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I have diabetes mellitus so which medicines should I take now and also I wanted to know the diet chart?
Diabulimia is an eating disorder often associated with Type-1 Diabetes. Also referred to as ED-DMT1, not many people are aware of this non-clinical term. It is a well known fact that many people with Type-1 diabetes require the daily administration of insulin. In the case of Diabulimia, a person having Type-1 diabetes purposely manipulates with the insulin dosage in an endeavour to lose weight. In some extreme cases, a person may completely avoid the use of insulin.
You need no rocket science to understand the impact diabulimia will have on a diabetic patient (Type-1) who is entirely dependent on insulin. Some of the lethal consequences of diabulimia include
- Yeast infections: Manipulating with the appropriate dosage of insulin can trigger an abnormal rise in the blood glucose level (Hyperglycemia), some of which gets eliminated out through the urine, thereby enabling a person to lose weight. However, the high glucose level is just the ideal and favorable condition for yeast growth. The hyperglycemic condition will result in increased yeast infections. The infection can be very uncomfortable and annoying. In fact, there will be repeated yeast infections until the blood glucose level comes down to the normal range.
- Ketoacidosis: As already mentioned, diabulimia devoids the body of insulin. As a result, glucose is unable to enter the body cells (glucose is an important fuel for the muscles and the other cells and tissues of the body). In its absence, the body starts looking for alternate sources. Gradually the body starts breaking down fats to get the desired energy. Increased breakdown of fats results in accumulation of ketone bodies in the bloodstream, a condition medically termed as Ketoacidosis or Diabetic Ketoacidosis. The condition if left untreated can be harmful triggering Cerebral Edema (a condition characterized by a swelling of the brain), Hypokalemia (low potassium level) or even Hypoglycemia.
- Diabetic retinopathy: Hyperglycemia can spell doom for your eyes. The accumulation and buildup of high levels of glucose in the eyes often damage the retinal blood vessels, a condition known as Diabetic Retinopathy. There may not be any early signs associated with the condition. However, diabetic retinopathy can give rise to many serious complications such as Glaucoma (characterized by severe damage to the optic nerve), Vitreous Hemorrhage (the blood leaks into the areas adjacent to the vitreous humor of the eye), or even Blindness. There may also be a Retinal Detachment.
- Renal failure: One of the common and harmful consequences of diabulimia is the kidney failure. Increased concentration of glucose in the kidneys often damages the filtration units of the kidneys called the Glomeruli (increased glucose blocks the capillaries of the kidney) leading to kidney damage and failure.
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Is it safe to consume fruits like mango, banana, pine apple etc by people suffering from diabetics and what is quantity per serving.
Sir very good morning sir my father have sugar so please tell me sir what to eat so please tell me sir.
Hello sir I am asking about my dad health conditions. He is 59 years old and he is working as a central government my bad as diabetes he as blood sugar suffering from 15 years .now the fasting sugar is 228 and after the food it is 250 .my dad is a bozzer he will consume alcohol a lightly itself .my question is that his stomach is getting big then he is becoming thin what is the problem.
I am 45 years male (82 kg) old suffering from foot burning sensation for last 3 years. Tested for hb1c and blood glucose. All results shown upper normal limits. My mother's also had diabetes so I am a bit apprehensive for it. Medicines used were methylcobalamin and also amitryptilyne10 mg for 3 months but no improvement. Please Advice for me.
Diabetes is a common condition characterized by high blood glucose (sugar) level. This Condition occurs when pancreas produce insufficient amount of the hormone insulin, or the body’s tissues become resistant to normal or even high levels of insulin, or a combination of both these problems arises. Diabetes is a chronic medical condition that requires regular monitoring & treatment.
My mum is a thyroid patient. At present her TSH is 0.26. From past 10-15 days she's suffering from fever. Pls suggest few test if required. She has already undergone tlc n dlc test.
Diabetes is a public health concern that is rapidly rising in numbers across the world due to higher stress levels and the industrialization of most economies all across the world. Although medication and early diagnosis have been able to stop diabetes-related problems and reduce deaths occurring from it, it still remains a problem as it severely reduces the quality of life.
Diabetes poses some unique risks for women as compared to men. There are some problems areas created by diabetes which are common in both men and women and there are certain problems which are very unique to women. Let’s look at some of the facts and figures as mentioned below-
Incidence Of Diabetes
Women are prone to diabetes as much as men are in most populations. Although specifically in India, according to a study conducted in 2014, about 7.1% of the population gets affected in total. However, in certain populations, it has been seen that the incidence of diabetes among women tends to be higher than men.
Race as a Factor
Some races tend to be even more predisposed to diabetes than others such as Pacific islanders, some people of South American descent such as Mexicans, South Asians and people of African descent. Some of the risk factors for this could be –
A culture of no exercising among some groups
Prevalence and preference for a sedentary lifestyle
Industrialized societies and urbanization which lead to poor eating habits
Higher percentage of body fat
PCOS and Diabetes
PCOS is a disorder that disrupts a woman’s endocrine system and increases her levels of androgens, or male hormones.
This disruption can cause irregular menstruation, excessive hair growth, acne, and obesity. It can also impact a woman’s ability to have a child. It’s often diagnosed when small pockets of fluid appear in a woman’s ovaries during an ultrasound.
How does PCOS relate to Diabetes?
Insulin resistance can create an adverse reaction involving the immune system and help bring about type-2 diabetes.
Type-2 diabetes is a condition in which the cells of the body become resistant to insulin, an inadequate amount of insulin is made, or both.
While type-2 diabetes is typically preventable or manageable through exercise and a proper diet, research shows that PCOS is a strong independent risk factor for developing diabetes. In fact, women who experience PCOS in young adulthood are at an elevated risk for diabetes and potentially fatal heart problems later in life.
It is advisable that you take steps to control insulin levels in any case.
Impact of Diabetes on Sex Life -
Sex is good for diabetes. It's good for your heart and blood flow, helps you sleep, and boosts your mood.
If you have diabetes and have had painful sex or trouble getting aroused, though, sex may not seem too sexy. About 35% of women with diabetes seem to have sexual issues. That doesn't mean you have to live with them. There's help to get your sex life going again.
Sexual Challenges For Women :
- Vaginal Dryness. This is the biggest sexual complaint in women with diabetes. Vaginal dryness is, this twice as likely if you have diabetes. If you are in menopause or postmenopause, less estrogen may be the cause. If you aren't, damage to the nerves that lubricate your vagina may be. Vaginal dryness can become a painful cycle. If sex hurts because of it, you may tense up during sex, causing more pain, or avoid sex altogether.
- Vaginal Infections. Urinary tract infections (UTIs) may make sex painful. Yeast infections can also cause pain during sex, as well as vaginal dryness. If you have poorly controlled diabetes, you're more likely to have yeast and other vaginal infections.The burning and pain can make sex very uncomfortable -- and when there is chronic infection, there is chronic discomfort that can cause a woman to avoid sex for long periods of time.
Avoiding sex may only make the problem worse.
Diabetes and Pregnancy -
Diabetes can affect a person without warning and sometimes may even occur without any family history. For a woman of child bearing age, this is stressful as the desire to become a mother and the thought of bringing harm to the child. Although the risks associated with pregnancy in a diabetic woman can’t be ignored, the number of misconceptions is huge and adds to the stress. However, the situation is not as bad as it is made out. A diabetic woman can get pregnant and deliver healthy babies. You just need to take certain precautions to become a mother.
How Diabetes Affects Pregnancy?
The most commonly seen complications of diabetes are those that affect the kidney, eyes and the nervous system. These are also known as diabetic-nephropathy, retinopathy and neuropathy respectively. After delivery the symptoms might disappear; however, treatment may be required. Ensure that you inform your doctor about any changes in your body as they can be symptoms of a condition. Common conditions seen among mothers are:
Urinary tract infection leading to fever.
High blood pressure leading to fluid build up.
Swelling in limbs and face.
Protein excretion in urine.
Carpal tunnel syndrome leading to numbness & tingling in hands.
Build-up of ketone bodies.
Risk of premature delivery or requirement of c-section.
If undetected for long, there could be worsening of eye problems, nerve damage and severe kidney disorder. Medication may be provided, including suggestion for having complete bed rest, early admission to the hospital or early delivery.
Unchecked diabetes can also put the baby at risks such as:
High blood sugar levels leading to fat accumulation in shoulders and trunk.
Low blood sugar level after birth.
Risk of getting obese or diabetic later in life.
Macrosomia (having a large baby)
Birth defects (not usually a risk for women with gestational diabetes)
Respiratory distress syndrome (difficulty breathing)
Target blood glucose goals before getting pregnant:
Pre-meal (before eating): 60-119 mg/dl
1 hour after meals: 100-149 mg/dl
Can Diabetic Women have Normal Pregnancy?
Most women look to this moment with equal parts fear, dread, and excitement. While many women with diabetes have a vaginal birth without complications, the chances of having a cesarean section or having labor induced before your due date are increased. That's partly because women with diabetes are more likely than others to have large babies, in which case vaginal delivery can damage the baby's collarbone or shoulders. It's also because diabetes and obesity increase a woman's risk for high blood pressure and a condition called preeclampsia (see box). These conditions often require early delivery to prevent harm to the mother and baby. The upside is somewhat more control of the circumstances around labor and delivery; the downside is that induction often leads to more intense, painful contractions that come faster, plus an increased chance of having a cesarean section.
Planning Pregnancy and Reducing the risks for you and your baby-
Starting a family requires a bit more planning when you're a mother-to-be with diabetes. But you can take some simple steps to make sure your pregnancy and your baby are safe and healthy.
Start with a checkup: The first step in preparing for pregnancy is to talk to your health care provider. He or she might recommend:
Treatment for certain conditions.
Consulting with specialists.
Focus on Blood Sugar Control: Controlling your blood sugar level is the best way to prevent diabetes complications. When you're preparing for pregnancy, blood sugar control is more important than ever. Your health care provider might want you to reach a specific hemoglobin A1C level — a reflection of your blood sugar level for the past two to three months — before pregnancy.
Keep up a Healthy Diet: Your diabetes diet probably includes plenty of fruits, vegetables and whole grains. You can eat the same foods while you're preparing for pregnancy. If you're having trouble keeping your blood sugar level in your target range or you want to lose excess pounds before pregnancy, consult a registered dietitian. He or she can help you customize your diabetes meal plan to meet your pre-pregnancy needs.
Get Active: Physical activity is another important part of your diabetes treatment plan. During your preconception appointment, get your doctor's OK to exercise. Then choose activities you enjoy, such as walking, swimming or stationary biking, and make them part of your daily routine.
Manage Stress: When you are preparing for pregnancy, try to keep stress under control. Too much stress can interfere with your blood sugar level and make it harder to take good care of yourself — and your baby.
Gestational diabetes –
Gestational diabetes is diagnosed during pregnancy when your body cannot cope with the extra demand for insulin production resulting in high blood glucose levels. Gestational diabetes is managed by monitoring blood glucose levels, adopting a healthy eating plan and performing regular physical activity. Effective management of gestational diabetes will reduce the risk of complications during pregnancy and the birth of your baby.
Your gynecologist and dietician can help you with blood glucose monitoring, healthy eating and physical activity.
There are three basic components in effectively managing gestational diabetes:
Monitoring blood glucose levels
Adopting a healthy eating pattern
Gestational diabetes can often initially be managed with healthy eating and regular physical activity. However, for some women with gestational diabetes, insulin injections will be necessary for the rest of the pregnancy. Approximately 10 – 20% of women will need insulin; however, once the baby is born insulin is no longer needed. This is safe for both the mother and the baby.
After the baby is born, gestational diabetes usually disappears. A special blood glucose test (Oral Glucose Tolerance Test - OGTT) is performed six weeks after delivery to ensure that blood glucose levels have returned to normal. However, women who have had gestational diabetes have an increased risk of developing type 2 diabetes later in life and should be tested for diabetes at least every 2 – 3 years.
Can gestational diabetes affect my baby?
If gestational diabetes is not well looked after (blood glucose levels remain high) it may result in problems such as a large baby, miscarriage and stillbirth. A large baby can create the risk of injury at delivery, caesarean delivery, forceps delivery and a need for the baby to be looked after in special care until the glucose level stabilises after delivery.
In case you have a concern or query you can always consult an expert & get answers to your questions!