Introduction

Non-communicable diseases (NCDs) are responsible for 70% of deaths worldwide. Diabetes mellitus (DM) is one of the most important NCDs. DM is a metabolic disorder that influences people and society in different aspects; physically, socially, psychologically and economically. DM has many modifiable risk factors associated with the individual’s lifestyle pattern. The prevalence of diabetes is high in the world and International Diabetes Federation (IFD) has predicted 642 million by 2040 suffer from DM.

The estimates in 2019 showed that 77 million individuals had diabetes in India, which is expected to rise to over 134 million by 2045. Approximately 57% of these individuals remain undiagnosed.

The high prevalence and incidence of Diabetes in India, is a rational and necessary reason of comprehensive diabetes clinic establishment, “Mithaas - The Complete Diabetes Care Clinic” has established as a Comprehensive Diabetes Clinic in 2014 and developed during 10 years.

Are you at risk

There is a group of people whose blood glucose levels do not meet the criteria for diabetes, but at the same time the glucose levels are not normal too.

These persons have been defined based on Fasting or Postprandial (2 hrs post 75gm OGTT) Blood Glucose Values,

• Fasting Blood Glucose levels 100–125mg/dL [5.6–6.9 mmol/L] - Impaired Fasting Glucose (IFG) or
• 2-h Post Prandial Blood Glucose values of 140–199 mg/dL [7.8–11.0 mmol/L] - Impaired Glucose Tolerance (IGT).
• HbA1c between 5.7% - 6.4%

Prediabetes:

• A person would be labeled as “Prediabetic”, if he/she has IFG at 110 mg/dL (6.1mmol/L) & HbA1c between 5.7% - 6.4%
• “Prediabetes” is the term used for individuals with IFG and/or IGT,

Interpretations of being Prediabetic:

• indicates the relatively high risk for the future development of diabetes
• are to be considered as risk factors for diabetes & cardiovascular disease (CVD).
• are associated with obesity, dyslipidemia with high triglycerides and/or low HDL cholesterol, and hypertension.

Criteria for testing for diabetes in adult individuals who do not have any complaints,

Testing for Diabetes should be considered in all adults, who are

• Overweight (BMI ≥25 kg/m2*) and have
• Additional risk factors:
  • physical inactivity
  • family history of diabetes (especially in first-degree relative)
  • women who delivered a baby weighing ≥ 9 lb (≥ 4kg) or
  • women who were diagnosed with GDM 9Gestational diabetes)
  • hypertension (blood pressure ≥ 140/90 mmHg or on those who are taking treatment for hypertension)
  • HDL cholesterol level ≤ 35 mg/dL (0.90 mmol/L) and/or a triglyceride level ≥ 250 mg/dL (2.82 mmol/L)
  • women with polycystic ovarian syndrome
  • A1C ≥ 5.7%, IGT, or IFG on previous testing
  • history of Cardiovascular Disorders (Heart Diseases)

In the absence of the above criteria, testing for diabetes should begin at age 45 years

If results are normal, testing should be repeated at least at 3-year intervals, with

• consideration of more frequent testing depending on initial results (e.g., those with
• prediabetes should be tested yearly and risk status.

At Mithaas –

We Serve

• All Diabetic patients
• Diabetic Emergencies (Diabetic Ketoacidosis, Hyperosmolar NonKetotic Coma & Hypoglycemia)
• Associated co-morbidities such as Hypertension, Dyslipidemia, Obesity, Thyroid Disorders. Effectively using Medical Nutrition Therapy (MNT) in the management of all types of Diabetic Patients.
• Diabetic complications
  • Diabetic Foot ulcers/ infections
  • Diabetic Nephropathy
  • Diabetic Neuropathy,
  • Coronary Artery Disease in Diabetics

We Strongly Pratice

• Lifestyle modification & interventions as a part of “Chronic Disease Management” especially while addressing cases like DM/HT/Dyslipidemia, Obesity Hypothyroidism etc
• Using Medical Nutrition Therapy (MNT) in the management of all types of Diabetic Patients