The following are some of the common questions frequently asked about diabetes…
Insulin is normally secreted in our body and when this secretion is inadequate, we top it up with external insulin injections and this is not harmful. Insulin administration brings about good control of blood sugars thereby delaying the onset of diabetes related complications. Insulin injections are essential during certain situations like very high blood sugars, pregnancy or post-surgery where it is temporary and can be stopped afterwards. Sometimes it may be the only choice in people who fail to respond effectively to oral anti-diabetic medicines. Also, in people with type 1 diabetes life-long insulin therapy is essential.
Yes, because medicines help you to maintain that control which is vital. If you have doubts consult your doctor who will advise you on whether you need to continue the same or a dose reduction can be tried or whether medicines can be stopped altogether. Never stop taking your medications without the advice form a doctor.
Blood Sugar | Normal | Pre-diabetes | Diabetes |
---|---|---|---|
Fasting | < 110 | 110-125 | > or equal to 126 |
2 hours Post-prandial | < 140 | 140-199 | > or equal to 200 |
HbA1c | <5.7 % | 5.7-6.4 % | > or equal to 6.5 |
- Fasting and post-prandial blood sugars at least once a month
- Hba1c (average sugar) – once in 3-6 months
- Blood pressure at every doctor visit
Annual check-ups:
- Eye test – retinal screening
- Comprehensive feet examination
- Kidney function tests – Blood –> urea, creatinine and electrolytes, Urine –> ACR
- Lipid profile
- ECG
People with diabetes develop gradual loss of vision (diabetic retinopathy) over time because of uncontrolled blood sugars or long duration of diabetes. Initial stages of diabetic retinopathy have no symptoms but an early diagnosis of the complication through retinal screening can be treated to prevent blindness.