Berhampur;The prevalence of Diabetes is increasing across the globe and in India. Currently India houses approximately 7.5 crore diabetics. Compared to western countries, Indians get affected by Diabetes a decade earlier. That leads to higher occurrence of other complications like heart and kidney disorders. Diabetes is one among the main causes of kidney problems. The small vessels in kidney get affected. Therefore it cannot clean the blood and waste materials get deposited in excess amount. Water and salt get accumulated in body giving rise to weight gain and ankle swelling at the early stages. Additionally the small urinary tubules too get damaged leading to leakage of protein and increased urinary excretion of protein. This further adds upto swelling of body. Presence of comorbid conditions like hypertension, obesity and cholesterol problems further plays a damaging role in kidney.
One of the earliest manifestations of kidney disorders include increased urinary excretion of albumin. Therefore annually once urine albumin test is mandated in diabetic patients. There is increased urination at night along with increase in blood pressure. Further damage to kidney leads to elevation of Blood Urea Nitrogen (BUN) and creatinine in blood. The symptoms include nausea, vomiting, headache, loss of appetite, weakness, lethargy, muscle cramps, poor sleep and concentration, frequent episodes of hypoglycaemia (low blood sugar) and reduction in requirement of antidiabetic drugs. In end stage kidney disease, itchinee, dry skin and drowsiness are seen. In case of appearance of any of the symptoms, prompt consultation with doctor is advised.
Prevention is better than cure. Therefore all the diabetic patients should test their blood and urine at least once every year. The early markers for kidney dysfunction include Glomerular Filtration Rate (GFR) and Urine for Micral. After diagnosis of kidney ailment, some more tests are done to rule out other causes of kidney disorders. Kidney biopsy is one such test where a tag of kidney tissue is taken out by a fine needle and studied under microscope. Ultrasound of abdomen along with DTPA and DMSA scans are done sometimes to know the structural and functional abnormality of kidneys.
In order to let the kidney work efficiently over a long term in Diabetic patients, some steps are required
Weight reduction followed by achievement of normal weight and its maintenance by diet restriction and regular exercise.
Proper control of blood sugar with maintenance of fasting blood sugar below 120 mg/dl, post prandial blood sugar less than 160 mg/dl and HbA1C (Marker of 3 months blood sugar) below 7%. Certain antidiabetic drugs which have a propensity of causing hypoglycaemia (low blood sugar) are better avoided. Newer antidiabetic drugs like Gliptins and Gliflozins offer kidney protective effects in addition to lowering blood glucose without any hypoglycaemia. In advanced kidney disease cases, Insulin is the only savior for the diabetic patients.
Adequate control of blood pressure (less than 130/80 mm Hg). ACE Inhibitors and ARBs are preferred class of drugs to reduce BP for their beneficial effects.
Control of blood cholesterol with Statin class of drugs;
Prompt treatment of any urinary tract infection.
Timely correction of any structural abnormality or extraction of stone in urinary tract.
Avoidance of usage of medicines harmful for kidney like pain killers, unsupervised usage of antibiotics)
Restricted use of protein, especially of non vegetarian origin.
Adequate fluid intake with avoidance of alcohol and smoking.
In end stage kidney disease, generally frequent dialysis is done to clean the blood. Ultimately kidney transplantation is the option for many patients. Everyone should be aware of the fact that, there is no cure of kidney problems. But proper treatment of underlying condition with normal blood sugar, pressure and cholesterol would certainly halt the progress to more advanced stages of kidney disease.
Dr Sunil Kumar Kota
MD (Medicine), DNB (Endocrinology)
Consultant Endocrinologist, Diabetes & Endocare Clinic,
Parlakhemundi,23/06/19:Busy schedule coupled with improper diet, lack of regular physical exercise, and mental stress arising out of profession has lead to quantum jump in lifestyle disorders in police personnel. These include increase in occurrence of metabolic disorders like Diabetes, Hypertension and cholesterol problems across the globe and India in general. Keeping this in view, Gajapati district police has today taken a noble initiative to educate and screen the police personnel for the said disorders. Dr Sunil Kumar Kota, Consultant Endocrinologist from Diabetes & Endocare Clinic, Berhampur and their volunteers have extended their helping hand for this.
In this regard, workshop followed by screening tests were conducted for staff of Gajapati district police under the guidance of Sarah Sharma, SP, Gajapati. Dr Sunil Kota explained to the staff about symptoms, complications, diagnosis, prevention and treatment of Diabetes, Hypertension, Thyroid and cholesterol problems. The interactive question and answer sessions were followed by testing for blood sugar, blood pressure, thyroid, nerve function, urine test for micral (indicator of kidney dysfunction). Around 180 police personnel got benefited from this program.
The meeting was attended by DSP Sri Prakash Chandra Jena, RI Sri Dambarudhara Hinaka. An education material on Diabetes, Hypertension and Thyroid disorder was distributed among the attendees. Lastly SP Gajapati, Sarah Sharma thanked Dr Sunil Kota for his responsible deed towards betterment of society.
Bhubaneswar,21/06/19:The Union Health and Family Welfare Ministry today approved an increase of 100 MBBS seats under Economically Weaker Sections (EWS) quota in several medical college and hospitals in Odisha.
Earlier, the Odisha government had decided to implement 10% EWS quota in medical institutions from this academic session.
Following the increase, the seat capacity at Pandit Raghunath Murmu Medical College and Hospital in Baripada will be 125, up from existing 100 seats. Similarly, the intake at Saheed Laxman Nayak Medical College and Hospital in Koraput has also gone up to 125 from 100 seats.
Fifty additional MBBS seats have been approved for Veer Surendra Sai Institute of Medical Sciences and Research. With this, the total intake of the college has gone up to 200 against existing 150 seats.
As SCB Medical College & Hospital, Cuttack and MKCG in Berhampur are already having 250 seats each; the intakes cannot be increased further as per Medical Council of India (MCI) norms, informed sources.
Rayagada(Jaykaypur)20/06/19:JK Paper Mills at JK Pur, Rayagada celebrated 86th Birth Day of Late Sri Harshankar Singhania. On this occasion, a mega BLOOD DONATION CAMP was organized in association with Red Cross Blood Bank, District Head Quarter Hospital, Rayagada at JK Medical Centre, Jaykaypur. Mr P K Suri, Executive Vice President (Works) lighting the lamp, paid homage to late Harishankar Singhania and inaugurated the camp. 125 units of blood were donated by the employees and their wards, Members of Satya Sai Seva Samiti, Jaykaypur and public of JK Pur. Dr. M N Maziz, Blood Bank Incharge & Sri Saroj Acharya from Rayagada Blood Bank attended.
This programme was organized by Welfare Dept, JKPM. Sri R K Das, Sr Manager (Welfare & Guest Relation), H H Khamari, Asst Manager (CSR) & Rabindra Kumar Bisoyee, Welfare Officer coordinated this programme.
Among others Sri Vinaya Dwivedi, Vice President (Mfg), Sri Sundeep Pandey, General Manager (HR & IR), Dr Padma Yeswant , Chief Manager (JK Medical Centre), Sri S K Nath, Sr.Manager (PR) were also present.
Kaliapani,,19/06/19: BIPF a Corporate Social Responsibility (CSR) wing ofIMFA organised a mobile health check-up camp at Gainsira Hamlet of Gurujang village ward no. 10. Gurujang village is adopted village of IMFA that comes under Kaliapani Grama Panchayat. Each month one mobile health check-up camp is being organised in Gurujang village. Total 49 patients vizilarly women, children, old people and other villagers were treated by Imfa in-house doctor Dr.Sabyasachi Mohapatra, paramedical staffs and free medicines distributed. The program was organised in presence of local youth leader Asish kumar. Jena, Naib Sarapanch Motilal Mohanta, Ward Member Shyam Sundar Mohanta and Gopal Behera. The Camp was attended by Ramesh Chandra Sahoo in-charge IT department of IMFA.
The entire camp was successfully organized by BIPF and Public Relation department of IMFA. The officials from IMFA Jagan Mohan Mallick, Sandeep Mishra, Ansuman Mohapatra and Deepak Mohanty, Purna Mahanta, Hemalata Mahanta from BIPF organized the successful functioning of the camp.
Patna,16/06/19: The death toll due to Acute Encephalitis Syndrome (AES) has risen to 80 in Muzaffarpur district in Bihar, latest reports said on Sunday.
The Union Health Minister Harsh Vardhan has reached Sri Krishna Medical College and Hospital in Muzaffarpur to take stock of the situation. The minister has reviewed public health measures to check the spread of AES.
He has assured that all measures are being taken to tackle the disease. The Centre was constantly monitoring the situation, the minister added.
Reports said doctors claimed that the deaths are caused due to the combined effect of AES and severe heat in the state.
Meanwhile, as many as 25 people have died due to severe heat wave in the state.
Bihar Chief Minister Nitish Kumar has announced Rs 4 lakh each to families of those who have died due to the disease.
Earlier, Bihar Health Minister Mangal Pandey said the authorities were doing the best to contain the spread of the disease.
Muzaffarpur,16/06/19:The encephalitis death toll has risen to 84 in Bihar on Sunday. The state continues to grapple with the deadly disease and heat wave condition.
With three more deaths from Muzaffarpur, the death toll in the district has gone up to 84.
Sunil Kumar Shahi, Superintendent at the government hospital Sri Krishna Medical College and Hospital (SKMCH), said three more deaths due to Encephalitis Syndrome in the hospital has increased the toll.
Doctors blamed the present heat wave condition to aggravate AES. Bihar is currently reeling under scorching heat that has claimed the lives of least 25 people.
The Union Health Minister Harsh Vardhan has arrived in the state capital on Sunday to review public health measures for containment and management of the AES.
Angul,14/06/19:On the occasion of World Blood Donors Day Jindal Steel and Power Ltd. (JSPL) in association with the Odisha Blood Bank, Angul organised a voluntary blood donation camp at its plant premises in Angul today. JSPL's officers and workers came forward to donate their blood generously. Total 43 units of blood were collected in the camp.
On this occasion, the Chairman of JSPL Mr. Naveen Jindal, also reached out to mass through various social networking sites and thanked the blood donors. He also requested others to donate blood generously.
"Volunteer blood donors are the silent supporters of humanity and I really appreciate them for their generous attitude. JSPL always encourages such kind of social activities and volunteer blood donation is a part of corporate culture at JSPL, said the Chief Operating Officer of JSPL Mr. Pankaj Gautam.
District Blood Bank Officer Dr. Biswajeet Samal, has also appreciated the efforts of JSPL and said “Safe blood is an important factor in saving precious lives. Collection of these 43 blood units, especially in summer, would be very helpful to save several lives”.
Apart from this occasion, JSPL also organizes two more volunteer blood donation camps at its premises every year to contribute to the blood requirement of Angul District Blood bank. So far JSPL has provided more than 1000 blood units by organizing such camps at regular interval.
Dr. Krushna Prasad Behera, Chief Medical Officer of JSPL and Mrs. Puspalata Satapathy, GM-CSR and other departmental heads actively participated with their respective team to maximize the number of volunteer blood donors to cater the blood requirement in this scorching summer.