Blood sugar charting is an important pillar of diabetes management. Advanced glucometers should be bought like Acu-check instant, which are supposed to be very accurate. The frequency of blood sugar charting is  at least five times a day in majority of patients and a sixth time in some individual in special cases. One should do the charting and in a fasting...

People with diabetes who smoke and people with diabetes exposed to secondhand smoke have a heightened risk of cardiovascular disease, premature deaths, microvascular  complications, and worse glycemic control when compared to those who do not smoke. Smoking may have a role in development of type 2 diabetes also. A routine and total assessment of tobacco use is essential to prevent smoking...

Normally, blood has a certain level of sugar in it. This range may vary in one’s life due to many external and internal factors. Insulin is the hormone responsible for the maintenance of glucose levels in the body and fluctuations in blood sugar might disturb the insulin production directly or indirectly. A decrease in the production of insulin, and resistance...

Age specific hip fracture risk is significantly increased in both people with type 1 diabetes (relative risk 6.3) and those with type 2 diabetes (relative risk 1.7) in both sexes. Type 1 diabetes is associated with osteoporosis but in type 2 diabetes, and increased risk of a fracture is seen  despite higher bone mineral density (BMD). Providers should assess fracture history...

The aim of increased physical activity is to perform movements that increases Energy usage, Physical activity in terms of Exercises is a structured method to deliver physical fitness. The benefits of Exercises for a Diabetic are: Improves blood glucose controlReduce cardio-vascular risksContribute to weight lossImprove wellbeing Structured exercise intervention over 8 weeks has been shown to lower A1c by 0.66%, in Type...

Diabetes patients are often advised by experts to exercise as this can improve sensitivity toinsulin, and reduce excess fat. Experts believe that this can eventually help in controlling the sugar levels in blood. While exercise is helpful, one has to be cautious before creating an exercise plan if the person has existing diabetes. The exercise plan can be created in...

Diabetes is associated with the development of non-alcoholic fatty liver disease (NAFLD) including its more severe manifestations of non-alcoholic steatohepatitis, liver fibrosis, cirrhosis, and hepatocellular carcinoma. Elevation of hepatic transaminases i.e., SGOT & SGPT enzymes are associated with higher BMI, waist circumference, high triglyceride levels and low HDL cholesterol levels. To assess the damage  due to the fatty liver disease ,one...

The aim of increased physical activity is to perform movements that increases Energy usage, Physical activity in terms of Exercises is a structured method to deliver physical fitness. The benefits of Exercises for a Diabetic are: Improves blood glucose controlReduce cardio-vascular risksContribute to weight lossImprove wellbeing Structured exercise intervention over 8 weeks has been shown to lower A1c by 0.66%, in Type...

People with diabetes who smoke and people with diabetes exposed to secondhand smoke have a heightened risk of cardiovascular disease, premature deaths, microvascular  complications, and worse glycemic control when compared to those who do not smoke. Smoking may have a role in development of type 2 diabetes also. A routine and total assessment of tobacco use is essential to prevent smoking...

Blood sugar charting is an important pillar of diabetes management. Advanced glucometers should be bought like Acu-check instant, which are supposed to be very accurate. The frequency of blood sugar charting is  at least five times a day in majority of patients and a sixth time in some individual in special cases. One should do the charting and in a fasting...

Moderate alcohol intake does not have major detrimental effect on long-term blood glucose management in diabetic patients. Risks associated with alcohol consumption include hypoglycemia and / or delayed hypoglycemia (particularly for those using insulin or secretagogue therapy i.e., sulfonylureas (brand names: Amaryl, Diamicron, Cyblex, Glimer…..). Also there is a resultant Weight gain, and hyperglycemia as a result of intake of excessive...

Doctors are very often asked about multivitamins as preventive supplement. Here is why one should you should take/ not take multi vitamins: Simple multivitamins are probably not required by most adults who eat a balanced diet and get regular sun exposure. Multivitamins may be actually be harmful in some people and these supplements should be taken on doctors recommendations. To ensure...

Normally, blood has a certain level of sugar in it. This range may vary in one’s life due to many external and internal factors. Insulin is the hormone responsible for the maintenance of glucose levels in the body and fluctuations in blood sugar might disturb the insulin production directly or indirectly. A decrease in the production of insulin, and resistance...

Potassium and high blood pressure Potassium regulates the heartbeat and ensures proper function of the muscles and nerves. It is vital for synthesizing protein and metabolizing carbohydrates.  The diet of our ancestors included significant component of potassium but sodium has replaced it in modern diet. Higher use of sodium instead of potassium is one of the key drivers of high blood...

Perform a comprehensive foot evaluation at least annually to identify risk factors for ulcers and amputations. Patients with evidence of sensory loss or prior ulceration or amputation should have their feet inspected at every visit. Obtain a prior history of ulceration, amputation, Charcot foot, angioplasty or vascular surgery, cigarette smoking, retinopathy, and renal diseases Assess current symptoms of neuropathy that is pain,...

Prediabetes is a widespread medical condition affecting a substantial percentage of the adult population worldwide. It is a borderline diabetes condition with frequent high blood sugar levels in the body. Fluctuations in the diet can worsen the condition. Eating healthy during the weekdays and binging on sweets on the weekend can increase the risk of acquiring diabetes type 2. Obesity, sedentary...

Perform a comprehensive foot evaluation at least annually to identify risk factors for ulcers and amputations. Patients with evidence of sensory loss or prior ulceration or amputation should have their feet inspected at every visit. Obtain a prior history of ulceration, amputation, Charcot foot, angioplasty or vascular surgery, cigarette smoking, retinopathy, and renal diseases Assess current symptoms of neuropathy that is pain,...

Normally, blood has a certain level of sugar in it. This range may vary in one’s life due to many external and internal factors. Insulin is the hormone responsible for the maintenance of glucose levels in the body and fluctuations in blood sugar might disturb the insulin production directly or indirectly. A decrease in the production of insulin, and resistance...

People with diabetes who smoke and people with diabetes exposed to secondhand smoke have a heightened risk of cardiovascular disease, premature deaths, microvascular  complications, and worse glycemic control when compared to those who do not smoke. Smoking may have a role in development of type 2 diabetes also. A routine and total assessment of tobacco use is essential to prevent smoking...

Diabetes patients are often advised by experts to exercise as this can improve sensitivity toinsulin, and reduce excess fat. Experts believe that this can eventually help in controlling the sugar levels in blood. While exercise is helpful, one has to be cautious before creating an exercise plan if the person has existing diabetes. The exercise plan can be created in...