Diabetes Prevention | Johns Hopkins Aramco Healthcare
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Diabetes Prevention

Every year on November 14, World Diabetes day is observed. Created by the World Health Organization (WHO) and the World Diabetes Federation, World Diabetes Day aims to raise awareness about diabetes and how to prevent and manage it.

Diabetes is a disease that makes it difficult for the cells of the body to get the glucose they need to make energy. There are two ways in which diabetes can make it difficult for the cells of the body to receive adequate amounts of glucose. First, insulin may not be made by the pancreas. Because insulin is needed to "unlock the receptors," glucose cannot enter the cells. Therefore, glucose levels increase in the blood. This is known as Type 1 diabetes. Type 2 diabetes occurs when insulin is present in enough quantities, but there is a decrease in the number of receptors on the cells to allow glucose to enter. Even though insulin is present, it cannot be used effectively, a situation called "Insulin Resistance" and results in high levels of glucose in the blood. Type 2 diabetes is more common than Type 1.

Diabetes is detected when your health care provider or nurse finds a high level of sugar in your blood or urine. The best time to test your blood sugar level is after you have gone for 8 hours without eating or drinking. This is known as fasting blood sugar. The range for a normal fasting blood sugar is between 3.3 and 5.5 mmol/l (60 and 99 mg/dL). Levels between 5.6 to 6.9 mmol/l (100 and 125 mg/dL) are considered pre-diabetic.

Common signs and symptoms of diabetes include excessive thirst, frequent urination, excessive hunger, weight loss, fatigue, changes in vision, slow-healing cuts or infections, and persistent itching of the skin.

Diabetes cannot be cured. It can, however, be controlled by keeping the level of glucose in the blood within its normal range.

The treatment and management of diabetes vary from patient to patient. Your healthcare provider and diabetic care team will decide what form of treatment is best for you.

The success of your treatment depends largely on you. When you learn AND practice how to control your glucose level, you will enjoy a healthier life.

You can control diabetes by eating right, exercising, monitoring your blood glucose level, taking prescribed medications, and learning about diabetes. Your dietitian or diabetes educator will explain to you how you can plan your meals and answer any questions you may have.

A healthy diet may include changing what you eat, how much you eat, and how often you eat. However, you may be surprised by how many healthy and tasty food options you have.

Exercise helps people with diabetes in many ways. It lowers glucose levels, helps weight-loss, and maintains a healthy heart and circulation. In addition, exercising helps relieve stress and strengthens muscles.

Your health care team will discuss your exercise plan with you. Always check with your health care team before starting a new exercise program.

Blood glucose testing is important to find out if your blood glucose level is where it should be. If your blood glucose is too low or too high, you may need a change in your diabetes medication, diet, or exercise plan. If a change is needed, your health care provider or diabetic care team will give you instructions on what you should do.

In cases of very high blood glucose levels that do not respond to diet and exercise plans, medications may be needed. Your health care provider will tell you if you need medications or insulin. If insulin is needed, it can only be injected. Insulin is needed for all patients with Type 1 diabetes and some patients with Type 2 diabetes.

When controlling your diabetes, your blood glucose can become too high or too low. These conditions should be taken seriously. Fortunately, you can regain control of your blood glucose.



When too much sugar is in your blood, this condition is called hyperglycemia. Signs of high blood sugar, or hyperglycemia, include dry mouth, thirst, frequent urination, blurry vision, fatigue or drowsiness, and weight loss.

When you have high blood glucose, drink water or other sugar-free liquids. Check your blood glucose and stick to your diet plan. If your blood glucose remains high call your healthcare team. Your healthcare team will tell you what is considered high for you. If it is too high, you may need to go to the hospital.

Hypoglycemia occurs when too little glucose is present in your blood. Signs of low blood sugar, or hypoglycemia, include: Sweating, shaking, nervousness, hunger, dizziness, faintness, pounding heart, personality change, confused thinking, impatience, crankiness, numbness of lips and tongue, headache, blurred vision, and slurred or slowed speech.

If not treated, low blood sugar can lead to fainting or seizures. Low blood sugar can happen quickly and be life-threatening.

If you have low blood glucose, immediately eat or drink something containing fast-acting glucose. Examples include any of the following: 3-4 glucose tablets, half a cup of fruit juice, 1/2 can of regular soda pop, 1-2 hard candies, or 2 teaspoons of sugar or honey.

If your symptoms do not disappear in 15 minutes or your blood glucose remains less than 4.4 mmol/l (80mg/dL), take another dose of fast-acting sugar. Repeat every 10 to 15 minutes until the blood glucose is greater than 4.4 mmol/l (80 mg/dL).

If it is less than 30 minutes until your next meal, eat that meal. If it is more than 30 minutes, eat a snack such as half a sandwich or 3 small cookies. Eat the meal or snack after you have taken a dose of fast-acting sugar. Do not subtract the snack from your next meal plan.

Do not drive or operate heavy equipment if you feel your blood glucose is low.

types

When too much sugar is in your blood, this condition is called hyperglycemia. Signs of high blood sugar, or hyperglycemia, include dry mouth, thirst, frequent urination, blurry vision, fatigue or drowsiness, and weight loss.

When you have high blood glucose, drink water or other sugar-free liquids. Check your blood glucose and stick to your diet plan. If your blood glucose remains high call your healthcare team. Your healthcare team will tell you what is considered high for you. If it is too high, you may need to go to the hospital.

Hypoglycemia occurs when too little glucose is present in your blood. Signs of low blood sugar, or hypoglycemia, include: Sweating, shaking, nervousness, hunger, dizziness, faintness, pounding heart, personality change, confused thinking, impatience, crankiness, numbness of lips and tongue, headache, blurred vision, and slurred or slowed speech.

If not treated, low blood sugar can lead to fainting or seizures. Low blood sugar can happen quickly and be life-threatening.

If you have low blood glucose, immediately eat or drink something containing fast-acting glucose. Examples include any of the following: 3-4 glucose tablets, half a cup of fruit juice, 1/2 can of regular soda pop, 1-2 hard candies, or 2 teaspoons of sugar or honey.

If your symptoms do not disappear in 15 minutes or your blood glucose remains less than 4.4 mmol/l (80mg/dL), take another dose of fast-acting sugar. Repeat every 10 to 15 minutes until the blood glucose is greater than 4.4 mmol/l (80 mg/dL).

If it is less than 30 minutes until your next meal, eat that meal. If it is more than 30 minutes, eat a snack such as half a sandwich or 3 small cookies. Eat the meal or snack after you have taken a dose of fast-acting sugar. Do not subtract the snack from your next meal plan.

Do not drive or operate heavy equipment if you feel your blood glucose is low.

Incase of emergencies

You should inform your family members and friends that you have diabetes and if they ever find you unconscious or not making sense, they should take you to a hospital immediately or call your medical emergency number.

Complications of Diabetes

When you control the level of glucose in your blood, the signs of diabetes become less frequent. You will feel better and have more energy. If you do not follow your diet, exercise, and perform blood glucose tests, serious complications can arise.

Complications of diabetes include damage to the nerves and blood vessels of the body.

Nerve damage is known as diabetic neuropathy. It usually involves the nerves going to the legs and feet. The feet or legs could feel numb or unusually cold. Non traumatic lower limb amputations can occur in people with uncontrolled diabetes.

People with diabetes who have poor sensation in their feet must be very careful to avoid damaging their feet with ill-fitting shoes, hot water, or other forms of injury.

Check your feet every day for cuts, sores, redness, or swelling. Use a mirror if needed. When visiting the clinic, ask your health care provider to check your feet.

Adults with diabetes have heart disease death rates 2 to 4 times higher than adults without diabetes. The risk of stroke is 2 to 4 times higher among people with diabetes.

High blood glucose can cause damage to large and small blood vessels. Fat in the blood is deposited on the walls of blood vessels. This causes hardening of the arteries or arteriosclerosis.

Hardening of the arteries can occur in arteries leaving or entering the heart. It can also occur in the legs. Your diet plan is designed to lower the level of fat and cholesterol in the blood.

The thickening of small blood vessels is most noticeable in the kidney and in the back of the eye. Diabetes is the leading cause of new cases of blindness among adults

Diabetes may stop the kidneys from cleaning waste out of the blood.

Gum disease is more common in people with diabetes. Among young adults, those with diabetes have about twice the risk of gum disease as those without diabetes.

If you have diabetes and smoke, talk to your healthcare provider about smoking cessation support.

All healthcare providers feel that controlling your diabetes will help prevent damage to your blood vessels and nerves. Proper control of diabetes is a combination of a diet plan, medication, exercise, blood glucose monitoring, and good hygiene.

Health and wellbeing

Health programs for you

At JHAH, we are here for you not just when you are ill, but also to help you stay well. That is why we have a range of programs to help you create a healthier you.

We believe in providing help and support to achieve and maintain improved health and wellbeing, from programs that support you in achieving better health outcomes, to self-management guides for long-term health conditions. It is all part of our commitment to helping you live a healthier, happier life.

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