is a silent chronic disorder in which we see blood sugar levels
raised above normal, fasting above 120 mg/dl and post prandial above
140 mg/dl. This may be due to defective insulin secretion or defective
insulin action or a combination of both. The result is an alteration
in the digestion and utilization of carbohydrates, fats and proteins
that we eat. Raised blood sugar levels cause changes in the blood
vessels and thus can affect the eyes, kidneys, nerves, heart, brain
is estimated that there are over 32 million diabetics in India and
it could become
57 million by 2025 says WHO. India is thus called Diabetic Capital
of the World. Our mission as Dieticians and Nutritionist is to advise
and educate not only present diabetics but all family members of
diabetics so that they prevent and protect them selves from becoming
All adult Indians
should have their blood sugar levels tested especially if anybody
in their family has diabetes or if they are overweight. If both
parents are diabetic you have a 99% chance of getting diabetes.
If one parent is diabetic and any other relative of non-diabetic
parent is also diabetic 75% chance. If one parent is diabetic 50%
chance. If any other close relative is diabetic 25% chance.
is mostly silent.
for symptoms like thirst, excessive urination and loss of weight,
as they are late symptoms.
can help prevent diabetes
of diabetes is possible by lifestyle modifications - weight
reduction regular walking and even if thin avoiding binge eating
(over eating) or excess alcohol consumption.
If you have
family history of diabetes please have a preventive diabetic
- Recently a blood test has
been introduced in which you can check serum insulin levels which
can give you a clearer picture of whether you are prone to becoming
diabetic or not.
is classified into Type 1, Type 2, Gestational diabetes and Secondary
1 diabetes (previously
called Insulin Dependent Diabetes Mellitus or IDDM) is usually seen
in young children though it can occur at any age. It is caused by
a damage in the beta cells of the pancreas resulting in insufficient
production of insulin. The person will require insulin injections
2 diabetes (previously called Non- Insulin Dependent
Diabetes or NIDDM) is mostly seen in adults and is believed to have
a strong genetic influence. The main defect here is that the insulins
action is affected. It occurs more frequently in obese individuals
and responds well to oral medication
Gestational Diabetes Mellitus (GDM) appears first during
pregnancy. Such women usually have to be put on insulin along with
diet for control of blood sugar, as oral hypoglycaemic agents have
not yet been proved to be safe for use during pregnancy. Diabetes
may settle after delivery in may cases but some women may continue
to have diabetes. In general, women who develop gestational diabetes
are at higher risk of developing type 2 diabetes late in life.
forms of diabetes are rare and these usually develop following other
disorders like certain genetic abnormalities, alcoholic pancreatitis,
infections and intake of certain drugs such as steroids, diuretics
and certain psychiatric drugs.