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Tag: Managing Diabetes over many years

Erratic Glucose Levels

High, fluctuating or unmanageable blood glucose levels can be an overwhelming experience. If you have been living with Diabetes for some time now, you would have seen some variation in your blood glucose levels, despite your best efforts. While you and your partner/family may find this alarming or even frustrating, you need to look at the cause beyond the symptom.

Erratic sugar levels occur when either the body is not producing insulin at all or the glucose is accumulating in the body. Other factors, such as harsh weather, stress, hormonal changes, and the lack of physical activity could also cause erratic blood glucose levels. Food intake and sleeping patterns also play a pivotal role in erratic blood glucose levels. Research suggests that lack of sleep or oversleeping also affects blood glucose levels in the body.

If you have been living with diabetes for over a decade, there may be a possibility of you becoming insulin resistant. Whatever may be the case, we urge you to remain calm and reach out to your doctor immediately. Your doctor may change your medication or insulin dosage according to your current blood glucose levels.

When to worry

While it is true that there are situations that are beyond your control and these lend themselves to spikes in the glucose levels in your body, most of the time, a one-off surge is not a cause of concern. However, you do need to be watchful and keep track to see if there is a pattern to the surges as well as the triggers.

It would help if you can share these observations with your doctor in order to review your treatment plan and required modifications, if any. It is possible that depending on your specific case, the doctor may advise you on how to proceed and be more vigilant with your daily/ pre-meal blood glucose readings.

As per the guidelines set internationally, if your blood glucose levels exceed 300mg/dl for a prolonged time and refuse to dip inspite of best efforts, you need to contact your doctor immediately as high blood glucose levels over a long duration may impact the functioning of other vital organs. You may want to discuss this in detail with your doctor.

What I can do as family/friend of an erratic glucose level person ?

We understand as a partner you may become anxious due to your partner’s unmanageable erratic glucose levels. But don’t give up! Identify the key triggers which are leading to spiking of the blood glucose levels in the body.

Sometimes conditions like allergens, harsh weather, stress, anxiety, depression and uncontrolled binging may also lead to erratic glucose levels. However consult with your doctor, your doctor may alter medications and suggest insulin to control erratic blood glucose levels in the body.

Research also hints people living with diabetes for more than a decade tend to develop insulin resistance, which may cause fluctuating uncontrolled blood glucose levels. As a partner you are recommended not to ignore high erratic blood glucose levels and immediately discuss the best possible ways and plans to control blood glucose level with your doctor.

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

Diabetes

Understanding Diabetes

Understanding Diabetes by Famhealth

What is Diabetes? 

Diabetes is an endocrine disorder that elevates your blood sugar levels over a prolonged period of time. It is caused by the malfunctioning of the pancreatic cells, which produce insufficient or no Insulin.

Why is Insulin so vital ?

Insulin is the hormone that is responsible for the process that converts carbohydrates into sugar; which is then stored it in the body for future use. Insufficient or no secretion of insulin from our pancreas leads to an imbalance in the body, causing liver cells to convert glycogen to glucose and accumulate in the blood stream.

Indications of Diabetes

Some of the most common symptoms suggesting the onset of diabetes are frequent urination, frequent thirst, frequent hunger (even after full meals), unexplained burning, itching or rash in the body, specially the foot, bruising easily, slow healing of wounds or clotting of blood when the skin is broken/cut, tingling or numbness sensation in the extremities of the feet and hands as also extremely low energy levels. However, often these symptoms could go unnoticed leading to undetected diabetes. Hence, it is always a good idea to get yourself regularly checked by a doctor for preventive healthcare.

Why did I get Diabetes?

Leading Endocrinologist Dr Sanjay Kalra from Bharti Hospital, Karnal shares his perspective on why diabetes is spreading like an epidemic. Nearly 70 million Indians are living with diabetes today. This is not a small number. Our genetic make-up is tuned such as to store fat reserves in the body in order to survive severe weather conditons such as famine. In ancient times, these stored food reserves or lipids were converted into energy in the bodies of our ancestors, so that they could survive the harsh living conditions. Cut to the present generations, lifestyle, stress levels, sedentary life, lack of physical activity, unhealthy diets, all contribute to surplus reserves for the body. As a result, the pancreas gets overworked and starts malfunctioning.

Am I at Risk?

There are several factors which may cause diabetes but medical science is yet to ascertain the main cause responsible for a specific person. However research indicates that the following conditions make people twice more likely to get diabetes than those without these conditions.

It could be genetic, family history has a strong role. Other factors such as obesity, high blood pressure high triglyceride levels, presence of diabetes autoantibodies, substance abuse, or excessive consumption of alcohol and tobacco.

Diabetes Ranges

Age 20 and above 
amounts shown as mg/dL
FastingLess than 100
Before Meal70-130
After Meal (1–2 hrs)Less than 180
Before ExerciseIf taking insulin at least, 100
Bed time100-140
HbA1cLess than or around 7.0 %

SOURCES: American Diabetes Association. “Standards of Medical Care in Diabetes—2014,” Diabetes Care, January 2014.

Shown above are blood glucose ranges defined by American Diabetes Association. You’re kindly advised to refer to a doctor as the values may differ slightly with different age & gender.

What is Prediabetes?

When the blood glucose levels are borderline or higher than what they should be. But not as high as people with diabetes is known as Prediabetes. This condition is a “whistle blower” and indicates that you may proceed towards diabetes type 2, if you do not make the necessary changes in your lifestyle.

What are the Types of Diabetes?

You may have already undergone tests and your doctor may have already explained if you have Diabetes, and if so, the specific type you are living with. As a general understanding, the following classifications should give a sense of various types of diabetes:

  • Type 1 Diabetes:
    • Type 1 diabetes is when there is insufficient or no production of insulin in the pancreas. This condition requires external insulin to help your body convert sugars to energy.
  • Type 2 Diabetes:
    • Type 2 diabetes is when the pancreatic cells, become insulin resistant due to a defective response in the receptor cells in the body. This is the most commonly found type worldwide.
  • Gestational Diabetes:
    • Gestational diabetes is when blood sugar levels are raised during the time of pregnancy. This is most likely a temporary condition, in which blood sugar levels are often likely to come back to normal after the delivery.
  • Latent autoimmune diabetes in adults:
    • LADA is when autosomal alterations can lead to defective BETA cell function, resulting in Type 1 diabetes. LADA is often misdiagnosed as Type 2 diabetes in India.

Complications

Diabetes is called as a silent killer because many people remain undetected till such time as the consistently high blood glucose levels start affecting other organs such as the heart, the kidney and the liver – referred to as Macro-vascular complications and the nervous system resulting in foot, gum or vision problems called Micro-vascular complications.

Check for other important co-morbid conditions:

  • Diabetic Retinopathy
  • Kidney Disorders
  • Diabetic Neuropathy
  • Chronic Vascular Disease
  • Liver Disorders
  • Erectile Dysfunction
  • Polycystic Ovarian Disease

What else do I need to know ?

Often many people remain undetected till such time that consistently high blood glucose levels have already started affecting other organs such as your heart, kidney, liver – referred to as Macro-vascular complications, and your nervous system resulting in foot, gum or vision problems called Micro-vascular complications.
If you are “suffering” from any other life style conditions, “co-morbid conditons” consult your endocrinologist/ diabetologist. Your doctor will prescribe specific medications and solutions to manage this or any other complication.

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

Diabetes food

Diabetes excercise

Diabetes Recipe – Tropical Banana Freeze

Diabetes: Tropical banana freeze by Famhealth

Serves: 4, Time taken: 10 minutes plus 1-hour freezing

Nutrition Facts
Makes 4 Servings (Amount per Serving)
Calories (kcal)189.8
Protein (g)2.3
Carbohydrates (g)33.6
Total Sugars (g)17.4
Dietary Fibre (g)3.8
Fat (g)7.2
Saturated Fat (g)5.2

1 tbsp Grated fresh, frozen or desiccated coconut4 Bananas, peeled

1 tbsp Sesame seeds

100ml/3 fl oz Coconut milk

1 tbsp Honey

1 Lime, juice only

Steps:

  1. Slice the bananas into 2.5cm/1” pieces, lay them on a baking tray and freeze until hard (at least one hour)
  2. Dry fry the coconut and sesame seeds, stirring frequently, until browned
  3. Just before serving, take the bananas from the freezer and place in the blender with the coconut milk, honey and lime juice. Blend until smooth. Serve in small glass bowls, garnished with the toasted coconut and sesame seeds.

Note

The Glycaemic Load (GL) of banana depends on the variety of banana, where it was grown, and most importantly, how ripe it is. Choose slightly underripe bananas and the GL can be low as 11, and even the mean of 10 studies was only 12.

For more related recipes, click the link below.

Diabetes

Diabetes Recipe – Mediterranean Veggie Wrap

Diabetes Recipe - Mediterranean Veggie Wrap
Preparation :10 Minutes
Cooking :10 Minutes
Serves :4

Ingredients

  • 4 cups mixed green leaves (cabbage/lettuce/spinach)
  • ½ large cucumber
  • 1 cup chopped tomato
  • ½ thinly sliced red onion
  • ½ cup crumbled cheese
  • 1 tablespoon balsamic vinegar
  • 1 tablespoon olive oil
  • 1 clove garlic minced garlic
  • ¼ teaspoon black pepper
  • 4 light tomato-flavour oval multigrain wraps
  • 2/3 cup hummus

Directions

  • In a large bowl combine all the greens, cucumber, tomato, and red onion and cheese. In a small bowl whisk together vinegar, olive oil, garlic and black pepper. Pour dressing mixture over greens mixture. Toss to combine
  • Spread each wrap about 2 & ½ tablespoon of Hummus. Top each with 1/4th of dressed greens mixture roll up and serve immediately.
Nutrition Facts
Make 4 servings (Amount per serving)
Calories (Kcal)269
Protein (g)16
Carbohydrates (g)35
Total Sugars (g)3
Cholesterol(mg)3
Total fat (g)12
Sodium (mg)574

Note

Remember to manage your portion sizes. Recommended portion size should not exceed 2 servings/helpings. Consuming diabetes friendly recipes in inappropriate portion sizes may lead to spiking of your blood glucose levels.

For more related recipes, click the link below.

Diabetes

Papaya And Coconut Smoothie

Diabetes Recipe - Papaya And Coconut Smoothie by Famhealth
Nutrition Facts
Makes 2 servings(Amount per Serving)
Calories (Kal)                                 205.4                             
Protein (g)4.6               
Carbohydrates (g)32.9               
Total Sugars (g)20.4                
Dietary Fibre (g)4.1              
Fat (g)7.7               
Saturated Fat (g)5.6                

Serves: 2, Time taken: 5 minutes

1 Ripe papaya, peeled, seeded and cut into chunks

2 Oranges, juiced

½ Banana, cut into chunks

90g/3 oz silken tofu

60ml/2 fl oz (4tbsp) Coconut milk

1 tsp grated root ginger

Steps:

  1. Put the papaya, orange juice, banana, tofu, coconut milk and root ginger into the blender.
  2. Blend until smooth and serve immediately. (This is also very refreshing on a hot day if you freeze the papaya chunks and banana first)

Note: Papayas are particularly rich in vitamins C and are also a useful source of antioxidants and fibre. They also contain an enzyme called papain which breaks down protein. In Chinese medicine, papayas have traditionally been given to those who find it difficult to digest protein-rich foods.

The combination of papaya, orange juice and banana delivers quite a high glycemic load, which is why we have added some tofu. It would be wise to eat a protein food alongside this too, such as poached and scrambled eggs without the toast, or a piece of fish.

For more related recipes, click o the link below.

Diabetes