Diabetes, Endocrinology & Diabetic Footcare
8 Doctors
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The Centre for Endocrinology and Diabetic Foot Surgery is the only full-fledged endocrinology centre in the entire state of Kerala and provides advanced care for diabetes mellitus as well as complex endocrine diseases. There are full facilities for the investigation and treatment of endocrine problems in adult, paediatric, and adolescent patients and all the complications of diabetes. The Centre consists of a dedicated and well-qualified team of healthcare professionals comprising consultant endocrinologists, endocrinology specialists, diabetic foot surgeons, diabetic fellowship trainees, diabetic educators, physiotherapists, podiatry assistants, medical social workers, dieticians and support nursing, administrative and research staff.
The Diabetic Foot Surgery provides comprehensive care in all aspects of diabetic lower limb surgical problems. This integrated team approach, important in the proper management of diabetic lower limb problems, is available in only a few centers worldwide. Our evaluation and management techniques are of world standards.
The concept of surgical correction for diabetic foot and ankle deformity has recently evolved as a means to correct foot deformities secondary to long standing diabetes. This re-shaping of a deformed foot or toes by surgical correction is presently being done in a large way in a few countries only like in US, UK, Russia, Germany, Spain, and Australia. These surgeries help to prevent the formation of calluses and ulcers of the foot and thus, these surgeries can prevent amputations in diabetics. We are the only major center in India where these reconstructive surgeries are being performed routinely in high-risk diabetic foot patients. By employing these novel surgical techniques, a large number of amputations are being prevented.
The cases we manage include large numbers of extensive lower limb necrotizing fasciitis, various types of foot infections and Charcot’s cases, some with marked destruction of the foot and ankle bones, and many others with grossly deformed toes and foot. We have a footwear factory, with trained staff, making diabetic footwear, providing high quality preventive, post–operative and rehabilitative footwear.
The Centre for Endocrinology and Diabetes was established in September 1999. In 2001, the Diabetic Foot Surgery division was introduced as a specialized service within the center. The department was initially set up by Dr. Harish Kumar, Dr. Vasantha Nair, and Dr. R.V. Jayakumar, who played instrumental roles in its establishment. Dr. Arun Bal later joined the team and spearheaded the development of the Diabetic Foot Surgery division.
Milestones
Goal and Objective:
The Department of Podiatric Surgery provides comprehensive care for diabetic lower limb problems using an integrated team approach. The department specializes in surgical correction of diabetic foot and ankle deformities. This type of surgery to reshape deformed feet or toes is currently only performed in a few countries, including the US, UK, Russia, Germany, Spain, and Australia.
India’s First
Kerala’s First
Phone: 0484 - 2851030, 0484 - 6681030
Consultant
MBBS, PG Diploma in Diabetology MSc Diabetes and Diabetic Foot Surgery
Email: [email protected]
Assistant professor
MS Orthopedics MSc.Diabetes& Diabetic Foot Surgery
Email :[email protected]
Community Services
At the Centre for Endocrinology and Diabetic Foot Surgery, we are guided by a patient-centered philosophy. Our approach encompasses holistic care, collaborative relationships, continuous improvement, and community engagement. With a focus on our patients' well-being, we strive to deliver comprehensive and personalized care, continuously enhance our expertise, foster teamwork, and actively engage with the community to promote awareness and empower individuals to make informed health decisions.
Programs
We are also conducting a post MS one year fellowship in podiatric surgery and a two-year podiatry assistant paramedical course. We are the only institute in Asia to conduct these two courses.
Endocrinology is a medical specialty that focuses on the study and treatment of disorders related to hormones and the endocrine system. Endocrinologists specialize in diagnosing and managing conditions such as diabetes, thyroid disorders, hormonal imbalances, and more.
Our department offers a wide range of services including diagnosis, treatment, and management of various endocrine disorders. These include diabetes mellitus, thyroid disorders, adrenal disorders, pituitary disorders, metabolic bone diseases, reproductive disorders, and more. We also provide specialized care for pediatric and adolescent endocrine conditions.
To make an appointment with an endocrinologist, you can contact our department directly through the contact information provided. Our staff will guide you through the appointment scheduling process and help you find a suitable time and date for your visit. To make appointments contact us at 0484 - 2851030, 0484 - 6681030
While a referral is not always necessary, it is recommended to have a referral from your primary care physician or healthcare provider. This helps ensure a coordinated approach to your healthcare and provides the endocrinologist with important background information about your medical history.
It is important to bring any relevant medical records, including previous test results, imaging reports, and a list of current medications. Additionally, bring your insurance information, identification documents, and any specific questions or concerns you may have regarding your condition.
The duration of an appointment can varies depending on the nature of your condition and the complexity of your case. Generally, the initial consultation may take longer as it involves a comprehensive evaluation of your medical history, physical examination, and discussion of treatment options. Follow-up appointments are typically shorter.
Depending on your specific condition, your endocrinologist may recommend diagnostic tests such as blood tests, hormone level assessments, imaging studies (e.g., ultrasound, MRI), or specialized tests related to diabetes management (e.g., HbA1c, glucose monitoring). These tests help in accurate diagnosis and formulation of an appropriate treatment plan.
Treatment options vary depending on the specific endocrine disorder. They can include lifestyle modifications, medication management, hormone replacement therapy, surgical interventions, and close monitoring of blood sugar levels for diabetes management. Your endocrinologist will tailor the treatment plan to your individual needs.
Yes, it is important to maintain regular communication with your primary care physician while receiving treatment from an endocrinologist. Your endocrinologist will work collaboratively with your primary care physician to ensure comprehensive and coordinated care.
While type 1 diabetes cannot be prevented, type 2 diabetes can often be prevented or delayed through lifestyle modifications such as maintaining a healthy weight, adopting a balanced diet, engaging in regular physical activity, and managing stress levels. It is important to consult with your healthcare provider for personalized guidance on diabetes prevention.
Diabetes Care Programme
The Diabetes Care Programme provides intensive management of diabetes and diabetes related problems:
The Programme also offers:
Diabetic Foot Care Program and Vascular Clinic
The Department of Endocrinology and Diabetic Foot Surgery at Amrita Hospital, Kochi is the most comprehensive one stop centre for the evaluation, treatment and rehabilitation of preventive and therapeutic aspects of diabetic foot. The diabetic foot division of the Department of Endocrinology is fully equipped with the most modern equipment to assess the function of nerves and blood vessels. The department provides all services under one roof, including special customised footwear. The foot care programme is the only one in Asia to carry out reconstructive surgery in deformed diabetic foot – an emerging strategy for preventing diabetic foot-related amputations.
Paediatric and Adolescent Endocrine Clinic
This clinic provides specialised care for children and adolescents with growth disorders, early or delayed puberty, thyroid diseases, bone diseases, diabetes or other endocrine disorders.
Lipid Clinic
The Lipid Clinic is devoted exclusively to treating patients with high cholesterol and high triglyceride levels.
Exercise and Dietary Programme
The Exercise and Dietary Programme is aimed at full-fitness, utilising treadmills, exercise bicycles, and other equipment under the guidance of a trained physiotherapist. The amount of exertion is gradually increased depending on each individual’s capability.
Bone Clinic
Metabolic bone diseases are a relatively less-recognized aspect of endocrinology. These diseases include osteoporosis (an age and menopause-related thinning of bones,) osteomalacia (weakening of bones due to vitamin D deficiency,) hyperparathyroidisrn (a disease with bone pains and kidney stones, caused by excess parathyroid hormone levels resulting in dangerously high calcium levels in blood) and other complex bone diseases. The Centre has the best Bone Densitorneter, the DEXA Dual Energy X-ray Absorptiometry, in the state to evaluate these complex disorders. Unexplained bone pains and early onset fractures are diseases investigated and managed by the department.
Comprehensive Diabetes Care
In addition to the routine out-patient based care of diabetic patient, the department has also initiated comprehensive diabetic care programme, focused on providing an annual diabetes check up to patients. Diabetes is known as a silent killer, and if left untreated, can cause kidney, nerve, eye, heart and foot problems. The annual checkup assesses the degree of glucose control and also measures the presence of diabetic complications. If detected early, many of these complications can be treated, and their progression can be stopped.
Obesity Clinic
A common example of an under-treated endocrine disease is obesity. In this regard, Amrita Hospital, Kochi has started a multidisciplinary obesity clinic. The clinic is conducted primarily by the endocrinology team, in coordination with the departments of Gastrointestinal Surgery and Plastic Surgery. Amrita Hospital, Kochi is probably the only obesity centre in the country to incorporate endocrinologists, GI surgeons and plastic surgeons working together for a common cause under the sphere of obesity management. In addition to hormonal assessment of obesity, our centre also has state-of-the-art facilities for body fat assessments, preoperative assessments and postoperative follow up for obesity patients. We have a comprehensive medical nutrition programme, exercise counselling, drug therapy and plastic surgery, as well as bariatric procedures.
Outreach Program
Amrita Diabetes Welfare Association
Amrita Diabetic Welfare Association (ADWA) functioning since 2001 under the guidance of the Department of Endocrinology & Diabetes at the Amrita Hospital, Kochi
Diabeat
Twice a year Type 1 DM family support meet
Diabetic Education, Skill training, Psychosocial support, Parental counselling, Skits, Role play, Group Discussion
