Common Specialities
Common Issues
Common Treatments


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

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.

6 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!

2670 people found this helpful

High Sugar During Pregnancy - Tips To Help You Control It!

Gynaecologist, Chandigarh
High Sugar During Pregnancy - Tips To Help You Control It!

Are you experiencing high blood sugar during pregnancy? This condition is known as gestational diabetes. It is associated with hormonal changes, which occur in your body during pregnancy. Women who are overweight, above the age of 25, and have a family history of diabetes are more likely to experience gestational diabetes. In most cases, the blood sugar levels return to normal after giving birth, and proper management enables you to keep away from any complications during pregnancy as well.

Here are ways by which you can control your sugar levels during pregnancy:

  1. Develop an ideal diet plan. You should consult a registered dietitian for framing a diet, which is specific to your condition. Your overall health, age, and other health conditions, if present, are taken into consideration while shaping your diet plan.
  2. Cut down your consumption of sugary food items and drinks. Avoid having candies, soda, cakes, cookies, and all food products, which contain simple sugar in large amounts. This can boost your blood sugar levels rapidly and worsen gestational diabetes.
  3. Have three to four small meals regularly, and also eat snacks in between. Eating frequently prevents the crashing of your blood sugar levels between meals.
  4. Reduce your amount of carbohydrate intake. Instead, consume a lot of food rich in fiber like fruits, vegetables, and whole grain.
  5. Drink a lot of water every day. Sufficient hydration of your body is important for stabilizing your blood sugar levels to keep away from complications during pregnancy.
  6. Undertake regular, light activity after your doctor’s approval. Activities like walking and swimming help in keeping your blood sugar under control. Exercising during pregnancy is also important for weight loss after giving birth.
  7. Buy a glucose meter and get your blood sugar levels checked frequently. Most common meters require you to prick your finger with a needle and drop your blood on a strip for testing. You can make changes in your diet and medication for preventing a hypoglycemic episode, based on your regular results.
  8. If your doctor recommends it, you should test your urine ketones. Ketones occur in your urine, while your body burns fat to produce energy. These are harmful for your growing baby.

Apart from these, you should take insulin strictly according to your doctor’s instructions. Your doctor will instruct you in detail about how and when to administer insulin. You will also be provided with information on storing insulin at a safe place. In case you have a concern or query you can always consult an expert & get answers to your questions!

3760 people found this helpful

Why Exercising Is Important In Reducing Sugar Level In Blood?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
Why Exercising Is Important In Reducing Sugar Level In Blood?

Performing physical activities on a daily basis always have its benefits, but doing exercise in a well-planned manner is essential for those people who suffer from either type-1 or type 2 diabetes. Becoming more active helps lower blood sugar levels and keep diabetes under control.

Relation between exercise and sugar levels
The food we consume contains sugars which are stored in our blood in the form of glucose. This glucose is absorbed by the muscles in our body, but body fat is the enemy of this absorption process. An obese person is prone to type-2 diabetes since excessive amounts of fat are present in the body which does not allow the muscles to absorb the glucose from the blood. This results in more glucose or sugar levels in the blood which leads to diabetes.

By regularly exercising, a person not only burns his/her excessive body fat, but also makes use of the muscles in his body thus allowing the muscles to absorb the glucose present in the blood readily. This helps reduce the sugar level in the blood. Moreover, doing exercise on a regular basis helps increase insulin sensitivity. It helps cells to use available insulin in taking up glucose during and after physical activity.

Understanding blood glucose reaction
The duration for which you perform physical activities will determine your blood glucose level. Physical activity has its effect on your blood glucose level and can keep it in check for up to 24 hours by increasing your body’s insulin sensitivity. Every individual needs to monitor how his body responds to physical exercise by regularly monitoring the blood sugar level before and after exercise or as advised by the doctor.
Once you are familiar with the results you achieve with respect to duration and types of exercises you perform you shall be able to control your blood sugar levels more effectively and prevent your sugar levels from going either too high or too low.

Hypoglycemia and physical activity
People who have diabetes should be prepared to treat hypoglycemia or low blood sugar level. Hypoglycemia is more common in people with type-1 diabetes, and people with type-2 diabetes are at lesser risk unless they are on insulin. Individuals who experience Hypoglycemia during or after exercise should consult a doctor immediately.

If you choose to resume your exercise routine, make sure you take a break and treat your low blood sugar level. Once your sugar level gets normal, you can begin your physical activity. What you need to know is that a drop, in sugar level, can occur just after exercise or even long after exercise.

Chances of a drop, in sugar level, occur in those diabetic people who either take insulin, skip meals, or exercise for too long or too hard. If you are finding it hard to keep your sugar level in check, consult a doctor immediately and follow his advice diligently.

In order to avoid hypoglycaemia, you can eat a fruit or nuts before exercise. It is also very important to hydrate yourself during the exercise. Ideally, take a fruit half hour before exercising. Keep yourself hydrated during the workout. Avoid energy drinks. In case you have a concern or query you can always consult an expert & get answers to your questions!

4744 people found this helpful

Popular Questions & Answers

My Mother aged 67 years old has been suffering from high pressure (at present150/90), thyroid (under control as per latest report),& also of cholesterol (also under control) for more than 10-15 yrs. Recently her Fasting report shows that her sugar level is 134 & PP report is 175. Her pulse rate is 120. She has been taking medicines like telista mt50, stamlo5, thyrox 50, gluconorm sr, pan-D, cordarone, acitrom, rozucor10, lonapam 0.5,She has got vomiting tendency & also weakness. What should I do now? Whether the medicines prescribed by doctor are proper? So many medicines twice or thrice everyday is causing trouble .suggestion please.

Endocrinologist, Delhi
As she is having so many problems of different types they have to be controlled with multiple medicines and few of them more than one time in a day. Dietary modifications and regular exercise like walking and yoga are helpful in diabetes, hypertension,high cholesterol. Pan D should not be taken regularly for longer periods. It has serious side effects if taken continuously. Use of Lonapam should be discouraged. Fasting sugar needs attention. Discuss these issues with your Doctor.

Today I am testing sugar fasting result come out 207 sir please suggest me how can I control waiting your answer eagerly.

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. Fasting glucose 207 mg/ 100 ml, is showing uncontrolled diabetes. This means after food your glucose level will reach 300 plus or even more. This needs immediate initiation of treatment with appropriate anti-diabetic drugs, diet control and regular exercise to reduce weight. Presently with a BMI of 30.03 kgs /M2 you are already in grade 1 obesity. Your ideal body weight should be about 67 kgs & BMI should be < 23 kgs/M2. You are carrying almost 21 kgs extra. This itself is the invitation for diabetes. You have to avoid sweets, deep fried foods, pastries, junk foods, bakery items, foods made from maida, colas, and juices. Also refrain from smoking and alcohol. Increase the intake of green leafy vegetables, salads and fruits. Always use whole grain flour for chapati & roti. Better if you use less polished rice. Avoid red meat. Plus diet should be giving calories based on ideal body weight, not on current one. Plus you will have to exercise over 1 hour a day. In this communication we are supposed to give only general guidelines, no drug prescriptions are allowed. So my suggestion is if you want online help, (from me), please come in a private conversation (paid consultation) with following details: Fasting, PP glucose levels, HbA1c%, present diet pattern, extent of daily exercise, lipid profile and BP readings, then I will be able to guide specifically and even prescribe the required drugs. Or else please consult your local physician and initiate the treatment, do not neglect or delay. Thanks.
4 people found this helpful

Hi doctor. My fasting always range about 120 but my pp is 110 and random sugar level is 98 to 99. M 36 years old please guide why my fasting is always ranging 120 to night before sleeping when I do check its always normal 110 to 115 but next morning my fasting is 120 to 125. Please guide.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
lybrate-user ji, Thanks for the query. I have gone through the details given. When fasting is above normal (101 to 125 mg) it is considered as Fasting Impaired Glucose. It could be a signal for future development of diabetes. One of the causes for this is resistance to insulin action & presence of obesity. With a BMI of 29.72 kgs/M2 (normal < 23 kgs/M2), you are already closer to being in grade 1 obesity. Your ideal body weight should be around 62 kgs. I hope you understand the need to reduce weight. Thanks.
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, 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.
10 people found this helpful

I have been diagnosed with urticaria from past 1 month. Doctors have given me Allegra 180 for 1 month now, some steroids like wysolone 10 mg for 5 days, atarax for 30 days. But even after taking these for 1 month I don't see total cure. How long will it take. All my blood tests CBC, urine,thyroid and sugar reports r normal.

Endocrinologist, Delhi
You need to change antihistamines some time other medicines from same group give better results. Wysolone should be used with caution and should not be taken for long lime. Follow your doctor's advice strictly.
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
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.
Play video
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!
Play video
Know More About Diabetes
Diet that can manage Sugar level as well as Fat level
Play video
Know More About Diabetes
Tests which confirm about Diabetes and its Symptoms.
Tests which confirm about Diabetes and its Symptoms

Hello friends main doctor Hanish Gupta hu, diabetes related kuch information mein aaj aaplogo ke sath share karne aaya hu. Main Delhi sahar mein practice karta hu aur Lybrate ka abhari hu ki Lybrate mujhe yeh avsar de raha hai ki main apke sath diabetes ke upalaksh mein kuch batey discuss kar saku. Sabse zyada pechida sawal jo main logo se sunta hu jo ki vastavik roop mein ek simple sawal hai who yeh hai ki kya diabetes mujhe hai bhi yah nahin?

Har insaan janna chahta hai ki diabetes yah madhumeh jaisi bimari ussey grasth kar rahi hai yah nahin? Well iska jawab aap ek simple blood test dwara kahi bhi kisi bhi laboratory mein test kara ke paa sakte hai. Agar apka fasting blood sugar 126 se zyada hai who bhi do avsaro par naki ek avsar par toh apko diabetes ka mareez ghoshit kiya jayega. Isi upalaksh mein ek aur test hota hai jo ki hai glycosylated haemoglobin jissey asaan bhasha mein hba1c ka test kaha jata hai. Is test dwara apke teen mahine ki blood sugar ki ausat pata lagayi jaa sakti hai. Iss test ka humein result percentage mein milta hai. Agar yeh test 6.4% se zyada kisi bhi mariz mein paya jaa raha hai toh ussey bhi diabetes ka mareez ghoshit kiya jaa sakta hai.

Dosto diabetes itni pechida bimari nahin hai jisko bana diya jata hai. Diabetes ko pata lagan ke liye keval yeh do test mahetwapurn bhi hai aur purn taur pe purey bhi hai jiske dwara aap diabetes ke barey mein pata laga sakte hai. Kuch aisi baatey aur bhi hain jo main apke sath discuss karna chahta hu jaise diabetes ke lakshan kya hai. Well agar apke parivar mein koi aisa sadasya hai jissey diabetes hai yah apke upar 40 saal se zyada ho chuki hai yah apko sudden unexplained weight loss hai yah aap wazan mein zyada hai yah aisa hai ki kuch dino se apko zarurat se zyada bhook lagne lagi hai yah zarurat se zyada peshaab aney lag gaya hai toh apko diabetes ke test karwana anivarya hai.

Toh dosto in vishesh baton ka agar aap dhyaan rakhengey toh aap apno ko aur apne parijano ko diabetes jaisi bimari se bacha sakte hai. Mere se sampark karne ke liye aap kabhi v Delhi mein mere clinic ka address Lybrate dwara paa sakte hai. Dhanyabaad!
Play video
Watch What Happens When You Drink Water Along With Your Food. It'll Leave You Thinking!
Sit at the dinner table, and you'd find yourself invariably extending your hand to the glass of water on the side of your plate. While you may think it's absolutely necessary to have a glass of water during your meals, the truth is this habit of yours might be damaging your health. Read on to find out how.

1. It dilutes your gastric juices -
When the digestive acids (acids responsible for the digestion and breakdown of food as well as for killing infectious agents ingested with food) present in your stomach are diluted with water, they bring about a slowdown in the functioning of your entire digestive system. This slowdown results in food remaining lodged in your stomach for a longer period than normal, thereby causing indigestion.

Additionally, the reaction caused by the dilution of water and stomach acids can give rise to cramps in your tummy.

2. It reduces the saliva in your mouth -
The same thing that happens to the acids in your stomach, happens to your saliva as well. Water dilutes the saliva, which stops the breakdown of food in your mouth. Also, your saliva is responsible for stimulating your stomach to release digestive enzymes and prepare itself for the process of digestion. By drinking water with your meals, such signals sent by your saliva to your stomach become much weaker. All these together can make digestion very difficult.

3. It causes acidity -
Studies show that drinking water with your meals not only leads to the dilution of digestive enzymes, but also brings about a reduction in the secretion of digestive enzymes. This causes the undigested food in your stomach to leak into the lower part of your oesophagus (food pipe), causing acidity and heart burn.

4. It increases insulin production -
Sipping on water in the middle of lunch (or any other meal for that matter) causes a spike in your insulin levels just as glycaemic foods (foods with high starch or sugar content such as honey, potatoes, white bread, rice to name a few) would. When your body is unable to digest food properly, it usually tends to convert the glucose filled part of that food into fat and stores it, reason why your blood sugar levels see an upsurge.

5. It adds to your weight -
Since drinking water causes an increase in insulin levels in your body (as the food you eat is converted to fat), it can result in the piling of extra weight on your body. This is because a weak digestive system is one of the major causes behind obesity.

Try having your meals with less salt and drink water 30 minutes before each meal to control your thirst when you're eating. This can help you in controlling the negative effects that drinking water with your meals can have on your health.

Make a wise choice and stay healthy. Feel free to ask me more questions you might have.
Having issues? Consult a doctor for medical advice