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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

Compliance and Checklist

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

Handy tips for people living with diabetes curated by Famhealth

Handy tips for people living with diabetes

Are you tired of hearing don’t do this? Don’t eat this? Restricting yourself from all the joys of life you previously enjoyed before you were diagnosed with diabetes? Relax! And read on to a few handy tips which can really help you and your partner cope up with diabetes.

Eating Out

Invited for lunch/dinner or party- don’t stop yourself go ahead! But remember not to starve yourself. Starving leads to overeating according to Centre for Disease Control and Prevention, USA. Instead it is advisable to eat a small meal to avoid hunger pangs while eating at a party. You may choose from various diet plans and methods by various dieticians worldwide, but the Plate method suggested by American Diabetes Association is quiet easy to follow. Fill half of your plate with non-starchy fibres vegetables like grilled or barbequed mushrooms, bell peppers, broccoli, beans, cauliflower, capsicum, lettuce, carrots, tomatoes, turnips and onions. 1/4th of your plate with lean protein like grilled fish/cottage cheese/shrimps or chicken. And the rest 1/4th with Low carbs and whole grain breads. Ideally desserts should be replaced by fresh fruits, but you may have a tiny portion. You may also consult your doctor and take medications.

Travel

Have you avoided travelling with family and friends lately? With little preparation, Diabetes induced complications like frequent urination, burning foot syndrome, anxiety, rapid heartbeat, headache, numbness in fingers or simple change in diet can be controlled. Discuss with your physician, your doctor may suggest some medicines or ways to overcome these complications in the best possible way. If you are insulin dependent, you no longer need to compulsorily refrigerate the insulin. There are new and convenient ways of carrying insulin pens and cartridges. For complications like frequent urination adult diapers are readily available for men & women in the medical stores incase of unavailability of proper washrooms.

Exercise Routine

People tend to get irritated or angry when they are not able to achieve their goals. Relax! You can always start again. According to American Diabetes Management programme along with diet you need to run a successful 150 minutes physical activity program per week. We know this is not easy and many people tend to give up. We at Famhealth urge you to initiate a physical activity routine as small as 30 minutes per day. Once the benchmark is set then we can increase it from 30 minutes to 60 minutes per day. You may opt from a wide range of physical activities not restricting yourself only to gyming. You may want to choose Power yoga, Aerobics, Martial Arts like (Kick boxing Tai chi), Cycling, Swimming, Badminton, Pilates, and Jogging, walking to your friends place, climbing stairs and breaking the monotony of gyming.

Medicine Management

This is the most important aspect of diabetes management. Medicines cannot be missed or delayed unnecessarily due to work pressure, mood fluctuations or other engagements. Medicine compliance along with blood sugar monitoring is an ideal way to manage diabetes. Blood sugar levels vary time to time and not remain same even throughout the day. It is very important to monitor your blood glucose levels, as sometimes your blood glucose level may drop causing hypoglycaemia or increase causing Hyperglycaemia. You may discuss with your diabetologist incase you are having more than 4-5 medicines as to which can be taken before meals or after meals based on priority to manage diabetes effectively. You may set an alarm or take the help of your spouse or caregiver in reminding you to take medicines on time.

Stress Management

According to Mariella Meachen Psychotherapist from International diabetes federation, people living with Diabetes may undergo emotional turmoil’s like anxiety, fears, depression, guilt, denial which causes stress. Studies suggest stress hormones like epinephrine and cortisol raises the blood glucose level in the body resulting in poor diabetes management. Research suggests Psychological support from spouse and family help coping up with diabetes. American Diabetes Association suggests changing coping styles like accepting a problem, Saying OK, and learning to relax help you cope with stress. You may also choose to join a sports team, Diabetic community, take dance lessons or learn a new craft. There is no harm in talking to a diabetic educator or seeking a medical counsellor.

Grooming

According to Cleveland Clinic; People with diabetes are more likely to have problems in their mouths—like gum disease, fungus and dry mouth. That’s why mouth care is so important. They should brush with a soft-bristled brush after every meal and floss at least once a day.
As per Joslin Diabetes Center; Ingrown toenails can lead to infection and other problems. Caregivers or family members can help check toe nails once a week for swelling or signs of infection. Toe nails should be trimmed with a nail clipper straight across and then smoothed with an emery board. Don’t round off nail corners.

Bathing

Mild soap and warm (not hot) baths or showers are best to prevent dry skin. Skip foot soaking, which can dry skin. Dry between toes. She should use a doctor-approved moisturizer—including on her feet, except between toes.
A small thing like a callus or cut on the foot can lead to serious problems for anyone with diabetes. And if she has nerve damage from diabetes, she may not even feel a cut or sore. After a bath, she should do a daily skin check, especially of her feet. Give her a hand-held mirror, or look in the places she can’t see. Look for red spots, blisters, and sores.

Erratic Glucose levels

Sometimes erratic glucose levels may happen, you and your caregiver may be very worried and frustrated.
Discuss that with your physician and your physician might recommend some changes in your medication, diet and lifestyle.
There might be a remote possibility of you becoming insulin resistant. Your physician may change your dosage or add another medication.
You may also consider other factors like stress, weather, your physical activity levels, hormonal changes, sleeping patterns for your erratic glucose levels
You may consider talking to diabetelogist to know how to control your glucose levels. Make changes in your existing diet to achieve your goal.

Living with Diabetes

Right approach and positive attitude is very important in managing diabetes. While you may find it challenging to control your cravings, which may effect your blood sugar levels.
Instead find a way to motivate yourself and your partner to stay healthy and achieve your targets.
Join a community or surround yourself with encouraging and positive people.
You may consider talking to a diabetic educator typically a physician or a dietician who will help you in keeping fit and achieve your targets.
Instead of feeling low and lamenting about having diabetes, find out about the ways of managing this disease perhaps you don’t like gyming.
You may consider opting for a physical activity ranging from Yoga, Gym, Marshal Arts or Cycling.
You need to carefully choose what you are eating that does not mean you cannot eat delicious food. There are many Diabetic friendly recipes available which satisfy your taste buds and also maintain your blood glucose levels.
You can go for parties, you can dress well and feel absolutely elated and keep at par with all your day to day activities.
You may sometimes also enjoy your alcohol provided, do not exceed and have your medication on time and regular basis.
Medicine adherence is one of the most important aspects of diabetes management.

Not everybody is similar certain blood glucose lowering medication may cause low blood glucose levels hypoglycemia.