When our body is unable to properly use and store glucose, the disease is referred as diabetes (Diabetes Mellitus). Glucose comes back in the bloodstream and hence the person’s blood glucose (commonly called as blood sugar) levels shoot up high.


  • Type 1 – This used to be called – juvenile-onset or insulin-dependent diabetes as it is commonly seen in children & young adults. However, it can occur at any age.
    Insulin is a hormone that helps our body to use glucose from the food that we eat and convert it to energy units. In type 1 diabetes, the body is unable to produce insulin. Hence, the person must take insulin injections every day.
  • Type 2 – This used to be called – adult-onset or non insulin-dependent diabetes as it usually occurs in people above 40 years, overweight and have a family history of diabetes. However, due to sedentary lifestyle, it is seen more in younger age group. Type 2 diabetes can often get unnoticed or undiagnosed for years.
    In this condition, our body doesn’t produce enough insulin and/or is unable to use insulin properly (also called as insulin resistance). See the illustration below:


  • Gestational diabetes – This form of diabetes occurs only during pregnancy & often strikes between 24th & 28th week of pregnacny. It poses serious risk for both the mother and child. Although, the condition typically ends after delivery, these women often have about 50% higher risk of developing type 2 diabetes over the next 7-10 years. Timely diagnosis is extremely important to reduce the incidence of this condition. With proper diet and nutrition and careful management of diabetes, women can and do have successful pregancies and also deliver healthy babies.

People with diabetes, often experience symptoms as shown in this illustration.


Apart from these, some people also experience – Increased hunger, Irritability, Tingling or numbness in the hands or feet, Frequent infections of skin, bladder or gums etc. In some people, there are absolutely no symptoms and for months or even years people can live without knowing that they have diabetes. As per International Diabetes Federation (IDF), one in every two adults having diabetes is UNDIAGNOSED. Regular screening is therefore very important.

Any one can get diabetes. However, some of the common risk factors are shown in the illustration below.


In addition to these, high cholesterol levels, high blood pressure, smoking etc. are also considered to be major risk factors for diabetes.

Fasting plasma blood glucose level of 99mg/dL or less is considered to be normal. When a person has fasting plasma blood glucose in the range of 100-125mg/dL then it is defined as having impaired fasting glucose (IFG). If the doctor gives glucose to this person and after 2 hours, the blood glucose levels are in the range of 140-199mg/dL, it is termed as having impaired glucose tolerance (IGT). These are the medical terms for a condition commonly called as pre-diabetes.

People with pre-diabetes have a higher risk of developing type 2 diabetes within a decade unless they switch to a healthier lifestyle including weight loss, proper diet and physical activity. Person is said to have diabetes when his/her fasting plasma blood glucose levels are 126mg/dL or higher at two separate occasions.

Timely screening and early detection can help prevent diabetes and its complications.

If you are overweight, above 45 years or if you are under 45 years, overweight and having one or more of the below risk factors, you should get tested –

a. If you are having phycially inactive lifestyle
b. If you are previously identified to have impaired fasting glucose (IFG) or impaired glucose tolerance (IGT)
c. If you have family history of diabetes
d. If you are having high blood pressure
e. If your level of HDL (good) cholesterol is 35mg/dL or lower and/or triglyceride level is 250mg/dL or higher
f. If you have a previous history of vascular disease

Consider two additional risk factors if you are a woman

g. If you had gestational diabetes or had given birth to a baby weighing more than 4 Kg (9 pounds)
h. If you have polycystic ovary syndrome

Appropriate prevention strategies for delaying or avoiding the onset of diabetes and also cardiovascular diseases can be determined by assessing cardiometabolic risk.

For the first time in Gujarat, Advanced Diabetes Centre (ADCPL) has installed a specialised state-of-the-art EZSCAN, a non-invasive 2-minute test that provides immediate results. This test does not require any patient preparation, fasting or drawing blood sample. EZSCAN is a dynamic test equivalent to a stress test.

Recent clinical studies have shown EZSCAN to be highly accurate, and reproducible in direct comparison with conventional blood tests, thus making it a reliable screening test.


Advanced Diabetes Centre (ADCPL) has critically sensed the need for non-invasive, accurate and sensitive tool for the early screening of diabtes complications that can be performed before the disease progresses to the point at which costly procedures become unavoidable.

One in 11 adults across the world has diabetes – such high was the prevalence of diabetes in 2015 as per International Diabetes Federation (IDF). There are about 78 million people living with diabetes in South-East Asia Region (comprising 7 countries – India, Bangladesh, Nepal, Sri Lanka, Mauritius, Bhutan & the Maldives).

With these high numbers, diabetes has become one of the largest global health emergencies of the 21st century.

International Diabetes Federation (IDF) estimates that world over approximately 5 million people died from diabetes; this number is significantly higher compared to number of adults who died from HIV/AIDS, tuberculosis & malaria. In India alone, about one million deaths were attributable to diabetes during 2015.


As a chronic disease, Diabetes demands chronic attention. Regular exercise, proper diet, medications and regular monitoring of blood sugar helps in keeping blood glucose levels in normal range as far as possible. Poorly managed or uncontrolled diabetes often leads to multiple long-term complications such as –

a. Heart attacks
b. Stroke
c. Kidney failure (Nephropathy)
d. Blindness (Diabetic Retinopathy)
e. Blood vessel damage
f. Nerve damage (Diabetic Neuropathy)
g. Wounds and ulcers leading to amputations
h. Impotence in men


In addition to these chronic complications, the person living with diabetes can also experience acute complications such as hypoglycemia, diabetes keto-acidosis (DKA). We shall learn about these later separately.

Poorly managed or uncontrolled diabetes often leads to the long-term complications. Hence, proper diet, regular exercise along with prescribed medications and regular monitoring of blood glucose levels is very essential in the management of diabetes.

India is a home to about 70 million people living with diabetes. All those who are careless about monitoring and maintaining their blood glucose levels and follow a disciplined lifestyle with proper diet, regular exercise & medications are liable to fall prey to the life-threatening complications due to diabetes.

If you don’t pay proper attention to managing diabetes, in the long run, even you can be a victim of these complications. However, routine check-up by diabetes specialists, regular blood glucose monitoring, proper examinations of feet, eyes, nerves etc. in regular intervals, an active lifestyle coupled with balanced diet and medications help prevent these complications due to diabetes.

Yes, we can certainly prevent these complications due to diabetes. Here’s what every person living with diabetes should do –

a. Consult with diabetes specialist (an endocrinologist or a diabetologist) at least once every six months
b. Periodically consult other members of a diabetes treatment team, including a certified diabetes educator, and a dietitian who will help develop an individualized meal plan for you
c. Meet and seek advice from an exercise physiologist for developing a physical activity plan d. Get regular eye exams (once a year) by an eye doctor expert in diabetes eye care to make sure that any eye problems associated with diabetes are caught early and treated before they become serious
e. Get your feet examined (once a year) by expert podiatrist to ensure that no abnormalities are left unnoticed. Proper footwear with appropriate insoles is also recommended for people living with diabetes to prevent injuries to feet
f. Also, get your nerves (of hand & feet) examined (once a year) as nerve damage due to diabetes can often lead to serious injuries
g. Consult a social worker, psychologist or other mental health professional at least once a year for help with the stresses and challenges of living with a chronic disease like diabetes

Every person whether he/she has Type 1 or Type 2 diabetes, has to have a customised diet plan, watch out the physical activity that they are doing. Physical activity helps our body to utilise insulin better so it can convert glucose to energy units for body cells. People with Type 1 diabetes and some people with Type 2 diabetes have to take insulin injections. People living with Type 2 diabetes also have to take other medicines orally to better control their blood glucose levels. People living with diabetes should know how to monitor their blood glucose levels regularly.

Diabetes is a chronic disease and therefore needs a chronic attention. Every person living with diabetes should consult diabetes specialist doctor (endocrinologist or diabetologist) at least once every six months. Consultation with Dietitian, Physiotherapist, Diabetes Educator is also very important when it comes to effectively control the disease. Regular examination of eyes (once a year) by an expert eye specialist is also mandatory. Examination of feet, nerve damage assessment (once every 6 months) is also important to prevent complications.

Long term complications of diabetes viz. heart attack, kidney failure, stroke, nerve damage, blindness, amputation etc. can easily be prevented if the person takes proper care from all the angles and not just by managing through his/her diet, exercise and medications. Diabetes management therefore needs a complete organised care.

As a chronic disease, Diabetes demands chronic attention. Multidisciplinary approach works the best to improve ‘Quality of Life’ for people living with diabetes. Advanced Diabetes Centre (ADCPL) advocates Organized Diabetes Care, which includes:

  • Individualized Treatment
  • Diagnostic Facilities
  • Prevention & Management of Complications Lifestyle advice
  • Diabetes Education

Advanced Diabetes Centre offers the promise of complete care for people living with diabetes under one roof. Complete team including Diabetes Specialists, Dietitians, Physiotherapists, Diabetes Educators are working together at Advanced Diabetes Centre to offer a holistic care for people living with diabetes.


Additionally, the center has state-of-the-art diagnostic facilities that help in timely and accurate diagnosis of various complications due to diabetes. This in turn, helps in deciding proper treatment strategies for the patients.

Complications due to diabetes often take a toll on patients as well as their relatives. Convenience and complete care is the main objective with which Advanced Diabetes Centre offers all facilities under one roof. From customised insoles to a special footwear, from unique pre-diabetes scanning to specialised eye testing, from diabetes friendly breakfast at the pantry to various diabetes related supplies, dietary supplements, medications available at the pharmacy, the centre is a complete one-stop destination for all the needs of person living with diabetes.


The goal of diabetes management is to make the person living with diabetes lead a happy and cheerful life and don’t let him/her suffer because of diabetes. Thus, diabetes management involves multi-disciplinary approach.

Since diabetes is a chronic disease, timely diagnosis, prevention and/or treatment of complications due to diabetes is equally important. It is indeed very beneficial to opt for Organised Diabetes Care instead of tackling individual issues in isolation.


The money you spend on your health is actually not an expense, but rather an investment. Early or timely diagnosis and preventive care is always better than spending more amount than the treatment with costly medications, hospital visits and surgical procedures. Advanced Diabetes Centre offers specialized diagnostic facilities that are absolutely unique and not available at any other location.

Moreover, the combined cost of various packages and services offered at Advanced Diabetes Centre is lower than if you choose to avail the same services individually at other facilities. Choosing these packages, services and diagnostic facilities at Advanced Diabetes Centre means not just saving money, but it also means that you’re saving significant amount of time and efforts going from one place to another.

At Advanced Diabetes Centre, it’s not just about prevention of diabetes and its complications, but also spreading the education about diabetes. The people who are living with diabetes are facing lot of questions during any given day and costantly feel the need to consult a medical professional for their advice. However, having a doctor next to you 24×7 is next to impossible. Therefore getting enrolled with Advanced Diabetes Centre means not just having a doctor next to you but also having an entire team of dietitian, physiotherapist, diabetes educator working with you throughout the day, every day, whenever you need them the most. In short, Advanced Diabetes Centre empowers you to effectively take care of your diabetes and lead a cheerful life.

Longer the duration of diabetes, there exists higher risk of developing complications. Unless tested, you may not come to know what issues you have.

If you have diabetes for 10 years and if your blood sugar levels are controlled with active lifestyle, diet and medications, then now is the time to get the thorough investigations done to know early if you are prone to have any complications.

If you have diabetes for 10 years and your blood sugar levels are uncontrolled, then it is very important that you undergo thorough investigations and medication reconciliation.

Organised Diabetes Care approach will not only help you control your blood sugar levels effectively, but also help in choosing a healthy lifestyle, so that not just for next 10 years, but obviously for longer, you lead a cheerful life. Complete team of diabetes specialists, dietitians, physiotherapists, diabetes educators along with specially trained technical experts is working with you to ensure all your concerns are addressed at all times. At Advanced Diabetes Center, we empower you to effectively take control of your diabetes.

Patient-centric approach at Advanced Diabetes Centre has patient care at the centre of every step. Prevent, treat and cure diabetes is our mission at Advanced Diabetes Centre.

Joslin Diabetes Centre, USA an affiliate of Harvard Business School serves as an adviser to Advanced Diabetes Center.

Multidisciplinary Organised Diabetes Care offered at Advanced Diabetes Centre is inspired by Joslin Diabetes Centre, USA – the organisation operating at global scale to ensuring that people living with diabetes live long, healthy lives and offers real progress in preventing and curing diabetes. Work done by Joslin Diabetes Centre is recognised worldwide for driving innovative solutions in diabetes prevention, research, education and care.

Advanced Diabetes Centre is the only institute in India to provide this unique patient-centric approach backed by clinical advisory from Joslin Diabetes Centre. Under close monitoring and guidance from Joslin Diabetes Center, Advanced Diabetes Center classifies the patients with diabetes in three categories based on their HbA1c levels and corresponding risk potential.


Basis this risk assessment, treatment goals and diabetes management plan is individualised for every single patient to best suit his/her lifestyle. Therefore, when you come to Advanced Diabetes Centre, you will be having a complete customised approach to manage your diabetes that understands all your needs, lifestyle, habits, cultural preferences etc. We ensure that the regimen that we prescribe to you at Advanced Diabetes Centre, is practiced completely than just remaining in the file.

At Advanced Diabetes Centre, our team of expert diabetes specialists, dietitians, physiotherapists, diabetes educators work with you and empower you to take control of your diabetes.

Moreover, state-of-the-art diagnostic facilities available at Advanced Diabetes Centre help in timely detection and therefore prevention of various complications due to diabetes. The multi-pronged services offered at Advanced Diabetes Centre also ensure that all the patient-care needs are completely fulfilled under one roof – thus making it time, cost and energy saving for patients and their relatives from running from one place to another.

A complete patient-care ecosystem at Advanced Diabetes Centre not just helps in effectively control diabetes and its complications, but ensure that the people living with diabetes lead a normal, healthy and cheerful life.

Advanced Diabetes Centre follows a proactive approach. Once you enrol with Advanced Diabetes Centre for any of our patient-care plans, you not only get the benefits of multidisciplinary care but you are so well heard and counselled, that you no longer dread the disease. Advanced Diabetes Centre, empowers you to take control of your diabetes.

Entire team of compassionate and committed professionals is with you 24×7, 365 days. Whether you are traveling or celebrating a festival, whether it is a sick day or an emergency situation, you can reach us anytime you need it the most and discuss all the issues that you find difficult to handle alone. Come, join us.

Let’s together spread the smiles!

Functional Food

Yes, there are certain foods which are not only useful in controlling blood sugars but also provide many other important health benefits. These are called functional food. The functional foods are the natural or processed foods that contain known or unknown biologically-active compounds; which in defined amounts provide a clinically proven and documented health benefit for the prevention, management, or treatment of chronic diseases. However, it is very important to consult a qualified dietitian in order to get its maximum benefit.

Functional food can be the natural foods or they may be in the form of tablets, capsules, powders & liquids. Do not start any of them without the prescription of the dietitian as not all of them are safe for you.

Natural functional foods if taken in a prescribed amount are found to be safe. However, functional foods in the form of capsules, powders or decoctions or any other form may not be safe due to the safety, quality, strength & contamination concerns associated with them. Some of the functional foods can also interact with the medications & can cause hypoglycemia, allergic reactions or other side effects. They might also interfere with your medication. It is also important to monitor blood sugar levels if on any food supplement. Therefore, it is advisable to consult a qualified dietitian before starting any nutritional supplements claiming guaranteed sugar control & has to be taken under strict supervision of dietitians & doctors. Be careful to use over the counter nutritional supplements.

Functional foods do help to control blood sugar levels if taken in a right form & dose at right time. However, they cannot replace diabetic medications. You may still require medications. If your blood sugar levels are under control, the diabetologist might change or reduce the dose of medications. It is important to note that patients should inform their doctor, diabetes educator or dietitian if they are taking any such supplements.

Healthy eating is absolutely necessary. Functional foods act as enhancers. One can get maximum benefits of the functional foods if they are following a healthy lifestyle. Functional foods without proper diet modifications will not provide the health benefits.

Foods do act as a medicine. Hence, just like the medicines, the dosage of the food is atmost important. They may cause adverse reactions like gastric disturbances, hypoglycaemia etc. if taken beyond that dose.

Jamun powder, methi & karela fall into the category of functional foods & there is growing scientific evidence to support its effectiveness in controlling diabetes. However, they alone cannot be used to control diabetes. Moreover, there are many factors which will determine their effectiveness like when you are taking it, how it is prepared, its dose etc. They will not be effective in controlling sugar if taken in wrong way. Only a qualified dietitian will help you to find the right foods for you.

Some of these foods can be taken indefinitely. Others are meant to be taken for a short period.

Supplements can interact with many medications. These interactions can be serious. One needs to consult the dietitian or diabetes educator to avoid unnecessary consequences.

The supplements may not be safe for all the people. Children, people with multiple health problems, pregnant & lactating mothers, people going for surgeries should avoid taking these supplements unless they advised by the doctors.