Diabetes: Usually refers to diabetes mellitus or, less often, to diabetes insipidus. Diabetes mellitus and diabetes insipidus share the name “diabetes” because they are both conditions characterized by excessive urination (polyuria).

The word “diabetes” is from the Greek word meaning “a siphon” because people with diabetes


“passed water like a siphon.”

When “diabetes” is used alone, it refers to diabetes mellitus. The two main types of diabetes mellitus – insulin requiring type 1 diabetes and adult-onset type 2 diabetes — are distinct and different diseases in themselves.

Types of Diabetes

The cause of diabetes is a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are three types of diabetes:

  • Type 1
  • Type 2
  • Gestational Diabetes


Type 1 Diabetes

 type 1 diabetes


  • Patients with type 1 diabetes do not secrete insulin, and therefore require self administered insulin to treat the disease
    • Type 1 is an autoimmune disease, and is primarily diagnosed in children and teens
    • There does not appear to be a genetic component


               Type 2 Diabetes:    

                                     type 2 diabetes                                                                                                 

  • Patients with type 2 diabetes secrete insulin, but are either resistant to it, or do not secrete enough
  • There is some genetic predisposition
  • Type 2 is historically more common in older adults, however, it is now beginning to appear in younger adults and children
  • Type 2 diabetes is treated with lifestyle changes, oral medications and/or insulin

Gestational Diabetes:

  • Gestational diabetes is characterized by insulin resistance that occurs during pregnancy and resolves after delivery
  • Goal of care is closely controlled blood sugars, achieved through lifestyle modification and insulin
  • Women who develop gestational diabetes are at an increased risk for diabetes or pre-diabetes

Diabetic chart:

diabetic chart


Risk Factors

Note that even if all the risk factors are present in the same person it doesn’t mean that they will certainly develop diabetes.

It is important to have a good understanding of the risk factors associated with diabetes, that is, the circumstances that make it more likely that diabetes will develop. Knowing these risk factors can help you make a diagnosis, especially of Type 2 diabetes, and introduce treatment at an early stage. The main risk factors for Type 2 diabetes are listed below:


  • A family history of diabetes (genetic factors).
  • Being overweight or obese; the distribution of body fat also appears to be important, with fat around the abdomen seen as more of a risk than fat hips.
  • Lack of exercise.

There is some indication that a virus infection in early childhood might lead to Type 1 diabetes in some cases; the theory is that the virus in some way causes the person’s own immune system to destroy the insulin-producing cells in their pancreas.


Warning Signs of Diabetes

  • Frequent urination
  • Unusual thirst
  • Extreme hunger
  • Unusual weight loss
  • Extreme fatigue
  • Irritability
  • Blurred vision
  • Cuts or bruises that are slow to heal
  • Tingling or numbness in the hands or feet

Recurring skin, gum or bladder infections



Complications of Diabetes



Treating Diabetes



The goals of diabetes treatment are to control your blood glucose levels and prevent diabetes complications. Your diabetes healthcare team will focus on these three areas to help you achieve optimum health:


When you have type 1 or type 2 diabetes, you need to be very aware of not only what you eat, but also when and how much you eat. Following a meal plan can also help you lose weight and lower your risk of developing complications.

Physical Activity

Physical activity is an important part of controlling diabetes and preventing complications such as heart disease and high blood pressure. “We know that exercise is a very effective way to help bring blood sugars under control for someone with type 2 diabetes,” says Kenneth Snow, M.D., Acting Chief, Adult Diabetes, Joslin Clinic. Try for 30 minutes of moderate exercise, like brisk walking, on most days.



If you have type 2 Diabetes sometimes eating healthy and engaging in physical activity is not enough. Your doctor may give you  oral medication to help control your blood glucose levels. For people with type 1 Diabetes   (and some people with type 2 diabetes) this means taking insulin. People with type 1 diabetes must take insulin to control diabetes–and this can only be done through multiple injections or by an insulin pump, a small device that delivers insulin continuously throughout the day.




The word dementia describes a set of symptoms that may include memory loss and difficulties with thinking, problem-solving or language. Dementia is caused when the brain is damaged by diseases, such as Alzheimer’s disease a series of strokes. Dementia is progressive, which means the symptoms will gradually get worse.

A progressive decline in cognitive function due to damage or disease in the brain beyond what might be expected from normal aging. Areas particularly affected include memory, attention, judgment, language and problem solving.


 Symptoms and Signs of Dementia


The symptoms of dementia vary depending on the area of the brain affected. They also present differently depending on the type of dementia, the individual, and the progress of the condition. In general, symptoms include problems in areas of memory, language, perception, cognitive skills (judgment, abstract thinking, and math) and changes in personality and behavior.

Signs of Dementia

The common symptoms of dementia include:

  • Memory loss (but some forgetfulness is normal part of aging)
  • Difficulty communicating
  • Inability to learn or remember new information
  • Difficulty with planning and organization


Causes of Dementia

The causes of dementia are the death of nerve cells and the breakdown of communication between them resulting from a number of different neurological factors. Among those conditions are:

  • Infections affecting the brain, such as AIDs, Lyme disease and other immune disorders
  • Metabolic problems
  • Endocrine abnormalities (glands that manage hormones such as the thyroid gland)
  • Nutritional deficiencies of vitamins B1 and B12
  • Adverse reactions to medications
  • Subdural hematomas (blood on the surface of the brain)
  • Poisoning by lead, other heavy metals and poisonous substances brain tumors
  • Anoxia (also called hypoxia, a lack of oxygen in the system)
  • Heart and lung problems
  • Diabetes
  • Cigarette smoking and excessive alcohol consumption

  Prevention of Dementia


A number of steps can be taken that may help in the prevention of dementia. Researchers have identified a number of factors relating to proper health and being mentally active. Doctors also hope that advances in treatments for the underlying causes of dementia can lead to ways to prevent it from occurring.

Actions that show promise of delaying or preventing dementia include:

  • Lowering homocysteine, an amino acid associated with Alzheimer’s disease and vascular dementia
  • Reducing levels of cholesterol
  • Managing blood pressure
  • Exercise to stimulate chemicals that improve neuron function
  • Education which appears to help develop stronger nerve cell networks

Caring for patients with dementia       


There are many simple things that can be done to provide support and care for patients with dementia and which can make a real difference to those involved:

  • The common approaches to communication with patients remain relevant: smiling, eye contact, open body language and positioning yourself at the same level as the person you are talking to are all simple ways to help reassure someone with dementia when you are interacting with them.
  • Particularly in a hospital environment, being aware of how elements such as background noise and poor lighting can affect individuals with dementia can help you make small changes that might improve communication.
  • Involving carers fully is particularly important, particularly as they are often very well-informed about the patient and also because it is crucial to ascertain how they are coping, and feeling, alongside the person with dementia.
  • It can feel more straightforward to direct discussions towards carers and relatives, particularly if the person with dementia is having difficulty answering questions, or is in the advanced stages of the disease; try to get the balance right so that you include the carer but don’t exclude the patient.

Assessing capacity and maintaining appropriate confidentiality is a key part of dementia care. For patients and carers, conversations about issues such as power of attorney, advanced decision making and paying for care can be difficult, upsetting and complicated.

For health professionals it is important to have an understanding of these matters, so you can support patients and their families, and are aware of your legal and ethical responsibilities in this area.

  Treatments for Dementia



Use of NSAIDs (non-steroidal anti-inflammatory drugs

Currently, there are no treatments options for dementia to stop or reverse the disorder. However, medications offer some relief from symptoms, and therapies such as cognitive training can help reinforce appropriate behavior.

  • Treatments for dementia involving mental exercises may help to improve cognitive functions. Therapists may teach patients to use mnemonics, computer devices and note taking as aids to memory. Inappropriate and dangerous behavior may be managed though modification principles or rewarding positive actions and ignoring those that are undesirable.
  • Mental abilities often see improvement with the treatment of problems that cause confusion similar to dementia. Anemia, congestive heart failure, nutritional deficiencies and thyroid disorders are all treatable.

Treatments for dementia involving mental exercises may help to improve cognitive functions. Therapists may teach patients to use mnemonics, computer devices and note taking as aids to memory. Inappropriate and dangerous behavior may be managed though modification principles or rewarding positive actions and ignoring those that  are undesirable.

Mental abilities often see improvement with the treatment of problems that cause confusion similar to dementia. Anemia, congestive heart failure, nutritional deficiencies and thyroid disorders are all treatable.




Bed sores are breaks to the skin’s integrity, caused by insufficient blood circulation to affected tissues secondary to sustained pressure.

When an individual remain in one position for too long, restricted blood flow can lead to decreased oxygenation to the skin over these body parts. As a result, the affected tissues begin to die.

The risk factors of getting a bed sore are:


.Weight loss and Malnutrition



.Medical conditions like Diabetes and chronic illnesses.

Bedsores are most apt to develop on bony parts of the body, including:


  • ankles
  • back of the head
  • heels
  • hips
  • knees
  • lower back
  • shoulder blades
  • spine


Possible complications of Bed sores:

  • Can be life threatening.
  • Infection can spread to the blood, heart and bone.
  • Prolonged bed rest that can keep you out of work, school and social activities for months.
  • Autonomic dysreflexia.
  • Because you are less active when healing a pressure sore, you are at higher risk for respiratory problems or urinary tract infections (UTIs).
  • Treatment can be very costly in lost wages or additional medical expenses.


Prevention & Treating Bed Sore

Bed sores can be prevented by implementing few techniques like

  1. Using a pressure mattress/Air bed to improve the circulation of blood.2

3 4

  1. Inspecting the skin daily


  1. Choosing a healthy diet


  1. Changing position frequently


Treatment of Bed sore involves


Antibacterial drugs may be used to treat infection. Pain medication to relieve or reduce any discomfort experienced in your condition also may be prescribed.


Debridement, a process meant to remove dead tissue, may be used to clean your wound.

Other Therapies

Keeping the site clean and free of debris is important to promote healing. Your doctor may order frequent dressing changes of your wound.


Specially designed dressings and bandages can be used to protect bed sores and speed up the healing process. Examples of these types of dressings include:

Hydrocolloid dressings-these contain a special gel that encourages the growth of new skin cells in the ulcer, while keeping the surrounding healthy area of skin dry.

Alginate dressings-these are made from seaweed and contain sodium and calcium, which are known to speed up the healing process.


Physiotherapy in Back Pain: The Best Solution to the Problem

Physiotherapy in Back Pain: The Best Solution to the Problem



Low back Pain is one of the commonest problems anyone can face in any point of their life.  Low back Pain can be very disabling, not just allowing you to do even the basic activities; sometimes making even difficult to sit or stand. Physiotherapy plays very important role to eliminate this trouble for long run. Physiotherapists help the people get out of it by two methods, and mostly by combination of both. One of the methods is Exercise Therapy and the other one is Electrotherapy.


Exercise therapy:

Exercise is the best medicine. How exercise helps in lower back pain is interesting and very logical. The spine is surrounded by muscles both at front and back side. At front, it is supported by abdominal muscles and at back by para-spinal and spinal muscles. Having balance of both groups of muscles is very important. The exercises help to strengthen the muscles to hold the spine in proper alignment and relieve pressure off the disc and joints. This automatically helps in reducing the pain.



Electrotherapy is usually used for pain relief. The equipments like TENS and IFT reduce the pain through pain gate mechanism. Also, they help in improving local circulations around the painful site thereby washing the pain aggregating substances like substance P from the site.


Usually, the combination of both exercise and electrotherapy work the best. The patient when having pain is reluctant to perform any exercises. So helping them lower their pain first and then make them do bouts of exercise does the trick. The regular exercises for few weeks strengthen the spinal musculature and therefore help in fighting low back pain for long term.


For normal individuals, just Exercise therapy works best to prevent back pain in future. Even normal individuals, if they perform regular back strengthening exercises, they can save themselves against the inevitable issue. So happy Exercising!!!

Recent advancement in Physiotherapists in India

Recent advancement in Physiotherapists in India:



Physiotherapy is new to India, compared to the western world. People always thought that the physiotherapy treatment methods used here were below par than how they were in the western world. Our dependency on electrical modalities and lack of standard treatment plan has contributed to this predisposition of the thoughts. However, there has been a considerable change in the mentality of physiotherapist which has improved the physiotherapy service in India to an international standard.


These are the reasons behind these transformations. And I am glad to enlist them here:


  1. Change in attitude of the therapist:

The attitude of the physiotherapist has changed a lot compared to the past belief. Physiotherapist always had worked as paramedics in India. Their treatment plan always revolved around the orders given by doctor. Despite the adequate knowledge about the treatment plan for each and every condition, they were never confident to argue against irrelevant treatment plan prescribed by the doctors. Definitely as a physiotherapist, they were one who knew best about their treatment plan. Now the change has been seen in the therapists in India. They tend to diagnose the patient by themselves and design their own treatment plan.


  1. Decrease dependency on Electrical modalities:

Most of the equipments used in Physiotherapy are related to pain relief. Depending on the equipments to relieve pain temporarily had been the loop-holes in Physiotherapy. Lately, dependency over these equipments is becoming less among the therapists. Increase in hands on techniques to treat the cause, rather than the symptoms, have improved the quality of physiotherapy treatment.


  1. Increased attendance in International conferences:

Seminars and conferences of International level, where recent advances and techniques are shared by Physiotherapist all over the world, have become frequent in Indian subcontinents. In one of such conferences in Bangalore (2014), called Physio-Accord, the renowned Physiotherapists from all over the world were invited to deliver seminars on different topics. These kinds of events have helped to remove the barrier of knowledge among South Asian Physiotherapists.


  1. Higher Education in the field of Physiotherapy:

As we know, specialization is the key to success in health profession. However, Physiotherapy was limited to diploma course few decades ago. People would just pursue diploma in physiotherapy and start practicing. I am glad to inform you that the scenario has changed now. The physiotherapists are now keener to learn further in detail about a particular technique. They research. They specialize. They practice only after evidence of success of particular treatment. This has led to improve the scenario in the field of Physiotherapy.


  1. Optimal use of Internet to enhance knowledge:

Internet has both positivity and negativity. Physiotherapists have been gaining positivity out of it lately. The use of internet to learn techniques from the experts in the field from all over the world, has been transforming the quality of physiotherapy service in our part of the world. The bridge between two worlds of the Physiotherapy has been being shortened.

Long story short, the physiotherapist in India have been getting better day by day and catching the pace of becoming quality service provider of International level. Soon, there wouldn’t be many unsatisfied patients who are always skeptical about taking Physiotherapy treatment in India. Who would anyway if they are getting better because of our standard optimal treatment?

The Health Heal Mobile App

The Health Heal Mobile App

World-class home health care at your fingertips!



Today’s fast paced lifestyle allows us little time and energy for effective health care of loved ones. Providing quality health care for the family, while juggling multiple responsibilities is an ongoing challenge for most people. It therefore becomes imperative for us to find easier alternatives to keep our families healthy despite our busy work routines, by bringing about a balance between hectic schedules and efficient health care alternatives for our loved ones.

We, at Health heal home health care understand and empathize with your predicament. Our commitment towards providing world-class quality home health care services in Bangalore, Chennai and Hyderabad, has evolved to include additional incentives for the hard-working populace of these cosmopolitan cities, who have little time to browse the web or wait in long queues to avail quality health services. We have been committed to providing our customers home health care services that require minimal time investment, thus empowering them with extra reserves of energy and lesser stress.

Thereby, Health Heal, the pioneer in home health care services has introduced a revolutionary mobile application with enormous benefits, to do away with all your health care hassles: The Health Heal home healthcare mobile App.

Some salient features of the App are listed below:

  • Easy Accessibility: The App is very easy to download from the web: Google Play Store software of your Smartphone, Google Chrome or the Internet. It is also the most convenient way for you to avail a range of health care services at your doorstep, even when you are on the move. This web-based App provides you with handy access to home health care services from any Android mobile device. This not only saves enormous amounts of your time but also ensures availability of quality home healthcare for you and your family. Further, it reduces the time and paperwork required by traditional methods of accessing home health care.
  • User-friendly: This App is extremely user-friendly and dynamic. All the service icons are displayed clearly in an orderly manner. Further, the pleasing interface ensures ease of selection and usage. Thus, the App delivers a simple, yet effective means for you to book a range of affordable home health care services for you and your family, from the convenience of your mobile phone.
  • Wide range of services: In addition to being inexpensive, the App allows you to access a host of personalised solutions for all your home health care needs. Our broad spectrum of services include booking of exclusive facilities such as Physiotherapy, Elderly care, scheduled doctor visits, trained caretakers, nurse visits, Further, specialised day to day convenience services such as pharmacy services, diagnostic services and even providing medical equipment to your doorstep are included in our home health care range.                                          Our special division called Mathrutvam, which exclusively deals with neonatal, postnatal and prenatal mother care, in addition to Shishu Abhyanjana (Baby massage) as well as mother massage service is also easily accessible on your mobile.
  • Unique features: The App incorporates a whole range of additional features specifically designed keeping your healthcare needs in mind. These include provisions such as: choice of service to yourself or for others; dates on which service is required; Pharmacy/ Diagnostic services through which you can order medications over the mobile for door delivery, with several specifications that include the option to upload or attach snapshots of your doctor’s prescription onto the screen; the option to add or remove OTC (over the counter) medications/other items along with names of items and the quantity required by the patient; additional notes that may be relevant to the order; description of items required, etc.

Further, the inclusion of location indicators along with the address fields in all our screens, allow our service professionals to find your address easily.

  • Integrated platform: All the service options are integrated into one simple platform so that you can choose any service you need, with a single touch of your phone screen. Further, you only need to fill in your basic profile details (such as name, gender, age, e-mail address, phone number, residential address, location, etc.) once and our system automatically updates the details of your profile across the various service pages. The built-in connectivity of the advanced software ensures that you do not have to fill in your profile details repeatedly as they are immediately updated across the different screens.

In short, this App allows you to access all the health care needs of your family at your doorstep, with a click of an option on your mobile.

Download this revolutionary App today and breeze through the complete home health care needs of your loved ones. The Health Heal Home health care is available on the following link:

Our services are available in Bangalore, Chennai and Hyderabad. For further queries, call us on +91 888 000 4422 or visit our website at

Have Direct Access to Physiotherapist

Have Direct Access to Physiotherapist: Because Exercise Is The Best Medicine

People always have been skeptical about consulting the Physiotherapist directly. May be, they are insecure about their treatment being not enough to get cured. Or, maybe they are conditioned to take pills for any ailment. Whatever is the reason, they have to see the physician first, then the specialist, and then the physiotherapist if referred. I feel this behavior of people have been costing a lot of money for them. I reckon it is better to directly meet the specialist. And, the Physiotherapists are the specialist; the specialist who can heal you without pills and knife.

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What is the cost of Home Physiotherapy?

What is the cost of Home Physiotherapy?

There is no correct answer to this question. The cost may vary from as low as Rs 250 to Rs 1500 per session. What are the reasons for this variation in the cost? It is, of course, common to have some variations in the cost, considering different factors. But, this variation is unbelievable. One of the main reasons is lack of proper regulatory council in India to check the regulation of fees is the problem.

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6 reasons for best home based physiotherapy

The 6 reasons for you to go for home based physiotherapy rather than visiting hospitals

Home Physiotherapy is being very popular in India as well, nowadays. The credit of this goes to increasing use of internet and increasing awareness among individuals about the physiotherapy at home altogether.  Earlier, people were skeptical about calling physiotherapist to their place because they used to feel that the treatment was not possible without complex and heavy equipments in hospitals or clinics. They in turn would turn up travelling long distance, waiting in queue for firstly, registration and secondly, at the physiotherapy department.

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