A Complete Guide To Diabetologist

Diabetes is a lifelong disease that appears when the pancreas can no longer make insulin, or the body cannot make full use of the insulin it produces. Insulin is a hormone formed by the pancreas. It acts like a key, allowing the glucose in the food we eat to flow from the blood to the body's cells to produce energy. All carbohydrate foods are crashed down into glucose in the blood. Insulin aids glucose enter the cells. Failure to produce or use insulin effectively can cause blood sugar levels to rise (called hyperglycemia). High blood sugar is related to body damage and the failure of various organs and tissues in the long run.

Commonly Asked Questions About Diabetologist

What Is A Diabetologist?

Diabetologists are specialized endocrinologists committed to clinical practice to research, diagnose and treat various forms of diabetes.

Which Is The Best Diabetes Hospital In India?

Top 11 Diabetes Hospitals in India

  • Indraprastha Apollo Hospital, Delhi.

  • Manipal Hospital, Bangalore.

  • Global Hospitals, Mumbai.

  • Max Super Speciality Hospital, Delhi.

  • Fortis Hospital, Bangalore.

  • Nanavati Hospital, Mumbai.

  • Columbia Asia, Bangalore.

  • Prashanth Hospital, Chennai.

How Many Diabetes Doctors Are There In India?

Medindia's Doctor Directory provides 235 Diabetologists from all over India. The purpose of displaying information is to help patients looking for a diabetes doctor to find these specialists. The displayed information includes contact information, such as an address, phone number, email, contact person, and directions to the hospital or clinic. If you are not listed as a registered user on Medindia's list, please click here to enter the list.

Which Doctor Is Best For Diabetes?

 

 

An endocrinologist is an expert responsible for treating people with hormonal imbalances in the endocrine system, including thyroid diseases and diabetes. Many people who cannot control their type 2 diabetes are often referred to an endocrinologist to reassess their medications. There are many benefits to meeting an endocrinologist when you have diabetes. They can help you control the disease, maintain optimal health and develop a management plan that suits you.

What Is The Best Treatment For Diabetes?

Metformin is usually the first choice for treating type 2 diabetes unless it is not used for a specific reason. Metformin is rugged, safe, and cheap. It can lower the risk of cardiovascular events. Metformin also has a beneficial effect in reducing A1C results and may also help weight control. It works by lowering the glucose produced by the liver. There are other types of diabetes medications to choose from. Each category has its risks and benefits.

Who Is The Best Endocrinologist In India?

The Best Endocrinologists In India

Rank 1. Dr. Pradeep G. Talwalkar - Endocrinologist - 41 Yrs. Experience.

Rank 2. Dr. A.M. Argikar - Endocrinologist - 39 Yrs. Exp. MBBS, MD.

Rank 3. Dr. Mohan Y Badgandi - Endocrinologist - 39 Yrs. Experience.

Rank 4. Dr. Arun Bal - Endocrinologist - 36 Yrs. Experience.

Rank 5. Dr. S.K. Wangnoo - Endocrinologist - 36 Yrs. Experience.

How Many Endocrinologists Are There In India?

 

 

 

Facts prove that there is a shortage of endocrinologists in India.

Only 650 endocrinologists treat nearly 28,000 patients. According to the World Health Organization, at most one doctor should serve 1,000 people. But in India, there is a shortage of doctors, with a ratio of 1:1456, which is far below the set standard. There are fewer endocrinologists, which is a worrying issue.

When Should You See A Diabetes Doctor?

Diabetes complications will only worsen over time and may cause you to miss your quality of life. If you regularly suffer from low blood sugar (hypoglycemia) or have had severe hypoglycemia or diabetic ketoacidosis, you should see a specialist.

Is It Possible To Cure Diabetes?

 

 

There is no cure for diabetes. Neither type 2 diabetes nor type 1 diabetes will go away. Patients diagnosed with type 2 diabetes may find that if they are overweight at the time of diagnosis, lose weight, and begin a regular physical exercise, their blood sugar will return to normal.

Does this mean that diabetes has disappeared? Will not. Type 2 diabetes is also a gradual process during which the human body cannot develop enough insulin to meet its needs. Human cells develop resistance to the action of insulin. Gradually, the patient changes from "impaired glucose tolerance" (the ability to convert food into energy is reduced but still sufficient) to having "diabetes." If the patient were to gain weight or reduce their physical exercise program, hyperglycemia would recur. If they overeat a meal, their blood sugar may continue to be higher than those without diabetes. Moreover, the reduction in insulin production and the increase in insulin resistance that led to the initial diagnosis of diabetes will gradually increase over the years and during stress periods. In time, a patient who can maintain regular blood sugar by diet and exercise alone may find that they need to add oral diabetes medications (and possibly insulin injections) to keep blood sugar within a healthy range.

How Long Can You Live With Diabetes?

However, there is good news-people with type 1 diabetes are known to live with this disease for more than 85 years. As mentioned above, recent life expectancy studies show a significant improvement in people with type 1 diabetes who were born later in the 20th century.

Can You Reverse Type 2 Diabetes?

Treatment of type 2 diabetes includes:

  •  Monitor blood sugar levels
  •  Use medication or insulin if necessary 

The doctor also recommends diet and exercise to lose weight. Some diabetes medications have side effects of weight loss, which can also help treat or control diabetes.

We can be reverse diabetes type 2, but it requires a diet plan, healthy eating, and daily exercise. You could get rid of diabetes and its complications if you can do these things and lose weight.

What Foods Can Cure Diabetes?

Best food to control diabetes.

Fat fish. Some people think fatty fish is one of the healthiest foods on the planet. 

Green leafy vegetables. Green leafy vegetables are high in nutrients and low in calories. Their digestible carbohydrates or carbohydrates absorbed by the body are also very low, so they will not significantly affect blood sugar levels.

 Avocados. There is lower than 1 gram of sugar in avocados, low carbohydrates, high fiber content, and healthy fats, so you don't have to worry about raising your blood sugar level. Avocado consumption can also improve overall diet quality and significantly reduce body weight and body mass index (BMI)

Eggs: Regular consumption of eggs can also reduce your risk of heart disease in many ways. Eggs can reduce inflammation, boost insulin sensitivity, increase HDL (acceptable) cholesterol levels and change the size and shape of LDL (bad) cholesterol.

Chia seeds. The viscous fiber in Chia seeds will lower blood sugar levels slowing the rate at which food passes through the intestines and is absorbed.

 Beans: Beans are rich in B vitamins, beneficial minerals (calcium, potassium, and magnesium), and fiber.

 Greek yogurt. Greek yogurt is a perfect dairy choice for people with diabetes. Some studies have shown that certain dairy products (such as yogurt) can improve blood sugar management and reduce risk factors for heart disease, partly due to their probiotics. 

Nuts: Studies on various nuts have shown that regular consumption can reduce inflammation and lower blood sugar, HbA1c (an indicator of long-term blood sugar management), and LDL (bad) cholesterol levels.

 

What Is The Cheapest Diabetes Medicine?

Sulfonylureas, Glipizide, Glimepiride, and Glyburide, are as low as Rs.730 for three months. Specific ER preparations cost less than Rs.2000 for 90 days. Repaglinide (Prandin) may also be found for less than Rs.2000 for a one month supply.

What Is The Safest Diabetes Medicine?

 

 

 

Bollen said that metformin is still the safest and most effective type 2 diabetes drug. Researchers say that despite diabetes, patients with uncontrolled blood sugar are at risk of dying from a stroke or heart attack. It is unclear whether one diabetes drug is better than another in preventing these deaths.

Bollen said: "Complications of untreated diabetes often exceed these safety considerations, but consumers need to weigh the benefits and risks of drugs with their doctors when choosing diabetes treatments."

How Do I Become An Endocrinologist In India?

The minimum qualification to become an Indian endocrinologist is a 5½-year MBBS degree followed by a 2-year MD (endocrinology) course.

 Essential skills for endocrinologists 

  • The endocrinologist should be able to explain and understand laboratory tests, X-rays, and other related procedures. 
  • They should have a comprehensive understanding of organ imaging, hormone implants, and fine-needle aspiration and endocrinology applications.
  •  They also know clinical endocrinology and metabolism, including diabetes. 
  • They should also have a detailed understanding of the principles of endocrine physiology, biochemistry, and cellular and hormone metabolism.

How Is Diabetes Diagnosed?

 A fasting blood glucose test or A1c blood test (also called glycated hemoglobin tests) can diagnose diabetes. The fasting blood glucose test is done after you have not eaten or drink for at least eight hours.

 Diabetes is diagnosed with one of the following.

  •  Your blood sugar level is equal to or higher than 126 mg/dl (7 mmol/l). 
  • You have two random blood glucose tests, more than 200 mg/dl (11.1 mmol/l), with symptoms.
  • You have taken an oral glucose tolerance test, and the result exceeds 200 mg/dl (11.1 mmol/l). 
  • Your A1c test is more than 6.5% on two separate days.

When Should I Go To An Endocrinologist?When Should I Go To An Endocrinologist?

When you are diagnosed with hormonal diseases such as diabetes and thyroid disease, your doctor may recommend that you see an endocrinologist.

Endocrinologists are real experts. The endocrinologist is an expert who has conducted in-depth research on hormonal conditions and knows the best treatment even if the conventional treatment is not sufficient. Unlike a general practitioner or family doctor, an endocrinologist will study hormones and hormonal diseases in-depth, and the specialist will be able to provide the best treatment. Most general practitioners have the skills needed to diagnose and treat necessary hormonal conditions but sometimes require expert help.

Endocrinologists know the latest treatments. Their knowledge and understanding of hormonal diseases are continually changing. An endocrinologist's job is to understand these changes and understand the latest treatments available to patients today. Patients who choose an endocrinologist will get the latest and most innovative treatment methods according to their conditions.

An Endocrinologist Is A True Specialist

An endocrinologist is a specialist who has thoroughly studied hormonal conditions and knows the best possible treatments, even when conventional treatments do not work well. Unlike a family doctor or general practitioner, an endocrinologist studies hormones and hormonal diseases in depth, and this specialist will be able to provide the best possible treatment. Most general practitioners have the skills necessary to diagnose and treat basic hormonal conditions, but sometimes the help of a specialist is needed.

An Endocrinologist Knows The Latest Treatments

Our knowledge and understanding of hormonal diseases is constantly changing. An endocrinologist's job is to know these changes and understand the newest treatments that are available to today's patients. Patients who choose an endocrinologist will have access to the latest, most innovative treatments for their conditions.

Is Chapati Good For Diabetes?

It's the better choice for people who manage their diabetes & diet plan to eat whole wheat chapati. White rice has a greater glycemic index than chapati, which means that blood sugar is increased more rapidly. For diabetic individuals, therefore, chapati is always the first option.

Is Walking Good For Diabetes?

 

 

 

Studies have shown that walking can help lower blood sugar, thereby improving diabetes control. In a study involving patients with type 1 diabetes, participants were assigned to walk 30 minutes after a meal or eat the same meal but remain inactive.

The results showed that the blood sugar levels of participants who walked after a meal increased by about 4.5 mmol/l. In contrast, participants who did not walk after meals experienced a peak increase of about seven mmol/l after meals. It peaks between 1 to 1.5 hours after eating.

In non-diabetic patients, blood glucose levels after meals are also reduced, so people with other types of diabetes (such as type 2 diabetes or gestational diabetes) can also expect blood glucose levels to improve significantly after a period of walking.

What Can Lower Blood Sugar Immediately?

When blood sugar levels are too high (called hyperglycemia or high blood glucose), the fastest way to lower blood sugar is to take fast-acting insulin. Exercise is another quick and effective way to reduce blood sugar. 

In few cases, you should go to the hospital rather than at home. When insulin levels are low, high blood sugar levels can lead to diabetic ketoacidosis (DKA). It is a medical emergency.

 Symptoms of DKA include:

  •  Shortness of breath
  •  Breath that smells fruity
  •  Nausea and vomiting
  •  Dry mouth

Does Fasting Help Diabetes?

An empty stomach may also improve the way your body manages glucose (blood sugar) and reduces insulin resistance. A tiny study included three men with type 2 diabetes for 10-25 years. Under medical supervision, these men fasted every other day or three days a week. Within a month, all men were able to stop taking insulin. In less than a year, they were able to reduce or stop using other diabetes drugs. In another small study, ten obese men with type 2 diabetes followed a time-limited diet plan. They improved their fasting blood sugar and lost weight within six weeks.

How To Control Diabetes Without Drugs?

Instead of taking medication, try to incorporate some healthy lifestyles to help control diabetes.

Eat a healthy diet. Choose to eat more whole vegetables and fruits, more whole grains, and lean protein. Obtain fats from healthy sources such as avocados, nuts, and olive oil.

 Lose weight. Only losing 5% to 10% of your body weight can help you control blood sugar, lower cholesterol levels, and lower blood pressure. It will help lower the risk of complications such as heart disease and keep you healthy.

Exercise. Exercise for 30 minutes a day can lower blood sugar levels, reduce insulin resistance, and regulate blood pressure and cholesterol levels.

Commit to regular exercise by seeking a partner. When someone encourages you, it will be more fun to walk, bike, or run! You can also find new and exciting ways to achieve and reach your goals.

Test your blood sugar. By regularly testing your blood sugar, you will begin to see various patterns. Will certain activities lower blood sugar? Is Will eating certain foods increase? These modes can help you plan your diet and activities to control your blood sugar levels.

 Get enough quality sleep. Less than six hours of good quality sleep per night may disrupt insulin and blood sugar balance. If you are in poor health and lack of sleep, please avoid drinking alcohol, caffeine, and spicy food at night. 

Periodic inspection. Many complications of diabetes are "silent" and have no symptoms. Regular blood tests to check cholesterol and kidney function will help your doctor find the problem in the early stages.

Is Type 1 Or Type 2 Diabetes More Serious?

 

 

Type 2 diabetes is usually lighter than type 1. But it can still cause serious health complications, especially the small blood vessels in the kidneys, nerves, and eyes.

Type 2 also increases the risk of heart disease and stroke. Obese people who are taller than 20% of their target weight-have an exceptionally high risk of getting type 2 diabetes and the health problems that come with it. Obesity usually causes insulin resistance, so the pancreas must work harder to produce more insulin. However, it is still not enough to keep blood sugar levels at the desired level.

What Is Normal Blood Sugar By Age?

 

 

 

Normal fasting blood sugar in people without diabetes.

The normal fasting blood glucose range for people without diabetes is 70 to 99 mg/dl. The American Diabetes Association suggests routine testing for type 2 diabetes from the age of 45. If the results are expected, the test should replicate every three years.

Can I Test Myself For Diabetes?

 

 

To find out, you can make an appointment with a doctor and perform a blood test for your condition. You can go to a pharmacy to buy a blood glucose meter and then check yourself for diabetes.

Consumer Reports Chief Medical Doctor Marvin M. Lipman said: "If you have a family history of diabetes, high blood pressure, or obesity, you need to check yourself for diabetes, provided that your doctor has not done the check." "By becoming a proactive person, you may save yourself a lot of pain in the future."

How Will Nutritionists Help Diabetic Patients?

If you have pre-diabetes or diabetes, your doctor may recommend that you ask a dietitian to develop a healthy diet plan. This program can help you control blood sugar (glucose), control weight, and control heart disease risk factors like high blood fat and high blood pressure.

When you eat excess calories and fat, your body causes blood sugar to rise. If blood sugar is uncontrolled, it can cause serious problems such as high blood sugar (hyperglycemia), and if it persists, it may lead to long-term complications such as nerve, kidney, and heart damage.

When Should Diabetic Patients Stop Eating?

For most people with diabetes, the mealtime should be like this all day:

  • Eat breakfast an hour and a half after getting up. 
  • Then eat a meal every 4 to 5 hours.
  •  If you are hungry, have a snack between meals.

 A snack before going to bed may help you.

What Drink Can Lower Blood Sugar?

Whether you are at home or in a restaurant, here are the best beverage choices for diabetes.

 Water. Water is the safest option for people with diabetes when it comes to hydration.

 Tea. Research shows that green tea has a positive effect on your overall health. 

Coffee. Researchers have found that people who drink 2 to 3 cups of coffee a day have an even lower risk level. The same applies to people who drink four or more cups a day.

 Vegetable juice. Mix your green leafy vegetables, celery, or cucumber with a few berries to provide rich vitamins and minerals. Remember to count berries as part of the total carbohydrates for the day. 

Low-fat milk:  You should add dairy products to the diet every day. They contain vital vitamins and minerals, but they do add carbohydrates to the diet. Always choose the low-sugar, low-fat or non-fat version of your favorite milk. 

Should Diabetics Eat Every 2 Hours?

If you have diabetes, you should eat the same amount of food at about the same time each day. You should not skip meals or skip meals for more than four or five hours during the day. Another vital factor in a healthy diet is portion control. Your medical team can help you understand the correct portion sizes, which are usually smaller than expected in the super age. For instance, the meat portion is about the size of a deck of cards, and a serving of pasta is about half the size of a tennis ball.

Can Diabetics Skip Meals?

 

 

Usually, missing a meal is no big deal. But if you have diabetes, skipping meals can throw away the critical balancing act between food intake and medication. The result is that blood sugar is too low (hypoglycemia) or too high (hyperglycemia), which is very dangerous.

Dawn Noe, a registered dietitian, said: "If you take diabetes medications that can cause hypoglycemia, you should avoid skipping meals." She said: "If you eat irregularly, please talk to your doctor about diabetes medications that do not cause hypoglycemia. "

How Do You Feel When You Are Low In Sugar?

Symptoms of low blood sugar levels 

  1. Sweating.
  2. Feeling tired.
  3. Dizziness.
  4. Feeling hungry.
  5. Tingling lips.
  6. Feeling shaky or trembling.
  7. Fast or pounding heartbeat (palpitations)
  8. Becomes easily irritable, tearful, anxious, or moody.

How Much Blood Sugar Can 1 Unit Of Insulin Lower?

One unit of insulin should cause your blood sugar level to drop 30 to 50 mg per dL, but you may need more insulin to get the same effect.

 

BLOOD SUGAR LEVEL 

SUPPLEMENTAL INSULIN DOSE

Higher than 200 mg per dL

Add two units of insulin

150 to 200 mg per dL

Add 1 unit of insulin

100 to 149 mg per dl

No change

70 to 100 mg per dL

Subtract 1 unit of insulin

Below 70 mg per dL

Subtract two units of insulin

Does Overeating Sugar Cause Diabetes?

 

 

 

 

 

Diabetes and excess sugar intake

Diabetes of type 1 and type 2 affect the body's ability to control blood sugar levels. Sugar does not directly cause these two types. However, overeating can lead to weight gain. Obesity is the risk factor for Type 2 diabetes.

On the other hand, type 1 diabetes is an autoimmune disease that can cause the human immune system to attack insulin-producing cells. Damage to these cells destroys the body's ability to control blood sugar. When a person has diabetes, overeating sugar can make symptoms worse because diabetes makes it difficult to regulate blood sugar levels. Patients with type 1 diabetes still need to pay attention to sugar intake.

Why Is Insulin So Expensive?

Michael Fralick wrote that there are two key reasons insulin is so expensive now. One of them is that US law allows pharmaceutical manufacturers to set their prices and increase prices without restriction. The author points out that the second reason is that there is no apparent competition in the US insulin market. Price competition usually comes from the introduction of generic drugs that directly compete with branded products.

But the author says that current insulin manufacturers have blocked the entry of such products by obtaining new patents based on new delivery devices.

References & Citation

https://en.wikipedia.org/?title=Diabetologist&redirect=no

https://en.wikipedia.org/wiki/Category:Diabetologists

https://en.wikipedia.org/wiki/Diabetology_Ltd