Common Specialities
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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

Thyroid And Diabetes - Do They Go Hand In Hand?

Diploma in Diabetology
Endocrinologist, Mumbai
Thyroid And Diabetes - Do They Go Hand In Hand?

Diabetes and thyroid disorders are the two most common problems affecting people since ages. Diabetes, as is known to all, is a medical condition whereby the body fails to synthesize insulin, a type commonly known as Type-1 diabetes. In another type of diabetes, known as Type-2 diabetes, the body may become insulin resistant. This disorder of the endocrine system can wreak havoc, giving rise to a host of health complications and medical conditions if not treated and managed on time.

The Thyroid hormones (produced by the thyroid glands) play a significant role in various metabolic pathways of the body. Certain conditions (stress, obesity, diseases, medications, to name a few) can affect the production of thyroid hormones, thereby interfering with the normal body activities and metabolic processes. While Increased production of thyroid hormones (T3, T4, TSH) results in Hyperthyroidism, reduced production can give rise to Hypothyroidism. LIke Diabetes, Thyroid diseases also have the potential to throw life in jeopardy if the absence of timely management and treatment.

Are diabetes and thyroid problem interrelated?
This question has baffled scientists and researchers for long. Various studies and research establish a relationship between Diabetes and Thyroid disorders. The Beta cells (Islets of Langerhans) of the Pancreas are responsible for the insulin production, while the thyroid hormones are produced by the thyroid glands. Both the pancreas and the thyroid glands are part of the endocrine system. A scientific paper published in the Journal Of diabetic Research states that the level of the thyroid hormones in the body is directly related to the insulin secretion. An overproduction of thyroid hormones trigger the Beta cells of the pancreases to produce insulin in an increased amount (resulting in Hyperglycemia). On the other hand, a decreased production of thyroid hormones (Hypothyroidism) gives rise to a reduced insulin production by the Beta cells triggering Hypoglycemia.

Some studies also suggest that people with Type-1 Diabetes (an autoimmune condition) is more likely to suffer from Thyroid problems and disorders. In fact, thyroid problems can make the condition more severe, resulting in serious health complications. Thyroid problems may also occur in Type-2 diabetic patients, especially women. However, the extent of damage may be less severe as compared to those with Type-1 diabetes. In this context, it is important to mention that people with low levels of thyroid hormones are likely to suffer from Type-2 diabetes, particularly in pre-diabetic patients.

Thus, it is important that people with diabetes or thyroid problems should get undergo regular medical check-ups and screening tests to avoid any complications. According to the American Diabetes Association, every diabetes patients (especially Type-1) should undergo the thyroid tests (T3 test, T4 test, TSH test) once in every 2 years, even if their thyroid levels are within the normal range.

Though diabetes and thyroid problems are interconnected, proper management can go a long way to keep both the conditions well under control.

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

2027 people found this helpful

Diabetic & Hypertensive Eyes - How to Take Care Of Them?

DOMS(gold Medal);guru Nanak Eye Centre;University Of Delhi, MBBS
Ophthalmologist, Delhi
Diabetic & Hypertensive Eyes - How to Take Care Of Them?

You know that diabetes is a chronic condition that renders difficulties to the patient in several aspects. A comprehensive care is essential to manage it effectively as the condition can lead to many other diseases including eye diseases.

If you have been diagnosed with diabetic or hypertensive eyes, then it means that your vision has started to deteriorate. But you need not lose hope as it is still possible to remedy the situation. Understanding the issue in detail will help you cope with the situation better.

What are diabetic and hypertensive eyes?
Diabetic eye refers to the complications in the eyes as a result of diabetes. It affects the blood vessels of the retina and hence develop impairment of vision and loss of vision in severe cases. Similarly, hypertensive eye as indicated by the name is the situation where in the eye is affected as a result of hypertension. This is because high blood pressure affects the blood vessels of the retina. It does not allow the retina to function properly and puts pressure on the optic nerve resulting is vision problems.

What are the symptoms of diabetic retinopathy?

Like many conditions of this nature, the early stages of diabetic retinopathy may occur without symptoms and without pain. An actual influence on the vision will not occur until the disease advances. Symptoms may only become noticeable once the disease advances, but the typical symptoms of retinopathy to look out for include:

  1. Sudden changes in vision / blurred vision
  2. Eye floaters and spots
  3. Double vision
  4. Eye pain

How to take care of the conditions?
In the conditions of the diabetic eye and hypertensive eye that prime step to take care is to control diabetes and hypertension respectively. By following the prescribed medications for these conditions, the vision problem can be managed. At the same time, some adequate preventive measures are of utmost importance to efficiently and effectively take care of both diabetic eye and hypertensive eye.

Taking care of diabetic eye
First and foremost, you need to keep your diabetes under control and prevent it from being getting into the advanced stage. You should take utmost care to maintain the blood sugar level under control. After that, it is also necessary to keep the blood pressure in the correct range. Also, the cholesterol level in the blood needs to be under control. A proper and balanced diet is essential in this case. Whole grains, green leafy vegetables, fruits and lean protein should be included in the diet. Exercising is also very important to deal with diabetic, and if you are a smoker, you should quit it immediately since it causes problems with the blood vessels.

Taking care of hypertensive eye
You should bring down your blood pressure to the correct level and maintain it. You should consume a diet which contains all the essential nutrients, vitamins, and minerals. You should make sure not to do or involve in anything activity that can increase your tension or excite you. Smoking and drinking should be avoided to deal with the hypertensive eyes effectively. You should get yourself adequate and peaceful sleep which will help you to ease out of tension.

It is imperative to consult an ophthalmologist if you notice the classic symptoms of vision problems such as blurry vision, seeing floaters or flashes. If the condition progresses, treatment will involve medications or surgery depending on the severity of the condition. Hence, the best way to avoid such complications is to maintain a healthy lifestyle to take due care of your eyes.

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

2963 people found this helpful

Hypoglycemia - Can It Be Prevented?

MBBS, MD - General Medicine, DM - Endocrinology, DNB Endocrinology, MNAMS, Speciality Certificate (Endo. & Diab.) (MRCP, UK), Fellow of American College of Endocrinology (FACE)
Endocrinologist, Delhi
Hypoglycemia - Can It Be Prevented?

Hypoglycemia is a condition in which the sugar level in the blood falls drastically due to some external factors. This is generally seen in people suffering from diabetes but may also be experienced by otherwise healthy individuals as well. Here is all that you need to know about the causes, symptoms, prevention and treatment of hypoglycemia.

Causes of Hypoglycemia
There are many reasons that can lead to the drastic fall of blood sugar level. In people with diabetes, hypoglycemia may be caused due to excess insulin shots. This can reduce the blood sugar levels far below normal. The same can also occur due to an excessive restriction of glucose in diet and exercise.
Hypoglycemia may also be caused in individuals without diabetes. Excessive alcohol consumption, liver disorders and some medications can be the other reasons behind hypoglycemia among these people.

Symptoms of Hypoglycemia
Symptoms of hypoglycemia may vary from one person to the other. Generally, heart palpitation, shakiness, sweating, excessive hunger, anxiety and irritability are the most common symptoms related to hypoglycemia. However, if the condition is not rectified immediately, the same may deteriorate and lead to severe conditions.
With the worsening of the condition, the symptoms may include seizure, blurred vision, loss of consciousness and general confusion. Sometimes, people with chronic hypoglycemia, act as if they are under the influence of alcohol; they tend to talk with slurring speech and move clumsily.

Prevention for Hypoglycemia
If you suffer from diabetes, ensure that you strictly follow the diet that the doctor has chalked up. This will ensure that the blood glucose levels are maintained. Diabetes patients are also advised to carry something sweet and edible with them at all times. If they feel the onset of hypoglycemia, they can quickly ingest this item to maintain the sugar level.
If you do not have diabetes and yet are suffering from hypoglycemia, make sure that your stomach is never completely empty. This means that you have to eat meals in smaller proportions more frequently.

Treatment for hypoglycemia
There is no separate treatment course that needs to be followed in order to treat hypoglycemia. The best way to treat the disorder is to maintain a diet with enough glucose, so that the body can maintain its regular sugar level and perform all the regular activities. Doctors may sometimes rectify the dosage of insulin if hypoglycemia tends to be a recurring condition in diabetic patients. The intake of any food item having a high concentration of glucose is effective during a hypoglycemic episode.

3 people found this helpful

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!

2048 people found this helpful

How Diabetes Can Possibly Affect Your Kidneys?

MBBS, MD - General Medicine, DM - Nephrology, DNB (Nephrology)
Nephrologist, Delhi
How Diabetes Can Possibly Affect Your Kidneys?

With the advancements in technology, you have gained more and more comforts for life and with that the incidence of lifestyle diseases to have increased. Diabetes mellitus, commonly referred to as diabetes, has affected an approximate 422 million people across the world, and is continuing to affect a large number of people every year.

Insulin is a vital hormone in the body which regulates the level of sugar in the blood, and when this level is elevated, it can lead to issues in various parts of the body. Diabetes is a disease that doesn't allow the body to produce enough insulin or optimize the use of insulin produced in the pancreas, and thus impairs several organs and decreases the quality of life adversely.

What are the effects of diabetes on the kidneys?

  • When a person has high blood sugar, the tiny blood vessels in the body are injured. When the blood vessels in the kidneys are damaged, the kidneys are not able to clean the toxins from the body properly. It results in the retention of water as well as salt in the body, which typically leads to weight gain and swelling in the ankles. Also, a person may have protein in the urine along with waste materials in the blood.
  • High blood sugar can also lead to nerve damage in the body, causing difficulty in releasing the contents of the bladder. The pressure exerted from the bladder may back up and cause harm to the kidneys. Also, when the urine remains in the bladder for an extended period, one may develop infections from the rapid growth of bacteria in the urine owing to high blood sugar level.
  • About 30 percent of people affected with Type 1 diabetes and around 10 to 40 percent of people with type 2 diabetes would eventually be affected by kidney damage.

What are the signs and symptoms of kidney damage due to diabetes?

  • The earliest symptom of kidney disease due to diabetes is a rise in an excretion of the protein known as albumin in the urine.
  • This increase in the protein is confirmed through various general tests. Therefore, it is essential to get these tests done on a yearly basis. In its early stages, it diabetes leads to weight gain and swelling in the ankles.
  • There is an increase in blood pressure, and it causes frequent urination, particularly at night. If you are affected by diabetes, you should get your blood, urine and blood pressure checked at least once in every year.
  • This can allow you to exercise better control of the disease and the early treatment of kidney disease. You should try to lower your blood sugar level to reduce the risk of severe kidney disorder.

In the advanced stage of kidney disease, the blood urea nitrogen will increase along with the level of creatinine in the blood. It will cause symptoms such as extreme fatigue, weakness, loss of appetite, vomiting, anemia, and muscle cramps. Your nephrologist will work with you and your dietician for reducing the blood sugar level and also keep the kidneys in working condition.

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

3531 people found this helpful

Popular Questions & Answers

Mere hba1c 6.1 or fasting kabhi kahbi 144 ata hai mere Dr. recomanded gluconorm g 0.5 mai diet or exercise karta hoon mai kiya diabetic hoon please sugsed is se koi complication hoon gi kiya.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi, Thanks for the query. Your fasting glucose 144 mg is suggestive of diabetes, but HbA1c% 6.1 is showing that you are still in pre-diabetes stage. Strict diet control, regular exercise and weight control should help. What is the age? Your ideal body weight should be about 65 kgs if you are below 60 years. If more than 60 years then weight should be still less by about 5 kgs. It is better if you get a PP glucose test done. Thanks.

I am suffering from diabetes and blood pressure since last 17 years and taking medicine prescribed by physician and it is some how under control. What diet is to taken?

MBBS, MD
Endocrinologist, Delhi
You should avoid sugar jaggery honey sweets sweet fruits like banana mangoes grapes cheekoo etc. Fruit juices soft drinks junk food and excess salt containing food items like pickle chatni sauce papad. Meals should be small and frequent instead of large ones. Take plenty of vegetables and salad. Exercise regularly.
1 person found this helpful

What is the normal range of Average Blood Glucose and HPLC which is normal and not prediabetes or diabetic? For example whether ABC 125 and HPLC 6 is normal or not?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Following are the criteria to decide whether a person is normal, pre-diabetic or diabetic: 1) FBG 70 to 100 mg, PP < 140 mg, HbA1c% <5.7 2) Pre-diabetes: FBG 101 to 125 mg, PP 141 to 199 mg & HbA1c% 5.7 to 6.4. 3) FBG: 126 mg and above, PP 200 mg and above, HbA1c% 6.5 and above. I think I have answered the question. Thanks.
1 person found this helpful

My doctor said that doesn't use milk .ghee butter milk etc I am a diabetic use metformin hydrochloride. He said that the medicines I use do not work when I consume these products can I use whey protein. My doctor said that I can use skimmed milk powder. Can I use whey protein?

MBBS, MD
Endocrinologist, Delhi
Full cream milk, butter,ghee contain more than double the calory of carbohyrates in same quantity that is why your doctor has advised so. I think you can use skimmed milk instead of skimmed milk powder. You can also use whey protein in moderation.

I am 58 years old and keeping physically fit except diabetic. I do play 4-5 games of badminton every day and do a little bit of walking in the morning too. I am not able to keep my body weight under control. Do honey consumption has any negative effect on my blood sugar. Whether honey has any role in weight control?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. With a BMI of 34.94 kgs you are almost in grade 2 obesity. This itself is the invitation for diabetes. Your ideal body weight has to be about 65 kgs. Honey is sucrose (sugar), except that it may have some vitamins and antioxidants. But it is not good for diabetic patient. There is need to give a serious look at your diet and total exercise. Thanks.
3 people found this helpful

Table of Content

Types of Diabetes:
How is diabetes diagnosed?
Complications of Diabetes:
Play video
Treatment Modalities In Diabetes
The main purpose of diabetes management is to keep blood glucose levels as close to normal as possible. Measures to control cholesterol levels and blood pressure and are an essential part of diabetes treatment as well.
Play video
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!
Play video
Role Of Insulin In Diabetes
Aap sabhi ko mera namaskar, mai Dr Arun Kumar Singh hoon Endocrinologist Delhi and Faridabad mein practice karta hoon.

Iss video ke madhyam se aap sabse mein insulin ke baare mein kuch jankariyan share karna chahta hoon, kyunki diabetes ek bahut hi badi mahamari ho gayi hai hamare desh mein aur diabetes se kam se kam 6 crore hindustani grast hain is bimari se or diabetes ki wajah se hazaro logo ko roz heart attack, paralysis, kidney failure hota hai. Kidney failure ka number one jo reason hai diabetes hai hamare desh mein, diabetes ka ilaj nahi kiya jayega agar uncontrolled hai toh usse doosri bhi swasth samasyayen utpann hoti hain. So insulin jo hai hormone hai jo normal physiology main jisko diabetes nahi hai, jisko diabetes hi bahut hai main role hai insulin ka blood glucose control karne mein, carbohydrate metabolism mein. So insulin hormone jo hai woh pancreas banta hai or diabetes bhi isilye hoti hai ya toh insulin ki kami hoti hai shareer mein aur yad toh insulin jo hai sahi tarike se kaam nahi kar pata hai shareer mein. So type 1 diabetes mein toh sabko insulin hi diya jata hai shuru se hai sabka upchar insulin se shuru kiya jata hai aur zindagi bhar jeevan bhar jaye insulin hi lete hain. Lekin type 2 diabetes jo generally vayasco mein hoti hai aur late age mein 30, 40 ke baad hoti hai to usme ilaj mein kai baar hum tablets ka istemal karte hain, shuruvat mein aur kuch saal baad so hai insulin advice karte hain kuch patient ko, kuch mareejo ko. Lekin insulin ke baare mein kai sare brahm hai logo ke beech mein, isse woh sahi samay pe istemal nahi karte hain aur woh phir baad mein jakar diabetes se hone wali samasyaon se joojhte hain aur pachtana padta hai. So insulin ke baare mein kuch brahm hai number 1, jisko insulin aap ko salah dete hain hum log toh patient darte hain aur bolte hain ki insulin lene se habit ban jayega, habitual ho jayenge agar ek baar insulin shuru kar diya toh band nahi hoga, jo ki galat hai. Aisa nahi hai ki insulin lene se habit ban jati hai insulin kai baar temporarily use karte hain, kuch dino ke liye use karte hain aur sugar control ho jati hai uske baad band kar dete hain. Agar kisi ko diabetes kai saal se hai 10 saal se hai 15 saal se hai toh uski body me insulin banna lagbhag band ho jata hai, aur usko insulin ki zaroorat hoti hai isliye usko hum prescribe karte hain ki aap insulin lete raho usse habit nahi banti hai, uski requirement hoti hai healthy rehne ke liye. Dusra, brahm hai log darte hain insulin ko istemal karne se bolte hain ki insulin se kidney fail ho jayegi, insulin se heart attack ho jayega toh yeh bhi puri tarah se galat hai, insulin kisi bhi body part ke liye nuksaan dayak nahi hai aur sach mein baat ki jaye toh insulin se aap, insulin ka sahi samay se istamal karke, aur apni diabetes ko niyantrit karke aap diabetes se hone wali samasyaon se bacch sakte hain. Insulin jo hai sabse prabhavi tarika hai diabetes ko control karne ka jo log samay se jab doctor unko bolte hain uss samay se insulin lagana shuru kar dete hain, istemal karna shuru kar dete hain woh inn sab samasyaon se bacch jaate hain, aur woh doosre log hote hain jo insulin bataya jata hai istemal karne ke liye aur woh nahi use karte hain baad mein jaake high sugar ki wajah se unko heart attack, kidney failure, aankhen kharab hona yeh sari samasyein hoti hain aur baad mein woh insulin ka upyog shurs krte hain, toh uska kuch fayda nahi, hai sahi samay par jaldi shuru kare toh jyada fayda hota hai. Dusra hai, ab log insulin ko istemal karne ke liye tayyar bhi toh unko lagta hai ki bahut hi jatil prakriya hai puri, ghar pe kar pana bada mushkil hai hamare liye. Toh pehle ke samay mein aisa hota tha ab advanced technology ke sath mai kai sari nai-nai devices or technology ho gaee hai, toh insulin pen aa gaya hai aur insulin delivery system jo hai insulin ko istemal karne ka tarika bahut hi saral ho gaya hai thodi si guidance se, thoda sa medical supervision se, aapko doctor ya nurse training dedega aur aap aaram se ghar pe insulin ka istemal kar sakte hain aur ghar par manage kar sakte hain, koi jatilta nahi hai isme. Type 1 diabetes ke bacche bhi insulin ko ghar pe khud se istemaal karte hain thodi si training ki jarurat padti hai uske liye. Fir kai log sochte hain ki insulin jo hai ekdum advance stage ya last stage diabetes mein use kiya jata hai, ya last option hai. Aisa bhi nahi hai kai baar jab bhi aapka diabetes control na ho raha ho tablet se ya aapka blood sugar level bahut high ho, jaise ki 300 ho 400 ho. Toh kai baar jisko diabetes first time pata chalti hai unke bhi blood sugar 300 aur 400 hote hain, toh iss samay pe insulin se hi sabse jaldi jo hai blood sugar control hoti hai, tablet se bahut samay lag jata hai aur ho sakta hai ki bahut samay baad bhi aap ka itna high sugarho, tablet se control na ho. Toh insulin last option nahi hai, jiska blood sugar jab bhi bahut jyada hota hai tu usko insulin ki madad leni padti hai aur insulin se blood sugar control kar ke baad main unko tablet pe rakha ja sakta hai aur aapki baad mein sugar tablet se control mein reh shakti hai. Toh kai sare log ye bol ke katrate hain insulin istemal karne se ki shayad mujhse hai koi galti ho gayi ab main theek kar loonga ya unko ek sense of personal failure ya guilt, sense of personal failure hota hai ki main hi galti karta hoon nahi to control ho jayega woh aise bol bol ke katrate rehte rehte hain, aur insulin jo hai jab shuru kar lena chahiye ke main ek saal doh saal yeh hi bolke nikal dete hain. Toh unko samjhata hoon isme hamesha aapki patient ki galti nahi hoti hai, ye bimari hai aise hi kijo shuru mein thoda bahut insulin ban raha tha tablet dene se pancreas main aur insulin bana hai aur aapka diabetes control hua, lekin jaise jaise samay yeta jata hai 5 saal, 10 saal diabetes ke nikal jate hain pancreas ki jo ability high insulin banane ki dawaiyon ki madad se wo kam ho jati hai, aur pancreas insulin nahi bana pata hai. Toh natural course hi hai bimari ka ki lagbhag 50 percent logo mein diabetes ke 5 yah 10 saal baad aapko insulin ki zaroorat padegi, chahe bhale aap apni jeevan shaili mein sab kuch sahi kar rahe ho, aap regular exercise kar rahe hain, aap khana-peena sahi kr rahe hain, lekin phir bhi aapko insulin ki zaroorat padegi, aur aapko insulin ki zaroorat padhte hi iska matlab yeh nahi ki aapne kuch galat kiya hai, yeh bimari hi aisi hai ki 50% logo ko insulin ki jarurat padti hai.

So aaj ke video mein bas yehi hai, agar aapko aur koi jankari chahiye toh aap kabhi bhi mujhse contact kar sakte hain, sunne ke liye dhanyavad.

Thank you for choosing Lybrate.
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Diabetic Neuropathic Foot Ulcers
Mai Dr Suhas Shah,

Ashwini Accident Hospital Mumbai se bol raha hoon. Main Orthopaedic surgeon hoon. I am Russian surgery specialist, my speciality is cosmetic limb lengthening but recently I have started a new surgery for diabetic foot and diabetic neuropathy, the name of the surgery is Ilizarov angioplasty with that we can save the leg from amputation in patients of diabetic foot and a gangrene and non healing also. The results of this surgery are miraculous and within 6 hours, in diabetic neuropathic patients recover their sensation back. With this surgery the 300 blood cent, blood supply of the leg increases. We solve the problem of diabetic foot, non healing ulcer and diabetic foot with gangrene it awards amputation and many patients of mine who was advocated amputation of the diabetic foot required this surgery and they save their leg and this is the miraculous surgery for diabetic foot and diabetic neuropathy. I am expert in cosmetic limb lengthening , I get international patients to increase their height by 3 and a half inches to 7 inches and any person can increase his height by 3 and a half inches to 7 inches with the cosmetics lengthening surgery. It is a Russian surgery, Ilizarov method surgery and you can increase the height of any normal individual at any age by 3 and a half inch.

Any patient who is suffering from diabetic foot should contact me through lybrate.com and take appointment through lybrate.com.
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Diabetes During Pregnancy
Namaskar!

I am Dr Nikhil D Datar I am a senior gynaecologist practicing in the area of Mumbai, I practice mainly in westerns aboves of Mumbai. I am attach to Cloudnine hospital, Lifewave hospital and Yashoda Hospital situated in the area of Malad and Goregaon.

Today I am going to speak to you about a very burning issue that is diabetes and blood pressure that occurs during pregnancy. Many of times these are the problems that are not detected by the people because usually patients do not have any great suffering or any great symptoms. So it is very important that you go to your doctor on regular basis and get yourself check mainly for the blood pressure as well as for the sugar level during pregnancy. These are two problems which if detected in time they can be treated very-very well and you get a very successful outcome, so you can definitely be a healthy mother and give a birth to a healthy baby. However, if it all these things are not taken care of then it can really be a dangerous thing. Both these problems occur because of the fact that you are pregnant, so it means that unless and until the delivery takes place these problems are not going to go away. Both blood pressure and diabetes can have significant side effects on the mother's health as well as on the baby s health. So it is very important that the obstetrician that you are going to on both hands checks on the mother's health as well as the baby s health and keeps that balance between these two situations. Senior obstetrician were well experienced can take care of such kind of problems very-very well and as an what I told you that early detection, quick and immediate treatment, regular kind of follow-up, diet, exercise and medical management frequent and regular monitoring can give you a brilliant outcome and you will have a very-very successful pregnancy and healthy baby at the end of the pregnancy.

I wish you all a good luck and of course Lybrate platform is there on which you can take an appointment for me or you can also do an online consultation or chatting with me. Thank you.
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