Showing posts with label monitoring diabetes. Show all posts
Showing posts with label monitoring diabetes. Show all posts

Myths Surrounding Type-1 Diabetes

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Source : www.jdrf.org.au

As you would expect for a disease that has been around for several thousand years, there are plenty of myths about diabetes. Some of them have a tiny bit of truth to them, so they keep being passed around. Unfortunately, thanks to the Internet, a myth can pop up on 10 million computer screens in two hours. But just because so many diabetes myths have been heard and read about doesn't make them true. Diabetologists over the world have compiled some myths and busted big time.
  1. Diabetes is sometimes called "the Silent Disease," but that nickname just isn't true. T1DM actually has plenty of symptoms. Some of the symptoms that children complain of early in the disease include:
  • Increased urination
  • Increased thirst
  • Dry skin
  • Fatigue
  • Blurry vision
  • Irritability
  • Extreme hunger
  • Eating without weight gain
  • Unexpected and unusual weight loss
These symptoms aren't severe, so they often go unnoticed by parents and caretakers. Put simply, it's hard to accept the fact that there's something seriously wrong with your 10-year-old. However, with so much emphasis on diabetes in general because of the huge increase in cases of T2DM, people are more aware of a diabetes diagnosis and are having their children checked earlier, long before they reach the stage of complete lack of insulin and ketoacidosis.
  1. Parents of children with T1DM would love for their children's disease to be called by another name so it isn't confused with type-2 diabetes (or T2DM). Although T1DM and T2DM share some of the same characteristics, they are hardly the same disease. They differ in the following ways:
  • The cause of T1DM is a genetic tendency plus a virus. The cause of T2DM is heredity plus obesity plus a sedentary lifestyle.
  • Patients with T1DM have an absolute lack of insulin when the disease strikes. Patients with T2DM may actually have too much measurable insulin when the disease strikes; they have insulin resistance.
  • Most cases of T1DM occur in childhood. Most cases of T2DM occur after age 35.
  • T2DM can be controlled with diet and exercise alone. T1DM can't be controlled in that way.
  • Diabetic ketoacidosis is often the first complaint in T1DM. It doesn't occur in patients with T2DM.
  • Most patients with T1DM are thin. Patients with T2DM are generally (but not always) fat.
  1. Before 1921, people believed there was nothing that could force glucose into the cells of the body where insulin was required, so the treatment was the elimination of all carbohydrates. The reasoning was that, if a patient didn't consume carbohydrates, then the blood glucose couldn't rise to the high levels that resulted in excessive urination, thirst, confusion, coma, and death. That approach worked for a time, but the liver is fully capable of making glucose from protein despite the fact that the glucose can't get into liver cells to be stored as glycogen once it's made. Today, there are probably more types of insulin available than are needed. A little injected insulin can take care of lots of sugar or other carbohydrates.
  2. With T1DM, there's no advantage to eating special diabetic foods. It's difficult enough to deal with all the requirements for good diabetes care to have to eat boring tasteless foods! Food is one of life's great pleasures, and your child can have excellent glucose control with regular food so long as you account for the carbohydrate in it.
Show your child that he can eat delicious meals and still follow his nutritional plan. Prepare meals that the whole family can eat. With food this good, there's no reason that everyone in the family shouldn't eat the same meals as your child with T1DM.

To Book online appointment with best diabetologist in greater noida patients can browse through HelpingDoc.

Tracking Your Blood Sugar Levels

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Device for Measuring Blood Sugar Level

The aim of diabetes management is to control blood glucose levels and to screen and treat related conditions such as high blood pressure, high bad cholesterol, and other complications of diabetes. This means that you will need to learn how to monitor your blood glucose levels, and you will also have to undergo recurrent laboratory tests and visits to your diabetologist than people without diabetes. This blog tells you how you will monitor your glucose levels.

Monitoring Diabetes

When you have diabetes, your glucose levels fluctuate much more than those of people without diabetes. In people without diabetes, fasting glucose levels in the morning are usually between 60 and 100 mg/dl. Before each meal, the levels are below 100 mg/dl. The peak values one to two hours after a meal are in the 120s and usually stay below 140, even after a meal rich in carbohydrates.

Conceptualizing Home Monitoring

Blood glucose monitoring at home is an important part of diabetes management and serves a number of purposes. First, monitoring at home makes it easier to detect low blood glucose reactions, because you cannot rely on how you feel to detect low glucose levels. Many people with diabetes develop hypoglycemic unawareness meaning they can have glucose levels in the 40s and 50s and still feel quite fine. For this reason, measuring glucose levels frequently allows detection and treatment before the glucose levels fall too low. This monitoring is particularly relevant when exercising or performing activities such as driving or operating machinery, when you need to be alert.

Second, home monitoring allows you to detect high glucose levels. Elevated glucose levels may reflect dietary indiscretion or failure to take or to adjust diabetes medications. If you are on an insulin pump, there is not a big depot of insulin in the subcutaneous tissues, and if for any reason the insulin delivery gets interrupted, glucose levels can go very high and DKA can develop over a few hours. Persistently elevated high glucose levels increase the risk of developing long term complications of diabetes.

Finally, home monitoring allows you to adjust medication doses, particularly insulin. If you’re an insulin-treated patient, check your blood glucose levels at least four times or more a day. If you have type 2 diabetes controlled with diet only or are on medications that do not cause low glucose levels (like metformin, rosiglitazone, or exenatide), checking blood glucose levels a few times a week may suffice. However, if you have type 2 diabetes and are taking oral medicines that can cause low glucose levels (sulfonylureas, repaglinide, and nateglinide), one or two blood glucose checks per day are necessary.

For more information, contact Diabetologists in Ghaziabad. They will assist you monitor your blood sugar levels in a more secured way.