A chronic health disease, diabetes is characterised by increased
blood sugar along with other metabolic disorders. Dr Rajeev Gupta,
internal medicine, CK Birla Hospital, Delhi explains that when the
pancreas is unable to produce enough insulin, or insulin action on cells
becomes ineffective, hyperglycemia with its complications are seen in a
patient.
“These complications include infection in blood vessels and nerves.
Symptoms of hyperglycemia are increased urination, weakness, weight
loss, increased appetite, recurrent infections and other complications
of diabetes like heart attacks, strokes or kidney failure,” he says.
According to the doctor, diabetes mellitus is divided into 3 types:
Type 1: Wherein the primary defect is the failure of the pancreas to
produce insulin, so regular mellitus treatment is mandatory to sustain
life and prevent complications. It generally affects children and young
adults, but can occur at any age. Damage to cells or pancreas can be
genetic or acquired by viral levels or autoimmune reactions of the body.
“Type 1 diabetes demands the adoption of strict lifestyle changes and
dietary habits to keep this condition under control. Unlike other
conditions, an individual’s participation and medical and social support
are of paramount importance,” Dr Gupta adds.
Patients with type 1 diabetes need to:
– Monitor and control blood sugar, cholesterol and BP consistently.
– Manage blood sugar with insulin shots as advised by a doctor.
– Rest and relaxation to reduce stress.
– Stay active with exercises.
– Make healthy food choices.
– Manage stress to postpone or avoid diabetic complications. Consult
your doctor to understand how to recognise and manage complications like
kidney disease, eye disease, and cardiovascular complications.
– Go for regular urine tests for albumin (ACR), fundus examination for
retinopathy, and lipids assessment along with strict blood pressure
control.
Dr Gupta says type 2 diabetes is a more common type, characterised by
primarily ineffective insulin action (insulin resistance) with a
variable defect in insulin secretion. “Generally, these patients are
adults who are obese or have a sedentary lifestyle. Dealing with the
complications of diabetes requires effective management to reduce
morbidity and mortality.
“Patients must pay attention to blood sugar control, blood pressure,
cholesterol, avoid smoking, reduce alcohol consumption, keep their
weight under control and exercise regularly to reduce the risk of heart
disease,” he explains.
People with type 2 diabetes must recognise signs of impending stroke
— like numbness or weakness of any limb, slurred speech, headaches, or
dizziness. For early detection of kidney disease, a regular urine
albumin test and kidney function test are needed.
Gestational diabetes
This is the third type, majorly diagnosed in pregnant women who are
not diabetic before pregnancy. Generally, a glucose tolerance test at
the 27th week of gestation is routinely done to detect this condition.
“Once diagnosed, the pregnancy needs to be closely monitored as there
is increased risk to the fetus as well. Pregnant women with gestational
diabetes should exercise regularly, ensure proper diet and insulin
dosage as recommended by the doctor. After delivery, gestational
diabetes normally resolves. Obese mothers need to be followed-up for any
future development of diabetes,” the doctor concludes.