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CMC Diabetes Center in Dubai

Our Diabetes Centre team is by your side to support you from diabetic assessments through your whole treatment plan. We use the latest remote monitoring technology to track your journey and our team includes a dedicated Diabetes Educator.

Our Mission

To provide comprehensive diabetes care from the best diabetes doctors in Dubai. We support patients and their caregivers to enable Diabetes self-management and develop individualized goals to better optimize health outcomes. We are providing Blood Sugar Remote Monitoring through Diabetes    Technology.

Our Multidisciplinary Team Includes:

  • Endocrinologists and Diabetologists
  • Ophthalmologists
  • Diabetes Educator
  • Dieticians and Specialist Nurses

What is Diabetes Mellitus?

Diabetes Mellitus is a group of metabolic disease characterised by hyperglycaemia (high blood sugar) resulting from defects in insulin secretion, insulin action, or both.

Diabetes Technology

Diabetes technologies such as continuous subcutaneous insulin infusion (CSII)- Insulin pump and continuous glucose monitoring (CGM) play a significant part of diabetes treatment, and there have been many studies that emphasize the advantages of using these technologies.

Insulin Pump

An Insulin pump is a small computerized device. It delivers insulin under skin. There are different types of Insulin pumps which deliver insulin through a fine tube or tubeless. Pumps use only rapid acting insulin for basal and bolus requirements which will be programmed by the health provider.

  • Basal Insulin is a continues infusion of insulin that is delivered automatically 24 hours a
  • Bolus Insulin is delivered on demand- by the patient, for food intake or to correct glucose levels that are above the target
  • Insulin Pumps Brands Names Include; Medtronic, Accu- Chek Roche, Omnipod Dash

Continuous Glucose Monitoring (CGM)

CGM is a wearable personal device for people with diabetes to measure glucose levels 24 hours a day.

Classification of Diabetes

  • Type 1 diabetes- due to autoimmune β-cell destruction, usually leading to absolute insulin deficiency including Latent Autoimmune Diabetes of Adulthood (LADA)
  • Type 2 diabetes (due to a progressive loss of β-cell insulin secretion frequently on the background of insulin resistance)
  • Specific types of diabetes due to other causes, e.g., monogenic diabetes syndromes (such as neonatal diabetes and maturity-onset diabetes of the young), diseases of the exocrine pancreas (such as cystic fibrosis and pancreatitis), and drug- or chemical-induced diabetes (such as with glucocorticoid use, in the treatment of HIV/AIDS, or after organ transplantation)
  • Gestational diabetes mellitus (GDM )- diagnosed in the second or third trimester of pregnancy that was not clearly overt diabetes prior to gestation

Diagnostic Tests for Prediabetes and Type 2 Diabetes

The diagnostic criteria for diabetes and prediabetes are shown in below table

Prediabetes Diabetes
A1c 5.7–6.4% (39–47 mmol/mol) ≥6.5% (48 mmol/mol)
Fasting plasma glucose 100–125 mg/dL (5.6–6.9mmol/L ≥126 mg/dL (7.0 mmol/L)
2-hour plasma glucose during 75-g OGTT 140–199 mg/dL (7.8–11.0mmol/L) ≥200 mg/dL (11.1 mmol/L)
Random plasma glucose ≥200 mg/dL (11.1 mmol/L)

 

Diabetes Screening

Adults who do not have diabetes symptoms should be screened for prediabetes and type 2 diabetes starting at age 35

Risk-based screening for Type 2 diabetes and prediabetes in Asymptomatic Children and

Adolescents in a Clinical Setting are considered as following:

  • Youth who are overweight- After the onset of puberty or after 10 years of age, whichever occurs earlier
  • Maternal history of diabetes or GDM during the child’s gestation
  • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidaemia)

 

Diabetes Symptoms

  • Urinating often
  • Feeling very thirsty
  • Feeling very hungry—even though you are eating
  • Extreme fatigue
  • Blurry vision
  • Cuts/bruises that are slow to heal
  • Weight loss—even though you are eating more (type 1)
  • Tingling, pain, or numbness in the hands/feet (type 2)

Treatment of Diabetes

  • In Type 2 diabetes- along with lifestyle changes and diet it can be Oral Hypoglycaemic Agents, Insulin injection or both
  • In Type 1 Diabetes- insulin injection is the only option

Diabetes Complications

Complications of diabetes include problem that develop rapidly (acute) or over time (chronic) and may affect many organ systems. these complications can dramatically impair quality of life and cause long- lasting disability if are not prevented or treated.

How do I prevent or delay complications?

Keeping blood sugar, blood pressure and blood cholesterol under control will hugely help to reduce your risk of developing complications. This means going to your diabetes health checks and finding out from your diabetes healthcare team how to look after yourself between appointments. You can prevent or delay the complications of diabetes. But you need to act and it’s all about managing your diabetes well.

Manage your diabetes

Keeping your HbA1c within the target range set by your healthcare team is really important for reducing your risk complications. If your blood sugar levels are rising, talk to your doctor. Your treatment may need to change to get your HbA1c back in target to avoid the complications of high blood sugar.

Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes

Strong evidence exists that obesity management can delay the progression from prediabetes to type 2 diabetes and is highly beneficial in the treatment of type 2 diabetes. Modest weight loss improves glycaemic control and reduces the need for glucose-lowering medications, and more intensive dietary energy restriction can substantially reduce A1C and fasting glucose and promote sustained diabetes remission through at least 2 years.

Metabolic surgery strongly improves glycaemic control and often leads to remission of diabetes, improved quality of life, improved CV outcomes, and reduced mortality.

Further Information

Insulin – Insulin is a hormone produced in the pancreas by the islet cells, which is binding with sugar (glucose) to regulate the amount of glucose in the blood.

Pancreas – Pancreas is a glandular organ located in abdomen which produce hormones including of insulin to help food digestion.

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