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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...

Sugar is present in several food products and sometimes  food can be unappetizing if it’s not present. It is added to products like breads, dairy-based foods, salad dressings, and sauces. The sugar is added not just to impart sweetness. It’s also used to extend shelf life and adjust attributes like the texture, body, color, and browning capability of food. You...

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...

Use of non-nutritive sweeteners does not appear to have a significant effect on glycemic management but they can reduce overall calorie and carbohydrate intake. There is a mixed evidence from systematic reviews and meta-analysis for non-nutritive sweeteners use with regard to weight management, with some finding benefit in weight loss while others are suggested weight gain so it is a...

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...

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...

It causes involvement of the eye in terms of retinopathy which can cause blindness, early onset of glaucoma or cataracts. Diabetic retinopathy of the proliferative type, glaucoma and premature Senile cataract are all detrimental to the vision of a diabetes with poor control. Diabetic retinopathy is a highly specific vascular complications of type 1 and type 2 diabetes with prevalence strongly...

Diabetes is linked to diseases of the exocrine pancreatitis which may disrupt the global architecture  or physiology of Pancreas often resulting in both exocrine and endocrine dysfunction. Up to 1 of 2 patients with diabetes may have some degree of impaired exocrine pancreatic function. People with diabetes are at an approximately two fold higher risk of developing a Acute Pancreatitis. Conversely, pre-diabetes...

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...

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...

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...

Hypoglycemia is a state where blood sugar levels fall below 70 mg percent and is and clearly defined medical emergency . This situation may arise in cases where there has been a long gap of food intake despite taking the medicine or undertaking unaccustomed exercises thereby creating an imbalance between the blood sugar and the level of the oral medicine...

Sugar is present in several food products and sometimes  food can be unappetizing if it’s not present. It is added to products like breads, dairy-based foods, salad dressings, and sauces. The sugar is added not just to impart sweetness. It’s also used to extend shelf life and adjust attributes like the texture, body, color, and browning capability of food. You...

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...

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...

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...