Endocrinology & Diabetology

Endocrinology is an emerging specialty of medicine. It deals with various hormone disorders. These disorders are the commonest among non – communicable diseases, yet the awareness about them is low in general population. To create public awareness and provide comprehensive treatment about various endocrine and metabolic diseases, a state-of-the-art department of endocrinology and metabolism has been established in this hospital.

  • Diabetes and Obesity Clinic
  • Thyroid Clinic
  • Bone Health clinic (Osteoporosis)
  • Growth clinic
  • Andrology Clinic (Impotence, Infertility and Hirsutism)
  • Endocrinology Clinic

Facilities available:

  • Round the clock endocrine services
  • General OPD on Monday to Saturday from 06:00 to 08:00 PM
  • Daily Private OPD on call basis on prior appointment.

Diabetes:

The numbers of diabetics in the world is very rapidly increasing esp. in India, where there are about 40 million diabetics. The number of diabetics in metro-cities (e.g Delhi) has been reported to be as high as 16%, thus reaching epidemic proportions. Diabetes mellitus is the commonest metabolic disorder in the world. The prevalence of diabetes in highest among Asians especially Indians Due to rapid urbanization, cultural changes and changing socio-economic status the incidence of diabetes in metro cities is now reported to be as high as 16% reaching epidemic proportions.

Diabetes is the commonest cause of blindness, kidney failure, heart attacks and gangrene of limbs. This department is especially equipped to provide state-of-the-art management for diabetes. The department is equipped with an independent diabetes laboratory with latest equipment including mini vascular lab, for on the spot assessment of all complications of diabetes. The available spot investigative facilities are:

  • HbA1c
  • Urinary micro-albuminuria
  • Total cholesterol and triglycerides
  • Body composition analysis
  • Assessment of autonomic neuropathy
  • Peripheral vascular studies

The basic aim of diabetes management is to improve quality of life and prevent/delay complications as for as possible. The department is striving hard in this direction. The department interacts very closely with the other departments like – Gynae. &Obst. , Orthopaedics, Neurosurgery, Vascular Surgery, Ophthalmology, Cardiology, Nephrology etc. in order to provide comprehensive endocrine management.

DIABETES

Diabetes is a symptom free disease at onset. It usually takes 5-10 years before it is diagnosed. It is preceded by a pre-diabetic stage which is called Impaired Glucose Tolerance (IGT) which also last for 5-10 years before progressing to frank diabetes. It is during this pre-diabetic stage (IGT) that long term complications of diabetes start appearing. Hence, it is important to identify the high risk group at earliest and start treatment to prevent/delay diabetes and its complications.

Thyroid

Thyroid diseases are common especially in women. These are:

Hypothyroidism

  • Swelling of body
  • Weight Gain
  • Lethargy
  • Weakness
  • Cold Intolerance
  • Excessive Hair Fall
  • Poor Memory
  • Low Sexual Desire
  • Joint /Body Pains
  • Menstrual Irregularity
  • Dry Skin
  • Chronic constipation
  • Depression

If you are having any two of the above you may be suffering from Hypothyroidism

Thyrotoxicosis

  • Weight Loss
  • Marked Weakness
  • Heat Intolerance
  • Prominent Eyes
  • Excessive Sweating
  • Nervousness
  • Tremors of Hands/Body
  • Palpitation

Goiter

Enlargement of Thyroid Gland is called Goiter. It may be due to Cancer, or other diseases of Thyroid.

Obesity

Obesity is the mother of all diseases. It is a preventable and treatable condition. The Complications of obesity are as follows :

  • Depression
  • Disturbed/Excessive sleep
  • Stroke
  • Breathlessness
  • High Cholesterol/Blood Pressure
  • Heart Attack
  • Diabetes
  • Gall Stone
  • Cancer
  • Impotence/Infertility
  • Arthritis
  • More prone to Accidents

Male sexual problems

Common male sexual problems are:

  • Impotence
  • Infertility
  • Male Breast Enlargement
  • Micro-penis in Children

Female sexual problems

  • Abnormal Hair-Growth on face and other parts of the body.
  • Infertility
  • Menstrual Problems
  • Menopause Problems
  • Abnormal Milk Discharge from Breast

Osteoporosis

It is a disease where there is thinning/ weakening of the bones and it leads to fracture with minimum trauma. Even forceful cough can produce fracture in severe osteoporosis. It is the fracture of the hip and vertebrae which immobilizes the patient and is most dreaded. Osteoporosis is a preventable and treatable condition. Majority of the patients remain unrecognized and undiagnosed till fracture develops. It is more common in females esp. after the age of 40-45 yrs.

Other Hormone Diseases

Height & Growth Problem

Height of a child is controlled by Growth hormone (GH). Deficiency of this hormone can lead to short stature and if diagnosed and treated in time normal height of the child can be restored.

Disorders of Puberty

Pubertal period is a phase during which child develops secondary sexual characters and transforms to become an adult. Pubertal development problems can lead to either delayed or early onset of puberty.

(Care And Control)

Keeping pace with the present demand of diabetes care in India, which has been declared the diabetic capital of the world, our mission is to become a one stop centre of excellence in providing diabetes care of international standard. Besides management of diabetic patients, our aim is to ensure quality of life through the following means

•    Screening at proper time interval for prevention of complications
•    Diet education
•    Podiatry Clinic (foot care)
•    Dedicated Gestational Diabetes Clinic
•    Comprehensive assessment, nursing, education and counseling