CONTROL DIABETES

LIVING WITH DIABETES

 

Importance of good control of Diabetes

All diabetics, whether treated with insulin or not, are susceptible to

certain problems affecting the eyes, kidneys, arteries and

nervous system. These problems are called "the complications of diabetes".

These complications may be quite serious for some diabetics

while others are hardly affected at all.

To give yourself the best chance of avoiding complications :

TRY TO ACHIEVE THE BEST POSSIBLE CONTROL OF YOUR

DIABETES - this is vitally important.

The adherence to diet, exercise and therapy as determined by your doctor, is the only way to achieve good control of your diabetes. Daily self monitoring in the home and at work, and routine check-ups by your doctor, will help verify your condition and permit any changes to be made if necessary.

Self monitoring can include blood glucose testing, urinary

glucose and urinary ketone tests. One or more of these should

be performed on a regular basis as recommended by your

doctor. Traditional examination of urine for glucose, however

does not always reflect the blood glucose concentration.

Blood glucose values higher than your optimum control range

may occur without glucose appearing in the urine (e.g. patients

with a high renal threshold ).

An essential part of good diabetic control is keeping an

accurate record of all tests performed. Results should be

discussed with your doctor at each visit.

A well controlled diabetic feels better and lives a long,

healthy and productive life.

TIPS FOR THE DIABETICS :

As a diabetic, you can lead a normal life provided you carefully

follow your doctor's instructions regarding diet and medications. You

also need to take simple precautions, because you are more

susceptible to infections.

PERSONAL HYGIENE :

Bathe regularly and thoroughly, at least once a day. Apply

talcum powder frequently to areas of the skin prone to excessive

sweating. Bathe feet daily, dry them thoroughly and dust them

with talcum powder, or swab with alcohol. Ringworm or any

other infection of the skin must be treated immediately. See

your doctor. Dental hygiene must be thorough, visit your dentist

regularly and follow the advice.

AVOID INJURY :

Small cuts, even abrasions should be dressed immediately.

Shave with utmost care. In dressing wounds, avoid anti-septics

which may burn or irritate the skin, such as iodine, carbolic acid,

phenol or salicylic acid. Be very careful when cutting your finger

and toe nails. Cut them after a bath when soft, using a nail cutter.

Do not try to cut them very short. The nails should be cut in line

with the toes.

FOOT CARE :

Never walk barefoot. Avoid tight shoes which may cause corns.

Shoes should be broad at the tip so as not to jam the toes.

New shoes should be worn only for about half an hour at a

time, preferably with cotton socks.

Do not cut corns or apply corn removers. If the circulation

of blood in your legs and feet is disturbed or impeded, the

results can be very serious, and you may even lose your feet,

so follow these simple rules :

Massage your feet regularly. Take a regular walk to improve

circulation. Spend a few minutes a day lying down with your feet

raised above the level of your body. Wear warm stockings in

cold weather. Do not wear socks with tight elastic bands. Do not

wear underpants that are tight around the thighs. Do not cross your legs when sitting for long period of time. Do not tie bandages too tight.

WARNING SIGNS :

Inform your doctor immediately, if you notice any of these :

Feeling of numbness or coldness in feet. Tingling or burning

sensation in feet. Cramps in the calves. Change of colour -

deep red or purple - in toes or toe nails or in the skin.

So, the concluding line is "Learn to Live With Diabetes".

Diabetic Foot

Diabetic Foot showing ulcerations
Diabetic Foot showing ulcerations

More by this Author


Comments 23 comments

Jigar 19 months ago

Thanks for commenting. We aim to prvidoe health information that is helpful to people living with diabetes. Please visit us again for regular updates to our post. Enjoy your day!


Roxie 1 3 years ago

My mini schnauzer was diagnosed with diabetes last week. Hae has always been a picky eater and he himself put himself on eating in the evening only. I am having an awful time getting him to eat in the morning. I feed

blue buffalo fish and sweet potato and up until the last few days he doesn't want to eat. I have tried mixing meatballs and ground turkey in it and feeding 1/2 the amount of food at night hoping he will eat in the morning, and to try to get him to eat I have even tried hand feeding which sometimes works. This morning after trying the food 3 times and no insulin yet I used Pam and made him an egg. I broke the yolk and I fixed another one for me as he has shared part of my breakfast for years.

Thank god he ate it


Arun Pushker 3 years ago

Great article. the disease is indeed dreadful but we think of this disease only as a lifestyle disorder. I always follow my blood sugar levels and involve myself in lots of exercises, good food eating habits and Maintaining my general well being. For people who have fear that they may get diabetic, there is this wonderful tool where You can calculate the risk of diabetes occurring to you due to your genes.

It's very simple to get your report generated online by giving some basic details. You may like it, visit www.grass-diabetes.com


Knowledge Ninja profile image

Knowledge Ninja 6 years ago

Great informative hub on diabetes. Most people know someone who is affected by diabetes or are themselves. The the information in this hub is a good start for people wanting to learn more and avoid their foot looking like the picture above.


Kulsum Mehmood profile image

Kulsum Mehmood 6 years ago from Nagpur, India Author

Hi Jennifer. I am really sorry the photographs in this article disturbed you. I am sure you are taking good care of your diabetes and there is no way it would affect you ever. Take care.


JenniferHilton profile image

JenniferHilton 6 years ago from Chicago

I don't know why but I really don't like looking at pictures (like the one you've shown above).

But that reminds me to continue to watch my diet closely (because I'm a type 2 diabetic).

Nevertheless, thanks for the great article.


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Kulsum Mehmood 6 years ago from Nagpur, India Author

Yes cricket_snapper. Diet, exercise and therapy is the only way to achieve good control of diabetes. Diabetes is a silent killer. The patient does not realise the importance of diet control till complications manifest. And by that time it is too late already.


cricket_snapper profile image

cricket_snapper 6 years ago

"The adherence to diet, exercise and therapy as determined by your doctor, is the only way to achieve good control of your diabetes." - And ignoring your doctor can have severe consequences. Everyone with diabetes should take it more serious than some do.


scheng1 6 years ago

My goodness, the swollen foot is horrible. I wish I haven't seen this before dinner.


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Kulsum Mehmood 6 years ago from Nagpur, India Author

Thanks bhwrites for visiting.


bhwrites 6 years ago

Great info. I have a family history of diabetes and am always looking at prevention of this horrible disorder.


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hub-hub 7 years ago from UK,M

bravo hub

maybe this site will help you with more information

http://1stpharmacy.cn


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Kulsum Mehmood 7 years ago from Nagpur, India Author

Kyanisunrise, thank you for visiting.


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Kyanisunrise 7 years ago from Utah

This is packed with good information. Thanks


William F. Torpey profile image

William F. Torpey 7 years ago from South Valley Stream, N.Y.

I've had Type 2 diabetes for years. I'm trying to cure it by playing as much golf as I possibly can! In the meantime, I take my pills. Thanks for the good advice.


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Kulsum Mehmood 7 years ago from Nagpur, India Author

That is very nice C.C.Riter. Diabetics need to be active and do walking and exercises. Diabetes and hypertension go hand in hand and also cholesterol levels. For cholesterol I am taking genxvast-20 to keep it under control. I also take ecosprin-75mgs daily as a blood thinner to prevent clots formation. I am only a borderline diabetic on diet control and walking. Weight has to be watched. Glad to know you have won your weight battle. Thank you very much for visiting and for becoming my fan. May God Bless you.


C. C. Riter 7 years ago

I have mine under control now. I followed my Edochronogists advice and drink one beer a day to check my cholesterol, I walk and stay active and watch my diet. My cholesterol dropped lower than my Dr's, way below 100 and my blood count stays around 90. I lost about 20 lbs too.


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level1diet 7 years ago from Albuquerque, NM

I am taking very large amounts of anti-oxidants, including Resveratrol and Quercetin, the 4 anti-oxidant spices I listed, green tea with EGCG, vitamins C and E, and also take selenium and a few other anti-oxidants, with of course about 12 normal servings of high anti-oxidant vegetables and fruits, berries, etc. Oh, I also take 3 to 5 teaspoon of psillium fiber in all my beverages, added to the already high levels of fiber in the foods.

You may was to read the latest research on resveratrol, from the University of Georgia, published in the Journal Life Sciences, May 2008. You can find this research at PubMed.gov using the keywords "resveratrol quercetin".

Resveratrol stimulates the SIRT1 gene, which in turn leads to a reversal of many aspects of metabolic disease. The research is most promising. Scientists say this product appears to cause endogenous changes to lower inflammation and reduce insulin resistance, which in turn facilitates lipid and glucose metabolic processes and. It appears to block PPARgamma expression among many other of its beneficial effects, without many of the side effects of patented drugs, like the glitazones (no edema and coughing, no weight gain, no weakness or dizziness).

The resveratrol/quercetin combination has been shown to reduce adipose tissue differentiation or the creation of new fat cells by 70%+, and to speed up apoptosis or programmed cell death rates of these adipose tissues by over 300%+, and also improve many other aspects of metabolic disease. Reading the research on this new technology will astound you.

I've been taking it for almost a month now and have lost an addditional 14 pounds with no changes in my diet of exercise program.

By reducing the total mass of the WAT fat cells, the amount of adipose-generated inflammatory cytokines such as IL-6, NFkappaB, Tumor Necrosis Factor-alpha and so on declines rapidly. This further leads to a reduction in inflammation related issues associated with insulin resistance and the resulting hyperglycemia, hyperhomocysteinemia, dislipidemia, and so on.

Further, the growth rates of plaques in the vascular smooth muscle tissues slows dramatically. Fibrinogen levels fall, as do levels of cell adhesion molecules.

This is phenomenally important activity, I don't have to tell you.

For example, the improved glucose metabolism subsequent to reductions in intromyocellular free fatty acids in the skeletal muscles and hepatic tissues leads to reductions in circulating glucose and therefore reduces levels of circulating insulin. Lower insulin is directly related to insulin-like growth factor-1, which is one of the factors mediating the destructive growth of tissues in the retina. Reducing or significantly slowing the destruction of the retina by scarring from high levels of IGF-1 and insulin could dramatically improve the prognosis for patients with diabetic retinopathy. An exciting prospect to be sure.

It appears the the polyphenol extract quercetin synergistically increases the activity of resveratrol by 300% to 500%. Taken together as in the U. of Georgia study, patients seem to respond with amazing speed, as if they are literally 'turning back the biological clock.'

You may want to investigate using this in your practice. Pubmed.gov is an excellent resource from which to gather information quickly from the peer reviewed journals with which you are undoubtedly familiar.


Kulsum Mehmood profile image

Kulsum Mehmood 7 years ago from Nagpur, India Author

Hi level1diet,

I think you are doing very well for good control of diabetes. Also, take Antioxidant tablet once a day. It has now been proved that antioxidants delay aging of the body at large and also of the retina of the eyes. Visit my hub on macular degeneration to find out more about antioxidants.


level1diet profile image

level1diet 7 years ago from Albuquerque, NM

Hi, thanks for the thanks. ;-)

My own mother went blind due to diabetic retinopathy. She went to Los Angeles in 1967 and was given a pituitary hypothsectomy by Dr. Rand in an effort to prevent further destruction of her retina. The operation had only been done a dozen or so times in the world. She regained her vision over a week or so, which lasted about 3 months. Then she went blind again which lasted until she finally died due to many vascular problems in the brain, about 3 years or so later, in 1970. She was only 45.

I have lived with the disease for 15 years longer than she. I am now 60. I was diagnosed during a bout of pneumonia in 2003, though I had had obvious symptoms of the disease for at least 10-12 years before that: diabetic polyneuropathy, very painful aches in the toes, tingling and burning sensations on the soles, with some numbness, raging swings in blood sugar, very high blood pressure (phase 3), and so on. Science now knows much more about the condition and how to control it, if we will use this research properly.

My weight has decreased by over 100 pounds. Blood pressure is now 120/70. Fasting blood sugar is usually around 105 +/-5. No pains in the feet. Clear vision. No kidney problems, and no prostate problems. And, no more insulin injections, no Avandia or Glucophage, no Altace or other blood pressure medications. Life is good again.

I take supplements of chelated minerals, vitamins C and gamma-E, cinnamon, ginger, turmeric, and red pepper, 1 gram/day each. I also take 12 grams of standard fish oil with 180mg EPA and 120mg DHA in each 1 gram capsule daily. I also take 2 capsules of Resveratrol/Quercetin daily containing 250mg Res. and 50mg Querc. I take 200mg of 7-Keto DHEA with 50mg of standard DHEA in the mornings. I avoid omega-6 vegetable oils and reduce sat-fats and trans fats with the exception of coconut oils. I use virgin olive oil for cooking and salads. I also avoid cows milk products, substituting goat milk or soy milk when needed. I eat two or three plate fulls of colorful, high fiber vegetables per day, with about 8 ounces of very lean chicken, turkey, salmon, or wild free range meat per day in total. Of course, I also avoid processed foods and snacks, including sugars and artificial sweetners. I avoid most white starchy vegetables like potatoes, and don't eat breads or cereal grains like rice, wheat and so on, or pasta. I eat all the fresh fruit, berries and nuts I want every day. I drink green tea and chai tea every day several times.

Seems to be working!


Kulsum Mehmood profile image

Kulsum Mehmood 7 years ago from Nagpur, India Author

Hi marisuewrites,

Hi Level1diet,

Thank you very much for reading and appreciating my hubs. I am very happy about joining hubpages. One can exchange views on various subjects so easily. I am myself a borderline diabetic with good control of diabetes with only diet control and walking. Hence this interest in diabetes. But my first love is concerning Eye diseases as I am an Eye Surgeon. Do read some of my hubs on Eye diseases. Thank you.


level1diet profile image

level1diet 7 years ago from Albuquerque, NM

Thanks for this nice overview of controlling diabetes. I especially like the parts about caring for the feet, and so on.

You may want to investigate the ways people can actually reverse their diabetes, if they are type II diabetics due to metabolic syndrome issues, largely related to insulin resistance and inflammation.

I have found that following an anti-inflammatory diet with carefully applied anti-inflammatory supplements in the proper doses has vastly improved my condition and all the parameters, from lipids to hypertension, and glycemic control, etc. Walking or biking daily, getting lots of fresh fish, fish oil, berries, nuts and fruits with high fiber vegetables while avoiding high omega-6 oils and sat-fats, as well as sugars and especially avoiding high fructose sugars has done the trick.

I've lost over 100 pounds, normalized my blood pressure, lowered blood sugar to 105 fasting, lowered LDL cholesterol to normal levels, raised HDL to above 60, improved peripheral neuropathy so there's no more burning or tingling and no numbness, and hair is growing again on my legs. My prostate now functions normally again and I don't need to urinate frequently. From either subjective or objective points of view, my diabetes has been reversed. While it may be too early to claim a cure, there has been dramatic improvement.

I used to take 70 units of insulin/day, with many drugs including Actos, Avandia, Glucophage, Altace, a 'water pill' too, and some others I can't remember. The cost was over $700/month. I gained weight on these drugs, had a cough from the edema, had pains from the swelling, dizziness, and constant food cravings.

Now I take none of these drugs, and my health is vastly improved. I do spend about $150/month on supplements, many of which are used in Indian medicines. But, I've spent thousands of hours researching these issues at the NIH Medical Library at PubMed.gov. Not everyone can do that, nor even understand what they read there. But, getting them to PAY ATTENTION to their disease is the first step.

Thanks again for bringing attention to the need to control and monitor our diabetes. I look forward to reading more from you.


marisuewrites profile image

marisuewrites 7 years ago from USA

My mother was diabetic in the 1950s and 1960s. She lost her eyesight, and was able to get from place to place with the support of her Guide Dog, Bonny. I write about her a lot, and hope you will read some of those hubs, I appreciate your wise advice about diabetes. Thank you for increasing our awareness of this critical disease for so many people.

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