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Overview

Diabetes Management: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Diabetes is a disease when a person blood sugar levels or blood glucose levels are much higher than normal. This is a condition when the body does not produce enough insulin or does not use the insulin properly. Insulin is a hormone that allows for the proper metabolism of glucose and ensures that it reaches the cells. A person may suffer from a number of health problems if there is too much glucose in his/her body. There is, however, no permanent treatment for diabetes. It can only be managed.

There are different types of diabetes. A person suffering from Type 1 diabetes has to take insulin everyday as his/her body stops synthesizing the hormone. This is because the nervous system attacks the pancreas and destroys the cells that manufacture insulin. In Type 2 diabetes, the body does not produce the required amount of insulin or it does not use it well. This results in excess blood glucose in the blood.

Managing diabetes involves primarily managing the ABCs of diabetes: A for A1C test, B for blood pressure, C for cholesterol and s for smoking. Insulin, which is essential for treating both Type 1 and Type 2 diabetes can be taken in the form of shots, jet injector, pump, inhaler and pen. People suffering from Type 2 diabetes are generally recommended metformin pills. When medications and other treatments fail, bariatric surgery may be recommended for both Type 1 and Type 2 diabetes while an artificial pancreas and pancreatic islet transplantation may be recommended for Type 1 diabetics.

How is the treatment done?

Managing diabetes means managing the blood glucose levels. It also means managing blood pressure and cholesterol to keep various health problems at bay. The different methods that can be used to manage diabetes are managing the diabetes ABCs, regularly monitoring the blood glucose levels, following the diabetes meal plan, exercising regularly, taking regular medications and adopting other healthy means. The A1C test shows a person blood glucose levels over the last 3 months. For many people, the A1C goal is below 7 percent. The blood goal is generally 140/90 mm Hg.

Type 1 diabetes occurs when a person’s pancreas does not produce insulin. So, people with Type 1 diabetes have to take insulin regularly to reduce the level of glucose in blood. Thus Type 1 diabetes can be managed by taking insulin in the form of injections or pumps regularly, monitoring the blood glucose levels regularly, exercising and eating healthy. Management of diabetes involve keeping the blood glucose levels as close as possible to the target range of between 4-6 mmol/L.

For people with Type 2 diabetes, the pancreas is working but not producing the desired results. Initially Type 2 diabetes can be managed by through lifestyle modifications like eating healthy, exercising and regularly checking blood sugar levels. However, this condition is often a progressive one and may require medications when the pancreas becomes less effective in converting glucose to energy. A person may also need to start taking insulin. Sometimes,a person suffering from diabetes may need to consult with a range of different doctors to manage his/her condition.

Who is eligible for the treatment? (When is the treatment done?)

The symptoms of diabetes are increased thirst and urination, increased hunger, blurred vision, fatigue, numbness or tingling in the hands and feet, unexplained weight loss and sores that do not heal. The symptoms of Type 1 diabetes develop quickly while Type 2 diabetes may develop slowly over the years without manifesting any apparent symptoms. A medical practitioner may take the help of tests like A1C, fasting plasma glucose test and random plasma glucose test to understand whether a person is suffering from diabetes or not. A person who has shown some symptoms and has been diagnosed by a doctor is eligible for treatment.

Who is not eligible for the treatment?

A person who does not exhibit any symptoms and whose blood glucose levels are normal are not eligible for treatment. A person is not eligible if a doctor does not diagnose him as suffering from diabetes after he/she has undergone relevant tests.

Are there any side effects?

People suffering from Type 2 diabetes are generally given metformin tablets. However, the serious side-effects of this medication include low blood pressure and lactic acidosis. The manifestations of lactic acidosis include tiredness, weakness, trouble in breathing, muscle pain, nausea and stomach pain. Low bllod pressure can cause headache, confusion, weakness, dizziness, drowsiness, irritability and a shaking or jittery feeling. Injection of insulin may result in hunger, weakness, headache, sweating tremors, irritability, fainting, fast breathing, rapid breathing and seizures.

What are the post-treatment guidelines?

Diabetes is a condition which has no permanent cure. What a person can do at the most is manage the symptoms. A person suffering from Type 1 diabetes has to take insulin throughout his/her life. On the other hand, Type 2 diabetes is a progressive condition and a person will have to undergo the treatment to keep blood sugar levels in check. So, a person has to lead a healthy lifestyle and undertake regular check-ups throughout his/her life to manage diabetes.

How long does it take to recover?

Diabetes cannot be completely treated but it can be managed. However, people can manage their blood sugar levels within a few days by reverting to a healthy lifestyle and also by taking insulin. Rapid acting injectable insulin takes effect within a few minutes and helps to bring down the blood glucose levels. However, this is not a permanent solution. So there is no such recovery time for a person suffering from diabetes. A person needs to create a self-care plan and take care of himself/herself everyday to deal with diabetes and lead a good life.

What is the price of the treatment in India?

A person suffering from Type 1 diabetes will have to spend something around Rs 8000 – Rs 10000 per month. 1 box of Minimed Silhouette costs around Rs 3800. These are used by people who are lean or lead an active life. 1 box of Minimed Reservoir costs about Rs 1500. A person will have to pay Rs 1600 for 2 boxes of Accu-check Perfoma test strips which contain 200 strips. 2 10ml vials of Sanofi Apidra Insulin cost around Rs 2000. A patient suffering from diabetes will have to go for regular check-ups. The cost of seeing the doctor varies from one institution to another and also depends on the doctor himself/herself. The cheapest insulin injections are available within a price range of Rs 140 -210 in India.

Are the results of the treatment permanent?

A healthy lifestyle including a healthy diet, regular exercise and medications help to keep the blood sugar levels in check. However, the results are not permanent. A person suffering from diabetes will have to take medications (including insulin) throughout his/her life. That person will have to lead a healthy and active lifestyle throughout. As otherwise, the blood sugar levels will shoot up and cause a lot of health problems.

What are the alternatives to the treatment?

Soaking 10-15 tender mango leaves in a glass of water for a night and consuming the water in the morning helps to regulate blood glucose levels. Bitter gourd or bitter melon helps to manage diabetes by influencing glucose metabolism all over the body. Powdered cinnamon also helps to deal with diabetes as it contains bioactive components. Other foods that help to deal with diabetes are fenugreek, Indian gooseberry, black plum, curry leaves and aloe vera.

Type diabetes
Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: Medium Price Range:

Rs 140 - Rs 10,000. This is not exhaustive. If a person spends about Rs 10,000 per month, he/she will have to spend Rs 1,20.000 in 1 year.

Popular Health Tips

Hypoglycemia - How To Manage Risk Associated With It?

Diploma in Diabetology
Endocrinologist, Mumbai
Hypoglycemia - How To Manage Risk Associated With It?

For a healthy, non-diabetic person, the blood glucose level should be between 70-100 mg/dl (fasting) and not more than 140 mg/dl (postprandial, checked 2 hours after a meal). However certain conditions (especially diabetic patients who are on oral medications or insulin) can result in the blood glucose level to fall abnormally low (well below 70 mg/dl), a condition medically known as Hypoglycemia.

A sudden dip in the blood glucose level can cause weakness, increased heartbeats, palpitations, dizziness, profuse sweating, headache, shakiness, confusions (a person loses the ability of proper thinking and reasoning). The skin may also turn pale. A person finds it difficult to sleep. In extreme and untreated cases, a person may lose consciousness and even slip into a coma. If you experience any of the mentioned symptoms, seek assistance immediately.

Risks associated with Hypoglycemia and how to manage it
Diabetic patients should be extra careful with their diets and medications. As already stated, untreated hypoglycemia, especially if the blood glucose level is below 40 mg/dl can cause a serious health scare. A more serious type of hypoglycemia is the one that a person experiences at night, often in their sleep, a condition termed as Nocturnal Hypoglycemia. Many people in their sleep are unable to react promptly, resulting in serious consequences.

Further, there may be

  1. Night sweats
  2. A person may get nightmares and wake up feeling tired and exhausted in spite of having their full quota of sleep
  3. Some people may also experience great difficulty in waking up
  4. Headaches are also common

For diabetic patients, the situation at times can prove to be life threatening. To avoid such situations:

  1. Doctors always advise night snacks (can be a cucumber, small apple slice, a small slice of bread with meat or cheese. Try and avoid a high carb or high-fat foods) especially for people with diabetes or those who take their dinner early.
  2. Consuming alcohol at night can also trigger Nocturnal Hypoglycemia and is best left avoided.
  3. To provide instant relief, the affected person should be made to eat something sweet such as glucose tablets or candy. If these are not available, you can also give the person some sugar (between 10-15 grams) to increase the glucose level in their body.
  4. It is important that you do not panic.
  5. As a safety measure, it is best to keep a glucometer at home and get your glucose level checked every alternate day (if not every day).
  6. One should also be careful about their diet. Do not keep your stomach empty for a long time. Munch on small snacks at regular intervals.

Hypoglycemia can be treated and managed if diagnosed at an early stage. Prolonged hypoglycemia (mainly in diabetic patients) can also result in cardiac problems.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2049 people found this helpful

Diabetes During Pregnancy - Know The Best Ways To Control It!

MBBS, MRSH, MDP(HM)
Gynaecologist, Delhi
Diabetes During Pregnancy - Know The Best Ways To Control It!

Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.

The following are some rough guidelines for a pregnant diabetic woman.
Potential complications

  1. It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
  2. Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
  3. It increased the chances of miscarriage.
  4. There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.

Preparation
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.

  1. Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
  2. Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
  3. Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
  4. Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.

During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.

  1. Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
  2. Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
  3. Constant monitoring for daily blood sugars is essential.
  4. A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
  5. Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

 

3769 people found this helpful

Pre-Diabetes Stage - How To Know If Your Suffering From It?

MBBS, MD, FAIIDR
Diabetologist, Vadodara
Pre-Diabetes Stage - How To Know If Your Suffering From It?

Before you are affected by diabetes, a condition known as pre-diabetes is experienced, which indicates that a person might develop diabetes soon. In case you have pre-diabetes, your blood sugar level will be higher than the usual, but not as much as during diabetes. The condition is called borderline diabetes. During pre-diabetes, the production of insulin hormone gets decreased. You are more likely to get heart diseases and a stroke because of pre-diabetes. 

Diagnosis There are three primary blood tests, which are used for the diagnosis of pre-diabetes: 

  1. Fasting plasma glucose test
    • You should not eat anything for eight hours before this blood test.
    • Blood sugar level is considered normal when it is less than 100.
    • If your blood sugar level is between 100 and 125, you are in the pre-diabetes stage.
    • If your blood sugar level is above 125, you are diagnosed with diabetes. 
  2. Oral glucose tolerance test
    • First, you need to have a fasting glucose test done and drink a sugary solution (75 gm glucose dissolve in water) after it.  After two hours, another blood test is taken. 
    • Blood sugar level is considered normal when it is lesser than 140. 
    • If your blood sugar level is between 140 and 199, you are in the pre-diabetes stage. 
    • If your blood sugar level is above 200, you are diagnosed with diabetes. 
  3. Hemoglobin A1C 
    • This blood test shows the average blood sugar level for three to four months in the past. It helps to check whether pre-diabetes is in control or not. 
    • Blood sugar level is considered normal when it is 5.6%. 
    • If your blood sugar level is between 5.7% and 6.4%, you are in the pre-diabetes stage. 
    • If your blood sugar level is 6.5% or above, you are diagnosed with diabetes. 
    • The test should be redone for checking or verifying the results. 

Lifestyle changes required for managing pre-diabetes Lifestyle changes may help people in managing pre-diabetes and for preventing it from developing into diabetes. Here are some changes and habits you need to practice: 

  1. Weight control: If you are obese and overweight, the pre-diabetes may turn into diabetes. Hence, losing some amount of body weight, at least 5% to 10%, makes quite a difference. 
  2. Exercise: You should perform moderate exercises regularly, such as swimming, cycling or walking briskly. This helps in the management of pre-diabetes. Aerobic exercise increases the heart rate and should be carried out for better benefits. 
  3. Nutrition: You must make some dietary changes as well. Consume food items, which contain low-fat protein. Eat a lot of vegetables and whole grains, limit your calorie intake and reduce the amount of sugar and starchy carbohydrates. Increase your intake of fiber-rich food. 

If you experience a rise in your blood sugar levels, you must consult a doctor immediately. With early diagnosis, you can take preventive measures and will be able to prevent pre-diabetes from developing into diabetes.

4502 people found this helpful

Diabetes - 3 Myths Decoded!

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Diabetes - 3 Myths Decoded!

Diabetes is something which has become so common over the past few decades and this is said to be a cause of worry as most people don't understand how to prevent and manage it. This has led to some myths, gaining more than their fair share of popularity. So, wouldn’t it be a good idea to get to know a little more so as to separate the myths from the facts?

  1. Weight & watch: One of the most common myths when it comes to diabetes is the belief that a person is going to have his or her life adversely affected if he or she is overweight. While it is true that being overweight happens to be one of the risk factors related to diabetes, it is important to keep in mind the fact that there are other risk factors which are responsible, as well. Some of these factors are age and family history, as well as the ethnicity of the person. Taking this into account, it should not come as too much of a surprise to know that there are quite a few people who are not overweight, but are still fighting diabetes.
  2. Packaged tricks: Considering the rise in the number of people who are suffering from diabetes, this has led to food being marketed specifically for their consumption. However, in reality, whatever represents a healthy diet is sufficient for a person who is diabetic. So a diet which does not have a high amount of saturated fats and trans fats and does not go overboard with starch and sugar, but features a fair amount of lean protein works well too. All the fancy diabetic food, which a person buys, is only likely to drive a great hole in the wallet and not have any additional health benefits. Therefore, the extra spending is nowhere close to being worthwhile and should be avoided.
  3. Fruits punch: Many people are of the opinion that it is the processed and sugary food items, which cause diabetes and this is true to a significant extent. However, some people are of the view that since fruit is natural, diabetics can eat as much of it as they like. This is where the thinking gets dangerous. Some fruits are rich in carbohydrates and so it should be consumed in a reasonable quantity, as part of the daily meal plan. After all, too much of any good thing is bad! If you wish to discuss about any specific problem, you can consult an endocrinologist.
2819 people found this helpful

Diabetes - We Need More Help To Combat This Epidemic!

PhD, Human Energy Fields, Diploma in PIP, EFI, Aura scanning for Health evaluation; Energy field assessment, Fellowship Cardiac Rehabilitation, Cardiac Rehabilitation, MD (Ayur - Mind Body Med), Mind Body Medicine
Non-Invasive Conservative Cardiac Care Specialist, Pune
Diabetes - We Need More Help To Combat This Epidemic!

If you are reading this, you are amongst the many who are suffering personally or trying to help another overcome the burden of this silent, epidemic killer of modern era.

Statistics given by International Diabetic Federation declares 415 million diabetics today and an estimate of 642 million diabetics by 2040 world-wide. Picking up older records, WHO has published that “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% in 1980 to 8.5% in 2014. Diabetes prevalence has been rising more rapidly in middle- and low-income countries

This clearly indicates that actually, in-spite of all the miracle medicines and dietary restrictions put on Diabetics; the prevalence continues and the numbers are still growing. Where are we going wrong?? What are we doing less to curtail this epidemic??

Ayurveda, the “Science of life” has a different way of looking at the patient. Rather than treat his/her symptoms, the Ayurvedacharys will try to evaluate the triggers of the disorder or disease and correct them, with natural products are used traditionally, sometimes with the help of natural herbs, potentized with different processes making them into medicines.

Let us evaluate the triggers: According to Ayurveda, the trigger and body response determines (early diabetes) Prameha; and if not kept under control, can lead to Madhumeha (Diabetes Melitus). The classifications are based on the variations or mismanagement of Vata, Pitta, or Kapha- the 3 major humors of the body. The mismanagement a result of lifestyle, stress, age, toxicity and poor immunity.

So what happens when a person is declared diabetic?

The body functions on the foods consumed, the nutrition derived and the ease with which it is transformed into the correct form of energy required for the cells, tissues, organs and different metabolic processes of the body. THIS FUEL IS GLUCOSE-SUGAR. So sugar is an essential component in every activity in the body. Insulin (produced by pancreas under mental/brain stimulus) triggers the process of activating cellular function to absorb this glucose fuel to be converted into energy in the presence of pancreas hormone – insulin.

Diabetes condition prevails when the inherent normal process of (sugar) glucose to energy cycle is disrupted either because there is a problem in insulin quality and quantity or the cells resist absorbing insulin. If this conversion system is disturbed or not available for balanced cellular function and maintenance, “catabolism” or breakdown of protein synthesis leads to muscle loss, energy loss, accumulation of internal toxins. Incorrect kind of insulin leads to incorrect kind of cellular fuel.  The cellular chemical factory, the “Mitochondria” and ATP (energy molecule) are affected leading to excess toxin build up.

The build-up of these acidic toxins including Ketoacidosis (acids from breakdown of fats as alternate fuel), become the trigger for the various symptoms of diabetes that includes weakness, loss of weight, inflammation, skin reactions/darkening, inability to recover from injury, eventual loss of internal recovery and rejuvenation.

All these are supported or triggered by hormones that greatly depend on the mental stimulus. And mental stimulus is a STRESS response. Stress to mental thoughts, stress to digest proper food, stress to protect from incorrect lifestyle habits, stress to combat self-inflicted (alcohol and tobacco) and external pollution, stress of competition, stress of emotional burdens, stress of forced im-mobility (sedentary life).

Unfortunately, by the time a person is declared diabetic, the derogatory response within the body has set in and cannot be reversed….. but… it can be kept under control and the symptoms can be reversed.

Techniques that will work for controlling Diabetes:

  1. Change of lifestyle: these include stress management techniques that are designed to evaluate the trigger and help patient slowly and surely make changes in MIND- BODY together.
  2. Remove or reduce the pollutions in and around the person. Detoxification is of paramount importance and building the immunity to fight disorder. This can be achieved with natural detox systems. Chemical/drug based detox will create a different kind of toxicity in the body. Detox is ideally achieved by cleaning the digestive track first, and then detox of the blood, other body fluids with proper diet.
  3. Build immunity with Mind control, food control and natural foods that are designed in nature to improve immunity responses.
  4. Consume the sugar-glucose in the body with adequate physical exercise.
  5. Proper rest; as he body rejuvenated when in deep sleep.
  6. Ideal food intake should comprise of natural, fresh and local foods to nurture the body and help maintain the genetically/customary natural food to fuel, and improve detoxification cycles.
  7. NO FOOD IS GOOD OR BAD: ALL DEPENDS ON HOW WELL YOU CAN DIGEST, CONVERT FOOD-FUEL AND ELIMINATE TOXINS

And most important

  1. Change Mind, Emotional and thinking patterns to POSITIVE thinking and continuous mental peace.

Ayurveda and Yoga are the best options to achieve all these. These respect balance and harmony, as they follow natural science; uses the natural harmony of Nature to heal and the treatment is based on the personal needs of the patient.

In modern times, based on statistical data from the world, it is not medicines that will make a change, but the manner in which we can deal with the pressures of modern lifestyle, mind patterns and internal immunity that will save us from the vagaries of epidemics like diabetes.

Integrating various healthcare facilities like Aahar (foods we consume: diet and thoughts we think); Viihar (lifestyle: our habits and ideologies); Vichar (mental responses and immunity powers to changes); Vyayama (adequate flexibility and health of physical body) and Aaushadhi (medicines as are required, both in type/quality and quantity).

Consult your Ayurvedic doctor to plan the best combination of treatment for you: both, to prevent diabetes and to help overcome the vagaries of diabetes.

3386 people found this helpful

Popular Questions & Answers

Can vitamin B12 cause diabetes? I am not a sugar patient but I have it in my Gene. I am 49 years old and I did Hb1ac test and I got 7.5: percent. Shall I take medicine. I am following diabetic diet.

MBBS, Diploma in Diabetology, Certificate Course in Gestational Diabetes Mellitus (CCGDM), Post Graduate Course in Diabetology
Diabetologist, Mumbai
Hba1c of 7.5 percent means that you are already diabetic. You will need to be started on medicines and you should continue with your diet. Vitamib b12 deficiency does not cause diabetes.
2 people found this helpful

I have random sugar levels 210. I am on medication, still not in control. Can I get any diet plan?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
Choose high-fiber, slow-release carbs. Carbohydrates have a big impact on your blood sugar levels—more so than fats and proteins—so you need to be smart about what types of carbs you eat. Limit refined carbohydrates like white bread, pasta, and rice, as well as soda, candy, packaged meals, and snack foods.
1 person found this helpful

My mother has diabetes and she is taking medicine to control it. Kindly let me know what food she should eat, what not to eat, any exercises to be done to control diabetes and reduce tablets.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopath, Hyderabad
food to avoid: Know What to Avoid. ... Sugary Foods. ... Fruit Juice. ... Dried Fruit. ... White Rice, Bread, and Flour. ... Full-Fat Dairy. . Fatty Cuts of Meat. ... Packaged Snacks and Baked Goods. Exercises: Swimming is another aerobic exercise — and an ideal one for people with type 2 diabetes because it doesn't put pressure on your joints. “Being buoyed by the water is less stressful for you,” Colberg-Ochs says. Swimming also is easier on your feet than other forms of exercise, such as walking or jogging.

I am 39 years old working woman. I am taking medicine of diabetes twice a day since two months. But side effects are there, constipation, headache. Should I stop medicine and remain on just diet control only.

MD - Homeopathy, BHMS
Homeopath, Vadodara
No it is not possible to stop medicine... Better take homoeopathic treatment and it will help to reduce the side effects and will also help to improve health.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Risk Factors Of Diabetes And How To Be Aware Of Them
Hello Friends!

I am K K Goyal from Kavya Diabetes Clinic, Hum apko aaj madhumeh ke baare me btana chahte hain. Madhumeh ko diabetes ya sugar bhi kaha jata hai. Yeh kai parkar ka hota hai jaise type 1 diabetes, type 2 diabetes and gestational diabetes. Inme sabse common jo hai vo type 2 diabetes hota hai. Type 2 diabetes adhiktar bade logon me hota hai jaise 30 saal ki umar ke baad me jo hai type 2 diabetes paya jata hai. Type 2 diabetes bhut hi common hota hai.

And type 1 diabetes jo hai vo kam umar ke logon me paya jata hai. Agar isko control na kren diabetes ko to kidney failure, blindness is tarike ki samsyain jo hain vo aa skti hain. Iske main symptoms hain jyada pyas lagna, Jyada bhuk lagna, vajan ka tezi se ghatna baar baar peshab aana, ghaav ka na bharna. Is tarike se iske symptoms aate hain. Apko iske andar clean diet leni hai diabetes ke andar. Apko bahar ka junk food nhi khana hai jaise burger, pizza vagera jo hai vo avoid krein. Iske andar maida avoid kren aap. Maida nhi khana hai.

Cheeni or sheetal jo pay pardarth hote hain jinke andar chini ki matra sabse jyada rehti hai, usko apko avoid krna hai. Isi tarike se aap diabetes se bach sakte hain or healthy lifestyle apnana hai. Niyamit exercise kren. Yogasan kren. Physical activities ko badhayein. Saaf paani or khane ka upyog krein. Mithiyan, murabba, cake ye sab chizein apko avoid krni hai. Baki Agar apko kuch bhi diabetes ke baare me pata krna hai, control krna hai, diabetes apke control nhi ho rhi hai, sugar level bhut jyada aa rha hai, 300-400 is tarike se aa rha hai, dwaiyan aap kha rhen hain lekin kam nhi kr rhi hai, to aap hmare yhan aaiye or consultation kraiye.

Thank You.
Play video
Treatment Modalities In Diabetes
Hello! Good Morning!

I am Dr. Anirban Biswas. I am an endocrinologist practicing in South Delhi. Today I am going to answer a few questions asked by my patients regarding new treatment modalities in diabetes and a few questions on insulin.

Q1. Mrs. Anshu Garg: Whether a person who is on insulin can be shifted to oral medicines?

Answer: My answer is Yes. Why not? We can always shift a patient from insulin to oral medicines if there are certain conditions which are fulfilled. We need to perform a few tests and based on that we can find out whether the pancreas are still active. I personally have shifted around more than 1000 patients who were on insulin to non-insulin based regimens or they have substantially lowered their insulin requirement and I have detailed all this in my website www.insulin.com. So, it is possible that there are newer drugs which can make it possible.

Q2. Mr. Atul Thakur: What are the newer medicines that can be used?

Answer: There are two classes of new medicines which have arrived. First are the gliptins which are based on the ingredient pathway and they act not necessarily on the pancreas. They act through the intestinal pathway of controlling sugar. Now let me explain you how this is possible. We all know that there is a test done in which we feed a patient 75 grams of glucose. This test is known as the Oral Glucose Tolerance Test (OGTT) and when scientists were replicating the OGTT through intravenous glucose, they were surprised to find out that only 25 grams of glucose is sufficient to replicate the graph of 75 grams of glucose in OGTT.

So, where does this 50 grams of glucose go, which was fed orally? Scientists asked this because both the graphs were similar. So the answer lies in ingredient pathway. So ingredient pathway was responsible for taking care of the 50 grams of extra glucose which had been fed orally. So, in this way we came to know about the ingredient pathway.

The other treatment modality which has arrived is the SGIT tool, the receptor inhibitor pathway which acts through the kidneys. It decreases the retention of glucose through the kidneys and increases the excretion of glucose through the kidneys and this results in fall in the sugar level in the patient s body. It also causes some increment in the blood pressure and the cholesterol level also. So, these are the two essential newer modalities which have arrived.

Q3. Ravi Bhatnagar: What is CGMS?

Answer: CGMS is Continuous Glucose Monitoring Device. This has been found to be useful in not control of the sugar level like the fasting, BP and the HbA1c levels. Other than that, it has been found to improve the glycemic variability, i.e., the day-to-day variations of the sugar levels can be very easily found out, and this device is available and has been manufactured by Abbott. This is a very good sensor device which can be pain free and can be used in all the patients and I have used in my patients and have got excellent results.

With this I come to the end of today s Questions & Answers and hope to see you soon.
Play video
Diabetes Management
How to Reduce Your Risk of Getting Diabetes?
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Risk Factors Associated With Prediabetes
Generally pre-diabetes, diabetes, hypertension, overweight of all lives and disorders we know that so some of the risk factors are common for all these issues like for pre-diabetes or hypertension but I'm downward pre-diabetes. But I have this is similar like. We start with higher age 30, 40 plus male sex. Male patient are more prone to be 3 times more. You're condition of fat if you have fat percentage is more than 20%, 30% especially waist fat. The belly fat if your waist size is more than 40 inches in males, more than 35 inches in females, the likelihood of developing the diabetes is more. Moving on to family history of diabetes if a guy has a sister and father diabetic. And a lady has his mother and father diabetic would never take this factor for depth. Then coming to other specific a female having polycystic ovarian disease. She's more prone to have it happens im females in pregnancy having high blood sugar or diabetes called jason emilys'. She's likely to be ended up adopting rage or diabetic rage. Then patients having typical symptoms of metabolic syndrome which are having high blood pressure, high cholesterol or high triglycerides levels and overweight or hypertension. So metabolic syndrome have a high belly waist. I take this right hypertension.

These are having high propensity to become adaptability you measure them sugar levels. They be generally in productive age. That is a point alarmic state where patient should take care of. For diabetes we've many known symptoms like thirst, fatigue, lot of hunger but in pre-diabetes may not be there symptoms shall it is not less but there's some. Strangely there is some science when high blood sugar especially the skin, something all skin tags like I've this skin tag and targeting of the skin in the neck area. It is called necrobures acanthosis negricans, darkening of the skin in the neck, armpits, elbows. This is one of the sign and having as I you 40 inches waist what we guys and also skin. These are not some triglycerides are very high abnormal triglycerides. So these are some symptoms of that and high insulin levels. These are also signs there conditions can be having to adapt. Prevention and treatment of diabetes is similar except medication. So many patient may not require medication but preventing diabetes or managing a diet is same as weight exercise. Exercise is must for management decreasing carbohydrates in the night like chapattis, breads is important. Number 3 if you're sedentary start moving, number 4 reduce the sleep on time. Don't awake in the night and take proper rest. So food exercise and lifestyle management. So they'll prevent any diabetes wonderfully.
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Why Should You Take Medicines Only After Prescription?
Dr. Arun Kumar Singh hun. Endocrinologist, Delhi and Faridabad mein practice kerta hun.

Is video ke baagjan se me ap sab se diabetes ke barey mein kuch jaankariyan share kerna chahta hun jisey ap sab hi apni diabetes sahi tareeqay se niyanant ker sake aur diabetes ke sath mein hone wali swaas o samasyaun se bach saken aur lamba aur suwat jeevan jee saken. So ap sab hi ko pata hai ke diabetes ek buhat bari muha bimari hai humare desh mein aur vishun ke dusre deshon mein bhi. Qareeb qareeb 6 crore inhustani jau hain jin ko diabetes hai. Agar vespon ki baat karen tau 20% se 30% tak logon ko shehri ilaqon mein aur 10-15% logon ko gramid ilaqon mein diabetes hai. Agar diabetes ka sahi samay se sahi tareeqay se ilaj na kiya jaye tau dusri suwas sambaddi samasyain open hoti hain. Jaise ke heart attack ana paralysis hojana kidney failure ankhein kharab hojana ankh ke peche jau parda retina hota hai uska kharab hojana andhapan aur kaye sari samasyain hain agar diabetes ka sahi samay se sahi ubchaar na kiya jaye tau. So kuch jaankariyan diabetes ke barey mein: ziada tar log apni diabetes ka kuch checkup nahi karate hain who sochte hain ke jab hum ko diabetes ke lakhshan unge symptoms hunge tab who diabetes ke liye test kerwaenge jau ke ghalat hai kyun ke kahin per aisa hota hai diabetes apko kaye saalon se hota hai aur apko pata nahi chalta. Symptoms jau hain who sab hi ko nahin hote hain. Kaye sare log atey hain jau heart attack ke sath atey hain hospital mein ya kidney failure ke sath atey hain paralysis ke sath atey hain unko pehli baar diabetes jab yeh sari samasyain jab uttang hojati hain tab pata chalta hai jab ke unko diabetes kaye salon se hoti hai aur diabetes ki wajah se yeh sari samasyain hoti hain. So jau bhi jin ki bhi umar 30 saal hochuki hai un sab hi ko samay samay per kam az kam 2 ya 1 baar apna diabetes ka test kerwa lena chahye jis se diabetes sahi samay per pata chal jaye aur iska ubchar hosake. Dusra hai kuch log sochte hain kuch logon ko diabetes pata bhi chal jata hai ke unko diabetes hai aur sugar barhi hue hai lekin who treatment shuru nahi kerte. Woh sochte hain ke mujhe koi symptoms hi nahi hain diabetes ki wajah se mujhe koi problem hi nahi horae tau treatment kyoun shuru kiya jaye. Who bhi ghalat hai agar apki blood sugar barhi hue hai diabetes hogaya hai apko so apko symtoms hona zaruri nahi hai ziada tar logon ko symptoms nahi hote hain high sugar ki wajah se but jau sugar apka barha hua hai blood mein jau glucose barha hua hai woh dirantar sharer ke dusre bhaag se dusre hisson mein dusre system mein lagatar nuqsan puhanchata rehta hai aur ussi ki waja se agey kuch saal mein jaker apki ankhein kharab hojati hain kidney fail hota hai aur jau dusri samsyain hai pehle mene bataen woh sari hoti hain kyoun ke apka sugar kaye salon se barha hua hota hai.

Tau diabetes ka treatment shuru kerne ke liye apko symptoms hona zaruri nahi hai apko pata chal gaya ke apka blood mein glucose barha hua hai aur apko diabetes hai tau apko treatment immediately shuru kerdena chahye. Woh depend kerta hai ke sugar kitna ziada hai agar buhat ziada hai tau medicine bhi shuru kerni parengi ya sirf borderline thora sa barha hua hai tau lifestyle mein dinchariyan mein jevanchariyan mein exercise aur khanpaan ke perhaiz se jau halki borderline diabetes hai usko control kiya ja sakta hai. Phir kuch ghalti log kerte hain ke jaise kisi ko diabetes pata chala tau who unke family mein ya unke friend ko diabetes hai who wohi dawae khana shuru kerdete hain aur bolte hain ke kyounke uska control tha tau me bhi yehi dawae kha raha hun phir who baad mein test bhi nahi kerte. Samay samay pe jaanne ke liye ke sugar control bhi hai keh nahi control hai tau who bhi ghalat hai jaise har insan unique hai sab ka sharer alag bana hua hai sab ka physiology alag hai sab ka anatomy alag hai tau sab ki diabetes bhi alag hoti hai yeh zaruri nahi hai ke jin dawaiyoun se kisi ek ka diabetes control hai ussi se apka bhi control hojaye. Ap alag ho us insan se apka sharer alag hai apka diabetes bhi alag hai so apko zaruri nahi hai ke ussi dawaye se apka diabetes control hojaega. Phir kuch log dawaye tau khate hain per who test nahi kerwate hain samay samay p eke diabetes control bhi hai keh nahi control hai unko pata nahi hota who phir aker yehi bolte hain keh agar mera sugar barhta hai tau mujhe pata chal jata hai yeh xyz aise aise lakshan ajate hain sugar ke tau phir se wohi pehle wali baat ke sugar barha hai tau sab ko lakshan nahi atey hai tau jab buhat high hojata hai 300-400 emergency wali situation ati hai tab uske symptoms atey hain otherwise symptoms nahi hote hain jau sugar level jau khali pait fasting jau hai 100 ke aas paas hona chahye jau khan eke 2 ghantey baad 150 ke aas paas honi chahye so agar use 50 ya 100 point ziada bhi hai fasting kisi ka 150-200 hai khane se 250-300 hai tab bhi unko bhi symtoms hunge yeh zaruri nahi hai tau ape k hi tareeqa hai pata kern eke liye ke diabetes ka control hai bhi ken ahi hai who hai samay samay per blood test kerte rehna apna fasting aur post prandial PP jau 2 ghante ke baad hota hai sugar jaisa doctor ne salah di ho ya kam se kam 2 mahinay mein 3 mahinay mein ek baar tau kerwa hi lena chahye pata chal jata hai ke apka diabetes control hai ya nahi control hai aur ap diabetes control kerke usse hone wali samasyaun se apko khud ko bacha sakte hain. Phir diabetes control hai tab bhi ap unse hone wale khatron se bach sakte hain uska risk kam kiya ja sakta hai but guarantee nahi hoti ke apko yeh problem hogi hi nahi. But risk kam hojata hai jaise agar 50% risk hai apko heart attack ka tau ap control kerloge tau apko 10% hojaega but phir bhi diabetes walon ko heart ki bimariyan paralysis kidney failure ziada hota hai agar hum unki tulna karen unse jinko diabetes nahi hai. Tau dusri bimariyon ka bhi yehi hai keh ap unke liye bhi samay samay se har saal test kiya ja sakta hai kidney disease ke liye heart ke liye ankhon ke liye kyoun ke unke bhi symptoms jau hai early stage mein nahi atey hain jab symtoms atey hain jaise rectnopatti ka symptom ayega tau early bimari buhat advance stage mein hoti hai kidney failue ka symptom ayega tau bimari kidney ka damage advance stage mein hota hai so usko jaldi pakarne ke liye aur sahi samy se ubchar kerne ke liye jisse who bimari samasya agey na barhe us ka bhi samay samay pe test hota hai tau har saal ap apna kidney ka test kerwaen har saal apna urine ka test kerwaen urine mein protein tau nahi araha hai har saal ap apne eye specialist se milen ankhon ke specialist se milen retina ki janchna kerwaen har saal ap cholesterol ki janch kerwaen BP bllod pressure ap jab bhi doctor ke pas jatey hai ap uski janch kerwaen aur doctor se aur ap pochte rahen ke apko aur koi test kerwane ki zarurat tau nahi hai diabetes se hone wali samasyaun ko jaldi pakarne ke liye aur apko yeh pata hona chahye keh jau controlled diabetes hota hai fasting sugar khane se pehle jau hai khali pait jau hai 100 ke aas paas 10-20 point ke andar hona chahye aur khane ke 2 ghantey baad maximum 50 se 30-20 point oper ki range mein honi chahye.

Dhanewaad sunne ke liye agar apko kuch aur jaan kari leni hai agar apke pas kuch aur questions hain tau ap mujhe kabhi bhi contact ker sakte hain. Ap apne shehar mein doctor se ya endocrinologist se mil sakte hain dhanewaad!
Having issues? Consult a doctor for medical advice