Section 1 : Story Line Of Diabetes Route.

Diabetes is one of the colossal Global Health Emergencies of 21st century, cried out by “International Diabetes Federation”and let me tell you that, our country has procured the first place in this “D” for dia- bee-tees malady than its counterparts. Wooh! Thanks to the trend of urbanisation & lifestyle changes – incredible sedentary lifestyle, less physical demanding work and global nutrition transitions which providing us the increased intake of processed food which are completely nutrient deficient.

Grievously, it’s affecting more than 62 millions of Indians and according to Indian Heart Association, in coming years India is projected to be a home to 109 millionaires not dollars but individual with diabetes by 2035. I know many of us must be cudgelling our brains to surmise it – Doesn’t matter what happens in this 14 years gap, Kal kisne dekha hai mam?. But what if I adduce from “National Institute Of Diabetes and Kidney Disease” which accepts that diabetes actually soul- stirring our body in severe forms and can lead to heart disease & strokes, damage our nerves, kidney diseases, eye diseases, gum diseases, sexual & bladder problems, depression, dementia, sleep apnea etc. Furthermore in Asian countries like ours, it is disproportionately high in young to middle age adults.

What this insinuate is that, combination of genetic susceptibility plus adoption of a highly processed foods with the low dose of activity, following a sedentary lifestyle by us is exploding and alarming this cause that not gonna only perturbing our lives but our childrens too and definitely expose danger to next generation.

Now still you want to snooze this dismay and savour our entire life in defending this cause- That is very common now a days yaar so it’s completely normal or will inculcate the certain lifestyle modifications in our lives which is the most effective way to go easy with it – The choice is completely yours.😊

So let’s go through the story of the villain of our lives- Diabetes, revealing its causes to it’s odyssey’s in the most generous species of earth- Obviously Humans.

The Telltale recital of Diabetes:

In most basic form, when our blood sugar (blood glucose) levels are too high and we need to work to bring down the levels by seeking medical attention. This not a satisfactory answer. Right?

Well scientifically, there are 2 plots of the story:

• Either our body cells are not able to make its own insulin hormone by the specialised cells of pancreas called as Islets (Beta cells) which is a contributing factor for the development of Type1 Diabetes (Juvenile Diabetes/Insulin-Dependent Diabetes). Around 5 percent of people are suffering from this.
• And If able to make, but not effectively utilised by our body cells or consumed then that’s too in small amounts, which is called as Type2 Diabetes (Insulin-Independent Diabetes). Around 90-95 percent of individual have this type.

Understand, blood glucose is the main source of energy which comes from the food we eat and insulin is that key which helps to unlock our body cells so that the sugar (glucose) from our food gets entry into them and utilise it in an optimum way so that we get energy for doing our daily chores, including gossiping too. See there are different variations too, for eg:

1. Type 1 Diabetes & Type 2 Diabetes (discussed above).
2. Gestational Diabetes, (GD) which develops in some women when they are pregnant and most of the times it goes after baby is born. But if somebody is having GD then they have a greater chance of developing Type 2 Diabetes later in life.
3. Monogenic Diabetes, a rare form of diabetes that either can be a NDM ( Neonatal Diabetes Mellitus) in new born & young infants and MODY ( Maturity Onset Diabetes Of The Young) a common form than NDM and usually first occurs in adolescence.

Now if you all are agog to interrogate arising how such fluctuations eventuate right through us , then kindly scroll up your touch screens and here you see—Ta-da….causes of course.

Fons et origo (causes) of Diabetes:

Well there is no possible causes of development of this disease as it varies — Depending on individual, Its genetic makeup (don’t relate it with beauty makeup), Type Of Diabetes, Our lifestyle and so on, for eg:

• For Type1, the known risk factors can be : a family history (of Type 1) and moreover it’s an autoimmune cause (where our body is attacking itself) so there is no specific causes but it may get triggered by some viral infections, chemical toxin in the food, genetic predisposition etc. It can develop at any age but more likely to develop when we are child/ in teens/ young adults.
• For Type2, the major known multifactorial risk factors can be : prediabetes, obesity, family history (with Type 2), living a sedentary lifestyle, gestational diabetes, if you have non-alcoholic fatty liver, high B.P, higher triglycerides, have PCOS, a bad diet etc.

These all are on the basis of Researches of National Institute Of Diabetes & Kidney Disease (NIH); Centre Of Disease Control (CDC) & Prevention, The Global Diabetes Community.

Credible Symptoms :

• Symptoms of Type 1: It appears over several week of : Excessive thirst, Frequent urination, Feeling tired all the times, unexplained weight loss, Blurring of vision, Itchiness around penis/vagina, Pains in stomach, Unexpected cramping, loss of appetite etc.
• Symptoms of Type 2 : It develops gradually over several years of : Feeling tired during day ( specifically after meals), Often feeling hungry, Frequent urination, Numbness and tingling sensation in hands, feet etc, Feeling abnormally thirsty, Blurred vision, Itching of skin, Slow healing of cuts etc.

Perplexity in Diabetes Route:

You know what is distressing when we have to completely bargain our lives on medications like: People with Type 1 will need to go onto Insulin injections for lifetime with no other option whereas people with Type 2 and most other forms will have to rely on tablets but can boast onto injections if blood glucose levels remain too high.

I mean this disease bemuses the whole human entity as if we don’t follow our timely schedules and particular doses of taking pills, injections, diet (which many of us not generously follow) make us more vulnerable to either:

• Hypoglycemia, when blood sugar levels are too low which can spring if the person uses more insulin or drugs that causes the body to produce insulin than they need which can be noticed by – sweating, chills, pale face, rapid heartbeat, nervousness, feeling dizzy, nausea, headache etc.

In this case a person should immediately take some candy, sugar drink too relieve the symptoms.

• Hyperglycemia, when blood sugar is too high and a person may notice- Frequent urination, increased thirst, difficulty in breathing, fruity chemical smell on breath, nausea, a dry mouth etc.

So the whole gyaan is laid out to cognize the severity of this disease so that we come out from the delusion of its increasingly common form and better latch on to the idea of adopting— a healthy diet, get physically engaged, make schedule for exercise so that we can reduce the severity effects of it or may reverse the whole mess (type2).

So stay with me as am definitely gonna share how to manage diabetes which rely on the essence of self management, beliefs about efficacy of treatment, self efficacy control.