Archive for the ‘Diseases’ Category

How do you define a Diabetes rash?

Monday, June 6th, 2011

An early symptom of diabetes in some people can be skin rash. Whereas others may develop skin rash several years after being diagnosed with diabetes. People with diabetes are prone to develop skin complication as the circulation is often poor. Poor circulation decreases the body’s ability to heal and the skin becomes susceptible to develop rashes and infections.

Several different types of rash can occur in people with diabetes.

Acanthosis nigricans: These appear as dark patches on the skin. The patches are usually present on the back of the neck. The patches can develop on elbows, knees, knuckles, and armpits as well.
Eczema: This is a common type of rash that develops in people with diabetes. It may be red and itchy.
Fungal infections: People with diabetes are prone to develop fungal infections.
Diabetic Dermopathy: These appear as depressed darkened spots on the leg or other parts of the body.
There are several other types of rashes that a person with diabetes can develop. If you notice a skin rash do not ignore it. Most complications of diabetes worsen if not treated appropriately. The same is applicable for skin rash.

What can you do to prevent skin rashes
Maintain blood sugar as normal as possible—take your medication regularly as prescribed by your doctor. Go for regular follow up for blood sugar level checking.
Keep your skin well hydrated—apply creams and oils to avoid dry and cracked skin.
All types of rashes in diabetes are treatable. If you note any type of rash on your skin seek immediate help.

Don’t ignore any problem if you have diabetes………….

Dr Poonam Sachdeva, our in-house medical expert talks about the why what and how in diabetes.

What is High Insulin Levels in diabetes?

Monday, June 6th, 2011

Insulin is a hormone that helps in metabolism of blood glucose. Glucose is the type of simple sugar that the cells use for energy. High insulin levels indicates that your body’s control of blood glucose level and secretion of insulin are not functioning properly.

The fasting blood insulin levels ranges from 5 to 20 microU per mL (mcU/ml refers to micro unit per millimeter).

Understanding High Insulin Levels: Excess blood insulin level leads to;

Weight gain, as the hormone insulin is known to stimulates storage of fat
Sodium retention, and consequently excess water in your system. This can lead to high blood pressure
Accumulation of inflammatory compounds in your blood. These compounds are known to promote damage to the blood vessel walls and encourage formation of blood clots. These factors are known to increase the risk of heart attacks and respiratory failure
Decrease in HDL cholesterol “the good cholesterol”, and increase LDL cholesterol “the bad cholesterol” and triglycerides. These factors are known to increase the risk of heart attacks and stroke.
High blood insulin level has several other side effects—-like it possibly increases the risk of some type of cancers.

The commonest cause of high levels of insulin are insulin resistance and type 2 diabetes. If your doctor suspects high blood insulin levels he or she will recommend a fasting insulin test.

If you blood insulin level ranges from 5-20 mcU/ml it is ideal. If the levels are high consult your doctor to understand the meaning of your test result.

Your food and lifestyle choices can help you to control your blood sugar and insulin levels;

Try to maintain a healthy weight. Consult your doctor to guide you regarding target healthy weight and diet.
Be physically active. Doing regular exercise on most days of the week for just 30 minutes can help to control high blood insulin levels.
Eat balanced and healthy diet. Consult your doctor to guide you regarding healthy food choices.
Dr Poonam Sachdeva, our in-house medical expert talks about the why what and how in diabetes.

What is glycosuria or glucosuria (sugar in urine)?

Monday, June 6th, 2011

Glycosuria in diabetes is a condition whereby the unabsorbed glucose of the body is excreted by way of the urine of the patient. Here, the kidneys are unable to take back the glucose into the blood stream. This state occurs in the absence of proper medication and precautions by the diabetic.

There is, thus, a reduction in the water level into the urine, leading to the patient feeling excessively thirsty.

The main reason for this condition is an increase in the level of blood sugar level. The patient is, therefore, advised to reduce the intake of foods containing simple sugar, such as sugar candies. Also, the component of carbohydrates should be reduced. Fried substances nust e substituted with fresh fruits and vegetables. Again, the patient must drink lots of water to make up for the loss in the body.

Dr Poonam Sachdeva, our in-house medical expert talks about the why what and how in diabetes.

What do you understand by Fasting blood sugar levels test?

Monday, June 6th, 2011

The fasting glucose test or fasting plasma glucose (FPG) is often done to screen for diabetes or diagnose diabetes. It is convenient to do and is not expensive. But unlike oral glucose tolerance test (OGTT) it can miss some people with diabetes or pre-diabetes.

The fasting glucose test is done in the morning (after at least 8 hours of fasting) before you eat or drink anything even tea or coffee as it is most reliable at this time.

Diagnosis based on fasting glucose test

FPG <99 mg/dl is considered as Normal Fasting Glucose FPG between 100 to 125 mg/dl indicates pre-diabetes (or impaired fasting glucose) FPG >126 mg/dl indicates diabetes
If your blood sugar or blood glucose levels are elevated your doctor will recommend repeat testing on a different day to confirm the results.

Dr Poonam Sachdeva, our in-house medical expert talks about the why what and how in diabetes.

In diabetes, what do you understand by 2 hour glucose tolerance test?

Monday, June 6th, 2011

The 2 hour glucose tolerance test is done to diagnose diabetes. The test may be done if the fasting serum glucose is more than 126 mg/dl.

You will be given 75 gm of glucose solution. Blood sample is taken after 2 hour and tested for blood glucose levels.

Based on the blood glucose readings of the 2 hour glucose tolerance test the following diagnoses may be made:

Normal screen: if the blood sugar level is <140 mg/dL Impaired glucose tolerance: if the blood sugar level is 140 to 200 mg/dL Diabetes: If the blood sugar level is > 200 mg/dL
Dr Poonam Sachdeva, our in-house medical expert talks about the why what and how in diabetes.