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All diabetic patients who fast should be aware of certain facts if they fast during Ramzan, he further added.
All patients with diabetes should consult with their family physician regarding the Ramzan fast and learn the warning symptoms.
Type 2 diabetes will be controlled by diet and may require no special precautions.
Patients at risk of diabetes should avoid overeating to prevent post meal high blood pressure, after the predawn and/or sunset meal.
The exercise program for patients with diabetes on diet control should be modified to avoid lower blood sugar level. Exercise should be done 2 hours after the sunset meal.
Food restriction and dehydration may cause some cardiac risk in the elderly.
The choice of drugs in diabetes may require consultation with a doctor. Drugs that act by increasing the production of insulin are to be preferred. Some patients on metformin may fast safely with minimal complications. However, two-thirds of the total daily dose should be given just before the sunset meal and rest one-third before the predawn meal. Patients on pioglitazone may require no change in dose. Patients on sulfonylureas may require medical clearance before commencing fast.
Insulin dose also needs to be modified during the fast. Usually two doses of insulin, one before each meal, are sufficient.
If the blood sugar falls below 60, then the fast should be immediately broken.
Fast should also be broken if blood sugar rises to more than 300.
Patients should avoid fasting on sick days.
My 9 month baby girl is only 6.3 kg wight. She was the same in 6th month. Afterthat there is wt gain. I am diabetic and feeding mothers feed. How could she gain weight.
My daughter is 2 years old is suffering from fever 102 degree. Doctor gave an antibiotic and paracetamol syrup. She is not at all having any food and juices. She is taking only plain water. I am worried. Without any food juice or milk how can I give her medicine. Kindly advice.
Hello Doctor, My 2 year old son does not speak properly and fluently. He just able to speak few general words clearly e.g. Papa, mummy, mama, bike, dog, ball, bus. But not able to speak two words jointly. Also not learn new word easily. He not repeat any word behind you. He speaks only when he wants (Only few words). Please suggest if there any problem and what should we do in his case.
While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.
There are a few things that matters the most which are as follows:
1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.
The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.
E. G. Rice, potatos, bananas, or over ripen fruits.
And advice is to take them in minimum quantity instead of completely banning them.
Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.
2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.
In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.
3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.
If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.
So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.
And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.
4) general prevention of complication and specific cares:
By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:
Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.
Out of these one that I care the most and patients ingnore the most is foot care:&nbsp;
Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.
Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap.&nbsp;
Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.
These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.
Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.
There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:
E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.
Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.
Sir, I have 4mnth baby, past 1 mnth he had a trouble in getting out his motion regularly, we visited a doctor, he prescribed a medicine, what' s the problem is if he a take a medicine he regularly getting out the motion if stopped it then he didn' t getting out motion even for 3 days
Need to know abt my baby.He is born on 29th jan 2015 , jst completed 1 month. M worring abt him as he is puiking many times after feeding. Jst let me knw is it the thing to worry abt
My 4 month old daughter is doing 5-6 stools coming out in form of bubbles and usually greenish yellow in colour sometimes with mucus is this any sort of infection as its been a month gvng her medicines.
Hi, In our family there is just born child and Dr. dignosised G6PD deficiency. After reports - G6PDH Absorbance is 1852 - RBC 5.98 - G6PDH Assay Result 62.252 Kindly let me know about it and it's consequences. Or if is it a mild deficiency then please do let me know. Thanks.
Sir my son is one and half year old but he don't intake milk a single ml. He only drinks milk from bootle when he is in deep sleep otherwise he refuses to take milk. I had tried many flovours in milk nt he refuses just by seeing n drinking it. Please help me I am much worried about his deficiency for calcium.
My 2 months 15 days child baby boy is having a white patch on the stomach, armpit, chin area what could the reason be and does it vanish as he grow.
My daughter with 09 years old while getting pain accidentally while playing by hitting on some where, losing Conscious and Sometimes starts Vomiting for few times. Please tell me same is the symptoms of any diseases or any disorder, if so which specialist doctor I have to consult. Please give a reply Soon thanks.
I am a mother of an 11 month old baby. My LMP was 19 march it got over on 21 march. I have had an I-pill on 23 march. However, on 30 march I have my menses again. Is it normal or should I go for further consultation?
I am 7 th pregnant and my baby weight is 977 grams is it sufficient to baby or should I improve the baby weight.
I have a 4yrs kid, who is often falling sick since 4 months and so she is always given antibiotics. And now suddenly, since evening she has fever and the temperature is not getting normal even after giving crocin ds 3.5ml. So I have given her brufen juniors 5ml. But the fever is reduce a little. So wat should I do, please help, me. Also please advise some immunity booster for my kid in homeopathy.
Sir, my 4 years daughter can't speak, she can hear properly but cannot speak, she speaks only 2-3 words like mammi, kaka. What should I do, I consult the doctors they said she will speak. But as long as time is moving I am getting very upset. Please suggest some solution.
Dads and moms should share in the responsibility in caring for their newborn baby.
Importance of Dad Care
Caring for their baby gives dad's a chance to bond with their baby and also provides rest, help and support to the mom who might be in great stress. It is important to be there for your wife and be an active participant in caring for your family. Care for your young one and take turns changing the diaper, watching the baby or feeding.
What dads can do?
Dads can get involved in the different activities like changing soiled diapers, massage and bathing or sponging, get his/her dressed, feeding the baby if on formula feeds, burping the baby etc. Rocking the baby to sleep and singing songs and lullabies gives you a different experience. Don't shy away from responsibilities. It is best that you be there rather than ignore your need.
Skin to skin contact (Kangaroo care)
Babies respond to touch. Kangaroo care is very helpful especially in premature babies. It helps in growth of baby. It helps in bonding of baby with father. Hold your baby tight against your skin. Let the hearts connect. It is a beautiful experience to hold God's creation in your hand. This is the best way to connect to your little one and make him feel special. The best thing about this activity is that more than the baby it makes you feel happy and complete.
Practice makes a man perfect!
The only way to learn how to care for a bay is by getting involved and get going. Don't hesitate. You may feel shy initially but once you start involving in your baby care, the experience of nursing a baby makes you more confident.
Share your experience in your group at home or office, you may find more practical ways for caring your baby. Be open to suggestions and try and incorporate the good ones.
It has been found that babies who are 'well fathered' tend to be more secure and confident in exploring the world around them. Be a father that is around to observe and nurture your kid, remember it's the childhood that one cherishes the most.