MV Hospital

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.

Monday, August 8, 2016

Eat Right during RAMADAN:

Fasting during Ramadan can be a cause of serious dehydration due to lack of water
during the day and muscle loss due to changes in the regular diet and timings of meals.

If you are diabetic and fast during Ramadan, you need to take steps to avoid hypoglycaemia and hyperglycemia. Follow doctor’s instructions carefully and check glucose levels twice while fasting and once after breaking the fast.

During Ramadan:


- Eat food items like grains, barley, wheat, oats, millet, semolina, beans, lentils, bran, green peas, apricots, prunes and almonds.

- Avoid big meals and eat slowly.

- Drink juice to avoid digestive problems.

- Avoid deep fried food and red meat as it causes acidity and digestion problems.

- Have proper protein intake.

- Avoid hypoglycemia (low sugar level in blood).

Start the day with water followed by vegetable sandwiches or oats with veggies and nuts. In the  evenings, break your fast with water again and eat dates and fruits as well. After the prayers, take rice, rotis, salad, vegetables, dhall or chicken.

It is important to eat a good amount of vegetables to provide enough nutrition to the body. If you have a sweet craving , satisfy it by including fruits in your meal as it will help digest the food better.

Include fibre and protein-rich foods.

Avoid eating fried, oily and heavy food items as they cannot be easily digested and can make your stomach bloated later.

 Start your day with:

oats /brown rice/roties made of  wheat, ragi, jowar fruits, and nuts Milk, curds, and buttermilk.

 Break your fast with fruits and opt for the following:

 salad/ soup

chicken/ fish – steamed, boiled, grilled, roasted or paneer green veggies or mix  vegetables

 Drink plenty of water before you sleep to rehydrate yourself and rest well to rejuvenate
your body for the next day’s fast.

It is safe to exercise during Ramadan . Exercise at the right time and at low to moderate intensity .

Exercises recommended:

1. Walking or cycling helps burn calories and improve stamina.

2. Low intensity resistance training helps to maintain muscle strength.

3. Full body stretching helps to improve flexibility and also in detoxification.

4. Floor exercises like free squats, push-ups, calf raises etc improves functional activities.

5. Yoga and meditation help in detoxification.

6. Exercise for 20 to 40 minutes.

7. Don't exercise during the fasting phase. Exercise either before or after the meal. Exercising during fasting will burn muscles.

8. Avoid high intensity exercises like high speed running, stepper, heavy weight lifting, high intense group classes as it can lead to joint or muscle injuries and complications like low blood pressure,hypoglycemia, dizziness, etc.

Monday, August 1, 2016

Dietary fibre in diabetes:

Although high dietary fibre can cause occasional adverse GI effects, serious chronic adverse effects have not been observed . However, If you have diabetes and have been advised to increase the fibre
content in your diet, I am sure you would like to know the reasons why. Here are the answers to some of the frequently asked questions.:)

1. How will increasing dietary fibre help me?

Foods rich in fibre are usually low in fat and energy. They need to be chewed well and so take a longer time to eat. They are more filling. It takes a longer time to digest fibre rich foods and they attract water and give a feeling of fullness.

2. Why is whole fruit better than the fruit juice?

Whole fruit provides the maximum fibre. A large apple, ½ cup of apple sauce and ¾ cup apple juice provide the same number of calories but the apple sauce has 2 g of fibre, apple juice provides 0.2 g fibre but the whole fruit contains 5 g fibre.

3. How does dietary fibre help in managing diabetes?

Certain fibres may delay absorption of glucose and smooth out the blood glucose response thus preventing spurts in blood glucose levels .

4. How does fibre lower blood cholesterol?

Dietary fibre binds bile acids that are produced in the in the GI tract from cholesterol in the liver and prevents them from being reabsorbed into the body. New bile acids have to be made in the liver thereby reducing blood cholesterol levels.

Bacterial fermentation in the large intestines may also prevent formation of cholesterol.

5. Why does high intake of whole grains lower the risk of heart disease?

Whole grain contains fibre as well as anti -oxidants which protect against cellular damage that can cause heart disease. Consuming at least three 1- oz. servings of whole grains every day can reduce risk of heart disease . It is possibly the combination of compounds found in grains rather than any one component that provides the protective effects.

6.. How does fibre keep the GI tract healthy?


Cellulose from cereal grains promotes healthy GI functioning.

Fibre speeds up the passage of food thru the intestinal tract promoting regularity. Ample fluid intake plus high fibre helps prevent and treat constipation, swelling of the rectal vein, and development of pouches on the intestinal wall.

7. Does high fibre have any negative effects on health?


High dietary fibre can cause problems especially if taken within a short period. If you increase fibre, increase water as well to prevent stool becoming hard and impacted. Too much fibre can also increase intestinal gas and bloating. This can be prevented by increasing fibre gradually over several weeks and drinking plenty of fluids.

High fibre may also bind small amounts of minerals especially zinc, calcium and iron, in the GI tract and prevent their absorption.

Young children and elderly may become full before meeting energy and nutrient requirements. They should be careful as they have limited stomach capacity.

Monday, July 25, 2016

Important Skills for Managing Diabetes

Diabetes affects millions of people and is a very serious lifelong health problem. However, keeping diabetes in control is difficult as most of the tasks required for managing diabetes rests on the person with diabetes.

So it is very important to know what it takes to control blood sugars and develop skills in the methods. Here are 6 important points to remember.

1. Diabetes and its treatment:

Diabetes cannot be completely cured but it can definitely be managed. There are basically two types of diabetes, the first being Type 1 diabetes, where in the body's immune system destroys the insulin producing cells in the pancreas. Due to low insulin level, it is treated with daily insulin injections and a healthy diet. The second type is Type2diabetes, here the pancreas does not produce enough insulin or does not use insulin efficiently. It is treated by implementing a diet modification, exercise plan or oral medication. Most people have this type and the sudden spurt in cases is said to be due to life style changes. 

2. Timely medication:

Medicines and injections are very important to manage diabetes. Learn all you can about the medicines  and the dosages the  doctor prescribes and  follow it carefully.  Always have the prescription at hand whenever you make any appointment with any healthcare professional and keep a stock of medicines while travelling  to avoid any medicinal complications. 

 3.  The right FOOD:

 The right food is key to managing diabetes. Stick to the diet recommended by the dietitian to maintain weight and to lower blood sugar. Never skip meals and eat three small meals along with healthy snacks to keep blood sugar level in control. Learn how to count carbs and add variety to meals. 

4. Self-testing:

Test blood glucose regularly. It provides the necessary information required to balance diet, physical activity and medications. If blood sugar falls below 70 or is above 240 more than two times in a week then call your doctor.

5.Hyper and Hypo-glycaemia: 

An unbalanced blood sugar level can lead to serious complications. If your blood sugars are low (less than 70) treat it immediately with 15 grams of carbohydrates ( 3-4 glucose tablets, ½ a cup juice or 1 cup skimmed milk). After this wait for 15 minutes and retest your blood sugar level. If it is still low then repeat  with 15 grams of carbohydrate. If blood sugar level is high, test  blood sugar every 4 hours, drink at least 8 glasses of water to prevent dehydration and consume 45-50 grams of carbohydrates every four hours. (orange or grape juice 1 ½ cups, 3 slices of toast and regular yog hurt 1 cup).
People with Type 1 diabetes with blood glucose level greater than 240 need to  test for ketones at every meal.


6. Preventive care:
People with diabetes need to worry about complications. Small cuts can become major complications. Check feet daily. Get eyes and mouth  checked regularly and get complete body check up to prevent long term complications.

Monday, July 18, 2016

People with diabetes have a greater risk of oral infections

Here is another reason for you to control your blood glucose level; you run the risk of developing oral complications.

People with uncontrolled diabetes are more prone to oral disorders such as
    dry mouth( xerostomia )
    taste impairment,
    painless swelling of the parotid salivary glands on both sides of the face(sialosis)
    yeast or fungal infection(oral candidosis) and
    inflammatory condition that affects mucous membranes inside your mouth (oral lichen planus) 
 







They are two to three times more likely to develop periodontal disease,the most widely noted manifestation of diabetes mellitus. How severe the disease is  depends on how long blood glucose levels are uncontrolled and not on how long they have had diabetes.

 An unhealthy mouth, especially if you have gum disease, may increase your risk of serious health problems such as heart attack, stroke, diabetes and preterm labor.
 
Inflammation that starts in the mouth seems to weaken the body’s ability to control blood sugar.
 

Saliva production is reduced in people with diabetes.  Saliva is very important for oral health.It helps in washing and cleaning the oral cavity Saliva washes away food particles and neutralizes acids produced by bacteria in the mouth, and helps to protect from microbial invasion or overgrowth that might lead to disease.It prevents accumulation of plaque which could be a contributing factor in a person with diabetes’s increased risk of periodontal disease and dental caries.So it is important to keep the oral cavity moist by stimulating salivary flow by chewing non- sugar gum or taking sips water regularly.

Good oral health is strongly dependent on attitudes and personal behaviour, habits at home and dental visits…









Early detection and treatment of dental caries, periodontal disease and other diseases will protect from harmful oral complications associated with diabetes.

"Periodontal disease worsens the diabetes while high blood sugar provides ideal conditions for infection to grow, including gum infections.


To protect your oral health, practice good oral hygiene every day. For example:

• Brush your teeth at least twice a day.

  •  Floss daily.
  •  Eat a healthy diet and limit snacking between meals. 
  • Replace your toothbrush every three to four months or sooner if bristles are frayed.
  • Schedule regular dental checkups.Also, contact your dentist as soon as an oral health problem arises.   
Remember, taking care of your oral health is an investment in your overall health.

Monday, July 11, 2016

Know more about Hypertension

Blood Pressure

is the force with which your blood is moving through your arteries


120The top number measures the force of the blood in your arteries when your heart contracts
(systolic)



80 The bottom number measures the force of the blood in your arteries when your heart is relaxed (diastolic)




 

Classification of Hypertension
                Type of BP                                                                                 Measure (mmHg)

Normal
Less than 120/80
Prehypertension
120/80 to 140/90
Hypertension (High BP)
140/90 and higher


Risk Factors for Hypertension

Older than 50 years
Overweight or obese
Cigarette smoking
Diabetes
Kidney disease
More than 1 oz alcohol per day(male)
                     ½ oz alcohol per day (female)
Family history of hypertension



 
 

Tip of the Week

Tip of the Week
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