Why screening is important in diabetes care?

Dr Pradeep Gadge, a Diabetologist at Gadge Diabetes Centre, shares why diabetes screening is necessary and why one should not ignore its results. He adds how screening can help prevent other complications of diabetes

Happy New Year: Thank You, Doctor! TB survivor pens an emotional letter for the doctors (( Aarti Jadhav Wish you a very happy New Year...Doctor On the new years eve on Monday, December 31, the doctors from Mumbai's civic-run TB hospital received a very pleasant and sweet surprise. A surprise which they will never forget in their lifetime. Ansika Vishwakarma, 11-year-old TB survivor had walked in Mumbai's Swree TB hospital to wish Happy New Year to the doctors who had saved her life. Anshika was diagnosed with TB and was treated at Mumbai's Swree TB hospital. While speaking to My Medical Mantra Ansika Vishwakarma said, "The very first day when i had landed in the hospital, it was a very difficult period of my life. I had lost the hope that i will survive. But, the doctors gave me hope and a new lease of life. Whatever I am today, it is because of the doctors." Not only the 11-year-old kid wished happy new year to the doctors but also handed over a card which she has prepared herself. In this card, Anshika has penned down the ordeal she has faced, and an emotional message for the doctors. In this card, Anshika has expressed her love and gratitude toward the doctors who took utmost care of her when she needed the most. While speaking to My Medical Mantra Dr Amar Pawar, Chief Medical officer said, "I still remember the day when Anshika had landed at the hospital for the first time. Her condition was very bad. She has pus and air in her lungs, and the surgery was the only option. But, she was weighing only 21 Kilograms. So, we decided to monitor her diet for two months. She gained weight and then we performed surgery on her." "There are thousands of patients who seek treatment in the TB hospital. But a very few come and visit us to pay their gratitude and respect. I will never forget this little girl, who fought bravely, " said Dr Pawar. Suman Vishwakarma Anshik's mother said, "We had lost all our hope that my daughter will not survive. But the doctors gave us hope and courage to fight. My daughter is alive only because of the doctors."
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Diabetes is one of the most prevalent chronic diseases affecting the healthcare system today, and it is necessary to increase emphasis on disease prevention and screening. As early detection of pre-diabetes or diabetes can be of great benefit to patients. An estimate of one-third of people with diabetes is unaware of their condition.

The main symptom of diabetes is ‘No Symptom’ and patients can have diabetes without knowing. The earlier that you diagnose diabetes, the better chance you have to decrease the risk of developing diabetes complications, treating it appropriately, and helping the person stay healthy.

The importance of identifying diabetes and pre-diabetes is related to the risk of developing complications from elevated blood glucose levels. Since patients can develop complications of diabetes before diagnosis, early detection and intervention can be of great benefit.

Dr Pradeep Gadge, diabetologist
Dr Pradeep Gadge, diabetologist

The risk of progression from pre-diabetes to type-2 diabetes is quite high, especially if left untreated. When detected early, the patient may not only delay but even prevent progression to diabetes.

Since overweight and obesity are on the rise in children, it is necessary to screen children, who have a strong family history of diabetes and are more addicted to junk food, colas.

Today’s generation is very much tech savvy, and they are stuck with their smartphone/ tabs, and that reduces physical activity that makes them more prone to diabetes in early age.

Diabetes can affect every part of the body, from eyes to feet. A critical part of managing diabetes is getting routine tests and check-ups that can spot problems to help prevent complications.

Diabetes makes you more likely to have high blood pressure, which can put you at increased risk for stroke and heart attack. It is recommended to check your blood pressure every time you see your doctor.

As because having diabetes increases the risk of heart disease, it’s crucial to have a blood test to check your cholesterol as part of your annual exam or more frequently if your cholesterol levels are high.

Diabetes screening recommendations

The most common ways of screening are the haemoglobin A1c test (HbA1c) fasting and postprandial glucose test. HbA1c, not only provides information to diagnose prediabetes or diabetes, but it also gives a snapshot of blood sugar levels over the last three month period.

American Diabetic Association (ADA) recommends testing for diabetes and pre-diabetes among all individuals of over the age of 45 years, among adults with BMI ≥25 kg/m2, and those who have additional risk factors, including a first-degree relative with diabetes, and having a history of gestational diabetes, polycystic ovary syndrome, or one of several clinical risk factors such as hypertension, HDL <35 mg/dl, triglycerides >250 mg/dl, HbA1C ≥5.7%, IGT, IFG, or cardiovascular disease. Screening should be repeated in every three years if the results are normal.

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