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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
Diabetes and GI Disorders: Understanding the Connection
Dr. Firdous Shaikh is a highly esteemed Consultant Diabetologist and Metabolic Physician based in Mumbai, India, with over six years of experience in diabetes care. Currently, she serves at the Shri Kapol Utkarsh Mandal and Jyoti Clinic, where she has been providing expert consultation since December 2018. Previously, Dr. Shaikh worked as an Associate Consultant Diabetologist at Lina Diabetes Care Centre and held positions at Shetty Nursing Home and Jyoti Polyclinic. She completed his Fellowship in Diabetes and Endocrinology from the Royal College of Physicians in the UK and underwent residency training in Diabetology at the Asian Heart Institute. Dr. Shaikh is dedicated to advancing diabetes management and improving patient outcomes through personalized care and ongoing education.
Latest Surgical Approaches to Oral Cancer
Recent advancements in surgical approaches to oral cancer have emphasized precision and minimally invasive techniques. Robotic-assisted surgery and transoral laser microsurgery allow for enhanced accuracy, reducing damage to surrounding tissues. Surgeons also increasingly use image-guided technology, which enhances visualization and helps remove tumors more effectively. Sentinel lymph node biopsy has become a standard for early-stage oral cancer, enabling better staging with minimal invasiveness. These advancements contribute to faster recovery times, reduced complications, and improved overall outcomes for patients.
Urinary Tract Infections: Clinical Approach and Management
An infection of the urinary system is known as a urinary tract infection (UTI). The urethra (urethritis) may be affected by this kind of infection (pyelonephritis) kidneys, bladder (cystitis). A consequence of kidneys' blood-filtering function is urine, or pee. When waste materials and extra water are eliminated from your circulation, your kidneys produce urine. Normally, urine passes through your urinary system uncontaminated. However, UTIs can result from bacteria entering the urinary system.
Clinician’s Approach to Septic Shock
The prognosis of sepsis syndromes varies and spans a clinical spectrum. The most serious consequence of sepsis, septic shock, has a high death rate. An inciting substance triggers the activation of both the pro-inflammatory and anti-inflammatory immune systems, leading to septic shock. This takes place in tandem with the activation of neutrophils, monocytes, and macrophages, which engage with the endothelium via pathogen recognition receptors and cause further cytokine, protease, kinin, reactive oxygen species, and nitric oxide involvement. The endothelium is the main location of this reaction, and in addition to microvascular damage, it also triggers the complement and coagulation cascades, which worsen the vascular damage and cause capillary leakage. The clinical signs and symptoms of sepsis and the progression from sepsis are caused by this series of events.
Nutrition Strategies for good Glycemic Control
Effective nutrition strategies for good glycemic control include choosing low-glycemic foods that prevent rapid spikes in blood sugar, such as whole grains, legumes, and non-starchy vegetables. Balancing macronutrients, particularly with a focus on healthy fats and proteins, can help stabilize blood sugar. Portion control and consistent meal timing are also vital to avoid blood sugar fluctuations. Including fiber-rich foods supports slower glucose absorption, aiding in prolonged blood sugar control. Staying hydrated and limiting added sugars can further support overall glycemic stability.