Diabetes with Questions

Who should have a diabetes screening?

- All overweight and obese people.
- Those with diabetes in their family (if one of their first-degree relatives is diabetic). )
- Those who urinate frequently at night and lose weight.

-Getting hungry quickly, having a decrease in tolerance to hunger, feeling sleepy after eating, having a headache when hungry, having decreased concentration, becoming sluggish, having frequent drops in sugar, having a sweet tooth. People with high needs.

It is understood whether the person is potentially diabetic or obviously diabetic by measuring fasting blood sugar, simultaneous insulin value measurements or sugar loading.

 

Approximately how long have you had diabetes before being diagnosed?
      Type I diabetes usually occurs in childhood. Since it usually occurs more suddenly and seriously, it is usually diagnosed within a few months.

      Type II diabetics, on the other hand, have had the disease for a long time (this may take years) before being diagnosed. Beyond this, the condition that we call Prediabetes, which may mean a tendency to sugar, and manifests itself as borderline high fasting or postprandial sugar, can be determined in advance. Conditions, which we call insulin resistance, can also be detected in which the insulin level is normal or even excessive, but it is difficult to balance the blood sugar and is insufficient. With regular check-ups and tests performed by your doctor, the possibility of the disease going unnoticed for such a long time can be prevented.

     Moreover, diabetes can cause some damage to the body before it is diagnosed.

Do I Need to Know If I Have Pre-diabetes? What good does it do to know this?

If you have pre-diabetes, your risk of heart disease or stroke is increased by 50% compared to those who do not have pre-diabetes. Therefore, you need to know the risk factors associated with cardiovascular diseases (such as smoking, high blood pressure, high cholesterol). If you have one or more of the risk factors, it is extremely important to treat these factors. It is important.

If you know that you have pre-diabetes, you have the chance to take precautions in time to prevent you from becoming Type 2 diabetic. It has been shown that individuals with pre-diabetes who make the necessary lifestyle changes can prevent or delay Type 2 diabetes by 58%.

     

How is Pre-diabetes Treated?

As a result of an individual nutritional treatment and an exercise program in the form of regular walking for 30 minutes a day, 5 days a week (at least 3 days), the transition from pre-diabetes to diabetes can be prevented with a moderate decrease in body weight (5-10%). or may be delayed. In addition, the development of diabetes can be prevented or delayed with some medications that are used in diabetes, but rather than being a sugar reducer, they enable insulin to be more effective and the liver to produce sugar more slowly.

 

If you have pre-diabetes. If you have pre-diabetes, your risk of heart disease or stroke increases by 50% compared to those without pre-diabetes. Therefore, you need to know the risk factors associated with cardiovascular diseases (such as smoking, high blood pressure, high cholesterol). If you have one or more of the risk factors, it is extremely important to treat these factors.

Who Needs Testing for Pre-diabetes Diagnosis?

    If you are obese and over the age of 45 You need to get tested to find out if you have pre-diabetes. If your body weight is normal and you are around 45 years old, consult your doctor about whether the test is appropriate for you. The presence of risk factors for diabetes and pre-diabetes is investigated in adults younger than 45 years of age and in obese individuals.

     Risk factors other than obesity:

• High blood pressure,

• Low HDL-cholesterol level,

• High triglyceride level,

• Diabetes in the family presence,

• Diabetes occurring during pregnancy,

• A history of giving birth to a baby over 4.5 kg.

 

 

How Often Should I Get Tested?

Pre -diabetes If you have undetected risk factors, you should get tested at least every 3 years. If you have pre-diabetes, you need to be tested at least every year to detect Type 2 diabetes.

 

I just found out that I have diabetes. Is it a very bad disease?
    When diagnosed with diabetes, the person struggles between a series of emotions such as guilt, lack, sadness, anger, despair and confusion. But all of this usually stems from not knowing enough about the disease.
  On the other hand, do not think that you will get used to and accept diabetes overnight. Don't be sad or never mind. This will take some time.
But all will disappear as we learn more about the disease.

 

• Diabetes is not a fatal disease.

• With the right treatment, you can live a normal, long life.

• Diabetes does not prevent you from enjoying life.

• You can enjoy both food and life.

• Diabetes does not mean being disabled.

• You can go on vacation and live a normal life like everyone else.

• Diabetes cannot prevent you from having children.

 

WHAT ARE THE MUST HAVES FOR DIABETES?

Special Shoes-Slippers

Glucose meter (glucose meter is not a household item. It is a personal item. It is not known where your blood sugar will drop. That's why it should always be with you. Some people don't leave the house. Just put it in the showcase and cover it with lace:))

Sugar-fruit juice-sweet biscuits (What if your blood sugar suddenly drops on the street?)

Identity card stating that you are diabetic (At the bus stop If your blood sugar drops and you faint, our people rub your neck with cologne. This does not raise the sugar to normal)

 

Is exercise beneficial for diabetics?

First of all, exercise is a part of a healthy life. Regular physical exercise helps lower blood sugar levels and insulin It helps the body to be more effective.
Additionally:
- It gives more energy.
- It regulates blood circulation.
- It strengthens the muscles.
- It regulates the cholesterol level. It reduces bad cholesterol (LDL) and increases good cholesterol (HDL).
- It prevents or delays the risk of heart attack.
- It helps reduce excess weight by losing calories.

As a result, we can say that exercise has extremely positive effects on diabetics and reduces blood sugar levels.

 

What should diabetics pay attention to when exercising?

Make sure you eat your meal one to three hours before exercising.

If you use insulin, ask your doctor when the insulin blood level reaches its highest level and avoid exercise during this time.

>If you are receiving insulin injection, do not use the body part (arm, leg) where you injected it during exercise.

Avoid exercise if your blood sugar is over 250 mg/dl or below 60.

Your blood sugar is 100 mg/dl. If it is below dl, take carbohydrates recommended by your doctor. 20-30 grams is sufficient for 30 minutes of exercise.

Avoid exercising late at night. Exercise also causes you to lose sleep because it has a stimulating effect like caffeine.

After you start exercising regularly, consult your doctor about the dosage of the medications you use.

Wear comfortable shoes during exercise.

If you are going to do weight exercise, keep the amount of weight low and increase the number of repetitions.

Do not hold your breath or strain while lifting weights. Avoid weights that strain you too much.

Patients with retinopathy (diabetes-related eye damage) should not do weight training

Measure your blood sugar after exercise and constantly monitor the values. Monitoring your blood sugar allows you to see the effects of exercise on your body.

Be sure to drink fluids before and after exercise.

Avoid exercising on hot days.

If possible, do not exercise alone. . Avoid crowded places like gyms and public places to exercise. pay attention.

 

Which diabetic patients cannot do sports?

-Patients with impaired blood sugar balance (sudden rises and falls in blood sugar) patients with foot sores)

-Patients with foot wounds should not walk or jog.

-Patients with neuropathy (loss of sensation in the feet) should not do long walks or jogs. They can swim or do weight training while sitting.

-Patients with a risk of bleeding in the eye should not lift weights.

 

WHAT IS HBA1C?

What is Hemoglobin Alc, WHICH IS COMMONLY MENTIONED IN DIABETES, and in what range are its normal values?
HbAlc is a component of hemoglobin, a red pigment that transmits oxygen in the lungs to all tissues through the bloodstream.

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HbAlc can be measured as a first percentage of circulating hemoglobin by various laboratory methods. HbAlc consists of hemoglobin bonded to glucose by a chemical bond. The current HbAlc level directly depends on the average blood sugar over the 120 days, which is the lifespan of red blood cells containing hemoglobin. This test is the most successful of the methods developed because it gives an overview of blood sugar control.

HbAlc reflects an average of the ups and downs of blood sugar over the past 2 to 3 months.
Blood sugar is a well-regulated sugar. HbAlc value in the patient will be between 3-5.5%.

 

THERE IF HEMOGLOBIN A1C IS NORMAL, CAN IT BE SAID THAT DIABETES CONTROL IS VERY GOOD?

  In general, in diabetes. The HbA1c target is below 6.5. If it is below this value, it can be said that the patient's sugar level is good. However, since HbA1c reflects the sugar average of the past 3 months, it may not fully reflect short-term sudden sugar spikes (for example, sudden sugar spikes right after meals). This situation can cause kidney damage in diabetes. For this reason, it is important for the patient to monitor his/her blood sugar levels when he/she is hungry as well as when he/she is full.

 

DIABETES IDENTITY CARD:

 

In fact, everyone with a chronic disease should carry a card stating this. Especially diabetic

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