Endocrinology Specialized care – Need of the day Diabetes is one of the most common non-communicable disorders affecting every 4th individual. Worst part of the disease is its natural history like a slow poison, wherein, the disease and its associated conditions cause diffuse atherosclerosis of various blood vessels over a period of years. The process of atherosclerosis does not manifest till the patient develops deadly complications like heart attack, paralysis, gangrene, kidney failure, blindness etc. All these devastating complications can be easily prevented by comprehensive approach towards the patient aiming at prevention of these complications with regular detailed evaluation, symptoms analysis and investigations. Moreover it’s a demanding job to educate the patient regarding preventive measure of the possible complications, which are likely to develop after decades. Changing the notion that diabetes is equivalent to high blood sugar can be achieved only by devoting sufficient time in patient education and counseling. Diabetes is no more a single disease. Newer and types of diabetes with varying etiological factors are being recognized. American Diabetes Association classifies diabetes into 59 different types. Though blood sugar control can be achieved by any of the available therapies, it is crucial to arrive at the correct diagnosis and initiate the appropriate therapy. Indiscriminate use of drugs targeting at blood sugar control leads to failure of oral drugs and patients needs to be supplemented with insulin. This can be easily avoided by use appropriate drugs based on the diagnosis. Achieving this standard of care is feasible only by having a dedicated department catering its services only to diabetes patients focusing at the diagnosis, comprehensive evaluation, patient education and sympathetic counseling. Facilities at a glance Diabetes with pregnancy – Pre-gestational and gestational diabetic patients are managed with interdisciplinary approach involving departments like obstetrics, neonatology & dietetics. In addition to antenatal care, we have state of the art labour room and NICU for pre and post natal care of the patient and newborn. Diabetes in young – young diabetic patients are thoroughly evaluated for the differential diagnosis of Type 1 DM, young Type DM, MODY, Pancreatic diabetes, Secondary Diabetes etc. Diabetic foot – Patient with diabetic foot are provided the comprehensive standard of care with multidisciplinary team approach of departments of diabetology, orthopaedics, plastic surgery, general surgery and physiotherapy. Day care glycemic control – patients needing urgent glycemic control are kept in day care and treated with IV insulin infusion so as to achieve glycemic control in less than 24 hours. Academics & Research The department is actively involved in continuous medical education activities. We have conducted more than 40 CMEs in various parts of the city and state. In addition regular patient education and nurse’s education activities are conducted. The department is also actively involved in clinical research with presentation in national and international conferences and publications in national and international journals. Faculty Dr Rakesh Parikh The department is headed by Dr Rakesh Parikh, who is recipient of National Science Fellowship from Government of India for his innovative research work. He is also the Guest Editor for The Journal of General Medicine and on editorial and review boards of various national and international journals. He has more than 30 publications to his credit in national and international journals. He has delivered guest lectures in various CMEs, Workshops and national conferences.
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