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Eating Disorders In Diabetic Patients - Know Why It Happens!

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, Certificate Course in Management of Thyroid Disorder, Post Graduate Course In Diabetology
Endocrinologist, Delhi
Eating Disorders In Diabetic Patients - Know Why It Happens!
Diabulimia is a type of eating disorder in which patients of Type 1 diabetes intake less amount of insulin purposely, in order to lose weight. This disorder, however, is not a formal diagnosis. The disorder may be defined as disturbed eating behavior.

Our body requires insulin for moving glucose from the blood to the cells. In type 1 diabetes patients, the pancreas stop producing insulin and glucose gets stored in our bloodstream. This causes extra stress on the kidney in getting rid of excess of sugar. The body gets devoid of glucose and the calories associated with it and a rapid loss in weight occurs. Patients develop binge eating, with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.

The symptoms of this disease are:

Occurrence of hyperglycemia
Developing a habit of eating more, but still experiencing weight loss
The shift in weight may be dramatic
The energy level is low
Eating patterns turn unusual
Binge eating
Developing an obsession for food
Enhanced awareness about body image
Feeling anxious about the weight
A delay occurs in sexual maturity or attaining puberty
Occurrence of stress
Hospitalization is required frequently for diabetic patients
Exercising amount increases
The patient tends to hide food
There is a smell of ketones from the breath and urine of the patient
Frequency of urination gets enhanced
Malnutrition occurs signalled by hair loss or drying of skin
Health hazards of Diabulimia

Diabulimia can cause a great amount of permanent effects on the body, irrespective of age.
Patients with diabulimia have a risk of getting early comorbidities.
Health issues similar to issues arising from diabetes are observed, but are more adverse in nature.
Dehydration happens along with excess urination.
The patient experiences fatigue and the level of concentration falls down.
An electrolyte disbalance is caused.
There may be risk of heart attack, stroke, retinopathy, neuropathy, gastroparesis.
Vascular disorders, gum infections and infertility in women may also occur.
In the most extreme cases, death occurs.
Prevention
It has been proven by research that almost 30% of type 1 diabetes patients are the ones who abstain from or avoid using insulin in order to lose weight. This habit leads to the risk of many other fatal diseases which may be permanent in nature. Dibulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Diabulimia is an eating disorder which leaves a patient at risk of acquiring many other severe diseases. It is advised not to neglect your insulin.

Gestational Diabetes - How To Deal With It?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics and Gynaecology
Gynaecologist, Lucknow
Gestational Diabetes - How To Deal With It?
Diabetes is a condition wherein one suffers from high blood sugar levels. Gestational diabetes is a form of diabetes which occurs only during pregnancy. It is certainly possible to bear a healthy child, provided certain lifestyle modifications are adhered to. Once the baby is born, the condition usually tends to disappear. However, this does make you prone to Type 2 diabetes (a condition wherein the body is unable to utilize the insulin effectively).

High blood sugar levels during pregnancy can affect the baby. It usually gives rise to complications such as high blood sugar levels in the baby, impaired functioning of the pancreas in order to produce insulin, and excess sugar deposits in the form of fats. The baby might also become predisposed to jaundice and other breathing difficulties.

Causes:

Pregnancy causes the placenta to produce hormones that impair the functioning of insulin. The pancreas too does not produce the required amount of insulin. Both these factors contribute to the rise of sugar levels in the body.

There are certain factors which may put you at risk of being affected by gestational diabetes

Obesity

A family history of diabetes

Past history of the condition

Treatment:

There are measures one can adopt to reduce risks of this disorder. Shed the extra pounds and maintain optimal weight levels. An active lifestyle would ensure proper utilization of the insulin by the body. The main goal of treating gestational diabetes is to get the blood sugar levels back to normal. This can be done by:

Insulin Shots: Insulin shots help normalize and regulate high blood sugar levels. Another advantage is that these shots do not affect the baby.

Diet: A healthy eating plan helps prevent sudden surge in blood sugar. You have to be conscious of the type of foods you eat and be mindful of the portions you eat. Processed foods should be avoided; instead the focus should be on natural foods.

Being Physical Active: Pregnancy does put certain restrictions on your mobility and your ability to perform certain exercises. Hence, an exercise plan should be designed accordingly. In times such as these, cardio vascular exercises, such as brisk walking, swimming or Yoga should be enjoying maximum priority in your list of the doable exercises.

I am 48 years old due to diabetes since last 15 years sugar level around 250 my sexual life is not satisfy. Please advise in this matter.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Diabetologist, Thane
I am 48 years old due to diabetes since last 15 years sugar level around 250 my sexual life is not satisfy. Please ad...
Dear lybrate-user, Your long standing uncontrollable diabetes can be a reason a reason for your poor quality of sex life. Proper control of your diabetes, regular exercise along with specific medication can help you enjoy your sex life along with general good health. Regards.
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Mera family mai diabetes problem hai mujha kya karna chaiya Taki mujha diabetes na ho.

MBBS, MD
Endocrinologist, Delhi
Mera family mai diabetes problem hai mujha kya karna chaiya Taki mujha diabetes na ho.
Take normal balanced diet. Avoid junk food. Exercise regularly. Avoid weight gain. Maintain it. Monitor blood sugar regularly.
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How High Blood Pressure Is Connected With Diabetes?

MBBS, DNB - General Medicine, Post Graduate Diploma in Diabetology (PGDD)(Madras Medical College)
Diabetologist, Navi Mumbai
How High Blood Pressure Is Connected With Diabetes?
What is High Blood Pressure?

High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be high blood pressure or diagnosed as hypertension .

What is Diabetes?

Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.

The Connect-

According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.

In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.

Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.

How Homeopathy Enables You To Manage Diabetes?

BHMS, B.Sc. Zoology, CGO
Homeopath, Thane
How Homeopathy Enables You To Manage Diabetes?
Diabetes is basically a disorder of the metabolism causing excessive thirst and the production of large amounts of urine. To further elaborate one need to understand the role of insulin in the body. While eating, the body turns food into sugar or glucose. At that time pancreas is supposed to produce the right amount of insulin to move the glucose from our blood into our cells. In diabetics, the pancreas either produces little or no insulin, or the body cells do not respond to the insulin that is produced. Due to this, glucose levels rise in the blood, floods into the urine and passes out of the body, making the body lose its main source of fuel. Diabetes is of many types, but the most common are Type 1 and Type 2.

How to treat Diabetes:

Controlling blood sugar level is the major goal of diabetes treatment, in order to prevent complications of the disease. Treatment may be in Allopathy or Homeopathy, conventional medicine often uses insulin itself in the treatment of diabetes. Since this is kind of replacement, so diabetes becomes a life-long disease. Homeopathy can be used effectively in the treatment. Let s see how diabetes can be worked with Homeopathy.

Diabetes & Homeopathy

In homeopathy, the main focus is on functioning of the pancreas in efficient insulin production. There are specific medicines which are used effectively in the treatment of all the stages of the diseases.

Homeopathic treatment can help improve the general health of a person with diabetes:

If a person with diabetes is in good health, his or her insulin requirements will be steady and the blood glucose well controlled at the same time.
If the general health is poor, it can be very difficult to achieve good control.
Homeopaths resort to different approaches towards diabetes Management of Blood Sugar. First is when the blood sugar level is very high, the priority is to control it and there are homeopathic remedies that could reduce the sugar. The commonly used remedies are Uranium Nitricum, Phosphoric Acid etc. These are classical homeopathic remedies.

Depending on the level of the blood sugar and the requirement of the patient, doses are given with doctor s consultation. It s a holistic approach in medicine. This treats the patient taking into consideration the mental, emotional and physical peculiarities of the person who is affected with this state. In this, it is considered that the disease is a mere deviation in life force and hence all the efforts are to correct this disorder. The treatment will be to bring into balance the various systems involved in diabetes, for example, pancreas, hormones, and your immune system. Treatment will again be different if you have other ailments along with diabetes.

Homeopathy regards health as a state of balancing the equilibrium of the life force. Whatever treatment is taken it s always advisable to be in regular touch with the doctor and keep sharing the health status with the doctor.

Endocrine System & Diabetes - Understanding The Relation!

MD - General Medicine, CCEDM, Fellowship In Neurology & Stroke
Internal Medicine Specialist, Navi Mumbai
Endocrine System & Diabetes - Understanding The Relation!
Endocrinology deals with the hormones, hormone systems and hormonal disorders. The organs included under endocrinology are the pituitary gland, the adrenal glands, the ovaries or testicles, the thyroid gland and the pancreas. These organs maintain the chemical balance of the body by secreting hormones which regulate all the body systems.
Diabetes is the name for a group of diseases which are characterized by abnormalities in the absorption of glucose and blood sugar levels.
Relation between the endocrine system and diabetes
The hormone insulin is secreted by the pancreatic beta cells called the islets of Langerhans. It is a peptide hormone that metabolizes carbohydrates, proteins and fats, stimulates the conversion of glycogen or stored protein to usable glucose and also helps the body cells to absorb the glucose. The movement of ionized or free calcium (Ca2+) is also somewhat dependent on insulin.
Insulin is secreted from the pancreas in two phases - the first phase occurs when blood sugar level is high and need to be absorbed into the cells while the second phase is associated with a slower production not influenced by blood sugar.
Types of diabetes and how they are affected by the endocrine system
1. Type 1 diabetes mellitus- This condition is caused by underproduction of insulin by the pancreatic beta cells. It is called 'insulin dependent diabetes mellitus' (IDDM) since it is directly influenced by the hormone.
2. Type 2 diabetes mellitus - This type of the disorder is not directly dependent on insulin. It is usually caused by obesity and lack of physical exercise. The cells develop resistance to insulin and blood sugar is not absorbed properly. This eventually leads to under-secretion of insulin.
3. Gestational diabetes mellitus- Pregnant women might develop high levels of blood sugar even if they did not have diabetes in the past. This occurs due the changes in the regular hormonal cycles and secretion of pregnancy hormones and can result is complications and miscarriage.
Sub-specialties of diabetic endocrinology
1. Diabetic renal disease - The kidneys filter the blood. If there are chronically high levels of sugar in blood, hormones like erythropoietin (regulates production of red blood cells) and renin (regulates blood plasma and fluid content) are not produced. As a result, the kidneys' capacity is reduced and waste materials build up in blood.
2. Diabetic vision problems - Insulin problems may cause the blood vessels supplying the retina (light sensitive eye tissue) to expand or contract. This causes blurry and distorted vision and pain in the eyes.
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Diabetes - Amazing Ayurvedic Remedies For Managing It!

Ayurveda, Coimbatore
Diabetes - Amazing Ayurvedic Remedies For Managing It!
The occurrence of diabetes is expanding step by step. Being a silent executioner, it is attacking the youthful generation subtly that builds the weight of exchequer on the general population. Individuals, who are taking cutting edge medicines for diabetes treatment, prompting to searching of option arrangement of medicine where Ayurveda has more prominent application and significance. Ayurveda treats diabetes through diet, drugs, exercise and panchakarma.

Reasons for diabetes

Deficiency of exercise
Diet expanding kapha dosha, for example, fats, sugar, rice, potatoes
Mental stress and strain
Over the top sleep
Straightforward Ayurvedic cure for diabetes

Bitter Gourd Juice: Juice of Karela (30 ml) might be gone up against discharge stomach day by day in the early morning. It is considered as one the best remedies for diabetes. Pulverize the bitter melon into a grinder in the wake of isolating its seeds. Tad bit of water may likewise be included. Strainer this to have juice.
Methi Seeds: Fenugreek seeds or its mix with ayurvedic herbs are helpful remedy to decrease the signs and symptoms of diabetes. Absorbed fenugreek seeds warm water overnight took after by biting it in the morning.
Triphala: Triphala alongside different fixings are helpful in bringing down the sugar levels in blood. The decoction of a balance of base of Triphala, barberry, moth (20ml) and colocynth might be brought with turmeric powder (4gm) twice per day.
Amla: The juice of Amla (Embelica officinalis) (20 ml) twice per day is useful for diabetic patient. The powder of Amla fruit may likewise be taken twice every day.
Aloe Vera and ground sound leaf: The blend of turmeric (1/2 tbsp), ground sound leaf (1/2 tbsp), and aloe vera gel (1 tbsp) if taken twice every prior day lunch and supper, is useful to control sugar in blood along these lines successful for the issue.
Cinnamon powder: This is one of the essential regular home remedies. Step by step instructions to plan: First take one liter of drinkable water. Include 3-4 tbsp of cinnamon powder and warmth it for 20 minutes. Strain the blend and made it cool. Drink it consistently.
Diet: Use Varee, barly, Kulittha, Mung, old rice, Chickpeas, bitter gourd, dudhee gourd, Dodaka, in diet. Incorporate 'Tikta ras' things in diet.
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My HbA1c report is 5.7.fasting 91.2 hours after taking food is 141. Is there any problem with this level of diabetes? Give me some tips please.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
My HbA1c report is 5.7.fasting 91.2 hours after taking food is 141. Is there any problem with this level of diabetes?...
Mr. lybrate-user, Thanks for the query. The blood glucose levels and HbA1c% are almost normal. Why I am saying almost is because HbA1c% 5.7% is the upper limit of being normal. 5.7 to 6.4% is considered as pre-diabetes. Similarly 141 to 199 mg PP glucose is considered as pre-diabetes. So you need to take certain precautions like maintaining normal body weight, (65 kgs), doing regular exercise for over 1 hour a day, taking a balanced and restricted diet, avoiding sweets, junk foods, deep fried foods, pastries, bakery items and foods made from maida and colas. If anyone of your parent is diabetic then you need to be more careful and follow above instructions. Thanks.
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I am 70 year old having type 1 diabetes from last 50 years. 6 month ago I have faced a cerebral attack. Before that I was facing irregular hypoglycemia (starting from once in a month then increases) from last 15 years. I was taking human mixtard 25 unit at morning and 15 unit at night. After attack I am taking 14 unit and 6 unit. Presently my pppg is 163 and fpg is 132. Creatinine 1.5 urea 54. Can I take insulin and trajenta 5 mg simultaneously to control my sugar level normal?

MBBS, MD
Endocrinologist, Delhi
I am 70 year old having type 1 diabetes from last 50 years. 6 month ago I have faced a cerebral attack. Before that I...
It is better to increase dose of insulin at night by two units, so that your fasting blood sugar become acceptable. You already had attacks of hypoglycemia and adding Trajenta may increase the chances of it. Why to expose your self to hypoglycemia and other side effects of another medicine when you can control blood sugar easily and more scientifically with insulin by titrating its dose. Please keep your blood sugar targets a little higher to avoid hypoglycemia.
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