Doctor in Swasthya Diabetes Care
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I suffering from diabetes type 2 .my fasting sugar Laval is 102 & after meal is 140.4 pl advise me diet.
I'm 24 years old and I'm diabetic patient since 6 years. Any insulin or tablets are not responding to my immune system. What should I do.
My father is diabetic and has blood pressure issues. He is taking diabetes pills 3 times a day and blood pressure, early morning. I am hoping, if someone can help us with the balanced diet, that would be wonderful.
Hello my Dad age is 51 years and he is suffering from diabetes since 7 yrs. His blood sugar level is 187 mg/ dl and fasting sugar range us 367 mg /dl. What to do. To low down the range. And he is high bp patient too.
Helo my sugar level is 105 mg/dl and after 2 hours of lunch my sugar level is 138 mg/dl. What to do. And which glucometer is accurate to check.
I am 48 years old and height 5.6 wight 68 kg .I am diabetic 2 pain. I am suffering 2 years. Fasting 112 pp119 hba1c 6.1 now I am taking diamicron xr60 1 tab. ViabranD 1 tab. And zitamet 20/1000 mg 1 tab .my question is what is my regular diet and how can I increased my sugar label. Which time I take my food. Which food is better for type 2 diabetic pain.
Please can you tell me the symptoms of diabetes. I have doubt because even when in night l went to washroom again I have to go to washroom. Sometimes there has also pain in my legs.
Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among young people. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, oral insulin intake, taking healthy diet, increased physical activity and controlling blood pressure and cholesterol levels.
Type 2 diabetes is a condition wherein the body refuses to use insulin in order to carry glucose to each and every cell of the body. The pancreas try to produce more insulin in order to counter the condition but soon give up due to an increased blood pressure. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.
Gestational diabetes is observed in many pregnant women. The hormones produced during pregnancy can block insulin to be used by the body. While insulin resistance is common during pregnancy, failure of the pancreas to fill in the additional insulin in the body can result in gestational diabetes. Women who are overweight are more likely to develop this condition. Although gestational diabetes goes automatically after the baby is born, it often recurs in the form of type 2 diabetes in a later stage of life.
Risk factors for diabetes
- Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
- Inactivity: Immobility increases the risk of diabetes in a person. It stacks up glucose in the body, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes.
- Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is very likely that his immediate family or extended family has a history of diabetes.
- Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts. Lifestyle and eating habits are the major reasons for diabetes in these races.
- Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group.
Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.
A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.
Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.
TYPES OF SURGERIESBASED ON TIME
- BASED ON PURPOSE
- TYPE OF PROCEDURE
- BY BODY PART
- BY EQUIPMENTS USED
There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.
Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.
Classifications of foot infections
- A depth of the infection
- The severity of the infection
- The amount of tissue involved
- The anatomic site affected
- The causative factors
The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present
Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.
Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.