What is Diabetes Mellitus?
It is high blood sugar as a result of deficiency or complete lack of insulin, namely a hormone produced by the pancreas which is necessary for feeding the cells with the energy they need.
What are the symptoms indicating diabetes?
Polydipsia - polyuria - polyphagia with or without weight loss - blurred vision - annoyances or itching at the genitalia, weakness - loss of strength.
How many types of diabetes are there?
Type 1, characterized by complete lack of insulin
Type 2, characterized by limited secretion of insulin and tissue resistance to insulin.
Types LADA, MODY, Gestational diabetes, Secondary diabetes.
Where is blood sugar measured?
It can be measured in urine, blood and lately in the subcutaneous interstitial fluid using glucose sensors.
How often can blood sugar be measured?
That depends on the metabolic control of each person and the treatment regimen followed. The more measurements, the better the metabolic control.
When must we measure it?
It is necessary to know preprandial blood sugar values, as well as those existent 1 or 2 hours postprandially.
What is metabolic control?
A combination of fair values for blood glucose and glycated haemoglobin.
What are our goals?
Preprandial blood sugar < 120mg/ dl
Blood sugar 2 hours postprandially <160mg/dl
Glycated haemoglobin <7%
Apart from my blood sugar and glycated haemoglobin, what else should I watch, in order not to have problems in the future?
- Watch my diet
- Have regular arterial pressure checks - and an annual heart check
- Control lipid take-in
- Give up smoking
- Increase physical activity
- Watch my weight
- Receive antiplatelet treatment after consulting my doctor
- Have an annual ophthalmological exam and search for damages due to diabetes in the fundus of the eye once in six months
- Monitor kidney function and microalbuminuria
- Have an examination for diabetic neuropathy
- Examine the diabetic foot
- Vascular examination
In the diabetology practice operating in our clinic, you can monitor each of the following parameters:
- Pharmaceutical treatment adjustment
- Body weight regulation instructions
- Arterial pressure check – Electrocardiography
- Heart ultrasound
- Fundus examination
- Complete laboratory tests
- Examination for diabetic neuropathy
- Diabetic foot examination
- Examination for peripheral vascular disease