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Diabetes Health Feed

Understand Your Risk for Diabetes!

Dr. Anurag Bajpai 86% (12 ratings)
MBBS, MD - Paediatrics, FRACP - Pediatrc Endocrinology, SCE, Endocrinology
Endocrinologist, Kanpur
Understand Your Risk for Diabetes!

Type 1 diabetes is commonly referred to as juvenile diabetes and is mostly witnessed among young people. It can also occur in adults. In this condition, the body doesn’t produce enough insulin or completely stops producing insulin. The immune system, which saves the body from foreign microbes, attacks the cells that are responsible for producing insulin. The treatment methods include taking insulin shots, oral insulin intake, taking healthy diet, increased physical activity and controlling blood pressure and cholesterol levels.

Type 2 diabetes is a condition wherein the body refuses to use insulin in order to carry glucose to each and every cell of the body. The pancreas try to produce more insulin in order to counter the condition but soon give up due to an increased blood pressure. The treatment plan includes medication, making lifestyle changes, and controlling blood-sugar and cholesterol levels.

Gestational diabetes is observed in many pregnant women. The hormones produced during pregnancy can block insulin to be used by the body. While insulin resistance is common during pregnancy, failure of the pancreas to fill in the additional insulin in the body can result in gestational diabetes. Women who are overweight are more likely to develop this condition. Although gestational diabetes goes automatically after the baby is born, it often recurs in the form of type 2 diabetes in a later stage of life.

Risk factors for diabetes

  1. Weight: Being overweight is a primary risk factor for diabetes. An increased amount of adipose tissue increases the risk of insulin resistance by the body. It is therefore essential to shed as much weight as one can to avoid diabetes.
  2. Inactivity: Immobility increases the risk of diabetes in a person. It stacks up glucose in the body, making it difficult for the body to use glucose and convert it into energy. A daily routine which is devoid of physical activity ensures fat storage in the body, which can turn into type 2 diabetes.
  3. Family history: Diabetes, especially type 2, is closely linked with family history. If a person has diabetes, it is very likely that his immediate family or extended family has a history of diabetes.
  4. Ethnicity: African-Americans, people from the Indian subcontinent, Latinos, etc., are more likely to suffer from diabetes compared to their American or European counterparts. Lifestyle and eating habits are the major reasons for diabetes in these races.
  5. Age: Age has a direct correlation with diabetes. The age group of 45–65 is considered to be more diabetes-prone. Inactivity, immobility, and an increase of sugar intake are some of the primary reasons for developing diabetes in this age group.

Type diabetes

Surgery For Diabetic Foot - What All Should You Know

Dr. Binod Samal 84% (10 ratings)
MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
General Surgeon, Delhi
Surgery For Diabetic Foot - What All Should You Know

Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.

A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.

Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus  the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.

TYPES OF SURGERIESBASED ON TIME

  1. BASED ON PURPOSE
  2. TYPE OF PROCEDURE
  3. BY BODY PART
  4. BY EQUIPMENTS USED

Prevention

There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.

Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.

Classifications of foot infections

  1. A depth of the infection
  2. The severity of the infection
  3. The amount of tissue involved
  4. The anatomic site affected
  5. The causative factors

The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present

Symptoms

Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.

Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A  study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.

How Diabetes Can Lead To Depression?

Dr. Rajesh Kesari 89% (25 ratings)
Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
How Diabetes Can Lead To Depression?

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person.

Various risk factors that are associated with diabetes and depression are as follows-

  • lack of physical activity
  • poor social environment
  • poverty
  • stress during pregnancy

Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes.

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin.

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy.

Various signs that can be observed in a state of depression are as follows:

  1. Complete lack of interest in doing any activity
  2. Irritation or mood swings
  3. Depressed mood
  4. Disturbed sleep pattern
  5. Changes in the appetite
  6. Constant feeling of despair
  7. Guilt Fatigue, weakness
  8. Difficulty in concentration, transient memory loss
  9. Suicidal tendency

There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users.

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

I am 50 years M diabetic since 22 years, having operated upon Liver hydrated cyst, now after fibroscan, score 7.5 kp, Dr. Advised bilypsa 4 mg od. Along with him insulin 30/70. please tell will bilypsa help treating fibrosis.

Dr. Pramod Kumar Sharma 92% (4707 ratings)
MBBS, MD
Endocrinologist, Delhi
I am 50 years M diabetic since 22 years, having operated upon Liver hydrated cyst, now after fibroscan, score 7.5 kp,...
Bilypsa is used to treat raised triglycerides in doabetic patients. Your doctor has prescribed for high tryglycerides.
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Insulin - Why It Is Important?

Dr. Sankar Nath Jha 87% (28 ratings)
Diploma In Endocrinology, M.Sc - Endocrinology, Diploma In Diabetology
Endocrinologist, Hooghly
Insulin - Why It Is Important?

The first and the most important thing to be cleared is what exactly insulin is. Now we all are well accustomed with the fact that we get the energy to do what we do by eating the food we eat. So how exactly is all this energy generated? That is exactly what is going to be explained in the briefest way possible.

Most carbohydrates contain a type of sugar known as glucose. After we finish eating, the carbohydrates break down into smaller sugar molecules called glucose inside the digestive tract. Pancreas is a gland, which is located somewhere behind the stomach and is the source of all the endocrine functioning. This gland produces a hormone named Insulin. When the glucose molecules are released into our bloodstream, this insulin helps the cells throughout our body to soak up these simple sugar molecules and use them for providing the body with energy. Now that our base is clear, let’s move on to the importance of insulin in our body.

Why it is important?

Insulin helps our body to absorb glucose and provides the body with all the energy to do what it does. Another really important task that insulin does is balance the glucose levels in our blood. As soon as there is extra glucose in our blood-stream, insulin gives a signal in which the excess glucose is stored in the liver for future use, i.e, in situations when blood sugar drops and the body needs an extra energy boost.

Occurrence of diabetes

In a certain turn of events, when the body refuses to use the insulin properly or in worse cases, the body fails to produce enough insulin, diabetes mellitus occurs. Diabetes can be of two kinds:

  • Type 1 - In this case, the immune system destroys all the insulin producing cells, thereby, ceasing the production of insulin. As such, insulin injections are mandatory to maintain blood sugar levels.

  • Type 2 - In this case, the body does not respond well to the instructions of insulin and the sugar level in the body is not regulated. The body in turn produces a lot of insulin in a desperate attempt to improve blood sugar levels. The patients can turn the situation over by changing their food habits and lifestyle and taking certain medications.

For people taking insulin treatment, it is good to note that insulin can be of rapid acting type, short-acting type, long-acting type and intermediate-acting type.

1 person found this helpful

Diabetic from last 8 years. Feels lethargic even normal blood sugar. Little Vitamin D deficiency.

Dr. Prabhakar Laxman Jathar 97% (14683 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Diabetic from last 8 years. Feels lethargic even normal blood sugar. Little Vitamin D deficiency.
Mr. lybrate-user, Thanks for the query. I have seen the query. It is difficult to give any opinion without any details like - Fasting, PP glucose levels & HbA1c%. Plus I also need to know present dietary pattern extent of daily exercise, lipid profile and BP readings. Plus give the details of current treatment with dosage. So please come back with all the necessary details. Thanks.
4 people found this helpful
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Hi, yesterday I took first time pasting blood sugar test and urine test, those results is bps is 110 and urine is nill. Can you please evolution those reports, that is normal or diabetic?

Dr. Anantharaman Ramakrishnan 87% (35 ratings)
DM - Endocrinology, MBBS, MD - Medicine
Endocrinologist, Bangalore
Hi, yesterday I took first time pasting blood sugar test and urine test, those results is bps is 110 and urine is nil...
Hello sir, get your HbA1c test done and update the value, will check and let you know sir. For more information call to this number
1 person found this helpful
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Calorie Requirement For Diabetes!

Dt. Sushma Khandelwal 89% (14 ratings)
Dietitian/Nutritionist, Jaipur
Calorie Requirement For Diabetes!

Waist - hip ratio is important in diabetes. (1.0 for male and 0.7 for female) 

Calorie should be calculated on the basis of optimal body weight. Energy can be 30-35kcal 7day on the basis of ideal body weight. Obese diabetics must lose weight & thin diabetics must gain normal weight. 

Prohibited items:

Sugar, jaggery 
Sherbat, sweets, candies. 
Honey, chocolates
Cakes, pastries 
Jams, jellies, murabbas etc.

In type 2 diabetes when to take tablet before meal or after and what time interval should be in food and tablets (glycomet gp2 tablets I am taking)

Dr. Prabhakar Laxman Jathar 97% (14683 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
In type 2 diabetes when to take tablet before meal or after and what time interval should be in food and tablets (gly...
Mr. lybrate-user, Thanks for the query. There are various tablets (medicines) to treat diabetes. Some of these need to be taken before meals and some with food and some after food. There is no general guideline. It is specific to the drug being used. Plus with some patients taking a drug on empty stomach may cause gastrointestinal upsets, in such situations that particular person may be advised to take certain drugs after food. Thanks.
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Diabetes - How Homeopathy Can Help?

Dr. Amlendu Tripathi 92% (128 ratings)
BHMS
Homeopath, Lucknow
Diabetes - How Homeopathy Can Help?

Diabetes mellitus is a chronic condition wherein the body doesn’t metabolise sugar properly. Insulin, a hormone produced by the pancreas, is responsible for carrying the sugar or glucose, from the bloodstream to the individual cells. When the pancreas fails to produce insulin, glucose builds up in your bloodstream and enters your urine.

Diabetes is treated with the help of constitutional remedies which are selected by studying complete mental and physical symptoms. Homeopathy focuses on the overall health of the individual. Homeopathic medicines for diabetes include:

1. Abroma Augusta: This homeopathic medicine is best for diabetics who have weak muscles, increased appetites and frequent urination.
2. Phosphorus: If symptoms include weak vision, Phosphorus is the best remedy for it.
3. Syzygium Jambolanum: This is one of the best homeopathic remedies for diabetes mellitus. It acts efficiently and promptly in lowering sugar levels.
4. Phosphoric acid: If you feel exhausted or weak all the time, either physically or mentally, then Phosphoric acid is beneficial. Weak memory, forgetfulness and numb feet are also treated with Phosphoric acid.
5. Gymnema Sylvestre: Sometimes, diabetics drastically lose weight and have low energy levels. Gymnema Sylvestre is an excellent remedy for such symptoms.

Sometimes one or more homeopathic medicines may be combined to treat symptoms. Some common combinations include:

1. Lachesis, Arnica, Belladonna and Phosphorus are combined in a treatment to treat retinopathy, which is damage to the eyes caused by diabetes.
2. Serum Anguillae, Arsenic Album and Lycopodium are used together to treat kidney damage (nephropathy) in diabetics.
3. Helonias, Sulphur and Phosphoric acid are taken to deal with neuropathy or nerve problems such as numbness in feet and hands.
4. Syzygium Jambolanum is combined with Secale Cornutum to treat skin ulcers, which is a common problem among diabetics.
5. For people suffering from constipation due to diabetes, Natrum Sulph, Defloratum and Carlsbad are the best medicines.
6. To improve weak memory, Phosphoric acid, Nux Vom and Kali Phos are the best remedies for diabetics.
7. Sometimes diabetics complain of extreme, incapacitating weakness. To improve energy and boost overall health, Carbo Veg, Phosphoric acid, Phosphorus and Arsenic Album are recommended.

1 person found this helpful
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