Dr Smita Agrawal
About Me
Dr Smita Agrawal
MBBS
Diabetologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
DIABETIC RETINOPATHY SCREENING AND PREVENTION
This condition affects the eyes due to prolonged high blood sugar causing damage to retinal vessels. Early detection through screening saves vision long term.
- Risk Factors: Include duration of diabetes, poor glycemic control, hypertension.
- Screening Methods: Annual dilated eye exams using fundus photography help detect retinal changes before symptoms arise.
- Management: Strict control over blood sugar levels alongside managing blood pressure slows progression.
- Treatment Options: Laser therapy or injections may be necessary at advanced stages to preserve eyesight.
- The Importance of Regular Follow-Ups: Timely ophthalmologic evaluations help track disease course ensuring prompt intervention when needed.
INSULIN THERAPY OPTIMIZATION
This treatment approach involves carefully tailoring insulin administration to manage blood sugar effectively in people who require it beyond oral medications or lifestyle changes alone.
LIFESTYLE MODIFICATION FOR PREDIABETES
An elevated blood glucose level not yet meeting diabetes criteria is termed prediabetes. Interventions at this stage are crucial for prevention of progression to full diabetes.
- Causal Factors & Warning Signs: Risk factors include overweight status, family history of diabetes; often no obvious symptoms but laboratory tests reveal impaired glucose tolerance or fasting hyperglycemia.
- Evidenced-Based Prevention: Emphasis on dietary changes reducing refined sugars and saturated fats while increasing fiber intake enhances insulin sensitivity.
- The Role of Physical Activity: Regular moderate exercise such as walking or cycling improves metabolic health significantly.
- Lifestyle Counseling: Structured programs involving behavioral support increase adherence and long-term success in risk reduction.
DIABETIC NEUROPATHY MANAGEMENT
Nerve damage due to high blood sugar levels is a common complication known as diabetic neuropathy. Addressing it early helps alleviate symptoms and prevent progression.
- Main Causes & Symptoms: Persistently elevated glucose damages nerves leading to numbness, tingling, burning sensations often in feet or hands.
- Diagnostic Methods: Clinical examination complemented by nerve conduction studies may be used to assess severity.
- Treatment Options: Tight glycemic control combined with medications to manage pain such as anticonvulsants or antidepressants; physical therapy may also assist symptom relief.
- Lifestyle Impact: Foot care education is essential to prevent injuries due to reduced sensation; quitting smoking improves nerve health outcomes.
A comprehensive plan targeting blood sugar normalization and symptomatic relief aids in maintaining nerve function and patient comfort over time.
GESTATIONAL DIABETES CARE
Gestational diabetes occurs during pregnancy when blood sugar levels become elevated. Proper care ensures safety for both mother and baby.
- Causative Factors & Detection: Hormonal changes during pregnancy reduce insulin effectiveness; screening usually done between 24-28 weeks gestation via glucose tolerance test.
- Symptoms: Often mild or absent but can include excessive thirst and fatigue.
- Treatment Strategies: Focus on dietary adjustments tailored for pregnancy needs, physical activity as advised by healthcare providers, and medication if lifestyle changes aren’t sufficient.
- Monitoring: Regular self-monitoring of blood glucose to maintain target levels recommended by healthcare professionals.
- Outcome Expectations: Most women deliver healthy babies with proper management; post-delivery glucose testing is important to ensure resolution.
Caring for gestational diabetes prioritizes maternal and fetal health through careful monitoring and individualized interventions during pregnancy.
TYPE 2 DIABETES MANAGEMENT
Type 2 diabetes is a chronic condition characterized by the body's ineffective use of insulin. Managing this condition can greatly improve quality of life and reduce risks of complications.
- Causes & Symptoms: Often linked to genetic factors, obesity, and sedentary lifestyle; symptoms include increased thirst, frequent urination, fatigue, and blurred vision.
- Diagnosis: Confirmed with blood tests such as fasting blood glucose or HbA1c levels.
- Treatment Approaches: Lifestyle modification emphasizing balanced diet and regular exercise, oral medications, and when necessary, insulin therapy.
- Ongoing Management: Requires consistent monitoring of blood sugar levels and regular check-ups to adjust treatment.
- Prognosis: With diligent care, patients can achieve good glycemic control and minimize risks of heart disease, kidney problems, or neuropathy.
A proactive approach focusing on healthy habits alongside medical treatment is key in controlling Type 2 diabetes effectively over the long term.