Categories: Endocrinology

Importance of Constant Monitoring of Diabetes

Diabetes is a chronic illness that influences the way in which the body treats glucose (sugar) in the blood. In Type 1 diabetes, the pancreas can’t deliver insulin, a hormone that permits the body’s cells to use glucose and produce energy. But Type 2 diabetes is two-section suffering: first, the pancreas doesn’t deliver enough insulin, and second, insulin can no longer perform its function because the body’s cells are resistant to insulin.

Individuals suffering from diabetes, regardless of what type, must consult a doctor for life. Type 2 diabetes at times, can be controlled by proper diet, weight loss, and exercise. The majority of individuals with Type 2 diabetes, will need to take medication; which is often administered orally, but sometimes it is given by injection, like, insulin.

As far as its concerned, treating Type 1 diabetes is based on day-by-day insulin injections. Oral prescription isn’t viable for this kind of diabetes.

The importance of controlling blood sugar level:

The above chart shows the range of glucose levels. Understanding the range of your blood glucose level can be a key part of diabetes self-management. If you have diabetes, it is suggested that you have your HbA1c measured at least two times a year. You may need to frequently have your HbA1c measured if:

  • You have recently been diagnosed with diabetes
  • Your blood glucose remains excessively high
  • Your treatment plan has been changed

The HbA1c test can be done at any time of the day and it doesn’t require fasting. The test cannot be utilized in specific circumstances like during pregnancy or in the presence of hemoglobinopathies.

Random glucose test:

A blood test is taken at a random time. Glucose levels are expressed in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Despite when you last ate, a random glucose level of 200 mg/dL (11.1 mmol/L) or higher, recommends diabetes, particularly when combined with any of the signs and symptoms of diabetes like frequent urination or extraordinary thirst or infection around your genital area.

Fasting glucose test:

A blood test is taken after an overnight fast. A fasting glucose level under 100 mg/dL (5.6 mmol/L) is normal. A fasting glucose level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered pre-diabetes. In the event that it is 126 mg/dL (7 mmol/L) or higher on two separate tests, it is an indication that the patient has diabetes.

Two-hour postprandial test:

This blood test is done two hours post-meal (prandial means meal). Normal outcome is 70-140 mg/dL (under 7.8 mmol/L). A plasma value of 200 mg/dl (11.1 mmol/l) or more implies diabetes.

Oral glucose tolerance test:

For this test, overnight fasting is required to measure glucose levels. After drinking a sweet fluid, glucose levels are tested at regular intervals for the next two hours. If the 2-hour level is higher than 200mg/dl (11.1mmol/L), it is an indication that the patient has diabetes.

Many individuals who live with diabetes don’t experience any specific symptoms except if they are encountering hyperglycemia (glucose level is high) or hypoglycemia (glucose level is low). Hyperglycemia can cause huge harm to body organs, which leads to diabetes complications. These include:

  • A cardiac or vascular event, like myocardial infarction (heart attack) or stroke
  • Kidney issues that may need dialysis
  • Eye problems, which may prompt loss of vision
  • Sexual problems like erectile dysfunction
  • Blood circulation problems and scarring, which can result in amputation

To avoid diabetes complications, you should control your blood glucose to limit the danger of hyperglycemia. This will permit you to prevent the complications of diabetes. Keeping an eye on your glucose levels daily, otherwise called self-testing, is a fundamental part of managing diabetes, just like changing lifestyle habits and taking medicines. It permits you to see the effect of the measures you are taking to control your diabetes, including:

  1. Changes made to your eating routine
  2. Getting in shape
  3. Doing physical activity
  4. Taking medicines

At the point when your blood glucose meter shows that your levels are excessively high, you can take the necessary measures to bring it back to normal immediately. This can include adjusting your eating routine (for instance, keeping away from specific foods) or increasing your medication.

Stay committed to monitoring your blood glucose levels

At the point when somebody discovers that the individual is suffering from diabetes, the inspiration to take care of their health is often high in the beginning. All techniques are to be followed to stay away from hyperglycemia. At first, the individual will in general screen their own glucose levels and self-test diligently, as the doctor suggested. Then as time passes by, they once in a while overlook how significant and vital it is to continue doing so. Self-testing your blood glucose levels must be a responsibility you make to yourself, above all else. Without doubt of uncertainty, your doctor will be glad to see you being so thorough because, in the end, it’ll be you who’ll be enjoying the benefits.

Here are a couple of tips that will assist you to stay committed:

  • Pick a blood glucose meter that you like, that meets your lifestyle needs and that is easy to use. Since you’ll need to test your sugar levels a few times each day or week, get the least bothering device you can find.
  • Ensure you ask your doctor to show you the best way to use your glucose meter. That way, you will totally see how it works and its various functions.
  • Carefully read the instructions or check the manufacturer’s website. You will discover extra information that might be of help to you.

At the point when you completely grasp that it is so critical to screen blood glucose and the positive outcome this can have as far as preventing complications, it is easier to stay diligent. Diabetes is a sickness that can be dealt with appropriately when it is paid attention to. Just you have the ability to guarantee your story of diabetes has a happy ending!

Dr. Subramanian Kannan | Consultant Endocrinology | Mazumdar Shaw Medical Center, Bommasandra, Bangalore

Narayana Health

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