Monday, June 29, 2009

type 2 diabetes mellitus

Persons around 4th decade with chronic skin infection should check their blood glucose level, they could be a victim of Type 2 diabetes Mellitus.

often Type 2 diabetes patients are diagnosed during routine lab studies ( often asymptomatic), some may presents as increased urination and thirst. Chronic skin infections, genital ulcers in both men and women.
Other symptoms could be, weakness , fatigue, recurrent blurred vision, peripheral neuropathy,

Obesity and associated family history makes you more vulnerable to type 2 diabetes.

The diagnostic criteria for type 2 diabetes:

ð fasting plasma glucose 126 mg/dl and above.
ð Two hours after glucose load 200 mg/ dl and above.

Other laboratory findings are:
1. In urine sample one could find glucosuria , ketonuria( increased Ketone bodies)

2. In blood testing procedures GTT ( glucose tolerance test), Glycated hemoglobin measurements, serum fructosamine, can be done to monitor the diabetes.

Treatment includes a well balanced diet, which includes 45-60% of total daily calories in the form of carbohydrates, 25-35 % in the form of fat ( of which less then 7% are from saturated fat ) 10- 35 % in form of protein. Regular physical exercise .routine check up of eyes , foot.
Taking alternative for sugar such as artificial sweeteners.
Taking appropriate medicines for treating hyperglycaemia from consultant which includes anti hyperglycaemic drugs , insulin etc..

2 comments:

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