Additional Diabetes Information:
Can we assess Diabetic Complication earlier?
In 1993, most popular Diabetic Control & Complication Trail study (conducted in USA) showed for the first time that strict control in patients with type-1 diabetes greatly reduced the complication of the disease, and United Kingdom Prospective Diabetes Study proved similar evidence in favour of strict control in patient with type-2 diabetes.
Both the studies stressed on quantifying the complications as earliest possible, because once a macro or micro vascular diabetic complications take place, then quality of life effect different level directly or indirectly, hence diabetic complications are –
First- cause of increased expenses and unending pain
Second- cause/risk of physical disability
Third- increased risk of death.
Decontrol or poor blood sugar control is main reason for all diabetic complications, it causes fix by the Global scientists are – Lack of awareness of diabetes, avoid pathological tests, Self- medication, poor compliance (including diet & exercise), unable to differentiate between control and cure, and finally patient don't want to know the severity, so patients are rarely involved when doctor are detailing about complications of diabetes. Result pressure on hospitals is increasing every day, rate of emergencies or mortality are now multi fold as compare to last 10 years.
To avoid these most complicated situation scientists of bio-medical field introduced new generation Non-invasive instruments working on a variable frequency (low to high) with built-in ECG capabilities and computer compatibility. These instruments measure R-R interval, Power-Spectrum, Poincare-plotting Pulse wave velocity, Arterial histogram, Arterial-brachial index, Cardio-techogram, valsalva manoeuvre (in graphical presentation) and Vibro-sensometry (for feet's).
But output of above these instrumentation was again useful for doctors only, but patients were unable to understand, so they were not involving in his problem. After a long exercise, we select some pathological tests- Hemoglobin, haemtocrit, platelet count, lipids, SGOT,SGPT, ALP, Albumin, S.Urea, Creatinine, Uric acid, Calcium, Magnesium, Phosphors, Sodium, Potassium, Ghb1c, C-peptide, Insulin assay, and coordinate with above said instrumentation output and make very first time a new algorithm, and matched with patient complaints, results were encouraging, and the important point was patient were understand about his health status. We labelled as 1stDiabetic Complication Assessment unit.
The comprehensive report assess risk of General health, function of pancreas and risk of eye, cardiovascular , cerbrovasculer, kidney, Impotency (sexual), neuropathic and feets.
For example- If a 35 yrs old, average wt, non alcoholic, non smoker have diabetes last 1year with diet control and regular exercise having, Ghb1c-8.5. C-peptide-1.4 and insulin-7.2 then his pancreatic function will be appxcimatly 24.00 %( normal 100%), interpretation- diet control and exercise are not sufficient, patient should be consult with diabetologist and switch over to anti-diabetic drug.
A quick review of this report quantifying content tell the complete status of target organ, hint to modifying his treatment and reduced the cost of medication by 22-40%, reduced chance of OHGA failure, and hypoglycaemic bout of insulin.