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Diabetes is a lifestyle disease that is very prevalent in the current generation. According to a report by the World Health Organisation (WHO), the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. The global prevalence of diabetes among adults over 18 years of age has risen from 4.7% to 8.5% from 1980 to 2014. Diabetes should not be taken lightly as it can affect other body organs besides the pancreas, such as the kidneys. Diabetic nephropathy refers to damage to your kidneys caused by diabetes, and may also lead to kidney failure in various cases.
Causes of diabetic nephropathy
Not everyone who suffers from diabetes will suffer from diabetic nephropathy. The main function of the kidneys is to filter waste from your blood. However, this is not always the case. Due to high a concentration of blood sugar caused by diabetes, several blood vessels in the kidney are destroyed, thereby, preventing the kidneys from carrying out its job. Over time, the kidneys may stop working altogether, resulting in kidney failure. If you are diabetic, the probability of you suffering from diabetic nephropathy will increase if you smoke or have high blood pressure or high cholesterol.
Catching it early
Today, diabetic nephropathy is the leading cause of chronic kidney disease in the US and other western countries. Since the symptoms of this condition aren’t visible in its early stages, you need to undergo urine tests on a regular basis. If detected early, the effects of diabetic nephropathy can be reversed. Common symptoms of this disease include the following:
- Swelling in legs and feet
- Detection of albumin in urine
- Decline in glomerular filtration rate (GFR)
- Elevated arterial blood pressure
What are the treatment options?
Medication to lower the blood pressure is the most commonly prescribed form of treatment suggested by doctors to prevent or slow the damage to your kidneys. There are other lifestyle changes that you may have to undertake in order to keep a check on the condition:
- Limit sugar intake and keep blood sugar levels within the target range
- Exercise regularly and work towards keeping your heart healthy
- Limit protein intake, as it could put extra pressure on your kidneys
- Limit salt intake to control blood pressure
- Quit smoking and drinking
Diabetes is an unfortunate condition to have to live with. But don’t let it bog you down! With these simple lifestyle changes and taking care of your general well-being, you can beat the disease and emerge a winner! In case you have a concern or query you can always consult an expert & get answers to your questions!
Hello doctor. I am suffering from from thyroid. My doctor has not told me if it is hyperthyroidism or hypothyroidism but I have lost a lots of weight withing a year and the medicines which I take are thyronorm 25 mcg I really feel like I am taking wrong medicines. And also I am suffering from a lot of depression and anxiety.
I have hypothyroidism and because my age 22 my weight is 77 I am diet and walking but my weight is not less what to do.
I ask my question is my wife test thyroid test in test report (TSH)=8.37. What is the report meaning please tell me sir.
Sir, I am 32 years old male. My bp is normal and blood sugar level is also normal. I was passing happy married life but now I have performance related stress. I can't keep my erection more than 2 min. After taking manforce I can keep my erection up to 4 hours but view side effects I am not really interested for these medicine. Sir please guide.
Sir main roj 5 km runing karta hun or mediation karta hun lakin subhe 9 bje 2 roti leta hun or jab main 1 bje sugar check ki to wo 89 ayi kya y low sugar hai.
Diabetic retinopathy is an eye problem that affects the retina of the eye and causes total and irreparable blindness. It usually occurs after 15 to 20 years of diabetes. Poorer the control earlier is the onset. Association of hypertension and increased blood cholesterol make the condition more serious.
In initial stages, there may not be any visual symptoms. Some patients may get macular edema marked with a decrease in the vision without exhibiting diabetic retinopathy.
Here is some important aspect of the disease that you should know:
Symptoms as the condition progress: you might experience blurred or fluctuating vision, impaired color vision, spots or dark strings floating in your vision, dark or empty areas in your vision and an even significant decrease in vision which is not corrected with glasses. Diabetes can cause early cataract formation (diabetic cataract) in the eye.
Causes: In an uncontrolled diabetic patient, the blood supply to the retina is decreased due to vascular constriction, in due course of time. This causes anoxia which promotes new vessel formation which may leak causing macular edema and or exudates. The newly formed vessels are fragile, can cause small projections (aneurysms) or may bleed. This all happens in the most sensitive central part of the retina (macula) thereby affecting vision to varying degree.
Advanced diabetic retinopathy: more edema, exudates, and hemorrhages occur. The newly formed vessels may profusely bleed in the cavity of the eye, seriously affecting vision. In due course of time, retinal fibrosis occurs which may cause retinal detachment and total blindness. Few eyes may develop an increase in intraocular pressure (glaucoma) at any stage of the disease, causing blindness even without advanced diabetic retinopathy.
When does the risk increase: longer the duration, higher the incidence. If you have an uncontrolled blood sugar ideally evaluated by hb1ac (glycosylated HB) test, hypertension and increased cholesterol. Pregnancy too increases the risk. Ethnicity plays an important role. More prevalent in native Americans, Hispanics and Africans and now some studies highlight incidence in southeast Asia, including Indians.
When should you consult ophthalmologist: once you are declared diabetic, you must consult an ophthalmologist. Thereafter as per his advice every one or two years or even early if your control is poor or if your parents suffered from advanced diabetic retinopathy. If you are pregnant, eye examination may be needed frequently. Remember, proper control of risk factors and timely examination and intervention can prevent you from becoming blind. A Recent introduction of oct evaluation & intravitreal therapy has significantly helped patients with diabetic retinopathy.
How to prevent Diabetes?
Hello everyone. I am Kanchan Patwardhan, clinical dietician and nutritionist, working in this field for the last 22 years. Today, we are going to speak about diabetes, you know diabetes is a very serious issue and india is becoming a diabetic capital. Every second person is diabetic or suspected to diabetic. So, don’t ignore your problems.
Actually, we can easily monitor our diabetes by diet and lifestyle. See, first you need to understand your body, if your body is going to give you signs and signals, so you can detect your problems very easily. if a diabetic person is having polyurea, polypagia, polydypsi, these kind of symptoms if anyone is having, please go and check your diabetes level and there is a HbA1c which is called Glycocelated Hemoglobin which is actually three months average glucose what you get through HbA1c. So you must do that test to know about your blood sugar level. Why is it necessary to control your blood sugar level? Because if you have high blood sugar, it is very dangerous, it will affect your kidneys, heart, and eyes. So please control your diabetes at a young age and stage.
So, if you are a diabetic or if you are suspected to diabetes, then also prevention is necessary for both of you. So, how can you prevent diabetes? First thing, regular exercises are the key. Second thing, you need to control your diet, you need to have good nutritious balanced diet and you should include good fibre in your diet to control your diabetes. You should include good quality proteins in your diet, not necessary animal proteins, but plant proteins you must consume. You need to include anti-oxidants because when you are having diabetes, your arteries are getting hard and if your arteries are hard then you will have coronary problems so it’s better to include citrus fruits to control diabetes and prevent elasticity of the arteries. Second thing, you must consume antioxidants in your diet. Anti-oxidants can be consumed from fruits such as amla, which is a good source of anti-oxidant. You can also have guava and mostly all fruits are good sources of anti-oxidants. So you should include anti-oxidants, you should eat two-three servings of fruits and vegetables in diabetes.
There are many people that say that you should not include fruits during diabetes. No, it is not correct. Why? Fruits have multiple benefits. It has anti-oxidants, it has vitamins, it has minerals and best is that it has fibers and generally the glycemic index of fruits is very low, so if the glycemic index is low, the sugar level will grow gradually, it will not go randomly. It will go steadily, it will not spike it. So, please consume fruits but if you are going to consume mangoes, then definitely you can have one mango in a day not much but you must include some or other fruits in your diet. Second thing, you should consume pulses in your diet, because pulses are very good sources of proteins, and complex carbohydrates. So, when you are eating pulses, your glycemic index will become low and definitely you will be able to manage your diabetes.
Diabetic person should consume very small meals, means every two-three hours depending on your hunger you must eat. You should drink plenty of water, and last but not the least, avoid fried items, avoid junk, avoid achaar, papad because it will not give you any nutrients and harm your body.
So, if you still want to achieve you target sugar levels and you want to achieve your weight with it, please contact Kanchan’s House of Health and Nutrition for it. Keep watching my videos. Thank you very much.