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.

Thursday, December 26, 2013


 New Year Resolutions for people with Diabetes

The New Year is a time to make promises to take care of yourself so that you have a better tomorrow.  This year set goals to enhance your diabetes management and overall health. Your goals should be precise, not vague, assessable, measurable, true-to-life and should not take an indefinite time to achieve. 

  • Visit your diabetologist, podiatrist and dietitian regularly.

  • Follow your schedule for checking blood glucose levels.

  • Follow exact instructions for every diabetes medication you take.
  • Be aware of your A1C, blood pressure and cholesterol levels and keep them under control.

  • Be active.

  • Follow a well-balanced meal plan that is low in fat, concentrated sugars, and refined carbohydrates such as white bread and white rice and salt. Including  high fibre foods, such as oats, whole grains, fruits and vegetables will not only help reduce cholesterol, but also stabilize blood sugar level. Include proteins such as lean meats, seafood, low-fat dairy and plenty of water to your diet and stay away from alcohol.

  • Don’t smoke.

  • Monitor your blood pressure, blood cholesterol and kidney function regularly.

  • Get your eyes and feet examined routinely. 
  • If you have symptoms such as fatigue, unexplained weight loss, excessive thirst, urination or hunger, anxiety, blurred vision, frequent infections or have wounds that are slow to heal, go to your doctor immediately.
  • Be familiar with the warning signs of high or low blood sugar and be prepared to counter it.

  • Keep yourself up-to-date about advancements in the treatment of diabetes. For example, research has shown that getting 7 to 8 hours sleep every night can reduce the risk of diabetes, and that a person who smokes more than 20 cigarettes per day increases their risk of diabetes by almost half. Medications are always being reviewed. 
  • Know your target glucose levels and monitor blood glucose regularly every day even if you have no symptoms.
  • Take all your medications regularly.In addition to insulin or oral medications, a diabetic person may need other medicines, such as those necessary to control or regulate cholesterol or blood pressure. 

  • Examine your feet for cuts and sores.

  • Brush and floss your teeth.

  • Control your weight and diabetes symptoms with exercise. There is a direct correlation between obesity, insulin levels, and diabetes… as well as many other diseases. So stay active, exercise and maintain a normal body weight.
Although diabetes is a life- long disease, following your New Year resolutions will helpreduce the risk of complications and make you feel good all through the year.

Thursday, December 19, 2013

GUINNESS WORLD RECORD™ for largest diabetic foot screening programme on the occasion of World Diabetes Day

The Times of India, Novo Nordisk Education Foundation (NNEF) and the Diabetic Foot Society of India (DFSI) organized the world’s largest ‘Diabetic Foot Screening Programme’ all over India on 14, Novemberon the occasion of World Diabetes Day with screenings taking place across 27 locations in rural, urban  and remote  areas at the same time. It was a proud moment for the country as a total of 1676 people with diabetes were screened for foot care on one single day, which broke the existing GUINNESS WORLD RECORD of 561 screenings in 11 locations by Kaiser Permanente, San Diego, USA in March 17, 2011.MVH led with 171 screenings.

Fortuna Burke (right), adjudicator of the Guinness World records, presents the certificate to Melvin d’Souza (2nd from left) MD, Novo Nordisk.  Also seen are Dr.A.K.Das (left) , ex-president of DFSI, Dr.SanjeevKelkar (centre), President of DFSI, Dr.VijayViswanathan (3rd from right), Head & Chief Diabetologist, M.V.Hospital for Diabetes, Royapuram and Tamil film actor Mr.Basky (extreme right).

Diabetes is not a barrier:

The following are two instances of people with diabetes who have not allowed it to come in the way of their goals.

  • Mr. N. Gajendran, B.Sc (Chem) (1962), AMIET, MICHE(USA) 1971, ISO 9000 Lead Auditor 1995, M.A Public Admin. 1985, MBA HRM 2013, has diabetes but he has managed both diabetes as well as varied activities all through his life. Apart from the many degrees, he also has certificates from the National Productivity Council in Supervision , and in Computer programming. He has participated in many activities such as Supervisory development and ISO 9000 training and attended many seminars, poster and essay competitions, MVH debate competition and has contributed articles to magazines. 
Mr.Gajendran with Dr. Vijay Viswanathan.
  • Mr.Subramaniam  is 75 years old and has had diabetes for the past 30 years . Despite his condition he is active and represented Tamil Nadu in the 34th National Masters Athletic Championship 2013 held in Bangalore and won third place in Long jump, 2nd place in High jump and 2nd place in Triple jump events. 

Dr. Vijay with Mr. K. Subramanian

Tuesday, December 3, 2013

Autonomic Neuropathy

Diet Department

The kidneys remove unwanted salts, waste products, and other chemicals from the plasma along with the water in which they are dissolved. Nutrition is very important in maintaining a healthy life when diagnosed with kidney disease. Nutritional management is individualized. Nutrition may affect persons who have, or are at risk for developing renal disease. The intake of certain nutrients may influence the rate of progression of renal failure in persons with underlying renal disease. High-protein diets can strain the kidneys to the point of failure.

Why is nutrition so  important?

When food is broken down in the stomach and intestines, wastes are formed. These wastes are removed by the kidneys. However, if kidneys are not functioning properly, these waste products will build up in the bloodstream and you may feel weak, tired, nauseated and become ill. The other balancing act the kidneys perform is the regulation of the body's fluid balance. Some patients with kidney disease may retain fluid, leading to puffiness, swollen ankles, hands and feet and breathlessness

Treatment of renal disease may demand severe dietary restrictions or induce nutrient losses. Dietary management of this condition, therefore, must provide protein, energy, and other essential nutrients in amounts adequate to avoid deficiencies but sufficiently restricted to avoid stressing the diminished excretory capacity of the diseased kidney.

The goals of nutritional therapy for both acute and chronic renal failure are to maintain optimal nutritional status, to minimize the toxic effects of excess urea in the blood, to prevent loss of lean body mass, to promote patient well-being, to retard the progression of renal failure, and to postpone initiation of dialysis.

Carbohydrates and fat

Maintaining a healthy weight is important for everyone. If protein has been restricted in your diet, your energy requirements may need to be met by increasing the amount of fats (polyunsaturated and  monounsaturated) and carbohydrates in your diet. Otherwise, you will lose weight and continue to do so, which is undesirable. Once dialysis is commenced, your protein requirements increase, as some proteins are lost from the body during each dialysis session. As your feeling of well- being and appetite improves, you will find it easier to incorporate a greater variety of foods to meet your requirements.

Protein builds, repairs and maintains body tissues. It also helps the body fight infections and heal wounds. Urea is a waste product which is formed when the body breaks down protein. Your eating plan should be designed to provide enough protein for your body without causing excessive amounts of urea and thus overloading the kidneys.

Too little protein may cause:

• loss of muscle bulk and wasting
• lack of energy

Too much protein forms excess urea which may cause :

• tiredness
• nausea and vomiting
• headaches
• a bad taste in the mouth
• bad breath
• poor memory and concentration


Foods high in protein include :

• meat
• chicken
• fish
• eggs
• cheese, milk and other dairy foods (yoghurt, cheese)
• nuts, seeds and legumes


Salt affects the amount of fluid the body retains. Salt also increases thirst, which can lead to drinking more fluid than your kidneys can excrete, leading to fluid retention.

This excess fluid may cause:

• high blood pressure
• swelling of ankles, feet, hands and puffiness under the eyes
• shortness of breath

In most cases, the amount of salt in your diet will need to be reduced. Your doctor and dietitian can advise about this.

Foods high in salt include:
• processed foods such as ham, sausage and meats
• dry, canned and pickles made with fish and prawns
• fast food eg. pizza, pies, hamburgers, sausage rolls
• salty snacks eg.papads , chips, salted nuts
• sauces and pickles
• salted seasonings e.g. stock cubes, celery and vegetable salts

Beware of salt substitutes as some contain potassium instead of sodium.

Potassium is an essential mineral in the body which helps nerve endings and muscles work well. If the level of potassium is too high or low in the blood, it can cause irregularity of your heart beat. In fact, potassium levels outside the normal range may cause the heart to stop. How much potassium you can you have? This depends on your blood results, as well as the amount of urine you are passing.

Foods high in potassium include:
• dhal, whole grams and its washed and cook
• tinned and homemade soup
• red wine, cider, stout
• bananas, avocados, apricots, rock melons, spinach, mushrooms
• dried peas, beans, baked beans
• potatoes, potato crisps, pumpkin
• chocolates, cocoa,
• tomato pastes and purees
• fruit and vegetable juices
• dried fruit and fruit cake
• stone fruits
• nuts and seeds

A tip for reducing potassium intake is to cut the vegetables into small pieces, boil them and drain off the water. Not all fruits and vegetables have the same amounts of potassium. Ask your dietitian to outline what is appropriate for you.

The amount of phosphate allowed depends on your blood tests.

Foods high in phosphate include:
• nuts, seeds and peanut butter
• dried peas and beans and baked beans
• processed bran cereals
• sardines and fish pastes
• cheese, milk and other dairy products


When kidney function deteriorates, the body can retain fluid. Some people may need to limit their fluid intake to minimize this. Your recommended fluid intake will be dependent on your urine output, fluid build-up and your blood pressure. The usual allowance is equal to the urine output plus 500mls.

Fluids  include:
• water and ice
• tea, coffee, juices, milk and milk products
• gravy, sauces and soups
• ice cream, jelly, custard and yoghurt

Some tips for restricting fluids:

• suck ice cubes to quench thirst
• sip small amounts throughout the day
• use smaller cups and glasses

Remember that foods containing fluids need to be included in your fluid allowance.

Other points to remember

• Nutritional care plan needs to be individualized based on degree of renal function.
• It may be difficult to meet vitamin requirements orally and  doctor may prescribe a supplement.
• Ask questions till  you understand about  your diet.
• Initially you may need to measure foods and fluids; for greater accuracy, measure with a cup or scale and don't guess.
• Take your medication as prescribed.
• Organize for regular reviews / follow-up with your dietitian.
• Follow your trends in body weight, blood pressure and blood values.
• Inform your doctor or dietitian if you are losing weight or have any concerns about your diet.
• Following the suggested nutritional care plan may not treat or cure your kidney problem but it could help you reduce some of the symptoms and hence improve your general feeling of well being.

Tip of the Week

Tip of the Week
Choose the right shoe and socks