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  1. Asked: January 31, 2024In: Diabetes

    I have Type 1 diabetes. It started when I was only 6-years-old. No one in…

    Dr. Naval Asija
    Dr. Naval Asija
    Added an answer on January 31, 2024 at 12:59 pm

    Type 1 diabetes is an autoimmune condition. In Type 1 diabetes, your immune cells destroy pancreatic tissues. This destruction of pancreatic tissues results in a lack of insulin. Type 1 diabetes mostly affects children and younger people. What triggers this abnormal immune response in type 1 diabeteRead more

    Type 1 diabetes is an autoimmune condition. In Type 1 diabetes, your immune cells destroy pancreatic tissues. This destruction of pancreatic tissues results in a lack of insulin. Type 1 diabetes mostly affects children and younger people.

    What triggers this abnormal immune response in type 1 diabetes is not understood. Why it happens only in some people is also not clear. Siblings of people with Type 1 diabetes are at high risk of Type 1 diabetes, but all of them do not develop it.

    It has been found that Type 1 diabetes might arise due to faulty genetics or some infection.

    There seems to be a small increase in the number of people affected by Type 1 diabetes over the last few decades, although the disease still remains rare. The reason for this slight increase in Type 1 diabetes is also unknown.

    As long as there are many unknown aspects of Type 1 diabetes, it would remain difficult to prevent Type 1 diabetes from developing. What we can still prevent in Type 1 diabetes is complications. With adequate treatment and care, people with Type 1 diabetes can lead a near-normal life.

    Read more about foods for diabetic diet.

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  2. Asked: January 30, 2024In: Diabetes

    Recently, I was told that I have Type 1 diabetes. I did some research on…

    Dr. Mayuri Pandey, MBBS
    Dr. Mayuri Pandey, MBBS
    Added an answer on January 30, 2024 at 7:49 pm

    While Type 1 diabetes is insulin-dependent diabetes that typically affects children, and people with Type 1 have to take insulin injections to make up for the lack of insulin, Type 2 diabetes is non-insulin-dependent diabetes and is very common in adults. In Type 1, the body's immune system destroysRead more

    While Type 1 diabetes is insulin-dependent diabetes that typically affects children, and people with Type 1 have to take insulin injections to make up for the lack of insulin, Type 2 diabetes is non-insulin-dependent diabetes and is very common in adults.
    In Type 1, the body’s immune system destroys its own insulin-producing cells in the pancreas. It is relatively rare and genetically inherited. Type 2 is usually lifestyle driven.

    Although Type 2 and milder than Type 1, it can still cause serious health complications, especially in obese patients.

    Even though neither Type 1 nor Type 2 diabetes has a permanent cure, you can reverse Type 2 diabetes through lifestyle changes like a balanced diet and adequate exercise. Type 1 diabetes cannot be reversed. It can only be managed.

    Read more about type 1 and type 2 diabetes

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  3. Asked: January 30, 2024In: Diabetes

    I am 43 years old and have had diabetes (Type2) for the past five years….

    Dr. Siddhiraj Paramshetti
    Dr. Siddhiraj Paramshetti
    Added an answer on January 30, 2024 at 5:49 pm

    There is a half-truth amongst people that wine and alcohol are good for health to some extent. But, this does not work for patients with diabetes. Alcohol has both short term and long term complications in diabetes. Short term complication is diabetes. Long term complications involve AtherosclerosisRead more

    There is a half-truth amongst people that wine and alcohol are good for health to some extent. But, this does not work for patients with diabetes. Alcohol has both short term and long term complications in diabetes. Short term complication is diabetes. Long term complications involve Atherosclerosis (plaque in arteries).

    In Type 2 diabetes, there is already insulin resistance. Consuming alcohol will cause a preferential breakdown. Alcohol will not allow other carbohydrates to be broken. Therefore, less glucose will be available in the body. This can create a possibility of developing Hypoglycemia (low sugar episode). Hence, it is recommended to avoid alcohol in diabetes.

    Diabetes and alcohol both are involved in promoting Atherosclerosis. In this process, the blood vessels get narrowed from inside. Thus blood flow to the major organs decreases. The brain is usually involved. A person may end up developing a stroke based on the amount of alcohol they consume. The heart can also be affected. Changing your habits is always helpful.

    Read more about health impact of alcohol.

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  4. Asked: January 30, 2024In: Diabetes

    I have Type 1 diabetes. Is it true that if a person has Type 1…

    Dr. Divya Rohra
    Dr. Divya Rohra
    Added an answer on January 30, 2024 at 10:17 am

    Metformin helps reduce insulin resistance in diabetes. Insulin resistance is characteristic of Type 2 Diabetes, and it develops over time with increased blood sugar levels.  However, Type 1 Diabetes can also develop insulin resistance if blood sugar levels have been above normal limits for a loRead more

    Metformin helps reduce insulin resistance in diabetes. Insulin resistance is characteristic of Type 2 Diabetes, and it develops over time with increased blood sugar levels. 

    However, Type 1 Diabetes can also develop insulin resistance if blood sugar levels have been above normal limits for a long time. This condition is sometimes called double diabetes. 

    Some experts believe that Metformin can be given to people with Type 1 Diabetes without insulin resistance as it may help manage blood sugar levels better. But some don’t believe in this practice. They only prescribe Metformin if you have developed insulin resistance.

    Studies also suggest that Metformin can be useful in Type 1 diabetes patients for the following reasons:

    1. Decreases cholesterol levels
    2. Helps manage weight
    3. Improves insulin sensitivity
    4. Reduces the risk of a heart condition. 

    It is best to consult with your doctor and follow his instructions while taking medication for diabetes. You may or may not be prescribed Metformin.

    Read more about treatment of Type 1 Diabetes in India

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  5. Asked: January 29, 2024In: Diabetes

    Hello! I got diagnosed with Type 2 diabetes a few years back. I want to…

    Dr. Mayuri Pandey, MBBS
    Dr. Mayuri Pandey, MBBS
    Added an answer on January 29, 2024 at 12:57 pm

    There is no cure for Type 2 diabetes, but it can be controlled and managed so that you can lead a regular life. A healthy lifestyle, balanced diet, exercise, and medicines are important to maintain blood sugar levels. All these go hand-in-hand. Only then can you control diabetes. Avoiding medicinesRead more

    There is no cure for Type 2 diabetes, but it can be controlled and managed so that you can lead a regular life. A healthy lifestyle, balanced diet, exercise, and medicines are important to maintain blood sugar levels. All these go hand-in-hand. Only then can you control diabetes. Avoiding medicines will not benefit you. It can lead to complications.

    It is vital that you monitor your blood sugar level regularly with tests like FBS (fasting blood sugar), PPBS (postprandial blood sugar), and HbA1c (haemoglobin A1c) tests. This can help you understand whether incorporating these changes in your lifestyle are helpful or not.

    In addition, you can also consult a nutritionist to make a custom plan.

    Read more about glycemic index.

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  6. Asked: January 29, 2024In: Diabetes

    I was recently diagnosed with diabetes; What dietary changes should I make to manage my…

    Dr. Mayuri Pandey, MBBS
    Dr. Mayuri Pandey, MBBS
    Added an answer on January 29, 2024 at 8:09 am

    Take all your prescribed medicines regularly and follow up with your doctor. Diet and lifestyle play an important role in diabetes management. A healthy diet, rich in nutrients that do not cause a blood glucose spike, would be an ideal choice to manage diabetes. Eating meals rich in nutrients but wiRead more

    Take all your prescribed medicines regularly and follow up with your doctor. Diet and lifestyle play an important role in diabetes management. A healthy diet, rich in nutrients that do not cause a blood glucose spike, would be an ideal choice to manage diabetes. Eating meals rich in nutrients but with low glycemic index is a good option. Including whole grains like brown rice, barley, millets and buckwheat with whole fruits and vegetables are recommended to help manage diabetes. 

    You should make a diet plan that involves small frequent meals a day after a definite time interval. It will foster good use of the insulin available in your body. Avoid packed, processed, deep-fried foods, juices and sugary beverages as uncontrolled diabetes can increase the risk of heart diseases and stroke. A good diet will help you manage your weight, control your blood sugar, and reduce the risk of developing diabetes related complications.

    Yes, you can eat rice, but remember the following tips-

    1. Consume rice in moderation.
    2. Add a lot of salads, buttermilk, green vegetables and dal to your plate while having rice.
    3. Avoid rice at bedtime.
    4. Choose the right variety of rice – brown rice is a good option. Otherwise, choose the rice with dark colour and longer sized grains. 

    Before taking on any diet plan, it is always better to consult your doctor or dietician. They will help you prepare a diet plan suitable for your needs and lifestyle.

    Reference:

    Diabetes diet: Create your healthy-eating plan [Internet]. Mayo Clinic. 2022 [cited 4 January 2022]. Available from: https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-diet/art-20044295

    Read more about diabetic plate method

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  7. Asked: January 29, 2024In: Diabetes

    I have been suffering from Type 1 diabetes. Currently, I am taking Janumet XR CP…

    Dr. Mayuri Pandey, MBBS
    Dr. Mayuri Pandey, MBBS
    Added an answer on January 29, 2024 at 7:43 am

    Knowing the diabetic person's history and treatment duration is critical to understanding the abnormality. A higher postprandial blood glucose (PPBS) level suggests that your liver does not stop producing sugar after a meal and stores it in the form of glycogen.  Lantus is a long-acting insulinRead more

    Knowing the diabetic person’s history and treatment duration is critical to understanding the abnormality. A higher postprandial blood glucose (PPBS) level suggests that your liver does not stop producing sugar after a meal and stores it in the form of glycogen. 

    • Lantus is a long-acting insulin analogue that improves glycemic control. 
    • Metformin and Janumet XR CP both decrease the production and absorption of sugar in the body so that it can utilise glucose more efficiently. 
    • Voglibose controls blood glucose levels after meals by stopping the action of digestive enzymes that break down complex carbohydrates into simple sugars.

    Postprandial sugar levels are high and need adjustment of insulin doses by a diabetologist.. Some healthy lifestyle tips to manage blood glucose levels are as follows:

    • Eat balanced meals high in proteins and dietary fibres at the proper time.
    • Increase your intake of high fibre food like whole grains, fruits and vegetables.
    • Avoid eating processed carbohydrates and sugary foods, especially on an empty stomach.
    • Exercise regularly.
    • Monitor blood glucose levels and go for regular checkups with your doctor.

    It is advisable to seek a medical evaluation with your diabetologist before changing your current medication.

    Read more about treatment of Type 1 Diabetes in India

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Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment/advice by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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