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Diabetes Tips

Type 2 Diabetes - How To Live Well With It?

Dr. Ayan Mukherjee 86% (31 ratings)
MD - Pharmacology, Diploma In Endocrinology
General Physician, Kolkata
Type 2 Diabetes - How To Live Well With It?

Diabetes is a disease that affects the way your body deals with glucose in the blood and the glucose absorbed from the food you ingest. Diabetes is generally of two basic types - Type 1 and Type 2.

Apart from these two types, there are other kinds as well including gestational diabetes that some women suffer from during their pregnancy. Type 2 Diabetes is a condition where the cells of the body do not make proper use of the insulin being produced by the pancreas. Living with this kind of a condition may seem debilitating at first, but here are a few things you can do to make life easier despite Type 2 Diabetes.

- Weight

Being overweight is one the foremost side effects and sometimes, even cause of Type 2 Diabetes. To make your life easier, you can lose weight so that the complications involved are that much less. Diet and exercise are key for appropriate weight loss. Watch your diet so that you can eliminate high cholesterol as well. This can ensure that unnecessary amount of fat does not stick to your muscles and organs, which in turn will fuel better functioning of the same.

Health Care

Being fit with Type 2 Diabetes does not merely mean staying within your normal weight range. It also means taking care of your medication and insulin doses so that you can function in a more normal way. Make your family and friends your support system as you go about life so that people can help you and recognise symptoms when something goes wrong. Be in constant touch with your health care providers and the general physician you see so that they are in the loop and you know exactly what to do in case there is an emergency.

Exercise

Being active is a great way to keep your blood sugar level low even as you ensure that you heart is in good condition. This will further eliminate the risk of heart disease, hypertension and high cholesterol. Sweating it out also helps the insulin work in a better manner within your body.

- Balance

While you may be asked to remove sugar from your diet, there is no need to stay away from proper meals. You can have a fibre rich diet that also has plenty of fruits and vegetables so that you get your due nutrition and maintain a fit body.

Watching your lifestyle is the main thing you need to do if you are suffering from Type 2 Diabetes.

How Can We Manage Diet In Diabetes?

Dr. Soni Narayan 86% (37 ratings)
MD - Medicine
General Physician, Jamshedpur
How Can We Manage Diet In Diabetes?

A lifestyle disease such as diabetes is never nice to have, isn’t it? Also, when a person has diabetes, there are some things of which more should be had and then, there are some whose consumption should be scaled back. So what exactly does a diet for a person who has diabetes look like?

Breakfast is said to be the most important meal of the day as it kicks off the metabolism for the day. Having a large breakfast is quite important so as to take care of the body, but this only makes sense if the food that is being eaten for breakfast is healthy enough. It is quite a good idea to have some porridge. While it is true that porridge is a carbohydrate-rich food item, what it also has is a great amount of soluble fibre. In fact, this sort of fibre takes some time to digest, so it reduces the pangs of hunger, which would have normally made a person eat unhealthy junk and fast food.

In a world of food that is processed, packaged and picked up from the supermarket, people are just not eating the correct amount of fruits and vegetables as they should. What is important to keep in mind is that vegetables are to be had in multiple portions on a daily basis, but these vegetables must be low in starch content. This means that for a person who has diabetes, vegetables which should not be eaten include potatoes, sweet potatoes, peas as well as corn.

On the other hand, the sort of vegetables which are to be eaten include broccoli and spinach. Spinach is also very good for increasing the level of haemoglobin in the blood. Also, making use of cinnamon extract is good as it has the potential to cut a person’s sugar levels by up to a tenth.

While it is not true that potatoes and other starchy foods should be completely avoided, a diabetic person should watch the amount of them that is being consumed by him or her. The reason for this is that starch-filled vegetables have high amounts of carbohydrates, which are generally responsible for raising the level of blood sugar. This is surely the last thing a diabetic person would want or need.

If you notice, strawberries have some sugar content, but they are a lot better than biscuits and other snacks. So in case a diabetic person wants to nibble on something, sweet fruits are always a better option.

1 person found this helpful

Know How Diabetes Can Lead To Heart Problems!

Dr. Sandeep Rai 86% (57 ratings)
MBBS, DNB - General Medicine, Post Graduate Diploma in Diabetology (PGDD)(Madras Medical College), F.R.C.P Edin (UK)
Diabetologist, Navi Mumbai
Know How Diabetes Can Lead To Heart Problems!

Since blood is part of the cardiovascular system, and diabetes is a condition in which the level of glucose in the blood is higher than normal, then is certainly some relationship between the two.

Diabetes and cardiovascular system diseases has been recognized to be closely related to each other due to the so-called insulin resistance syndrome or metabolic syndrome. Some examples of the commonly diagnosed cardiovascular disease are coronary heart disease, stroke, high blood pressure and other heart conditions.

Diabetes is considered a major risk factor in cardiovascular diseases. Other factors that contribute to the possibility of acquiring cardiovascular diseases in diabetic patients include hypertension, smoking, and dyslipidemia.

How Diabetes Causes Cardiovascular Problems?

1. Hypertension: Hypertension in diabetes is considered a major contributor to the increase in mortality from cardiovascular diseases. Diabetic patients, especially those with Type 2, need to always have their blood pressure checked every visit to the doctor. Self-monitoring at home is also a must to maintain and control the rise of blood pressure. The American Diabetes Association recommends a target blood pressure of not more than 130/85 mm Hg to maintain a good level of blood pressure.

2. Arteriosclerosis and Atherosclerosis: Arteriosclerosis is the stiffening or hardening of the artery walls while Atherosclerosis is the narrowing of the artery because of plaque build-up. Atherosclerosis is a form of hardening of the blood vessels/arteries, caused by fatty deposits and local tissue reaction in the walls of the arteries. Diabetes is a documented high risk factor for the development of both Atherosclerosis & Arteriosclerosis . Heart disease and stroke, arising mainly from the effects of atherosclerosis, account for 65 percent of deaths among diabetics.

3. Hyperglycemia: Hyperglycemia means high (hyper) glucose (gly) in the blood (emia). Your body needs glucose to properly function. Your cells rely on glucose for energy. Hyperglycemia is a defining characteristic of diabetes, when the blood glucose level is too high because the body isn't properly using or doesn't make the hormone insulin.

There is a growing recognition that diabetes belongs to a special category of risk factors because it markedly increases risk of CVD. This increase is partly the result of the pernicious effects of persistent hyperglycemia on the vasculature and partly due to the coexistence of other metabolic risk factors.

5. Smoking: Smoking has been determined dangerous to our health. Studies show that smoking indeed increase risk of premature death and cardiovascular disease in diabetic patients.

6. Atrial Fibrillation: Atrial Fibrillation means an irregular and rapid heart rate which can increase the risk of stroke, heart failure and other cardiac issues. Individuals with diabetes are at an increased risk of developing atrial fibrillation. This risk is higher among patients with a longer duration of treated diabetes and poorer glycemic control.

Individuals with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors, patients with diabetes may avoid or delay the development of heart and blood vessel disease. Your health care provider will do periodic testing to assess whether you have developed any of these risk factors associated with cardiovascular disease.
 

Yoga In Diabetes!

Dr. Vaishali Gadekar 90% (19 ratings)
B.A.M.S
Ayurveda, Pune
Yoga In Diabetes!

Single yoga pose that is haalassan helps to lower sugar levels. This aasan stimulate pancreas to secret insulin.

1 person found this helpful

Eating Disorders - How To Manage Them In Case Of Diabetes?

Dr. Milind Patil 85% (39 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Eating Disorders - How To Manage Them In Case Of Diabetes?

Diabulimia is a type of eating disorder in which patients of Type 1 diabetes take less amount of insulin purposely, in order to lose weight. These patients have excessive concerns related to body weight and body shape, and a disturbed body image emerges (regarding oneself overweight despite a normal or reduced body weight). These patients attribute too much importance to body weight and body shape and fear of gaining weight

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. Kidney excretes excess glucose leading to increased urination. The body gets devoid of glucose and the calories associated with it and a rapid loss of weight occur.  Once the patient is started on insulin they develop weight gain. Patient with disturbed body image stops insulin in order to lose weight. Patients develop binge eating,  with more emphasis on sugar and carbohydrate enriched foods. The excess sugar gets out of the body by urinating.
Symptoms including excessive thirst, increased water intake, increased urination, and weakness are observed in the early period, irreversible findings including neuropathy, retinopathy, nephropathy, and osteoporosis, which occur in poorly controlled diabetics, are observed in the long term. 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.

Prevention

Diabulimia is more common among teenage girls who suffer from type 1 diabetes and are generally obsessed with body image. Proper patient education can help a lot in these patients.  It is advised not to neglect your insulin.
 

1 person found this helpful

Low On Thyroxine - Know What Does It Signify!

Dr. Milind Patil 85% (39 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Low On Thyroxine - Know What Does It Signify!

Do you have an extremely low reading of thyroxine or T4, it means that you are suffering from an under active thyroid disease called hypothyroidism. With this condition, your thyroid glands fail to make sufficient thyroid hormones. The thyroid gland releases hormones, which travel all over your bloodstream and affect all parts of the body. Thyroid controls how the cells of the body use energy from food via the metabolism process, which in turn affects the body’s temperature, heartbeat and burning of calories. Lack of thyroid hormones slows down the body’s functions, reduces your energy and the metabolism is disrupted.

Causes of hypothyroidism
The primary cause of this condition is Hashimoto’s thyroiditis. Thyroiditis refers to an inflammation of your thyroid gland. Hashimoto’s thyroiditis is an autoimmune disorder which destroy the thyroid gland. Viral infections may also lead to thyroiditis.

Other causes of the condition are as follows:

  1. Radiation therapy to the neck region for the treatment of several cancers like lymphoma may damage the cells present in the thyroid gland. Hence, the gland cannot secrete hormones properly.

  2. Radioactive iodine treatment is undertaken by people having an overactive thyroid gland. Radiation destroys the thyroid gland cells and leads to hypothyroidism.

  3. Certain medicines used to treat heart problems, cancer and psychiatric diseases may affect the thyroid gland and lead to hypothyroidism.

  4. Surgeries undertaken for removing the thyroid also lead to hypothyroidism.

  5. Iodine is required by the thyroid gland to produce hormones. A low amount of iodine in your diet and body may lead to hypothyroidism.

Risks factors of hypothyroidism
Usually women, especially older women are more likely to get hypothyroidism than men. The factors which determine if you are at a risk of acquiring the condition are as follows:

  1. Race

  2. Age

  3. Autoimmune disorders like type 1 diabetes, rheumatoid arthritis, vitiligo, celiac disease, Addison’s disease and many more.

  4. Bipolar disorder

  5. Turner’s syndrome

  6. Down’s syndrome

The symptoms of hypothyroidism are as follows:

  1. Changes in menstrual cycle

  2. Constipation

  3. Hair loss and dry hair

  4. Fatigue and tiredness

  5. A slow heart rate

  6. Depression

  7. An increased sensitivity towards cold

  8. Swelling of the thyroid gland or goiter

  9. Gaining weight

  10. Carpal tunnel syndrome

If you observe the symptoms of hypothyroidism, you should consult a doctor who will prescribe several blood tests, such as the thyroid stimulating hormone test and the T4 or thyroxine test. Based on the results, a treatment method is adopted.

 

Diabetes And Depression - Understanding The Vicious Circle They Create!

Dr. Milind Patil 85% (39 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Internal Medicine, DM - Endocrinology, DNB (Endocrinology)
Endocrinologist, Pune
Diabetes And Depression - Understanding The Vicious Circle They Create!

Diabetes is one major silent killer. Depression is another silent killer. According to the studies, a patient with diabetes has higher chances of getting depressed. Lack of social support, staying alone, lower income, the presence of diabetes complications and poorly controlled diabetes increase chances of depression in diabetes patients. Similarly depressed patient is at increased risk of development of diabetes. Thus, depression and diabetes have a cyclic relationship.

Need to break

It is very important to break the vicious cycle as it can affect the sugar control, quality of life and patient care. The depressed patient is less likely to follow diet and exercise. They do not take medicines regularly. The depressed patients will have bad control of sugars and increased complications of diabetes. It affects the quality of life of the patient.

How we can break the cycle?

Speak out

Depression remains underdiagnosed and untreated. One of the reason is the stigma associated with psychiatric illness in the society. Unless and until patient doesn't talk about it they are not going to improve. Hence ADA recommends evaluating for depression in patients with poorly controlled diabetes.

Psychotherapy

Psychotherapy or in particular cognitive behavioral therapy has been proven beneficial towards treating depression.

Regular Exercise

Regular exercise is very beneficial towards treating, both depression and diabetes. Exercise helps regulate blood sugar levels and hence can help control diabetes. It also helps in reducing excess weight, which can enhance your self-image and make you feel happier. Simultaneously, it also releases endorphins or the 'feel good' brain chemical. This can help alleviate depression symptoms.

Antidepressant

These are the medicines given to improve depression. Under the guidance of a psychiatrist, they help a lot. So don't say no to these medicines when prescribed by the psychiatrist.

1 person found this helpful

Erectile Dysfunction Due To Diabetes - How Counselling Can Help?

Dr. Jayant Vishe 87% (214 ratings)
MBBS, Fellowship in Diabetes, PGDM Reproductive and Child Health , CCMH, ACMDC (Diabetes and Cardiovascular Disease )
Diabetologist, Thane
Erectile Dysfunction Due To Diabetes - How Counselling Can Help?

Diabetic men usually are prone to suffering from erectile dysfunction, i.e., they are unable to maintain an erection while having sex. If you are suffering from diabetes for a long time, your nerves and blood vessel might get damaged. That will cause you to suffer from erectile dysfunction. Almost 35% to 75% diabetic men suffer from erectile dysfunction. This situation becomes more serious with age.

Causes

It involves various factors like impairment in the nerves, blood vessels, and also cause problems in proper muscle functioning. You need healthy blood vessels, nerves, as well as healthy male hormones and sexual desire to get an erection. Diabetes damages the nerves and blood vessels responsible for an erection. So even if you have the required amount of hormones and the desire, you might not be able to get a proper erection.

Treatment

If you are suffering from diabetes, and have a condition of erectile dysfunction, then the most common treatment for you is Sildenafil. Other medications, which you can take are tadalafil, avanafil, and vardenafil. But keep in mind that if you have any heart problems, then you should refrain from taking any of these medicines as they will further complicate situations for you. Consult your doctor in this case to know which will be the best treatment for you to cure erectile dysfunction. Other treatment methods are as follows:

1. Intracavernous injection therapy

2. Vacuum erection devices

3. Venous constriction device

4. Intraurethral therapy

5. Penile prostheses

The dosage of these medicines depends upon weight of the patient as well as presence or absence of other co-morbid conditions like hypertension, dyslipidemia, cardiac problems, kidney/liver diseases, etc. Prescription of these medicines also depends on the other medications that the patient is taking as these ED medicines have a lot of adverse drug-interactions. Hence, one must always consult a doctor before starting these medications.

The Role of Counselling for Treating Erectile Dysfunction

Erectile dysfunction can be caused by psychological factors and once a man experiences erectile dysfunction it can have a major impact on their emotional well-being. A man may feel a loss of manhood, a loss of confidence, low self-esteem, angry and depressed and it may also affect his relationship or sexual encounters. Therefore, counselling is a crucial part of treatment in order to address these issues.
Does psychosexual counselling work?

Psychosexual counselling is most effective when a man's sexual partner is willing to be part of the treatment. Studies have shown that for men with stress-related ED, when the partner is involved in the therapy, the problem is resolved 50%-70% of the time. When the man must go through counselling alone, the results are less successful.

Psychosexual counselling is unlikely to work if a man drops out of treatment after just one or two sessions.

Sometimes, several sessions of psychosexual counselling can be helpful if a man is due to receive medical or surgical treatment for ED. A counsellor can help guide a couple towards agreeing on treatment, or help them improve their sexual communication and lovemaking skills. A man may benefit from counselling on his own regarding how to talk to his partner about penile injections or a vacuum constriction device, which are both treatments for ED.

3 people found this helpful

Diabetic Nephropathy - What Can Increase Your Risk Of It?

Dr. Shubhashree Patil 88% (10 ratings)
MBBS, Diploma In Diabetology, DNB - General Medicine
Diabetologist, Mumbai
Diabetic Nephropathy - What Can Increase Your Risk Of It?

Diabetes is not an isolated disease but a syndrome. It brings with it a host of issues, affecting almost all organs, and that is the reason it is a dreaded issue. Diabetes is the result of chronic inflammation and this inflammation gradually spreads to all other organs. One of the main organs adversely affected is the kidneys. The kidneys are essential filtration agents, and impaired kidney function can have a series of bad effects on the body.

The good news is that not everybody with diabetes will have diabetic nephropathy. However, risk factors for developing diabetic nephropathy are:

  1. Severe, uncontrolled diabetes
  2. Family history
  3. Prior kidney disease, even chronic infection
  4. Race or ethnicity (native Americans, African Americans, etc.)
  5. Preexisting hypertension or high cholesterol levels
  6. Obesity

If you have these risk factors, then all efforts should be aimed at keeping blood sugar at highly optimal level. Once it reaches beyond a certain level, it is very difficult to get it under control.

Symptoms

There would be no symptoms in the initial stages

  1. If you suspect that increased sugar levels could be damaging the kidneys, it is imperative to do renal functions annually to test for onset of kidney malfunction
  2. There could be swelling of the feet and ankles
  3. Urine tests may indicate increased levels of protein in the body (serum albumin in particular)

Management

The idea is to arrest or stop damage to the kidneys.

  1. Reduce and maintain blood pressure within the recommended levels. This will depend on the age and overall health status. Using angiotensin converting enzymes or angiotensin receptor blockers is the most effective way to control hypertension and related kidney damage
  2. Keeping blood sugar within the recommended levels helps reduce or stop damage to the blood vessels in the kidneys and thereby, prevent progression
  3. Maintain optimal levels of cholesterol, as this only adds to hypertension, which further worsens kidney function.
  4. Eat a heart-healthy diet and exercise regularly. It is a vicious cycle with components including hypertension, high sugar levels, increased heart disease, which all only continues in a circle nonstop. Breaking this cyclical trend is very important.
  5. Diet should not be too rich in protein, as the kidney function is impaired and may not be able to handle too much protein. Talk to a nutritionist as to how much protein is required and follow it strictly.
  6. Reduce salt levels in the diet, and strictly do not add extra salt onto your plate
  7. If you are a smoker, this is a great reason to quit, as it affects all the above conditions.
  8. Maintain weight under optimal levels.
3 people found this helpful

Myth - Eating Too Much Sugar Causes Diabetes!

Dr. Anil Savani 88% (37 ratings)
MD - Medicine
General Physician, Surat

Myth: Eating too much sugar causes diabetes.

Fact: There is no one food or nutrient that causes diabetes. Type 1 diabetes (where all of the body’s insulin producing cells are destroyed) develops both because of genetics and from poorly understood environmental triggers that result in the onset of the disease. Type 2 diabetes is the result of both genetic and lifestyle factors.

There is no question that being overweight or obese increases your risk for developing type 2 diabetes. Weight gain occurs as a result of excess calories, and whether these calories come from a soda, breads, snacks or meat doesn’t generally matter. Because of genetics, some people gain weight more easily than others, but there is still an imbalance between calories eaten and those burned off.

Because of the complex relationship between genetics, the environment and lifestyle, it is incorrect to say that sugar causes diabetes.

1 person found this helpful
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