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Diabetes Clinic Bangkok Thailand

Diabetes Clinic : Treatments for Diabetes Type 1, Diabetes Type 2

The Diabetes Clinic at Vejthani Hospital Bangkok Thailand provides a full range of diagnostic, therapeutic and educational services for patients with diabetes and diseases.

The Diabetes Clinic at Vejthani Hospital Bangkok Thailand was established in June 2006. The Diabetes Clinic was set up to meet the growing need of patients with diabetes and diseases. The Dibate Clinic provides a full range of diagnostic, therapeutic and educational services for patients with aforementioned diseases. Headed by prominent endocrinologist, Dr. Thawatchai Pasurakul.

Diabetes Clinic : Facilities

- Examination rooms for private consultation and physical exam
- Comprehensive approach to the diagnosis
- Provide Imaging and Laboratory Facilities to prevent diseases complication
- Thyroidectomy

Diabetes Clinic : Services

Diabetes Clinic

- The Diabetes Clinic brings together of diabetes specialists, diabetes educators and registered dieticians for consultation, diagnosis, prevention and treatment of diabetes and conditions related to diabetic .

Diabetes Clinic : Educational classes

- The community where is the group of patients have met and got new learning about the disease.

Diabetes Clinic : SERVICE HOURS

Monday - Sunday : 07.00 am -04.00 pm

Diabetes Clinic : Location

Vejthani Hospital’s Endocrine Center 3rd Floor

Symptoms of Diabetes & Diseases

According to the American Diabetes Association, the United States is home to over 20 million children and adults with diabetes. They estimate that about a third of them are unaware that they even have the disease. That's over 6 million undiagnosed cases of diabetes.

The trouble with diagnosing diabetes is that the symptoms often begin gradually. People with type 2 diabetes average four to seven years before they are diagnosed. Sometimes a doctor can make a diagnosis based on complications from diabetes rather than the diabetes symptoms themselves. For example, vision changes, sores that won’t heal, heart disease and numbness in the feet and legs often prompt a doctor to suspect diabetes.

Diabetes is a condition where insulin is not produced (or insulin is not recognized by the cells) and the body is unable to break down the glucose in the blood properly. The body’s response to excess glucose in the blood is to get rid of it through urination. Frequent urination with large volumes of urine is one of the classic Symptoms of Diabetes & Diseases along with excessive thirst, hunger and weight loss. Despite an increased intake of water, dehydration can also occur.

When excess glucose builds up in the blood, the cells can become starved for energy because instead of the glucose traveling to the cells, they remain in the blood. Starving cells translates into a fatigued body as well as a hungry body.

Despite an increased appetite, weight loss occurs because the cells are not receiving the nutrition they require and the glucose, along with its calories, is being washed away with the urine rather than being absorbed by the body.

Other signs of diabetes can include blurry vision, dry mouth, dry or itchy skin, male impotence, vaginal yeast infections, unexplained aches and pains, urinary tract infections, sores that don’t heal very well, excessive infections and genital itching.

Over time, eyes, kidneys, nerves and the heart can become damaged due to high glucose levels in the blood.

Type 1 diabetes tends to come on rapidly with the classic symptoms of frequent urination, excessive thirst and fatigue while type 2 diabetes comes on more slowly, often over a course of years. This has prompted the medical community to recommend routine testing for people over 45 years old.

Risk assessments for diabetes can be found online to determine the risk for getting diabetes. Factors that are considered are age, weight, family members with diabetes and the birth size of babies born to women.

What is Type 1 Diabetes?

Type 1 diabetes occurs when the pancreas cannot produce an adequate supply of insulin. The hormone insulin helps cells use glucose (derived from food intake and the liver) for energy. Glucose that can't be absorbed properly builds up in the blood stream resulting in high blood sugar. Excessive blood glucose levels can severely harm every system in the body.

Young People's Disease

Because type 1 diabetes normally occurs in children and young adults, it is sometimes called juvenile diabetes. However, type 1 diabetes can strike at any time in life. The disease is evenly distributed among the sexes and is more common among Caucasians than other racial groups. In the U.S., type 1 diabetes accounts for 5-10% of all diabetic cases diagnosed.

Type 1 diabetes is believed to be caused by a genetic predisposition to the disease. This genetic predisposition lies dormant until triggered by a virus, toxin, or drug which attacks the immune system and beta cells of the pancreas.

Risk factors for type 1 diabetes include:

• a parent or sibling with the disease
• auto-immune disorder such as thyroid disease
• history of childhood viruses such as rubella, adenovirus, Epstein-Barr.

Symptoms and Diagnosis

Type 1 diabetes develops rapidly and its symptoms can be quite dramatic. Symptoms of type 1 diabetes include the following:

- excessive hunger or thirst
- frequent urination
- slow healing wounds
- dry skin
- rapid breathing
- blurred vision
- mood swings
- unexplained weight loss
- headaches
- tingling in extremities
- high blood pressure.

These symptoms, however, could also be indications of other illnesses. To confirm a type 1 diabetes diagnosis, the doctor will perform a blood test. Usually, a plasma glucose test is administered. The patient must fast for 8 hours after which blood is drawn for the test. Other tests for type 1 diabetes include the random plasma glucose test in which blood can be taken any time of the day, and, the oral glucose tolerance test at which blood is drawn at three hour intervals after the patient drinks 75 grams of glucose.

Early detection of type 1 diabetes is critical to preventing diabetes complications and causing serious damage to the body. Heart disease, nerve damage, kidney failure, and blindness could result if the disease is left untreated.

Treating the Disease

The goal of type 1 diabetes treatment is to maintain blood glucose levels to as close to normal as possible. To do this, patients replace the insulin their pancreas cannot produce by injecting themselves with insulin via a insulin injection or an insulin pump. Self-monitoring blood glucose kits allow patients to see how diet, exercise, and other factors affect their glucose levels.

In addition to insulin replacement, type 1 diabetics must make lifestyle changes that will keep their diabetes under control. A healthy diet, regular exercise, and regular blood glucose monitoring are crucial to managing type 1 diabetes and reducing the risk of serious complications from the disease.

What is Type 2 Diabetes?

Type 2 diabetes is the most common form of diabetes with nearly 95% of diabetic cases being diagnosed as such. At least 20 million adults have type 2 diabetes with millions more unknowingly harboring prediabetic symptoms.

The muscle, liver, and fat cells in a type 2 diabetic's body are unable to use insulin produced by the pancreas properly. This is called insulin resistance. The hormone insulin helps cells use glucose, derived from food intake and the liver, for energy.

As the pancreas becomes unable to supply an adequate amount of insulin, glucose builds up in the blood stream while the cells are starved for energy. High amounts of glucose damage nerves and blood vessels which leads to serious diabetes complications throughout the body.

Also known as adult-onset diabetes, type 2 diabetes can occur in children and teens. In recent years, type 2 diabetes has been on the rise among the young as children have succumbed to the obesity and sedentary lifestyle problems of adults.

Who's at Risk?

Researchers believe heredity plays a strong part in type 2 diabetes. People having a parent or sibling with the disease are 10-15% more susceptible to developing type 2 diabetes. Other factors include:

• Ethnicity (persons of African-American, Asian-American, American Indian, Latino, and Pacific Islander descent);
• Overweight (body mass index of 25 or more);
• History of gestational diabetes or having given birth to a baby over 9 lbs;
• High blood pressure or cholesterol;
• Sedentary lifestyle;
• Over age 65;
• Diagnosed as prediabetic (blood glucose level higher than normal).

What are the Diabetes Signs?

Type 2 diabetes progresses gradually; many people are diagnosed once they experience complications from the disease such as blurred vision or foot pain. There are several symptoms of type 2 diabetes. While these signs could also indicate other illnesses, it is advisable to first get tested for diabetes.

- excessive hunger or thirst
- frequent urination
- slow healing wounds
- dry skin
- rapid breathing
- blurred vision
- mood swings, depression
- unexplained weight loss
- headaches
- tingling in extremities
- frequent infections (urinary, yeast, skin)
- high blood pressure

Three plasma blood glucose tests are available for diagnosing type 2 diabetes. The most commonly used test (fasting plasma glucose) requires the patient to fast for 8 hours after which a blood sample is taken. In another test, blood is taken at any time during the day (random plasma glucose). The oral glucose tolerance test requires a patient to drink 75 grams of glucose; blood is then drawn in intervals up to 3 hours afterward.

Health Risks

Type 2 diabetes can cause serious harm to all parts of the body including the cardiovascular system. Heart disease is one of the leading complications of type 2 diabetes. Other diabetes-related health problems include:

- nerve damage;
- vision problems (glaucoma, cataracts, blindness);
- kidney disease;
- sexual dysfunction;
- dry, cracked skin (susceptible to infection);
- gum disease.

Diabetes Treatment Options

A healthy diet and regular exercise will help prevent or delay the onset of type 2 diabetes. It is also important to maintain normal blood pressure and cholesterol levels, and, to avoid excessive weight gain.

Once a person is diagnosed with type 2 diabetes, he may need medications to help control his condition. Oral medications are often prescribed when diet and exercise alone can't keep blood sugars in check.

Sometimes a type 2 diabetic will need insulin injections to control glucose levels. Insulin is injected using a syringe or infused with an insulin pump. Patients must regularly check their glucose levels by using a self-monitoring blood glucose device.

Treatment for Diabetes

Successful treatment makes all the difference to long-term health, and achieving balanced diabetes treatment can be the key to living with both type 1 and type 2 diabetes. Treatment varies for each individual, not simply on the type of diabetes that they have, but also more individual-specific diabetic treatment differences.

When treating diabetes, management strategies should be planned along with a qualified health care team. Never make changes to treatment schedule or management routine without consulting a medical professional, no matter what advice you are given elsewhere.

The following information on treatments for diabetes is from the National Diabetes Fact Sheet: National estimates and general information on diabetes in the United States (Centers for Disease Control and Prevention. Atlanta , GA : US Department of Health and Human Services, 1997):

"Diabetes knowledge, treatment, and prevention strategies advance daily. Treatment is aimed at keeping blood glucose near normal levels at all times. Training in self-management is integral to the treatment of diabetes. Treatment must be individualized and must address medical, psychosocial, and lifestyle issues."

A variety of different factors have a role to play in treating diabetes, but the importance of balanced, co-ordinated diabetes treatment for all diabetics cannot be underestimated. Regular and successful treatment decreases the risk of each patient developing diabetes complications. The basics of diabetes treatment are broken down into each diabetic type below.

Treatment of Type 1 diabetes

Type 1 diabetes treatment is a daily task. Lack of insulin production by the pancreas makes Type 1 diabetes is particularly difficult to control. Treatment requires a strict regimen that typically includes a carefully calculated diet, planned physical activity, home blood glucose testing several times a day, and multiple daily insulin injections.

Treatment of Type 2 diabetes

Treatment typically includes diet control, exercise, home blood glucose testing, and in some cases, oral medication and/or insulin. Approximately 40% of people with type 2 diabetes require insulin injections.

  Thailand Consumers Choice,

Thailand Consumers Choice, known as CC, is a well-known brand. Any brand recognized by CC is a measure of success for it means that their goods and services can be relied on .This particular field is based on the data of Research organization  which are  under the Management of Asian Integrated Media Co.Ltd.CC  has been  widely recognized in Asia Pacific and Europe. Vejthani Hospital has been confirmed by Consumers Choice Award for its Major health care facilities, where public trust and confidence in their Quality of service achieved.



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