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 Pregnant women can get insulin pump on rent


With few takers among pregnant women for the high-cost insulin pump, a medical device manufacturing company has come together with a private hospital to offer the device on rent.

An insulin pump costs Rs 2 lakh, discouraging women who need it only for the pregnancy period. The new business model that manufacturers Medtronic have thought up now makes it a more viable option. 
 and dr Praveen ramachandra  believes it is win situation for the diabetic pregnant ladies.

“Gestational diabetes, a condition that occurs in pregnant women, usually subsides after delivery.

Thus, no one is ready to make the big investment for few months,” said Dr Praveen ramachandra, endocrinologist and diabetologist in bangalore. He added that normal insulin shots, taken four times a day, cause fluctuations in blood sugar level, harming the foetus.



“The device costs Rs 2,500 per month on rent.,” said Dr Praveen ramachndra.


as per Dr.Praveen Ramachandra , an insulin pump kit contains a pager-sized device which is a Reservoir ensuring insulin delivery round-the-clock, an infusion set and a cannula which enters the skin 6 mm deep.

Dr.Praveen Ramachandra is leading endocrinologist .....

in implementing insulin pump therapy in GDM (gestational diabetes mellitus)  and non pregnant diabetics including type 1 DM patients, in Bangalore. he has the highest experience in treating GDM patients with insulin pump.

Increasing incidence of diabetes in pregnant ladies..

  • there is a rapid increase in incidence of diabetes during pregnancy. diabetes management is more tricky during pregnancy as per dr.praveen ramachandra. because  very tight control is required compared to non pregnant diabetic individuals..that means more risk of dangerous hypoglycemia (low blood glucose level). best way is use of insulin delivery through insulin pump....and second best is basal bolus regimen with newer analogue injections. 
 
 
 

Moms-to-be, watch your weight

When 34-year-old Renuka, a software engineer, put on over 4 kg just in the fourth month of her pregnancy, her gynaecologist recommended a blood sugar test. Renuka, pregnant with her second child, was diagnosed with 'gestational diabetes ' or diabetes during pregnancy. 

Renuka's first delivery was normal but she was asked to undergo a Caesarean during her second pregnancy as her rising sugar levels posed threat to the child. Gynaecologists and endocrinologists say obesity coupled with genetic factors and lack of physical activity are leading to
 
gestational diabetes among pregnant women in India. 

In the country, the prevalence rate of gestational diabetes, also known as Type 3 diabetes, is said to be about 3.8% to 21%, with more prevalence in urban areas (2%-7 %). In Bangalore, doctors said the prevalence is about 5%-10 %.

Dr Praveen, consultant endocrinologist, Columbia Asia Hospital  said "Gestational diabetes is becoming more common these days. We see about 1-3 of borderline or high sugar level during pregnancy every day. A woman, with a family history of diabetes or obesity, is likely to contract it." 


The second trimester of pregnancy is said to be critical as women start putting on
 
weight from the fourth month.

Dr Praveen, consultant endocrinologist, Columbia Asia Hospital said  "A lot of hormonal changes happen during pregnancy , which can affect the balance of glucose levels in the body. High level of blood sugar during pregnancy can lead to metabolic abnormalities in the foetus. The infant, born to a diabetic mother, can also face complications like low calcium , low sugar, severe jaundice or respiratory disorders." The risk factors for gestational diabetes are age (above 25 years), family or personal health history of diabetes, excessive weight gain and non-white race. 


"Gestational diabetes is not only harmful for mothers but for infants too. It can lead to complications during delivery. Also, the child could be born with deformity in the spinal chord or lungs. 

Dr Praveen, consultant endocrinologist, Columbia Asia Hospital said Sometimes, the child's wind and food pipe can get connected and the baby also runs the risk of contracting diabetes at a later stage in life." 


What To Eat 

"A healthy diet with plenty of fibre, fruits and vegetables along with regular exercise can help in avoiding excessive weight gain. Pregnant women with gestational diabetes should eat adequate amounts of high-fibre carbohydrates like wheat bread, oats, brown rice, phulkas, whole grams (channa, rajma, green gram). They must eat a variety of lean protein like fish and chicken. Try to eat at least two fruits and three portions of vegetables daily. Limit the amount of high sugar, salt and fatty food and junk food. Drink 8 glasses of water/liquids daily. The meal pattern should be three small meals with 2-3 snacks." "Walking is good but it is important to consult the doctor before starting an exercise schedule," she said. 

Insulin Shot 

"A woman with gestational diabetes must alter her diet and lifestyle during the pregnancy period. If blood sugar is not controlled with diet and exercise, then doctor prescribes insulin shot to control diabetes," said Dr Praveen, consultant endocrinologist, Columbia Asia Hospital.
 

Long-term Management 

It is important to monitor blood glucose levels of the patient with gestational diabetes six weeks after delivery and at regular intervals. If glucose levels are normal post-partum , the same should be reassessed at a minimum of 3-year intervals. Women with impaired fasting glucose or impaired glucose tolerance in the post-partum period should be tested for diabetes annually and be provided with medical nutrition therapy and regular exercise advice.

said Dr Praveen, consultant endocrinologist, Columbia Asia Hospital. 

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Web Editor: Dr. Praveen Ramachandra