Diabetes and Heart Disease

People with diabetes have an elevated risk of heart disease, which develops at a much earlier age, and are two to four times more likely to succumb to heart disease as compared to those who are non-diabetic. But through diet, exercise and lifestyle changes, it is possible to maintain a healthy heart.

Did you know, that nearly two-thirds of people with Diabetes also have high blood pressure?

The silver lining is that once you know the link between diabetes and heart disease, you can take the necessary steps to keep both conditions at a very manageable level. (more…)

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Keep Your Kidneys Healthy

  1. What is diabetic nephrology and other complications?

Diabetic Nephropathy is a complication that occurs in diabetic patients which leads to permanent damage of blood vessels and cells of the kidney. This can occur for both Type 1 and Type 2 Diabetes mellitus. Upto 40 % of diabetic individuals can develop diabetic nephropathy. Diabetic nephropathy progress in stages 1 to 5. When the individual reaches stage 5 then he has to undergo renal replacement therapy (Dialysis or transplantation). The usual complications that occur with nephropathy include swelling in the feet, eyes and face. Persistent itching over the body, disturbed sleep, reduced urine volume, lack of appetite with vomiting suggest retention of toxic chemicals in the body due to kidney damage.  (more…)

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The Management of Coronary Artery Disease (CAD)

Coronary Artery Disease (CAD), where your arteries harden, blood flow is disrupted, and heart muscles weaken, is a concerning, potentially fatal disease. That’s why it doesn’t come as a surprise that doctors are regularly asked if it is possible to cure CAD. The answer you’ll get from most cardiologists in Dubai confirms that heart conditions can’t be cured per se, much like diabetes, or hypertension. They can, however, be managed and controlled.

CAD is a condition that can be effectively managed with the help of lifestyle changes and by minimizing risk factors. Dean Ornish, Founder, President, and MD, Preventive Medicine Research Institute, has written a book in which he elaborates on the patients with CAD who were in line for a heart transplant but who enrolled in the Ornish program and were able to reverse the damage to their heart to a great extent. What does that tell you? It’s evidence that the risk factors for coronary conditions are modifiable. For instance, you can control diabetes, keep your cholesterol under the threshold, and it’ll help prevent the heart condition from worsening.

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At the Heart of Diabetes

Diabetes mellitus is a chronic condition that can lead to complications over time. These complications can include:

  • Coronary heart diseases  or Cardiovascular disease which can lead to a heart attack
  • Cerebrovascular diseases which can lead to a stroke
  • Retinoplasty (disease of the eye) which can lead to blindness
  • Nephropathy (disease of the kidney) which can lead to kidney failure and the need for dialysis
  • Neuropathy (disease of the nerves) which can lead to, among other things, ulceration of the foot requiring amputation.

Many of these complications produce no symptoms in the early stages, and most can be prevented or minimized with a combination of regular medical care and blood sugar monitoring.

Heart diseases, particularly coronary heart diseases (CHD) are a major cause of morbidity and mortality among patients with diabetes mellitus. At least 68% of people aged 65 or older with diabetes die from some form of heart disease and 16% of people die of stroke. Compared to individuals without diabetes, those with diabetes have a higher prevalence of coronary heart disease (CHD), a greater extent of coronary ischemia, and are more likely to have a Heart Attack (MI) and silent heart attack.

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Diabetes effects in UAE

The effect of Diabetes in the UAE

November is designated as the official Diabetes Awareness Month, and Specialist Physician Dr. George Cherian sat down with the reporters of Friday Magazine to give his insights on the condition and the effects of Diabetes in the UAE. Here are the excerpts from the published interview.

Diabetes in 2017;  how is it affecting people here in the UAE, any statistics/numbers that you can share? 

The International Diabetes Federation states that 415 million people globally have diabetes. As per research conducted by the International Diabetes Federation, 19.3% of the population in UAE are living with Diabetes.

Diabetes is extremely common these days. Earlier it was seen in people above the age of 50. These days there are innumerable cases of youngsters who have diabetes. There are two common types of diabetes, namely Type 1 and Type 2 diabetes. Type 2 diabetes is much more common than Type 1 and typically develops in adults, although now children as young as 13 years of age develop the condition. The increase in type 2 diabetes appears to be driven by genetics and unhealthy lifestyle conditions. Genetic factors are out of individual control, however, lifestyle factors like healthy dietary practices and maintaining a healthy weight are factors that can be controlled and managed at an individual level.

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