*..Drinking cranberry juice can be effective in preventing Urinary tract infections.* Think it’s a heart attack? Call an ambulance, then chew one full strength (325mg) ASPIRIN tablet or else chew 4 low dose (81mg) ASPIRIN tablets. *..Supplementing blood pressure medicines with folate containing food materials or tablets has shown to reduce the likelihood of developing stroke in future. *.. A minimum of 150 minutes of moderate exercise per week or 20 -30 min every other day has shown to improve blood pressure in hypertensive patients. *.. Mindfulness: A popular meditation technique has shown to reduce levels of stress hormone levels known as Cortisol and help in increasing attention span. *.. Worsening of Anxiety, agitation, restlessness in a previously healthy individual may be due to an overactive thyroid gland. Consult your doctor about thyroid function test.

Diabetes

DIABETES: WHAT IS IT?

 

  • Diabetes is a chronic disease characterized by high sugar/glucose in blood.
  • Glucose enters the blood from the food we eat which is later used for fuel in the   body.liver
  • Pancreas which is an important gland is located near the stomach and it makes Insulin which plays a role in moving glucose inside our muscles, Liver and Fat cells.
  • In Diabetes Pancreas either fail to make enough insulin or our Liver, muscles, fat cells fail to respond to insulin properly.
  • As a result various body tissues do not get enough glucose inspite of high blood sugars therefore our body cells starve for energy.
  • Over a period of time this can cause damage to various organs of the body like Heart, Kidney, Eyes and nerves.

TYPES OF DIABETES

There are 4 major types of Diabetes:

 

 Type 1 Diabetes:-

  • Usually diagnosed in childhood.diabetes type1
  • Autoimmune disease –Body’s own Antibodies destroys Pancreas.
  • Also called as Insulin Dependent Diabetes.
  • Pancreas fail to make adequate levels of Insulin.
  • Therefore patients with type 1 diabetes require Insulin daily to survive.

 

 

Type 2 Diabetes:-

  • Most common type.diabetes type2
  • Usually diagnosed in adults but now days increasingly seen in younger generation.
  • Rates are rising due to increased obesity and failure to exercise and eat healthy.
  • Pancreas are able to make Insulin but obesity cause insulin receptors to decrease and dysfunctional.

 

 

Gestational Diabetes:-

  • Blood sugars are high during pregnancy in women.diabetes type3
  • Placental hormones are responsible for causing insulin resistance leading to diabetes.
  • High risk of progression to type 2 diabetes and Heart diseases.

 

Pre Diabetes:-

  • Above average blood glucose levels but not high enough to be classified as type 1 or type 2 diabetes.
  • Starts with unhealthy eating habits and lack of exercise.
  • At least 80 million people are diagnosed with diabetes each year.

 

SYMPTOMS OF DIABETES:

  • Excessive thirst
  • Excessive urinationdiabetes symptoms
  • Excessive hunger
  • Fatigue
  • Poor wound healing
  • Blurry vision
  • Recurrent infections
  • Numbness and tingling sensation in hands and feet.

 

RISK FACTORS

  • Poor diet and obesity.risk factor
  • Lack of exercise.
  • Family history of diabetes.
  • High blood pressure.

TESTING FOR DIABETES

Fasting plasma glucose test:-

 

  • Patient must fast for 8 hours.
  • Doctor will then draw blood.
  • For Pre Diabetics blood glucose will be in 100-125mg/dl range.
  • For Diabetics blood glucose will be above 126mg/dl.

 

Random glucose test:-

 

  • More than 200mg/dl.
  • According to latest guidelines oral glucose tolerance test (OGTT) is not used routinely.

testing

  • Urine test for proteins may show elevated urine Albumin levels.
  • Urine test for ketones may show elevated levels especially in type 1 diabetics.
  • HbA1c of more than 6.5% may be seen in diabetic patients.

 

MANAGEMENT

Nutritional/Diet:-

diabetes diet

Exercise:-

  • Exercise increases uptake of glucose by muscles therefore improving blood sugars.exercise
  • 150 minutes of exercise per week has shown to decrease bad cholesterol (LDL) and increase good cholesterol (HDL).

 

 

CAUTION- Check blood sugars before, during and after exercise if exercise is prolonged.

GLUCOSE MONITORING:-

  • Patients on insulin should check blood sugars 2 -4 times a day by help of glucometer.Glucose
  • Patients not on insulin should check blood sugars 2-3 times per week.
  • Parameters from physician are very important.
  • Continuous Glucose monitoring
  • Subcutaneous sensor in the abdomen.Download data quarterly every 72 hours.
  • Helps in evaluating the trends and efficacy of treatment over 24hours.

QUIT SMOKING:-

No smoking

INSULIN THERAPY:-

  • Rapid acting insulin-Lispro and Aspart
  • Short acting insulin-Regular
  • Intermediate acting insulin
  • Long acting insulin

CAUTION-Always CONSULT your physician before taking any form of insulin.

Methods of insulin delivery:-

  • Insulin pensinjection
  • Jet Injectors
  • Insulin pumps

 

  • Implanatable devices
  • Latest-islet cell transplantation.

CAUTION-Always CONSULT your physician before using any form of insulin injecting device.

ORAL DRUGS:-

  • MetforminDRUGS
  • Glipizide/glyburide
  • Acarbose
  • Sitagliptin

 

  • Pramlintide
  • Pioglitazone
  • Exanatide

 

CAUTION-Always CONSULT your physician before starting oral drugs.

 

COMPLICATIONS

  • Cardiovascular diseases such as Myocardial infarction (HEART ATTACK) is the MOST COMMON cause of DEATH in DIABETICS.

1

 

CALL the AMBULANCE IMMEDIATELY if the patient develops any of the following symptoms.

  • PERIPHERAL VASCULAR DISEASE in DIABETICS is the LEADING CAUSE of non traumatic AMPUTATIONS.

2

  • Inspect feet daily.
  • Wear closed toe shoes.
  • Visit Podiatrist at least annually.
  • Maintain good foot hygiene.
  • Maintaining proper blood sugar is the key to preventing complications.

3

  • CHRONIC KIDNEY DISEASE can be seen due to involvement of small blood vessels of kidney.

 

4

  • Controlling blood pressure halts the progression of kidney disease .
  • CATARACT5

 

  • DIABETES is one of the LEADING CAUSES of BLINDNESS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14 Responses

  1. Very nice article with all the information and pictorial representation. Specially helpful for laymans.
    Its very refreshing n different from other sites.
    I really appreciate the efforts put in by Dr. Aman.
    I’m going to follow your site..looking forward to more articles.
    Best wishes.

  2. Whoa! This blog looks exactly like my old one! It’s
    on a entirely different subject but it has pretty much the same layout and design.
    Wonderful choice of colors!

  3. Heya outstanding blog! Does running a blog like this take a lot
    of work? I have virtually no understanding of
    computer programming however I had been hoping to start
    my own blog soon. Anyways, if you have any ideas or techniques for new blog owners please
    share. I understand this is off topic however I simply wanted to ask.
    Thank you!

  4. I’m not that much of a internet reader to be honest but your sites really nice, keep it up!
    I’ll go ahead and bookmark your site to come back later.
    Cheers

  5. Link exchange is nothing else except it is just placing the other person’s website link on your page at suitable place and other person will
    also do similar in support of you.

  6. It’s very effortless to find out any topic on net as compared to textbooks, as I found
    this article at this website.

  7. whoah this weblog is magnificent i love studying your
    articles. Keep up the good work! You realize, many
    persons are looking round for this information, you could help them greatly.

  8. Hmm it seems like your website ate my first comment (it was extremely long) so I guess I’ll just sum it up what I
    wrote and say, I’m thoroughly enjoying your blog. I too am
    an aspiring blog writer but I’m still new to everything.
    Do you have any tips and hints for beginner blog writers?
    I’d certainly appreciate it.

  9. Hi there! I’m at work surfing around your blog from my new iphone 4!
    Just wanted to say I love reading your blog and look forward to all your posts!
    Carry on the excellent work!

  10. I do not even know how I ended up here, but I thought this post was great.

    I don’t know who you are but definitely you are going to a famous blogger
    if you are not already 😉 Cheers!

  11. Excellent website you have here but I was curious about if you knew of any community forums that cover the same topics
    discussed here? I’d really like to be a part of community where
    I can get responses from other experienced individuals that share the same interest.
    If you have any recommendations, please let me know. Thanks a lot!

  12. Good post. I learn something totally new and challenging on sites I stumbleupon everyday.
    It will always be useful to read through content from other writers and practice a little something from their web sites.

  13. For the reason that the admin of this website is working,
    no doubt very soon it will be famous, due to its feature contents.

  14. Hi, this weekend is fastidious for me, since this point in time i am reading this wonderful informative post here at my home.

Leave a comment