A Discussion on Diabetes
by Jagmohan Chadha
(Kota, Rajasthan, India)
Discussion on Diabetes Disease:
In normal individuals food is broken down to glucose. In the presence of insulin the glucose present in the blood is utilized by body cells, with the aid of insulin that is secreted by the pancreas. This how we get our energy which help to maintain optimal health.
Diabetes is a condition which is signified by a higher concentration of glucose levels in the blood. Because a person cannot utilize glucose due to a deficiency of insulin secretion by the pancreas.
Types of Diabetes:
Type 1 Diabetes: The Cells of the pancreas responsible for secretion of Insulin do not function properly or are completely damaged. This type of diabetes is found in children and young and young adults; hence, it is also known as Juvenile Diabetes.
Type 2 Diabetes: In this type of Diabetes the pancreas cells do make some insulin but the body prevents the insulin from performing it’s function. This type is usually found in elderly obese patients only. However, now a days it is encountered in children and young adults also.
Diabetes is found in the pregnant women also, if it is not treated properly the mother and child can also develop many health disorders.
Diabetes is characterized by:
- Feeling of exhaustion all the times.
- Sensation of great thirst (Polydipsia).
- Frequent urination.
- Blurring of the eyesight.
- Felling of hunger all the times.
- Sudden fall of body weight.
- Non-healing of wounds.
- Numbness of hands and feet.
Causes of Diabetes:
Definite causes of Diabetes are not known, possibly the body lacks a gene which can provide protection at the time of onset of this chronic disease. Diabetic patients are usually obese with a sedentary life style, having higher levels of triglycerides in their blood or suffering from hypertension and also having a diabetic family history.
Diabetes a Warning Signal:
The health of the diabetic patient is on the thresh hold of rapidly becoming worse. Diabetes affects both rich and poor people alike and for a considerable period, remains undiagnosed. This is because for minor symptoms, the patients do not take medical advise and the disease progresses to a stage when the symptoms become uncomfortable.
This is usually when the patient can no longer bear it. Because of this trend of accessing and delaying medical advice, India has become the Diabetes capital of the world. Why? because there are more than 33 million people suffering from type 2 Diabetes. This represent about 20% of the world's Diabetic Population.
With the present progression rate, it is estimated that by the year 2030, about 80 million of the Indian population will be diagnosed as diabetics. A similar progression trend has been noticed in other Asian countries as well.
Diabetes a life long association:
Diabetes patients are destined to live the rest of their lives with diabetes. They will require to take proper care to keep their disease under control. This will only be accomplish by regularly taking the prescribed medications and adjusting their daily food intake and lifestyle habits.
Patients have to remain regularly
under medical care.
Diabetes & Future Onset of Serious Complications:
Diabetic patients carry a high risk of exposure to other serious complications. These include...
- Coronary heart disease.
- Degenerative vascular system.
- Degenerative tissues of lower limbs.
When there is a continued high of blood sugar level, the blood sugar generates certain substances, which are potentially harmful to the cells of the body. This causes damage to the delicate organs of the body such as...
- The heart.
- Blood Vessels.
- Teeth and lower limbs.
If with the passage of time treatment is not initiated, an individual will begin to experience serious complications in the long run.
Diabetic Disease Education to patients:
Diabetic patients need to be educated about their disease and the necessary care and precautions they have to religiously follow. This is especially true if they are having problems with their lower limbs.
Diabetic patients are carrying a higher risk of degenerative vascular system of the lower limbs. This health problem results in nerves and tissues damage. The progression of which requires amputation of a toe or foot depending upon the severity of the affected part. This can cause them to lead a life of dependency.
Diabetes & Heart Disease:
Diabetic patients are 2 to 4 times more prone to suffer from heart attacks as compared to normal persons. In the obstructions developed in the arteries of heart and in the entire circulatory system, there is a slowing of blood supply resulting in pain in the Chest, difficulty in breathing, swelling of heels, and thickening of the blood vessels.
All of these health problems will quickly lead to a heart attack.
Protection of Heart & Blood Vessels:
The quick onset of serious complications can be reduced by:
- Bringing down high blood glucose levels to normal.
- Reducing intake of foods containing high quantities of saturated fats, transfats and high cholesterol foods.
- Reduction in intake of common salt.
- Keeping blood Pressure and blood Lipids in control.
- No smoking and no consumption of tobacco.Moderate Exercise.
The filtration membrane gets thickened. The Protein metabolites excretion is reduced, which damages the kidney. The incidence of Renal failure due to Diabetes is in 45 % of the Renal failure cases. Special kidney function tests are performed to ascertain early involvement of kidney complications. This is because no specific symptoms are witnessed in early stages of kidney complications.
Complications of Eyes:
Diabetes can damage the smaller capillaries of the eye. Diabetes can precipitate Glaucoma because of the increase of internal pressure in the eye ball. There can be eyesight complication or even complete blindness due to the damage to retinal blood vessels and detachment of the Retina.
Amputations of affected foot:
The complications of the foot can be...loss of touch sensation, pain or swelling of the foot, delayed or non-healing of the foot, Change in the color of the skin...producing redness. As a precaution, the foot should be protected from any cuts, scratches or from any other form injuries.
Wounds that are caused by faulty blood circulation in the feet, can cause nerves and tissues damage...resulting ultimately to gangrene development. This usually leads to amputation/s of a toe or a foot.
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Author Jagmohan Chadha
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