Important Information:
Diabetes unit is equipped with high quality diagnostic and screening equipment to screen and measure risk factors of Diabetes. To name a few:DEXA, Periscope, ABI, Trinetra test,EZ scan, Biothesiometry, ABPM. These tests are done as and when required, and their schedule is as per appointment.At our clinic, the tests done are:
DEXA (Dual-energy X-ray Absorptiometry): Dexa is used to measure bone mineral density or Bone mineral content for screening & diagnosis of osteoporosis. This helps in identifying those who are at high risk for fracture which can be treated. It is particular useful in chronic diseases like chronic kidney disease, diabetes etc. Additionally, it also measures body composition (fat %, lean % of the body) which has changed the perspective of measuring obesity. KEM Diabetes unit has pioneered the use of body composition in Indians. Approximately, 4-5 patients are tested per day.Cardiovascular risk profiler (Periscope): Periscopeis again a Novel method of measuring cardiovascular health in the community by measuring Pulse wave velocity. It’s a non-invasive method to measure arterial stiffness which is highly reproducible and can predict future risk of cardiovascular event.
Peripheral Doppler to measure Ankle Brachial Index (ABI): ABIis an important measure to diagnose peripheral vascular disease. The index is important and compares the blood pressures of the arms and legs to give a ratio that can suggest various severity of peripheral vascular disease. About 4-5 patients are screened every day.
Trinetra test: Ituses highly specialised equipment called Trinetrato record and store photograph of the Fundus. Diabetic retinopathy is one of the important micro vascularcomplications of diabetes. The equipment empowers physicians to capture minute changes in the fundus for efficient treatment. On an average 1-2 patients undergo this test every day.
EZ scan also called SUDO scan: It isa non-invasive highly sensitive and reproducible tool for the early detection of peripheral neuropathy. It helps to screen and measure nerve conduction for better treatment to control complications caused by diseases like type-2 diabetes. This test is conducted about once or twice per week, as per incoming patients.
Biothesiometry: It is a simple and economical tool for measurement of Vibration Perception Threshold. It is predominantly used for foot care to see understand sensitivity of the foot (sensitivity threshold) and to vibration diagnosing peripheral neuropathy. 4-5 patients are screened per day as per the diabetes package.
Ambulatory Blood Pressure Monitoring(ABPM): ABPMis accomplished with a special device that records blood pressure periodically (usually at 15-minute or 30-minute intervals for either 24 or 48 hours) during routine daily activities and while sleeping. Periodic readings help to decide whether a person actually has hypertension over blood pressure readings taken in the doctor’s office. (White coat hypertension). This test is done very rarely. Very few cases 2-3 per month require to undergo this test.