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Diabetic Complications: Awareness & Prevention
Diabetes can lead to various complications that affect different parts of the body due to prolonged high blood sugar levels. Diabetic complications can be broadly categorized into two types: macrovascular (affecting large blood vessels) and microvascular (affecting small blood vessels). These include conditions like heart disease, stroke, and peripheral artery disease, which increase the risk of cardiovascular events in people with diabetes. These complications affect small blood vessels and can lead to diabetic retinopathy (eye damage), nephropathy (kidney damage), and neuropathy (nerve damage). Nerve damage can cause tingling, numbness, pain, and loss of sensation, often starting in the feet and hands. High blood sugar can damage the blood vessels in the eyes, potentially leading to vision impairment and blindness. Prolonged high blood sugar can damage the kidneys and impair their ability to filter waste from the blood. Diabetes significantly increases the risk of heart disease and stroke, making heart health monitoring and management crucial. Poor circulation and nerve damage can lead to foot ulcers and infections, potentially requiring amputation in severe cases. While not a long-term complication, severe low blood sugar (hypoglycemia) can lead to unconsciousness and requires immediate treatment.
About the Speaker
Dr. Ramya Bevoor
Consultant Physician, Diabetologist , Faculty at CMC, Vellore
Upcoming Case Discussions
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Ulcerative colitis: Diagnosis & Management
Ulcerative colitis is diagnosed through a combination of clinical evaluation, laboratory tests, imaging studies, and endoscopic examination of the colon. Key diagnostic tests include stool studies to rule out infections, blood tests for inflammatory markers like C-reactive protein and fecal calprotectin, and colonoscopy with biopsy to visualize the colon and confirm the diagnosis. Imaging studies like CT scans or MRI may be used to assess disease severity and complications such as toxic megacolon or perforation. Management of ulcerative colitis involves a step-wise approach, starting with anti-inflammatory medications like aminosalicylates for mild to moderate disease.Immunosuppressants such as corticosteroids, thiopurines, or biologics (e.g., anti-TNF agents) are used for moderate to severe disease or if patients do not respond to first-line therapy. Regular monitoring of disease activity through symptom assessment, blood tests, and endoscopic evaluation is crucial for disease management and to prevent complications.
Postpartum Haemorrhage (PPH)
Postpartum hemorrhage (PPH) is a significant complication following childbirth, characterized by excessive bleeding within 24 hours of delivery. It's a leading cause of maternal mortality globally. PPH can occur due to various factors, including uterine atony (failure of the uterus to contract), trauma during childbirth, retained placental tissue, or coagulation disorders. Prompt recognition and intervention are crucial to prevent severe consequences. Management typically involve uterine massage, administration of uterotonic medications, uterine artery embolization, or, in severe cases, surgical interventions like hysterectomy. Timely and effective management strategies are essential to reduce maternal morbidity and mortality associated with PPH.
Management of Pulmonary Fibrosis
Pulmonary fibrosis is diagnosed through a combination of medical history, imaging studies (like high-resolution CT scans), pulmonary function tests, and sometimes lung biopsies. Treatment often involves medications such as corticosteroids, immunosuppressants (like azathioprine or mycophenolate), and antifibrotic drugs (such as pirfenidone or nintedanib) to slow disease progression and manage symptoms.Supplemental oxygen therapy is commonly prescribed to relieve shortness of breath and improve oxygen levels in the blood. This program combines exercise training, education, and breathing techniques to improve overall physical condition and quality of life. Patients with pulmonary fibrosis should receive vaccinations against influenza and pneumococcal pneumonia to reduce the risk of respiratory infections. In severe cases, lung transplantation may be considered for eligible patients to improve survival and quality of life. Treatments like nutritional support, psychological counseling, and palliative care can provide comprehensive support and symptom management.
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Dr. Ramya Bevoor 's Talks on Assimilate
- 6th-September-2023, TIME : 5:00PM - 6:00PM
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Diabetes can lead to various complications that affect different parts of the body due to prolonged high blood sugar levels. Diabetic complications can be broadly categorized into two types: macrovascular (affecting large blood vessels) and microvascular (affecting small blood vessels). These include conditions like heart disease, stroke, and peripheral artery disease, which increase the risk of cardiovascular events in people with diabetes. These complications affect small blood vessels and can lead to diabetic retinopathy (eye damage), nephropathy (kidney damage), and neuropathy (nerve damage). Nerve damage can cause tingling, numbness, pain, and loss of sensation, often starting in the feet and hands. High blood sugar can damage the blood vessels in the eyes, potentially leading to vision impairment and blindness. Prolonged high blood sugar can damage the kidneys and impair their ability to filter waste from the blood. Diabetes significantly increases the risk of heart disease and stroke, making heart health monitoring and management crucial. Poor circulation and nerve damage can lead to foot ulcers and infections, potentially requiring amputation in severe cases. While not a long-term complication, severe low blood sugar (hypoglycemia) can lead to unconsciousness and requires immediate treatment.