Dr. Jothydev has got in
his private clinic, a unique diabetes treatment and follow- up program.
The management is largely based on American Diabetes Association
guidelines. The follow up is very strict, aimed at intensive management
in as many patients as possible.
The private Clinic functions only two days a week. New registrations
are strictly limited to prevent overcrowding, so as to retain the
quality of treatment. Having registered, the patients undergo detailed
clinical examination and they are directed to a laboratory, with
state of the art equipments and strict quality control for detailed
evaluation and also to a private Ophthalmology Center for examination
of the eye.
Intensive Diabetes management is recommended after detailed discussion
with the patient and his/her relatives (care giver). If retinopathy
is present, its treatment (laser coagulation) is required before
initiating the intensive diabetes therapy. The patients are directed
to report through telephone, e-mail or fax on pre-determined dates
and follow-up is done through a computer tracking program. One fasting
and three two-hour post prandial blood sugar values (SMBG) per day
are to be reported by the patient. Periodically, LDL, HbA1c, 24
hours microalbuminuria, serum creatinine etc have also to be reported.
A trained nurse (firstname.lastname@example.org) will receive the information
and also will remind the defaulters. If the patient forgets to report
the values, they will be contacted by the nurse and reminded. If
the response is poor after repeated telephone calls, the caregiver
will be called and reminded.
During each such electronic consultation, medicines will be modified
according to requirement and hence the person who is calling should
have sufficient knowledge, to write down the instructions. Instructions
are modified and carried out, only in consultation with the doctor.
Each diabetic patient, along with his/her caretaker is invited for
a patient education program. After a lecture by Dr. Jothydev, the
audience can have prolonged interaction with the doctor. The patients
will thus get an opportunity to clear all their doubts during these
sessions and it will be generally beneficial to all the participants.
During the educational sessions, after fasting Blood sugar evaluations,
breakfast is also provided free for all registered patients. A video
CD (produced by Mrs. Sunitha Jothydev) on diabetes patient education
presented by Dr. Jothydev will also be given as a compliment to
the patients for future reference. These 'incentives' provided during
the educational sessions are to promote maximal participation, since
awareness about diabetes and its deadly complications are the key
factors behind the success of treatment.
targets of therapy of patients attending the clinic are the
1. Fasting sugar<110mg%
2. All Post Prandial 2hour values including Bedtime should
4. HbA1c <6%
5. BP<130/80 mmHg
Elderly Diabetes patients are also accepted for intensive management
of Diabetes subject to certain limitations.
In addition to these, Dr. Jothydev conducts continuing, bimonthly
education programs for his patients. Diabetic patients are fully
made aware of the fact that diabetes if left untreated, can lead
to blindness, renal failure, nephropathy, stroke, heart attacks
etc which are complicated health problems requiring expensive treatment.