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Diabetes

Diabetes is a disease that becomes an epidemic and affects over 40 million people worldwide.

What is Type 1 Diabetes?

Type 1 Diabetes is an auto-immune condition where the body mistakenly attacks its own insulin-producing beta cells – resulting in an insulin deficiency. The main symptoms include increased thirst, weight loss and frequent urination. Type 1 Diabetes occurs predominantly in children and young people but is now known to occur later in life as well. Type 1 Diabetes can cause hypoglycaemia (i.e. low blood sugar) and hypoglycaemia can result in negative effects on quality of life, sleep, the heart and overall health.

With our extensive experience and advanced care with the latest drugs and technology, including the use of sensor technology, we can now achieve good glucose levels without hypoglycemia (i.e. low blood sugar).

What is Type 2 Diabetes?

Type 2 Diabetes is a condition when there is not enough insulin produced by the beta cells in the pancreas or there is resistance to the effective action of this insulin. This is by far the most common type of diabetes, accounting for more than 90% of all diabetes cases.

Type 2 diabetes is a tricky condition as its onset is gradual, starting imperceptibly, initially with a normal blood glucose levels but raised serum insulin implying resistance to the action of insulin, the hallmark of Type 2 diabetes. And because it doesn’t start with obvious symptoms, it’s estimated that as many as 25% of people with this kind of diabetes are unaware that they have it.

Nowadays, Obesity, Sedentary Lifestyle (physical inactivity) and high stress level are on the rise, which lead to Diabetes and set it as an epidemic. The disease runs in families. If either of your parents has type 2 diabetes, there is a 10–15% chance that you’ll get it.

Gestational Diabetes

Gestational diabetes is a type of diabetes that may develop in pregnancy. Gestational diabetes can have consequences for your health and for the wellbeing of your baby.

It’s important to take gestational diabetes seriously. High blood sugar levels can affect your health and have an impact on your baby’s development. Uncontrolled diabetes is linked with complicated birth, higher levels of Caesarean deliveries, big babies and increased rates of perinatal death.

What are the symptoms of gestational diabetes?

Many women with gestational diabetes have no symptoms at all, they may be diagnosed on routine screening or following blood or urine checks. The condition usually develops in the third trimester, between 24 and 28 weeks.

However, if glucose levels start to rise you may notice:

  • Increased thirst
  • Fatigue
  • Dry mouth
  • Increased urination
  • Repeated thrush infections

If you are worried about gestational diabetes, talk to your doctor or schedule an appointment with us.

Who is at risk of gestational diabetes?

Around 1 in 20 pregnant women may develop gestational diabetes. However, there are a number of factors that increase your risk of developing the condition:

  • A history of gestational diabetes in a previous pregnancy.
  • Giving birth to a baby that weighed than a previous pregnancy.
  • Obesity
  • A family history of diabetes. You are more at risk if a parent or sibling has had gestational or type 2 diabetes.

What does gestational diabetes mean for my future?

If you have had gestational diabetes, you are at increased risk of gestational diabetes in future pregnancies and also of developing type 2 diabetes. That sounds frightening, but there is good news: Losing weight to reach a healthy BMI, eating a balanced diet and exercising regularly can help you prevent diabetes and safeguard your future health.

We offer regular screening and specialist support to prevent diabetes developing.At this stressful time, we can offer cutting-edge treatment, education about lifestyle changes and the support you need to stay healthy and protect your unborn child.

Diabetes and Blood Pressure

About 25% of people with Type 1 Diabetes and 80% of people with Type 2 Diabetes have High Blood Pressure. Having diabetes raises your risk of heart disease, stroke, kidney disease, eye disease and other health problems. Having high blood pressure also raises this risk.

People with diabetes and high blood pressure are sometimes given the blood pressure medicines known as ACE inhibitors or angiotensin receptor blockers to help protect heart, kidney, eyes and other health problems associated with diabetes and high blood pressure.

Controlling blood pressure is key to maintain normal life and using blood pressure device at home help to monitor blood pressure and take actions if blood pressure goes beyond normal range.

Diabetes and Heart Health

Over time, high blood glucose from diabetes can damage your blood vessels and the nerves that control your heart and blood vessels. The longer people have diabetes, the higher the chances that they will develop heart disease.

People with diabetes may develop heart disease at a younger age than people without diabetes. In adults with diabetes, the most common causes of death are heart disease and stroke. Adults with diabetes are nearly twice as likely to die from heart disease or stroke as people without diabetes.

And the good news is that you take the steps to manage diabetes also help to lower chances of having heart disease or stroke.

How to lower chances of a heart attack or stroke due to diabetes?

Knowing the ABCs of diabetes will help manage blood glucose, blood pressure, and cholesterol. Stopping smoking if you have diabetes is also important to lower your chances for heart disease.

  • A is for the A1C test.
  • B is for blood pressure.
  • C is for cholesterol.
  • S is for stop smoking.

Diabetes and Kidney Health

Kidneys clean your blood and if they are damaged, waste and fluids build up in your blood instead of leaving your body.

Blood sugar and blood pressure levels can go too high if you have diabetes and over time, this can damage your kidneys.

Kidney damage from diabetes is called Diabetic Nephropathy. It begins long before you have symptoms. People with diabetes should get regular screenings for kidney disease. Tests include a urine test to detect protein in your urine and a blood test to show how well your kidneys are working.

If the damage continues, your kidneys could fail. In fact, diabetes is the most common cause of kidney failure. People with kidney failure need either Dialysis or Kidney Transplant.

You can slow down kidney damage or keep it from getting worse. Controlling your blood sugar and blood pressure, taking your medicines and not eating too much protein can help.

Diabetes and Eye Health

People with diabetes are at high risk for eye complications and vision loss and may lead to blindness.

Cataracts
  • It affects those who have undergone surgery for cataract and other conditions like glaucoma. Steroid use can cause cataract too. People with other health issues like diabetes are also at risk of developing secondary cataract.
Glaucoma
  • People with diabetes are more likely to suffer from glaucoma than people without diabetes. The longer someone has had diabetes, the more common glaucoma is. Risk also increases with age.
  • Glaucoma occurs when pressure builds up in the eye. The pressure pinches the blood vessels that carry blood to the retina and optic nerve. Vision is gradually lost because the retina and nerve are damaged.
Retinopathy
  • Diabetic retinopathy is a general term for all disorders of the retina caused by diabetes. The longer you've had diabetes, the more likely you are to have retinopathy.
Several factors influence whether you get retinopathy:
  • blood sugar control
  • blood pressure levels
  • how long you have had diabetes
  • genes

Your retina can be badly damaged before you notice any change in vision. With proliferative retinopathy (the more dangerous form) people sometimes have no symptoms until it is too late to treat them. Regular eye checkup is key for maintaining your vision.

Diabetes and Foot

Diabetes may cause nerve damage over time and this is also called Diabetic Neuropathy. Diabetic Neuropathy cause tingling and pain, and can make you lose feeling in your feet. When you lose feeling in your feet, you may not feel a pebble inside your sock or a blister on your foot, which can lead to cuts and sores which can get infected.

Diabetes also can lower the amount of blood flow in your feet. Not having enough blood flowing to your legs and feet can make it hard for a sore or an infection to heal. A bad infection which never heals and might lead to Gangrene.

Gangrene and foot ulcers that do not get better with treatment can lead to an amputation of toe, foot, or part of your leg. A surgeon may perform an amputation to prevent a bad infection from spreading to the rest of your body and to save your life. Good foot care is very important to prevent serious infections and gangrene.

Tips to Take Care of Your Feet :

  • Check your feet every day.
  • Wash your feet every day.
  • Trim your toenails straight across.
  • Wear shoes and socks at all times.
  • Protect your feet from hot and cold.
  • Keep the blood flowing to your feet.
  • Get a foot check at every health care visit.