Dr. Sanoop Kumar Sherin Sabu
Very often when I ask my patients have you checked your eyes or taken an ECG in the last 1 year, they ask me what’s that to do with my sugars.
Diabetes Is a silent killer that causes heart disease, stroke, kidney failure, blindness and foot amputation if uncontrolled !

Your blood vessels are like a drainage pipe. If it gets blocked with mud or waste the flow stops. When your sugars are high for long time it is the same that happens with the blood vessels which supply your eye, brain, heart, kidney, nerves and foot.
You may not have any symptoms in early stages of the blockage. But as the blockage and blood supply to the organs begins to reduce you will begin to have swelling of legs, pain in foot, head ache, chest pain, blurring of your sight, sudden loss of vission and many other symptoms.
List of investigations all patients with diabetes should do
Every 2 monthly
- Fasting and 2 hours after food sugars
- Foot Examination with your doctor
Every 6 monthly
- CBC+ ESR
- HbA1c
- RFT with Uric Acid
- Urine Routine
- Urine Spot PCR
Every Yearly
- All the above test +
- LFT
- Eye Check Up with an ophthalmologist to rule out diabetic retinopathy and glaucoma
- 12 lead ECG
- Xray Chest PA view
- Thyroid Function Test
- Fasting Lipid Profile
- S. Vitamin B12, S. Vitamin D3, S. Calcium
- Ultrasound abdomen
The frequency of testing and additional investigations may change from patient to patient based on treating physicians discretion
Meet your family physician and get evaluated for early detection and treatment for any such complications.
Dr. Sanoop Kumar Sherin Sabu
Click here to read Malayalam article of diabetes and eye disease
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