Welcome to M.V Hospital for Diabetes, established by late Prof. M.Viswanathan, Doyen of Diabetology in India in 1954 as a general hospital. In 1971 it became a hospital exclusively for Diabetes care. It has, at present,100 beds for the treatment of diabetes and its complications.
Tuesday, September 16, 2014
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Thursday, August 21, 2014
- Maintaining good blood glucose control,
- Helping the student with diabetes care tasks, and
- Having trained diabetes personnel for effectively managing diabetes .
- Never leave them alone
- Never send them anywhere alone
- The class teacher or any responsible school staff should be around to help the student, and
- The remedy for hypoglycemia should be readily available in the classroom and administered immediately.
- Before and after eating snacks and meals
- Before physical activity, or
- When there are symptoms of hypoglycemia or hyperglycemia.
- Health care support ,
- A record of each student’s diabetes care plan prepared by the student’s own health care team,
- Emergency care plans in case of Hypoglycemia and Hyperglycemia, and
- Training school personnel about diabetes and its management.
- Be aware of the student’s needs
- Allow students to monitor blood glucose, inject insulin and take other medications, eat snacks for routine diabetes management and for treatment of low blood glucose levels, have easy access to the bathroom, and to drinking water,
- Know that a child with diabetes needs to eat meals and snacks on time.
- Learn what to do in an emergency
- Recognize changes in the student’s behaviour that could be a symptom of changes in blood glucose levels
- Know when and how to contact trained diabetes personnel.
- Know where supplies to treat low blood glucose are kept and where students with diabetes normally keep their supplies.
- Provide information for substitute teachers about the day-to-day and emergency needs of the student.
- Communicate with the school authority and the parents/guardian regarding the student’s progress or any concerns about the student.
- Inform the parents/guardian in advance of class parties, field trips, and other special events.
- Provide a supportive learning environment such as extra classes or make up missed classroom assignments for students with diabetes.
- Provide permission for doctor appointments and sick days.
- Treat the student with diabetes the same as other students, except when acting in response to their medical needs.
- Inform the school principal as well as the teacher that the child has diabetes at the time the student joins the school .
- Submit documents of the diabetes management plan issued by their child’s diabetologist to the school …
- soon after the child has been diagnosed with diabetes,
- at the beginning of each school year, and
- when there are changes in the child’s diabetes care plan.
- Give correct emergency contact information to the school and update the school about any changes.
- Learn what facilities the school provides for health care and emergency.
- Inform the school authorities about the diabetes care the child can manage at home.
- Inform the school about any changes in the child’s health or in doctor’s orders.
- Provide all supplies and equipment such as blood glucose monitoring equipment, supplies for insulin administration and urine and blood ketone testing, snacks, quick-acting glucose products, and a glucagon emergency kit necessary for the child’s health care.
- Keep a tab on supplies and restock them, as needed and also replace supplies that have expired (if they are stored in school).
- Inform school authorities when the child plans to participate in school activities before or after school .
- When they should monitor their blood glucose levels, take insulin or other medication, have a snack or eat a meal.
- What to do when blood glucose level is too low or too high.
- Who to contact if they are not feeling well.
- Where the daily and emergency diabetes supplies are stored.
- Who to contact when they need to use the supplies.
- Learn how to contact people who will help them in school.
- Always carry a quick-acting source of glucose.
- Communicate with teachers or other school staff members if they feel symptoms of low or high blood glucose.
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Tuesday, August 5, 2014
Buttermilk or Lemon juice without sugar,
Clear soups and rasam without butter or oil
For people who can have snacks at work
- Always carry some snack with you- fruits (one at a time), nuts (6-7 at a time), curds/buttermilk, roasted legumes,
- If a snack is provided at the work places healthier choices include – fruits, popcorn without butter, chaat varieties such as bhel puri, channa masala, fruit chaat, vegetable sandwiches with whole wheat bread, roasted legumes, roasted soy nuts, peanuts, salads and soups.
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Thursday, July 17, 2014
Millets are a group of small-seeded grasses which can grow in dry lands and land with poor soil quality and requires much less water that rice and wheat. They are a major crop in the semi – arid tropics of Asia and Africa. They are a rich source of Vitamin B especially niacin, B6, folic acid, and minerals such as calcium, phosphorus, iron, potassium, magnesium and zinc.
- Millets contain lignans that act against hormone - dependent cancers and also help reduce risk of heart disease.
- The high phosphorus content plays a vital role in maintaining the cell structure of the human body.
- Lecithin is excellent for strengthening the nervous system.
- They are gluten free and so are appropriate for those with celiac disease or other forms of allergies or intolerance to wheat.
- Millet is alkaline and easily digested and has low glycemic index.
- Millet protects from constipation and has a probiotic effect.
- The high levels of tryptophan in millet produce serotonin which is calming.
- All millets show high antioxidant activity.
- The high protein content makes it a significant addition to a vegetarian diet.
- Mix it with rice or use it instead of rice and potatoes.
- Add millet flour to idli/dosa batter or chapatti dough.
- Make cookies, cakes, bread and laddus with whole wheat and jowar flour and jaggery.
- Use millet rawas and millet rice to make khichdi/upma with lentils and vegetables.
- Use sprouted millets in salads and soups.
- Add millet to your favourite chopped vegetables and make a stir fry.
- Make breakfast porridge with cooked millet and add your favourite nuts and fruits to it.
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Tuesday, July 8, 2014
Today “size zero” is the fashion and in an effort to maintain and reduce weight the market is flooded with foods that contain sugar substitutes (artificial sweeteners).
Artificial sweeteners and other sugar substitutes are found in a variety of food and beverages marketed as "sugar-free" or "diet," including soft drinks, chewing gum, jellies, baked goods, candy, fruit juice, and ice cream and yogurt.
Just what are all these sweeteners? And what's their role in your diet?
Sugar substitutes are loosely considered any sweetener that you use instead of regular table sugar (sucrose).
Artificial sweeteners are just one type of sugar substitute.
The following chart lists some popular sugar substitutes and how they're commonly categorized.
- One benefit of artificial sweeteners is that they don't contribute to tooth decay and cavities.
- Weight control. One of the most appealing aspects of artificial sweeteners is that they are non-nutritive — they have virtually no calories. In contrast, each gram of regular table sugar contains 4 calories. A teaspoon of sugar is about 5 grams. For perspective, consider that one 200 ml can of a sweetened cola contains 8 teaspoons of added sugar, or about 160 calories. If you're trying to lose weight or prevent weight gain, products sweetened with artificial sweeteners rather than with higher calorie table sugar may be an attractive option.
- Diabetes. Artificial sweeteners may be a good alternative to sugar if you have diabetes. Unlike sugar, artificial sweeteners generally don't raise blood sugar levels because they are not carbohydrates.
What's in it: Sucralose is a synthetic additive created by chlorinating sugar. Manufacturers say the chlorine in sucralose is no different from that in table salt. Fact: the chemical structure of the chlorine in sucralose is almost the same as that in the now-banned pesticide DDT.
Reported side effects: Head and muscle aches, stomach cramps and diarrhea, bladder issues, skin irritation, dizziness and inflammation
Concerns: Research has shown sucralose can cause shrinking of the thymus gland, an important immune system regulator, and liver and kidney dysfunction. A recent study by Duke University found sucralose reduces healthy intestinal bacteria, which are needed for proper digestion and can impact the effectiveness of prescription and other drugs.
According to the Sucralose Toxicity Information Center, the absorbed sucralose and its metabolites (chemically altered substances) concentrate in the liver, kidney, and gastrointestinal tract.
One study on sucralose showed an increase in glycosylated hemoglobin (meaning damage to the oxygen carrying part of a red blood cell). Research in animals has shown:
- Up to 40 percent shrinkage of the thymus gland. (Critical for the response to disease – the ‘heart’ of our immune system)
- Enlarged liver and kidneys
- Atrophy of lymph follicles
- Reduced growth rate
- Sucralose affects the glucose and insulin response to glucose ingestion, the mechanism responsible is not known.
What's in it: Saccharin is a sulfa-based sweetener; its primary ingredient is benzoic sulfimide.
Reported side effects: For those with sulfa allergies, saccharin may cause nausea, diarrhea, skin problems or other allergy-related symptoms.
And should we include it in our diet?
1. Medical Author Melissa Conrad StopplerMD
Medical Editor William C. Shiel Jr. MD FACP FACR Medicine Net on Health.com
2. Author: Betty Kovacs, MS, RD
Medical Editor: William C. Shiel Jr., MD, FACP, FAC Medicine Net on Health.com
3. Dr. Mercola Artificial Sweeteners -- More Dangerous Than You Ever Imagined Mercola.com Take control of your Health
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Thursday, June 26, 2014
The 6th Edition of the IDF Diabetes Atlas reports that the number of people living with diabetes rose to 382 million in 2013 and evidence shows that diabetes prevalence by 2035 will be nearly 600 million with diabetes and approximately 470 million will have impaired glucose tolerance. 1 in 8 people in the world, 1 billion people,will live with or be at risk of diabetes.
Bionic Pancreas to Control Blood Glucose
A recently published paper on a study by Boston University and Massachusetts General Hospital provides a boost to the global fight against diabetes. The Bionic Pancreas is a wearable experimental device that has passed the test of constantly monitoring blood glucose and automatically giving insulin or a sugar boosting drug as needed.
The device controls blood glucose in people with Type 1 Diabetes mellitus using doses of both insulin and the blood glucose raising hormone, glucagon.
Unlike other artificial pancreas in the process of being developed that just correct high blood glucose, this one can also fix low blood glucose thereby imitating what a natural pancreas does.
The device has three parts, 2 cell phone sized pumps for insulin and sugar- raising glucagon and an IPhone wired to a Continuous Glucose Monitor. Three small needles go under the skin usually in the belly, to connect patients to the components which can be kept in the pocket.
The study results were published in the New England Journal of Medicine.
- The use of multiple injections of modern insulin or
- The use of DAFNE(Dose Adjustment For Normal Eating) style education that help people match their insulin dose to the amount of carbs in each meal.
- Insulin pump therapy sometimes combined with continuous blood glucose monitoring can be helpful.
- Reduces risk of severe hypos
- Leads to improved awareness of hypos
- Less variability in blood glucose levels
- Improved quality of life and reduced fear of hypos.
- Those who have experienced two or more severe hypos within the last two years and have impaired awareness of hypos
- Those with a functioning kidney transplant who experience severe hypos and impaired hypo awareness or poor blood glucose control despite best medical therapy.
- Those who need a lot of insulin a day – e.g more than 50 units a day for a 70 kg body weight.
- Who weigh over 85 kg
- Those with poor kidney function.
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