Tag - How to Diagnose Diabetes

Women and Diabetes

Men are from Mars and Women are from Venus. They have diverse roles to perform. Man the “protector” and woman the “child bearer”. Since their biology is another, they fare differently in disorder states particularly chronic illnesses like diabetes, hypercholesterolemia, and heart disease.

 

In childhood, girls normally have type1 DM while type2 DM is generally present in adults. PCOS – Polycystic Ovarian Syndrome, an insulin-resistant state can adversely influence body image and menstrual cycles during adolescence. Young girls become overweight, sad, and have altered metabolic profiles. This can affect their fertility and married life.

Marriage itself is taboo, particularly in India. Brides with diabetes are seen upon as liable partners in marriage. The overall feeling is that all the next generation will have diabetes. This is not true. Further, mood swings through hyper and hypoglycemia can give an increase to stress in married life. This needs a lot of understanding to stay together.

Infertility is on the increase, essentially because of insulin resistance. Women in childbearing age require to take proper care both in reducing body weight and maintaining sugars.

Gestational diabetes ie women who become diabetic for the earliest time during pregnancy and those already having diabetes, who become pregnant require frequent monitoring to keep optimum sugar control. Maternal difficulties like pre-eclampsia, hypertension, stillbirth, miscarriages, and preterm delivery are normal. Difficulties in newborns like large-to-weight children and natural abnormalities are to be avoided. Then again the women are put on Insulin treatment, with the withdrawal of tablets, which can give rise to marked fluctuations of blood glucose.

Cardiovascular disease & atherosclerosis is on the increase in diabetes women, while there is a decline in the same in diabetic men. Women tend to have lipid abnormalities that are more atherogenic. They have a larger number of small dense low-density lipoproteins, which pass through the arteries easily increasing the burden of occlusive artery disease and then increasing the rate of heart attack and cardiac failure which is more popular in women than men more so after menopause.

Menopause itself is an extremely insulin resistant and atherogenic state. The female hormones like estrogen and progesterone which have a protective action on blood vessels and metabolism are suddenly decreased. This enhances the already existing abnormalities and makes them susceptible to cardiovascular and metabolic complications.

Women biologically live large than men raising the burden of the single elderly.

HOW WOMEN ARE DIFFERENT?

Each cell in the body is either male or female (XX or XY). The defects in genes in XX is shown in women but is protected by the Y genes in men. Hereditary defective genes causing disease therefore will manifest in women simply. When compounded with a sedentary lifestyle and caloric rich foods causing obesity, lifestyle disorders like diabetes, hypertension, heart disease are more aggressive. Metabolic changes are secondary to the above produce inequality of thyroid, adrenal, pituitary, and sex hormonal requirements.

 

WHAT IS TO BE DONE?
  1. Diabetes prevention procedures must focus on maternal health and nutrition and health behaviors prioritising specific needs of women.
  2. Promote opportunities for physical exercise in adolescent girls to adopt a healthy lifestyle.

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SELF-MANAGEMENT TO PREVENT DIABETES

Diabetes is a complex disease that requires everyday self-management which includes making healthy food, staying physically active, keeping the blood sugar levels, and taking medicines as directed. It is also necessary to talk regularly with your diabetologist or care team to sort a solution to decrease risks for difficulties and cope with lifestyle alterations. Encouraging self-management will help you to feel strongly and can lessen your uncertainty of developing complexities like heart disease, dental disease, eye ailments, kidney disorder, nerve damage, and lower leg amputation.

 

The Fear Factor Associated With Diabetes Complication

Diabetes is likewise a very personal disease. Upon being diagnosed, it’s not rare to feel a particular amount of worry. Panic of the hidden and fear about how your lifestyle may vary. Fear that you will encounter life-threatening complexities.

Your Diabetic expert or a key member of the diabetes management team at the hospital from the diabetes department will help you discover how to take care of yourself —

 

Talking About The Diabetic Education Program

If you have diabetes, you know how challenging it can be to handle your disease. Healthy consumption, workout, observing your condition, taking medicine, and lessening the risk for complexities are seemingly components of the daily routine.

But with the help of diabetes care managing your diabetes could be made easier. They struggle with you to reveal a plan to keep healthy and give you the instruments and continuous assistance to make that program a regular part of your life. Diabetes learning is an essential part of your diabetes problem and is offered through an accredited diabetes education program, which has met vigorous criteria set by the Health Ministry in India

The Association of Diabetes Educators (ADE) is based in India and the association has a set of health care professionals operating in the area of diabetes with a specific focus on diabetes instructors. The Purpose of the program is to educate and train students and health care experts such as certified diabetes educators, doctors, and paramedical staff including dieticians, nurses, pharmacists, and physiotherapists. Not only that the program also promises to encourage the study of the causes and treatment of diabetes and the dissemination of information regarding diabetes.

The Association of Diabetes Educators (ADE) also guarantees to make, sponsor, develop, build or conduct scientific research in diabetes. It also improves lectures, workshops, and conferences on diabetes and related diseases. The team is also included in making the study material for diabetes education. The association also researches the educational methods in diabetes teaching and assesses the consequences of diabetes education in preventing diabetes.

 

Reference

Diabetes has already become a major epidemic in the country and in such a situation diabetes education and Dr. Ashutosh Sonawane, Diabetologist in Nashik have been the major contributor by imbibing such traits in their day to day patient management.

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Tackling Diabetes During Pregnancy

Diabetes is one of the common medical diseases during pregnancy. Irrespective of the kind of diabetes, it is essential to learn control and obtain guidance on your diabetic journey. Women that are preparing to conceive must be careful because the consequences of high blood glucose levels are harmful to the baby. Conceiving babies as a pregnant woman can be difficult and asking however, it is not abnormal for diabetic women to birth healthy children provided they are dedicated to a diet and work hard towards it.

 

Here are some tips before deciding to get pregnant.

  •  Build a health care team
  •  Create a plan to manage blood sugar levels
  •  Frequent contact with a health care provider to monitor the baby’s health
  •  Take advice for a healthy meal plan
  •  Ensure proper nutrition to balance blood sugar levels
  •  Discuss the type of medications
  •  Seek guidance from high-risk specialists

Here are some preconception meodificans to one’s lifestyle

 

Reach ideal body weight: it is essential to work towards maintaining a specific bodyweight to reduce the risk of diabetes complications. It is also important to gain weight in case the mother to be is underweight to decrease the risk of delivering a child of low weight.

 

Blood Sugar screening:: A stable blood sugar level defines the health of the mother during pregnancy. Particularly before becoming pregnant, one must consult with an expert doctor to assure steady blood sugar levels. High Blood sugar levels in the initial stages of pregnancy can cause birth defects and if it goes out of control can also cause a miscarriage. It is advisable to be screened to identify diabetic complications.

 

Lifestyle Modifications: for those that consume alcohol and smoke, these would be two habits that are a big no during pregnancy especially with diabetes as an already damaging condition. Nicotine, carbon monoxide, and other such dangerous things breathed through a cigarette or carried in one’s bloodstream will further disrupt the growth of the fetus. It raises the risk of failure, stillbirth, respiratory difficulties, and other such abnormalities.

 

Meal planning: Consult with a diabetologist to keep stable blood sugar levels and avoid low or high blood sugar problems that worsen during the pregnancy stage. Balance your carbohydrate consumption and plan a nutrition filled diet to manage blood sugar levels.

These are some of the methods to help women conceive healthily even if diabetes poses a threat.

 

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How to Diagnose Diabetes

How is Diabetes diagnosed?

Numerous blood tests are available to diagnose diabetes. abstinence and 2 hours after lunch blood glucose levels are commonly done. Hb 1 Ac test can help to examine long-term control of diabetes.

What treatment do people receive for diabetes?

People with diabetes can initially manage blood sugar by changing lifestyles. die and exercise. However, not all diabetics would control sugar by lifestyle modification but would need medication in the form of tablets Good control of diabetes is necessary to decrease the risk of diabetes difficulties.

 

Tips for Managing Diabetes

Controlling diabetes is a challenge every day. There are so many variables to keep in mind – food, exercise, stress, general health, etc. One of the most challenging parts of diabetes management is the fact that patients have to make so many choices — every day — on their own. How many carbohydrates are in this meal? How much should I take? What changes do I need to make? Maintaining blood sugar levels in the desired range is a constant balancing act.

 

Do’s

  • Exercise daily
  • See your Diabetologist monthly
  • Test your blood with other work-up periodically
  • Follow the diet as recommended by a nutritionist.
  • Examine the changes as we treat you
  • Mentally prepare yourself

 

 

Don’ts

  • Do not change medicines or stop without consulting
  • Do not miss HBA1C
  • Do not continue diet, exercise, or drugs which the body does not permit
  • Do not modify your diets on your own
  • Do not attempt to decrease weight as one may think losing weight can help them get rid of Diabetes easily.
  • Do not feel depressed, it’s not just you in the whole world.

 

 

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Dr. Ashutosh Sonawane