Tuesday, 31 January 2012

Diabetic Foot Clinic

Diabetic Foot Clinic

The Diabetic Foot Clinic of M.V.Hospital for Diabetes,  called M.V. Centre for Diabetic Foot Care, Podiatry, Research and Management, provides routine integrated examination for diabetic patients. The services of the clinic include education of the patient in practical aspects of foot care, the early recognition of foot at risk, special advice on selection of footwear, and providing a comprehensive care for all diabetic foot complications. Special footwear is manufactured in technical collaboration with Central Leather Research Institute, Adyar.

Standard footwear for diabetic patients is being manufactured using cost effective and commercially available cushioning materials. Three different kinds of insoles are developed and used to construct footwear for diabetic patients with neuropathy. The materials selected are polyurethane, ethylene vinyl acetate (EVA), microcellular rubber (MCR). A full-length foam inner sole is included in the footwear to cradle and support the foot. Polyurethane, EVA, and MCR are relatively lightweight, shock absorbent, flexible, and highly durable materials.

High Risk Footwear (Moulded Footwear) is being done for the patients with high risk foot ulcers or deformity. It is constructed over the positive model of the patient’s foot, using leather and other materials of equal quality with some form of sandals. Recurrence of foot ulcers can be prevented by using moulded footwear, which provides effective load distribution.

The entire diabetic foot clinic department, its services and staff, revolve around the well being and care of the diabetic foot patients. The staff of this centre adhere to the highest traditions of professional service and function as a highly motivated team that provides total diabetes care and cure to the patients.


The clinic has the required facilities and Staff to provide the following services.
    Education of Patients & Carers
    Timely detection of high risk foot through routine foot examination by specially trained staff capable of recognizing risk factors for ulceration and amputation
    Measures to reduce risk, including podiatry, appropriate footwear and vascular and orthopedic interventions
    Prompt and effective treatment of active problems, including ulcers, infection and ischemia.

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Tuesday, 22 November 2011

Approaches of Type 1 diabetes

Approaches to interdicting type 1 diabetes

Type 1 diabetes is characterized by immunemediated pancreatic islet β-cell destruction. The process is insidious and may evolve over many years, with the overt expression of clinical symptoms becoming apparent only when most β-cells have been destroyed. Much investigation has been directed at interdicting the type 1  diabetes disease process either by intervening during the stage of evolution of the diabetes disease to prevent it from becoming clinically manifest

Individuals at high risk of type 1 diabetes, with the goal of arresting immune destruction and thus preventing or delaying the clinical onset of type 1 diabetes. Based on studies in animal models of type 1 diabetes, particularly the non-obese diabetic (NOD) mouse and the Biobreeding rat, many strategies have been proposed to alter the course of type 1 diabetes.

The strategies that have been tested in human beings fall into a few general categories:

(1) antigen- specific interventions, using insulin or related peptides, glutamic acid decarboxylase (GAD) or a component of heat-shock protein;
(2) immunosuppressive interventions, using agents such as cyclosporin, azathioprine, antithymocyte globulin, mycophenolate mofetil or cyclophosphamide;
(3) immunomodulatory interventions, using agents such as anti-CD3 monoclonal antibodies.This paper discusses the results to date of these approaches to interdict the type 1 diabetes process in human beings.

High risk of type 1 diabetes

Trials in individuals at risk of type 1 diabetes have been conducted with relatively safe interventions due to the fact that these individuals do not yet have clinical disease. Two large multicenter randomized controlled clinical trials have evaluated the effects of nicotinamide in high-risk relatives of individuals with type 1 diabetes.  Several trials have used insulin in an attempt to delay or prevent the onset of type 1 diabetes.

The Diabetes Prevention Trial–Type 1 (DPT-1) studied parenteral insulin in individuals with a projected 5-year risk of type 1 diabetes of at least 50% and oral insulin in individuals with a projected 5-year risk of type 1 diabetes of 25–50% . Unfortunately, parenteral insulin did not slow or prevent type 1 diabetes .  As a consequence, subjects with characteristics similar to those of that subgroup are being studied in a new oral insulin trial by the Type 1 Diabetes.

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Monday, 29 August 2011

Childhood Obesity and Diabetes

Childhood Obesity and Diabetes
Childhood obesity is a condition where excess body fat negatively affects a child's health or wellbeing.The first problems to occur in obese children are usually emotional or psychological. Childhood obesity however can also lead to life-threatening conditions including diabetes, high blood pressure, heart disease, sleep problems, cancer, and other disorders.

Childhood overweight and obesity on the rise

Childhood obesity is one of the most serious public health challenges .Overweight and obese children are likely to stay obese into adulthood and more likely to develop noncommunicable diseases like diabetes and cardiovascular diseases at a younger age. Overweight and obesity, as well as their related diseases, are largely preventable. Prevention of childhood obesity therefore needs high priority. 

M.V.Hospital-Childhood Obesity

M.V. Hospital for Diabetes, with the primary aim of creating awareness on childhood obesity and diabetes, launched a nationwide campaign on prevention of obesity and diabetes among children. The obesity among children is increasing at an alarming rate. This is leading to very early development of diabetes and heart diseases among children. Dr. Vijay Viswanathan, the managing director of M.V. Hospital organized a function in Chennai on November 11, 2007 to launch the nationwide campaign against childhood obesity and diabetes. 

Various activities were conducted by the hospital such as an exhibition, poster competition and puppet show depicting childhood obesity, its problems and prevention. Mr. K.S. Ravikumar, film director, distributed awards and prizes to the winners of the poster competition.

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Monday, 8 August 2011

Diabetes Complications

Complication of Diabetes

                    Diabetes is a chronic (lifelong) disease marked by high levels of sugar in the blood. Those with diabetes are at high risk for a number of complications.Diabetes is caused by a problem in the way your body makes or uses insulin. There are several types of diabetes. This article discusses the possible complications related to diabetes. After many years, diabetes can lead to serious problems throughout your body, including your eyes, kidneys, and nerves.


Diabetes can also damage blood vessels in the eyes, causing vision problems or blindness. Conditions may include: Cataracts, Diabetic retinopathy, Glaucoma, Macular edema

People with diabetes are more likely to have foot problems because of nerve and blood vessel damage. Small sores or breaks in the skin may turn into deep skin ulcers if not treated properly. If these skin ulcers do not improve, or become larger or go deeper, amputation of the affected limb may be needed. (Diabetes foot care.)

Infections of the female genital tract, the skin, or the urinary tract,Kidney disease and kidney failure (diabetic nephropathy), Problems attaining or maintaining an erection (impotence)

Since those with diabetes have a much higher chance of developing heart disease, kidney disease, and other medical problems, they may need to take certain medicines to treat or prevent these problems.

An ACE inhibitor  is often recommeded:
• As the first choice medicine for treating high blood pressure
• For those who have signs of early kidney disesae
• ACE inhibitors include captopril

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Monday, 13 June 2011

Treatment for Diabetes

Diabetes or Diabetes Mellitus is a condition wherein a person’s body is unable to regulate the glucose level in blood. These glucose levels are controlled by a hormone called insulin. The disturbances in the level of insulin lead to increase in glucose levels in blood, resulting in Diabetes mellitus.

Symptoms of Diabetes

  • weight loss, frequent urination deep breathing              
  • vomiting, itchy skin, sores that take time to heal
  • abdominal pain, blurred vision, numbness of hands or feet
  • frequent skin, gum or vaginal yeast infections
  • extreme thirst and hunger, fatigue or unusual tiredness

Goal of treatment for Diabetes

The main goal of treating diabetes is to lower blood sugar to a normal level. Lowering and controlling blood sugar may help prevent or delay complications of diabetes such as heart disease, kidney disease , blindness and amputation. High blood sugar can be lowered by diet and exercise and by certain medicines.  
Treatment of Type 2 Diabetes with  Sitagliptin (Januvia)
Type 2 diabetes is a condition in which body does not make enough insulin, and the insulin that body produces does not work as well as it should. Body can also make too much sugar. When this happens, sugar [glucose] builds up in the blood. This can lead to serious medical problems.
Recent Approach For Type 2 Diabetes – Sitagliptin (Januvia)

*Sitagliptin (Januvia) helps to improve the level of insulin after a meal
*It decreases the amount of sugar made by the body
*It works when blood sugar is high, especially after a meal. This is when the body needs the greatest amount of help in lowering blood sugar. It also lowers blood sugar between meals.
 *It is unlikely to cause low sugar [Hypoglycemia] because it does not work when blood sugar is low 

Medical Treatment Can control Diabetes
Diabetes is a disease that require  dietary intervention along with medical treatment. Medications are only a part of the treatment/. What is also needed is a healthy lifestyle behavior that will allow the medication to work more effectivel. This comes with a healthy, well balanced diet as well as a regular exercise routine.
Insulin Cures Diabetes-Insulin is a medicine that helps to keep the levels of blood glcose in the near normal range. 

The primary goal in the treatment of diabetic foot ulcers is to obtain wound closure as expeditiously as possible. The resolution of foot ulcers and decreasing the rate of recurrence can lower the probability of lower extremity amputation in patients with diabetes. Orthotics are custom made devices which serve to correct misalignments and relieve pressures in the foot.


*Allergic reaction
*Upper respiratory infection
*Stuffy nose and sore throat
Disclaimer: All opinions and Information published here is for medical education only. It is not intended as and does not substitute for medical advice. If you are a patient, please see your doctor for evaluation of your individual case. Under no circumstances will the authors be liable to you for any direct or indirect damages arising in connection with use of this website


MV Hospital collaborating with WHO 
MV hospital for Diabetes has launched a manual on prevention of childhood obesity and diabetes, first of its kind to spread awareness in the country about these issues. In future also MV hospital will be driving several such big-canvas initiatives that impact childrens lives powerfully and meaningfully.
A Brief on the Manual on Prevention of Childhood Obesity : 
The Manual includes information relating to the prevalence of diabetes in India, Metabolic Syndrome, Obesity-causes and growth charts and deals with methods to diagnose overweight and obesity among children and the means of preventing them. It will be distributed to schools all over India. It will also be translated into Tamil and supplied to all government schools
Good news for patients with Diabetic neuropathy..
The anti oxidant - Lipoic acid has shown promising results in treating Diabetic neuropathy in a trial conducted in Israel, Russia and Germany. Symptoms like stabbing pain, burning pain, paresthesia and numbness diminished in the group taking supplements of - Lipoic acid when compared to the placebo. Maximum reduction achieved was 62% and this was dose related. But the only disadvantage is that higher doses of - Lipoic acid were associated with nausea.


• Stop smoking
• Eat healthy food
• Maintain a healthy body weight
• Exercise regularly
• Limit salt intake in the diet


Controlling diabetes is an art. If you want to be an expert follow
the 10 tips mentioned here.
Monitor blood sugars level regularly.                                     
Take your diabetic medication at the correct time.
Read food labels.
Eat at regular times.
Learn the carbohydrate count of foods.
Select the right food items when eating outside your home.
Exercise daily. (30 – 60 minutes).
Examine your feet regularly.
Don’t forget about your heart. (increase exercise and decrease saturated fats).
Know your A1c Haemoglobin value (sugar control for the past three months).
Report to your doctor regularly.

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