Long Term Diabetes

Effects of Prolonged or Long Term Diabetes

Diabetes is a silent killer.  Long standing uncontrolled/poorly controlled diabetes leads to enhancement in the blockading process of the coronary arteries (blood tubes over the heart). Possible complications of prolonged diabetes include damage to large and small blood vessels, which can lead to heart attack, stroke, and problems with the kidneys, eyes, gums, feet and nerves.

• Damage to the large blood vessels of the heart, brain and legs.
• Damage to the small blood vessels, causing problems in the eyes, kidneys, feet and nerves.
• Other parts of the body can also be affected by diabetes, including the digestive system, the skin, sexual organs, teeth and gums, and the immune system.
• Diabetes can affect your eyes in various different ways, ranging from temporary blurring of your vision to the more serious effect of Retinopathy.
• The kidneys work as large blood filters and one of their task is to get rid of excessive water and the byproducts. Long term Diabetes can damage the filters, again by an accumulation of glucose in the tiny blood vessels that form them.
• A small minority of people with diabetes may have skin problems caused by damage to the small blood vessels.
• When circulation is restricted, as a result of blood vessels becoming narrower, your foot is lss able to cope with hazards such as cold weather, infection or injury.

What to do in Prolonged Diabetes?

• Maintain Fasting Blood Glucose level below 100 mg/dl, Post Prandial level 100-140 mg/dl and Glycosylated Hemoglobin (HbA1C) below 6.5

• Choose complex carbohydrates like all cereals, brown bread, wheat, vegetables, and fruits (non-sweet)

• Avoid simple carbohydrates like raw sugar, jaggery, sweets, candies, jams, jellies. Sweet fruits are also fall in this group.

• Overweight individuals should try to bring weight down or to 10%, below or above the ideal body weight.

• One should cut down the animal products as they are high in cholesterol and may raise the blood cholesterol levels since diabetics are already at risk of developing heart disease.

• Avoid all kinds of fats and oil. They are also very high in calories.

• The daily load of glucose in food should be equivalent. This means that they shoul take same amount of food every day be it chapatti, bread, or any other cereal. It is better to have fixed meal timings .

• Instead of having 1-2 big meals, try having 3-4 small meals.

• One must take proteins in fairly good quantities.

• Content of fiber should be increased in diet.

• Intake of good amount of colored fruits and vegetables, citrus fruits, whole pulses, whole cereals and sprouts.
These all will provide adequate antioxidants.

• Diabetics can take those fruits that are not sweet in taste like desi papaya, orange, mausambi, pomegranate, apple, guava, watermelon. Four fruits that need to avoided by diabetics are mango, banana, grapes and cheeku as they are always sweet.