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Any form of diabetes undetected in time may give severe complications for the body. It is therefore important that this disease is diagnosed early in order to be treated properly. Diabetes is characterized by increasing blood glucose (hyperglycaemia). What is diabetes? The disease is installed when the pancreas does not produce enough insulin or when the body can not effectively use its produced insulin. To enter the cells where it is used as fuel, glucose needs insulin – hormone secreted by the pancreas. When the body does not have the hormone or when he can not use it to convert glucose into energy, to install the disease. There are several types of diabetes: type 1 diabetes mellitus (insulin-dependent), type 2 diabetes (noninsulino-dependent diabetes), gestational diabetes, secondary diabetes caused by certain endocrine diseases (such as pancreatitis, for example), diabetes insipidus (excretion of large amounts of very dilute urine), etc.. 6 steps to recognize diabetes: Step 1. Type 2 diabetes is most common form of the disease. Approximately 90% of diabetics suffer from this type of diabetes. Generally affects people with ages over 45 years, but lately becoming more youth. Their body can not effectively use its own insulin. Type 2 diabetes is a genetic disorder and some people are considered at high risk of disease: obesity, sedentary. Unfortunately, this type of diabetes is very difficult to detect. Step 2. Type 1 diabetes (pancreas that produce insulin in a manner insufficient) is a less common form. It affects about 10% of cases. People with type 1 diabetes in particular children and young people (and is also called juvenile diabetes). The disease involves an injection of insulin treatment, the patient can not survive otherwise. Type 1 diabetes is not hereditary. Step 3. Gestational diabetes is hyperglycemia first detected during pregnancy. Due to reduced disease manifestation, as in type 2 diabetes, gestational diabetes is more likely detected in prenatal health checks. Step 4. Signs that can alert you about this disease are: very thirsty during the night, tiredness, physical weakness, increasing the amount of urine and urinary frequency. In type 2 diabetes symptoms are less pronounced. Therefore, most people that get the disease is diagnosed after several years of its occurrence, when there are already many complications. Step 5. After onset, the patient shows symptoms such as reduce vision, slow healing wounds, repeated urinary infections and skin and difficult to treat. Step 6. Persons older than 45 years have increased risk of illness (those who have a family 2 diabetic, hypertensive women with gestational diabetes, obese) should check their blood glucose every 3 years to see if this is in the normal range (higher threshold 110mg/dl). Common risks of diabetes: In the long term, diabetes can cause heart disease, blood vessels problems, and can affect eyes, kidneys and nerves. – Diabetic retinopathy: is one of the important causes of blindness and is caused by damage to blood vessels in the retina (vitreous hemorrhage in copra). Shows in 90% of diabetics, eye diseases of varying degrees, some of them completely losing their sight; – Diabetic neuropathy: Nerve damage is caused by diabetes, which affect about 50% of diabetics. Common symptoms of this disease are tingling and pain in hands and feet, weakness of the body so strong. Associated with poor blood circulation, increases the risk of neuropathic foot ulcers and can even require amputation of the limb sick. – Renal: 10-20% of diabetics die from a kidney failure; – Heart disease and stroke.
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मधुमेह र यसवाट बच्ने उपाय मधुमेह पेन्क्रियाजले पर्याप्त मात्रामा इन्सुलिन उत्पादन गर्न नसकेमा वा उत्पादन भएको इन्सुलिनप्रति शरीरका कोषहरूले राम्रोसँग प्रतिक्रिया जनाउन नसकेमा उत्पन्न हुने समस्या हो । मधुमेहलाई मुख्यतया तीन प्रकारमा बाँडिएको छ: टाइप वान डायबिटिज (पहिलो प्रकारको मधुमेह) मानिसको पेन्क्रियाजले पर्याप्त मात्रामा इन्सुलिन उत्पादन गर्न नसकेका कारण देखिने समस्या हो। यसलाई पहिला “इन्सुलिनमा आधारित डायबिटिज मिलाइटस” वा “अपरिपक्व मधुमेह” भनेर चिनिन्थ्यो । के कारणले गर्दा पेन्क्रियाजले पर्याप्त मात्रामा इन्सुलिन उत्पादन गर्न सक्दैन भन्ने तथ्य हालसम्म पत्ता लागेको छैन । टाइप टू डायबिटिज (दोस्रो प्रकारको मधुमेह) इन्सुलिनको प्रतिरोधका कारण उत्पन्न हुने समस्या हो। यस्तो अवस्थामा शरीरका कोषहरूले इन्सुलिनप्रति राम्रोसँग प्रतिक्रिया जनाउन सक्दैनन्।रोग बढ्दै गएपछि इन्सुलिनको अभाव पनि देखिन सक्छ । यसलाई पहिला “इन्सुलिनमा आधारित नहुने डायबिटिज मिलाइटस” वा “परिपक्व हुन लागेको मधुमेह” भनेर चिनिन्थ्यो । अत्याधिक तौल तथा अपर्याप्त शारीरिक व्यायाम टाइप टू डायबिटिजका प्रमुख कारकहरू हुन् । टाइप थ्री डायबिटिज (तेस्रो प्रकारको मधुमेह) टाइप ३ को गेस्टेसनल डायबीटीज़ गर्भावस्थामा देखिन सक्छ । मधुमेहबाट बच्ने उपाय मधुमेहबाट बच्न तथा यसको उपचारको लागि स्वास्थ्यकर भोजन खाने, शारीरिक व्यायाम गर्ने, शरीरको तौल सामान्य राख्ने तथा सुर्तीजन्य पदार्थहरू नखाने गर्नुपर्छ। मधुमेहका रोगीहरूले रक्तचाप नियन्त्रणमा राख्नु तथा खुट्टाहरूको हेरविचार गर्नु आवस्यक हुन्छ । टाइप वान डायबिटिजलाई (पहिलो प्रकारको मधुमेह) इन्सुलिनको सुई लगाएर उपचार गर्नु पर्छ। टाइप टू डायबिटिजको (दोस्रो प्रकारको मधुमेह) उपचार अन्य औषधिहरूको साथमा इन्सुलिन दिएर वा नदिइकन गर्ने गरिन्छ।इन्सुलिन तथा केही मुखबाट खुवाइने औषधिहरूले रगतमा हुने चिनीको मात्रा घटाउन सक्छन्।मोटोपन भएका तथा टाइप टू डायबिटिज (दोस्रो प्रकारको मधुमेह) लागेका व्यक्तिहरूमा तौल घटाउने सर्जरी पनि कहिलेकाहिँ लाभदायक हुने गरेको छ । गर्भावस्थामा हुने मधुमेह साधारणतया बच्चा जन्माइसकेपछि हराएर जाने गर्दछ । *डा. राम बहादुर बोहरा नेपाल वैकल्पिक चिकित्सा विकास परिषद नवलपरासीको अध्यक्ष तथा आयुर्वेद डाक्टर हुनुहुन्छ । यो पनि पढ्नुहोस् मधुमेह (Diabetes) र यसको उपचार