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Don’t Let Type2 Diabetes Control You

Overview

Diabetes is a metabolic disease characterized by high blood sugar (glucose) levels that are a result of impaired insulin secretion in the body, or inability of the body to use the secreted insulin effectively.

As you are aware, the blood glucose levels are controlled by insulin which is a hormone produced by the pancreas. When the blood glucose elevates (for example, after eating food), insulin is released from the pancreas which helps in the uptake of glucose into body cells. In patients with diabetes, the impaired production of or lack of response to insulin causes hyperglycemia.

Inadequately managing type 2 diabetes can lead to complications later on. You need to manage your blood sugars and regularly monitor them to be sure they are within the target range.

Taking care of yourself is ‘empowering’ yourself. Here are few easy ways to take an active role in diabetes care and enjoy a healthier future

  • Medications

    If you are taking medications for managing diabetes, whether it is pills or injections it is very important to be organized and adhere to a routine to avoid skipping of doses which can hinder glucose control. Taking incorrect dose and at incorrect times can lead to complications. Without consulting your doctor, you should not discontinue your diabetes medicines on your own. In case you have to order, call our pharmacy helpline 1860 500 0101

  • Diet

    According to our nutrition experts – If you don’t eat, don’t eat on time, or don’t eat the correct amount of carbohydrates, you run the risk of low blood sugars. The diabetes diet plan needs to be balanced with the usage of insulin and other diabetes medications. Include low-carb foods like lean protein, leafy greens, eggs, almonds, avocados, low-fat dairy, fish, eggs, seafood, non-starchy vegetables, and healthy fats. Avoid foods that are high in carbs like white rice, white bread, pasta, sugar sweetened beverages, processed food grains and other unhealthy fats. For a balanced plan meet our diet & nutrition experts’ online log on to https://healthlibrary.askapollo.com/all-about-skin-cancer/.

  • Blood and Sugar Monitoring

    Record your blood sugar levels in a notebook or you may download online apps that can track it for you and share it with your doctor to help plan your medications and treatment. Blood sugar levels may need to be checked before meals and two hours after. Doctors recommend checking your blood sugar before and after exercising and when you feel stressed to better understand your body’s reaction to different circumstances. Along with regularly monitoring blood sugar levels, you should speak to your doctor about actions to be taken if your blood sugar gets too low or too high, and what your target blood sugar levels are.

  • Exercise

    Exercise is an integral part of any diabetes care plan. To be safe, check your blood sugar before and after exercise. Exercise can improve your blood sugar levels. Walking is one of the best activities for people with type 2 diabetes. Also, research shows yoga can help reduce stress and manage diabetes well. Other forms of exercise during this period could be dancing, stairs climbing, or even gardening. Talk to your doctor before starting a new fitness regime in case you have any other health issues.

Manage Your Stress

According to the American Diabetes Association (ADA), Stress can cause your body to produce more sugar. Chronic stress can cause hindrance in appropriate blood sugar control. Practicing relaxation techniques such as deep breathing, yoga, meditation. Listen to calming music and don’t forget to make time for self-care.

When to Seek Help?

It is important to understand signs of an emergency and steps that you can take if it arises.

Severe Hypoglycemia

If your blood sugar levels drop below or equal to 70 milligrams per deciliter (mg/dl) it should alert you the possibility of hypoglycemia. Low blood sugar levels, signs and symptoms can include:

  • An irregular or fast heartbeat
  • Sweating
  • Pale skin
  • Shakiness
  • Fatigue
  • Hunger
  • Irritability
  • Tingling or numbness of the lips, tongue or cheek

In extreme conditions one can experience visual disturbances, such as blurred vision, seizures or even loss of consciousness. If one experiences such symptoms, should immediately be rushed to the nearest Medical Emergency or Dial 1066 for Apollo Emergency Care.

Hyperglycemia

Blood sugar levels can be higher than normal because the body is not responding to the insulin that is present or insulin is not present adequately in the body. It is possible to experience this if a person with diabetes does not receive treatment. If blood sugar levels become high, signs and symptoms include:

  • The need to urinate more frequently
  • Headaches
  • Fatigue
  • Increased thirst
  • Blurry vision

If your symptoms worsen such as fruity smell in breath, difficulty in breathing or a very dry mouth, one should immediately rush to the nearest Medical Emergency or Dial 1066 for Apollo Emergency Care. A word about Type 1 Diabetes, in this context.  Type 1 Diabetics should never stop Insulin on their own and should seek immediate medical advice if they are not in a position to take Insulin due to vomiting, loose stools or any such ailments, to prevent a dangerous complication called DKA which can arise if Insulin dependent Diabetics stop Insulin.

Follow-up Consultations

Do not miss a scheduled follow-up appointment with your treating doctor. We now have facilities for connecting you with your treating doctor. For tele-consultation, call: 1860 500 1066.

If a physical check becomes necessary, follow these tips

  • Call 1860 500 1066 to check for your doctor’s availability
  • Carry all your report and appropriate documents from your hospital/treating doctor
  • Only one attendant will be allowed with you within the hospital
  • Wear a mask throughout your visit to the hospital
  • Apply for a curfew e-pass online for your medical consultation as per the state government’s norms

While you must be having your scheduled review with your treating doctor, in case of the following conditions/situations, do not wait for your scheduled visit and call 1860 500 1066 without delay

  • Giddiness
  • Palpitations
  • Altered level of consciousness
  • Breathing difficulty
  • Fever higher than 100.4º F (38º C)
  • Very low or very high blood sugar levels accompanied by excessive sweating, fatigue, shakiness
  • Signs of seizures

For any other query, call: 1860 500 1066 and to book an appointment log on to www.askapollo.com

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Verified By Dr Ravi Sankar Erukulapati
MBBS, MRCP (UK), CCT- GIM, Diabetes & Endocrinology (UK) Senior Endocrinologist, Apollo Health City, Jubilee Hills, Hyderabad
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