|Orange City Hospital- Preferred center for comprehensive Diabetes management
Orange City Hospital & Research Institute is a 150 bedded private multi super speciality hospital of Central India that offers services of more than 150 doctors through 60 varied departments and 30 speciality clinics. It has comprehensive care wing for managing Diabetes patients involving various specialties under one roof. Plastic & Vascular wing for Diabetes ulcers management, Cardiology wing for heart care, Eye care, Kidney, Skin, Immunity are dealt by concerned specialists under one roof with back up of related diagnostics. Hence most of patient suffering from Diabetes and its complications reach OCHRI for solace. On the occasion of World Diabetes Day, a group of Specialists attached to OCHRI spoke to our daily.
Dr. Nikhil Balankhe, Senior Critical Care Physician stated that Diabetes is a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin, or both. If left untreated or uncontrolled, diabetes can lead to serious problems, such as heart disease, stroke, blindness, kidney failure etc. Some of these may be life threatening.
Dr. Devayani Buche, Senior Physician & Diabetologist added that Type 1 diabetes is caused by the immune system destroying the cells in the pancreas that make insulin. This causes diabetes by leaving the body without enough insulin to function normally. This is called an autoimmune reaction, or autoimmune cause, because the body is attacking itself. Type 1 diabetes usually first appears in childhood or adolescence. In type 1 diabetes, the pancreas is unable to produce any insulin, the hormone that controls blood sugar levels.
Dr. Upendra Kumar, Physician mentioned that symptoms of diabetes include Increased thirst and hunger, frequent urination, weight loss or gain that has no obvious cause, Fatigability, blurred vision, irritability, wounds that heal slowly, nausea, skin infections etc.
Dr. Rajesh Atal, Senior Critical Care Physician stated that Type 2 Diabetes is the more common form of diabetes, accounting for about 90% of cases. In type 2 diabetes, the pancreas either produces inadequate amounts of insulin, or the body is unable to use the available insulin properly. Type 2 diabetes usually occurs in adults, and is more common in people who are overweight or obese.
Dr. Milind Pande, Pathologist Incharge mentioned that tests done to confirm Diabetes include RBS (Random Blood Sugar) which is a blood test done at any time of the day to check the blood sugar level at that point in time, FBS (Fasting Blood Sugar) which checks the amount of sugar in the blood stream after one has not eaten for 8–10 hours (overnight fasting). This is usually done in the morning before breakfast and Post Meal Blood sugar check is also done. Glycolated hemoglobin (HbA1C test measures how well the blood sugar has been controlled over the past 3 months.
Dr. Kuldeep Sukhadeve, Pediatrician Incharge sees many children suffering from Diabetes and stated that Prediabetes is a condition in which the blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. Millions of people worldwide do not know that they have Prediabetes. That is why it is important to get screened for Prediabetes. OCHRI has a Prediabetes Screening Clinic run by Dr. Devayani Buche, Dr. Upendra Kumar. For appointment one can call PRO in for appointment.
Dr. Bindu Marar, Gynecologist Incharge said OCHRI Obstetric division handles many would be mothers suffering from sugar problems. It helps the treating Gynecologist in having Diabetologist, Nephrologist, Critical Care Physician, treating as team in one hospital with support of availability of Neonatal Intensive care unit managed by stationed Pediatrician. OCHRI Maternal & Child Health division handles many would be mothers suffering from Diabetes complications reaching from all over Central India in view of availability of round the clock Intensivists, Critical Care Physicians, Gynecologists, Neonatal division, under one roof.
Dr. Ashish Shukla, Chest Physician mentioned that Body weight affects health in many ways. Being overweight can keep the body from producing and utilizing insulin properly. It can also cause high blood pressure. Overweight people are twice as likely to develop type 2 diabetes as people with normal weight. Losing weight and increasing physical activity reduces the risk of developing this type of diabetes.
Dr. Abhay Agashe, Eye Specialist conveyed that Diabetes can damage the small blood vessels in our retina, which is the back part of our eye. This condition is called diabetic retinopathy. Diabetes also increases our risk of having glaucoma, cataracts, and other eye problems.
Dr. Ganesh Bure, Intensive Care specialist said that The symptoms of type 2 diabetes may be so mild that it may not be noticed for years, and therefore remains untreated. This may lead to complications. As one cannot always rely on symptoms, the only way to know whether one has diabetes is to be screened (tested) for it. High-risk individuals should be screened for diabetes at regular intervals, beginning at the age of 35 years.
Dr. Shivnarayan Acharya, Nephrologist further added that The aim of treatment is to maintain the blood sugar level as close to normal as possible. The type of food and level of physical activity play an important role. Medicines for diabetes should be prescribed only by a qualified health-care provider. Apart from taking medicines by mouth, injectable medicines may also be used. Insulin is currently not available in pill form, and hence it must be injected. There are also non-insulin medicines that are injectable. There are many delivery devices for injectable insulin, such as needle, syringe and insulin pumps. Insulin is mandatory for people with type 1 diabetes.
Dr. Rani Lakhe, Intensivist added that Type 2 diabetes is usually treated with oral medicines but insulin injections may be prescribed if oral medications do not adequately control the blood sugar level. Treatment depends on the type of diabetes, complications, presence of other risk factors, coexisting active medical problem, age and general health at the time of diagnosis. The specialist will decide which medicine will work best for the individual patient.
Dr. Noorul Ameen, OCHRI Casualty Incharge stated that Diabetes can lead to serious emergencies. These can occur if the blood sugar is too high or too low. Diabetic emergencies are best treated in a hospital with a good critical care unit managed by trained qualified specialist as quickly as possible. OCHRI has a 24×7 Emergency room / Casualty which is mangled by Casualty medical officers backed by sated specialists serving as Intensive Car specialists. Moreover, OCHRI also has a regular health checkup division wherein numerous central Indians come for their annual checkup.
Dr. Atul Dekate, Rehabilitation specialist said that cause of type 1 diabetes is not known and it cannot be prevented with the current state of knowledge. Simple lifestyle changes can help in the preventing or delaying the onset of type 2 diabetes. He advised all to achieve and maintain a healthy body weight. Be physically active – at least 30 minutes of regular, moderate-intensity activity on most days. More activity is required for weight control.
Smt.Mansi Andhare, Dietician counselled that one should eat a health meal and reduce the intake of sugar, salt and saturated fats and avoid tobacco use and harmful use of alcohol. One should manage stress and test the blood glucose and glycated hemoglobin levels regularly. OCHRI Laboratory functions round the clock hence is favorites for all diabetic patients to get their morning sampled check even at early mornings. OCHRI Executive Health Check Clinic provides preventive checkup of all citizens to get screened for Diabetes. One can contact PRO for appointment.
Dr. Mukund Thakur, Minimal Invasive Surgeon stated that obesity epidemic contributes to approximately 44% of the world’s type 2 diabetes burden. Bariatric surgery is an effective treatment for type 2 diabetes mellitus in patients with morbid obesity as it improves glycaemia, blood pressure, lipids and inflammation.
Dr. Prachi Mahajan, Minimal Invasive Surgeon added that bariatric surgery should be viewed as an adjuvant therapy which should not be used instead of but rather together with best medical therapy.
Dr. Darshan Rewanwar, Plastic Surgeon added that Diabetic foot ulcers are caused by neuropathic (nerve) and vascular (blood vessel) complications of the disease. Nerve damage due to diabetes causes altered or complete loss of feeling in the foot and/or leg. This is known as peripheral neuropathy.
Dr. Sameer Jahagirdar, Plastic Surgeon mentioned among patients with diabetes, 15% develop a foot ulcer, and 12-24% of individuals with a foot ulcer require amputation. Indeed, diabetes is the leading cause of nontraumatic lower extremity amputations. OCHRI attends to many patients suffering from Diabetic foot ulcers.
Dr. Nitu Hedaoo, Gynecologist said that Gestational diabetes is a form of diabetes that occurs for the first time when a woman is pregnant. This type of diabetes is caused by a change in the way a woman’s body responds to the hormone insulin during her pregnancy. This change results in elevated levels of blood sugar, also known as blood glucose. If you have gestational diabetes, your baby may be at increased risk of: Excessive birth weight. Extra glucose in your bloodstream crosses the placenta, which triggers your baby’s pancreas to make extra insulin. This can cause your baby to grow too large (macrosomia).
Dr. Pankaj Raut, Cardiologist mentioned that high blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. People with diabetes tend to develop heart disease at a younger age than people without diabetes. In adults with diabetes, the most common causes of death are heart disease and stroke.
Dr. Vasant Dhangra, Neurologist stated that Better blood sugar control can help prevent decline in mental ability. People who have diabetes and experience high rates of complications are more likely to develop dementia as they age than people who have fewer diabetic complications,
Dr. Komal Wadhai, Kidney Specialist stated that over time, uncontrolled diabetes can damage your kidneys. Your kidneys clean your blood. If they are damaged, waste and fluids build up in your blood instead of leaving your body. Kidney damage from diabetes is called diabetic nephropathy.
Thus it is essential that people should get screened for Diabetes on regular intervals, maintain their sugar levels within limits and approach trained qualified doctors and reach a hospital with various inter related specialties & super-specialties under one roof for comprehensive care for management of their Diabetes Complications.
|Sampat Ramteke Critical
Dr. Milind Mane, MLA visits him at OCHRI
Shri. Sampat Ramteke aged 67-year-old male was brought in an emergency condition to Casualty-Orange City Hospital & Research Institute from his Sadar residence on 07.11.2017 around 11pm. He had complaints of Chest pain, giddiness, sweating and belching. He had been suffering from similar symptoms since 2 days but he was still working continuously. He is a known case of Diabetes Mellitus with Hypertension and had no history of any earlier hospitalization. On examination he had tachycardia, Bilateral crepitation’s in lungs and respiratory distress. His ECG showed evidence of extensive Myocardial Infarction (Heart attack). He was immediately admitted in CCU under care of Dr. Pankaj Raut-Cardiologist and Dr. Nikhil Balankhe- Senior Critical Care Physician. Dr. Pankaj Raut attended him immediately and he was advised to immediately undertake Primary angioplasty at OCHRI Cath Lab with all risks explained for which the relatives refused. Accordingly, he was thrombolysed and put on BIPAP support and all other supportive treatment started as per protocol. His 2 D Echo showed only 10% ejection fraction. It was noted that he also had heart failure and deranged kidney functions.
Shri. Sampat Ramteke is a renowned social activist fighting for Sickle cell patients. He is President of Sickle Cell Society of India (SCSI).
On 13.11.2017 evening hours he again suffered a major cardiac arrest in CCU and was again revived and put on ventilator support. At present his General condition is very poor. He is on ionotropic support and other supportive critical care treatment management as per protocol.
His provisional Diagnosis is Acute Extensive Ant. Wall Myocardial Infarction with Left ventricular failure with Respiratory Distress with Acute Kidney Injury with known case of Diabetes Mellitus with Hypertension.
His treating Specialist in OCHRI are
Dr. Pankaj Raut- Cardiologist
Dr. Nikhil Balankhe-Senior Critical Care Physician
Dr. Kundan Wadhai-Nephrologist
Dr. Ashish Shukla-Chest Specialist
Dr. Ganesh Bure- Chief Intensivist
24×7 full time stationed Intensivist cover is provided by: Dr. Rani Lakhe, Dr. Santosh Gadge, Dr. Roshan Jawlekar, Dr. Neha Agarwal & Dr. Shivam Puniyani.
Diagnostic support by
Dr. Milind Pande- Pathologist
Dr. Nishikant Lokhande & Dr. Prashant Shende-Radiologists
Nursing & Paramedical team cover under supervision of
Dr. Milind Mane, MLA visited him at OCHRI on 14/11/2017 morning hours and discussed his status and ongoing treatment with treating specialists. Dr. Anup Marar – OCHRI Director and Dr. Pankaj Raut- Cardiologist highlighted the critical condition of Shri. Sampat Ramteke in presence of Dr. Rani Lakhe, On duty Intensivist. Dr. Milind Mane expressed his satisfaction on the comprehensive care being provided to Shri. Sampat at OCHRI and conveyed that all possible rational attempts in an ethical manner are being undertaken by TEAM OCHRI. Dr. Ganesh Ramteke, Retired Deputy Director of Health Services who has been personally attending Shri. Sampat since day one of admission at OCHRI also concurred with the decision of Dr. Milind Mane. Dr. Milind Mane also met and counselled the relatives.
It was my honor to welcome our well-wisher and friend Shri. Kailash Kanse, IPS, Commandant, State Reserve Police Force- Nagpur division who dropped in to convey Diwali wishes to TEAM OCHRI and express thanks for the quality ethical care provided to incoming police beneficiaries at OCHRI. The two words “Thank you” hold enough meaning. Trust me, the simple words of “Thank You” go a long way to motivate the team.
‘Saubhagya Panchami’ rituals were observed at Orange City Hospital & Research Institute recently in Jaivik Sabhagruha. Revered Shri.Arvindjee Muley performed the Pooja rituals.
Shri.Ramesh Pande was the yajman. Prominently present on this occasion were Dr.Usha Nair, Director- Ravi Nair Hospitals Private Limited, Dr.Anup Marar, Director- OCHRI along with Dr.Deepak Dongre, Shri.Simha Chalam, Shri.Roy Thomas, Shri.Sunil Sure, Smt.Priya Sashi, Shri.D.M.Bhutekar, Shri.Prakash Shende, Smt.Bharti Badwaik, Shri.Rajan Thakur and Shri.Santosh Mykalwar .
Shri.Arvind Muley highlighted that “Every person on this earth desires for a pleasant and peaceful life, and the Saubhagya Panchami rituals helps the individual to attain his desires to the fullest. It is considered to be an auspicious day in ancient scriptures and known to provide a prosperous and healthy life. The observer of the rituals gets good results at workplace. This ritual is known to fulfill all the desires of the person, when observed with faith and devotion. It is considered to be an auspicious time to undertake new projects and begin new ventures.”
Shri.Sachin Gajbhiye, Smt.Durga Joshi, Shri.Ganesh Iyer, Shri.Prashant Tichkule, Shri.Avinash Ganar and Shri.Ravindra Dhande worked hard for this spiritual endeavor.