Diabetes is a condition wherein the sugar levels in your blood increases significantly. This happens when the sugar you consume from food is not efficiently processed by the body thus, raising your blood sugar levels. An excess concentration of sugar in the blood can make you prone to various health complications.
The symptoms of diabetes include frequent urge to urinate, increased thirst, increased hunger and rapid weight loss, combined with fatigue and irritability. Diabetes can also cause problems in the eyes, such as blurred vision as well as make you prone to cataracts and even glaucoma (in very rare cases). With diabetes, any injury or body sore tends to take a lot of time to heal.
Diabetes is a disorder that occurs due to impaired insulin functioning. Insulin is a hormone that is produced by pancreas, which is located right below the stomach. Diabetes, when occurs as a result of insufficient production of insulin by the pancreas, is known as Type 1 Diabetes. In this type, the immune cells in the body attack the cells in the pancreas, which produce insulin, thus discouraging insulin secretion.
Another kind is the Type 2 diabetes, which occurs when the cells in the body become insulin resistant. Most cases of diabetes are of this particular type, as one of the major reasons behind this is following an erratic lifestyle devoid of healthy habits.
Gestational diabetes is the third type, although it isn’t very common. During pregnancy, the various hormones that are secreted in the body can play spoilsport with the functioning of the pancreas, thus the production of insulin. This leads to a drastic rise in blood sugar levels.
1. Eat healthy: Eating healthy assumes the maximum importance; you need to eat healthy in order to control diabetes effectively. Include plenty of fruits and vegetables in the diet, but make sure to pick foods that contain little sugar. Fruits such as bananas and grapes are not the best options for a diabetic. Rather, one should consider cucumber and bitter gourd in such circumstances.
2. Exercise regularly: Regular exercise can keep your body weight at optimal levels which goes a long way in preventing and controlling symptoms of diabetes. Besides being good for your heart, cardiovascular exercises such as running bring down the excess glucose levels in the blood.
3. Limit stress: Stress is very harmful for the body as it reduces your immunity against diseases and infections. Leading a stressful life can make you prone to a variety of disorders, diabetes being one of them. Relaxation techniques such as meditation and yoga can help one deal with stress effectively.
Diabetes refers to the condition when there is an excess of glucose in your body. Though glucose is beneficial for the proper functioning of the body, an excess can lead to serious consequences. Over the years, diabetes has emerged as one of the fatal diseases, one that once developed has no known cure. This condition is preceded by various perceptible symptoms, some of them are:
Insatiable thirst: The onset of diabetes is almost always accompanied by a nagging thirst, one that refuses to be quenched despite drinking plenty of water.
Frequent tendencies of urination: A frequent tendency of urination is one of the primary precursors of diabetes.
Acute hunger: Having bouts of acute hunger is one of the most predominant premonitions of diabetes.
Exhaustion and fatigue: In case you are suffering from diabetes, you will inevitably feel tired and exhausted all the time.
Blurring of vision: Diabetes is one of those rare conditions that threaten to affect and damage the eyesight. The blurring of vision comes hand in hand with the onset of diabetes.
Sores which take a long time to heal: One of the most fatal symptoms of diabetes is when the sore that you have suffered from takes a longer time than necessary to heal.
Some of the complications which diabetes invite are:
Cardiovascular problems: Diabetes considerably increases the risk of a host of cardiovascular problems and ailments like heart attacks, chest pain, and stroke.
Damage to the kidneys: The pair of kidneys that human beings are endowed with has the responsibility to remove the toxins from the body. An excess of diabetes in the body unsettles the purging ability of the kidneys.
Damage to the eyes: The onset of diabetes, among other things, puts your eyes at great risks. The condition tends to damage the blood vessels of the retina and can even cause blindness in some.
Skin disorder: Diabetes puts your skin at great risks. You may suffer from various bacterial and fungal infections among other ailments, due to an excess of glucose in your body.
If you like your food sweet, but worry about calories at the same time, chances are you are leaning towards artificial sweeteners to solve your dilemma. The market is flooded with artificial sweeteners, so how do you choose one? And what are their pros and cons?
Besides weight control, artificial sweeteners are also used by people suffering from diabetes. But there is a debate as to how safe artificial sweeteners are, for normal people and diabetics alike.
You get multiple choices from aspartame to sucralose, present in stores. However, it is better to be educated about their benefits and disadvantages.
The pros and cons of most popular sweeteners are as follows:
1. Saccharin: This sugar substitute has been in the market for the longest.
a) It has zero calories
b) It does not elevate the levels of blood sugar
c) 200-700 times sweeter than normal sugar
a) It is a possible carcinogen (substances that cause cancer)
b) There is also the danger of saccharin acting as an allergen (substance that cause allergy)
2. Aspartame: It is the most commonly used sugar substitute. Almost all the food items that boast of being sugar-free have aspartame in them.
a) 160-220 times sweeter than common sugar
b) A small amount goes a long way, so calorie intake is lesser
a) Headaches, depression and cancer have been linked to aspartame use
b) Increased hunger
3. Sucralose: This sugar substitute is derived from sugar itself. It is gradually becoming the most popularly used sweetener as it is found in almost all cooked or baked foods.
a) It is heat resistant, so it is used liberally in cooking and baking
b) It has very few calories
a) Weight gain is still possible
b) It has chlorine in it, which is a carcinogen
4. Neotame: This is a new invention and is chemically related to aspartame.
a) 7000 -13000 times sweeter than common sugar with zero calories
b) Apparently, it is safe for consumption for teens, children and even for women who are pregnant or breastfeeding
a) There isn't enough research done on Neotame, therefore very little is known about it
b) Since its chemical composition is closer to aspartame, there is much controversy about "neotame" affecting people the same way as aspartame.
We were talking about pre-diabetes and in this video we are going to talk about reversal of pre-diabetes. And how Dr. Monga Medi Clinic is helping people in reversing pre-diabetes stage. So, my question to you Dr. Yuvraj Monga would be how do we help people manage pre-diabetes stage? Our focus on diabetes has been there since years. And recently we have started program on pre-diabetes reversal. So, we believe that if we catch the patient early before it becomes or develop diabetes, is focused to reverse the pre-diabetes stage which is easy and more meaningful and decreases the long term morbidity of diabetes, complications of diabetes and cost and time and lifestyle quality is improved.
So, it’s a initiative which will help many many patients. As I said 10% of in India polputaion is pre-diabetics. So, prevention is better than cure. We all know that. So, this is what we are trying to achieve. Prevent patients of pre-diabetes to become diabetic. So, what we are doing is, we meet patients who are coming attendance, relatives of the patients or sometimes we are doing routine check-ups to find blood sugar or fasting level are higher towards under 10, under 16 and 20. And HbA1c is around 6, 6.2, 6.3. So, we counsel those patients to tell and that you are becoming diabetics. Your blood sugar is more than 100/26, fasting after 10 hours and HbA1c is more than 6/4. And you will become diabetic. So, we tell them that this is the stage where you are prone to become diabetic. Please put effort on you and we’ll help you.
So, we put them on the 90 days program. There we take the detailed history, their lifestyle history, their daily recall of the lifestyle. No. 2: we tell them the dietary modifications required. So, a dietitian is allocated to them. So, we plan their 7 visits on 0 day, 7 day, 15 day, 30th day, 45th day, 60the day and 90th day. So, 90 days food a lot is maintained. So we maintain their food habits. So, we tease them to reduce carbohydrates. We ask them to stop junk and maida and oily food like breads, biscuits, momos and you know butter naans, bhaturas, idaly, sambar or parathas, and reduce the carbohydrate by 70% and increase protein intake by 200%-300%. Increase protein by 300% or 3 times like increase eggs, curd, yoghurt, daal, chicken breast.
So, focus is on their food habits and monitoring sugar. At least once in 10 days, or 1 to 2 weeks. So, bring down sugar less than 10/100. And doing their HbA1c after 90 days and also focusing on lifestyle. We request them to sleep early. Waking up till 11 PM, 1 AM or 2 AM or sleep before 10:30. And thirdly, most important focus is exercise. Ask them to walk 45-60 mins per day. So, if their food habits are improved, their exercises are improved, thirdly, if their food are maintained and they are exercising, they will improve. Their sugar levels will come down. And if require we add some ayurvedic drugs. Like chadrmabhatti, madhunashtanibhatti, madhurakshak powder. So, in 90 days, we bring down their sugar levels by 122 less than 900. Target is 90 blood sugar level.
As you see less than 5.7. So, if we achieve that we are saving them from becoming diabetics. It’s a huge reduction of disease burden in the country. And we hope that the government bodies, schools, institutes and othe medical institutes focus on this. So, we can decrease the diabetic load from the country. Thank you so much. Thank you so much Dr. Yuvraj. So, we have seen that pre-diabetes can be a wake up call for you. So, get your test done ad if you think that, if the test tell that you are going to be a diabetics soon, take measure steps and come to Dr. Monga Clinic where we have patients who have reversed their pre-diabetics stage.
Gestational diabetes arises in certain women who cannot overcome the insulin resistance that develops during pregnancy. In most cases, the condition goes away after the baby is delivered. However, women who have gestational diabetes have increased risks of developing Type 2 diabetes later in life.
It’s important to note that gestational diabetes is not actually the cause of that long-term increased risk of Type 2 diabetes. In fact, it’s the other way around: the increased risk of Type 2 diabetes was there all along, even before pregnancy, and is the cause of the gestational diabetes.
“Gestational diabetes appears to be an early symptom of an abnormal ability to secrete insulin,” explains Dr. Lorraine Lipscombe, director of the Centre for Integrated Diabetes Care at Women’s College Hospital (WCH). “It’s an early sign of a disorder that can eventually lead to Type 2 diabetes.”
Insulin, a hormone secreted by the pancreas, regulates blood sugar levels. Abnormal insulin secretion can lead to high blood sugar, which is the main characteristic of diabetes.
Treatment for gestational diabetes protects the baby from the effects of high blood sugar and from the increased insulin production required to control it. Because insulin is a growth factor, women with gestational diabetes may have large babies, which increases the risk of delivery complications. The increased need for insulin can also stress the baby’s pancreas before birth.
“There is evidence emerging that if they are exposed to high blood sugars in pregnancy, the baby’s pancreas has to work harder and that can lead to a potential increased risk of diabetes and insulin secretory defects in the baby,” Dr. Lipscombe explains. “That’s the other concern: that over the years it predisposes the baby to a higher risk of Type 2 diabetes, so it’s a vicious cycle.”
Gestational diabetes is treated in pregnancy to try to avoid or minimize the short- and long-term risks to the baby. For mothers, it can provide an early warning of their own health risks.
“Women get gestational diabetes because they have risk factors for Type 2 diabetes, but it hasn’t developed yet,” Dr. Lipscombe says. “As they get older, especially if they gain weight or if they have an unhealthy diet, or they have other factors that play into the increased challenge to the pancreas, then eventually the pancreas has to work harder, and eventually it fails to the point where they get Type 2 diabetes.”
While it may increase the baby’s future diabetes risk, research indicates that gestational diabetes does not add to a woman’s pre-existing risk of Type 2 diabetes.
“A number of studies have compared women who do and do not get pregnant, who have similar risk profiles,” Dr. Lipscombe says. “One group will get gestational diabetes in pregnancy and the other group won’t get it because they never got pregnant. And it appears that the pregnancy does not increase the risk further. So the gestational diabetes does not make them progress to Type 2 diabetes more rapidly.”
Although the lifetime risk of Type 2 diabetes for women with gestational diabetes may be as high as 50 per cent, it is not a certainty. Research suggests that lifestyle can play an important role in managing those risks for women who have had gestational diabetes.
Research using data from the Nurses’ Health Study II looked at the long-term health of study participants with a history of gestational diabetes.
“For the women who remained more active and kept their weight healthy, their risk of diabetes was much lower despite the gestational diabetes,” Dr. Lipscombe says. “So we know that by keeping to a healthy weight and staying physically active you can reduce your risk of Type 2 diabetes even if you had gestational diabetes. It’s not a fait accompli – you can do something about it.”
Encouraging healthy changes
That’s one of the reasons Dr. Lipscombe and her colleagues at the Women’s College Hospital Research Institute are studying a preventive program. Now in its pilot phase, it is designed to support new mothers who have had gestational diabetes to make healthy lifestyle changes. The home-based program is adapted from WCH’s highly successful Women’s Cardiovascular Health Initiative program. It includes telephone counselling and a personal health coach to help women build healthier habits to reduce their long-term risk of Type 2 diabetes.
“It’s not easy to engage new mothers to change their behaviour when they’ve just had a baby,” Dr. Lipscombe says. “We’ve trained the coaches to be sensitive to the fact that these women are in a very demanding period of their life, but it is a time when bad habits do form because of those challenges.”
There is no data from the trial yet, but it has completed recruitment. Dr. Lipscombe reports that they have received positive feedback from participants: 98 per cent would recommend the program to other mothers with gestational diabetes, and 96 per cent described their own experience in the study as good, very good or excellent.
“We’ve had over 70 women who have come back for their final assessment and many have really made positive changes and were starting to see positive results,” she says. “It’s our hope that they will sustain that long-term.”