Diabetes is fast becoming an important and prevalent problem in Singapore in 2010 10% of our population have diabetes so what is diabetes is a condition where the blood glucose or sugar regulation is impaired I regulate that high glucose levels on a long run can lead to multiple complications when we eat food this is digested and converted into glucose in our bodies glucose is a simple form of sugar which gives us energy to perform activities and allows the body to carry out necessary cell functions having too much or too little glucose is not good the ideal level of glucose in the body is maintained through a feedback system and this is where insulin comes to play insulin is a hormone produced by the pancreas it is needed to control the level of glucose in the blood when our body senses the presence of food in the form of glucose insulin is released from the pancreas insulin allows glucose from the blood to be taken up into cells where it is used as energy to maintain normal body functions insulin helps the body clear up excess glucose in the blood of the, each meal and this maintains blood glucose within the normal range however when there's a problem with insulin production or function the glucose level goes and control a condition more commonly known as diabetes there are two types of diabetes type 1 and type 2 type 1 diabetes is a condition where the pancreas cannot produce insulin without any insulin glucose cannot enter the cells but is left in the blood causing high blood glucose levels furthermore the body will not be able to use glucose as a form of energy in this group of patients insulin in a form of injections is essential for survival type 2 diabetes is the more common form of diabetes in type 2 diabetes insulin is present but cannot function well resulting in a phenomenon we call insulin resistance type 2 diabetes is often associated with obesity high cholesterol levels in high blood pressure usually type 2 diabetic patients can be managed with a combination of exercise diet modifications and oral medications however over the years the pancreas in type 2 diabetic patients can start to fail - resulting in a lack of insulin to cope with glucose loss patients will than need to stop on insulin treatment when diabetes is not well control the risk of diabetes related complications increases high glucose levels cause a buildup of harmful substances in our body these can affect the small vessel as well as medium and large vessels small vessel complications affect organs such as the eye kidney and the feet diabetic eye disease is caught retinopathy and if this is not treated or screen fall can lead to impaired vision and blindness diabetic kidney disease manifests initially as protein in the urine and this can ultimately progress to kidney failure leading to dialysis lastly due to abnormal foot sensation diabetic foot problems such as ulcers and infections can occur besides these medium and large vessel complications that can occur include coronary heart disease stroke and diabetic foot conditions such as gangrene to prevent these chronic complications you should make sure that you have good diabetes control ensure that your blood pressure and cholesterol levels are optimal and stop smoking it is important to ensure that you get the appropriate screening done at your diabetes clinic every year to detect and manage these complications there was one night when I was watching her program I suddenly fainted so my wife was there to help me and I thought it was already late so this, so she accompanied me to the polyclinic for Chekhov and through that result the doctors they were able to tell me that I have got diabetes after so many visits the dieticians I have come to realize to manage my diabetes well is to get your diet right eating high fiber food is vegetables yes sellers foods yes in different forms some of it I like I like preparing it and my grand granddaughter loves it besides that exercises is important and by anyone of you fellow Asians and a word or two of you diabetic ins of day we are all staying in the same place as to find it the force or triple 11 or seven to cheese we are very hard-working Asians, but then but we don't exercise very much maybe there are, so many pucks out there it's all waiting for us and there's so much high fiber food not in Cannes but in the market let's do it at present there is no cure for diabetes the goal of diabetes treatment is to keep your glucose levels within the target range specified by your doctor we've got self-care a proper diet exercise and medications people with diabetes can and do the active and healthy n order to understand blood sugar problems, we need to review what a hormone is. Hormones are proteins released from parts of the body called glands. They help to send messages from one place in the body to parts that are farther away. Insulin is a hormone that tells the body to store the energy we get from the food we eat. Insulin is made in your pancreas, a small organ located just below your stomach. Insulin levels go up in response to the different types of sugar eaten in your diet. Rising insulin levels allow sugar to be saved as energy to be used later. Let’s take a train ride to try to understand things better. ALL ABOARD! Think of the PANCREAS as if it were a STEAM ENGINE on an old-fashioned train, heading out for a ride through the mountainside. Insulin is the smoke that the train engine produces as it chugs along on its journey. Passing through the valley, the train glides along its track. The steam engine works effortlessly, and continuously produces small puffs of smoke. When it travels up a hill, the smoke increases, but only by a small amount and for a short period of time This represents the normal everyday function of the pancreas. When the pancreas is not overworked, it churns out small amounts of insulin. A small hill represents a meal that results in insulin levels going up temporarily. When the train begins traveling up a very steep mountain, the engine kicks into gear. As the train climbs, the engine burns more fuel, and the smoke output begins to rise. Initially, the speed of the train does not change and the passengers are not aware of the effort required from the engine. This steep mountain represents pre-diabetes! As a person eats more than what is needed, the pancreas has to work over-time and churn out more insulin. The individual does not feel the stress placed on the pancreas. If the train has to continue up the mountain for a long period of time, the engine will start to burn out and the train will slow, decreasing the smoke produced. Similar to the over-worked engine, the pancreas can begin to tire out as well. In diabetes mellitus, sugar in the blood is high for several reasons. The pancreas cannot produce enough insulin because it is over-worked. Also, weight gain contributes causing the insulin you have to not work as well. The end result is that sugar from the diet builds up in the blood. Adding exercise to your schedule and eating less sugar in your diet can decrease the stress on your pancreas and improve blood sugar levels.
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