diabetes: Some women develop this type in the last three months of pregnancy when the placenta producing hormones make your cells more resistant to insulin. If the woman's pancreas can't keep up with enough supply of insulin to overcome this resistance, the blood glucose levels rise too high. During pregnancy, high blood glucose levels can sometimes result in birth complications.
How Do We Diagnose Diabetes?
There are a different test for type 1 and type 2 diabetes and prediabetes
- Glycated hemoglobin (A1C) test: The doctor will recommend a blood test, and it doesn't require fasting. This blood test will show your average blood sugar level for the past two to three months.
- Random blood sugar test: A blood sample is taken at any random time regardless of when you ate the last time. Any sugar level of 200 milligrams per deciliter (mg/dL) or more will suggest Diabetes.
- Fasting blood sugar test: You will fast overnight to take this test. If you have a sugar level of 126 mg/dL (7 mmol/L) or higher on two separate tests, you have Diabetes.
- Oral glucose tolerance test: You will have to fast overnight, and then fasting sugar levels are measured. You will again be measured for sugar levels after you drink the sugary liquid. Any reading of sugar level of more than 200 mg/dL after two hours indicates diabetes.
Tests for gestational Diabetes
The doctor will screen you for gestational Diabetes based on your past and family medical history. You will have to take a glucose challenge test to measure your blood sugar level. You are at a higher risk of gestational diabetes if your blood sugar level is higher than average.
Are you a Candidate for Diabetic Surgeries?
We usually determine surgery for diabetic patients on the following basis:
- Usually, surgery for Diabetes is recommended to treat people with type 2 diabetes, having a BMI> 40 kg/m2 and whose Diabetes is well controlled on medications.
- We consider surgery for patients with type 2 diabetes and BMI in the range of 35-39.9 and whose Diabetes is not well controlled on medications.
- We consider surgery for Diabetes who have type 2 diabetes and a BMI between 30 and 35 and whose Diabetes is not controlled by medications, especially in the presence of other major cardiovascular disease risk factors.
How Do We Treat Diabetes?
At Yashoda Hospital, the doctor will determine your treatment depending on the type of Diabetes you have:
Treatments for type 1 and type 2 Diabetes offered at Yashoda Hospital
- Carefully monitoring your blood sugar: You will have to continuously monitor your blood sugar levels at regular intervals so that it remains within your target range. Glucose monitor is helpful to those who receive insulin therapy. Our diabetes team at Yashoda supports you in careful management of sugar. Our expert's doctors will provide advice on how to cope up with your blood sugar level changes in response to food, medications, physical activity, illness, alcohol, stress and hormonal changes in women.
- Insulin: Many people with type 1, type 2 diabetes or gestational diabetes need insulin therapy. Our doctors will provide you with different treatments which involve rapid-acting insulin, long-acting insulin and intermediate options.
- Oral or other medications: Depending on the type of Diabetes you have, our doctors prescribe oral or injected medications to stimulate your pancreas to produce and release more insulin.
- Transplantation: People who have type 1 diabetes may undergo a pancreas transplant. However, it is usually the last option for diabetes patients.
- Bariatric surgery: People with type 2 diabetes who are obese and have a body mass index higher than 35 may undergo gastric bypass surgery to improve their blood sugar levels.
Treatment for gestational Diabetes
Our Doctors at Yashoda Hospital will continuously monitor your blood sugar level during labor. Our treatment plan includes monitoring your blood sugar and, in some cases, using insulin or oral medications to avoid any complications during delivery.
Treatment for prediabetes
For treating your prediabetes, you should maintain healthy lifestyle choices can help you bring your blood sugar level back to normal. Our doctors will assist you in keeping healthy lifestyle choices. Our renowned doctors will teach you how to manage your diabetes through diet and nutrition.