Just Detected

Just Detected with Diabetes

Being diagnosed with diabetes can be an overwhelming experience In fact, it can be a major life stress for many people. This is especially true as most chronic conditions and progressive diseases can prove to be quite challenging to manage emotionally.

If you or your family are feeling anxious and disheartened, you should know that it is natural to feel that way. You should also know that you are not alone, and that 70 million other people in India are living with Diabetes. This is a condition that needs to be “managed”.

In brief, Diabetes is characterized by high blood glucose levels that result from defects in the body’s ability to produce enough insulin, and at times no insulin is produced at all. Insulin is required to remove sugars and toxins from our system, and when they do not get flushed out, they tend to accumulate, resulting in high blood glucose levels.

You will be happy to know there are countless cases of people who have reversed their condition simply by making changes in their daily lives, especially when it comes to food, exercise and stress management. With some precautions and care, we are confident that you too can be a winner.

Remember, with a clear plan, appropriate guidance, right (and on time) medications, timely tests and appropriate modifications to your lifestyle you can not only overcome your condition but stay on top of it. To know more, please refer to our Let’s Understand section

Remember, we are here to help you in your endeavour to stay focussed and on target!

Some quick tips that the American Diabetes Association and other bodies recommend that you should follow:

  • Find a good doctor
    • We recommend seeking the advice of a specialist, in this case an ‘endocrinologist’ or ‘diabetologist’ who can help and direct you with a constructive plan of action. Check with your doctor if you have to repeat your tests.
  • Acquire as much information as you can
    • An informed person can make better decisions. Therefore, it is essential for you to get to know more about food and other lifestyle changes that will help you manage better. Newly-diagnosed people are frequently advised to control blood sugar levels by following a healthy nutrition plan along with a regular exercise regime. To know more, read recommended diets and exercise plans for people living with diabetes.
  • Seek help and support from your family
    • Research suggests that with family support one can manage diabetes much more effectively than running self-managed programmes. Your partner, family, and friends play a huge role in motivating you and helping you adhere to your diabetes management programme.
  • Make your own plan:
    • As you may already know, food plays a very important role in diabetes management. An ideal diabetes meal plan consists of low carbs, low sugar, lean proteins and high fibre diet. You may choose from a wide variety of Diabetes meal plans available to you. Before you start following one, you are advised to check with your doctor or dietician regarding the amount of calories you need to take in a day/week, according to your BMI and physical activity rate.
      You may also seek a dietician’s advice to put together a plan that works best for you
  • Check on Alcohol and tobacco consumption
    • Research suggests smoking may aggravate complications from Diabetes, such as heart diseases and may lead to nerve and kidney damage. It is, therefore, highly advisable to significantly limit or give up smoking. 
      Alcohol consumption can have a strong impact on your blood sugar levels, not to mention liver-related disorders. It is a good idea to take your doctor’s advice on whether you can consume alcohol, and how much. In any case, please remember to always eat a meal while consuming alcohol to prevent fluctuations or spiking of blood glucose levels.
  • Medicines – on time, every time!
    • One of the most crucial aspects of Diabetes management is to take your medication regularly and avoiding skipping meals. The medical explanation is that medicines and food have a direct role in keeping “good control” of blood glucose levels.
      If your doctor has advised you to take Insulin then please DO NOT skip your shots. Many people fear pain or scarring resulting from the Insulin shots, and the good news is that one can learn the right, less painful ways of taking Insulin. Refer to our “Insulin section” for more details.
      In fact, in order to keep your blood glucose levels in control, you should eat small meals more frequently and consult a dietician to plan the best possible meal plan for you.
  • Indulge yourself. Take extra care of your teeth to keep gum diseases at bay
    • While it is true that you have to follow a strict plan, talk to your doctor about rewarding yourself once in a while. 
      However, do keep in mind the fact that you have to keep up with your basic health and hygiene requirements. Do brush your teeth at least twice a day, as people living with Diabetes tend to have frequently-returning gum infections. You should also floss your teeth once a week and see a dentist at least twice a year. Inform your dentist if your gums bleed or get swollen to have the concerns addressed at the earliest.
  • Be careful about Wounds
    • Take your wounds seriously, do go and see a doctor immediately if you feel your wounds are healing slowly, or not healing at all as high blood sugar can reduce blood flow, damage nerves and delay healing. It is essential to take care of your foot as minor cuts and blisters can lead to serious infections. Infact people living with Diabetes should also monitor for tingling or loss of sensation in the hands and feet.
  • Last but not the least
    • With a strong determination and sincere effort, one can easily control Diabetes and enjoy living life like never before. 
      Join the support community for family and friends of people living with Diabetes, a unique platform to share, help and bring a change in the lives of families and people living with Diabetes.

What can I do as a family/friend of a newly diagnosed loved one ?

As a partner or caregiver, it is understandable that your feel anxious and concerned on hearing the diagnosis of Diabetes.

Please be assured that there is no cause for concern as this is a condition that can be managed with a little care and diligence. You may need to play a pivotal role in the management of the condition for your partner or a loved one and therefore, you would need to be supporting and considerate. Research points to high success rates for diabetics that have had the support of a spouse or family member.

  • No need to panic
    • While Diabetes is considered a lifelong “chronic” condition, there is no need to panic as it can be managed with lifestyle and diet changes. Please be caring and supportive as your partner/family member may have to depend on you to make the required changes and live a long and healthy life
  • Participate
    • It is a good idea to actively participate in your partner’s plans and health goals. By working as a team your support is implicit. Set reminders to take medication on time, learn how to inject insulin, figure out what food items work and what don’t. Set realistic goals, and learn the fine art of encouraging without nagging.
  • De-stress yourself
    • Diabetes can impact the whole family and not just the person living with the condition. In order to avoid the caregiver fatigue syndrome, it is a good idea to spend some time for you. Take timeout to pursue your own goals and keep up with your friends and associates outside of the Diabetic circle.

To read more on Diabetes, click on the link below.

Diabetes

Checklist & Tips for Diabetics by Famhealth

Checklist with Tips

Diabetics

For Patients

Here’s a quick guide for keeping a daily check on diabetes by patients/family and caregivers.
Self-help is the best help and we are with you.

  • Check blood sugar levels as often as recommended by your doctor. By checking your blood glucose level, you can know how food, physical activity and medicine affect your blood glucose.
  • Inspect your feet daily for cuts, injuries, blisters, infection and changes in skin pigmentation.
  • Inspect your mouth, teeth and gums. People living with diabetes often are prone to periodontal gum diseases, doctors’ advice brushing twice daily and flossing once in a week.
  • Check for infection, cuts, blisters, or colour changes all over the body including your underarms, groin area, area between toes, etc.
  • As you may be already aware, people with diabetes must avoid hot water baths as hot baths often lead to wrinkling and blisters in skin.
  • Keep your supplies close: Make an attractive kit bag and keep all the necessary medications and food items within your reach. Replenish the kit daily to keep your energy elevated, and blood glucose levels normal.
  • Last but not the least take your medications on time and at least exercise or walk for a minimum 45 minutes daily to regulate blood glucose levels.

For the Caregiver
 

  • Blood sugar check – Check or gently remind them about the blood sugar check as per doctor’s recommendation
  • Keep a record – keeping a daily record of his/her blood glucose readings, medicine schedule, exercise, meals, and how the person feels helps in managing diabetes.
  • Check the colour of the person’s legs and feet – check for signs such as swelling, warmth, redness, or pain. These may be signs of an infection so see a doctor right away as recommended by Joslin Diabetes Center.
  • Check the temperature – Cleveland clinic recommends you, to check the temperature of the water your patient is going to take a bath. Water should be just warm (not hot). Encourage usage of only mild soap such as glycerine soaps to prevent wrinkling and cutting of skin tissues.
  • Check on hydration – Drinking lots of fluids — like water, juices, caffeine-free and sugar-free drinks are very important to keeping them hydrated. So we recommend you, just try to keep reminding them.
  • Check their diet plan – Encourage them to eat small but frequent meals, If they are not following, try to encourage them to change their diet, we suggest you to eat the same food as them and encourage by following their diet.
  • Check the way they exercise – Offer to exercise with him or her to motivate them. Let them decide what they like most outside or indoor exercises always check with the doctor before starting any regime.
  • Check on their Oral hygiene – As we know, that a person with diabetes is more likely to have mouth related problems. We suggest them to brush with a soft-bristled brush after every meal, and floss at least once a week.

To read more on Diabetes, click on the link below.

Diabetes

Compliance and Checklist

Compliance and Checklist for Diabetes

Compliance and Checklist for Diabetes by Famhealth

Despite significant modern advances in diagnosis and treatment of diabetes, compliance still remains the most crucial aspect of blood glucose level control. Scientific research in National Institute Health USA, suggests “Poor glycaemic control may be reflected by both the failure of diabetes self-management by patients as well as inadequate intervention strategies by clinicians”. Hence identifying the barriers in compliance and treatment adherence is an equally important aspect for successful diabetes management.

Barriers in compliances may be due to various reasons but as per research the majority of non-compliances in diabetes management could be due to In-adequate information, Cultural differences, Religious beliefs, Family dynamics, Emotional imbalances, and sometimes poor communication skills.

According to the American Diabetes Association, The major compliance regimen for people living with Diabetes includes:

  • On time Medications:
    • Medications on time, helps you to maintain a “good control” of blood glucose levels in your body. People living with diabetes are often prescribed multiple medications for diabetes and other co morbid conditions. 
      To ease your medicinal intake you are advised to check with your doctor on the sequence of medicines to be consumed as per priority for e.g. which medications to consume before/after meals. 
      To manage and ensure medicinal compliance you are encouraged to take the help of friends/family/colleagues who can effectively remind you to take your medications on time every time!
  • Food & Nutrition:
    • According to Dr. Mona registered dietician from USA says, “Good food is good medicine and bad food is bad medicine”. You are advised to have frequent diabetes friendly meals, to reap the maximum benefits of successful diabetes management. To know more refer to our Food section.
  • Exercise regimen:
    • Regimen: Having a daily exercise regime not only helps you to stay fit and healthy, but has also helped so many people in reversing their conditions remarkably! At Famhealth exercising can never get boring! Get to know the new forms and join our community to experience fun “do it with us” exercising modules.
  • Monitoring blood glucose levels:
    • Checking your blood glucose levels timely as recommended by your doctor helps to administer the effect of food, medicines and physical activity in your body. It is almost a reflection of how well you are managing your condition. You are encouraged to take help of your partner/family member/caregivers to learn the right ways of monitoring blood glucose levels to ensure diabetes compliance.

Family/friends/caregivers play a vital role in helping a person living with diabetes to overcome all the barriers and come on top their conditions

  • Check blood sugar levels as often as recommended by your doctor. By checking your blood glucose level, you can know how food, physical activity and medicine affect your blood glucose.
  • Inspect your feet daily for cuts, injuries, blisters, infection and changes in skin pigmentation.
  • Inspect your mouth, teeth and gums. People living with diabetes often are prone to periodontal gum diseases, doctors’ advice brushing twice daily and flossing once in a week.
  • Check for infection, cuts, blisters, or colour changes all over the body including your underarms, groin area, area between toes, etc.
  • As you may be already aware, people with diabetes must avoid hot water baths as hot baths often lead to wrinkling and blisters in skin.
  • Keep your supplies close: Make an attractive kit bag and keep all the necessary medications and food items within your reach. Replenish the kit daily to keep your energy elevated, and blood glucose levels normal.
  • Last but not the least take your medications on time and at least exercise or walk for a minimum 45 minutes daily to regulate blood glucose levels.

Non adherence to the above treatment compliances often leads to frustration in families and also in doctors treating diabetes individuals

Diabetes Types & symptoms

Tests for Diabetes

Tests for Diabetes by Famhealth

Why are they important?

With knowledge comes better control. Regular blood sugar testing is an important part of living with Diabetes.

There are many things that can have an impact on your blood sugar levels such as your emotions or medications. Regular tests at the frequency recommended by your doctor could help you stay on the top of your condition and manage it more effectively.

Further, if you are living with Insulin-dependent Diabetes, chances are your Insulin dosage will depend on your glucose levels on that particular day.

Fasting Sugar Test

Fasting blood sugar test is one of the simplest and most cost-effective tests to predict your blood glucose levels.

Fasting blood sugar level that is less than 100 mg/dL (5.6 mmol/L) is normal.

Fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered Prediabetes.

If it is 126 mg/dL (7 mmol/L) or higher on two separate tests, then chances are high that you have diabetes.

Random Glucose Test

Random Plasma Glucose test is another important test for diagnosing Diabetes. During this test, blood sugar is tested irrespective of the time of the last meal; nor is there any need to abstain from eating prior to the test.

Blood glucose level greater than 200 mg/dL on this test may indicate Diabetes, especially if the test is repeated at a later time and shows similar results.

HbA1c

Studies suggest that HbA1c is one of the best methods to monitor Diabetes. HbA1c tells the average percentage of blood glucose level of a person in the last 70- 90 days. It is commonly suggested by doctors to maintain less than 7% to achieve good control in diabetes management. However please consult your doctor as the average percentage varies depending on the age of the person.

However, HbA1c is not really viable for diagnosing Diabetes in pregnant women as well as in cases where other blood disorders are involved such as Sickle Cell Anaemia.

Oral Glucose Intolerance

Oral Glucose Tolerance test is yet another method used to detect Diabetes. It is useful in diagnosing Diabetes in difference situations such as:

Urine test

Urine test is undertaken to evaluate the glucose levels in the body as well as to look for the presence of proteins that may indicate kidney disorders. In urine the Ketones are also detected, Ketones are metabolic product when fat is metabolised. Ketones increase when there is insufficient secretion of Insulin from the pancreas. Urine tests are undertaken along with blood tests such as fasting sugar, because urine tests alone can be unreliable.

To read more on Diabetes, click on the link below.

Diabetes Types & symptoms