Dr Jaishree Tiwari
About Me
Dr Jaishree Tiwari
MD
Diabetologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
A1C TESTING
The A1C test measures average blood glucose levels over the last two to three months. It's a vital tool for diagnosing prediabetes and diabetes while also helping manage established cases effectively.
- Importance : It gives a clearer picture of overall long-term glucose control compared to daily monitoring
- How often : Typically recommended every three months if poorly controlled; otherwise twice yearly if stable
- Levels interpretation : An A1C below 5.7% indicates normal; between 5.7% - 6.4% indicates prediabetes; above 6.4% means diabetes
DIABETIC RETINOPATHY SCREENING
Diabetic retinopathy is a complication that affects eyes due to prolonged high blood sugar levels. Early detection through screening is essential to prevent vision loss related to this condition.
- Symptoms : Often asymptomatic initially; symptoms may develop over time including blurry vision or dark spots in vision.
- Diagnosis : A comprehensive eye exam which includes dilating pupils helps detect any changes in retinal blood vessels
- Treatment options : Depending on severity may include controlling blood sugar levels alongside laser surgery or medication injections.
- Management strategies : Taking charge includes maintaining a healthy diet and routine eye check-ups.
Regular screenings empower patients by providing insights into their eye health for timely treatment opportunities.
DIABETES FOOT CARE ASSESSMENT
Foot health is crucial for individuals with diabetes due to the risk of neuropathy and poor circulation. Routine foot assessments help prevent serious complications associated with diabetic foot problems.
- Symptoms & Risks: Patients may experience numbness or pain in their feet. Poor healing of wounds is also a concern in diabetic individuals.
- How it’s performed: Healthcare providers perform thorough examinations that include checking skin integrity, sensation using monofilament tests, and assessing blood flow.
CONTINUOUS GLUCOSE MONITORING
Continuous Glucose Monitoring (CGM) provides real-time insights into blood sugar fluctuations throughout the day. This technology enhances diabetes management significantly by delivering immediate feedback.
- Benefits: CGM devices help track glucose trends which enables better decision-making regarding insulin dosage and lifestyle choices.
- How it works: A small sensor is placed under the skin to measure glucose levels in interstitial fluid continuously.
- Alerts & Alarms: Many CGMs come equipped with alerts for high or low blood sugar levels, allowing timely interventions to prevent complications.
- Integration with Insulin Pumps: Some CGM systems can be integrated with insulin pumps for automated dosage adjustments based on real-time data.
This technology supports patients in achieving tighter glycemic control through informed decisions based on continuous data tracking.
GESTATIONAL DIABETES SCREENING
Gestational diabetes occurs during pregnancy when the body cannot produce enough insulin. Early detection is critical for both maternal and fetal health.
- Symptoms: Often asymptomatic, it may be noted through routine prenatal screenings; however, increased thirst and frequent urination can occur.
- Diagnosis: Testing usually occurs between the 24th and 28th week of pregnancy via an oral glucose tolerance test (OGTT).
- Treatment: If diagnosed, dietary modifications, physical activity, and sometimes insulin therapy can help manage blood sugar levels.
- Management: Regular monitoring of blood sugar during pregnancy ensures safety for both mother and child.
- What to expect: Most women see improved glucose levels post-delivery but should monitor their health regularly thereafter.
Timely intervention can significantly improve outcomes for mothers and babies alike.
TYPE 1 DIABETES MANAGEMENT
Type 1 diabetes is a chronic condition where the pancreas produces little or no insulin. It typically manifests in childhood or adolescence, leading to high blood glucose levels. Understanding this condition is vital for effective management.
- Symptoms: Common symptoms include increased thirst, frequent urination, extreme fatigue, and blurred vision.
- Diagnosis: Physicians diagnose Type 1 diabetes through blood tests that measure glucose levels and assess the presence of autoantibodies.
- Treatment: Management often involves daily insulin therapy, dietary changes, and regular monitoring of blood sugar levels.
- Management: Lifestyle adaptations such as exercise and healthy eating play a crucial role in managing the condition.
- What to expect: Patients can lead active lives with proper management and regular follow-ups with healthcare professionals.
With ongoing care and education, individuals with Type 1 diabetes can maintain their health effectively.