Frequently Asked Questions
In simple terms, diabetes is a disease in which the body is not able to utilize and store the glucose or sugar we eat. This causes the sugar to build up in the blood- causing one’s blood glucose to rise too high. There are 3 main types of types of diabetes: Type I, Type II and gestational diabetes – are all defined as metabolic disorders that affect the way the body metabolizes or uses digested food to make glucose, the main source of fuel for the body.
Before people develop type 2 diabetes, there almost always is a stage called “prediabetes” — blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes.
There are no clear symptoms of prediabetes, so, you may have it and not know it. Hence, blood glucose screening should begin at age 30-45 and be repeated at least every three years. Earlier and more frequent screening should be conducted in at-risk individuals.
Individuals who have a fasting plasma blood glucose in the 100-125 mg/dl range are defined as having impaired fasting glucose and at two-hours your blood glucose is 140-199 mg/dl, you have “impaired glucose tolerance”. Either of these conditions is termed as “pre-diabetes.” That all said, if you have pre-diabetes diabetes, what should you do? You should preferably meet a dietician and set a diet plan for yourself and stick to an exercise regime so that you ensure your blood glucose levels don’t increase further, putting you in the “diabetes” bracket.
Diabetes, a condition where there is a buildup of glucose in the blood, can occur in anyone. You would be a diagnosed as a diabetic if your fasting blood glucose is of 126 mg/dl or more and/or your random /2 Hour post meal result is of 200 mg/dl or more.
When you are first diagnosed with diabetes, it is often overwhelming. There is so much you need to know and do. Often, the pills or insulin the doctor prescribes are the easiest part of the “self-management” regimen.
The self-care behaviors are healthy eating, being active, monitoring, taking medication, problem solving, reducing risks and healthy coping. Monitoring your blood sugar levels periodically and keeping them as normal a range as possible is the key.
Because poorly managed diabetes can lead to a host of long-term complications — among these are heart attacks, strokes, blindness, kidney failure, and blood vessel disease that may require an amputation, nerve damage, and impotence in men.
Diabetes can occur in anyone. However, people who have a family history or any close relatives with the disease are more likely to develop it. Other risk factors include obesity, high cholesterol, high blood pressure, and physical inactivity. The risk of developing diabetes also increases as people grow older. People who are over 40 and overweight are more likely to develop diabetes, although the incidence of type 2 diabetes in the younger generation is growing. Also, people who develop diabetes while pregnant (a condition called gestational diabetes) are more likely to develop full-blown diabetes later in life.
People with diabetes frequently experience certain symptoms. These include:
- being very thirsty
- frequent urination
- weight loss
- increased hunger
- blurry vision
- tingling or numbness in the hands or feet
- frequent skin, bladder or gum infections
- wounds that don’t heal
- extreme unexplained fatigue
In some cases, there are no symptoms — this happens at times with type 2 diabetes. In this case, people can live for months, even years without knowing they have the disease. This form of diabetes comes on so gradually that symptoms may not even be recognized.
Now, Diabetes cannot be cured but we at AMSYS Heart & Diabetes Clinic have designed special Diabetic care programs that help you achieve your goals of managing and controlling diabetes. Our counseling and nutrition programs ensure that you understand your body and diabetes better
Hypoglycemia is a low blood glucose condition. The symptoms are as follows:
- Mood changes
- Blurred vision
- Extreme tiredness and paleness
- Use a Glucometer and check Blood Sugar to confirm Hypoglycemia. Value less than 70 mg/dl confirms the diagnosis.
- Eat 2-3 spoons of sugar or glucose directly, any sweetened beverage or eat any sweetened biscuit or solid food.
- It takes about 15 min to become normal, so please DO NOT PANIC.
- Find a cause for Hypoglycemia from the list given and consult your doctor or physician further.
- Always carry sugar sachets, candies, chocolates or sweetened biscuits for an emergency or when outside your home.
People with diabetes often experience changes in the blood vessels that can lead to cardiovascular disease. In people with diabetes, the linings of the blood vessels may become thicker, making it more difficult for blood to flow through the vessels. When blood flow is impaired, heart problems or stroke can occur. Blood vessels can also suffer damage elsewhere in the body due to diabetes, leading to eye problems, kidney problems and poor circulation to the legs and feet (peripheral arterial disease or PAD).
Even when taking proper care of yourself, heart disease may still occur. Specific treatment for heart disease will be determined by your doctor based on:
- Your age, overall health, and medical history
- Extent of the disease
- Your tolerance for specific medications, procedures, or therapies
- Expectations for the course of the disease
- Your opinion or preference
- Always consult your doctor for the most appropriate treatment plan based on your medical condition.
At AMSYS Heart & Diabetes Clinic, our Specialists help you control the multiple risk factors associated with heart diseases and diabetes. They will also help you learn how to reduce the risk of diabetes kidney, eye and nerve disease. The program focuses on comprehensive control of diabetes and urges optimal management of A1C (a measure of average blood glucose), Blood pressure, and Cholesterol. The ABC treatment goals for most people with diabetes are:
- A A1C (blood glucose) less than 7 percent
- B Blood Pressure less than 130/80 mmHg
- C Cholesterol – LDL less than 100 mg/dl
- At AMSYS Heart & Diabetes Clinic, the team of Specialists develops an action plan to reach your ABC goals.