Directing me to the nearest box of tissues, she steps out of the room and returns followed by a band of angels. She wants to send me to a lab so they can run more tests, and I start a fresh round of sobbing. I massage my ever expanding stomach and finally ask the million-dollar question: "Is my baby okay?"ĭr. There's a Harvard diploma hanging on the wall, pictures of three tanned tourist kids in front of some Greek ruins, a tiara-wearing teddy bear resting on the windowsill. My eyes scan the room as I try to take all of this in. You can be a healthy person with diabetes-you may never experience any of these complications." The truth is, if you work to control it-and it is work-none of this is inevitable.
DR GOLAND HOW TO
Because we didn't used to know how to keep blood sugar normal and how to prevent the complications, a lot of people are under the misconception that first you get the disease, then you get the problems, and that's that. "But," she adds, brightening, "every one of these things can be delayed or prevented.
With each word I shift deeper into catatonic noodle mode. "Blindness, loss of limb, kidney failure, heart attack, stroke." The result in both of these diseases is that the blood sugar goes too high." And in the end, over years, the pancreas often has trouble making insulin. That's a disease where the pancreas makes insulin but the body doesn't respond to it normally. When that happens, you can't make insulin, so to survive you have to take it by injection. Type 1 occurs because your own immune system attacks your insulin producing cells. "Well," she begins, "there's type 1 and type 2. She asks me about my diet and fitness routine (used to see my trainer three times a week, currently see my refrigerator three times a night). Goland asks me about my family history (cancer galore). A normal count would be 6 percent, and many people are at 4 or 5 percent. The test reveals my A1C level to be 8.4 percent. But at nine weeks along, it's apparent that I was diabetic before ever becoming pregnant. Gestational diabetes usually strikes after the 20th week of pregnancy and disappears within an hour of giving birth. Gollamudi’s special interests, other than the cornea and its related conditions, include state-of-the-art laser vision correction and refractive surgery, cataract surgery, glaucoma management, and laser treatment of diabetic eye diseases.To my total shock, the result of my hemoglobin A1C test indicates that my diabetes is not gestational.
DR GOLAND PROFESSIONAL
Gollamudi’s professional memberships include the International Society for Refractive Keratoplasty, American Society of Cataract and Refractive Surgery, American Academy of Ophthalmology, American Medical Association, Tennessee Medical Association, Tennessee Academy of Ophthalmology, and Memphis and Shelby County Medical Society.ĭr. He did additional research work at the University of Tennessee Medical School at Memphis.ĭr. He completed a corneal fellowship at the Bascom Palmer Institute in Miami and received advanced training in laser, surgical and medical treatment of diseases of the cornea. Gollamudi is a native Memphian who earned his medical degree from Yale University Medical School and completed his ophthalmology residency at the Wilmer Eye Institute, Johns Hopkins Hospital in Maryland.
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