Should I treat my Diabetes?

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Why should I treat my Diabetes? 

Keeping your glucose levels close to normal will greatly lower your chances of developing long term complications. If you already have complications, keeping your glucose levels close to normal will help keep these problems from getting worse.

What can be the serious long-term problems due to diabetes?

Diabetes can affect your entire organ systems including:

  • Eyes: Decreased vision and even Blindness
  • Kidney disease: Change in size and function of kidneys which can result in decrease in urine output and swelling of body.
  • Nervous system: Diabetes can result in stroke (weakness of some part of body like left/right hand or leg), abnormal sensation in both feet which can extend to arms also and eventually lead to complete loss of sensations.
  • Heart: Diabetes , if uncontrolled, can lead to heart attacks.
  • Diabetic foot: Diabetes is leading cause of non-traumatic foot amputations. A combination of loss of sensation and decreased blood supply to your feet make it more prone to trauma and subsequent infection.

How do we diagnose Diabetes Mellitus?

Diabetes is diagnosed on basis of blood glucose levels and HbA1c level. These criteria are:

  Normal Value Pre-diabetes Diabetes
Fasting Blood Glucose (mg/dl) <100 100-125 ≥125
2 hour post 75 gm glucose <140 140-199 ≥200
HbA1c <5.7% 5.7-6.4% ≥6.5

What are goals of Diabetes Treatment?

Goals of treatment in Diabetes are two-fold
1. Control of your blood sugar, so that you do not have symptoms like weight loss, increased urination etc.
2. Early identification and treatment of diabetic complications like eye disease, heart disease and kidney disease.

What are the targets for my blood sugar values?

Timing Blood Glucose Value
Fasting and  pre-meals 70-130 mg/dl
Post meals (PP) (2 hr after meal) <180 mg/dl
HbA1c (every 3 monthly)  7% (6-8)*

Author: Dr. Rajiv Singla

A leading endocrinologist and diabetologist from New Delhi. An alumnus of University College of Medical Sciences, Dr. Singla completed his MD (Medicine) from Maulana Azad Medical College (MAMC). He went on to pursue DM (Endocrinology & Diabetes) from reputed AIIMS, Delhi.

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