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Living With Diabetes




Author: Ms. Tejas Limaye
Diabetes
•   Chronic Diseases i.e. lasts lifelong

•   Can be controlled well

•   Complications can be prevented

•   Thorough understanding of diabetes is a
cornerstone of management
Top 5 Ways To Manage
             Diabetes
1.   Regular Medications
2.   Healthy Diet
3.   Regular Exercise
4.   Monitoring & Annual Checkup
5.   Education & Awareness
1. Regular Medications
 Oral hypoglycemic drugs / Insulin
 Know how it works?
 Know when to take? (especially with
  respect to meals)
 Know possible side effects
 Regularity is important
 Dose as advised by doctors
 No Self-medication!!
2. Healthy Diet
 Low carbohydrate
 Moderate Proteins
 Low fats
 Rich in vitamins, minerals, antioxidants
 Rich in fibers
 Diabetes Friendly Foods: Fenugreek,
  karela, white oats, whole grains &
  salads
 Limit sweets & refined, processed
  foods
 Take small but frequent meals
3. Regular Exercise
   Lowers Blood Sugar Level
   Improves insulin sensitivity
   Aids weight management
   30-45 minutes per day
   Exercise of moderate intensity (Brisk
    walking, Stair climbing, Swimming,
    Skipping)
4. Monitoring
Understanding Targets
•Fasting   Blood Sugar

Minimum 8 – 10 hours of fasting needed

Target: < 110 mg/dL

•   Blood Sugar after a meal(2 hours after meal)

Target: <140 mg/dL

•   Glycosylated Hemoglobin (HbA1c)

Average of last 3 months blood sugar levels

Target: 6 – 7 %

•   Blood Pressure < 130/85 mmHg
Annual Checkup
•   Eye checkup for retinopathy
•   Foot checkup for neuropathy
•   Urine checkup for microalbuminuria
•   Lipid Profile
•   Other test as recommended by
doctors
5. Awareness & Education

   Base of management
   Know all myths & facts
   Speak to doctors, dieticians, diabetes
    educators about your queries,
    concerns, doubts
   Update yourself regularly
Hypoglycemia
 Short term of complication of diabetes
 Low blood sugar (< 70 mg/dL)
 Reasons
    ◦ Inadequate food
    ◦ Excessive activity/ exercise
    ◦ Extra dose of insulin / medicines
 Take easily absorbable carbohydrates
  like ½ glass fruit juice, 1 tbsp sugar, 1
  tbsp honey etc.
 Check sugar level again after 15
  minutes
Preventing Complications
•   Diabetes can affect eyes, kidneys, nerves & heart.

•Longer    the duration of diabetes    chances of
complications

•   Poorer the control chances of complications

•   For prevention of complications-

        - Tight sugar control

        - Regular Monitoring
Foot Care
•   Examine foot everyday (For any cuts /
injuries)

•   Clean foot properly, wipe off with a cotton
towel before going to bed

•   Never walk bare feet

•   Cut nails straight

•   In case of any injury, see doctors immediately

•Wear    socks & properly fitting footwear
Stress Management
•   Stress kills!

•   Try Meditation, Pranayama

•   Breathing exercises

•   Enjoy being close to nature

•   Have a hobby.

•   Spare time for yourself

•   Be happy always!
Take Away Message
• Avoid  fasting or feasting.
• Limit your caffeine intake. (<2 cups a day)
• Avoid processed, preserved & fried foods.
• Keep a watch on sodium, simple sugars, fats.
• Stay well hydrated.
• Never eat in front of TV or while reading
• Involve friends & family members in diabetes
  management
• Carry a diabetes-I card with you while travelling.


          CONTROL DIABETES
  DON’T LET DIABETES CONTROL YOU!!!

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Living with diabetes

  • 1. Living With Diabetes Author: Ms. Tejas Limaye
  • 2. Diabetes • Chronic Diseases i.e. lasts lifelong • Can be controlled well • Complications can be prevented • Thorough understanding of diabetes is a cornerstone of management
  • 3. Top 5 Ways To Manage Diabetes 1. Regular Medications 2. Healthy Diet 3. Regular Exercise 4. Monitoring & Annual Checkup 5. Education & Awareness
  • 4. 1. Regular Medications  Oral hypoglycemic drugs / Insulin  Know how it works?  Know when to take? (especially with respect to meals)  Know possible side effects  Regularity is important  Dose as advised by doctors  No Self-medication!!
  • 5. 2. Healthy Diet  Low carbohydrate  Moderate Proteins  Low fats  Rich in vitamins, minerals, antioxidants  Rich in fibers  Diabetes Friendly Foods: Fenugreek, karela, white oats, whole grains & salads  Limit sweets & refined, processed foods  Take small but frequent meals
  • 6. 3. Regular Exercise  Lowers Blood Sugar Level  Improves insulin sensitivity  Aids weight management  30-45 minutes per day  Exercise of moderate intensity (Brisk walking, Stair climbing, Swimming, Skipping)
  • 7. 4. Monitoring Understanding Targets •Fasting Blood Sugar Minimum 8 – 10 hours of fasting needed Target: < 110 mg/dL • Blood Sugar after a meal(2 hours after meal) Target: <140 mg/dL • Glycosylated Hemoglobin (HbA1c) Average of last 3 months blood sugar levels Target: 6 – 7 % • Blood Pressure < 130/85 mmHg
  • 8. Annual Checkup • Eye checkup for retinopathy • Foot checkup for neuropathy • Urine checkup for microalbuminuria • Lipid Profile • Other test as recommended by doctors
  • 9. 5. Awareness & Education  Base of management  Know all myths & facts  Speak to doctors, dieticians, diabetes educators about your queries, concerns, doubts  Update yourself regularly
  • 10. Hypoglycemia  Short term of complication of diabetes  Low blood sugar (< 70 mg/dL)  Reasons ◦ Inadequate food ◦ Excessive activity/ exercise ◦ Extra dose of insulin / medicines  Take easily absorbable carbohydrates like ½ glass fruit juice, 1 tbsp sugar, 1 tbsp honey etc.  Check sugar level again after 15 minutes
  • 11. Preventing Complications • Diabetes can affect eyes, kidneys, nerves & heart. •Longer the duration of diabetes chances of complications • Poorer the control chances of complications • For prevention of complications- - Tight sugar control - Regular Monitoring
  • 12. Foot Care • Examine foot everyday (For any cuts / injuries) • Clean foot properly, wipe off with a cotton towel before going to bed • Never walk bare feet • Cut nails straight • In case of any injury, see doctors immediately •Wear socks & properly fitting footwear
  • 13. Stress Management • Stress kills! • Try Meditation, Pranayama • Breathing exercises • Enjoy being close to nature • Have a hobby. • Spare time for yourself • Be happy always!
  • 14. Take Away Message • Avoid fasting or feasting. • Limit your caffeine intake. (<2 cups a day) • Avoid processed, preserved & fried foods. • Keep a watch on sodium, simple sugars, fats. • Stay well hydrated. • Never eat in front of TV or while reading • Involve friends & family members in diabetes management • Carry a diabetes-I card with you while travelling. CONTROL DIABETES DON’T LET DIABETES CONTROL YOU!!!