Monday , March 1 2021

Diabetes and Family Factor

According to a recent study in India, there are more than 73 million adults diagnosed with diabetes and unfortunately one in two diabetics does not even know they are in this condition.

Diabetes, a condition commonly known as diabetes mellitus and medically called "diabetes mellitus", is a health problem associated with high blood glucose / sugar levels. The main symptoms of the condition are increased inhibition, frequent urination, unexplained weight loss, fatigue, boiling on the skin, delayed wound healing, etc.

Fortunately, if measures are taken for preventive care rather than medical treatment, diabetes can be maintained. Dose levels can be improved by raising awareness of the problem / symptoms and providing better screening for high-risk overweight / obese people, sedentary lifestyle, poor dietary habits, family history of diabetes, high BP, women with previous gestational diabetes, polycystic ovary , elderly people, etc.

The theme of the World Diabetes Day for 2018 is "The Family and Diabetes". It is well-recognized that any form of diabetes not only affects the patient, but also affects the psychosocial-economic situation of the family. It is known that family support improves the health status of patients with diabetes. Education and awareness raising on family diabetes can have a positive effect on team efforts when diabetes is discontinued. Some important diabetics that may affect your family include:

Childhood diabetes: Type 1 diabetes, formerly referred to as "juvenile diabetes", usually occurs in the first and second decades of life. This condition is more than a million children and teenagers around the world; about 10,000 of them live in India. They need insulin every day for survival.

Insulin is given as an injection using newer devices, such as insulin pens, which alleviates the process. Glucometers help monitor fingerprints for glucose, and with diabetes education and understanding of nutrition and physical activity, patients with type 1 diabetes can live actively.

In childhood, parents play an important role in diabetes mellitus. The support of educational institutions is also important. In recent years, with childhood obesity epidemics, type 2 diabetes, previously associated with adult life, also affects obese children and adolescents – one in 10 children in India is at risk of this condition.

Gestational diabetes (GDM): occurs during pregnancy; this diabetes usually disappears after giving birth. Indians in women have a 11-fold higher risk than the white people who have high blood sugar during pregnancy; almost 90% is related to GDM. GDM risk factors are overweight, a family history of diabetes, an Indian-born, an old child's previous, previous GDM, a PCOS, or over the age of 25 years.

GDM is a risk to both the mother and the child if it is not detected or well controlled. For example, a child may become too big to make the delivery difficult. Your child may also have problems like low blood sugar, jaundice and low calcium levels, and then the child may have a higher risk of overweight and diabetes develops at age. GDM mothers may have a higher risk of cesarean and develop type 2 diabetes in the future.

Prediabets: This condition is diagnosed in blood tests where the blood glucose is more than normal but not high enough to be called diabetes. In simple terms, it is "Fatal Diabetes Mellitus" and an early warning of complete diabetes over the next few years if not controlled. It provides the opportunity to engage in lifestyle interventions and, if necessary, medications to reduce the risk of progression of type 2 diabetes mellitus

Fasting type 2 diabetes is becoming ever more rapid thanks to rapid urbanization, the availability of high-quality calorie foods, sedentary lifestyles, lack of adequate physical activity, aging populations, genetic risk, stress or fever with unhealthy eating patterns, etc. lost both! Scientific research suggests that weight loss with an active and healthy lifestyle in prediabetes and high-risk individuals can reduce the risk of diabetes.

It is necessary to control symptoms in order to improve daily life, while reducing the risk of complications for the eyes, kidneys, feet, heart, etc. Promote a healthy, supportive environment at home, as well as a good lifestyle and nutrition that benefits both adults and adults. and children. Awareness of symptoms of diabetes among family members can ensure that "undisclosed" cases are detected at an early stage and reduce the risk of delayed treatment or complications. Regular clinical and laboratory assessments are required to ensure the achievement and maintenance of diabetes control.

(Author is an Endocrinologist & HOD, Manipal Hospital, Bengaluru)

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