Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body's cells do not respond properly to insulin or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia). There are 3 types of diabetes namely, type 1, type 2 and gestational diabetes. The symptoms are: 1. Frequent Urination 2. Disproportionate thirst 3. Intense hunger 4. Weight gain 5. Unusual weight loss 6. Increased fatigue 7. Irritability 8. Blurred vision 9. Cuts and bruises don't heal properly and quickly 10. More skin and yeast infections 11. Gums are red - gums pull away from tooth 12. Frequent gum infection 13. Sexual dysfunction in men 14. Numbness or tingling especially in feet or hands
HOW IS DIABETES DIAGNOSED?
Doctors can determine whether a patient has a normal metabolism, prediabetes or diabetes in one of three different ways - there are three possible tests:
• The A1C test
• The FPG (fasting plasma glucose) test
• The OGTT (oral glucose tolerance test)
HOW IS DIABETES TREATED?
The most common forms of treatment include monitoring the blood sugar levels and taking care of one’s diet as well as weight loss. Also, regular insulin administration will also have to take place once a patient has been diagnosed.
DID YOU KNOW?
Hospitalisation may be required for very severe cases.
Diabetes Mellitus (DM) or diabetes is the impaired insulin secretion and variable degrees of peripheral insulin resistance leading to the hyperglycemia. The early symptoms related to the hyperglycemia include polydipsia, polyphagia, polyuria and the blurred vision.
Later complications in diabetes mellitus include vascular disease, peripheral neuropathy, retinopathy, nephropathy and predisposition to infection. Serious & long term complications include heart disease, kidney failure, Ulcer in foot and eye damage.
Treatment is healthy & balanced diet, exercise, and drugs that reduce the glucose levels, include insulin.
Type 1 diabetes: Also called as juvenile onset diabetes, Type 1 diabetes is an autoimmune condition. It is caused by the body attacking its own pancreas with antibodies. This type of diabetes may be caused by a genetic predisposition. Type 1 diabetes treatment involves taking of insulin.
Having type 1 diabetes does require lifestyle changes which includes
• Frequent blood sugar level testing
• Healthy balanced diet
• Daily exercise
• Taking of insulin or other medication if prescribed.
Type 2 Diabetes: This type of diabetes was also called as non-insulin dependent diabetes and known as adult onset diabetes. Type 2 diabetes also augments your risk of stroke and heart diseases. With this type of diabetes mellitus, the pancreas generally produces some amount of insulin. But the amount is produced is not adequate for the body’s needs.
Type 2 diabetes can be kept under check with proper dietary and exercise regime.
Gestational Diabetes: Diabetes that’s triggered by the pregnancy is called as gestational diabetes. It is diagnosed in the middle or late pregnancy. Because of the high blood sugar levels in a mother are circulated through the placenta to the baby. This type of diabetes must be controlled to protect the baby’s growth and development.
Complications in Diabetes Mellitus:
There are 3 most common, devastating complications of diabetes mellitus:
• Diabetic Retinopathy- most common cause of adult blindness.
• Diabetic Nephropathy- leading cause of chronic kidney disease.
• Diabetic Neuropathy - this results in injury of nerves due to microvascular disease, direct effects of hyperglycemia on neurons, and intracellular metabolic changes that impair nerve functions.
How Diabetes Mellitus can be managed?
There is no cure for the diabetes mellitus, but it can be treated and controlled.
• Keep your blood glucose levels near to the normal blood sugar level as possible by balancing the food you intake with proper medications.
• Maintain your blood cholesterol level and
• Control your blood pressure
• Plan to always eat and following a balanced diet plan
• Exercise regularly
• Take medication, if prescribed
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