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Super Specialty Clinics


Diabetes Care ideally involves a multidisciplinary team approach towards treating the disease. Healthcare professionals function as a team with the patient playing an active role in this collaborative effort. Integrated care involves allocation of time, space and adherence to a standard treatment protocol.

Treatment goals and objectives need to be individualized for each and every diabetic patient, as one size cannot fit all. Patient preferences also need to be considered while deciding the treatment.

We have started the integrated team approach to treating diabetes at Hiranandani Hospital. This is a unique initiative where diabetics are examined by a team of healthcare professionals which includes the diabetologist, the cardiologist, ophthalmologist, the dietician and the physiotherapist.

The process :
The patient registers for the joint diabetes clinic. The coordinator for the clinic is Officer- wards.The officer- wards coordinates and schedules appointments as per patient convenience. The patent is given appointments for blood investigations as well as consultations.

Each doctor examines the patient in detail, and gives appropriate advice. This is followed by a joint consultation where the patient meets up with the team of doctors. Inputs about the patient are shared by members of this healthcare team in which the patient is also actively involved. A detailed summary about the further course of action to be followed by the patient is then provided.

Facilities/ Services

The advantages are:

The diabetologist functions as the one point contact for the patient. He decides the treatment protocol for the patient.

Diabetic patients have a higher risk of heart disease as compared to the normal population. The cardiologist helps to screen for potential heart problems in the diabetic patient.

Blindness and vision problems are more common in a diabetic patient. The diabetic patient can get early cataract, also retinal problems are known in diabetics. The ophthalmologist examines the eye and identifies if there is any possibility of vision problems.

Diet and exercise are the foundation of treatment for diabetes. The dietician designs a diet as per patient preferences to help him control his sugars.

The physiotherapist helps to design the right exercise regimen for each patient. Every diabetic should preferably do a combination of aerobic and resistance exercises for atleast half an hour for five days of the week. The patient’s medical condition and his functional capacity are ascertained before prescribing exercise.

By the end of this joint consultation:

  • Patient is provided a structured diabetes education
  • Patient is empowered to manage his blood sugars, his lifestyle, his weight and nutritional aspects
  • He is screened for all potential complications of diabetes
  • Patient requiring insulin is well trained with respect to administering insulin

He is also provided with a road map to achieve the target goals for

  • Blood sugar control
  • Blood pressure control
  • Cholesterol control
  • Weight management
  • Diet and exercise