Diabetes means the glucose level in your blood is high.

Insulin helps our body to get the energy from the food we eat. Insulin acts like a key to open the door of cells so that glucose can enter inside. In this way the blood glucose level gets dropped. As the blood glucose rises again and again, the pancreas produces more insulin to send the glucose inside the cells for energy.

Type 1 Diabetes

In Type 1 diabetes your body don’t make insulin at all. This is because your body has destroyed the insulin producing cells in the pancreas. Those who are less than 40 years are usually affected.

Type 2 Diabetes

In this type, either your body isn’t producing enough insulin or the insulin produced isn’t working properly. This is because the insulin is not able to open up the doors of the cells properly. This is due to the fat deposits in those cells making them resistant to insulin. So the level of glucose in the blood continues to rise.

Causes of Diabetes

Autoimmune Cause

Type 1 Diabetes is caused by the body’s own immune system destroying the pancreatic cells that produce insulin. This can result from viral or bacterial infections or chemical toxins entering the body.

  • Hereditary

  • Obesity

  • Gestational

Symptoms of Diabetes

  • Increased urination
  • Increased thirst
  • Genital itch
  • Tiredness
  • Weight loss
  • Blurred vision
  • Slow healing of wounds

Diagnosing Diabetes

Capillary Blood Glucose

  • Random blood glucose level (RBS) of 200 or more.
  • Fasting plasma glucose (FBS) of 126 or greater.
  • 2 hour post food glucose challenge (OGTT) of 200 or greater.


  • A hemoglobin A1c level of 6.5 or greater.

Fasting C Peptide

This test help recognize whether insulin production in the body is above or below the required limit.

Treatments for Diabetes

Medical Treatments

  • Insulin Injection
  • Oral medications that lower the blood glucose levels

Surgical Treatments

Diabetic Surgery (also called Metabolic Surgery) is the only scientifically proven method to send diabetes to remission. All other options merely help you to slow down the decline. For decades, surgeons have been successfully sending diabetes to remission through a simple surgery that re-configures the digestive tract. It is believed that the surgery changes the profile of the digestive hormones in the body, thereby sends diabetes to remission. Read More…

LIMA Experience

Diabetic Surgery offered from 2002

1st and largest in Chennai

Diabetic Surgery Specialists

Dr. J. S. Rajkumar


M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)

Dr. Anirudh Rajkumar

Bariatric and Laparoscopic Surgeon