What is Diabetes

                                                          Diabetes

Diabetes is a chronic condition in which the body has difficulty to regulate the level of glucose (sugar) in the blood. Glucose is the body's main source of energy, and the hormone insulin which is produced by the pancreas, that helps to move glucose from the bloodstream into cells where it can be used to produce energy.



When insulin is insufficient, or doesn't work properly in the blood, sugar levels in the blood  become too high (hyperglycemia). If it cannot be control  over a period of time it may lead to  damage many organs and tissues of the body.

Types of Diabetes

1. Type 1 Diabetes

  • An autoimmune disease where the immune system attacks the insulin-producing cells in the pancreas.

  • Usually develops in children, teenagers, or young adults, but anyone at any age can be diagnosed with this.

  • In this condition body produces little or no insulin.

  • Requires lifelong insulin therapy.

2. Type 2 Diabetes

  • It is most common type of diabetes. Most of the people are suffering from  this

  • The body becomes resistant to insulin or doesn't produce enough.

  • Risk factors include:

    • Being overweight or obese

    • Physical inactivity

    • Family history

    • Increasing age

  • Diabetes can be managed with lifestyle changes, oral medications, injectable medications.



3. Gestational Diabetes

  • Develops during pregnancy.

  • Usually resolves after childbirth.

  • Increases the mother's risk of developing Type 2 diabetes later in life.

  • Can affect the baby's health if not properly managed during pregnancy.

4. Prediabetes

  • Blood sugar is higher than normal but not high enough for a diabetes diagnosis.

  • Without any precaution over a period of time  people with prediabetes may develop Type 2 diabetes.

  • Healthy lifestyle changes can often prevent or delay progression.


Common Symptoms

Symptoms may develop gradually (especially in Type 2 diabetes) or quickly (often in Type 1 diabetes).

Common symptoms include:

  • Frequent urination

  • Excessive thirst

  • Increased hunger

  • Unexplained weight loss

  • Fatigue

  • Blurred vision

  • Slow-healing cuts or wounds

  • Frequent infections

  • Tingling or numbness in the hands or feet (more common in long-standing Type 2 diabetes)


Risk Factors for Type 2 Diabetes

  • Family history of diabetes

  • Overweight or obesity

  • Lack of regular physical activity

  • Age over 45 years (though younger adults and children can also develop it)

  • High blood pressure

  • High cholesterol or triglycerides

  • History of gestational diabetes

  • Polycystic ovary syndrome (PCOS)


Diagnosis

Healthcare providers commonly use these blood tests:







Treatment

Treatment depends on the type of diabetes.

Diabetes prevention

Lifestyle changes can help to  prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if any one have a higher risk of type 2 diabetes. For example, they may have a higher risk of the disease if they have excess weight or obesity, high cholesterol, or a family history of diabetes.

If a person has been diagnosed with prediabetes — high blood sugar that doesn't reach the level of a diabetes diagnosis — lifestyle changes can prevent or delay type 2 diabetes.

Making a few changes in individuals lifestyle  may help in avoiding  serious diabetes health complications in the future. Nerve, kidney and heart damage are a few possible complications that can be prevented  with some changes. It's never too late to start.



1. Lose weight

Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes can lose at least 5% to 7% of their body weight to prevent diabetes. More weight loss can turn into even greater benefits.



People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years. In this study, they lost about 7% of their body weight with changes in physical activity and diet.

Set a weight-loss goal based on current body weight. Talking to a healthcare professional about reasonable short-term goals and expectations. For example, aim to lose 1 to 2 pounds a week.

2. Be physically active

You can gain many benefits from getting regular physical activity, such as:

  • Losing weight.
  • Lowering your blood sugar.
  • Boosting your sensitivity to insulin — which helps keep your blood sugar within a typical range.
  • Increasing your aerobic fitness.
Goals for most adults to promote weight loss and keep a healthy weight include:



 a. Aerobic activity. Aim for about 30 minutes or more of moderate aerobic activity — such as walking, swimming or biking on most days of the week. Get at least 2.5 hours of moderate aerobic activity a week. Or get at least 75 minutes of vigorous aerobic activity — such as running or swimming laps — a week.

b.Strength training. Do strength training for all major muscle groups at least two times a week to increase strength, balance and skills to keep an active life. Try to spread out the strength training through the week. Strength training can include lifting weights and doing body weight exercises such as squats.

c.Balance training. For older adults, doing balance training two or three times a week can help keep range of motion and lowers the risk of fall.

 d.Sit for less time. Getting up after sitting for a long time, such as sitting at the computer, can help control blood sugar levels.Take a few minutes to stand, walk around or do some light activity every 30 minutes.

3. Healthy eating habits

Plants in diet give vitamins, minerals and carbohydrates to body. Carbohydrates includes sugar and starche — the energy sources for a body — and fiber. Dietary fiber, also called roughage or bulk, is the part of plant foods body can't digest or absorb.

Fiber-rich foods promote weight loss and lower the risk of diabetes. Eat a variety of healthy, fiber-rich foods, which include:

  • Fruits, such as tomatoes, peppers and fruit from trees.
  • Non-starchy vegetables, such as leafy greens, broccoli and cauliflower.
  • Legumes, such as beans, chickpeas and lentils.
  • Whole grains, such as whole-wheat pasta and bread, whole-grain rice, whole oats, and quinoa.

Fiber benefits include:

  • Slowing the absorption of sugars and lowering blood sugar levels.
  • Interfering with the absorption of dietary fat and cholesterol.
  • Managing other risk factors that affect heart health, such as blood pressure and inflammation.
  • Helping in eating less because fiber-rich foods are more filling and energy rich.
Avoid carbohydrates that are high in sugar with little fiber or nutrients. For example, avoid white bread and pastries, pasta from white flour, fruit juices, and processed foods with sugar or high-fructose corn syrup.

4. Eat healthy fats

Avoid eating many fatty foods that are high in calories. To help lose and manage weight, diet should include a variety of foods with unsaturated fats. These are sometimes called healthy fats.

Unsaturated fats — both monounsaturated and polyunsaturated fats — promote healthy blood cholesterol level and good heart and vascular health. Healthy fat sources include:

  • Olive, sunflower, safflower, cottonseed and canola oils.
  • Avocados.
  • Nuts and seeds, such as almonds, peanuts, flaxseed and pumpkin seeds.
  • Fatty fish, such as salmon, mackerel, sardines, tuna and cod.



Saturated fats are found in dairy products and meats. These should be a small part of your diet. You can limit saturated fats by eating low-fat dairy products and lean chicken and pork.

5. Skip trending diets and make healthier choices

Many trending diets — such as the glycemic index, paleo or keto diets — may help lose weight. But there is little research about the long-term benefits of these diets or how they help prevent diabetes.

The goal for diet should be to lose weight and then keep a healthier weight moving forward. So healthy decisions about diet need to include a plan that can keep as a lifelong habit. Making healthy decisions that reflect some of the foods like and traditions may be helpful over time.

One simple way to help make healthy food choices and eat appropriate portion sizes is to divide up plate. For example, aim for plate to include these portions:

  • One-half: fruit and nonstarchy vegetables.
  • One-quarter: whole grains.
  • One-quarter: protein-rich foods, such as legumes, fish or lean meats.

Possible Complications

If blood sugar remains uncontrolled, diabetes can lead to:

A. Short-term

  • Severe low blood sugar (hypoglycemia)

  • Diabetic ketoacidosis (mostly Type 1)

  • Hyperosmolar hyperglycemic state (mostly Type 2)

B. Long-term

  • Heart disease

  • Stroke

  • Kidney disease

  • Eye disease (diabetic retinopathy)

  • Nerve damage (neuropathy)

  • Foot ulcers and infections

  • Increased risk of amputations

  • Gum disease


Prevention

Type 1 diabetes cannot currently be prevented.

The risk of Type 2 diabetes can often be reduced by:

  • Maintaining a healthy weight

  • Exercising regularly

  • Eating a balanced, high-fiber diet

  • Limiting sugary foods and beverages

  • Getting regular health checkups

  • Managing blood pressure and cholesterol


Monitoring

People with diabetes may need to:

  • Check blood glucose regularly using a glucose meter or continuous glucose monitor (CGM).

  • Have HbA1c measured every 3–6 months.

  • Monitor blood pressure and cholesterol.

  • Get yearly eye, kidney, and foot examinations.

When to Seek Medical Care

See a healthcare professional if you experience symptoms such as excessive thirst, frequent urination, unexplained weight loss, or persistent fatigue, or if you have risk factors for diabetes and have not been screened. Seek urgent medical care if you have severe vomiting, confusion, difficulty breathing, or very high blood sugar with dehydration, as these may indicate a medical emergency.

With early diagnosis, appropriate treatment, and healthy lifestyle habits, many people with diabetes can lead long, active, and healthy lives.

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