Frequently Asked Questions (FAQs) on diabetes-mellitus | HospitalKhoj

DIABETES MELLITUS

DIABETES MELLITUS

Ques. 1  What is Diabetes Mellitus?

Ans.       This is a clinical syndrome characterised mainly by polyuria, polydipsia and polyphagia due to relative or absolute deficiency of insulin.

Aetiology : Age – middle age group, Sex-both sexes. Exact cause is unknown. The associate factors are:

  1. Hepatic disorders.
  2. Stress & strain-both physical and mental.
  3. Various drugs, steroids, thiazide diuretics etc.
  4. Destruction of insulin secreting basophilism, thyrotoxicosis etc.
  5. Pregnancy-due to hormories antagonizing insulin or due to lowering of renal threshold level of sugar.
  6. Habits-overeating (fats etc.).

Types :

  • Potential diabetics-hereditory.
  • Latent diabetics- abnormal glucose tolerance persons.
    • Resistant diabetics.
  • Juvenile onset type-insulin dependent.
  • Adult or maturity onset type- usually not insulin dependent.
  • Brittle diabetics.
  • Pathology : Insulin is secreted by Beta-islets of Langerhans in pancreas. Sufficient secretion of this hormone keeps blood sugar level well the renal threshold so that little sugar is normally excreted in urine. In the deficiency of insulin blood sugar level becomes higher, partly by conversion of fats and proteins into sugar and partly by hampered utilization at cellular level. When raised level does not cross renal threshold, no sugar is excreted. This state is called latent diabetes. When blood sugar level crosses the renal threshold, sugar appears in the urine thus making condition clinically existent.

    You must also Read:
    FAQs on Ayurveda
    FAQs on Root Canal Therapy
    CAUSES OF ABORTION DURING EARLY PREGNANCY
    This state is known as manifest diabetes or clinical diabetes.

    Note:- Normally more  glucose n blood means more insulin and vice versa, fall in blood sugar liberates adrenalin which restores normal blood sugar level by glycogenolysis in liver, ACTH and cortical steroids also help in the maintence of normal blood sugar level.

    Clinical Features : Onset – usually gradual (rarely acute).

    Symptoms are: –

  • Polyphagia-voracious appetite, particularly for sweets, feeling hungey within a short time of a full meal.
  • Pain in extremities.
  • Recurrent boils, carbuncles and other infections.
  • Amenorrhoea in women and imprtency in males.
  • Coma, severe neuropathy of retinopathy may be the first symptoms.
  • Non-healing of wounds.
  • Lassitude, general weakness, progressive loss of weight, strength and general weakness, progressive loss of weight, strength and energy and ready fatigue due to loss of glucose and tissue protein breakdown.
  • Polyuria – pale, clear large quantities of urine of high Sp. Gr. (1030-1050) ; nocturia.
  • Polydipsia due to dehydration.
  • Pruritus vulvae or balanitis.
  • Failing vision, cataract formation.
  • Failing memory, inability to concentrate.
  • Signs – There may  be absence of physical signs in cases of mild and moderate severity, otherwise –

  • Skin – loose, shallow, often a yellow tint, specially on hands and face,
  • Tongue –dry (index of dehydration ). Later red and beefy,
  • Diminution or absence of tendon reflexes or vibration sense,
  • Complications – may provide the first sign.
  • Patient appears debilitated and wasted or obese,
  • Face – pinched and pale,
  • Diagnosis :

  • Urine test : Sp. Gr. Usually over 1020, Reaction-acidic, Benedict’s test positive. Sodium nitroprusside test-acetone may or may not be present.
  • Blood test : Alkali reserve – lowered. Sugar – Above 120 mg/100 ml (latent) : above 180 mg / 100ml. (clinical).
  • Confirmed by glucose tolerance test or more easily by post prandial blood sugar estimation.
  • Complications:

  • Sexual and genital-impotency and sterility.
  • Pulmonary – T.B.
  • Pregnancy- Dystocia, repeated abortions, still-births, deformed body, eclampsia.
  • Skin – infections i.e- Glycosuria when lungs are implicated. Polyuria, which weakness, much thirst, dry mouth and tongue ; flabby, sunken abdomen ; craves bacon and salt.
  • FERRUM PHOS –Diabetes mellitus, when there is a quickened pulse or when there exists pain, heat or congestion in any part of the system.
  • Indication of a diet chart for a diabetic patient (for an adult)

    Vegetarian

  • Breakfast : Toast 2. or Atta-60gm.; Chhana-50gm. ; Boiled vegetables-100gm. : Tea with Sorbitol (saccharine)-1 cup; Milk (skimmed)-1 glassful. Lunch : Rice or Atta-70gm.; Dal-1 cup. ; Chhana curry-100 gm.; Green vegetables-250gm.; Sour curd-1 cup.
  • Afternoon tiffin : Cream cracker biscuits – 2; Cucumber-1 ; Tea with sorbitol -1 cup.
  • Dinner : Atta-70gm.; Green vegetables – 250 gm. ; Channa curry-50gm.
  • Non-Vegetarian :

  • Breakfast- Toast 2 oz or Atta-60 gm. ; Egg-1 ; Cream cracker biscuits-2 ; Tea with sorbitol- 1 cup. Lunch – Rice or Atta-70 gm. ; Green vegetables – 250 gm. ; Dal -1 cup ; Fish/meat-100 gm. ; Sour curd- 1 cup.
  • Afternoon tiffin-Cream cracker biscuits-2 ; Chhana-100 gm.; Cucumber-1 ; Tea with Sorbitol-1 cup. Dinner – Atta 70 gm. ; Fish or meat-100 gm. ; Green vegetables-250 gm.
  • NOTE : - Must avoid of sugar & its products, sweet, vegetables, and most of the underground vegetables. Use fructose or sorbitol instead of sugar.

    .
    Below Articles may be helpful to you:
    FAQs on DIARRHEA
    FAQs on ASTHMA
    FAQs on HEPATITIS

    Ask our Counsellors


    Comments

    0 # Vivaan 2018-02-16
    Hii, can you plz tell me,What changes can occur in skin in syphilis patient, also suggest good obstertrician in Prakasam ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2018-02-17
    Rashes can occur on the skin in the near areas,rashes can be discrete and also symmetrical in nature, Rashes can also be pustular, you can consult with Obstetrician in Prakasam.
    Reply | Reply with quote | Quote
    0 # Vivaan 2018-02-02
    Can gonorrhoea be caused by the infected towels, also provide the list of good gynecologist in Palakkad?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2018-02-03
    Gonorrhoea can be transmitted by the infected towels, handkerchiefs of the infected person, But most cases are due to sexual contacts, find here list of good Gynecologist in Palakkad.
    Reply | Reply with quote | Quote
    0 # Nishith 2018-01-26
    Hii, I am from Sirmaur, plz let me know What is gonorrhoea ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2018-01-27
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Sirmaur, find list of Gynecologist in Sirmaur
    Reply | Reply with quote | Quote
    0 # Tushar 2018-01-12
    My friend has been diagnosed with gonorrhoea, Please tell which tests will be advisable, also suggest gynec in Agra ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2018-01-13
    VDRL tests should be done every month for 3 consecutive months for detecting syphilis as well as other sexually transmitted diseases,These tests should be conducted at proper times, find good Gynecologist in Agra
    Reply | Reply with quote | Quote
    0 # Priyansh 2018-01-12
    Can gonorrhoea be caused by the infected towels, also provide the list of good gynecologist in Purba Medinipur?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2018-01-13
    Gonorrhoea can be transmitted by the infected towels, handkerchiefs of the infected person, But most cases are due to sexual contacts, find here list of good Gynecologist in Purba Medinipur.
    Reply | Reply with quote | Quote
    0 # Aayush 2018-01-12
    Hii, plz tell me,Which tests can confirm syphilis in primary stage, also suggest name of good maternity hospitals in Aligarh ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2018-01-13
    During the primary stage,DG illumination tests are very helpful, find good maternity hospitals-K K Hospital - Aligarh.
    Reply | Reply with quote | Quote
    0 # Lakshay 2018-01-12
    Hii, I am from Alwar, I want to know can cigerrete sharing can lead to syphilis ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2018-01-13
    yes,sharing cigerette,drinking cups,common spoons etc can also lead to syphilis, Generally whenever the fluid of a person who has syphilis is shared,the infection can occur, you should also consult with good Gynecologist in Alwar
    Reply | Reply with quote | Quote
    0 # Harikiran 2018-01-05
    Hello, plz let me know What is menarche, I want to consult with gynec in Kalahandi, plz suggest ?
    Reply | Reply with quote | Quote
    0 # Dr. Naresh 2018-01-06
    the process of starting of the menstrual cycle in females is called menarche, plz find good Gynecologist in Kalahandi.
    Reply | Reply with quote | Quote
    0 # Vaibhav 2017-12-03
    Hii, I am from Jamui, plz let me know What is gonorrhoea ?
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2017-12-04
    Hello, Gonorrhoea is a sexually transmitted disease caused by the Neisseria gonorrhoea,This disease is caused in the genitourinary tracts, for more details plz visit good gynec in Jamui, find list of Gynecologist in Jamui
    Reply | Reply with quote | Quote
    0 # Himmat 2017-12-01
    Hello, plz let me know Can gonorrhoea be transmitted to small children, should I consult with good maternity doctor in Dohad
    Reply | Reply with quote | Quote
    0 # Dr. Pooja 2017-12-02
    yes,this can be transmitted by infected mothers to children, In this case it is called as ophthalmia neonatorum, find list of good doctor-.Obstetrician in Dohad
    Reply | Reply with quote | Quote