Diabetes mellitus and hypertension are the two silent killers and the most common risk factors for CVD (cardiovascular disease), observed Dr. Sanjay Bhadada, professor in the Department of Endocrinology, PGI, as part of a panel discussion, ‘Let’s join our hands to reduce your risk of two silent killers: hypertension and diabetes, celebrated in Chandigarh on Saturday as part of World Diabetes Day. The panel discussion was held to guide public health experts, clinicians, and the general public on the importance of addressing both diabetes and hypertension.
Dr. Bhadada highlighted the findings of the New England Journal of Medicine in which type 2 diabetes mellitus was marked as nearly 2.5 times more likely to develop in people with hypertension than in people with normal blood pressure, indicating a synergistic and bidirectional pathogenic relationship between diabetes mellitus and the hypertension. Dr. Bhadada also emphasized that the prevalence of diabetes has increased from just 2% in 2010 to around 8-10% in 2020. In fact, Chandigarh has become the “City of Diabetes” of India, observed Dr. Bhadada.
Dr. Sonu Goel, Professor, Department of Community Medicine and School of Public Health, PGIMER, Chandigarh, and main organizer of the event said: “It is alarming that according to the Center for Disease Prevention and Control, around 75 per One hundred of Indian adults with diabetes mellitus also have hypertension. “
Dr. Sreenivas Reddy, professor in PGI’s Department of Cardiology, added that high blood pressure readings are a common finding in patients with type 2 diabetes mellitus. The development of hypertension in people with diabetes not only complicates the treatment strategy and increases health care costs, but also greatly increases the risk of macrovascular and microvascular complications.
10-18 percent have diabetic foot
Diabetic foot is a major problem in India and almost 10-18 percent of diabetic patients suffer from this condition. When diabetes is not controlled, it causes complications such as diabetic foot, blindness, limb amputation, heart disease, kidney failure, and even premature death. On the eve of World Diabetes Day, Dr. Ravul Jindal, Director of Vascular Surgery at Fortis Hospital Mohali, explained the severity of the disease and its possible consequences. The vascular surgery team, led by Dr. Jindal, has treated several diabetic foot patients with excellent results. On the available treatment options, Dr. Jindal said: “Certain tests, such as the filament test, quantitative sensory tests, and nerve conduction studies, are done for diabetic neuropathy. The Anodyne Therapy System helps eliminate painful symptoms and improves sensation and balance in diabetic patients with diabetic peripheral neuropathy to a great extent. Surgical debridement of the foot is another popular method of diabetic foot care. “
As for how to keep diabetes at bay, Dr. Jindal suggested: “Eat a balanced diet, follow a regular fitness regimen, keep your weight under control, and abstain from tobacco-related products.”