Diabetes guidelines

What are Diabetes Guidelines

The diabetes is defined as too much of the sugar glucose which is produced from dietary sugar sucrose in the blood but frequently not sufficient in the cells themselves. The more widespread type is where the patient is overweight and it can be cured by losing weight. The main symptoms of diabetes are fatigue, thirst and frequently persistent infections .It can be diagnosed by inspection of the blood sugar after an overnight fasting of around 10 hours where only water is allowed. If the sugar level is larger than 7mmol or 9 in the elderly per liter in an individual with thirst and polyuria then diabetes is definite. Non symptomatic patients require two tests for diagnosis .There are many diabetes guidelines set by the various authorities like ada 2011 diabetes guidelines, joslin diabetes guidelines, and Canadian diabetes guidelines .We will try to present a general picture of all these diabetes guidelines.

Prevention

Simple lifestyle modifications have shown to be helpful in avoiding or delaying the beginning of type 2 diabetes. To help avert type 2 diabetes and its complications, people should:

v     Try to achieve and sustain healthy body weight;

v     have a healthy diet of between three and five servings of vegetables and fruit a day and decrease sugar and saturated fats ingestion;

v     Be physically dynamic and do at least half an hour of usual, moderate intensity activity on the majority days. More activity is necessary for weight control;

v     Avoid the use of tobacco as smoking increases the risk of many cardiovascular diseases.

Diagnosis and treatment

Early identification can be accomplished through comparatively economical blood testing. Treatment of diabetes entails lowering blood glucose and the levels of further known risk features that harm blood vessels. End to the use of tobacco is also significant to keep away from complications.

Interventions that are both cost effective and reasonable in developing countries comprise:

v     To control blood pressure;

v     Moderate blood glucose management. Here People with type 1 diabetes necessitate insulin; people with type 2 diabetes can be maintained with oral medicines, but may also need insulin;

v     Careful foot care.

Some other costs saving interventions include:

v     Screening for retinopathy .which is a cause of blindness.

v     Screening for initial signs of diabetes linked kidney disease.

v     These procedures should be sustained by a healthy diet, regular physical exercises, preserving a normal body weight and keeping away from tobacco use.

v     The blood lipid control is required to adjust cholesterol levels.

The diabetic neuropathy may be of the larger nerves  sensory in the legs producing pain and lack of sensation and stinging which may require codeine or aspirin or of the autonomic nerves which causes vertigo on standing up  or after meals sweating , postural hypotension , diarrhea at night time ,  impotence etc. and may need tighter management of sugar levels . The patients who report of not being able to get or sustain an erection can be given a vacuum pump followed by a constricting elastic band can or a drug called alprostadil which prevents the breakdown of nitric acid or the oral Sildenafil citrate tablets can be given . Penile prosthetic implants may also be used.

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