Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

What complications are associated with diabetes?

Diabetes is a serious disorder which happens when your body has an unreasonably high level of blood sugar, which further leads to harmful effects. Diabetes has a wide variety of complications associated with it, and they start to build up slowly and gradually. Some of the common complications are:

Retinopathy

In simple words, diabetes leads to eye damage by making the eye exposed and prone to severe eye disorders like cataracts and glaucoma. If you have retinopathy, then you may also have face the consequence loss of vision or permanent blindness.

Skin conditions

During diabetes, your skin health is bound to degrade to a large extent. Your skin will become thin in texture and more prone to cuts and breakages due to internal skin cell damage. Thus, the skin gets more exposed to the bacterial and viral infections and its healing process also slows down as the cell division takes longer than usual.

Nephropathy

Nephropathy refers to kidney damage which is caused due to diabetes. The kidneys act as a filter system to the body and they filter out waste materials from the blood. Diabetes causes damage to the blood vessels of the kidneys which may further result in serious kidney disorders and may increase the risks of a sudden kidney failure.

Cardiovascular diseases

This means that if you are having excessive diabetes, then you are at a risk of having a major heart attack or a heart stroke. Additionally, increased blood sugar levels also lead to other heart-related diseases like chest pain, narrowing of arteries etc.

Neuropathy

It is a complication related to the nervous system of your body. The complication generally occurs in the legs as there is a numbness, burning or tingling sensation in the legs. This happens due to the extra sugar in the body, which damages the walls of the blood vessels. In the worst case scenario, you can lose sensation in the legs.

However, it is always desirable that you go and visit a doctor if the conditions persist for a longer time. Additionally, you can also depend upon some domestic care measures to bring your blood sugar levels under control.



What complications are associated with diabetes?

Diabetes is a chronic metabolic disorder that results in higher level of blood sugar in the body. It is assuming epidemic proportions and India has become the new diabetic capital with more than 50 million diabetic people. The main problem with diabetes is that it does not completely go away and there is a whole myriad of issues that it brings along with it. Heart attack, stroke, eyesight problems, delayed wound healing, nerve damage and impotence. Therefore, diabetes and by that we mainly mean blood sugar level has to be managed so that there is a delay in onset of the associated conditions and/or reduced in severity.

Ayurveda refers to diabetes as Prameha (excessive urination) and Madhumeha (sugary urine) and has identified close to 20 forms of the disease. According to Ayurvedic belief, each disease is caused due to imbalance in kapha, pitta, and vata doshas and diabetes is caused by all these, predominantly by kapha. With any stream of medicine, management of diabetes involves two tracks   one is lifestyle changes and the second is medications.

Lifestyle changes include the following:

    Diet: Reduce the amount of rice, sugar, potato, sweet fruits, maida, deep fried foods, and red meat. Protein-rich foods like lentils, soya, green leafy vegetables and fish should be increased. Diet plan should change to small, frequent meals instead of binge eating.

    Exercise: Include 30 minutes of regular exercise into your daily routine if you have a diabetic predisposition.

    Others: Avoid smoking and alcohol, ensure sufficient sleep, avoid sleeping during day time, improved foot and eye care, periodically check sugar levels and manage stress levels.

Medication

Ayurveda has a whole lot of home remedies which have proven to be very effective against diabetes:

    Jambhul: Eugenia Jambolana whether eaten raw or juice extract has been shown to have beneficial effects in managing sugar levels and cholesterol.

    Gymnema sylvestre: Used to manage diabetes for over 2000 years, it reduces sugar cravings and is being touted as the future for diabetes treatment.

    Bitter gourd (Momordica charantia): It has 3 components that give it strong antidiabetic properties. The charantin reduces blood sugar levels; the polypeptide has insulin-like effects; and lectin that again has hypoglycemic effects.

    Bel (Aegle marmelos): Also known as wood apple, leaves of the plant are shown to have antidiabetic properties. 5 to 10 leaves can be chewed on a daily basis to help control blood sugar levels.

    Fenugreek (Trigonella foenum graecum): Consuming 10 g of fenugreek seeds soaked in water increases the amount of insulin produced, thereby increasing sugar breakdown.

    Neem: Chewing about 4 to 5 leaves in the morning on an empty stomach helps to control blood sugar levels. Alternately, neem leaves powder is available which can be dissolved in water and consumed.


Diabetes - 6 Natural Remedies that Will Help You Manage it

Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body. 
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

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Top 5 Things All Diabetics Must Do

Sugar addiction is basically a relentless sugar craving that is triggered in the brain due to mental hunger or an inherent sweet tooth. Yet, excessive sugar is not a good thing in the long run. It can lead to diabetes and various other issues like high cholesterol, hypertension, and obesity. Also, people whose grandparents have suffered from diabetes need to be especially careful of such sweet cravings as it may trigger the same problem in them too. So how can you cut sugar out of your life? Here's a list of tips.

- Detox or Gradual Scaling Down: While many people are in favour of gradually scaling down your sugar intake and slowly cutting it out of your life in a matter of weeks and months, there are experts who believe in stopping intake of it. A clean break from sugar is said to have a beneficial detox like effect on the brain and body. Many experts recommend cutting sugar out of your life in one clean swipe.
- Replacements: Using other substances like honey or even extracts from the Stevia plant are known to be a good replacement plan for cutting down your sugar addiction. You can start by introducing your system to these replacements in your daily beverages like tea, coffee or lemonade, before moving on to the use of organic honey for desserts and baking, as well as other sugar-free desserts and puddings.
- Fruits: The best way to get your sugar indulgence fixed is to have a good dose of fruit. This can help in giving you a good amount of dietary sugars which are natural and do not harm the body in the long run. Also, fruits are a healthy way of ingesting sugar even as you get valuable nutrients, vitamins and mineral - one arrow, many targets!
- Clean Up: Take a walk around your home and find all those secret candy stashes. Also, look for your dessert and pudding trays in the fridge. Now take all this out and give them away or trash them. Once you remove the option of snacking on sugary treats, you will be in a better place to avoid it altogether.
- Magnesium: Your chocolate craving might actually be a call for magnesium that your body is missing out on. Similarly, a mental hunger pang may actually be a need for water or some solid food. Avoid the sugary rush and take the healthy route instead, with the help of nuts and dairy.

Controlling your sugar addiction can save you from various ailments even as it gives you a healthier lifestyle.

How to Deal with Sugar Addiction

How to prevent Diabetes

Prevention is better than cure, and this is the absolute truth when it comes to battling Diabetes

If you want to prevent Diabetes from occurring within in your family and friends than you should understand and remember the basics of it.

Diabetes mellitus is neither a singular nor isolated form of occurrence. It a group of diseases, marked by high blood sugar levels which occurs when our body is unable to produce and utilize insulin optimally. Insulin is a hormone produced by the pancreas and it is important to maintain blood sugar. 

Common symptoms of Diabetes include 

1. Increased thirst and Urination

2. Increased Hunger

3. Weight loss

4. Fatigue

5. Blurred Vision

6. Extreme craving (for fatty and sugary food items)

Uncontrolled Diabetes can lead to complications such as Blindness, Loss of Memory, Kidney malfunction, Fatty Liver, Heart Disease, Nerve Damage leading to Amputations.

Type 2 Diabetes is most common variety. it develops when the body fails to utilize the insulin properly and is most commonly now found in overweight children. 

Here are 5 ways you can prevent it 

1. Curb it young: Forget the myth that children cannot get diabetes. Today, children as young as 12 years of age are suffering from Type 2 Diabetes. Introduce a healthy diet routine for the children as well as for adults in the family. Children are known to emulate what they learn from their elders and thus it is imperative that inculcate healthy eating habits in them right from childhood.

2. Stay Stress-free:  Reduce stress in daily life. Stress causes sudden surges in insulin levels.

3. Workout: Exercising regularly helps to keep diabetes at bay.

4. Say No to junk food: Keep Junk Foods restricted to once or maybe twice a month. These days almost all restaurants offer healthy but tasty options to choose from and therefore family or business outings can no longer be an excuse to indulge in heavy, calorific food that is devoid of any real nutrition.

5. Mind your weight: If you are more than 5 Kgs overweight, then please consider going on a diet immediately to reduce sugar levels in your body. Not only would you feel more energetic but also more ‘alive!’

If you would like to consult with me privately, please click on 'Consult'.

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