Introduction:

 
  Life is sweet. But if accompanied by diabetes, it become bitter to live with. The department strives to infuse hope and peace in even the most severe diabetic cases. Diabetes or high blood sugar is not at all that fatal by
 
  itself. The consequential damages caused to nerves, legs, foot, heart, eyes, kidneys and pancreas is what makes diabetes actually lethal.  Therefore, 'Not only treatment, prevention too' accentuates the motto of the department fight this distressing disease.  
 

  Scope of Services:
 
 
» Screening for diabetes in asymptomatic persons, especially highrisks groups and first degree relatives of diabetics.
» Treatment of diabetes and diabetes related complication.
» Attempt to prevent diabetes and care to prevent complications caused by diabetes.
» Extensive and elaborate monitoring for in  pre-operative and postoperative in diabetis patients..
» Giving full understanding of the disease to the patient.
» Establishing and applying Indian protocol to fight diabetes.
» Research and clinical trials in field of diabetes.
» Extensive diabetic education programme, exhibitions and online education.
» Continuous medical education (CME) programmes for family physician and updates for consultants.
 
       
    Facilities:  
 
» CGMS (Continuous Glucose Monitoring System)  First in South Asia.
» Insulin Pump  Fist in South Asia.
» Resting ECG 
» Affordable, beneficial and high quality laboratory facilities for all diabetes related investigations.
» Foot Imprinter, Biothesiometry, Vascular Doppler and Color Doppler examination to prevent and treat diabetic foot. 
» Nerve Conduction velocity studies for diabetic neuropathy and for autonomic neuropathy.
» Equipments to assess Insulin resistance and Serum Insulin assays useful for asymptomatic blood relatives of diabetes.
» Holter monitor to determine diabetic autonomic neuropathy (one of the causes of sudden cardiac death in a diabetic)
» 2D echo with color Doppler to assess heart pumping (ejection fraction) in a diabetic.
» Ophthalmic examination of every diabetic patient.
» Facilities of Diabetes Educator and Dietician.
» A well equipped diabetic foot clinic.
 
     
    Departmental Activities:  
 
» Diabetes awareness programmes in community and corporate.
» Awareness programme in school children.
» Diagnostic camps for diabetes.
 
     
    Research & Academics:  
 
» Research on various newer modalities for diabetes management.
 
     
    Achievement:  
 
» Insulin pump implantation on 11 year boy – First in South Asia
» CGMS – First in Gujarat.
 
   
   
  A continuous glucose monitoring system (CGMS) is an FDA-approved device that records glucose levels throughout the day and night. There are a number of technologies that are being tested but the only approved device --  
 

Medtronic's MiniMed device-can provide up to 288 glucose measurements every 24 hours. The system is used to measure an average blood glucose for up to 3 days, while the person with diabetes continues daily activities at home. CGMS System provides a level of detail about patients' glycemic patterns that was previously unattainable. Now you can compile and analyze comprehensive glycemic-trend data in a logical, graphical format - increasing the depth of information on which you can base clinical decisions.

 
 
» Continuous monitoring allows you to uncover correctable factors hidden from detection with occasional fingerstick testing and HbA1C values.
» Patients can better understand the cause-and-effect relationship between daily activities and their blood glucose levels, which may have profound effects on both their self-monitoring and way of living
» Proven correlation to fingerstick measurements in a home setting
» Proven to accurately follow rapid hyper- and hypoglycemic glucose excursions
 
   
   
  Behind the scenes a thousand things are going on. Some simple. Some complex. And when it comes to meeting your insulin needs, only one thing can do it more naturally than the Insulin Pump. Insulin pumps use shorter-acting insulin, like a pancreas - the way nature intended.  
  And so the basics of pump therapy are similar - a basal rate (small amounts of insulin delivered all day long, just like a pancreas would) and one or more bolus deliveries (larger doses of insulin to cover meals). Insulin Pump brings flexibility to play, work or sleep, helping you keep your blood sugars on target.  
   
   
  Foot care is an especially important part of care for people with diabetes. Some of the effects of the disease increase the risk of foot problems and also increase the likelihood of complications.  
 

But proper diabetic foot care and attention can prevent most serious foot complications. On this site we present the latest advice from the experts in diabetes and diabetic foot problems.


 
 
» Vascular Doppler Recorder
The currently acceptable method of determining the presence of PAD consists of a historical review of patient symptoms and atherosclerotic risk factors, a physical examination, and noninvasive vascular testing. The first and most important noninvasive test for PAD is the ankle-brachial index (ABI).
» Vibrato meter
Diabetes is the major cause of nontraumatic lower-limb amputation and is commonly preceded by foot ulceration and infection. The underlying etiology of this ulceration is usually a loss of protective sensation due to peripheral neuropathy, for which there is at present no completely satisfactory strategy for prevention. In an effort to standardize and simplify the detection of insensate foot, Vibrometer testing is recommended as per you physician advise.
» Foot Imprinter – Harris Mat
Produces a weight bearing imprint of the foot, measures patient disbursement and arch shape. Greater local foot forces deposit more ink. Detects the area of greatest concern for ulceration. Identify a heel with a lateral eversion.
» CANS (Cardiac Autonomic Neuropathy System )
Perhaps one of the most overlooked of all serious complications of diabetes is CANS. CANS results from damage to the autonomic nerve fibers that innervate the heart and blood vessels and result in abnormalities in heart rate control and vascular dynamics. Reduced heart rate variation is the earliest indicator of CANS. In a review of several epidemiological studies among individuals diagnosed with diabetes, it was shown that the 5-year mortality rate from this serious complication is five times higher for individuals with CAN than for the individuals without cardiovascular autonomic involvement.