Proper Treatment Is Vital For Diabetic Patients: Dr Sakrani
Umer Jamshaid 13 days ago Wed 12th September 2018 | 06:34 PM
People with diabetes need to take an active role in their own care, but patients need to be supported by their health care system to learn how to self manage effectively and timely access to proper treatment and medical advice is also vital.
HYDERABAD, (UrduPoint / Pakistan Point News - 12th Sep, 2018 ) :People with diabetes need to take an active role in their own care, but patients need to be supported by their health care system to learn how to self manage effectively and timely access to proper treatment and medical advice is also vital." These views were expressed by ,Consultant Diabetologist Dr.Javaid Sakrani here on Wednesday while talking to APP.
Dr.Javaid Sakrani said that ,the woman is producing the right amount of insulin, however, the effect of insulin is partially blocked by a variety of other hormones (such as progesterone, prolactin and human placental lactogen) made in the placenta (the organ that provides nourishment to the baby while developing inside the mother), he added.
He said that most women, the pancreas is able to make additional insulin to overcome insulin resistance.
When the pancreas makes all the insulin it can and there still is not enough to overcome the effect of these hormones, gestational diabetes results, added.
About the risk factor of gestational diabetes Dr.Javaid informed that any woman can develop gestational diabetes during pregnancy, however, there are certain factors that put a woman more "at risk" for developing gestational diabetes. These risk factors included over the age of 30, obesity, family history of diabetes, having previously given birth to a very large child (over 9 Pounds, 14 ounces), having previously given birth to a stillborn child birth, having gestational diabetes in a previous pregnancy and high blood pressure, said Sakrani.
About diet plan to pregnant women he said informed that avoid sugar and foods high in sugar, eat complex carbohydrates such as pasta, rice, grains, cereals, crackers, bread, potatoes, dried beans and peas. eat fiber-rich foods such as whole grain cereals and breads, fruits and vegetables. Avoid saturated fats such as fatty meats, butter, bacon, cream and whole milk cheeses,he added.
Dr.Javaid Sakrani said that gestational diabetes usually goes away after pregnancy, but, once a woman has had gestational diabetes, the chances are 75 percent that it will return in future pregnancies.
Dr.Javaid Sakrani informed that Pakistan was one of the countries having the highest number of diabetics and would be placed 4th in this regard by the year 2025.
He said that diabetes mellitus is a chronic disease caused by the body's inability to produce insulin, or by the ineffective use of the insulin produced. Such a deficiency results in increased concentrations of glucose in the blood, which in turn damage many of the body's systems, added.
Dr.Javaid Sakrani further informed that amputations due to diabetes cause unnecessary loss of life and disability. In high-income countries, treatment of diabetic foot complication accounts for 15-25 percent of total health care resources for diabetes, he added.
He also said that foot problems often result from prolonged standing and walking. When combined with diabetes, the patient is at high-risk for foot ulcers.
He emphasized that better environment can also reduce chances of diabetes. There is a lack of recreational parks and grounds. Such facilities are imperative to ensure that the future generation is physically and mentally fit, added.
Dr.Javaid Sakrani said that it is thought as the last stage of treatment although actually it is the first stage, he added. Insulin is a life-saving drug, as oral drugs fail due to the progressive nature of the disease.
He said everyone is concerned and has a role to play in helping to turn the tide of diabetes to protect our future.
Diabetes can be controlled if people are aware about their problems. They can reduce complications like heart attack, kidney failure, paralysis and diabetic retinopathy by regular check-up and using a balanced diet. Sixty per cent of the diabetic condition can be prevented while 50 per cent of complications can be reduced with regular check-up,healthy diet and exercise,Dr.Javaid Sakrani said.