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What is diabetes?
Diabetes is a chronic condition that impairs the body's natural ability to convert sugar into energy.
The disease can affect people of all age groups and is increasingly affecting young adults and children. -
Dynamics
Normally after a meal, food is broken down into glucose, a sugar, which is carried by the blood to all the cells where the pancreatic hormone, insulin, transforms it into energy.
In people with type 2 diabetes, insulin is not adequately used in the cells of the muscles, liver, and fat tissues.This leads to an accumulation of sugar in the blood. -
Symptoms
The early symptoms of diabetes are very subtle, if present.
About a third of the people who have diabetes are hardly aware that they have the disease. -
Warning Signs
Increased thirst / Dry mouth
Increased appetite
Unusual weight gain / loss
Fatigue
Headaches / Blurred vision
Frequent urination
Frequent or slow-healing infections
Itchy skin in the groin area
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Non - Modifiable Risk Factors
Age - 45 years and above
Ethnicity- Black American, Hispanic, Native American or Asian
Genetics - Family history of diabetes
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Modifiable Risk Factors
Sedentary lifestyle
Body Mass Index (BMI) > 25
Good cholesterol (HDL) < 35mg/dl
Triglycerides > 250mg/dl
High BP in adults > 140/90
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Diagnosis
After the person has fasted for eight hours a simple blood test is done to detect 'fasting plasma glucose'. This is the best diagnostic test for diabetes.
In a person without diabetes, the fasting blood glucose is between 70 and 100 mg/dL
If two tests done separately show values greater than normal, then diabetes is confirmed. -
Complications
When a person has diabetes there is an accumulation of sugar in the blood which can lead to severe complications.
Eye - retinopathy and blindness
Nerves - weakness
Feet - nerve damage/foot sore/gangrene
Heart Attack / stroke
Kidney disease / failure
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Management
Controlled and monitored low-carbohydrate diet
Regular exercises for 30 minutes daily
Medications to control blood sugar
Insulin administration, in some cases
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Prevention
It may be reassuring to know that type 2 diabetes is preventable by making a few lifestyle changes
Go for screening if you belong to the increased - risk group
Eat a balanced and healthy diet
Exercise regularly
Avoid being sedentary and always maintain optimal weight

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