hello welcome to our Channel today dr. Brenda Agarwal is with us hello Doctor
hello yeah nowadays diabetes become a major problem whities so like you've
heard diabetes has become a major cause for early illness and death in
populations globe across worldwide and the concern is that the prevalence
continues to increase India itself actually represents about 49 percent of
the total diabetes population in this world comparing to other yes
and that number puts it as further most recent records at 7.2 crores so the
concern has been that as these countries as people continue to progress
economically with increased availability of foods like fast foods and people
adopting sedentary lifestyles coupled with of course a higher risk
genetically say if your parents had diabetes we all include this right and
that all increases the risk for developing type 2 diabetes which is the
most common form of diabetes almost about 90% of the total diabetes
population that we see could you tell us doctor what are the signs and symptoms
of diabetes so oftentimes actually there is a big delay in the diagnosis of
diabetes and the reason being that a lot of people almost about 40% of people may
not have any signs of entance so it's usually during a routine general
examination that they get you know get a blood test done for blood
sugars or get a urine testing done for sugars and they are diagnosed with
diabetes but in some cases patients do complain of increased thirst yeah
definitely more thirsty they may complain of frequency a few our nation
that they have to get up multiple times during the night they face any problems
while which hydration no not really unless one or two you know of course
diabetes also increases the risk for developing urinary tract infections so
so some people may complain of pain during mixture is rising and burning
sensation during maturation otherwise they may just notice plainly an
increased frequency of going to the bathroom
some people may also complain of weight loss unexplained weight loss that they
have not been really trying to lose weight it will occur with everybody not
with everybody like I said you know not everybody is a book picture where you
know they have all the signs and symptoms but a lot of patients may
present especially if they have been actually who are suffering from this
condition particular condition right so especially if undiagnosed and their
blood sugars have been really high then they may present with weight loss
because of all the loss of calories in the urine ah okay some patients may
actually present with visual blurring their talk the interesting because
diabetes we know of one of the major concerns with uncontrolled diabetes is
that it tends to affect major organs one of them is eyes eyes so one of the
potential complications of uncontrolled diabetes is the development of cataracts
glaucoma retinopathy so a lot of times people may actually present with eye
complaints and that leads to a diagnosis we take this as a signs and symptoms
right so the patient essentially would come to the clinic and complain that you
know I'm noticing I don't see very clearly when I'm driving I don't see the
objects in front of me very clearly often Lee people will come late about
this right right so those are the most common concerns complaints some people
may just say that I just don't feel right I feel more tired you know I'm
generally feeling a little weaker tired and weak right so those are very general
symptoms but I think anybody anybody can face this so if anybody lands at any say
that right so we further question these people you
know whether this person appears to be at a higher risk for diabetes then may
you know then we may go ahead and suggest that you know that I'd be a flow
male yes it would be appropriate to get tested for it by artists who are the
people who tested for this diabetes so that's a good question because I guess
since there are no major science or science or warning science that will
tell you that you know could I have diabetes it's important to identify a
risk factor they can get an idea right so in general if we follow the American
Diabetes Association older age so age more than 45 but in the in diabetes it
depends on age too right we are talking about the most common form of diabetes
which is type 2 diabetes so older age is a risk factor we see that an Indian
subcontinent the South Asian population patients actually present a decade
earlier so these patients may even be of younger than 45 years of ages what I'm
trying to say then you know if they have any of these risk factors like they're
overweight with a BMI of more than 23 kilograms per meter square or if they
have one or both of their parents diagnosed with diabetes or any
first degree relative with diabetes then their risk goes up by four to six
percent of developing diabetes patients who already have a history of high blood
pressure or high cholesterol levels women who may have had a history of
diabetes during their pregnancy which is called as gestational diabetes yes are
also at a higher risk of developing diabetes prevent this for the child for
the means fetus no so babies don't have diabetes huh so it's basically it's the
same thing that these babies who are born to mothers who develop diabetes
during their pregnancy are at a higher risk of developing diabetes when they
reach their adulthood okay so it is not an immediate phenomenon but just like we
talked about that patients who have their mom or dad yeah mothers so they're
gonna get in a certain age yes so it is you know how it ends right so their risk
goes up by four to six percent and can we prevent this so that's an again a
good question because ideally we see that the reason why diabetes prevalence
is increasing is because of a change in our lifestyle yeah so we can't change
our genes but we can definitely change the environment next around us so
adopting a healthier lifestyle making sure that we eat a more healthy more
balanced diet which is rich in fruits and vegetables eating less it is
important to follow but if I died for the diabetes right so it is important
that you eat less of refined carbohydrates you know less of fast food
and make sure that we get some sort of daily activity the recommendation is
usually say at least 30 minutes of moderate-intensity exercise on most days
of the week so the you know people who smoke should be encouraged to quit
smoking you know if you have an effect so
smoking increases the chances of developing you know heart disease or you
know the risk for a brain stroke so that is why and these are the complications
that we you know associate with diabetes drinking cool drinks are taking the fast
food right so these are real problems related things so especially sugar
sweetened beverages how a comment like right so they should be idly consumed
very less people will skip these kind of things right so is there any chance to
avoid this diabetes that is that is why like I said genetics we can't change but
we can definitely adopt a healthier lifestyle to help improve our chances of
not developing or delaying the diagnosis of diabetes doctor could you tell us how
do we diagnose the diabetes so diagnosis of diabetes is usually based on a blood
test so there are three major criteria for diagnosing diabetes one is your
doctor may ask you to get a fasting blood sugar checked fasting usually for
about a period of 10 to 12 hours and then if the fasting blood sugar is more
than 125 right fasting means before for the meal
so any number or value more than 125 milligrams per deciliter is indicative
of a diagnosis of diabetes second test is also known as hemoglobin a1c or
glycated even see test which value more than or equal to six point five percent
is diagnostic of diabetes the third testing that is done is called
as a blood sugar which is more than or 200 milligrams per deciliter after an
oral glucose-tolerance test so oral glucose-tolerance test is a test where
your doctor will make well have you drink a sugary drink which consists of
75 grams of glucose and thereafter we check your glucose level levels and at 2
hours if your level is equal to 200 raises right then it is diagnostic of
diabetes we recommend that all these tests should be repeated on a separate
day ok to confirm the diagnosis we should go there again and again not
again and again but it has to be confirmed on two separate occasions we
make our diagnosis of diabetes could you tell us doctor or what are the
treatments are available for this so when you get diagnosed with diabetes
your doctor will first and foremost ask you to adopt a healthier lifestyle
which as we spoke about initially go to the first right
so modification in your diet in consultation with a dietitian and 30
minutes or more of some sort of moderate intensity daily exercise if your blood
sugars are noted to be persistently higher than what is recommended at a
follow-up of a minimum of three months your doctor may suggest taking
medications which may include oral medications or injectables like insulin
their insulin so the choice is usually guided by the history of the pills going
to take the insulin I'm suffering from diabetes not really I
think your doctor would be able to identify such weather yes whether you
are like at risk for certain complications from diabetes that would
best respond everybody required insight so your ideally yes the diabetes
develops when there is an absolute deficiency of insulin or your body stops
responding effectively to encircle needed actually who needed insulin so
they need to continue for the life long again this is an ongoing evaluation with
your doctor the doctors usually follow how your
blood sugars have been responding your daily insulin needs so they can stop
them in the middle right I mean if when it comes to normal level what happens is
that a lot of people may develop complications like you know they have
kidney complications or you know certain other issues may arise which may lead to
low blood sugars so if the doctors assesses that hey you know this person
does not need as much insulin they may cut down the need for insulin or you
know they can use suppose if a person there was a reason why they were using
insulin yeah so and if this reason it is so insulin is a hormone which an organ
called pancreas means it will reduce the in
and this hormone insulin is responsible for culturally controlling your blood
sugar levels yes okay so a deficiency of this hormone essentially leads to the
diet cooling of this blood Sugar's higher blood sugars and subsequent
diagnosis of diabetes so what I was trying to say is I think the thing to
include may be that the decision to continue medications or insulin or
choosing one medication over the other or choosing one medicine over insulin or
choosing one insulin over different other types of insulin also is very
patient specific okay I had a patient right and you know what if they have any
other comorbidities if they have any other complications how poor or how good
their blood shall control is so that is where your doctor can help you figure
out what would be the best websites and for best course of treatment for you
thank you so much for joining with us man it was my review yes absolutely
okay videos I hope that you find this video useful if you like this video
please like share subscribe to your channel thank you for watching
For more infomation >> Young Thug Lifestyle | Young Thug Cars | Young Thug House | Young Thug Girlfriend Rika | Wife - Duration: 7:16. 
For more infomation >> Women's Equality Day: Lifestyle Expert Shares Products Made By Women - Duration: 4:39. 
Không có nhận xét nào:
Đăng nhận xét