Take care of your feet more than your face

We all know that India is fast becoming the diabetes capital of the world. There are about 69.2 million diabetes patients in India which is expected to reach 123.5 million by the year 2040. Development of foot ulceration is a common problem in patients with longstanding diabetes. Life time risk of developing foot ulcer may be as high as 25%. Foot ulceration is one of the leading causes of hospital admission in patients with diabetes mellitus. 60% of admissions in diabetes patients are for foot problems. 1% of diabetes patients may lose a portion of their limb in lifetime. In India prevalence of foot ulcer in people with diabetes is 3%.

The reason why diabetes patients are more prone to foot problems are vasculopathy i.e. involvement of blood vessels, neuropathy i.e. involvement of nerves, development of infection and many other co-existing problems such as old age, immunosuppressive states, hypoproteinemia and poor blood sugar control. The blood vessels in diabetic patients are affected by atherosclerosis i.e. deposition of fat inside blood vessels causing lead pipe arteries with resultant loss of its elastic property. Further calcification of blood vessels lead to poor distal blood flow.

Neuropathy, the involvement of nerves can occur because of autonomic, sensory and motor neuropathy. Autonomic neuropathy is the loss of autonomic control resulting in inhibition of thermoregulatory function and sweating. It results in dry, scaly and stiff skin that is prone to cracking and allows the entry of bacteria. Sensory neuropathy is the loss of protective sensation. It starts distally and migrates proximally in stocking distribution. Motor neuropathy results in foot deformities like hammer toes, claw toes, hallux valgus and flat feet.

Presence of high plantar pressure due to obesity, deformities in the foot, limited joint mobility further leads to development of foot ulcer. Ill-fitting footwear may further aggravate the situation. Majority of ulcer occur below head of 1st metatarsophalangeal joint. Diabetic foot are usually classified as neuropathic foot or neuroischaemic foot meaning either only nerve is involved or both nerve and blood vessels are involved. There are various type of therapy available to treat diabetic foot ulcer ranging from simple surgical debridement to hyperbaric O2 therapy, vacuum therapy, injections of G-CSF/Zolendronate.

Prevention of the developing ulcer is better than cure
– Feet should be washed daily using warm water and soap. After washing, feet should be dried with a dry towel especially between the toes followed by application of moisturizing lotion.
– Avoid wearing socks with rough seams as seamless diabetic socks are available.


More Information Consult our expert, Dr. Saibal Chakravorty ,Senior Consultant Internal Medicine.Call: 9910492867 or email: metro@metrohospitals.com

Reference Link:  http://bit.ly/2wTEXbV


Free Preventive Heart Screening Camp

Metro Group of Hospitals, on the occasion of World Heart Day, is organizing Free Heart Screening Camp across all its locations: Noida, Preet Vihar, Naraina, Gurgaon, Lajpat Nagar, Jaipur (here it will be on 29 September – 1st Oct.), Haridwar, Meerut, Rewari tomorrow i.e., Sunday, 24th September 2017.

Communicate the information to your friends and family, so that the interested people can take due advantage of this initiative.

– Free Facilities: ECG, ECHO Screening (if required), Blood Sugar (random), Consultation by Sr. Cardiologist & Family Privilege Card

VENUE: OPD of all group hospital locations

• 50 % off on investigations (in-house)*
• Angiography @ Rs. 7,000+
• 20% Discount on Angioplasty**

ECG, ECHO/TMT, Lipid Profile, Blood Sugar (F) and Consultation with Cardiologist

* offer valid till 15th Oct., 2017 for registered patients, and
for cash patients only **Excluding the cost of stent
+ Offer Valid for 24th Sept. to 15th Oct.

Call for more info: +91 85272 22111


World Alzheimer’s Day : Alzheimer’s Disease and Fact

“Though those with Alzheimer’s might forget us, we as a society must remember them.”

According to health experts, it has been observed that in India a total of 3.7 million of people are suffering from Alzheimer and the figure is going to double up by the year 2030. Alzheimer is the most common form of dementia and other neurological related disorders.

With the recent research by various medical associations, it has been observed that females contribute to 70% of the total burden of Alzheimer in comparison to males.

Aging is one of the main factors that contribute to this disorder; generally people over the age of 60years are more likely to suffer from Alzheimer. As in senior years, people don’t exercise their brain enough to stay active and hence it leads to loss of memory.

21st September of every year is marked as World Alzheimer Day, to spread the awareness about the diseases. This day the world come together to help the people suffering from Alzheimer’s and make them realize that they are no different from rest of the people.

World Alzheimer_s Day

Alzheimer is a slow progressive neurological disorder of the brain. It’s a neurodegenerative type of dementia, a kind of disease which gets worse with time. In Alzheimer, there is impairment of memory and disturbance during reasoning, planning, speaking, etc. According to scientist, it is believed that during Alzheimer, there is production of a particular protein (beta-amyloid protein) in the brain which leads to the damage of the nerve cells.

There are various symptoms for this disorder, which confirms the disease. They are:

  • Worsened ability to take in and remember new information
  • Impairments to reasoning, complex tasking, exercising judgment
  • Impaired visuospatial abilities
  • Impaired speaking, reading and writing
  • Changes in personality and behavior

There are generally 2 methods adopted for the treatment of Alzheimer:

  • Non-drug strategy
  • Prescription medication

Non-drug strategy is the most recommended and a better option for the treatment of Alzheimer. Depending on the severity of the disorder, prescription medications are suggested.

One can adopt various methods to stay healthy and stay away from Alzheimer like maintaining a healthy weight. Eating healthy diet which includes more of fruits and vegetables, healthy fats and proteins. Exercising everyday regularly for at least 30 minutes as it helps in improving the flow of blood to the brain. Regularly exercising the brain by playing puzzle games, crosswords, etc.

Metro Group of Hospitals have the best and experienced neurosciences specialists and advanced diagnostic technology to take care of patients suffering from Alzheimer Diseases. Call +91 99104 92867 or e-mail metro@metrohospitals.com for appointments.


Breast Feeding: Boosts Immunity & Brain Development World Breastfeeding Week

Breastfeeding is a keystone for the survival of infants exclusively during the early life as breastfeeding provides important irreversible nutrition for the growth and development of infants. Breastfeeding works as a 1st immunization to child with protection from common childhood diseases likes diarrhea, pneumonia, neonatal jaundice, cholera and many more. Breastfeeding is also an essential part of the reproductive process with necessary meaning for mother’s health. Still the society is not enable for this natural act of feeding.

India is supposed to be a “breastfeeding nation” but the rates of breastfeeding in the country do not support this claim. According to national data sources , about 44% of infants that is 12 million out of 26 million gets breastfeeding within the hour of their birth while the majority of infants are given formula milk, either powdered or liquid , or animal milk.

Breastfeeding includes various essentials nutrients that are mandatory for the proper growth and development of infants. These nutrients include free water, proteins, essentials fatty acids, carbohydrates in the form of lactose and minerals, vitamins and trace elements.WOLD BREASTFEEDING WEEK

Breast milk also include immune related component that helps in the growth of the infant:
Secretory IgA– predominant immunoglobulin in breast milk
Bioactives Cytokines- These include transforming growth factor-b (TGF-b) 1 and 2 and interleukin-10 (IL-10)
Others- leukocytes , oligosaccharides, lysozyme, lactoferrin, adiponectin, interferon-g, epidermal growth factor(EGF) and insulin-like growth factor (IGF)-1

Breastfeeding has different stages of lactations-

Colostrum- Colostrum milk is secreted during the 1st week (1-7 days) after the birth of the baby. This milk is rich in high amount of protein, has less fat and has a large number of immunization factors for the newborn infant.

Transitional Milk- Transitional milk secretion is produces approximately from 8 to 20 days after the birth of the newborn. It is a process of transformation from colostrums milk to mature milk.

Mature Milk- Mature milk is highly rich in fats as it helps in the growth process of the newborn. Mature milk is produced from 20days after the birth of the infant. It produces important non-nutritional components along with immune factors to the newborn.

According to the WHO recommendations breastfeeding should be a continued part of child’s diet plan till 2 year of age and later it can continue depending on mother and child health.


It was initially started in 1992 and was celebrated by the World Alliance for Breastfeeding Action, and after that, breastfeeding week is being celebrated in more than 120 countries across the globe by UNICEF, WHO and by governments and associations of the countries.

World Health Organization (WHO) and the American Academy of Pediatrics (AAP) have underlined breastfeeding to a great length as it promotes the healthy living for both the mother and the infant.

To mark the importance of breastfeeding, an entire week is dedicated to spread awareness and educate people on the importance of breastfeeding. The World Breastfeeding Week is organized from August 1 to August 7 of every year all across the world.

The week aims to bring down the progressive and permanent changes in the social living and sooner and later healthy and disease free social living. Family, community leaders, trained health workers, lactation consultants, friends and partners, can generally support to help a continuous breast feeding.

Every year the week is followed by a specific theme and this year the theme is- ‘Sustaining Breastfeeding Together’.
The team of doctors at Metro Group of Hospitals lays special focus and counsel expecting mothers to promote breastfeeding.

World Sickle Cell Day

“To do things in a better way one has to be free from the disease and have a better life.”

Sickle (hasya in hindi), ¼ moon-shape

19th June is celebrated as World Sickle Cell Day all around the globe to spread the awareness about the Sickle Cell Disease which is a genetic, inheritable, and fatal disease causing red blood cell disorder which can lead to death also.

In Sickle cell disease the red blood cells are not properly shaped as they are required by the body. The red blood cells gets stuck into the small blood vessels and creates a blockage for the flow of blood in the body, because of which the reach of oxygen in the body is not proper which results in the Headache, Heart Disease, Severe Infections, Stroke, Damage of the Organ / Failure and many more.

It is an abnormality of haemoglobin (the oxygen carrying substance) structure in red blood cells (RBC’s). The RBC’s in patient are rigid as against malleable RBC’s in normal person. Hemoglobin is protein, which is present in the blood, gets affected due to Sickle Cell Disorder. This protein helps to supply oxygen throughout the body. The normal hemoglobin is called HEMOGLOBIN A (HbA) while the hemoglobin which is affected by sickle cell disorder is known as HEMOGLOBIN S (HbS).


 In India Sickle Cell diases is commonly found in tribal population of central India, Northern Kerala, Tamil Nadu and North-Eastern India.

People suffering from Sickle Cell Disorder are more prone to other diseases as well like getting infection, more chances of getting stroke or acute chest syndrome because the flow of the blood in the body is not proper as it supposed to be.

The disease starts at the age of 5-6 months. This abnormal Haemoglobin of Sickle Cell disease gets distorted in Oxygen deficiency. The symptoms depend upon the extent of Oxygen Deficiency. The distorted RBC take the shape of Sickle and are not able to flow in blood freely and get stick to each other and thus blocking the blood flow in the particular area.

Oxygen deficiency can be precipitated by dehydration, infection, exercise, high temperature and high altitude. Sickle cell disorder is not contagious like cold and flu. A person who is suffering from sickle cell disorder has inherited two sickle cell genes, one from each parent. People who are suffering from this disorder aren’t aware that they carry the genes as they don’t have any sign of diseases, but they can pass the sickle cell disorder gene to their children.

People especially teens who have this sickle cell disease have some degree of anemia as they get tired easily, look pale or have fast pulse rating. People suffering from the disorder of sickle cell have tough time in fighting with other diseases / infections.

If we look at the database of Sickle Cell Disease in India, fewer than 1 million cases are there in a year. It is possible for old age people to be ill enough to die from this disease. Taking proper balanced and healthy diet, drinking plenty of fluid to prevent dehydration, exercising regularly, avoid alcohol, avoid extreme temperature & high altitudes,

avoiding smoking and taking plenty of rest are the basic health steps which a person can follow to stay healthy if he/she is suffering from sickle cell disorder,  proper timely management of infections specially that of chest infection, apart from this medication is the basic cure for this disease prescribed by doctors in the early stages of the disease but when the severity increases Stem Cell Transplant is the only cure, but it’s a complex and risky procedure to be followed.

Gene Therapy is going to be one of the best treatment for the Sickle cell Anemia for which the research and study is still going on by our scientists.The patient should get properly evaluated by Clinical Psychologist.

Consult our expert, Dr. Om Kumari, Senior Consultant – Clinical Haematologist.Call: 99104 92867 or email: metro@metrohospitals.com


Blood Donor – Give Blood , Give Now,Give Often

In the crisis or in emergency situation the response of natural human being is “What can I do? How can I help?”. Therefore the theme for this year campaign is WHAT YOU CAN DO? With the secondary message of Give Blood. Give Now. Give Often.
The campaign underlines the role every single person can play in helping others in emergency situations, by giving the valuable gift of blood. It also focuses on the fact that it is important to give blood regularly, so that the blood stock is sufficient before an emergency arises.
A Blood service is an important source and is a key component of an effective health system. However, in many countries, blood services face the challenge of making sufficient blood available, while also ensuring its quality and safety for the people who need it.


About 112.5 million blood donations are collected globally, half of these are in high-income countries. About 13 000 blood centers in 176 countries report collecting a total of 110 million donations. Collections at blood centers vary according to income group and data for the Blood Donors have gender profile which shows that globally 30% of blood donations are given by women, although this ranges widely. In 18 of the 118 reporting countries, less than 10% of donations are given by female donors. 57 countries collect 100% of their blood supply from voluntary, unpaid blood donors.
Blood can be used whole, or separated into its component parts, such as red blood cells, platelets, plasma, and other “substances” that can be used to treat a wide range of diseases. A single unit of blood can be used to save n number of lives.
Transfusions of blood and blood products helps save millions of lives every year, including during emergencies such as conflicts, natural disasters, and childbirth.
‘Blood donation by 1% of the population can meet a nation’s most basic requirements for blood.’

World Blood Donor Day has been celebrated annually since 2004 on june 14, with the aim of improving the safety and adequacy of national blood supplies by promoting a substantial increase in the number of safe, voluntary, unpaid donors who give blood regularly.

The host country for the global event of World Blood Donor Day 2017 is Viet Nam through its National Institute of Haematology and Blood Transfusion (NIHBT). The Global event will be held in Hanoi on 14 June 2017.

Original Source : http://bit.ly/2srlz30

World Health Day

World Health Day is celebrated worldwide on 7th of April. It is celebrated globally every year on the founding day of the World Health Organization. Initiated in 1950 this event has a particular theme each year to draw attention to an ongoing world health issue. Varieties of events and activities related to the theme are organized on the international and national level by the WHO.


Various government, non-government, NGOs including various health organizations celebrate World Health Day at many places worldwide by organizing programmes pertaining to the public health issues and awareness. Participant organizations show up their activities and supports via the media reports by means of news, press releases and etc. Health authorities from different countries take part in the commemoration with their pledges to support on the health issues worldwide.home_southeast_asia

A range of different activities are done in the conference of health workers to hearten people to maintain their health in the presence of media coverage. Essay writing, art exhibitions, debates on the related topics, competitions and award ceremony are being held to fulfill the aim of world health day.


World Health Day celebration aims at increasing the life expectancy by adding up good health to the lives of people and encouraging healthier lifestyle. Youths of the new era are also a focus of this event to prevent and make them healthy to make the world healthy and free from deadly diseases like AIDS.

Disease spreading vectors such as mosquitoes, sand flies, ticks, bugs, snails and etc. are also accentuated by the WHO to make the humankind free from a wide range of diseases caused by parasites and pathogens. It provides enhanced prevention and cure from the vector-borne diseases spread by both vectors and travelers from country to country. WHO supports various health authorities on global basis to make their own efforts for the public health problems to enhance better life without any disease.


Every year there is a particular theme selected for World Health Day. This helps putting focus on any particular disease. This year World Health Day Theme is “Depression”.

Depression causes mental anguish and impacts on people’s ability to carry out even the simplest everyday tasks, with sometimes devastating consequences for relationships with family and friends and the ability to earn a living. At worst, depression can lead to suicide, now the second leading cause of death among 15-29-year olds. Yet, depression can be prevented and treated. The options to tackle Depressions are Counseling & Medicine.

“Heart and Brain are closely related to each other and that is the reason the problems in brain directly have implications on heart. In this condition a Sympathetic Nervous System is activated in one’s body which increases the levels of Norepinephrine Hormone and this hormone is largely responsible for increase in the blood pressure. The chances of heart attacks increases with the increase in the duration a person remains in depression. Hearts beats become irregular in depression and it has also been observed that the chances of binding of platelets increase hence forming clots which is a major risk factor for heart attacks. Those patients who have no cardiac diseases but are suffering from depression may sooner or later become heart patients.

According to WHO currently 35 crore people are suffering from depression. According to the research of Professor Carls Hazladvin, Munich University, Germany, like obesity and high cholesterol is a risk factor for heart disease, depression also has the same weight-age as risk factor”, says Padma Vibhushan and Dr. B C Roy National Awardee Dr. Purshotam Lal, Chairman – Metro Group of Hospital and Director –  Interventional Cardiology

“According to WHO 4.5% Indians are suffering from depression. It is the leading cause of disability, even more than cardiovascular disorders. Suicide is a major risk. We can save lives. Let’s Talk”, says Dr. Avani Tiwai, Consultant – Psychiatry

Original Source : https://goo.gl/MDWKlB