Diabetes 101: Can you Get the Diabetes?

Friday, August 14, 2015



Did someone in your circle, a friend or a family member, get diagnosed with diabetes ?  Did you come to know that it runs in your family ? Is anyone closer to you a diabetic on a painful journey ? There are very few, admiringly valid, reasons why one would take the time from all the priorities life has to offer and all the wonderful things internet has to offer, to know more about Diabetes. 

Unlike many other diseases and disorders, it is very easy to see this royal condition coming from a distance before it becomes an irreversible condition. Before I begin, kindly take a note that this blog contains awareness tips for good health and it is not a replacement of a doctor's diagnosis. 

Diabetes, in medical terms Diabetes Mellitus, can commonly be understood as a disorder that causes abnormal sugar levels in blood over a prolonged period of time, often resulting in a lifelong condition.



A Healthy Metabolism: The digestive tract breaks down carbohydrates, that is, sugars and starches from food, into glucose, a form of sugar that enters the bloodstream. With the help of the hormone insulin, generated in beta cells of pancreas, the body can absorb glucose and use it for energy.
A Diabetic Metabolism: The pancreas cannot produce and maintain the insulin amounts necessary to keep sugar levels in the blood within healthy limits for a long period of time.

Type 1 Diabetes - Beta cells fail to produce the insulin.

Type 2 Diabetes - Insulin resistance and reduced insulin secretion.
Gestational Diabetes - Resembling Type 2 and presents itself only to pregnant women.
There are many other types, but these three are more common.  I have my own version of "Diabetes Risk Analysis Questionnaire".  Kindly go through it and self-evaluate how closer you are to getting the diabetes:

Question 1: Does any of your blood relative have Diabetes ?



  • Type 1 Diabetes is genetically inherited from your parents.  It has a sudden onset with little or no indication but sharing the genes.
  • Family shares more than genes: Life Style and Diet.  This means Type 2 Diabetes of your blood relative could also be there for you, if you follow on same path taken by him/her. 

Question 2: Extent of Physical Activity?
  • An ideal benchmark would be physical work equivalent to a 30 minutes walk in a day. If you are living an inactive to lazy lifestyle requiring minimal physical efforts, its a red flag. 
  • The extent of physical activity should also be in accordance with diet, the lack of which, could lead to obesity, the best friend of Diabetes among many other disorders and diseases.
Question 3: What is your BMI ?


  • This is the first indicator.
  • According to World Health Organization (WHO), the BMI range classification is:
Below 18.5 Underweight
18.5-24.9 Normal
25.0-29.9 Overweight/Pre-obese
30.0 and over Obese

Use BMI Calculator in sidebar (on your right) to calculate your Body Mass Index.  If it is in Pre-obese to Obese zone, this will be the right time to change the diet or include physical exercises in your daily routine.
         

Question 4: How is your Diet ?

  • If your BMI is not on and around Normal range you need to pay more attention to the diet.
  • About 7 to 10 servings of various fruits and vegetables will help your metabolism.
  • Calorie-conciousness is needed.  All-n-all, for persons with desk jobs burn almost 60 to 75% of calories you eat, by means of various activities. Monitor the diet accordingly. Overeating occasionally is pardoned, but making it a habit puts you in good favours to befriend diabetes.
  • Monitor your Fat, Fibre and Salt intake as they have a quick and direct impact to your metabolism. Too salty and too fatty foods are good for the tongue, bad for the tummy and may cause cardiovascular issues.
  • On other hand, improper eating habits and prolonged malnutrition may result in Hypoglycaemia, where amount of blood sugar is often less than desired amount. 
Question 5: How much is your waist size ?

  • Your health is not only affected by how much body fat you have, but also where is it located. 
  • People who tend to gain weight mostly in their hips and buttocks have roughly a pear body shape, while people who tend to gain weight mostly in the abdomen have more of an apple body shape.
  • See the diagram above for a better understanding.
  • Apple Body Shape, that is, body fat stored around the abdomen (rather than the hips and thighs) is a risk factor for developing type 2 diabetes.
  • Another Medical index, Waist to Hips Ratio, has become more popular in recent past:
Waist to Hip Ratio
Male
Female
Health Risk Based Solely on WHR
0.95 or below
0.80 or below
Low Risk
0.96 to 1.0
0.81 to 0.85
Moderate Risk
1.0 and more
0.85 and more
High Risk
  • Use Waist to Hips Ratio Calculator in sidebar (on your right) to calculate your WHR.

Question 6: Do you have a history of High Blood Pressure ?

  • Diabetes and cardiovascular issues, particularly high blood pressure, are often found occurring together.
  • As it was told earlier for diabetes, due to similar food practices and in some cases genetically, high blood pressure is also passed onto blood relatives.  So, parents with a history of High BP increases risk of the same and hence the risk of diabetes, particularly Type 2.
Question 7: Are you Pregnant  ?
    • Gestational Diabetes occurs in about 2 to 10% pregnant females depending upon all the other factors.
    • After pregnancy, with proper care and sufficient diet and exercise, the diabetes goes away.  However, at least 5 to 10% females gets Type 2 Diabetes following this.
    • This is a situation demanding a more cautious approach, as it may also penalize the fetus with severe conditions such as Congenital Heart Disease, Respitary Distress Syndrome and Macrosomia (High Birth Weight).
    • Situation such as these warrant more than mere awareness, and better controlled by consulting a Gynaecologist and if needed an Endocrinologist.   

    Question 8: What is your Age, Gender and Ethnicity  ?
      • As it should make sense, along with majority of diseases and disorders, aged persons are at a greater risk of getting Diabetes. Statistically the risk almost doubles than the previous age group after reaching the age of 45 and 65 years.
      • All recognized local and global demographic studies indicate that Male candidates are more susceptible to Diabetes than females.  This difference in risk increases with age.
      • Certain ethnicities are statistically at a greater risk of getting insulin related disorders than others. 
      • Statistically speaking, only 3 to 4% Chinese of populations in USA and UK are diabetic, along with 2 to 3% of African Natives (Kenya, Egypt etc) being the ethnicities least affected by Diabetes.
      • On the other hand 10 to 12% of South Asians (Indian, Pakistani, Bangladeshi etc), 11% Filipinos, 7 to 8% East Asians (Thai, Koreans etc) and about 8 to 12% of Latino (Mexicans, Cubans, Spanish etc), 10 to 11% of Native Americans  and 10 to 11% of Caribbean Natives and African Americans have diabetes, making them more affected by Diabetes.
      • Native European Caucasians have around 7 to 9% of population getting affected by Diabetes.

      • Kindly note that ethnicity factor alone cannot be enough to justify the risk of getting diabetes.

      If you have answered the questions truthfully, you are more aware about the diabetes and the factors affecting the possibilities of you ending up with such a life long condition.  Solution is simple: Discipline.  A disciplined diet, proper exercise and stress free life are solutions. Be aware and motivated to take care of your body.  

      Have a good day and don't rely on just blogs and articles in event of diabetes. They is no replacement of professional medical treatment.

      Trust me, I am a doctor!  

      You Might Also Like

      1 comments

      Popular Posts

      Like us on Facebook

      Tweets