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Treatment of Diabetic Kidney Disease
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India is facing an alarming health issue as over 51% of women of reproductive age i.e. 15 to 49 years are anaemic as per the recent Global Nutrition Report 2017. Previously, in the year 2015-16 fourth National Family Health Survey also revealed a similar number of 53%. In response to this, the Govt. has decided to put in place dedicated strategies to make India anaemia free.
Haemoglobin is an iron-containing protein that is found in the red blood cells. Its most important function is to carry oxygen throughout the body so that the cells can carry on with their basic functions. It also carries carbon dioxide back to the lungs from those cells so that the gas can be exhaled. The production of haemoglobin is essential for your body, and iron and vitamins B12, B9, and C play an indispensable role in its production. It is important to have a proper diet in order to maintain an optimum level of haemoglobin.
Haemoglobin is important for maintaining a healthy life. The normal level of haemoglobin in the human body is:
• 14-18g/dl for adult men
• 12-16g/dl for adult women
So what should you do to improve the level of haemoglobin in your body:
- Consume iron-rich food products: According to National Anaemia Action Council, lack of iron is the most common cause of low haemoglobin level in the body. To improve iron content in your blood, you can eat foods like asparagus, tofu, almonds, oysters, fortified breakfast cereals, liver, red meat, shrimp, spinach, dates and lentils. However, consult your doctor for the right intake, as overconsumption of iron can also be harmful to your health.
- Improve your vitamin C intake: Absorption of iron is improved if vitamin C is taken in adequate quantities. Lemon, tomatoes, papaya, oranges, strawberries, bell peppers, broccoli, grapefruit, etc. are some of the fruits that are rich in vitamin C. In fact, if there is a deficiency of vitamin C in our blood, level of haemoglobin can go down. You may also take vitamin supplements to improve haemoglobin in your body, but always consult a doctor first.
- Focus on food items rich in folic acid: This acid is basically vitamin B complex, which is required to make red blood cells. Food products that are rich in folic acid include rice, liver, breakfast cereals, sprouts, dried beans, wheat germ, peanuts, etc. A diet comprising 200-400 milligrams of foliates is enough to supplement your Vitamin B needs.
- Include beetroot in your daily diet: Rich in iron, folic acid, fiber and potassium, beetroot helps in augmenting haemoglobin levels. Drinking beetroot juice daily increases the iron content in your red blood cells.
- Have apples: They are rich in iron and if you eat an apple daily, then your haemoglobin level will improve significantly. If possible, eat a green apple with its skin. Also, apple juice mixed with beetroot juice is known to have marked effect on haemoglobin level. You can also add some ginger or lemon juice to this mixture and can consume the concoction twice a day.
- Eat blackstrap molasses: This food is rich in iron, vitamin, folic acid, etc. and improves the level of haemoglobin in your blood. Take 2 tablespoons of blackstrap molasses and apple cider vinegar each, mix them in a cup of water and drink this concoction once a day.
Maintaining your haemoglobin level is indispensable to your health, and a deficiency can have adverse outcomes. So, it is important to include adequate amounts of iron, vitamins C, vitamins B12 and folate in your routine diet in order to stay healthy.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetic Macular Edema (DME) is an accumulation of fluid in the macula(part of the retina that controls our most detailed vision abilities)due to leaking blood vessels. DME develops in eyes wth diabetic retinopathy. Diabetic retinopathy is a disease that damages the blood vessels in the retina, resulting in vision impairment. Left untreated, these blood vessels begin to build up pressure in the eye and leak fluid, causing DME.
DME is associated with:
- Those who have had diabetes for an extended amount of time
- Severe hypertension (high blood pressure)
- Fluid retention
- Hypoalbuminemia (low levels of protein in body fluids)
- Hyperlipidemia (high levels of fats in the blood)
Symptoms: Common symptoms of DME are
- Blurry vision
- Double vision
- Eventually blindness if it goes untreated
Who is at risk of diabetic macular oedema:
About 1 in 3 people with diabetes develop macular Eedema. People with type 1 and type 2 diabetes are at a higher risk of getting diabetic macular oedema. Also other risk factors are:
- Poor control of blood sugars
- High blood pressure
- High cholesterol level
- In smokers
How is diabetic macular oedema detected:
Diabetic macular oedema can be detected during regular visits to the doctor. Patients with diabetes should be offered screening tests. Digital photographs of the patients can be taken as they show the early signs of diabetic macular oedema, though changes in vision might not be noticed at this time.
What happens when you attend the medical retina clinic:
When you go for an eye checkup you will undergo a comprehensive examination which includes:
- Visual acuity test: This is a sight test which measures how well you can see the different distances
- Eye pressure test: This test is done to measure the pressure of the eyes and usually drops which numb the eyes are used when this test is conducted
- Dilated eye examination: In this the drops are placed in the eye to dilate the pupils and then the back of the eye is examined.
- Fluorescein angiography: This is a diagnostic test in which an injection of fluorescein dye is given in the hand and then the photographs are taken.
- Optical coherence tomography: This is done to measure the retinal swelling
How to reduce the risks of diabetic macula oedema:
The risk of diabetic macula oedema can be reduced by quitting smoking, and to make sure that blood sugar and cholesterol levels are under control. This is achieved by regularly measuring the cholesterol and blood sugar levels. If you wish to discuss about any specific problem, you can consult an ophthalmologist.
I am taking sitagliptin 100mg on one time a day, volix m 0. 3 alongwith breakfast or dinner time, gp4 before breakfast, or gp2 before diiner from one month but after one month checkups of my bs fasting is 170 and bs pp is 260 now. My age is 39 years male. Ecg and other lipid profile serum cretenine reports are normal. What should I do ?
I am 63 checked the blood for sugar the fasting is 129 2hrs after food 139. Pl let me know I am diabetic?
Sir, my age is 40 years and last three years back diabetes detected and I used some allopathy medicine and after few months the blood sugar level became normal and I discontinued medicine but few months back (Within three months) I lost my weight by 10 to 12 kgs and after checking found sugar level 250 fasting.
I am diabetic taking medicine Jalra M 50/100, Insumin Forte, Zoryl M Forte, Telma AM Early in morning walk ½ in morning taking normal diet suger level is 250-325 taking normal diet pl advise asap.
I am having blood sugar I use to take medicine regularly how to get rid from medicine and control blood sugar level.
I am a diabetic, having having high level of blood sugar levels (450+) alonghwith high bp (160/90). Now a days I am having blurred vision. Is it because of high bp and high sugar level. Can there is a chance of any other complication in my body. Whom should I consult for whole body scan?
Can we avoid consuming tabs for diabetics if we exercise regularly. I am at brim stage of diabetics. My blood sugar while fasting was 111.
Sir I am having random sugar 148 and fasting are on border line. I eats only two tym in the morning and in the night because I goes to office and my total work is computerised that's why no physical exercise. I am doing exercise in tha morning and walking in the evening. please suggest me what to eat or what not to eat. Or I have to take take medicines for it.
Dear sir can you tell me how to control diabetes type 2 and can you tell me about diet. For diabetes patients.
What is the proper diet for diabetic patients. What should they avoid eating. Which fruits are good for them and which they should not eat. Can they eat rice.
1. Prevents cancer: as a magnificent source of vitamin c and different cell reinforcements, tomatoes can battle the development of abnormal cells that causes cancer. Lycopene has been connected with prostate tumour prevention. Epidemiologists recommend the consumption of tomato as it helps lower the possibility of prostate cancer. High fibre content of beta-carotene in fruits and vegetables has been proven to bring down the risk of colorectal cancer to a great extent.
2. Blood pressure: low sodium consumption keeps circulatory strain solid. Tomatoes are rich in potassium that helps in the same.
3. Heart's well-being: the fibre, potassium, vitamin c and choline content in tomatoes all bolster the heart's well-being. An expansion in potassium as well as a reduction in sodium is the most essential dietary change that an individual can make to lessen their danger of cardiovascular diseases. Tomatoes additionally contain folic corrosive, which keeps the homocysteine levels under control. It reduces the risk of heart diseases.
4. Diabetes: tomatoes help bring down the blood sugar level in people with type1 diabetes. Whereas, people with type 2 diabetes may have enhanced glucose, lipids and insulin levels. One measure of cherry tomatoes gives around 2 grams of fibre and helps them keep their levels neutralized.
5. Constipation: eating foods that are high in water substance and fibre like tomatoes can help with hydration and advance normal solid discharges. Fibre adds mass to stool and is important for bowel movement.
6. Eye health: tomatoes are a rich sources of lycopene, lutein and beta-carotene, which are intense cancer prevention agents. They have been helpful in protecting the eyes against harm related to the advancement of age-related macular degeneration.
7. Skin: collagen, a fundamental part of the skin, hair, nails and connective tissue, is dependent on vitamin c. An inadequacy of vitamin c leads to certain skin problems. As vitamin c is a capable cancer prevention agent, a low intake can affect the skin and cause harm from uv rays, infections and smoke. This usually results in wrinkles, hanging skin, blemishes and other antagonistic skin diseases.
8. Pregnancy: a good amount of folic acid needs to be present before and during pregnancy to ensure the infants good health inside the mother's womb. This can be found in tomatoes.type diabetes