Coping Up with Diabetes

Types of Diabetes:

Type I Diabetes:It is a condition where patients do not produce their own Insulin,which is required for uptake and processing of sugar by body cells.Here the patient has no option but to take Insulin shots daily.

Type II Diabetes:Also known as Non Insulin Dependent Diabetes Melitus(NIDDM).Here the cells in the body become resistant to action of Insulin,also Pancreas produces too little Insulin.This type of Diabetes usually occur in adults at age 40 or older. You can get additional information on diabetes by visiting this site.

Signs of Diabetes:
1.You often feel thirsty.

2.You pass urine frequently.

3.You suddenly start losing weight .

4.You do not have enough energy.

5.You cannot see well.

6.You are more prone to infections.

7.Your cuts and bruises heal slowly.

8.You feel tingling or numbness in your hands of feet.

Long term complications of Diabetes as follows:

Diabetes

Heart Disease:The arteries become blocked and narrow.this can lead to High Blood Pressure,strokes,heart attacks and poor blood circulation.

Retinopathy:It is damage to retina of eye.

Neuropathy:It is the damage to nerves producing weakness,numbness and burning particularly in feet and hands.

Nephropathy:It is damage to Kidneys.

Type I Diabetes can cause a potentially fatal condition called as Diabetic Ketoacidosis which can lead to “Diabetic coma”.

Tests for Diabetes:

A fasting Blood sugar in excess of 126 mg per cent or post prandial(after meal) sugar of more than 200 mg per cent indicates presence of Diabetes.A person suffering from Diabetes must also carry out these tests to rule out other complications:HbA1c(Glucose memory test),Lipid Profile,Cardiac Risk Markers,Liver Profile,Renal profile.

Managing Diabetes:Diabetes can be controlled by following the below mentioned steps,
1.Eat more of complex carbohydrates like cereals(wheat,jowar,bajra),high fibre(vegetables) and avoid refined sugars and fat.

2.Exercise,like simple walking daily is a must.

3.Take your medicines regularly.

4.Tobacco,in any form and alcohol must be avoided.

5.Skin and foot care is very important.

6.Regular checking of Blood Sugar level is must.

7.Visit your family doctor regularly to avoid long term complications.

8.Carry an identity card that you are Diabetic every time.

Food for Diabetics:Diabetics must stick to this following diet regime,
1.Totally avoid sugar,glucose,jaggery,honey ,all sweets,ice creams,chocolates,alcohol,soft drinks.
2.Restrict use of rice,potatoes,sweet potatoes,mangoes,fried food,biscuits,puris,parathas,ghee,mayonnaise,butter and other milk products.

3.Consume more of whole grains and cereals like wheat,jowar,bajra,oats and also dals,sprouted legumes and curd.

4.Also consume a lot of vegetables like cabbage,green peas,carrot,lady’s finger,cucumber,raddish,,bittergourd,lemon,tomatoes and other green leafy vegetables and fruits like jamun(rose apple) apple,watermelon,figs and pomengranate,besides clear soups,buttermilk,salads,lime water without sugar and salt.

5.Cook your meals by methods like boiling,grilling,baking rather than frying.

6.Non vegetarians should consume low fat foods like egg white and lean portions of chicken and fish over egg yolk and red meat.Avoid gravies cooked with coconut and groundnut.

7.Have 4-5 small meals in a day,giving lot of importance to a very healthy breakfast.

Diabetes and exercise:
1.Exercise helps in stabilizing and controlling blood sugar level.

2.Exercise also strengthens your heart and helps in lowering blood pressure,triglyceride level and increases HDL(good cholesterol).

3.Remember that you should only stick to low impact exercises like walking,cycling,swimming,Yoga,etc.Start your exercise program only after consultation with Doctor.

Medicines used in treatment of Diabetes:

Medicines used in treatment of Diabetes

Modern Medicines: For type II Diabetes,Sulphonyl urea like Glibenclamide,Glimepiride,Gliclazide,Chlorpropramide,Glipizide,etc,Biguanide like Metformin,Phenformin,Thiazolidinedione like Pioglitazone,Alpha-Glucosidase Inhibitor like Acarbose.When Monotheraphy fails, combination of Sulphonyl Urea and Biguanide,Biguanide and Thiazolidinedione,Sulphonyl Urea and Thiazolidinedione may be used.

For Type I Diabetes daily Insulin Injection has to be taken.

Ayurveda:Ayurvedic Medicines for Diabetes are Vasant Kusumakar Ras,Chandraprabha vati,Arogyavardhini,Shilajit Vati,Asanad tablets,Trivanga Bhasma,etc.

Homeopathy:Medicines like Uranium Nitrate,Bryonia,Baryta Carbonica,Plumbum,etc are used.

Herbal Therapy:Herbs like Salacia oblonga,Gudmar,Turmeric,Neem leaves,Tulsi(Holy Basil) leaves,Amla(Indian Gooseberry),Guggul,Arjuna,Fenugreek seeds,Bilva,Bitter Gourd,Triphala,Gokshura,Vidanga,Asan,Jamun(Rose Apple) and its seeds,Cinnamon,Wheatgrass powder,etc are used.

Yoga:Yogasanas like Sarvangasana and Pachimothasana,Halasana,Shirsasana,etc have proved beneficial.

Pranayama(Yogic Breathing Techniques):Kapalbhati Pranayam and Anulom-Vinolom Pranayama has proved to be beneficial in controlling Blood Sugar.

Other Alternative Therapies:Accupuncture,Magneto-Therapy has also shown some promise in controlling Blood Sugar.

CAUTION:
These medicines must only be taken only under supervision of qualified physician.Research is going on in use of Stem Cells for treating Diabetes.If it succeeds then there will be a permanent cure for this dreadful disease.

Vitamins,Minerals And Other Supplements for Diabetics:
1.Methylcobalamin,Alpha lipoic acid,Inositol,Benfotiamine,Pyridoxine have shown to retard progression of Diabetes related complications.

2.Homocysteine lowering Vitamins like B Vitamins,Folic acid,Antioxidants like Vitamin A,C,E,Selenium,Carotenoids,Flavanoids also help.

3.Chromium Picolinate,an essential trace metal micronutrient must be taken regularly.