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Overview

Diabetes - Symptom, Treatment And Causes

Types of Diabetes:

  • Type 1 diabetes- Most people generally develop type 1 diabetes before the age of 40. It is also known as early onset diabetes, juvenile diabetes and insulin dependent diabetes. People who have type 1 diabetes usually have to take insulin injections. They also need to ensure blood glucose levels by carrying out blood tests and following a strict diet.
  • Type 2 diabetes- This form of diabetes occurs when the body doesn’t produce adequate insulin for the proper functioning of the cell which produces insulin. Many people are able to control type 2 diabetes by controlling their blood glucose levels, exercising a lot, consuming a healthy diet and losing weight. Overweight and physically inactive people are at a higher risk of getting type 2 Diabetes. Eating a lot of junk food and food rich in sugar can also contribute to type 2 diabetes.
  • Gestational diabetes- This form of diabetes usually affects women during pregnancy. Many women have high levels of glucose in their blood during pregnancy because of the inability to produce insulin. If gestational diabetes is not controlled on time, it can be fatal for the baby and a lot of complications can arise during childbirth. The newborn can be bigger than she/he should normally be.

How is diabetes diagnosed?

The doctor usually diagnoses Diabetes by conducting a series of tests such as the A1C test, fasting plasma glucose (FPG) test and oral glucose tolerance test (OGTT).

Complications of Diabetes:

Type diabetes
Can't be cured, but treatment helps Require medical diagnosis Lab test required Chronic: can last for years or be lifelong
Symptoms
Increased thirst Frequent urination Hunger Fatigue and blurred vision

Popular Health Tips

Why Is It Important To Control Your Diabetes?

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
Why Is It Important To Control Your Diabetes?

The food we eat, the liquids we drink and the air we breathe, everything plays an important role in affecting the health of our body. The consumption of food causes the production of glucose, which provides energy to our body. There is no doubt that excess of everything is bad and this is the reason that when blood glucose levels get a leap, then a disease named diabetes comes into existence.

Firstly, have a look at the types to know your problem well.

Type 1 Diabetes: This type of diabetes is quite hazardous for the pancreas as the immune system restricts the cells to produce insulin. Type 1 diabetes can be spotted among people of every age. It needs insulin on the daily basis to maintain the living of a person.

Type 2 Diabetes: Most commonly, people get affected by type 2 diabetes only, but generally it occurs in middle age people or to the people at their higher age. In this type of diabetes, patient’s body does not make proper insulin.

Gestational Diabetes: Gestational diabetes can be diagnosed among the pregnant women. Generally, this gets vanished with the birth of the baby. In most of the cases, people suffering from gestational diabetes come into the trap of type 2 diabetes in the later ages.

How common is the disease?
Various researches are evident to the point that 415 million people are suffering from this problem and it is not wrong to say that it is diagnosed in 1 out of 11 of the world’s adult population. Most of the people are suffering from type 2 basically.

Why is it important to put a stop on diabetes?
Insulin hormone plays a vital role in the transportation of glucose into the cells, but when the proper amount of glucose does not reach to the cells and get occupied in the blood, and then the excess glucose in the blood causes the health problems. These problems comprise of:

  1. Cardiovascular diseases
  2. Kidney problems which may force you to go under dialysis
  3. Effects in vision that may cause blindness
  4. Sexual problems such as erectile malfunctioning
  5. Amputation due to circulation and scarring

These problems can affect your life in a worse way so waiting for the excess is the not an option, whereas you should be careful towards it so that it can be cured in the early stages. There is nothing to have a second thought because higher levels of diabetes may lead to losing your life. So, do not ignore the disease and look forward to lessening the effects of the disease. Monitoring of the levels of glucose in your body on the daily basis can help you to stop the cause. This can save your body get affected by various other diseases. Do not wait for the disease to cause damage and plan beautiful life ahead by putting a stop to your diabetes. Only you have the courage to give a better and a happy ending to your diabetes story.

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Diabetic Eye - All What You Ever Wanted To Know

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
Diabetic Eye - All What You Ever Wanted To Know

Diabetic eye refers to a condition which generally affects the eye of a diabetic person. It is caused due to high sugar level in body. Diabetic eye can further lead to major problems such as cataracts, blurry vision, glaucoma, and retinopathy in case no treatment is taken at the preliminary stages. The deposition of glucose on the lens is the major cause behind all such problems and if ignored it can further damage small nerves and blood vessels. There are many precautionary methods by which you can cure this disease such as eye drops, surgery and laser treatment, but the simplest way to treat it is by managing your sugar level.

Following are the ways by which you can maintain the sugar level and procure yourself from such disease:

  1. Keeping an eye on your diet and consulting doctors for proper medication.
  2. Quit smoking and alcoholic substances.
  3. Have a detailed eye examination once a year.
  4. Regular exercise and Yoga which can do wonder to control Diabetes.

How does a diabetic eye affect you?

  1. Blurry vision: If you notice that things are looking unclear do not go for glasses it may just a normal problem caused by high glucose level. High sugar level causes swelling in the lens and reduces your ability to see. This can be corrected in 3 months by managing the sugar level in the normal range.
  2. CataractThe lens in our eye provides the sharp and clear vision, but they tend to be cloudy with age. It is more likely to occur in the diabetic person at an early age. This is caused due to the deposition of excess glucose on our eye lens which may reduce our vision and makes the things appear glaring.
  3. Glaucoma: Glaucoma is caused due to pressure build-up in the eye and resists the fluid to flow in the normal way. This further cause damage to the blood vessel and causes the vision problems. Glaucoma can be treated if detected in early stage. The common symptoms of this disease are a headache, watery eye and vision loss. The problem can be cured by eye drops, surgery and laser treatment.
  4. Diabetic Retinopathy: Retina is a group of special cell which is found in our eye. It helps to convert the light into an image. Diabetic Retinopathy can lead to damage of these small blood vessels hence leading to loss of sight. The common symptoms includes black spot on the eye, holes in vision and blurry vision which can be treated by surgery.

Conclusion
A diabetic eye is a minor problem if detected in early age, but can cause the vision loss in case proper care is not taken at the preliminary stages. A yearly checkup can help you to detect the problem in early age and hence can be cured. We suggest you to get your eyes checked as regular as once in a year once you attain the age of 40; as generally by this age the insulin level of the body is unbalanced and the composite of glucose starts depositing on different body parts which may lead to deadly diseases.

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Gestational Diabetes - Who Is At Risk?

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
Gestational Diabetes - Who Is At Risk?

Gestational diabetes is diabetes that arises during the pregnancy and disappears after giving birth. It is usually diagnosed in the second stage by screening or blood test. It mostly occurs in the women who previously have some traits of diabetes. Gestational diabetes affects your pregnancy and your newborn baby health, but risk can be reduced if detected before and manage well.

Gestational diabetes is caused due to an excessive amount of blood sugar level, as at the time of pregnancy placenta excrete the glucose building hormones. The pancreas excretes enough insulin to manage if not this lead to the excessive amount of blood sugar. This can be prevented by adopting healthy habits before pregnancy. The mentioned below are the symptoms, causes and prevention of Gestational diabetes.

Symptoms
In most of the cases, Gestational diabetes does not show any sign and symptoms, but it can be diagnosed through the blood test or screening. Some women may develop symptoms if they are suffering from hyperglycemia. The common symptoms are:

Tiredness

  1. Dry mouth
  2. More pee than the daily routine
  3. Increase thirst

These are some symptoms shown by the diabetic patient if you are experiencing any of them then consult your doctor. Regular checkup, test and screening should be preferred to avoid this serious problem. The problem can be well managed if detected at the time.

Who is at risk?
Any women can suffer from Gestational diabetes, but you are a great risk if:

  1. Your body mass index is above 30, use a body mass calculator to workout and reduce the risk of Gestational diabetes.
  2. Your previous baby is weighted more than 4kg or above at the time of birth, then you are more prone to Gestational diabetes.
  3. If One of your parents has diabetes.
  4. You have Gestational diabetes in previous pregnancy.

Causes
During pregnancy, the placenta excretes the hormones that lead to building up of glucose in the body. The pancreas makes enough insulin to manage them if not, then sugar level rise and cause Gestational diabetes. Usually, the hormones build up during the pregnancy work against insulin and raise the blood sugar level in the body.

Precaution
There is no guarantee t prevent Gestational diabetes, but by adopting some healthy habits, reduce the risk of future pregnancy. The mentioned below are a habit that helps to prevent or reduce the risk of Gestational diabetes.

  1. Eat healthy food, focus on food rich in nutrients and fibre that will help you're to achieve your goal
  2. Always go for 30 min moderate exercise before and during pregnancy, this will protect you from the risk of Gestational diabetes.
  3. If you are planning for pregnancy go for excessive weight loss this will help to attain the healthiest pregnancy ahead.

Conclusion
Gestational diabetes is not a major issue, it can be managed well if diagnosed on time. One can prevent this disease by just adopting healthy habits of balanced diet and exercise. Some women may require medical care so regular checkup and screening is important during pregnancy.

How Diabetes Can Lead To Depression?

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.

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Endocrine Dysfunction and Diabetes - What Should You Know

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Medicine, DM - Endocrinology
Endocrinologist, Zirakpur
Endocrine Dysfunction and Diabetes - What Should You Know

The endocrine system is a network of glands that produce and release hormones. These hormones are in charge of several functions in the body, from heartbeat to tissue growth to the creation of new life. Even a small issue with one or more of these glands can interrupt the careful balance that the body strikes with these hormones. This causes an endocrine disorder or dysfunction. One of the most common endocrine disorders is diabetes. Many other endocrine disorders include adrenal insufficiency, gigantism and other growth hormone problems, hypothyroidism, and polycystic ovarian disease.

Causes of Endocrine Disorders: The endocrine system consists of several glands, including the pituitary gland and hypothalamus in the brain, adrenal glands in the kidneys, and thyroid in the neck, as well as the pancreas, ovaries, and testes. The stomach, liver, and intestines also secrete hormones related to digestion. Most common endocrine disorders are related to the improper functioning of the pancreas and the pituitary, thyroid, and adrenal glands. The causes of endocrine disorders are grouped into two categories – Disorders caused by a gland producing too much or too little of a hormone, which is known as hormone imbalance and disorders due to the development of lesions in the endocrine system that can affect hormone levels.

Testing for Endocrine Disorders: An endocrinologist is specially trained in problems related to the endocrine system. Normally, blood and urine tests are conducted to check the hormone levels to determine if you have an endocrine disorder. Imaging tests may be done further to locate or pinpoint a nodule or a tumor.

Diabetes – Most common endocrine disorder: Diabetes is a chronic, lifelong disease that affects the body’s ability to process insulin. Normally when you eat, the pancreas, an organ located in the upper abdomen, produces the hormone insulin to move glucose from the bloodstream into cells where it can be used for energy and growth. With diabetes, either the pancreas produces too little or no insulin or the body’s cells don’t respond to the insulin. Diabetes deprives the body’s cells of nutrition and leads to an abnormally high level of glucose in the blood. Over time, this can result in damage to the blood vessels and organs and premature death. The three most common forms of diabetes are type 1 diabetes, type 2 diabetes, and gestational diabetes.

Symptoms of Diabetes: Symptoms of diabetes that can indicate a dangerous, potentially life-threatening change in your blood sugar level can occur suddenly and rapidly. Symptoms include increased thirst, frequent urination, vomiting, shortness of breath, abdominal pain, confusion, sweating, feeling shaky, extreme irritability, or aggressive behavior. In case you have diabetes and experience symptoms of high or low blood sugar, test your blood sugar and follow your treatment plan based on the test results.

Treatment of Diabetes: Treatment for diabetes varies among cases but a good diet plan and regular exercise are extremely valuable for both management and prevention of this endocrine disorder. Some other treatments include regular blood sugar monitoring, insulin treatment, oral or intramuscular administration of medications, pancreatic transplant in the case of type 1 diabetes and bariatric surgery for people who are very overweight.

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Popular Questions & Answers

Good evening Doctor, My husband is diabetic his diabetic is in control But he have high blood urea 14 mg/dL and creatinine 0.6.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Both the levels mentioned (urea 14 mg, Creatinine 0.6 mg) are within normal limit. Urea is in the range of 10 to 50 mg. Thanks.
1 person found this helpful

Dear Sir, I have been suffering diabetes for 9 years. Recently my blood sugar is out of control, fasting 9+ & after meal 12-14. I am taking medicine commit XR-500, Linux 5, compared Mr. 60. Also I take Tab. ecosprin 25 & Seloment for BP. Recently I have done ECG for whole abdomen and found Fatty Liver Gr-II. Pls advice me about Diabetes & Fatty Liver Gr-II. Regards Poshirul Islam.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Both fasting and PP blood glucose levels are high, suggesting improperly controlled diabetes. Ideally fasting glucose should be < 100 mg, PP 150 to 170 mg & HbA1c% < 6.8. Therefore, there is a need for upgrading the treatment with additional drugs, plus a look has to be given to your diet and exercise. So please come in a private conversation with all the details like HbA1c%, diet pattern and extent of exercise. Fatty liver is invariably seen in oersons having excess weight and uncontrolled diabetes. Thanks.

I am a diabetic age 38 years so I want to know that my sugar level always near to 258 but I have no such problem in my body but there are some people suggested that it will ne dangerous so please advise me.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. Blood glucose level closer to 258 mg, (whether fasting, PP or random) is too high. What is the HbA1c%? That gives a clear idea about the seriousness of the situation. Please tell me whether there is any treatment being taken at all? If no, then you are heading for a serious problem. Because diabetes is not just high blood glucose. It damages every important vital organ in the body. Retina (eye), small and large blood vessels, kidney, nerves, heart lower limbs and sexual performance. So whether to get treated or not is your choice. Thanks.
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My creatinine is high its 3.15 and diabetes also my diabetes is control advice me I am also taking ketosteril 5 tablets a day 2+2+1.

MBBS, MD
Endocrinologist, Delhi
Why are you taking ketosteril. Increased creatinine is suggestive of reduced kidney function. Avoid unnecessary medication. Keep blood sugar controlled. Consult a Nephrologist.
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I have diabetes n high bp for diabetes I tak galvus met 50/500 once in the morning n for high bp I tak start 80 once in the morning n met xl am one in the night. Still always I feel chest discomfort did ecg lot of times stress test n chest choro also everything came normal. Is it becoz of my medication or I need to change my medicine n how r this medicine effect wise. Age is 32.

MBBS, MD
Endocrinologist, Delhi
Get your blood sugar and BP checked and if acceptably normal continue them otherwise change them under supervision of a Physician. Your chest pain needs further evaluation, get stress thalium or stress echo done.
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Table of Content

Types of Diabetes:
How is diabetes diagnosed?
Complications of Diabetes:
Play video
Obesity And Diabetes Surgery
Bariatric surgery has emerged as an impressive treatment of obesity and type 2 diabetes. Bariatric surgery is costly, but cost-efficacy analysis consistently shows that the additional years of lives gained through bariatric surgery can be obtained at a reasonable and affordable cost.
Play video
Diabetes Myths
There are various myths associated with Diabetes as a disease which tends to cause confusion in the minds of people and results in wrong actions as well which further worsen the situation. Its important to clarify such doubts , if any.
Play video
Diabetic Foot Ulcer
Diabetic foot ulcer is a major complication of diabetes and is one of the major component of diabetic foot. It is caused by neuropathic (nerve) and vascular (blood vessel) Hello friends!

I am Dr. Anubhav Gupta. I am a consultant plastic surgeon at Sir Ganga Ram Hospital. Today I am going to talk with you about a very neglected problem faced by a lot of patient of ours and that is the diabetic foot. Now what happens usually is people who have diabetes are always prone to have some problem in their feet. It is because of microangiopathy and because of the high level of glucose which is constantly there so there is a culture medium in the blood which can cause a lot of injuries. So it is very important for them to take very good care of their feet.

I always recommend my patients from diabetes that they should look at their feet just like they look at their face everyday in the morning. So every day you have to see even if there is a small issue then you should not neglect it. You should approach a plastic surgeon or an aesthetic surgeon or any other surgeon who is taking care of the feet. Usually, these kinds of the patient require a multimodality approach. A plastic surgeon, a vascular surgeon and sometimes a paediatrics.

So it's a combined therapy. Multiple sessions are required but what is more important is to attack the problem at the very beginning, because if we don't attack the problem in the very beginning it can lead to catastrophic consequences. It may start with a small blackening of the toe and it can actually extend up to right above the knee also. So when we treat these patients aggressively and at an early stage we usually limit the damage caused by the diabetic neuropathy and as well as other infective focus. The point or the take the home message over here is that we should treat these patients aggressively and early and the patient should be made aware that these kinds of problem are not to be taken lightly. For more details, you can contact me on lybrate.

Thank you!omplications of diabetes.
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.
Having issues? Consult a doctor for medical advice