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Sugar - Symptom, Treatment And Causes

What is Sugar?

Sugar, which is medically known as diabetes or diabetes mellitus, is a group of metabolic disease in which the patient has a high blood sugar (blood glucose), either because the patient’s body cells are not responding properly to insulin or because the insulin production in the patient’s body is inadequate. Patients suffering from this disease typically experience polyphagia (extreme hunger), polydipsia (get very often thirsty) or polyuria (frequent urination).Diabetes is a long term malady.

There are two types of diabetes.

  • Type 1 Diabetes
  • Type 2 Diabetes

In Type 1 Diabetes, which constitutes around 10% of all diabetes cases, the patient’s body does not produce insulin.In Type 2 Diabetes, which constitutes around 90% of all diabetes cases globally, the body does not produce enough insulin.

  • Type 1 Diabetes
  • Type 2 Diabetes

In Type 1 Diabetes, which constitutes around 10% of all diabetes cases, the patient’s body does not produce insulin.In Type 2 Diabetes, which constitutes around 90% of all diabetes cases globally, the body does not produce enough insulin.

Affects and Consiquences :

There is also another type of diabetes that only sometimes affects women during their pregnancy.

Patients suffering from this illness need to eat healthy, test their blood sugar level regularly and remain physically active. Patients are advised by the doctor to take insulin to control their blood sugar level and also take oral medication for overall wellbeing. Diabetes patients must also check their cholesterol and blood pressure level regularly. It has been noted, diabetes patients are at a greater risk of facing cardiovascular diseases. As smoking affects your cardiovascular health, hence diabetes patients are advised to quit smokingLow blood sugar level in the body is known as hypoglycemia, and when it gets higher it is medically called hyperglycemia. It was noticed that as we get older we tend to develop the risk of getting affected by type 2 diabetes. Although experts are not sure about the reason, but it is assumed that it happens, because ageing makes us put on weight and we also remain less physically active as we grow old.

African, Middle Eastern and South Asian people have a higher risk of developing this disease.

What Experts say :

Experts are also of the opinion that men who have low testosterone level, have a higher risk of developing type 2 diabetes. Some of the diseases that affect diabetes patients are cataracts, glaucoma, diabetic retinopathy, skin disorders, ischemic heart disease, gum diseases, Hyperosmolar Hyperglycemic Nonketotic Syndrome, kidney disease and male impotence.

Generally people suffering from both types of diabetes have healing problems, whereby their cuts and wounds takes longer to get healed.The A1C test, fasting plasma glucose test and oral glucose tolerance test are some of the tests done by the doctor to find whether the patient is suffering from this disease.

Type Diabetes
Can't be cured, but treatment helps Usually self diagnosable Lab test required Chronic: can last for years or be lifelong Non communicable
Intense thirst and hunger which remains throughout the day. Urge for frequent urination. Feeling fatigued during most part of the day. Having cuts and bruises that take long or doesn't heal. Male sexual dysfunction along with feeling of tingling and numbness in the hands and feet.

Popular Health Tips

PCOS And Pre-Diabetes: Know The Connection

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
PCOS And Pre-Diabetes: Know The Connection

Polycystic Ovaries Syndrome (PCOS) is a disorder of the endocrine system which leads to an imbalance of sex hormones in women. However, women are aware of the PCOS, but many of them do not know that is a pre-diabetic stage causes hormonal imbalance and infertility.

PCOS is known as a pre-diabetic stage because just like diabetes, it also starts resisting the insulin and causes a high sugar level in body. The study reveals women having PCOS three to five times are more prone to have diabetes hence, both the conditions are interrelated. PCOS is a condition that cannot be cured, but awareness can help a lot as one can recognize symptoms and prevent the further complication by diagnosing it in an early stage. The common sign and symptoms are given below:

PCOS is not a curable disease but can be managed to prevent the further complication. Birth control pills are prescribed by a doctor as they help to regulate the proper mensuration cycle, clear ance and reduce the androgen level. One can reduce the symptoms of PCOS by including exercise and proper balanced diet in daily routine.

How can PCOS lead to diabetes?
A study revealed that around 10 million women in the world suffer from Polycystic Ovaries Syndrome (PCOS), a disorder of the endocrine system. PCOS is the pre-diabetic stage that causes the imbalance of sex hormones in the women. This imbalance of hormone resists the excretion of insulin, which results in a high blood sugar level, Diabetes. Women who experience PCOS at an early age are more prone to have diabetes and heart problems. PCOS can be controlled by taking proper diet and starting a day with a physical exercise.

  1. Prevention measures: In this prevention measures taken to cure PCOS will indirectly help to prevent diabetes.
  2. Exercise: Regular exercise is vital for a healthy body as it is a remedy for obesity and diabetes. Regular exercise helps to burn the excessive sugar and make cell sensitive to insulin. This permit the body to use insulin in a better way and beneficial for both PCOS and diabetes.
  3. Balanced dietA balanced diet is fundamental to manage the overweight and reduce the risk of PCOS and diabetes. Make sure your diet is full of nutrients, including whole grain, lean proteins and healthy fats.
  4. Regular visits to the doctor: If you are suffering from PCOS consult to doctor for proper treatment and medication, this will help you to reduce the risk of diabetes. Minor life changes and medication can help to prevent these diseases.

PCOS is a deadly disease if not treated at early stage causes severe problems such as diabetes. It cannot be cured by can be prevented or manage to add exercise and diet into your routine. If you are experiencing any of symptoms, consult your doctor as it helps to avoid further complications.

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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.

2086 people found this helpful

Type 2 Diabetes - What All Should You Know?

PG Fellowship In Diabetes, PGC in Diabeties, DFM, MBBS
Endocrinologist, Delhi
Type 2 Diabetes - What All Should You Know?

Diabetes is a condition that cannot be cured. It is a lifelong disease that can be only managed. The way your body handles glucose is affected by this condition. Diabetes is classified into Type 1 and Type 2. Most people affected by diabetes have Type 2 diabetes. In few cases, the blood sugar levels are above normal. Yet, it cannot be high enough to be called diabetes. This condition is called prediabetes. People with such condition have a higher risk of being affected by diabetes. When one is diagnosed with diabetes, a lot of factors should be taken care of. The first thing you need to be careful about is the food intake. Physical activities and exercises, too, should be given importance.

Role of insulin: Insulin is a hormone produced by the pancreas. The food you eat contains glucose, a form of sugar. This has to be converted into energy, which is done by insulin. When you are affected by Type 2 diabetes, your body still produces insulin. When your body cannot make use of it, the condition is called insulin resistance. To cope with this, the pancreas produces more insulin to convert the sugar into energy. But, still it cannot be used efficiently and sugar build up keeps growing.

The causes: You could have been affected by Type 2 diabetes because of various factors. It can be because of hereditary reasons. DNA can influence the way your pancreas produces insulin. You can be at a higher risk of diabetes when you both your parents are a diabetic. If you have excess weight around the middle or abdominal area, you are at an increased chance of being affected by Type 2 diabetes. Excess weight can lead to insulin resistance. Childhood obesity can result in diabetes in the teens and adults who are in their early twenties. Wrong communication between the cells and broken beta cells, too, can lead to Type 2 diabetes.

Risk factors: Low HDL cholesterol, heart diseases, high triglycerides, gestational diabetes, PCOS, depression, and prediabetes are some of the risk factors you need to be cautious about. When you know your medical history and undergo periodic checkups, you can assess your chances of getting affected by it. You can also find that various lifestyle factors play a vital role here. If you spend most part of your day sitting, or you have a sedentary job, your chance of getting affected by Type 2 diabetes is alarming. The same is applicable for smoking. Obesity or being overweight can also lead to Type 2 diabetes. Stress is a factor that can affect your health, and can also trigger this condition. You need to sleep for at least 7 to 8 hours per day. When you do not get adequate sleep, again, you are at risk. This does not mean sleeping more is safe. 10 or more hours spent sleeping again can cause type 2 diabetes.

If you want to keep off the risk factors, lose weight. Don’t get into crash diets. You can try healthy foods in portions. Do workouts. Cardio workouts are a good choice Stay off from junk foods and carbonated drinks. When you find the symptoms of being thirsty often, blurred vision, frequent urination, and numbness in feet, check your blood sugar levels. Speak to your doctor and take the right medication for diabetes. In case you have a concern or query you can always consult an expert & get answers to your questions!

1885 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!

2049 people found this helpful

Continuous Glucose Monitoring - What To Expect

Diploma In Diabetology, MD - Diabetology
Endocrinologist, Delhi
Continuous Glucose Monitoring - What To Expect

If you are suffering from diabetes then you would know how crucial it is to maintain optimum glucose or sugar level. Increasing or decreasing of the sugar level in your body can be extremely fatal. Diabetes is a disease which arises due to excessive sugar in your blood. Thus, in order to control the disease, you need to make sure that the sugar level is maintained evenly. Sudden changes in the level might cause other health problems. Thus, not only do you need to go for constant check-ups by the medical practitioner but also need to conduct regular blood tests every year. These apart, to maintain a standard glucose level or to measure the level in your body, you can make some of the Continuous Glucose Monitoring system or the CGM.

What are Continuous Glucose Monitoring Systems?
CGM’s are small devices that a diabetic patient wears on their skin. This device measures the glucose content of the body day and night and alerts the patient in case of an imbalance in the sugar levels. A graphical representation of the sugar levels is presented to you every day so that you can see for yourself the rise and fall of the glucose content in your body. The Continuous Glucose Monitoring Systems are of two different types.

The first type involves those devices which provide you a graphical representation of your sugar levels in real time. The second type involves those devices from where you can download and analyse a recorded sugar level of your body throughout the day.

Advantages of CGM’s:
There are several advantages of using a CGM. Some of them are:

  • The sugar level can be accurately tracked all day long and even at nights. This is helpful in alerting you even to the slightest change in the level in your body.
  • With continuous measurements, you can get rid of regular blood tests prescribed by your doctor. However, it is advisable to consult your doctor once prior to the skipping of any blood tests.
  • You can monitor the trends of the sugar level in your body. That is, you can gauge the trend as to when the sugar level is high or low in your body.

These are some of the essential facts that you need to know about CGM’s. These devices are becoming quite popular with those suffering from diabetes. It is one of those instruments which have made it easier to balance the lifestyle of the diabetic patients.

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

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Popular Questions & Answers

This is further to my previous question as requested by some doctors I have checked my fasting blood sugar 131at8 am.(at 2.30 am it was 105) ppbs 112.(HbA1c 6.2).please advice what I want to do.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. With HbA1c% at 6.2% you are in Pre-diabetic state. There is no need to take any medication. But have maintain a modified lifestyle. Which means avoiding sweets, taking restricted diet that provides exact amount of calories based on your Ideal Body Weight and extent of daily exercise. Plus refrain from alcohol and smoking. Maintain near normal weight. Thanks.
4 people found this helpful

I am 41 year man and I have diabetic sugar 135 and fasting pp 235 today please refer me diet and ayurvedic medicines for control my diabetic.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. With fasting glucose 135 mg and PP 235 mg you have uncontrolled diabetes. Only definite treatment for this is taking appropriate Modern Medicines, plus restricted diet and doing regular exercise. If you insist on taking Ayurvedic drugs to control diabetes. Good luck. Thanks.
3 people found this helpful

I am an elderly person age near 70. I am prone to cold. Take regularly ecosprin AV75, urimaxf and glycomet 500 and glizid 40. Sugar levels pre diabetic. Can I take anti pneumonia vaccine? And how's the Right sugar tablets?

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Thanks for the query. In persons with pre-diabetic glucose levels (FBG 101 to 125 mg, PP 141 to 191 mg & HbA1c% < 6.4), there is no need for any antidiabetic medication. I do not understand why have been taking those. Please mention your blood glucose levels (before starting treatment and also current). Taking Pneumococcal vaccine is good you can go ahead. As regards the particular tablet for treating diabetes, there are no clinical studies done, no published reports in top journals. So very difficult believe whatever is being claimed. Thanks.
2 people found this helpful

Hi Sir, My father aged 68 is under tb drugs for the last 14 months. His spine tb looks fine since last 6 months no pain and complete mobility. Recent tests showing high tsh 8.5 and moderately high creatinine. He is complaining of severe joint and muscle pain and seems to be feeling cold at times. Sugar levels are fine. Could this be drug induced hypothyroidism? If so want should we do? His BP came to 60/105.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. The various symptoms mentioned point to possible development of Hypothyroidism (TSH 8.5 mU/L). Usually treatment for hypothyroidism is started when TSH is above 10 mU/L. However, if there are troublesome symptoms present then at lower levels (sub-clinical) treatment is given. That will mostly help him. Thanks.

My mother is a sugar patient. The amount is 300 to 400. Suggest me a healthy food chart for her. Now she is taking English medications.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, Thanks for the query. When a person is taking proper treatment for diabetes, plus controlling diet and doing exercise regularly, glucose levels should be fasting < 100 mg, PP 160 to 170 mg & HbA1c% <7. So blood glucose level of 300 to 400 mg is too high. That cause multiple long term complications related to high glucose. As regards the diet it has to be based on her weight, exercise and sugar level, plus present diet pattern. SInce there is no information in relation to those, it is difficult to give a specific diet plan. Thanks.
1 person found this helpful

Table of Content

What is Sugar?

There are two types of diabetes.

  • Type 1 Diabetes
  • Type 2 Diabetes

In Type 1 Diabetes, which constitutes around 10% of all diabetes cases, the patient’s body does not produce insulin.In Type 2 Diabetes, which constitutes around 90% of all diabetes cases globally, the body does not produce enough insulin.

Affects and Consiquences :

What Experts say :

Play video
Myths Of Diabetes!
Jaisa ki aap log jante hain, diabetes is a rapidly progressive disease. Ye sabse jyada common hai. Diabetes India me bhut jyada tezzi se badh rhi hai. And Delhi is the capital of the world. Ye itni prevalent hai ki yadi ek jgha 8 log baithe hon to usme se ek admi ko jrur diabetes hoga. Or yadi vo 8 admi 50 saal se upar hai, to 4 me se 1 ko diabetes hoga. Let's talk about the diabetes myths. Ye ek myth hai ki diabetes is a contiguous. Jaisa ki chuachuth ki bimari hai. Lekin ye galat hai. Diabetes kbhi bhi aise nhi failti. Myth 2: Yadi apki family me diabetes na ho to apko kbhi diabetes nhi hoga. Agar family me kisi ko diabetes ho to chances jyada hain ki apko bhi diabetes ho skta hai. Lekin nhi hoga ya hoga, iski koi guarantee nhi hai. Diabetes apko ho skta hai yadi apka khan-paan, rehen-sehen acha na ho. Myth 3: Jitni bhi kadvi chizen hai unse diabetes ka ilaj ho jata hai. Myth 4: Diabetics cannot consume fruits. Aisa koi jruri nhi hai. Hmarai diet me 3 mukhye chizen hoti hai. Carbohydrates, fat or protein. Diabetics ko bhi carbs 50% required hai. Jo bhut jyada meethe fruits hote hain jaise aam, chikku, kela, angur, unhe avoid krna chaiye. Baki fruits lia ja skte hain 100-200 gram 24 hours ke bich me. Myth 5: All artificial sweeteners are safe to consume. Jaise sugar free istemal krte hain. To sare safe nhi hota hain. Kuch sugar free se cancer hone ke chances hote hain. Myth 6: Diabetics alcohol nhi le skte. Lekin once in a week alcohol lene se koi nuksan nhi hota hai. Lekin hum apko recommend krte hain ki alcohol na len. Myth 7: Diabetics chawal or aaloo nhi kha skte hain. Aisa jruri nhi hai. Control me kr k aap kha skte hain. Myth 8: Diabetics bahar khana nhi kha skte. Aisa bilkul shi nhi hai. Aap kha skte hain par moderate tarike se vo bhi acha khana. Myth 9: Sugar jyada consume krne se diabetes hoti hai. Meetha khane se diabetes nhi hoti. Myth 10: Jo overweight hote hain, unhe diabetes hota hai. Aisa kuch nhi hai. Duble insan ko bhi diabetes ho skta hai. Myth 11: Diabetics khel nhi skte. Aisa kuch nhi hai. Hmare pas kafi examples hain. Wasim Akram is on insulin and he is also a good sportsman. Islia aap acha khayen or exercise kren, aap koi bhi sports me involve ho skte hain. Myth 12: Insulin ka dose badhne se aapka diabetes khrab hota hai. Depend krta hai ki sugar level apka kya hai. Ye koi jruri nhi hai ki insulin ka dose badhne se aapka diabetes khrab ho rha hai. Aaj ke lia bss itna hi. Agar apko koi query ho to Lybrate ke through aap humse puch skte hain. Thank You.
Play video
Diabetes: Types And Causes
Hi, this is Dr. Suresh Ade. I am practicing as efficient Diabetologist and Neurologist in Navi Mumbai. My clinic has the highest diabetes and and neurologic clinic in Nerul. I am attached to various corporate hospital like Fortis Hiranandani Hospital Vashi, Reliance Hospital Kopar Khairane and Apollo Hospital Belapur. I ve done speciality in diabetes like life-threatening diploma in a diabetes and endocrinology from the Royal College of Physician, UK. I have done fellowship in neurology and stroke for 2 years and since 4-5 years I am practicing mainly diabetes and neurology. Today I am going to talk about diabetes. Diabetes is increasing like anything. In 2020 it is expected to be more than 80 millions of patients in India suffering from diabetes. Diabetes is increasing at a very faster rate and India is now a capital of diabetes all over the world and expected to be double in a few years. There are many types of diabetes, type 1 diabetes, type 2 diabetes, secondary diabetes and pregnancy induced diabetes. Type 1 diabetes is because of the Autoimmune destruction of pancreas and usually presented in childhood. The childrens are presented in the hospital with emergency like pneumonia and urine tract infection where the diabetes is detected and they have to be on an insulin all through the life. Type 2 diabetes is mostly inherited comes from the parents but many patients they get it after the sedentary lifestyle, stress, working all through the night and having a bad lifestyle. Then secondary diabetes is usually seen in patients suffering from the endocrinopathies like thyroid disorders, pituitary disorders, patient being on a steroid for a long time, sometime infection is a reason and there are many other reasons of secondary diabetes. Pregnancy induced diabetes is usually seen in a pregnancy where all the patient when they consume they should undergo sugar test and confirm the diabetes and also sugar has to be monitored in the pregnancy. Type 2 diabetes is being very common, We have to focus more on a type 2 diabetes is usually seen and after the age of 30. Patients of a diabetes type 2 they usually present with increased thirst, increase appetite, loss of weight, general weakness and in many time they have a non specific reasons like I am not feeling good, I am not feeling well and many times they land up in a emergency with some other complication like chest pain, pneumonia and then there diabetes is detected. Once the diabetes is detected patient has to be very focus on the treatment because the diabetes has got very very bad complication and the common, the commonest complication are Microvascular, microvascular means small vessel affections, small vessel affections in the eyes lead to the retinopathy and can lead to the blindness. Small vessels affection in the Kidneys lead to nephropathy and patient may land up with kidney diseases, kidney failures and ultimately on a dialysis and death. Patients lands up with affection of the nerves in the peripheries and that is called peripheral neuropathy and that leads to various complication like injury to the limbs, ulcers and deformities of the foot and sometime they require amputation. Macrovascular complications like affection of the bigger vessels, bigger vessels are the vessels from the cartrods and beyond in the brain, going in the brain leads to the strokes. Vessels in arteries called coronary arteries leading to the heart attack and cardiovascular complications and vessels in the limbs that is called Peripheral vascular disease and leading to the amputations and various other complications. And apart from this patient may land up with the acute complications like Diabetic Ketoacidosis which is again the life threatening complication and patient may die off. There are other complications also that may be fatal to the life. So once the diabetes is detected patient has to be very careful, he has to approach a diabetologist take a proper diet advise, advice regarding the exercise and if required medication. If patient controls his diabetes by any means like diet, exercise or medication and keeps his sugar under control then he will leada normal life. So control your diabetes and be happy.
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.

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Diabetes Complications And Long-Term Risks
I am Dr R Melitha, practicing in general physician, practicing in Rohini and Gandhi Vihar.

Today my topic of discussion is regarding diabetes mellitus. Diabetes is one of the most talk about disease across the world, especially in India. WHO estimated that 80% of diabetes occurs in lower and middle income guys. India has more great result 50 million in term Type-2 diabetics which is called diabetes mellitus. And this is increasing in all mainly incidence in India. Now let me know what is diabetes, diabetes is a disease creates by hypoglycemia and glycosuria that means increase in blood sugar level and appearance of sugar in urine. It occurs due to deficient production or deficient absorption of insulin which comes in the pancreas. Now what are the types of diabetes, there are 4 types of diabetes, one is Type 1 Diabetes which is naturally called insulin-dependent diabetes, it occurs insulin childhood, it is insulin dependent, it usually asymptomatic, it is due to pancreas not able to produce sufficient insulin. Second is type 2 diabetes mellitus, it is a most common, it occurs in adulthood, it occurs due to deficient absorption of insulin, secondly, it also occurs due to change in lifestyle, not adequate exercise and diet patterns. Third is gestational diabetes, gestational diabetes is the diabetes increase in blood sugar level during pregnancy and such cases are likely to go into type 2 diabetes mellitus in the letustis, if they are not already suffering from diabetes before these. Last is pre-diabetes, Pre-diabetes is a condition in which blood sugar level is not that much high enough to be classified in Type 1 and Type 2. What are the symptoms of diabetes? Diabetes symptoms are usually classified as a track Polyuria, Polydipsia, Polyphagia which means increasing urination, increase in thirst and increase in appetite. Secondly, patient complaint of blurring of vision, they complaint of high blood sugar level, wound is not healing despite taking treatment. They may come with the nausea, vomiting, loss of weight, fatigue and where is may come with Sexual problems, may come with infections and they may come with skin problems. Secondly Dash investigate a case of diabetes there are three tests, four tests, mainly fasting blood sugar and postprandial blood sugar, fasting blood sugar is taken under is everybody knows, postprandial Dash 2 hours after breakfast heavy breakfast or after taking glucose Dash, which is normally 120 to 160 milligrams. Next is Oral GTT which is positive grade control the milligrams and continuous to this further and the last is HbA1C test which is the most important test then insulin which is like it Hemoglobin level, this gives the level of blood sugar level for the past 2 to 3 months that is 8 weeks to 12 weeks. How the diabetes is transmitted? Diabetes transmitted by genetic, due to recently due to change in Lifestyle, fat, diet, and poor exercise and family history, due to hypertension patient with hypertension, cardiovascular diseases also likely to develop diabetes. Now next is how will you prevent or control the diabetes, prevention starts with changing Lifestyle, diet pattern, exercise and taking care of body, taking care of skin and all other things and what are the complications of diabetes, complications it can affect major target organs like eye, kidney, liver, skin, nervous system and also causes hypertension and cardiovascular diseases and strokes. Is diabetes is curable everybody ask, unfortunately there is not any cure for diabetes but maintaining good exercise, healthy lifestyle, diet and taking medication on regular time you may lead a normal healthy life in diabetes. It is such a big topic, difficult to cover everything in short time.

If you have got any problem you can come to my clinic.
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Complications of Diabetes

I m Dr. Shefali Karkhanis so I m practicing diabetes specialist at Thane, Mumbai.

Today I m going to give you an overview complications of diabetes. We all know the diabetes is basically a high blood sugar cause because of imbalance between the supply of insulin from the body and the demand the body has about the insulin. I m going to talk about complications of diabetes because diabetes is going to affect each and every cell of your body, right from your hair from top of your head to the nail in the bottom of your feet. So problem with diabetes is that all of these complications are generally silent. So you do not feel that there is a problem.

Let the complications will develop with time and it depends upon the duration of diabetes as well as the severity of the diabetes that means the longer that you have diabetes the more is a risk of you developing complications. Similarly, the higher the control of sugar the better is your risk of not developing complications that means if a person is having diabetes for about 10-15 years there is a definitely a risk that he has some of the other forms of complications with him.

But if he is been well controlled for all these ten years the risk reduces exponentially. On the other hand, if the patient is only diagnosed for the last 3-4 years but he has very high sugar or a very high fluctuating sugar he is more likely to develop complications very soon. Complications can be divided into 2 is acute and one is chronic. Acute complications include 1: very high blood sugar which will lead to acidosis, coma-like conditions and the person has to get hospitalized be on insulin etc. second is low sugar i.e. very low sugar wherein the patients feel he feels dizzy he feels kiddy he has shivers he was sweating he might even land into an unconscious state.

The treatment of these two is very simple. If the sugars are very high take him to a doctor, treat him insulin, and bring down the sugars, correct the acidosis and everything will be fine. If the patient is having low sugar before going to the doctor you can treat it. Just put in some powdered sugar or a paste of powdered sugar inside the mouth and the patient s blood sugar will slowly start increasing and you can he can be transferred to the hospital. The causes of hypoglycemia are one if the patient is taking erratically erratic medications.

If the patient is fasting at times. If the patient the dose is not adequate or he is taking multiple doses at a time or if the patient is just skipped a meal all together in spite of taking the medications. So any of these conditions you can get low sugar and the easiest thing to do is put sugar in the mouth. Do not give water to unconscious patient because it might cause other complications. Come into the long-term complications. Diabetes will affect major organs which get affected are your eyes, your heart your kidney your nerves as well as your blood vessels. In your eyes there is something called as retina. Retina is like the brain of the eye and you will there be small bleeding spots in the retina but the vision is 100% normal so you do not realize there is a spots inside. These aneurysms can be, this microhemorrhages can be diagnosed at an early stage by with an eye doctor and If it is diagnosed it can be treated and brought to normal immediately.

In the second stage these microhemorrhages become larger in size and there is a bleeding inside your eye and that is when you have vision disturbances but by then only oral medications is not going to help you so depending upon the damage you might require injections, lasers other procedures etc. The same thing happens with your heart. Your heart, the blood vessels to your heart gets affected because of diabetes and this will reduce the amount of blood supply to your heart making you more prone to develop heart attacks. In diabetic the heart attacks are many times silent so there might not be a lot of chest pain but there might be wake symptoms like small pain in the back or discomfort or heaviness or you just might feel breathless especially on walking especially on lying down. So all of these things will need to be addressed and you have to undergo a treadmill test regularly to ensure that your heart is fine. The second thing that happens in the heart is pumping capacity comes down so your heart does not pump as well as it used to.

Again this can be diagnosed with a simple noninvasive technique like an echo which can be done by any cardiologist and this will give you better idea about the condition of your heart. The third thing that gets affected is your kidneys. Now kidneys are like filters. So the holes are very very small because of diabetes these pores will start increasing in size and the protein in your body will start leaking into your urine. But there will be no signs no symptoms no problems what so ever. It is very simple again to diagnose it with a simple urine test called microalbumin and if this is positive that means your kidney damages is started and it can be reverted back to normal just with medications. A good control of diabetes as well as the good control of blood pressure will help your kidney a long way to run properly. Bu the time creatinine goes up it means there is extensive damage in both of your kidneys and then it is difficult to bring it back to normal. However it can still be controlled but at the end of the story probably you will end up in dialysis. So you have to start taking care of your kidneys right at the very beginning. The last is the nerves and the blood vessels.

fNow the nerves of your feet are most commonly affected so some people might have feelings like tingling, numbness, loss of sensation. There might be episodes where the chappal slips out and you don t realize it, there might be episodes there is a small little ulcer or a small bite but you know it doesn t pain. Then there can be loss of hair from your lower limb. All of this is a sign of nerves getting damages.

Secondly the blood supply starts getting hampered. So this is more common in patients who smoke or who have tobacco usage. This will lead to development of small ulcers and there is a higher risk of amputations in these patients. Every diabetes must check their sugars monthly, both fasting as well as the postprandial just to ensures that the sugars are well under control and hba1cthat is the average of the last two to three months this test must be performed at least once in six months if not 3 months.

Annually every diabetic patients must undergo a routine test to rule out any complications including their eyes including their heart including their kidneys as well as the blood supply to their feet and the blood supply and the nerve supply to their feet. So all of these tests are essential for every diabetic patients and I cannot stress this enough because diagnosed in the early stages everything can be reversible to a large extent. However the moment you wait for your symptoms to appear it is already too late. Remember diabetes is your life partner, it will not go away and there is no divorcing it so you have to control your sugars well and if you control them then you can lead not only a long life but a very healthy life also.

So please start taking care of your diabetes from today. if you have any other queries you can contact me via Lybrate. Thank you!
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