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I had diabetes, simultaneously my blood pressure remains high. So neither I can eat much of sweet and nor of much salty. Do guide me in my eating habits.
With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy.
What is CGMS:
Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis.
Whom is it for?
If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes.
Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows.
Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team.
If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels.
8 Lifestyle Modifications which can keep your HEART HEALTHY
Lifestyle changes characterised by rising incomes, sedentary jobs, and high levels of stress are some of the factors that have contributed to the high incidence of cardio-vascular disease. In India, cardio vascular diseases are responsible for one-third of all deaths. Controlling the risk factors and adopting a healthier lifestyle can make a big difference when it comes to this disease.
- EAT SENSIBLY: Avoid saturated fats and trans-fats as they raise the bad cholesterol level (LDL). Check the labels of food items before consuming them and avoid anything that is “partially hydrogenated” as this is a clear indicator that it contains trans-fat. Cut out red meat from your diet and add fruits and vegetables instead. However, not all fats are bad for the body, monounsaturated and polyunsaturated fats this include Omega-3 and Omega-6 are essential for good health and help protect against risk of heart attacks and strokes. Food items that contain good fats include almond, walnut, avocado, tuna and flax seed.
- CHOOSE THE RIGHT OIL: Cooking oil needs to be chosen carefully to maintain heart health and optimum levels of cholesterol in the body. Use oils with the higher monounsaturated fat content and lower saturated fat content, such as canola oil, olive oil and groundnut oil can be used. Do not reuse your cooking oil as this can result in the creation of trans-fat.
- WALK / EXERCISE : Exercise helps protect against heart disease and several forms of cancer. But besides regular exercise every extra step you take during the day builds up your ‘health balance’, and help prevent disease. Try and factor in at least 30 minutes of moderate physical activity (such as walking) in your daily life. Exercise burns the excess fats in the body and helps control the blood cholesterol. It will also reduce stress and normalise the pulse rate.
- KEEP BODY WEIGHT IN CONTROL: Studies have shown that exercise programs and healthy eating lead to improved health parameters, even in the absence of weight loss. However, these studies should not be seen to be a license to be overweight. Body weight is directly related to eating behaviours and the type of food being consumed. Depending on your height and age, it’s advisable to figure out your ideal weight and then make an effort to achieve or maintain that.
- DESTRESS / RELAX : Stress has several negative effects on our body, and should be kept under control. While, some stress is important it is vital to not allow it to completely take over our lives. Take up a hobby that helps you relax. It could be something as simple as cooking or gardening but make sure you take some time out for yourself.
- KEEP BP NORMAL: Blood pressure is an important measure for prevention of heart attacks. Your heart has to work harder to push blood through your body when your blood pressure is high. This causes your heart to enlarge and can speed up atherosclerosis (deposition of fats inside the arteries). In case you suffer from this condition, make sure you take your medications on time.
- ABSTAIN FROM SMOKING: A smoker’s risk of having a heart attack is more than twice that of a non-smoker. Smoking speed up the development of plaque in the arteries. It also reduces the level of the good cholesterol (known as HDL), and increases the stickiness of blood cells causing blood clots inside the arteries.
- SUGAR IS YOUR ENEMY No.1: If you have diabetes, keep the blood sugar under ‘tight control’. Remember, physical activity is the best way to burn off excess sugar in the blood. Those with diabetes are more prone to heart disease, especially women.