Monthly Archives: September 2015

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How Diabetes Affects Your Blood Sugar – Video Presentation

In normal individual blood sugar level is controlled by insulin hormone secreted by beta cells of pancreas. In diabetes person either do not produce insulin (type 1) or produce less insulin and/or its action is impaired (Type 2) so blood sugar level rises.

Following video is for easy understanding of insulin and glucose metabolism in diabetic person.

 

 

Credits: http://www.mayoclinic.org/diseases-conditions/diabetes/multimedia/blood-sugar/vid-20084642

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Calculate Your Risk of Getting Diabetes ?

In India, Diabetes prevalence is increasing day by day, 90-95% of diabetes belongs to type 2. Attributable risk factors include sedentary lifestyle, inappropriate meal pattern, lack of physical activity, lack of sleep , stress, alcohol abuse, smoking, etc which can be modified. Other risk factors like age, ethnicity, family history etc are inevitable to us.

Diabetes-Risk-Factors

Based on these risk factors following questionnaire will calculate your approximate risk of developing diabetes in the next 10 years. Those who are in Moderate to High risk should start appropriate interventions to prevent diabetes.

1] Your Gender

  1. Female = 0 Points
  2. Male     = 1 Points

2] Your Age ?

  1. <45 Years = 0 Points
  2. 45- 55 Years = 1 Points
  3. 55- 65 year = 2 Points
  4. 65+ = 3 Points

3] What is your ethnic Background ?

  1. Only White European  = 0 Points
  2.  Asian/Indians/Others = 1 Points

4] Do You have a relative with diabetes ?

  1. None                                    = 0 points
  2. 1 Parent or/and 1 sibling = 2 points
  3. Both parents                      = 3 points

5] What is your waist circumference ?

  1. < 90 cm = 0 points
  2. 90-100 cm = 1 points
  3. 100-110 cm = 2 Points
  4. 110+ cm = 3 Points

6] Body Mass Index (BMI) = Weight in Kg / Height in (Meter)2

For example a person with weight of 60 kg and height 155 cm will have BMI = 60/1.55 x 1.55 = 24.97

or Simply calculate it here – http://bmicalculator.cc/

  1. BMI < 23 = 0 Points
  2. BMI 23-27 = 1 Points
  3. BMI 27-35 = 2 Points
  4. BMI 35+ = 3 Points

7] Are you taking medication for Hypertension or High Blood Pressure ?

  1. No = 0 Points
  2. Yes = 1 Points

8] Do you have previous history of Gestational ( Pregnancy ) Diabetes ?

  1. Negative history = 0 Points
  2. Positive history = 1 Points

9] Do you suffer from Polycystic Ovarian Syndrome ( PCOS ) ?

  1. No  = 0 Points
  2. Yes = 1 Points

10] Frequent Alcohol intake ?

  1. No = 0 Points
  2. Yes = 1 Points

11] Smoking ?

  1. No = 0 Points
  2. Yes = 1 Points

Interpretation:

Min Score = 0
Max Score = 18

Low Risk = Score between (0 – 6) = 1 in 20 people with this score will get diabetes in the next 10 years
Moderate Risk = Score between (7 – 12) – 1 in 10 people with this score will get diabetes in the next 10 years
High Risk = Score between (13 – 18) – 1 in 3 people with this score will get diabetes in the next 10 years

If you are in Moderate to High risk score table then it is advisable to consult a sugar specialist doctor immediately.

Explanation:

  • Men are at higher risk for developing diabetes than women with same BMI.
  • Chances of getting diabetes increases with age. Nowadays we can see even adolescents and younger adults developing type 2 diabetes.
  • Blacks, Hispanics, American Indians and Asian Americans are at higher risk than whites for developing type 2 diabetes.
  • If 1 parent or 1 sibling is diabetic then your chance of getting diabetes is 1 in 5 to 1 in 3. If both parents are diabetic then there is almost 80-90% chances of you getting diabetes.
  • Abdominal Obesity is the main culprit to cause diabetes especially in Indian population. Waist circumference (Females>80 cm, Males >90 cm) , waist to hip ratio( Females > 0.85, Males > 0.90) and BMI (>23 kg/m2) are good indicators to measure metabolic syndrome & obesity.
  • High blood pressure causes damage to heart,kidney,eyes and increases chances of getting stroke and diabetes.
  • History of hyperglycemia during pregnancy increases chances of getting diabetes in future life.
  • PCOS has background features of insulin resistance and metabolic syndrome.
  • Alcohol abuse can lead to Pancreatitits and pancreatic damage.
  • Smoking cause decrease in HDL (good cholesterol) and increase in LDL (bad cholesterol) further leading to increased atherosclerosis.

If you found this article useful, please share it with your friends & family.

Awareness is Prevention.

what's-your-score


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How to Take Care of Your Feet in Diabetes ?

In India, Diabetes is the leading cause of minor and major foot amputations. Prevalence of Diabetes is increasing day by day in India, becoming World’s capital of Diabetes by 2025 with over 80 million affected population as per Diabetes Foundation India.

Diabetes Foot Care

There are four main reasons which increase the chances of foot ulcer & amputation:

  • Decreased blood flow to feet – Diabetic individuals have more accelerated & diffuse atherosclerosis throughout all major & minor blood vessels which leads to narrowing of blood vessels and poor circulation in feet.
  • Neuropathy – Majority of long standing diabetic individuals suffer from sensory motor & autonomic neuropathy i.e. nerve damage. Loss of pain sensation exposes foot to repeated trauma & injury. Autonomic neuropathy causes lack of sweating in foot area making it dry & prone to cracks and infection.
  • Loss of Arc – Long standing diabetes patients has lost the normal foot arc. Majority has clawed toes or Hammer toes, forward displacement of fat cushion below 1st metatarsal head, some have rocker bottom deformity,  all this leading to abnormal weight bearing pressure points in foot (corns & callosities) and change of shape of foot. This abnormal shape foot doesn’t fit properly in normal footwares, causing further injuries.
  • Slowed Delayed healing – In diabetes Neutrophil functions is impaired. Further more inter connected foot compartments easily pass infection from one area to other. Poor blood supply again delays healing.

To avoid all this complications, it is necessary to take care of your foot from the start.

Diabetes Foot Care

DiabeticFootCare

Following Diabetes Foot Care Tips will help you to keep your feet healthy :

  • Keep Your Blood Sugar in Target Range – HbA1c < 7
  • Do not walk bare foot even at home – Keep two separate pairs of footware for home & outdoors.
  • Inspect your feet everyday for blisters, cuts, redness, swelling, dryness, ingrown toenails, corns & callosities- use mirror to see bottom of foot.
  • Use special diabetes footware. Prefer using Ketto type sandels & shoes instead of slippers.
  • Wash your feet daily with warm water & mild soaps – check & confirm temperature of water with elbow before inserting feet into it. After washing, dry them thoroughly , even inter digit space.
  • Apply moisturizers on feet & lower leg to avoid dryness of skin – don’t apply between toes.
  • Cut toe nails carefully after bath when they are soft – avoid cutting cuticle & digging under toenails with sharp objects.
  • Use cotton or wool socks – change them daily, avoid too tight socks.
  • Wear properly fitting shoes with ample of cushioning. It is preferable to use leather shoes than synthetic material.
  • Always inspect your shoes or footwear for objects like metal pins, coins etc before wearing it.
  • Be physically more active – it increases blood supply to feet.
  • Do not cross legs for longer period while sitting, In spare free time move your feet up & down and rotate at ankle joint.
  • Quit smoking.

If you see cuts, corns, callosities, redness, blackening or delayed healing in minor cuts seek medical attention or consult your diabetes doctor immediately. Routine foot care & prompt attention to injuries can prevent foot problems from threatening your life and amputations.

If you found this article useful, please share it with your friends & family. I appreciate the feedback and encouragement.

Awareness is Prevention.

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