Background: The metabolic syndrome is a deadly combination of hypertension, diabetes, heart disease, and dyslipidemia due to abdominal obesity. The causes this is both bad genes and bad environment. The objective of this study was to assess the efficacy of metabolic control of diabetes in the development of neuropathy.Methods: The present hospital based cross sectional study was conducted at MNR Medical College and Hospital, Sangareddy. The study was undertaken between October 2012 to May 2014 both in inpatient and outpatient department. Diabetic patients seeking consultation for the symptoms suggestive of neuropathy were screened and labeled as suffering from diabetic neuropathy based on the inclusion and exclusion criteria.Results: Diabetic neuropathy was common in the age group of 56 to 65 years in both male and female (33.3%). Average duration of diabetes was 8.7 years. Overall the rate of irregularity was much more (78%). Maximum (78%) patients reported presence of sensory symptoms. Diminision or loss of both ankle jerks was present in all 60 cases while 28 patients showed sluggish or absent knee jerks in total 60 patients. Maximum patients (60%) had distal symmetrical neuropathy.Conclusions: Longstanding diabetes and poor glycaemic control are particularly associated with an increased risk of neuropathy in diabetes mellitus.

As a part of nding a solution to reduce the impact on the already overburdened healthcare system, Ministry of health and family welfare, Government of India and Medical council of India have ofcially released telemedicine practice guidelines in March 2020. Doc on Call audio Teleconsultation service by Apollo Telehealth (ATH) emerged out as a cornerstone to meet the sudden high demand during Covid-19. Doc on call provides immediate and round the clock telephone access to Apollo Telehealth’s general physicians and specialist doctors. The aim of the study was to understand the impact of Doc on Call audio Teleconsultation services in reducing the burden on strained healthcare system of India, during Covid-19 pandemic. A descriptive analysis of audio teleconsultations done through Doc on call service,related to Covid 19 from March 2020 to August 2021 was conducted. Doc on Call services expedited healthcare reach to isolated Covid-19 patients, if not, would have visited overburdened hospital affected by this crisis. Telemedicine through Doc on Call has proven to be a very formidable technological tool to help patients recover from COVID 19 under expert medical care without getting hospitalised unnecessarily

Telemedicine has been successful in proving its effectiveness and in overcoming the main barriers in managing long Covid-19 or post Covid-19 complications. Recognizing the necessity of Telemedicine, considering the current crisis both to address increased treatment needs and to prevent unnecessary in-person contact, Apollo Tele Health (ATH) has adopted an innovative way of Telemedicine in managing patients and helping them recover from post covid complications thus realizing the full potential of advancements in technology for high quality health care delivery. With the onset of Covid-19, ATH has proven to be an essential tool for prevention, diagnosis and treatment of COVID 19 and to mitigate the post covid complications. This has been possible by the use of information and communication technologies (ICT) for the exchange of valid health information. Burden on healthcare in India is eased by an integrated effort of the government and other private sector initiatives such as Apollo Tele Health. Telemedicine platform can be used effectively for managing post Covid-19 complications and health education on various risk factors of Covid-19.

Background: It is very well established that tight control of diabetes reduces if not prevents the risk of neuropathy.  The benefit of other mode of therapy like myo- inositol supplementation and aldose reductase inhibitors remain to be established. Objective of present study to compare blood sugar and glycosylated hemoglobin in clinically manifested diabetic neuropathy.Methods: Hospital based cross sectional study was carried out at Department of General Medicine, from August 2016 to October 2017 among 60 patients of diabetic neuropathy. These patients were subjected thorough evaluation as per the proforma.Results: As per the blood sugar levels, 15% were normal. As per glycosylated hemoglobin levels, only one patient was found to be normal. Thus, glycosylated hemoglobin showed evidence of poor control more frequently than blood sugar estimation in these patients. Patients with both retinopathy and neuropathy in this study had diabetes mellitus for periods 2 months to 20 years.  (Mean 8.2yrs).  Thus, it can be seen that glycosylated hemoglobin is a more sensitive indicator of poor control of diabetes mellitus than blood sugar. This difference is statistically significant (P <0.05).Conclusions: Thus, as an integral of diabetic control, glycosylated hemoglobin (HbA1C) estimation is superior to the conventional measures in assessment of control.