by Mani Bashyam MD | Feb 9, 2019 | Diabetic Medications, Insulin, Management
Important to recognize Low Blood Sugar or Hypoglycemia Low blood sugars occur in people with diabetes who are on certain diabetic pills or insulin. Common cause: too much insulin or too high a dose of diabetic medication (that stimulate insulin release) ate less than...
by Mani Bashyam MD | Jan 30, 2019 | Benefits, Complications, Diabetic Research
Proof that good glucose control reduces complications in Type 1 Diabetes Diabetes Control and Complication Trial (DCCT) This NIH sponsored study compared two groups of Type 1 diabetics. One group aimed to keep their blood sugars close to the normal range...
by Mani Bashyam MD | Jan 29, 2019 | Diagnosis, Management
Gestational Diabetes Definition High blood sugars first detected during pregnancy is called gestational diabetes (GDM). Cause of GDM It occurs due to insulin resistance (insulin not as effective as usual), exacerbated by the excessive hormones of pregnancy that...
by Mani Bashyam MD | Jan 21, 2019 | Miscellaneous, Normal Physiology, What Goes Wrong!
Mechanisms leading to Type 2 Diabetes How it goes wrong Multiple gene defects are felt to cause Type 2 Diabetes. It is not due to a single gene defect. These gene defects in the presence of environmental factors such as a poor diet rich in carbohydrates, and a...
by Mani Bashyam MD | Jan 21, 2019 | Diagnosis, Diet, Exercise, Miscellaneous
Criteria for metabolic syndrome Any 3 of the following criteria are necessary for diagnosis. A triglyceride level of 150-mg/dl or higher. High-density lipoprotein cholestrol, that is HDL (Bad) cholesterol <40-ml/dl in men or <50-mg/dl in women. Blood...
by Mani Bashyam MD | Jan 20, 2019 | Diagnosis, What Goes Wrong!
Causes of Diabetes Type 1 Diabetics don’t produce insulin. They need insulin for survival; without insulin, they develop diabetic ketoacidosis (a severe medical emergency). Insulin is secreted by Beta cells in the pancreas. In Type 1 Diabetes, these Beta cells...
by Mani Bashyam MD | Jan 20, 2019 | Miscellaneous, Normal Physiology
Normal Glucose Metabolism After digestion, food is broken down to glucose in the gut. Glucose is then absorbed into the bloodstream. It is carried in the blood to every cell of your body. Cells need glucose for their energy needs. To get inside the cell,...
by Mani Bashyam MD | Jan 20, 2019 | Miscellaneous, Your Risk
Do you have any risk factors? A family history of diabetes in a first-degree relative. Obesity (body mass index >30. In Asians >27). Women with a history of gestational diabetes or women who have given birth to children 9-lbs or heavier. History of...
by Mani Bashyam MD | Jan 7, 2019 | Diet, Management
Important principles Diabetes and Diet The most important part of diabetes management is the diet. Talking to a Registered Dietitian or a Diabetic Nurse Educator is crucial to develop a diet plan.Diet should be designed to help weight loss since 90% of Type 2...
by Mani Bashyam MD | Jan 6, 2019 | Diabetic Research, Miscellaneous, Volunteering
Do you want to be part of a research study? Current Clinical Studies ClinicalTrials.gov allows you to search for ongoing studies. You could volunteer to participate if you choose. Click Here Be Informed. Get In Control. Prevent. Better late than never...
