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Diabetic Emergencies
Diabetic emergencies occur when blood sugar levels become dangerously high or low, requiring immediate medical attention. Common emergencies include diabetic ketoacidosis (DKA), where high blood sugar leads to a buildup of acids in the blood, and hypoglycemia, where blood sugar drops too low, causing confusion, seizures, or unconsciousness. Symptoms of these emergencies may include extreme thirst, frequent urination, nausea, sweating, or disorientation. Quick intervention, such as administering insulin for high blood sugar or glucose for low blood sugar, is critical. Proper diabetes management and regular monitoring can help prevent these life-threatening situations.
About the Speaker
Dr. Gautam Panduranga
Senior Internal Medicine Consultant, KIMS Hospitals, Hyderabad
Dr Gautam Panduranga has trained and worked in India and abroad. After completing MBBS from Gandhi Medical College and MD in General Medicine from Osmania Medical College / Hospital, he went to the UK in 2000 to pursue further training in National Health Services (NHS) and is fully registered by GMC (General Medical Council, UK). After serving for 3 years in the UK, Dr. Gautam went to USA where he completed residency in Internal Medicine at Metro Health Medical Center (Case Western Reserve University, Cleveland, OH, USA). He is Board Certified in Internal Medicine, USA and worked as a Hospitalist (providing care for hospital inpatients) for 5 years at Tucson Medical Center (University of Arizona, USA). Currently, he is working as a Consultant and Physician in Internal Medicine at KIMS Hospitals, Secunderabad since 2015. His interests include providing comprehensive care for patients and treating those with lifestyle disorders and multi-system problems. He is also an Associate Professor in Medicine at His passion includes teaching residents (DNB) and medical students.
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.
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.
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.
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.