Friday, March 19, 2010

Diabetes mellitus- know it all

It is one of the most common disease of this century and yet most of the public are not aware of the method’s to control them and live healthy even with it.

so, i will put the talk in layman’s terms.

First let me, ask you how many of you are aware of your actual blood sugar level.?

The first thing about managing diabetes is to know about normal blood sugar level. The fasting blood glucose level should be always at or below 126mg/dl and post prantil blood sugar level should always be below 200mg/dl.

Any rise above the scale can be called as diabetes.

There are generally two type of diabetes.

The type 1 diabetes and the type2 diabetes.

Type 1 diabetes

Type 1 diabetes mellitus is characterized by loss of the insulin-producing beta cels of the islet of langerhans  in the pancreas leading to insulin deficiency. This type of diabetes can be further classified as immune-mediated or idiopathic. The majority of type 1 diabetes is of the immune-mediated nature, where beta cell loss is a T cell  mediated autoimmune  attack.There is no known preventive measure against type 1 diabetes.  Most affected people are otherwise healthy and of a healthy weight when onset occurs. Sensitivity and responsiveness to insulin are usually normal, especially in the early stages. Type 1 diabetes can affect children or adults but was traditionally termed “juvenile diabetes” because it represents a majority of the diabetes cases in children.

Type 2 diabetes

Type 2 diabetes mellitus is characterized by insulin resistance which may be combined with relatively reduced insulin secretion. The defective responsiveness of body tissues to insulin is believed to involve the insulin receptor. However, the specific defects are not known. Diabetes mellitus due to a known defect are classified separately. Type 2 diabetes is the most common type.

In the early stage of type 2 diabetes, the predominant abnormality is reduced insulin sensitivity. At this stage hyperglycemia can be reversed by a variety of measures and drugs that improve insulin sensitivity or reduce glucose production by the liver. As the disease progresses, the impairment of insulin secretion occurs, and therapeutic replacement of insulin may sometimes become necessary in certain patients.

so, one of the most important thing that a person diagnosed with diabetes is that he be aware of the type of his diseases and the further complications that may follow, the details of his drugs and the most important the DO”S AND DONT IN THE DIET.

The patient prone for diabetes include,

1. Hereditary factors

2. lack of excercise

3.excessive food

4. obesity

What are the signs and symptoms of the disease?

The characteristic triad include,

polyuria(excessive passing out of urine),

polyphagia(excessive hunger) and

polydipsia (excessive thirst)

There may be apparent weight loss also in type2 diabetes

The important measures of management

1. continuous medical care and routine check up of the blood sugar level

2.Always seek the advice of your doctor before changing drugs

3. muslim patients, who take fasting during the month of ramazan, must prior to the start of fasting make sure about their sugar level and also seek expect opinion on the medicine.

4. always keep an identity card of your diabetes status with you, when you go on a journey.

5.control your diet. Do, consult a good dietician near by

Avoid fatty food components and sugar. control the consumption of meat items.

consume more vegetables, pulses and cereals.

6. control your blood pressure.

best ways include leading a stress free life, and diet regulations. a little salt less in diet may save a lot.

Do regular exercise.

7.control your blood cholesterol

check your lipid profile once in a while.

again, regular exercise helps..Run, jump or atleast clean your garden!

8. nowadays, doctors have to put it in prescription to do regular  exercise, because that is how most of them obey!!

9. do you have problems because of your excessive weight and size. you are at a very risk of getting DM.

so, control your diet

10. Always keep updated with your blood sugar level.

11. Avoid stress. stress kills!!!

12.avoid alcohol and smoking.

most of the lifestyle disorders can be prevented if we control our sedentary life habits.

know your body well.

thank you for reading,

take care, God bless

[Via http://drnidhinvalsan.wordpress.com]

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