ADA Diagnosis Criteria:
A1C ≥ 6.5%
Fasting glucose ≥ 126 mg/dL
2-hour OGTT ≥ 200 mg/dL
Random glucose ≥ 200 mg/dL with symptoms
ADA Blood Sugar Targets:
Before meals: 80–130 mg/dL
A1C goal: Less than 7%
ADA Nutrition Recommendations:
Eat: Non-starchy veggies, whole fruits, legumes, lean proteins, whole grains, nuts, seeds
Limit: Red meat, sugary drinks, sweets, refined grains, processed foods
Dr. Rahul Rahul offers expert care for Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), previously known as NAFLD. By addressing key metabolic issues such as diabetes, obesity, and insulin resistance, he helps patients reduce liver fat buildup and improve overall liver health through personalized treatment plans.
The 2024 ESC Hypertension Guidelines focus on early detection, personalized treatment plans, and lifestyle changes to manage blood pressure effectively. Dr. Rahul Singh integrates these recommendations into his diabetes care, highlighting the importance of controlling hypertension as a key diabetes complication.
The guidelines classify blood pressure levels, recommend a general target of <140/90 mmHg, and suggest <130/80 mmHg for diabetics and high-risk individuals if tolerable. Preferred treatments include ACE inhibitors, ARBs, calcium channel blockers, and diuretics, often in combination. Lifestyle advice emphasizes reducing salt, exercising regularly, maintaining a healthy weight, and avoiding alcohol, smoking, and stress.
Women with hypothyroidism planning pregnancy should monitor TSH closely and may need higher levothyroxine doses. After thyroid surgery, lifelong hormone therapy is required, with new dosing methods under study. Surgery for hyperthyroidism may still be safe even if thyroid levels aren't fully normal. AI is improving thyroid nodule diagnosis, and thermal ablation offers a less invasive option for recurrent thyroid cancer. New FT4 test methods may show unusual results in patients on levothyroxine, requiring careful interpretation.
Between 2018 and 2024, the European Thyroid Association released important guidelines on thyroid disorders including thyroid nodules, Graves' disease, thyroid cancer, pediatric thyroid conditions, thyroid eye disease, hormone transport disorders, and the use of imaging and minimally invasive treatments. These clinical recommendations support accurate diagnosis, safe treatment, and improved patient outcomes across a wide range of thyroid-related conditions.
Clinic Name: Ramuna Clinic
=> Type: Consultant Physician Clinic
=> Location: Andheri East, Mumbai
=> Consultant Physician: Dr. Rahul R Singh
Clinic Timings:
Monday to Saturday:
=> 12:00 PM to 2:00 PM
=> 7:00 PM to 9:30 PM
Services Provided:
=> Diabetes Screening and Diagnosis
=> Diabetes Management
=> Diet and Lifestyle Counseling
=> Diabetic Foot Care
=> Gestational Diabetes Management
Type 2 diabetes may increase the risk of dementia, including Alzheimer’s disease, likely due to the effect of high blood sugar on the brain.
Diabetes increases the risk of heart disease, heart attacks, stroke, and high blood pressure. It can also lead to atherosclerosis (narrowing of the arteries).
Depression & Anxiety in Diabetes Living with diabetes can lead to stress, anxiety, and depression due to constant health concerns. Poor sugar control can worsen mood, and mental health issues can affect diabetes management. Mind and body care are both important.
Poor circulation and nerve damage increase the risk of foot ulcers and infections. In severe cases, untreated infections can lead to gangrene and the need for amputation.
Diabetes can damage the kidneys' filtering system, leading to chronic kidney disease and, in severe cases, kidney failure. This may require dialysis or a kidney transplant. Diabetes can damage kidneys, leading to high blood pressure, which in turn worsens kidney problems.
High blood sugar can damage nerves, especially in the legs and feet. This can lead to pain, tingling, numbness, and an increased risk of infections and injuries, as wounds may heal more slowly. Stroke in Diabetes Diabetes increases stroke risk due to high blood sugar damaging blood vessels. Symptoms include face drooping, arm weakness, and slurred speech. Control sugar, pressure, and cholesterol to prevent it.
Diabetic retinopathy can cause vision problems and even blindness due to damage to the blood vessels in the retina. People with diabetes are also at higher risk for cataracts and glaucoma.
Sexual Dysfunction in Diabetes High blood sugar can damage nerves and blood vessels, leading to sexual problems like erectile dysfunction in men and low libido or dryness in women. Good sugar control helps prevent it.
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