Kulsum Mehmood is an Eye Consultant with 30 plus years of experience. She is single mother and a philanthropist. She is in a full time job.
Diabetes ..... Ugh .....
Living A Normal Life With Diabetes
To avoid Complications, Diabetes should be kept well under control
All diabetic patients, Insulin dependent, as well as non-insulin dependent are prone to develop problems related to eyes, kidneys, nervous system and arteries.These problems are called "the complications of diabetes".
These complications may be serious in some cases
while others may not be affected at all.
To avoid complications we should have a real good control of diabetes.
Strict vigilance of diet, exercise, and medication and regular doctor visits are important for achieving good control of diabetes. Self assessment regarding a good control of boold sugar should be done at home.
Besides blood glucose testing, urinary glucose and urinary ketone tests should be monitored to know about the kidney function in diabetics. Results of these tests should be discussed with the treating doctorduring doctor visits.
With a really good control of diabetes, a diabetic can expect to live a long, healthy, productive life without diabetic complications.
Testing Blood Sugar Level
Tips For The Diabetics .....
As a diabetic, you can lead a normal life provided you carefully
follow your doctor's instructions regarding diet and medications. You
also need to take simple precautions, because you are more
susceptible to infections.
Small cuts, even abrasions should be treated immediately.Be very careful when cutting your finger and toe nails. Cut them after a bath when soft, using a nail cutter.
Regular bath, once a day should be done. Body should be dusted with talcum powder especially the areas which are prone to injury and infection.
Proper brushing of teeth and maintenance of good dental hygiene is recommended
Proper Foot Care
Do not walk barefoot. Footwear should be wee fitting. Tight shoes should be avoided. Cotton socks are good to wear. Get the corns treated properly by a podometrist. Massage the feet regularly to improve circulation of blood.
Treat small injuries and abrasions immediately because diabetics are prone to infections. A small injury if left untreated can develop into a diabetic foot and a gangrene.
Lie down with your feet elevated for at least five minutes. This helps in reducing any water logging and oedema in the lower limbs.
Consult your doctor immediately, if you notice any of these :
Feeling of numbness or coldness in feet.
Tingling or burning sensation in feet.
Cramps in the calves.
Change of colour - deep red or purple - in toes or toe nails or in the skin.
Live A Normal Life With Diabetes.
Foot Care In Diabetes .....
Pay attention to your daily diet ...... what you eat daily really matters a lot .....
Go For a high Protein diet. Include in your daily protein intake, eggs, poultry, groundnuts and soyabean.
Restrict your daily fat intake. This means daily fewer calories. This controls your body weight and thus prevents obesity and limits increase of blood cholesterol and the complications such as stroke, peripheral vascular disease and heart attack.
Exclude from your daily diet, intake of bad carbohydrates. These include sugar, white flour and rice, and sweeteners used in some soft drinks and processed foods. They are low in fibre, so they are absorbed quickly, causing blood sugar to rise. This stimulates your pancreas to produce insulin. Repeated surges of insulin may make your body resistant to it, which causes more to be made. This may lead to diabetes.
Include in your daily diet plenty of good carbs. These include fruits, vegetables, whole grains, legumes and soy. All are rich in fibre, which makes you feel full, prevents overeating and helps keep your blood sugar steady.
- UNDERSTANDING DIABETES
UNDERSTANDING DIABETES HOW THE BODY USES FOOD Understanding how your body turns food into energy and how diabetes changes this process helps you understand why you need to control your diabetes. ...
Stop Diabetes Now
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STOP DIABETES NOW Diabetes is a metabolic disease in which the blood sugar gets elevated either due to deficient formation of insulin or by defective utilization of insulin at the tissue level. The...
Diabetes and Its Complications
- Diabetes And Its Complications
Complications Of Diabetes Short Term Complications Of Diabetes If you have diabetes and your blood glucose level is not controlled and it becomes either too high or too low, you can...
Foot Care in Diabetes
- FOOT CARE IN DIABETES
FOOT CARE IN DIABETES Every 30 seconds a leg is lost to diabetes somewhere in the world. 70% of all leg amputations world wide are caused by diabetes. Most amputations begin with foot ulcers. 5%...
© 2008 Dr Kulsum Mehmood
Jigar on February 23, 2015:
Thanks for commenting. We aim to prvidoe health information that is helpful to people living with diabetes. Please visit us again for regular updates to our post. Enjoy your day!
Roxie 1 on March 30, 2013:
My mini schnauzer was diagnosed with diabetes last week. Hae has always been a picky eater and he himself put himself on eating in the evening only. I am having an awful time getting him to eat in the morning. I feed
blue buffalo fish and sweet potato and up until the last few days he doesn't want to eat. I have tried mixing meatballs and ground turkey in it and feeding 1/2 the amount of food at night hoping he will eat in the morning, and to try to get him to eat I have even tried hand feeding which sometimes works. This morning after trying the food 3 times and no insulin yet I used Pam and made him an egg. I broke the yolk and I fixed another one for me as he has shared part of my breakfast for years.
Thank god he ate it
Arun Pushker on March 22, 2013:
Great article. the disease is indeed dreadful but we think of this disease only as a lifestyle disorder. I always follow my blood sugar levels and involve myself in lots of exercises, good food eating habits and Maintaining my general well being. For people who have fear that they may get diabetic, there is this wonderful tool where You can calculate the risk of diabetes occurring to you due to your genes.
It's very simple to get your report generated online by giving some basic details. You may like it, visit www.grass-diabetes.com
Knowledge Ninja on September 09, 2010:
Great informative hub on diabetes. Most people know someone who is affected by diabetes or are themselves. The the information in this hub is a good start for people wanting to learn more and avoid their foot looking like the picture above.
Dr Kulsum Mehmood (author) from Nagpur, India on August 24, 2010:
Hi Jennifer. I am really sorry the photographs in this article disturbed you. I am sure you are taking good care of your diabetes and there is no way it would affect you ever. Take care.
JenniferHilton from Chicago on August 23, 2010:
I don't know why but I really don't like looking at pictures (like the one you've shown above).
But that reminds me to continue to watch my diet closely (because I'm a type 2 diabetic).
Nevertheless, thanks for the great article.
Dr Kulsum Mehmood (author) from Nagpur, India on July 24, 2010:
Yes cricket_snapper. Diet, exercise and therapy is the only way to achieve good control of diabetes. Diabetes is a silent killer. The patient does not realise the importance of diet control till complications manifest. And by that time it is too late already.
cricket_snapper on July 17, 2010:
"The adherence to diet, exercise and therapy as determined by your doctor, is the only way to achieve good control of your diabetes." - And ignoring your doctor can have severe consequences. Everyone with diabetes should take it more serious than some do.
scheng1 on January 23, 2010:
My goodness, the swollen foot is horrible. I wish I haven't seen this before dinner.
Dr Kulsum Mehmood (author) from Nagpur, India on January 09, 2010:
Thanks bhwrites for visiting.
bhwrites on January 09, 2010:
Great info. I have a family history of diabetes and am always looking at prevention of this horrible disorder.
hub-hub from UK,M on September 23, 2009:
maybe this site will help you with more information
Dr Kulsum Mehmood (author) from Nagpur, India on April 21, 2009:
Kyanisunrise, thank you for visiting.
Kyanisunrise from Utah on April 20, 2009:
This is packed with good information. Thanks
William F Torpey from South Valley Stream, N.Y. on March 13, 2009:
I've had Type 2 diabetes for years. I'm trying to cure it by playing as much golf as I possibly can! In the meantime, I take my pills. Thanks for the good advice.
Dr Kulsum Mehmood (author) from Nagpur, India on March 02, 2009:
That is very nice C.C.Riter. Diabetics need to be active and do walking and exercises. Diabetes and hypertension go hand in hand and also cholesterol levels. For cholesterol I am taking genxvast-20 to keep it under control. I also take ecosprin-75mgs daily as a blood thinner to prevent clots formation. I am only a borderline diabetic on diet control and walking. Weight has to be watched. Glad to know you have won your weight battle. Thank you very much for visiting and for becoming my fan. May God Bless you.
C. C. Riter on March 02, 2009:
I have mine under control now. I followed my Edochronogists advice and drink one beer a day to check my cholesterol, I walk and stay active and watch my diet. My cholesterol dropped lower than my Dr's, way below 100 and my blood count stays around 90. I lost about 20 lbs too.
level1diet from Albuquerque, NM on September 30, 2008:
I am taking very large amounts of anti-oxidants, including Resveratrol and Quercetin, the 4 anti-oxidant spices I listed, green tea with EGCG, vitamins C and E, and also take selenium and a few other anti-oxidants, with of course about 12 normal servings of high anti-oxidant vegetables and fruits, berries, etc. Oh, I also take 3 to 5 teaspoon of psillium fiber in all my beverages, added to the already high levels of fiber in the foods.
You may was to read the latest research on resveratrol, from the University of Georgia, published in the Journal Life Sciences, May 2008. You can find this research at PubMed.gov using the keywords "resveratrol quercetin".
Resveratrol stimulates the SIRT1 gene, which in turn leads to a reversal of many aspects of metabolic disease. The research is most promising. Scientists say this product appears to cause endogenous changes to lower inflammation and reduce insulin resistance, which in turn facilitates lipid and glucose metabolic processes and. It appears to block PPARgamma expression among many other of its beneficial effects, without many of the side effects of patented drugs, like the glitazones (no edema and coughing, no weight gain, no weakness or dizziness).
The resveratrol/quercetin combination has been shown to reduce adipose tissue differentiation or the creation of new fat cells by 70%+, and to speed up apoptosis or programmed cell death rates of these adipose tissues by over 300%+, and also improve many other aspects of metabolic disease. Reading the research on this new technology will astound you.
I've been taking it for almost a month now and have lost an addditional 14 pounds with no changes in my diet of exercise program.
By reducing the total mass of the WAT fat cells, the amount of adipose-generated inflammatory cytokines such as IL-6, NFkappaB, Tumor Necrosis Factor-alpha and so on declines rapidly. This further leads to a reduction in inflammation related issues associated with insulin resistance and the resulting hyperglycemia, hyperhomocysteinemia, dislipidemia, and so on.
Further, the growth rates of plaques in the vascular smooth muscle tissues slows dramatically. Fibrinogen levels fall, as do levels of cell adhesion molecules.
This is phenomenally important activity, I don't have to tell you.
For example, the improved glucose metabolism subsequent to reductions in intromyocellular free fatty acids in the skeletal muscles and hepatic tissues leads to reductions in circulating glucose and therefore reduces levels of circulating insulin. Lower insulin is directly related to insulin-like growth factor-1, which is one of the factors mediating the destructive growth of tissues in the retina. Reducing or significantly slowing the destruction of the retina by scarring from high levels of IGF-1 and insulin could dramatically improve the prognosis for patients with diabetic retinopathy. An exciting prospect to be sure.
It appears the the polyphenol extract quercetin synergistically increases the activity of resveratrol by 300% to 500%. Taken together as in the U. of Georgia study, patients seem to respond with amazing speed, as if they are literally 'turning back the biological clock.'
You may want to investigate using this in your practice. Pubmed.gov is an excellent resource from which to gather information quickly from the peer reviewed journals with which you are undoubtedly familiar.
Dr Kulsum Mehmood (author) from Nagpur, India on September 29, 2008:
I think you are doing very well for good control of diabetes. Also, take Antioxidant tablet once a day. It has now been proved that antioxidants delay aging of the body at large and also of the retina of the eyes. Visit my hub on macular degeneration to find out more about antioxidants.
level1diet from Albuquerque, NM on September 29, 2008:
Hi, thanks for the thanks. ;-)
My own mother went blind due to diabetic retinopathy. She went to Los Angeles in 1967 and was given a pituitary hypothsectomy by Dr. Rand in an effort to prevent further destruction of her retina. The operation had only been done a dozen or so times in the world. She regained her vision over a week or so, which lasted about 3 months. Then she went blind again which lasted until she finally died due to many vascular problems in the brain, about 3 years or so later, in 1970. She was only 45.
I have lived with the disease for 15 years longer than she. I am now 60. I was diagnosed during a bout of pneumonia in 2003, though I had had obvious symptoms of the disease for at least 10-12 years before that: diabetic polyneuropathy, very painful aches in the toes, tingling and burning sensations on the soles, with some numbness, raging swings in blood sugar, very high blood pressure (phase 3), and so on. Science now knows much more about the condition and how to control it, if we will use this research properly.
My weight has decreased by over 100 pounds. Blood pressure is now 120/70. Fasting blood sugar is usually around 105 +/-5. No pains in the feet. Clear vision. No kidney problems, and no prostate problems. And, no more insulin injections, no Avandia or Glucophage, no Altace or other blood pressure medications. Life is good again.
I take supplements of chelated minerals, vitamins C and gamma-E, cinnamon, ginger, turmeric, and red pepper, 1 gram/day each. I also take 12 grams of standard fish oil with 180mg EPA and 120mg DHA in each 1 gram capsule daily. I also take 2 capsules of Resveratrol/Quercetin daily containing 250mg Res. and 50mg Querc. I take 200mg of 7-Keto DHEA with 50mg of standard DHEA in the mornings. I avoid omega-6 vegetable oils and reduce sat-fats and trans fats with the exception of coconut oils. I use virgin olive oil for cooking and salads. I also avoid cows milk products, substituting goat milk or soy milk when needed. I eat two or three plate fulls of colorful, high fiber vegetables per day, with about 8 ounces of very lean chicken, turkey, salmon, or wild free range meat per day in total. Of course, I also avoid processed foods and snacks, including sugars and artificial sweetners. I avoid most white starchy vegetables like potatoes, and don't eat breads or cereal grains like rice, wheat and so on, or pasta. I eat all the fresh fruit, berries and nuts I want every day. I drink green tea and chai tea every day several times.
Seems to be working!
Dr Kulsum Mehmood (author) from Nagpur, India on September 29, 2008:
Thank you very much for reading and appreciating my hubs. I am very happy about joining hubpages. One can exchange views on various subjects so easily. I am myself a borderline diabetic with good control of diabetes with only diet control and walking. Hence this interest in diabetes. But my first love is concerning Eye diseases as I am an Eye Surgeon. Do read some of my hubs on Eye diseases. Thank you.
level1diet from Albuquerque, NM on September 29, 2008:
Thanks for this nice overview of controlling diabetes. I especially like the parts about caring for the feet, and so on.
You may want to investigate the ways people can actually reverse their diabetes, if they are type II diabetics due to metabolic syndrome issues, largely related to insulin resistance and inflammation.
I have found that following an anti-inflammatory diet with carefully applied anti-inflammatory supplements in the proper doses has vastly improved my condition and all the parameters, from lipids to hypertension, and glycemic control, etc. Walking or biking daily, getting lots of fresh fish, fish oil, berries, nuts and fruits with high fiber vegetables while avoiding high omega-6 oils and sat-fats, as well as sugars and especially avoiding high fructose sugars has done the trick.
I've lost over 100 pounds, normalized my blood pressure, lowered blood sugar to 105 fasting, lowered LDL cholesterol to normal levels, raised HDL to above 60, improved peripheral neuropathy so there's no more burning or tingling and no numbness, and hair is growing again on my legs. My prostate now functions normally again and I don't need to urinate frequently. From either subjective or objective points of view, my diabetes has been reversed. While it may be too early to claim a cure, there has been dramatic improvement.
I used to take 70 units of insulin/day, with many drugs including Actos, Avandia, Glucophage, Altace, a 'water pill' too, and some others I can't remember. The cost was over $700/month. I gained weight on these drugs, had a cough from the edema, had pains from the swelling, dizziness, and constant food cravings.
Now I take none of these drugs, and my health is vastly improved. I do spend about $150/month on supplements, many of which are used in Indian medicines. But, I've spent thousands of hours researching these issues at the NIH Medical Library at PubMed.gov. Not everyone can do that, nor even understand what they read there. But, getting them to PAY ATTENTION to their disease is the first step.
Thanks again for bringing attention to the need to control and monitor our diabetes. I look forward to reading more from you.
marisuewrites from USA on September 29, 2008:
My mother was diabetic in the 1950s and 1960s. She lost her eyesight, and was able to get from place to place with the support of her Guide Dog, Bonny. I write about her a lot, and hope you will read some of those hubs, I appreciate your wise advice about diabetes. Thank you for increasing our awareness of this critical disease for so many people.