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Type 1 Diabetes Treatment Health Feed

Hello sir, I am from Bangalore, I am 29 years old and am suffering from diabetic type one. Before 6 months back I know I had suffering from diabetic. And Daily I've 2 times insulin is der 1) human actrapid 14 unit at afternoon 2) at nite 12 unit human and 14 unit glaritu is der. Sir how much days shall I continue this process .still I am not got married also so. Please reply me .and and tablets also they r given me afternoon meal pioz 7.5 mg and at nite lipikind and pioz after food.

Dr. Prabhakar Laxman Jathar 96% (15892 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello sir, I am from Bangalore, I am 29 years old and am suffering from diabetic type one. Before 6 months back I kno...
Mr. lybrate-user, Thanks for the query. I have gone through the details given, however, there is no mention of actual glucose levels like - fasting & PP and HbA1c%. If a person has Type! diabetes then only Insulin injection is given. Oral drugs do not work in that condition. Since you are also using Pioglitazone, that means it is Type 2 diabetes. Insulin is given to achieve a quicker control on blood glucose. In many cases once the strict control is gained, Insulin injections can be discontinued and patient can be maintained only on oral drugs. So it is better if you come back with necessary details as mentioned above, plus diet pattern, extent of daily exercise, lipid profile and BP readings, preferably in a private conversation (paid consultation), then I will be able to give specific guidance and even prescribe necessary drugs. In this communication we are supposed to give only general guidelines. No drugs can be prescribed. Thanks.
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I am a Type 1 Diabetic patient and I am going to a high altitude trekking. Besides my normal medication do I need to take any special care?

Dr. Prabhakar Laxman Jathar 96% (15892 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
I am a Type 1 Diabetic patient and I am going to a high altitude trekking. Besides my normal medication do I need to ...
Hello, Thanks for the query. It is very essential to monitor glucose levels carefully while one is on high altitude tricking. It is better to maintain glucose level around 160 plus (9 mMoles/L) so as to avoid hypoglycemia or hyper one. It is essential to carry glucose gels and even glucagon injections in case of hypoglycemia. Glucometers may not give correct readings due to extreme temperatures. Similarly Insulin also should be properly stored. High altitude can lead to hypoglycemia due to excess exercise or some times hyperglycemia due counter regulatory hormone activity. It is better to consult the medical staff available there. Thanks.
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I'm in a relationship with a guy who is a diabetic (type 1).he said that there would be some martial problems also so he is requesting me too find someone else to lead a happy life. Will this affect normal marriage life. Are there solutions for this.

Dr. Purna Sreeramaneni 90% (97 ratings)
MBBS, Fellowship In Endocrinology
Endocrinologist, Vijayawada
I'm in a relationship with a guy who is a diabetic (type 1).he said that there would be some martial problems also so...
A Type 1 diabetic with good glycemic control should not have any marital issues unless he has any other accompanying health issue. Check his LH FSH TESTOSTERONE PROLACTIN AND SPERM COUNT AND ULTRASOUND SCROTUM. After getting the tests done ask the question Once again with the reports.
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My C PEPTIDES is 0.46 in range 0.81-3.85, taking actrapid 20 16 16. Plus lantus 24 bedtime FBS high 160 sometimes 180. Sometimes 106 I had been self medicating from 2004 to 2018 July 100 0 40 Human mixtard 30/70 diabetes from 1992 and insulin. From 2003 age 65 wt 74 height 166 cm. Please let me know if I am a TYPE 1 diabetic.

Dr. Col V C Goyal 93% (10527 ratings)
CCEBDM, PG Diploma In Clinical Cardiology, MBBS
General Physician, Ghaziabad
My C PEPTIDES is 0.46 in range 0.81-3.85, taking actrapid 20 16 16. Plus lantus 24 bedtime FBS high 160 sometimes 180...
it is some what in between type 1 and type 2 diabetes , so take care, for proper assessment write details of fasting and PP, before lunch after lunch before dinner and after dinner blood sugar
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Diabetic Patients - Should They Have Carbohydrate-Rich Diet?

Dr. Ashwini J 89% (124 ratings)
Bachelor of Ayurveda, Medicine & Surgery (BAMS), M.Sc - Dietitics/Nutrition
Dietitian/Nutritionist, Bangalore
Diabetic Patients - Should They Have Carbohydrate-Rich Diet?
A diabetic patient should have carbohydrate-rich diet. True or False? Attempt this quiz and find out.
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Complications Of Type 2 Diabetes!

Fellowship in Critical Care Medicine, Post Graduate Diploma in Diabetology (PGDD)
Diabetologist, Thane
Complications Of Type 2 Diabetes!

Uncontrolled diabetes can be life-threatening. Prevent these serious diabetes complications by learning the warning signs.

People with type 2 diabetes are at increased risk of many serious health problems, including heart attack, kidney failure, nerve damage, stroke, vision loss, amputation. But by keeping your diabetes in check — that means maintaining good blood sugar control, you can prevent many of these.

HEART ATTACK

  1. Chest discomfort that feels like pressure, squeezing, fullness or pain in the center of your chest, lasting for a short time or going away and returning.
  2. Pain elsewhere, including the back, jaw, stomach, or neck; or pain in one or both arms.
  3. Shortness of breath.

STROKE

Stroke warning signs may include:

  1. Sudden numbness or weakness in the face, arm, or leg, especially if it occurs on one side of the body.
  2. Feeling confused.
  3. Difficulty walking, talking and lacking coordination.

NERVE DAMAGE

People with diabetes are at increased risk of nerve damage, or diabetic neuropathy, due to uncontrolled high blood sugar. Nerve damage associated with type 2 diabetes can cause a loss of feeling in your feet, which makes you more vulnerable to injury and infection. You may get a blister or cut on your foot that you don't feel and, unless you check your feet regularly, an infection can develop. Untreated infections can result in gangrene (death of tissue) and ultimately amputation of the affected limb.

ALTERED IMMUNE SYSTEM

Diabetes can also make it more difficult for your body to fight infections, causing skin problems. Various skin conditions are linked to diabetes, and even the most minor cuts or sores can turn serious fast. Any bumps, cuts, or scrapes should be cleaned and treated with an antibiotic cream and monitored carefully.

KIDNEY DISEASE

Type 2 diabetes increases your risk of kidney disease, or diabetic nephropathy, a condition in which the blood vessels in your kidneys are damaged to the point that they cannot filter out waste properly. If left untreated, dialysis (a treatment to filter out waste products from the blood) and ultimately a kidney transplant may be needed.

Typically, you won’t notice symptoms of kidney disease until it has advanced. However, if you experience any of the following symptoms, visit your doctor:

  • Swelling in your ankles and legs.
  • Leg cramps.
  • A need to go to the bathroom more often at night.
  • A reduction in your need for insulin.
  • Weakness and paleness.
  • Itching.

The best way to prevent type 2 diabetes-related kidney problems is to have your urine, blood, and blood pressure monitored regularly and to keep your blood sugar and blood pressure under control.

EYE PROBLEMS

People with type 2 diabetes are at risk of several eye conditions, including diabetic retinopathy (which affects the blood vessels in the eye), glaucoma, and cataracts. If left untreated, these conditions can cause vision loss.

Visit your doctor if you notice any of these warning signs:

  • Blurry vision that lasts for more than two days.
  • Sudden loss of vision in one or both eyes.
  • Floaters, black or gray spots, cobwebs, or strings that move when you move your eyes.
  • A sensation of seeing "flashing lights".
  • Pain or pressure in one or both eyes.

HIGH BLOOD SUGAR (HYPERGLYCEMIA) 

Hyperglycemia means you have too much sugar in your blood. High blood sugar doesn't always produce symptoms; therefore, it is important to check your blood sugar regularly, as indicated by your doctor. When symptoms of hyperglycemia occur, they may include:

  1. Frequent urination.
  2. Extreme thirst.
  3. Feeling tired and weak.
  4. Blurry vision.

The key to preventing many of the complications of diabetes is to keep your blood sugar at a healthy level. To do this eat right, exercise, monitor your blood sugar as recommended by your doctor, and don't smoke.

A healthy lifestyle is your road map for managing diabetes, which is the key to preventing or delaying complications:

  1. Follow a healthy eating plan.

  2. Be physically active for at least 150 minutes a week (just 30 minutes, 5 days a week).

  3. Manage your ABCs:

    • A regular A1C test to measure your average blood sugar over 2 to 3 months; aim to stay in your target range as much as possible.

    • Try to keep your blood pressure below 140/90 mm Hg (or the target your doctor sets).

    • Control your cholesterol levels.

  4. Stop smoking or don’t start.

For people with diabetes, controlling blood pressure has big benefits: it reduces the risk of heart disease by as much as 50% and the risk of kidney, eye, and nerve disease by about 33%.

Lose weight if you’re overweight—just a 5% to 7% weight loss lowers the risk for complications. That’s 10 to 14 pounds for someone who weighs 200 pounds.

Take medicines as prescribed.

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

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My age 22. I am a type 1 diabetes patient and my medicine is insulin daily 4 times. But some times eat drink alcohol and smoke but not regularly 2 - 3 months 2 times. So this habit is bad but what solution for my problem please hlp.

Dr. Jayvirsinh Chauhan 97% (18079 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
My age 22. I am a type 1 diabetes patient and my medicine is insulin daily 4 times. But some times eat drink alcohol ...
It can be very well controlled and the dose of the insulin can be reduced with Homoeopathic treatment... You can consult me through lybrate..
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Hi Doc, I have type 1 from last year and I am currently taking mixtard 30 flexpen 32 in the morning and 20 at night. Could you suggest me any alternate insulin pen because the mixtard is expensive and it last only for 4 to 5 days. Thank you.

Dr. Jayvirsinh Chauhan 97% (18079 ratings)
MD - Homeopathy, BHMS
Homeopath, Vadodara
Hi Doc,
I have type 1 from last year and I am currently taking mixtard 30 flexpen 32 in the morning and 20 at night. ...
Better start Homoeopathic treatment... And by that you can reduce the dose of the insulin and it also prevent the complications of diabetes..
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Do's & Don'ts For Diabetics!

Dr. Rakesh Kakkar 94% (3803 ratings)
Practical Course In Diabetology, Post Graduate Course In Diabetology, MBBS
Endocrinologist, Jammu
Do's & Don'ts For Diabetics!
You should not take up proteins and fibre during diabetes. True or false? Take this quiz to know more.
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