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 new state-of-the-art department of endocrinology and metabolism has been established in this hospital which was inaugurated on 2nd March, 2000 by Dr. S.K. Sama, Chairman, Board of Management, Sir Ganga Ram Hospital.
The department is soon going to launch Diabetes Prevention Programme .
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 :
Facilities for ambulatory insulin infusion shall be available very soon.
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 is the commonest cause of blindness in working age group.
Diabetic retinopathy(Leading to blindness)
it is also the commonest cause of Kidney failure.
Heart Attacks are three times and Paralysis/Strokes are 3 to 5 times more common among diabetics.
Complication of Heart (Leading to heart attack)
LEGS & FEET
The incidence of Amputations exp. of legs and feet is 17 times more common in diabetics.
Sexual problems are much more common in male diabetics.
Paralysis / stroke
Pain / Burning sensation over palms, soles & legs
Diabetes is a symptom free disease at onset. It usually takes 5-10 years before it is diagnosed. It is preceded by a prediabetic 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/dealy diabetes and its complications.
|SELF ASSESSMENT FOR DIABETES|
|01.||Is there any family history of diabetes ?||Yes|
|02.||Are you over weight ?||Yes|
|03.||Are you over 40 years of age ?||Yes|
|04.||Is your job sedentary ?||Yes|
|05.||Is your waist hip ratio more than one ?||Yes|
|06.||Did you have diabetes during pregnancy ?||Yes|
|07.||Do you suffer form high Blood Pressure ?||Yes|
|08.||Do you have high cholesterol levels ?||Yes|
|09.||Were you under/ over weight at birth ?||Yes|
|10.||Does your blood sugar go up during stress ?||Yes|
Thyroid diseases are common especially in women. These are :
If you are having any two of the above you may be suffering from Hypothyroidism
Enlargement of Thyroid Gland is called Goitre. It may be due to Cancer, or other diseases of Thyroid.
Obesity is the mother of all diseases. It is a preventable and treatable condition. The Complications of obesity are as follows :
Male sexual problems
Common male sexual problems are:
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.
Normal & Osteoporotic Bone
|SELF ASSESSMENT FOR DIABETES|
|01.||Is there any family history of frequent fractures ?||Yes|
|02.||Are you a post menopausal woman ?||Yes|
|03.||Are you taking eltroxin/ steroids?||Yes|
|04.||Is your physical activity less than normal ?||Yes|
|05.||Is your diet low in milk products ?||Yes|
|06.||Are you suffering from Arthritis/Asthma ?||Yes|
|07.||Do you smoke or consume Alcohol in excess ?||Yes|
|08.||Are you under weight ?||Yes|
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.