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Diabetes is an epidemic.
50 million Indians have diabetes . . .
1.What is Diabetes ?
In the simplest terms . . . diabetes mellitus (commonly referred to
as just "diabetes") is a blood sugar disease . . . a disease in which
the body either does not produce or does not properly utilize
insulin.
Insulin is a hormone that is needed to convert sugar, starches and
other food into energy needed for daily life. Because diabetics have
a problem with insulin, their body's can't use glucose (blood sugar)
for energy, which results in elevated blood glucose levels
(hyperglycemia) and the eventual urination of sugar out of their
bodies.
Fasting Value
Category of a
person
Normal
Early Diabetes
Established
Diabetes
Post Prandial
Value 2 hours
Minimum Value Maximum Value after consuming
glucose
70
100
Less than 140
101
126
140 to 200
More than 126
2.Symptoms of Diabetes
Millions of people have diabetes and don't even know it because the
symptoms develop so gradually, people often don't recognize them.
Some people, particularly pre-diabetics, have no symptoms at all.
Diabetics may have SOME or NONE of the following symptoms:
Frequent urination
Excessive thirst
Extreme hunger
Unexplained weight loss
Sudden vision changes
Tingling or numbness in
hands or feet
Poor circulation
Poor sleep
Feeling very tired much of
the time
Irritability
Very dry skin
Sores that are slow to heal
More infections than usual
Type 2 Diabetes
The most common causes of type 2 diabetes are poor diet and/or
lack of exercise, both of which can result in insulin resistance . . . a
condition where the cells in our bodies aren't sensitive enough to
react to the insulin produced by our pancreas.
Recent research suggests that the root cause of insulin resistance is
a breakdown in intercellular signaling. Insulin is a chemical
messenger. It signals proteins called GLUT-4 transporters (residing
within the cell) to rise up to the cell's membrane, where they can
grab on to glucose and take it inside the cell. In patients with insulin
resistance, the cells don't get the message. They simply can't hear
insulin "knocking" on the door, which results in elevated blood
levels of both insulin and glucose.
In the early stages of insulin resistance, the pancreas compensates
by producing more and more insulin, and so the "knocking"
becomes louder and louder. The message is eventually "heard",
enabling glucose transportation into the cells, resulting in the
eventual normalization of blood glucose levels. This is known as
"compensated insulin resistance".
Over time, the stress of excessive insulin production wears out the
pancreas and it cannot keep up this accelerated output. As a result,
glucose levels remain elevated for prolonged periods. This is called
"uncompensated insulin resistance" and is the essence of advanced
type 2 diabetes.
Type 2 diabetes is characterized by a series of chain reactions:
1. The ingestion of too many carbohydrates leads to a spike in
blood sugar levels.
2. This is followed by a corresponding rise in insulin.
3. This in turn causes blood sugar to drop.
4. Eventually, this drastic up-and-down activity begins to take its
toll on the body's ability to use insulin and thus metabolize
sugar.
5. Over time, the pancreas "wears out" and can no longer pump
out enough insulin to overcome this insulin resistance.
6. This results in a decreased insulin production and/or increased
insulin resistance which propagates the cycle and leads to the
onset of diabetes.
4.Complications of Diabetes
The most important health impacts of diabetes are the long-term
complications it can cause. Most of these long-term complications
are related to the adverse effects diabetes has on arteries and
nerves.
Complications related to artery damage
Diabetes causes damage to both large and small arteries. This
artery damage results in medical problems that are both common
and serious:
6.Eating
Here are the some tips which are essential for diabetes
patient:
1. Intake of carbohydrates: Focus on healthiest carbohydrates such
as fruits, vegetables, wholegrain, legumes, beans, peas, lentils and
low fat dairy products.
2. Fiber rich food are also impotent for them as fiber decrease the
risk of heart disease and helps to control blood sugar level. The
foods which includes high fiber are vegetables, fruits, nuts, wheat
bran.
3. Intake of good fats: Foods containing monounsaturated and
polyunsaturated fats such as avocados, almonds, pecans, walnuts,
olives, and canola, olive and peanut oils helps to lower your
cholesterol levels.
4.The patient of diabetes should not skip their breakfast.
5. They should consume small meals at regular times.
6. They should keep their calories intake the same.
The food which should be avoided by the diabetes patient:
1.
2.
3.
4.
Saturated fats
Trans fats
Cholesterol.
Sodium.
vegetables
whole grains
fruits
non-fat dairy products
beans
lean meats
poultry
fish.
7. EXERICEISE
What about exercise?
When it comes to preventing, controlling, or reversing diabetes, you
cant afford to overlook exercise.Exercise can help your weight loss
efforts, and is especially important in maintaining weight loss. There
is also evidence that regular exercise can improve your insulin
sensitivity even if you dont lose weight.
You dont have to become a gym rat or adopt a grueling fitness
regimen. One of the easiest ways is to start walking for 30 minutes
five or more times a week. You can also try swimming, biking, or
any other moderate-intensity activitiesmeaning you work up a
light sweat and start to breathe harder. Even house and yard work
counts.
Exercise is one of the easiest and most effective ways of improving
both your physical and mental health. As well as lowering your risk
for serious health problems, a little regular exercise can ease
depression and anxiety, boost energy and mood, and relieve stress.
But you dont have to be a fitness fanatic to reap the benefits. No
matter your age or fitness level, there are lots of enjoyable ways to
use physical activity to help you feel better, look better, and enjoy
life more.
Exercise is not just about aerobic capacity and muscle size. Sure,
exercise can improve your health and your physique, trim your
waistline, improve your sex life, and even add years to your life. But
thats not what motivates most people to stay active. People who
exercise regularly tend to do so because it gives them an enormous
sense of wellbeing. They feel more energetic throughout the day,
sleep better at night, have sharper memories, and feel more
relaxed and positive about themselves and their lives. And it doesnt
take hours of pumping weights in a gym or running mile after mile
to achieve those results.
By focusing on activities you enjoy and tailoring a regular mild to
moderate exercise routine to your needs, you can experience the
health benefits of exercise and improve your own life by:
Im not athletic.
Do you hide your head when the tennis ball approaches? Are you
stumped at the difference between a foul ball and a free throw? Join
the ranks. Dont worry if youre not sporty or ultra-coordinated.
Instead, find an activity like walking, jogging, or yoga that makes
you feel good to be in your body.
Exercise is boring
Sure, pounding on a treadmill for an hour may not be everyones
idea of a good time. But not all exercise has to be boring; just about
everyone can find a physical activity they enjoy. Try playing pingpong (table tennis) or activity-based video games with your kids.
So-called exergames that are played standing up and moving
aroundsimulating dancing, skateboarding, soccer, or tennis, for
examplecan burn at least as many calories as walking on a
treadmill; some substantially more. Once you build up your
confidence, try getting away from the TV screen and playing the
real thing outside.
Reaping the benefits of exercise is easier than you think
To reap the benefits of exercise, you dont need to devote hours out
your busy day, train at the gym, sweat buckets, or run mile after
monotonous mile. You can reap all the physical and mental health
benefits of exercise with 30-minutes of moderate exercise five times
a week. Two 15-minute exercise sessions can also work just as well.
If that still seems intimidating, dont despair. Even just a few
minutes of physical activity are better than none at all. If you dont
have time for 15 or 30 minutes of exercise, or if your body tells you
to take a break after 5 or 10 minutes, for example, thats okay, too.
Start with 5- or 10-minute sessions and slowly increase your time.
The more you exercise, the more energy youll have, so eventually
youll feel ready for a little more. The key is to commit to do some
moderate physical activityhowever littleon most days. As
exercising becomes habit, you can slowly add extra minutes or try
different types of activities. If you keep at it, the benefits of
exercise will begin to pay off.