Tag Archives: Diabetes

Life is not over because you have diabetes. Make the most of what you have, be grateful.~ Dale Evans

Type 1 diabetics should be aware of DKA (diabetic ketoacidosis)

All those who have type 1 diabetes should know about a serious complication which can happen in type 1 diabetes, called DKA (diabetic ketoacidosis).

In this condition blood glucose levels shoots up, out of proportion, along with various other physical signs and symptoms. If not treated in time it can lead to loss of life. Hence knowing about DKA is wise and can be protective.

What are the causes?

Generally DKA happens when type 1 diabetic’s body goes through an insult like infection, surgery, heart attack, stroke, pregnancy, cocaine abuse, forgetting regular insulin doses frequently etc.

During illnesses like in case of infection, appetite goes down and therefore the affected individual decreases the dose of insulin he use to take regularly. Due to lack of proper insulin doses the fat in the body break down and make ketone bodies. The latter produces acidic environment in the body, hence it’s termed ketoacidosis (acidosis due to ketone bodies).

How does DKA presents?
It presents with wide range of symptoms, but some of the commons are- pain in abdomen, fast breathing, fruity smell from the mouth (due to ketone bodies), nausea (i.e. vomiting like sensation), vomiting, increased thirst, polyuria (passing large volume of urine) etc.

How to treat DKA?
DKA is a medical emergency. It needs proper medical attention at a well equipped health care center under trained medical staff.

Since DKA patients suffer from huge fluid loss, fluids through venous route is given. Besides fluids, insulin and potassium are also supplemented as required. Regular monitoring of various parameters are done, like blood sugar, body’s acidic situation, blood pressure etc. If treatment is instituted in time by expert DKA management team, the results can be good.

What can a type 1 diabetes patient do to avoid DKA?

Taking regular insulin doses as instructed by their treating doctor.

Consult the doctor in case of any illness even if it is a mild flu.

Keep telephone numbers of emergency services handy.

Ask your doctor, if any particular instruction they would like to give you in regard to your health.

RELATED: Type 1 diabetes

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Why insulin requirement decreases in diabetes patients with long term kidney disease?

Those people who are suffering from diabetes and taking insulin probably become happy when their doctor decreases their dose of insulin or stops insulin.

But if a person is suffering from chronic kidney disease along with diabetes, decrease in insulin doses may not be something to be happy.

When chronic kidney disease deteriorates i.e. progresses to advanced stages, the requirement of insulin falls in diabetics.

Now the question is:

Why insulin requirement falls in advanced stages of chronic kidney disease?

Answer:

  • In advanced stages of chronic renal failure, the kidneys excretion capacity of insulin molecules decrease, therefore more of the insulin remains in blood. Unless the insulin gets excreted normally the further requirement of insulin is less. In such scenario your doctor might decrease your insulin doses.

Ask you doctor today to be sure why your insulin dose was decreased.

Diabetes and urine microalbumin

Urine microalbumin is a test in which we look for microalbumin levels in urine. This test is commonly recommended for diabetic patients. Usual recommendations are to check its level every year.

Generally microalbumin to creatinine ratio less than 30 is considered normal and levels between 30 and 300 is considered as the range of microalbuminuria.

Microalbuminuria can proceed to kidney failure, so it should not be ignored. Consulting a doctor in this regard is probably the most wise thing to do.

Microalbumin levels can be raised in diseases like diabetes type one, diabetes type two, hypertension etc.

Some might ask if false rise of microalbumin level is possible (which are not directly indicating a kidney problem). Yes, such can happen, if someone exercised severely before going for the urine microalbumin test.

Other possible causes of falsely raised microalbumin are severe high blood pressure, some heart conditions, certain drugs that an individual might be taking, blood in urine, fever or infections. If such a condition preceded before a test an abnormal micoalbumin test result is possible, which warrants repeat testing.

However, single test showing microalbuminuria is generally not considered sufficient and repeat testing after 2 to 3 months are looked for.

In cases of real microalbuminuria, in diabetics, drugs belonging to the group called angiotensin converting enzyme inhibitors or angiotensin receptor blockers are used. Which are commonly claimed as helpful, medical literature too votes for that. Besides that moderate bar on protein ingestion is also wise.

The issue needs guidance of a physician.

Fruit eating in diabetes

Checking blood sugar levels

Huge number of people are having diabetes type 2 today. One issue common with almost all of them is the ridiculous phobia towards eating fruits. Generally the myth explored around is that fruits are going to shoot up the blood glucose level and hurt the diabetes badly.

Probably many more people are out there who share the same thought about eating fruits in diabetes. But the truth seems to be opposite, fruits are good and healthy in diabetics. Continue reading Fruit eating in diabetes

Why insulin is needed for our body?

Insulin is a hormone produced by our pancreas (an organ found in our abdomen). Insulin stores the sugar, fat and protein that we take through our diet.

When the body is lacking insulin or insulin in not able to work efficiently, as in case of diabetes, sugar can’t be stored in our body anymore and hence the level of the sugar in blood increases.

At certain times the fat level in blood can rise due to deficiency of insulin, causing a condition called ketoacidosis (since free fatty acids break down to ketone bodies and makes our body acidic).

Therefore, for our body to function properly insulin is required. Insulin can be taken in injectable forms, beneath our skin, when needed.

For all your health concerns be guided your health care provider and not this blog.

Foot care in diabetes

Most  good physicians ask their patients who have diabetes to keep an eye on their foots. Hence a regular check up of foot is essential both by the doctor and the patient.

Many a times patients are not concerned about the problem since they don’t suffer from any pain due to the foot ulcers. Many apply local antiseptic creams and think they can self medicate and heal the lesion.

But such such self medications may not help at all, specially if the blood glucose level is too high. High blood sugar levels invite bacteria to have a feast on the injured or damaged toe.

The patient don’t feel any pain because excessive sugar level damages the peripheral nerves of our body and our body might fail to produce any pain and therefore the foot ulcers may remain unnoticed or receive less attention by the patient and his family members.

What should be done when such a lesion is found on the foot? BEST step is probably to contact to your healthcare provider and seek their help.

When neglected or improperly treated the end result could be as fatal as an amputation of toe or leg.

So keep an eye on your feet and also be in touch with your doctor.

This post is based on knowledge and understandings of the author. Please cross check the information or issue from other reliable sources. The author don’t guarantee the information shared here are totally correct. So Please be guided by your healthcare provider and not this blog.