The Silent Killer

"I Don't Need Drugs To Get High,A Slice Of Pizza Will Do"

A personal Anecdote;My Father Who Himself Was A Doctor With Running Profession had a little injury b/w his Great Toe and 2nd digit.Days Passed with dressing the wound thoroughly but it wouldnt lay down/heal.And a nasty swelling with tiny pus opening appeared someway distal(at a distance from the original wound).So he with All Aseptic Precautions did undergo incision.

And what we as family & what my father went through after that both are called "SHOCK" but, Mine Fathers was a Septic Shock that was later confirmed to be associated with diabetes.

THE BIGGEST MYTH ABOUT HIGH BLOOD SUGAR IS;THAT ITS DUE TO EATING SUGAR

                        DONT BE THE CAT!!!SHE STILL MOVES      SWIFTLY$$$

The Only culprit about diabetes is the sedentary lifestyle(Sometimes Genetics too.)

STATS: Its estimated that every 7th patient that comes to docotr in OPD in india is diabetic(due to sitting lifestyle;known as type2 diabetes mellitus).

According to WHO 35 lac people in india are Diabetic.Its projected by 2025 it will 55 lac.

Past Lesson: In 2000's 14/100 urbanites had diabetes; which was type2 diabetes mellitus.And that we now know is due to becoming a "COUCH POTATO".

Our Accomplishment On Above Credits is that India is declared by WHO as DIABETIC CAPITAL OF WORLD.

DETECTING DIABETES AT LARGE: Its more of a incedental finding,meaning we visit for some infection and out of all the test doctor also performs blood glucose/urine sugar:

out of the above two;blood glucose monitoring serves both purposes of identifying the disease and later on keep a check about it.

MUST KNOW:

SIGNS YOU SHOULD NOT FORGET:

WHAT TYPE OF DIABETES YOU HAVE??               

There is another type of dabetes known as Gestation Diabetes Mellitus seen during Pregnancy and it disappears after delivery,but these women can get Diabetes later on. 

HOW CAN WE DIAGNOSE TYPE2 DIABETES MELLITUS?

Fasting Blood Sugar Level:ideal parametre ,done every month

Post Prandial/Random Blood Sugar Level: Not Reliable.

Urine Diastix:To check Control

GHbA1c: Done Every 6 month,should be <7%

Weight Record Parametre: Good 

How to Manage Type2 Diabetes Mellitus:

1)Role Of Exercise

2)Role of Diet

3)Oral Anti-Diabetic Drugs 

4)Role of Insulin

   

          

1) Role Of Exercise: 

Patient: Doctor I have no time for exercise due to busy schedule!!

And even after lot of persuasion patient doesnt end up doing exercise.But the real benefit of exercise in type 2 diabetes person are:

a. it decrease the blood glucose

b. it decreases dependency anti-diabetic

c. it decreases weight

d. for mild diabetic its sufficient alone to control it.

e. increases (good cholestrol) HDL 

 

Precautions  While Doing Exercise: 

a. always eat 2 biscuits before exercise or carry glucose powdeer in his pocket.

b. should not take insulin on moving part i.e. thighs

c. should not exercise during peak insulin time, i.e. 3 hours after taking intermediate acting.

ideal time to exercise: Morning after a light breakfast.

Which Type Of Exercise Should WE do???

Yoga is not an Ideal Exercise as it dosenot burn CALORIES.

1.Dynamic: Walking/Jogging/Cycling/Swimming/.Playing badminton,Tennis.

2.Static: Weight Lifting(can't burn calories) thus its not a ideal exercise , same is the scenario with Gymnasium

Then what's Ideal?? dynamic exercise for 45 minutes/day for 5 times a week.

How fast should we jog?? By Keeping Pulse Rate within the Target Heart Rate Zone i.e. 60-80% of mximum hear rate.

 

For the LAZY LADS/LADDIES: 

a. Avoid Lifts-Take Stairs

b. Park your vehicle far away from your destination

c. Involve in household activities

d. Sit, instead of lying

e. Stand, instead of sitting down.

2) Importance Of  Diet:

30% of type2 Diabetes Mellitus cases are managed by diet alone.

Myth related: No Sugar/Avoid Potato/Little Rice

Have You Heard About the NEW METHOD!1! No Rigid Diet Plan!!

Foods That Can Be Taken Liberally: wheat, jowar, bajari, pulses, green leafy vegetables, salads. 

Advice: 3 major meals, 2 small meals

How To Reduce Bad Cholestrol In Blood??? 

1. Can Have Any Vegetable Oil Except Coconut Oil as cooking media.

2. Avoid Egg Yolk, Meat

3. Avoid Ghee, Butter, Vanaspati

4. Use Milk after removing cream.

5. Avoid Deep Fried Food

Method to Calculate Ideal Weight: Height in cm - 100 e.g. if your weight is 170cm the ideal weight would be 170-100=70 kg.

 Calculating Ideal Calorie Intake: 

weight = normal, type of work is heavy thus the calorie intake is 60kg x 35= 2100Kcal

weight= over weight, type of work is sedentary thus calorie intake is 60x 20=1200Kcal

  

Our Goal: 

a. Life style Modification

b. Strict Blood Sugar Control

c. Optimum BP control

d. Screening and Early Detection

e. Eye Checkup

f. Urine Examination

g. Regular Foot Examination

Last Word is to maintain a good glycemic control, its half the battle won.Smoking cessation/ moderation alcohol use are & should be stressed upon.