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A lack of awareness and information is the primary reason for such a high spread rate. Therefore, we have prepared the first of its kind informative guide to help combat diabetes and answer all your queries.
Without further ado, let’s dive right into the details!
When you eat food, most of it converts into glucose or sugar. The pancreas produces a hormone called insulin that assists the body to absorb glucose and become energised. Diabetes disrupts this process by making the body;
This causes the glucose or sugar to build up in the blood without being processed. That’s why diabetes is also simplified as ‘Sugar’ by many people in Pakistan.
Diabetes is an ancient disease. Historians trace the earliest mentions of diabetes back to the Ancient Egyptian Civilisation in the 1550B.C. Many different cultures mention this affliction with different names; like the ancient Byzantine, Indian, Greek, Roman, and Chinese civilisations. Even the well-known physicians of the Islamic Golden Age, like Bu-Ali-Sina (known in the West as Avicenna), have described diabetes in detail.
You must have realised by now how widely spread this disease is in our country and the world. Scroll down and continue to learn valuable information about its classifications and types so you can better understand and protect yourself and your family.
All types of diabetes occur under different circumstances, present different challenges, and affect the body differently.
The major types of diabetes are Type 1 diabetes, Type 2 diabetes, Gestational diabetes, Monogenic diabetes, PCOS related diabetes, Steroid Induced diabetes, Double diabetes, and Prediabetes
Note: Type 1 and Type 2 account for almost 98% of all diabetes cases. The rest of its types are extremely rare or may eventually lead to Type 1 or Type 2.
Let’s dive into more details so you may better understand and protect yourself from this disorder!
This condition generally occurs when the body does not produce enough insulin. In a healthy body, insulin is the key that allows cells to absorb energy from glucose. Without insulin production, the blood sugar level continues to rise and leads to complications.
A healthy immune system attacks the cells that cause harm to the body. Type 1 diabetes causes the immune system to deviate from its normal functioning by attacking the pancreas’ healthy cell clusters, called islets.
Islets produce insulin in the body. Without them, insulin production slows down or completely stops. This halts the absorption of glucose by the cells, causing the blood sugar level to rise. This process may carry on for years without being diagnosed due to a lack of symptoms.
Type 1 diabetes can happen at any age. However, it is more prevalent among children and young adults. That’s why it is also called Juvenile Diabetes. Most of the time, it manifests after the age of 5. But some people do not develop this condition until their late 30s (Latent Autoimmune Diabetes of Adulthood or LADA).
Type 1 diabetes is way less common than type 2 diabetes. Among all the patients with diabetes, only 5-10% develop type 1.
This is by far the most common type of diabetes. Type 2 diabetes is a condition that occurs when the body develops insulin resistance. Since insulin does not work, the blood sugar level continues to rise, and in turn, the pancreas produces more insulin.
This can eventually lead the pancreas to stop working, causing a sharp decrease in insulin production. This results in the blood sugar level to rise even more, potentially leading to severe complications.
Unlike type 1 diabetes, the pancreas still produces insulin, but the cells are unable to respond to it. Glucose cannot enter the cells and provide them with much needed nourishment. Blood sugar level continues to rise, which prompts the pancreas to produce even more insulin.
Eventually, the pancreas exhausts itself and stops or slows down insulin production. This causes blood sugar to rise even more. Too much blood sugar in the body causes a condition called Hyperglycemia. This condition may cause you to urinate frequently, feel an intense thirst to counter the urination, and feel an unusual amount of fatigue in your body.
Type 2 diabetes mostly affects people over the age of 45. However, an alarming number of children, teens, and young adults are also developing it. The senior population may be at a greater risk of developing this condition. However, you can still initiate steps to reduce its likelihood at any age.
Type 2 diabetes is the most common form of this disease. According to an estimate, it accounts for 90-95% of all diabetic patients.
This type of diabetes develops in females during pregnancy. It can happen at any stage of pregnancy. However, it is more common in the 2nd or 3rd trimester. Gestational diabetes happens when your body cannot produce enough insulin, causing it to fail in absorbing sufficient glucose.
This condition can cause complications for the mother, as well as the child during pregnancy. Yet, it is manageable with timely diagnosis and appropriate steps.
When not counting as a subcategory of type 2, it can account for around 12% of all cases of diabetes.
In the majority of cases, this disorder resolves itself after childbirth.
Gestational diabetes can create several problems for you. It may cause;
Gestational diabetes can affect up to 12% of all pregnant women. This makes it one of the top health concerns in pregnancy. However, early diagnosis and proper treatment significantly reduce the risks.
Monogenic diabetes is a rare type that is different from both type 1 and type 2. It runs strongly in a family. A mutation in a single gene generally causes it. If a parent has this mutation, their child has a 50% chance of inheriting it.
It may appear in several forms. In most cases, 25-year-olds or younger develop this condition. The body fails to produce enough insulin in the majority of cases of monogenic diabetes. That is why it is often misdiagnosed as type 1 diabetes. A correct and timely diagnosis benefits the patient and the other family members as they can take timely precautions.
Several genetic mutations can cause monogenic diabetes. All of these mutations limit the ability of the pancreas to produce insulin. It is very similar to type 1 diabetes. The main difference is that the cause of type 1 remains unknown, while a genetic mutation causes monogenic diabetes.
The specific clinical features differ with each subcategory. Certain mutations cause a slight elevation in blood sugar levels that remain stable throughout life. Such a mild disorder may not cause long-term complications. However, other mutations may cause more significant complications and even require insulin or other diabetic medication for treatment.
Most cases of monogenic diabetes affect young people, specifically those younger than 25.
MODY can affect both children and young adults. It may not be diagnosed until later in life.
Neonatal diabetes occurs at a very young age. It can affect infants within 6 months of their lives.
The monogenic disorder is the cause of 1-4% of all diabetic cases. Some of its subcategories show similar symptoms as other common forms of diabetes, like type 1 and type 2. That is why it is often misdiagnosed.
Poly-Cystic Ovary Syndrome or PCOS is one of the most common causes of female infertility. It affects 2-26% of all adult females. PCOS often causes insulin resistance. That is why it is a major factor in the development of type 2 diabetes.
Both PCOS and Diabetes are incurable. However, proper care, exercise, treatment, etc., can help the patient live a quality life.
Experts believe there is a direct link between PCOS and type 2 diabetes. PCOS disrupts the natural hormonal balance in the female body and increases the male hormone called Androgen. This increases insulin resistance, resulting in diabetes.
Typically it is possible to prevent type 2 diabetes with a strict diet regimen, exercise, and lifestyle changes. However, PCOS is a strong and independent risk factor.
PCOS is one of the most commonly known factors behind female infertility in the world. It affects about 2-26% of the female population. The correct figures are hard to predict, but according to estimates, more than 50% of such cases remain undiagnosed.
50% of all women suffering from PCOS develop type 2 diabetes by the age of 40. According to an estimate, women carrying PCOS are 4 to 8 times more likely to develop type 2 diabetes as compared to others.
Corticosteroids are often used to treat inflammation. Sometimes, they are likely to reduce the immune system activity that may lead to type 2 diabetes development.
It can occur in any person whether they have a prior history of diabetes or not.
Most of the time, this condition reverses itself as soon as you stop taking corticosteroids.
However, in some rare cases, it can develop into full-blown type 2 diabetes. This only happens when the patient has a personal or familial history of diabetes.
Corticosteroid medicine directly affects the body’s immune system. It reduces inflammation and treats several other disorders by mimicking the action of cortisol, a natural hormone produced in the kidneys. It may cause your body to become insulin resistant, thereby contributing to the rise in blood pressure and blood sugar level.
Double diabetes is a condition in which both type 1 and type 2 develop simultaneously. Type 1 diabetes causes your pancreas to reduce insulin production, and type 2 prohibits your body to process insulin. Double diabetes results in the combined manifestation of both disorders.
Physicians all over the world are diagnosing more and more cases of double diabetes. According to an estimate, 30% of all newly diagnosed cases of diabetes among children and adolescents involve double diabetes.
Prediabetes, also called ‘borderline diabetes,’ is closely tied to obesity. In this condition, your blood sugar level is higher than average but not high enough to be classified as diabetes. It is one of the most common conditions in the world.
Without appropriate treatment, it may lead to type 2 diabetes, stroke, and heart disease. According to an estimate, more than 70% of people with prediabetes will develop type 2 diabetes within 10 years if they do not make significant lifestyle changes.
Unlike other forms of diabetes, prediabetes is completely reversible with appropriate changes in lifestyle, diet, and body mass index (BMI).
Prediabetes rarely shows any visible symptoms that are indicative of an illness. Many patients can live for years without being aware of it. The majority of them only become aware of it when they develop type 2 diabetes.
In this condition, your body develops slight insulin resistance, causing your blood sugar levels to rise. This may lead to type 2 diabetes, heart disease, and stroke. It can also damage the kidneys, prohibiting them from filtering the blood efficiently. This may cause waste to build up in your body.
It can generally develop at any age; however, the risk of prediabetes significantly increases after the age of 45.
You have done excellent work learning all about different types of diabetes. Now you must be wary. Learning to identify the symptoms of this disorder may ease your worries.
General symptoms of diabetes include blurred vision, frequent urination, increased hunger and thirst, weight loss, slow healing, unusual tiredness, decreased sex drive, erectile dysfunction, poor muscle strength, recurrent infection of mouth and genitals, dryness, irritability, or sudden mood changes, tingling sensations, swollen gums, and increased weight.
Before you panic, remember that not all symptoms manifest in a single patient. Many of these symptoms are dependant on different factors like external stimuli, age, gender, overall health, and stage of the disease.
Let’s dive into more details so you can learn more!
High blood sugar makes it difficult for the eyes to focus. It destroys the blood vessels in the retina. Generally, diabetes can remain undetectable for years without symptoms. The onset of blurred vision is usually the first symptom that lets the patient know something is wrong. It is indicative of type 2 diabetes in the majority of the cases, but it can also indicate other rarer types.
Kidneys work overtime to expel extra sugar from our system, which results in frequent urination. Some people even have to get up at night multiple times to urinate. Generally, this symptom is indicative of all types of diabetes. This factor may increase bedwetting chances in children, especially after not having done it for some time.
The body fails to consume energy from glucose. This results in the continued yearning for food even after eating. This symptom is also indicative in all types of diabetes but does not always manifest.
Kidneys work overtime to expel extra sugar from the body. They even pull fluids from the tissues, resulting in frequent feelings of thirst. Not consuming a sufficient quantity of water may even cause water deficiency in patients with a severe condition. This symptom is indicative of all types of diabetes.
The body fails to consume energy from the food. Increased urination also expels excess water and sugar, resulting in weight loss. Neither food nor water stays in the body. This causes sudden weight loss in patients with diabetes.
When the sudden weight loss occurs, it generally indicates that the disease has reached a certain advanced stage. This symptom is indicative of all types of diabetes.
Slow-healing of the sores and wounds may indicate diabetes. High blood sugar slows down the blood flow. It prevents nutrients from reaching the injuries that help them heal. This symptom is also common in all types of diabetes.
The body fails to consume any energy from the food resulting in unusual tiredness. Generally, this symptom manifests early in the disease, but it is not severe enough for the patient to notice. Obese patients only assume their feeling of tiredness is because of the excess weight. This symptom is common in all types of diabetes.
High blood sugar may cause a gradual decrease in the sex drive in both adult males and females. Since this symptom generally relates to type 2, it manifests at an advanced age. So the patient assumes it is due to old age.
Male patients, especially those older than 40, experience erectile dysfunction. Just like decreased sex drive, this symptom remains undetected until proper testing and diagnosis. The patient typically assumes it is due to old age.
Due to sudden weight loss and the cells’ inability to consume energy from glucose, muscles start losing their strength. This symptom is indicative of an advanced stage in all types of diabetes. Coupled with the nerve damage, some patients even lose the ability to walk without help.
Patients with diabetes may face repeated infections of the mouth and genitals, such as yeast infection. This symptom mostly occurs because diabetes makes the immune system weak. This affects both men, women, as well as children.
Diabetes expels the majority of water from the body. Kidneys work overtime to release excess glucose and may even drain tissues. Dryness in the mouth or genitals is a common side effect in all types of diabetes. Some women may even feel painful sensations during sexual activity due to vaginal dryness.
Advanced stage diabetes may cause hormonal imbalance that can manifest as sudden mood changes. It is generally indicative of diabetes in females but can also manifest in males to an extent.
Diabetes may cause nerve damage to its patients. This may make them feel a sensation of tingling or itching in the hands and feet. This symptom is indicative of the advanced stage of diabetes.
Type 2 diabetes may sometimes cause this symptom. The immune system may weaken in diabetes and cause frequent infections of the mouth. Swelling in the gums may appear as an allergic reaction to an infection.
Generally, a sudden decrease in weight is indicative of all types of diabetes. However, double diabetes and prediabetes are conditions in which the patient may experience a sudden weight gain.
Excellent work learning all about the different symptoms. Now the next thing you should know is the causes of diabetes. Learning about them is the only way you may be able to protect yourself from potential risk factors.
The major causes and risk factors behind diabetes are obesity, genetic mutation, excess consumption of high carbs, sugar, processed food and beverages, lack of activity, racial predisposition, advanced age, environmental factors like pollution, pregnancy, polycystic ovary syndrome or PCOS, high blood pressure, hormonal conditions, corticosteroids, and prediabetes.
Knowledge of causes is crucial to understand what risks to avoid. Let’s dive into more details!
Type 1 diabetes is classified as an autoimmune disease. The doctors and researchers have yet to establish the exact cause behind its occurrence. For some reason, the immune system itself starts attacking the insulin-producing cells in the pancreas.
The majority of the researchers speculate that some unidentified genetic factors, racial disposition, or obesity play a role in its occurrence. On the other hand, some researchers hold an unknown environmental factor, like a virus, at fault.
Type 1 diabetes usually manifests at two noticeable peaks. The first peak occurs in children aged 4-7 and the second in children aged 10-14 years. That is why it is also termed as “Juvenile Diabetes.”
Type 2 diabetes is classified as a metabolic disorder that causes high blood sugar or Hyperglycemia in the body.
The doctors and researchers have yet to establish the exact cause behind its occurrence. For some reason, the cells do not respond to insulin. This causes blood sugar to rise. As a result, the pancreas starts producing even more insulin, eventually resulting in its exhaustion.
Obesity is one of its most prominent risk factors. More than 85% of people who develop type 2 diabetes are overweight.
Inactivity is another prominent risk factor, as it automatically leads to a buildup of fats in the body. This factor is especially relevant in people with desk jobs.
Some statistical studies also highlight the importance of racial disposition in the contraction of type 2 diabetes. South Asians, Native Americans, Hispanics, Pacific Islanders, and Black Africans are more likely to develop this disease under similar conditions as compared to Caucasians.
The risk of this disease seems to increase with age. The majority of the cases manifest over the age of 45 years.
Blood pressure above 140/90 (mm Hg) is linked directly to diabetes type 2.
Some hormonal conditions may cause insulin resistance in the body, but this risk factor is rare. This may lead to the development of type 2 diabetes;
Placenta is an organ that develops in a pregnant female. It provides the necessary nutrients to the fetus and removes waste. Placenta makes hormones that cause your blood sugar to rise. Under normal circumstances, this can be easily countered by your pancreas, releasing extra insulin.
However, if your pancreas cannot keep up with glucose’s buildup, your blood sugar continues to rise. This causes gestational diabetes.
Obesity in women is considered one of its major causes. Gaining too much weight during pregnancy may also be a factor for gestational diabetes.
Monogenic diabetes and its subcategories are inherited. It is caused by errors or mutations in a single gene.
If a parent carries this mutation, their child will have a 50% likelihood of carrying it as well. The child will go on to develop diabetes before the age of 25 regardless of their lifestyle, weight, ethnicity, etc.
There are almost 11 different genetic mutations that can cause it. The researchers are always discovering more mutations.
Poly-cystic ovary syndrome is one of the major causes of infertility all over the world. It affects 2-26% of all adult females.
Insulin resistance and weight gain due to PCOS are two major contributing factors that cause diabetes type 2.
This form of diabetes is caused due to the side effects of taking corticosteroid medications. This class of drugs is generally used to reduce swelling. They may cause the immune system to diminish and make it harder for the cells to utilise insulin for glucose absorption.
Most cases of steroid-induced diabetes resolve themselves immediately after you stop taking the corticosteroid medication. However, if you are genetically, environmentally, or physically predisposed towards diabetes, it may persist or resurface in the future.
The exact cause behind type 1 and type 2 diabetes is unknown. However, weight gain or obesity can be the most significant factor in the emergence of type 2 diabetes.
Weight gain causes insulin resistance in the body. The pancreas works overtime to produce even more insulin and eventually exhausts itself. This factor may push a person with type 2 into type 1, resulting in double diabetes.
Similarly, a patient with type 1 may eventually develop insulin resistance due to carelessness and obesity. This factor may push a person with type 1 into type 2 diabetes, resulting in double diabetes.
Obesity is one of the biggest factors that cause prediabetes. Obesity causes insulin resistance in the body. Unhealthy diet, long periods of inactivity, old age, and genetic predisposition are other causes that contribute towards the development of prediabetes.
Every 4th Pakistani is overweight, therefore, is at risk of developing prediabetes and eventual diabetes.
You are now sufficiently aware of the causes of Diabetes. Awareness is the best weapon you have against this disease. Avoid risk factors and live a healthy life. Exercise, proper diet, and an active lifestyle are the best ways you can keep yourself and your precious people safe.
Now you may wonder what happens to a patient if he or she already has diabetes. Scroll down to learn about the potential complications of diabetes.
Possible complications for diabetes include heart disorders, nerve disorders, kidney disorders, vision disorders, foot damage, skin conditions, hearing impairment, dementia, depression, reduced sex drive, erectile dysfunction, excess fetus growth, premature birth, infantile death, preeclampsia, and the resurgence of diabetes later in life.
The knowledge of potential complications is not meant to scare you. It is a tale of caution so that you may gain motivation for the management of diabetes. Let’s dive into more details!
Diabetes significantly increases the risk of various heart disorders; such as angina, heart attack, stroke, and the arteries’ narrowing.
Excess blood sugar causes damage to the small blood vessels that supply nourishment to the nerves, especially in the legs. This may cause tingling, numbness, pain, cold, or burning that develops at the toes or fingers’ tip. Gradually, this sensation may travel upwards.
If left untreated, the patient may lose all feeling in the affected limbs. Damage to the nerves in the digestive system may cause nausea, vomiting, diarrhoea, and constipation.
The kidneys contain millions of blood vessel clusters that help filter the waste from the body and expel it into the urine. This is a delicate filtering system.
High blood sugar causes the kidneys to work overtime so they can expel the excess glucose. This may destroy the delicate filtering system and cause severe damage to the kidneys. In extreme cases, the patient may even require dialysis or a kidney transplant to survive.
The most common complication of diabetes is damage to the blood vessels in the retina. This may increase the risk of eye disorders, like glaucoma, cataracts and even lead to blindness
Nerve damage and low blood flow in the feet increase the risk of various complications. If this condition is left untreated, the slow-healing cuts and bruises may get infected. Due to an already disturbed immune system, the body cannot fight infection properly.
This may lead to severe foot impairment and even gangrene. A severe complication may require a toe, foot, or leg to be amputated.
Diabetes may cause dryness in the skin due to the removal of excess water from the body. It may also upset the immune system. A combination of these conditions may leave the patient vulnerable to various skin conditions, including bacterial and fungal infections.
If left untreated, the patient may lose all feeling in the affected limbs. Damage to the nerves in the digestive system may cause nausea, vomiting, diarrhoea, and constipation.
Some patients with diabetes may face hearing difficulties. This complication is rare, but it can happen.
It is suspected that there is a link between an out of control case of diabetes and mental impairments. The direct relation between these two disorders has yet to be established. Still, the risk of cognitive impairments, specifically dementia, increases with increased blood sugar. Alzheimer’s disease is also seen in some complicated cases of diabetes.
Depression is common in patients with diabetes. This condition can affect treatment. It may also reduce the will to improve in the patient.
This symptom is pretty common in patients with diabetes. Since this condition manifests above the age of 40 in most patients, they assume their reduced sex drive is due to advanced age. This can have an effect on both male and female patients.
Some male patients suffer from erectile dysfunction due to nerve damage caused by diabetes.
Gestational diabetes affects women during pregnancy. In addition to causing damage to the mother, it may also cause abnormal growth of the fetus. This can become dangerous for both the mother and the child. Sometimes, the only way to safely deliver an abnormally large baby is by artificially inducing labour or through a caesarian section.
Sometimes, gestational diabetes may cause the baby to grow abnormally in weight and size. It may lead to an abnormal amount of amniotic fluid buildup in the womb. These two factors may lead to an earlier birth or, the gynaecologist may be forced to induce a premature birth to save both mother and child’s lives.
A severe case of gestational diabetes may result in the death of the baby. This complication may be avoided by timely intervention and treatment.
This complication in pregnancy is identified by high blood pressure, extra protein in the urine, and swelling in the legs and feet. It usually begins after 20 weeks of pregnancy. This condition may cause the mother to gain excess weight. If left untreated, preeclampsia may result in severe complications for both mother and child.
Some forms of diabetes can be overturned with timely intervention. Gestational diabetes may vanish after pregnancy is over. Steroid-induced diabetes may improve once you stop taking corticosteroids. Some forms of monogenic diabetes that affect infants may also disappear with time.
However, all such cases may return later in life due to genetic predisposition, negligence, or other factors.
The complications of diabetes are, without a doubt, alarming. However, take this section as a warning on what may happen if you continue to ignore the symptoms. Health is a blessing, and it is better to realise its immense value before you lose it. Timely diagnosis is instrumental in its management. Scroll down to learn more.
Excessive urination and thirst are usually regarded as the first symptoms that might indicate diabetes. The four tests used after the emergence of symptoms to confirm the diagnosis are the fasting plasma glucose test, oral glucose tolerance test, random plasma glucose test, and glycated haemoglobin A1c (HbA1c) test.
It is better to recognise and understand the symptoms. However, these are the pathology tests that can confirm if you have diabetes or not. Let’s dive into more details!
This test is used for the measurement of blood sugar, and the patient must not consume any form of food for 8 hours before the test. This is one of the most commonly used tests for the conclusive diagnosis of diabetes and prediabetes.
The most reliable results are achieved when the test is performed in the morning.
This test is regarded as much more precise in the diagnosis of diabetes as compared to FPG. However, despite the increased sensitivity, this test is less convenient to administer. Like FPG, this test also requires the patient to fast for at least 8 hours before administering it. This test can conclusively diagnose diabetes and prediabetes.
The patient consumes a liquid of 75 grams of glucose dissolved in water. The plasma glucose level is measured before and two hours after drinking the fluid.
A conclusive diagnosis of gestational diabetes is given after performing OGTT. The blood sugar readings are taken at four different intervals. If the results are above the threshold for two readings, that conclusively proves the presence of gestational diabetes.
This test is one of the standard methods of testing blood sugar levels. The doctor measures your blood sugar level without regard to the timing of your meals.
This test is used in conjunction with analysis of various symptoms to prove the diagnosis of diabetes conclusively. However, this test cannot provide conclusive evidence of prediabetes.
A blood sugar level at 200 mg/dL or above indicates diabetes. The other symptoms that your doctor checks for are;
The doctor may also opt for another more accurate testing through FPG or OGTT to confirm diabetes.
An HbA1c test does not require the patient to fast. It provides average blood sugar readings for the past two to three months.
This test provides a measurement of the percentage of blood sugar attached to your haemoglobin cells. Haemoglobin refers to the protein in red blood cells that carry oxygen throughout the body.
A high blood sugar level indicates that more sugar is attached to your haemoglobin cells.
If the test results are not consistent or you have a condition that makes this test inaccurate (like pregnancy or some form of illness that affects the haemoglobin cells), your doctor may suggest a Random Plasma Glucose Test, FPG, or OGTT for a more conclusive diagnosis.
You have now learned about the different diagnostic tests of diabetes. Next is the most crucial part of this guide. That’s right! The treatments. Please scroll down to learn about them.
Self-management is the most significant part when it comes to managing this disease. Other than that, the treatment varies with the type of diabetes. It may consist of a healthy diet, exercise, regular blood sugar testing, insulin, medication, transplant, weight loss surgery, herbal therapies, and certain home remedies.
This is the section where you will learn what to do to live a long and healthy life away from diabetes. Keep your eyes peeled and your brain running. These details may yet save your own or a loved one’s life!
There are many popular tales and myths of a specific diabetes treatment diet. Please keep in mind that there is no such thing. Scientifically speaking;
Note: Eating sugary food occasionally is fine, as long as you count them as part of the meal plan
Getting the right balance of protein, fats, and carbohydrates are essential to your health. A dietitian can help you figure out a healthy diet plan that can manage your diabetes.
A regular exercise plan is an integral part of the treatment of diabetes, regardless of the type. Exercise helps lower blood sugar. It stimulates the cells and makes them hungry enough to want to absorb the glucose for energy. It also helps increase the body’s sensitivity to insulin, which means you will need much less insulin to help the cells absorb glucose.
Note: Remember, this disease’s management is less dependent on medication, and more on your will to live a healthy life.
Diabetes patients need extremely careful monitoring of the blood sugar level to ensure their health. If you are taking insulin, you may be required to test and record your blood sugar as many as 4 to 10 times a day.
This course of action is recommended for both type 1 and type 2 patients. Even a slight deviation from the average blood sugar can spell trouble for patients with an advanced condition. That’s why regular testing must become a part of the daily routine for a diabetic patient.
You can use a glucose monitor for regular blood sugar testing.
Sometimes, blood sugar levels can change unpredictably despite careful management and monitoring. That’s why you must learn how your blood sugar level responds to food, exercise, medicine, illness, stress, and fluctuations in hormone levels. Your doctor may provide you with detailed information on this subject.
In addition to the regular blood sugar testing, your doctor may also push for an HbA1c test. It is necessary to measure your average blood sugar for the past two to three months. This test shows how well a treatment or management plan is working against diabetes. A higher than expected blood sugar level may indicate the need for a change in the medicine, insulin regime, diet plan, or exercise schedule.
People who have type 1 diabetes cannot survive without regular insulin therapy. Additionally, as many as 30% of patients with type 2 and 20% with gestational diabetes may also require regular insulin therapy.
A patient with diabetes prescribed with insulin must take it regularly. Avoiding the prescribed dosage may lead to fatal complications within 5-7 days. There are 4 types of insulin you can be prescribed depending upon your condition;
Depending on the condition, the doctor may prescribe a mixture of different insulin types that you may use throughout the day and night.
You cannot take insulin orally as some of the stomach enzymes may interfere with it. That’s why insulin is usually injected with a syringe or an insulin pen.
Some people prefer the use of insulin pumps. This device is merely the size of a small cellphone. A tube connects the insulin pouch to a catheter that is inserted under your abdominal skin.
The newer models of this device operate wirelessly. It is programmed to dispense a specific amount of insulin at regular intervals. You can also adjust the dosage based on your meal, exercise, and blood sugar level.
Insulin is the most important lifeline for a patient with type 1 diabetes. However, too much insulin can lead to harmful complications. The maximum possible dosage varies for each patient and is dependant on insulin sensitivity and several other factors.
Hypoglycemia is a condition that happens when too much insulin is injected into the body. It causes a sharp decrease in the blood sugar level. It can lead to nausea, sweating, shakiness, nervousness, and even unconsciousness.
You must only take the prescribed dosage. The dosage is dependent on a patient’s condition. Follow your doctor’s advice and do not deviate from it.
Many patients with type 2 diabetes tend to manage their blood sugar levels with exercise and a healthy diet alone. However, several patients use insulin and medication to manage this disease. The medicines for diabetes treatment include;
Some type 1 diabetes patients require a pancreas transplant to switch the faulty one for a fully functioning one. You may no longer need to take artificial insulin if the pancreas transplant is successful.
Transplant operation carries its own risk with it. It is not always a success. Sometimes, the patient requires a lifetime of immunosuppressant drugs to prevent organ rejection. Immunosuppressant drugs have side effects of their own. That’s why transplant is regarded as a high-risk undertaking. It is only reserved for patients whose diabetes cannot be controlled in any other way.
There are ongoing clinical trials for islet cell transplantation. Once approved, this method has a lot of promise in making the lives of diabetic patients easier.
Also called bariatric surgery, it is not necessarily a treatment for type 2 diabetes. However, obese people may benefit from it. It is noted that many people who undertake bariatric surgery see an improvement in their blood sugar.
Bariatric surgery changes your digestive system in a way that may help you lose weight.
Some people also undergo liposuction surgery for reducing body fat. However, it is less effective in the management of blood sugar as compared to bariatric surgery.
Diabetes is one of the oldest and most common diseases on earth. Every region and culture has developed different remedies for it. There are claims of several local herbs and spices that can help lower the blood sugar.
Several clinical studies show a potential link between herbal remedies and blood sugar control. This has led to more people using natural herbs and remedies for relief.
The plant-based therapies that have shown anti-diabetic properties during clinical research are;
These extracts are popular in ayurvedic and oriental medicine. However, many western experts remain sceptical about their vaunted medical benefits.
Note: If you decide to use such herbs and remedies, please discuss them with your physician.
Some treatments or remedies are not part of standard medical care. These alternative treatments are generally steeped in cultural, religious, or regional backgrounds. They might help some patients with blood sugar, nerve damage, or stress resulting from diabetes.
You can also take these necessary minerals as medical supplements.
Cinnamon has shown to improve insulin sensitivity on a cellular level. It can help reduce blood sugar by a significant margin.
This Chinese herb has been used for the treatment of diabetes for thousands of years. Some researchers regard it as one of the most critical supplements for diabetes and prediabetes.
You will be now feeling more confident and qualified enough to manage your own or a loved ones’ diabetes. However, keep in mind that when it comes to this disease, it is always better to prevent it from occurring in the first place. This is how you do it!
A Good News: More than 90% of all type 2 and prediabetes cases are preventable.
You can reduce the risk of diabetes by exercising, losing weight, eating less sugar and refined carbs, drinking water and avoiding artificial beverages, drinking tea or coffee, consuming natural herbs, eating a low-carb and high-fibre diet, quitting smoking, avoiding inactivity, and eating less processed foods.
When it comes to diabetes, it is always better to prevent its occurrence in the first place. Let’s dive into a more detailed explanation!
Daily physical workouts may be the biggest factor that can help prevent diabetes.
Exercise makes the cells more insulin sensitive. This helps them absorb more glucose from your body for lesser effort. It can halt the progression of prediabetes to diabetes. It can even help reverse a mild enough condition.
According to a study;
To achieve these benefits, you must burn more than 2000 calories per week via exercise.
Not everyone who develops type 2 diabetes is overweight. However, more than 85% of patients with diabetes and prediabetes are obese.
Studies show that even losing small amounts of weight can be of immense help in preventing or managing diabetes. According to a study, losing 1kg weight can help reduce the risk of developing diabetes by 16%.
Sugary foods and refined carbs significantly increase the risk of diabetes. Sweets, white rice, white bread, baked potatoes, mashed potatoes, chips, sugary cereals, biscuits, cakes, energy bars, etc.; all of them are fast releasing carbohydrates.
These foods can contribute to a gradual increase in blood sugar and insulin levels. The situation may eventually turn into type 2 diabetes.
Water is the most natural and healthy beverage you can find. It is an excellent alternative to artificial beverages.
Sugar rich beverages are high in preservatives and other questionable ingredients. They are linked to the increasing rate of type 2 diabetes, prediabetes, double diabetes in the young generation by 26%.
According to a study, the risk for adult-onset type 1 diabetes increases by 99% due to their consumption.
A few studies show that increasing water consumption may help in controlling blood sugar and insulin response.
Smoking not only contributes to diabetes, it also increases the risk of heart disease, breathing disorders, and many forms of cancer. Research suggests that even secondhand smoke can increase the risk of type 2 diabetes.
Some people may gain weight after quitting smoking. Regardless of this, the overall risk of diabetes remains significantly lower than if they had never stopped smoking.
Low carb and high fibre diets help reduce weight, blood sugar, and insulin. They also help increase insulin sensitivity.
According to a study, the blood sugar drops by 12% and insulin level by 50% in a prediabetic individual if they consume low-carb food for up to 12 weeks.
Similarly, high fibre food is very good for gut health and weight management. Most unprocessed plant-based food products contain high fibre content.
Very little or no physical activity for a large portion of the day can increase the risk of diabetes. Simple acts like standing up and walking around for a few minutes once an hour can help decrease the risk.
According to a study, people who spend the largest amount of time remaining inactive have a 112% more chance of developing diabetes.
Processed foods are linked to all kinds of health problems; such as heart disorders, digestive disorders, obesity, etc. According to a study, the risk for diabetes increases by 15% from processed foods’ consumption.
Water should be your primary beverage. However, three cups of regular tea, green tea, or coffee may help reduce the risk of diabetes by 42%. These drinks contain antioxidants called EGCG that help lower blood sugar and increase insulin sensitivity.
Consumption of some natural herbs can be very helpful in managing blood sugar and increasing insulin sensitivity. The most used and scientifically approved herbal products are;
Note: Please inform your doctor before initiating a regular use of these herbal products or others.
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So that’s it for our guide on diabetes.
You are now qualified enough to deal and manage diabetes.
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