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Did you know that diabetes mellitus, or simply diabetes, was the seventh leading global cause of death in 2016?
World Health Organization (WHO) data estimates that the disease directly killed 1.6 million people worldwide, and another 2.2 million deaths were linked to high blood glucose in 2012.
Furthermore, diabetes is known to be the primary culprit for blindness, kidney failure, heart attacks, stroke, and lower limb amputation.
The most astounding statistic on diabetes is that the number of people diagnosed with it escalated from 108 million in 1980 to a staggering 422 million in 2014.
Indeed, diabetes has become a global pandemic.
You may be struggling with it right now.
If so, know that you are not alone, and it is in no way a losing battle.
There are ways to manage and control it, which will be discussed later.
In the meantime, let’s talk about the killer itself.
Diabetes is a long-lasting, chronic metabolic health condition that alters your body’s normal process of turning food into energy.
Most of the food you consume is broken down into glucose (sugar) before being released into your bloodstream. This blood glucose is your main source of energy.
Insulin, a hormone produced by your pancreas, helps glucose be absorbed by your cells and be used for energy. Its duties also include regulating your blood sugar.
However, in some cases, your body does not produce enough of this hormone or cannot effectively use it. When there is not enough insulin or cells stop responding to it (insulin resistance), glucose stays in your blood and does not reach your cells. This eventually leads to a high amount of glucose in your blood, a condition popularly known as diabetes.
Over time, this can cause dangerous health conditions, including heart disease and kidney disease.
While health experts are yet to discover the cure for diabetes, you can do things to control it and manage to live with it.
One of the key components of good health is maintaining a consistent blood sugar level.
However, this is not the reality of our bodies.
Throughout the day, depending on various factors, your blood sugar levels will increase or decrease, which is completely normal.
But if your blood sugar's highs and lows exceed the healthy range, that’s when it becomes dangerous.
These highs and lows are called hyperglycemia and hypoglycemia.
Glycemia simply means the presence of glucose in the blood.
The Greek word hyper translates to over or above, while hypo translates to under or less.
From there, you can pretty much connect the dots about what the two terms mean.
Now, let’s delve deeper into each of them—the science behind them, their symptoms, causes, treatments, and relation to diabetes.
Hyperglycemia or High Blood Sugar
The excessive amount of glucose in the blood that we discussed earlier is actually called hyperglycemia. It’s the technical term for high blood glucose.
While you might think that since glucose is the body’s primary energy source, having high blood sugar would mean a lot of energy, you’re wrong.
As mentioned before, your blood glucose is high because it cannot be absorbed by your cells.
Therefore, instead of feeling energized and ready to tackle the day, you tend to feel weak and sluggish because your body cannot use the energy from the foods you eat!
Aside from weakness, having hyperglycemia can also cause:
❌ Aches in different parts of your body
❌ Headache
❌ Difficulty concentrating
❌ Extreme thirst or hunger
❌ Drowsiness or tiredness
❌ Blurry vision
❌ Dry mouth
❌ Bloating
❌ Frequent urination
❌ Poor healing of wounds
The effects of high blood sugar do not stop there, though. If left unmanaged for an extended period of time, it can cause worse health issues, including:
❌ Vaginal and skin infections
❌ Poor vision
❌ Nerve damage, which then causes insensitive feet, loss of hair on the lower extremities, or even erectile dysfunction
❌ Stomach and intestinal problems
❌ Damage to your eyes, blood vessels, or kidneys
The worst news is, those are not the worst things that can happen to you if you don’t take immediate necessary health measures to lower your blood sugar!
It can even lead to death if you’re not careful!
Keep your faith, though, because this is a problem we’re going to solve together.
Of course, it’s critical to understand the root of it first to solve this problem.
There are many causes as to why your blood sugar might escalate, and you really should start paying close attention to them if you want to spare yourself from the dire consequences.
Here are the most common reasons why your blood sugar might spike:
⚠️ You skip or forget to take insulin or oral glucose-lowering medicine.
⚠️ You eat too many carbohydrates in proportion to the amount of insulin you take, or if you generally eat too many carbohydrates.
⚠️ You are ill.
⚠️ You are stressed.
⚠️ You have an infection.
⚠️ You are physically inactive.
⚠️ You engage in strenuous physical activity, especially when your blood sugar is high and your insulin levels are low.
Now, people who do not have diabetes can also develop high blood sugar. This is referred to as non-diabetic hyperglycemia.
And while non-diabetic individuals may experience relatively similar symptoms, hyperglycemia might be more aggressive to people who have diabetes.
People who have type 1 diabetes are at risk of developing a build-up of acids in their blood. This is called ketoacidosis, and it can lead to serious health conditions.
On the other hand, extremely high blood sugar can lead to hyperglycemic hyperosmolar nonketotic syndrome (HHNS), in which the body cannot process sugar. This can lead to the death of people with type 2 diabetes or those who are at the prediabetes stage (when your blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes).
The first signs of HHNS are more frequent urination, which eventually leads to dark-colored urine and severe dehydration.
You definitely don’t want to have a first-hand experience with that!
It is important to treat symptoms of high blood sugar as soon as you see them to avoid such complications from happening
You can treat it by adopting healthy lifestyle changes, such as:
✔️ Losing some weight
✔️ Switching to a healthier diet
✔️ Exercising regularly
✔️ Drinking more water
✔️ Controlling the number of carbs you consume
✔️ Increasing the fiber you consume
✔️ Controlling your stress levels
✔️ Getting enough quality sleep
✔️ Testing your blood regularly
✔️ Monitoring the number of carbs you consume in each meal and snack
✔️ Disclosing to your doctor if you have repeated abnormal blood sugar readings
Now that we know the ins and outs of hyperglycemia let’s talk about the flipside of the coin—hypoglycemia.
Hypoglycemia or Low Blood Sugar
Hypoglycemia, or more popularly known as low blood sugar, happens when your blood sugar drops too low.
This condition primarily affects people with diabetes, especially if they take insulin.
And because glucose is the primary source of fuel for your body and brain, it would be difficult to function well if you don’t have enough of it.
Hypoglycemia can actually be perilous to one’s health if not treated abruptly. The good news is you can often treat it easily and quickly yourself.
More on that later.
Let’s talk about the warning signs that may be pointing to hypoglycemia.
Every person shows different reactions to low blood sugar, and these may change throughout your lifetime.
So it would help to know the signs and learn what yours are right now.
As you read the common signs of low blood sugar, make sure to check which ones you might be experiencing lately.
Symptoms of low blood sugar include:
⚠️ Sweating, chills, and clamminess
⚠️ Tiredness
⚠️ Rapid heartbeat (palpitations)
⚠️ Hunger
⚠️ Paleness
⚠️ A feeling of nervousness or anxiety
⚠️ Irritability or impatience
⚠️ Lightheadedness or dizziness
⚠️ Numbness of lips, tongue, or cheeks
Like hyperglycemia, without quick treatment, low blood sugar can lead to more serious symptoms, such as:
✔️ Weakness
✔️Blurred vision
✔️ Confusion or difficulty concentrating
✔️ Unusual behavior, slurred speech, or clumsiness (like being drunk)
✔️ Feeling sleepy
✔️ Seizures or fits
✔️ Collapsing or passing out
Developing hypoglycemia is rare for people without diabetes, but the symptoms are similar to those with diabetic hypoglycemia.
This condition often targets people who take insulin, but it can also happen to those who take oral diabetes medications.
If you’re experiencing the symptoms listed above, it can be because of the following reasons:
Like hyperglycemia, hypoglycemia, if left untreated, can lead to seizures, loss of consciousness, and the worst-case scenario—death.
That is downright a frightening thought.
This fear causes some people who have low blood sugar to take less insulin out of fear that their blood sugar levels might get too low.
However, this can result in uncontrolled diabetes.
So it would be best to talk to your doctor about this fear and not change the dosage of your diabetes medication without his or her approval.
People with diabetes need to stick to the diabetes management plan made by their doctor.
Besides taking insulin, having a continuous glucose monitor or CGM can also help you maintain a healthy blood sugar level.
CGM is a small wire inserted under your skin and sends you your blood sugar readings, which can be very beneficial as it will notify you when your blood sugar is going too low.
If it does get too low, follow these steps to treat hypoglycemia:
1. Consume a sugary drink or snack, such as:
2. After 10 to 15 minutes, check your blood sugar again. If it has improved and you feel significantly better, you can move on to the third step. Otherwise, consume some sugary drink or snack again and take another reading after 10 to 15 minutes.
3. Finally, you may need to eat a slow-release carbohydrate meal if it’s the right time to have it. Or, you can have a snack, such as a slice of bread or toast, some biscuits, or a glass of cow’s milk.
Aside from fizzy drinks and glucose tablets, you can also have glucagon to correct hypoglycemia.
It is a substance that makes your liver release glucose in your bloodstream, and studies say that it is a superior treatment for hypoglycemia compared to glucose gel.
Often, you do not have to worry about such an event if you eventually feel better and generally do not experience more than a few occurrences.
However, inform your doctor if you keep getting it.
After learning about hyperglycemia and hypoglycemia, including their relation to diabetes, let’s discuss the signs you might have diabetes and its three main types.
The signs and symptoms of having diabetes depend on which type you have.
Of course, you need to undergo a medical diagnosis to really know whether you have it or not.
However, if you haven’t been diagnosed with it, you might want to know the general indicators to watch out for, including how they differ between men and women.
In general, you might have diabetes if you experience:
✔️ Increased hunger
✔️ Increased thirst
✔️ Unexplainable weight loss
✔️ More frequent urination
✔️ Blurry vision
✔️ Severe fatigue
✔️ Sores that do not heal
Men and Diabetes Symptoms
Aside from the indicators above, men also tend to experience poor muscle strength, decreased sex drive, or even erectile dysfunction (ED) or the inability to get and maintain an erection firm enough to perform sex.
Women and Diabetes Symptoms
In addition to the list of symptoms above, women can also develop symptoms such as urinary tract infections (UTI), yeast infections, and dry, itchy skin.
Now that we’ve got its general symptoms out of the way, let’s delve deeper into the world of diabetes by familiarizing ourselves with its three main types: Type 1, Type 2, and Gestational.
The first thing to know about type 1 diabetes is it is an autoimmune disease, which means it causes your immune system to produce antibodies that attack perfectly healthy and normal body tissues. Why the immune system does this still remains a mystery to experts.
Type 1 diabetes is also referred to as “juvenile diabetes” and “insulin-dependent diabetes.”
It’s called juvenile diabetes because the majority of the people diagnosed with it are kids and young adults (ages 10 to 16), but it’s also possible to develop it later in life.
It’s also called insulin-dependent diabetes because the pancreas produces little or no insulin, which means a person who has it relies on external sources of insulin to manage their diabetes.
Some people are genetically inclined to it, but it does not mean they will automatically get the disease. Instead, this means that they are apparent candidates for getting it.
Another important thing to know about type 1 diabetes—and diabetes in general for that matter—is that eating sugar, contrary to popular belief, does not cause it.
However, a diet rich in sugar can indirectly contribute to the development of diabetes as it causes you to gain excess weight, which makes the condition more likely to develop.
When type 1 diabetes does develop, you would want to know what symptoms to look out for.
At the onset of type 1 diabetes, you will suddenly experience…
✔️ Excessive urination
✔️ Extreme thirst
This is because the excess glucose in your blood results in your kidney producing more urine than normal, and losing excess fluid dehydrates you, causing great thirst.
Some people can lose a gallon of water from dehydration! That’s a lot of fluid to lose, and this surely has its consequences, including:
⚠️ Weight loss with no loss of appetite – this is partly due to the dehydration that you are experiencing
⚠️ Weakness or fatigue
⚠️ Confusion
⚠️ Nausea or vomiting
Weakness, confusion, and nausea can also be due to a condition briefly mentioned before, called ketoacidosis.
Ketoacidosis happens because your cells cannot use your glucose for energy, so your cells need to get energy from somewhere else, like your liver.
Your liver produces an alternative energy source called ketones, a kind of acid, in response to low insulin levels.
You might think, “Great, I have a reserved energy source!”
However, when the acid ketones build up in your blood (ketoacidosis), it can lead to heart problems and harm your nervous system.
Ketoacidosis is not to be deemed minor nor unimportant.
Within hours, it can put you at risk of coma or even death.
You’d think it can’t get worse than that.
But we’re only at the initial symptoms of type 1 diabetes.
If you fail to maintain and control your blood sugar levels by treatment, you can face life-altering complications, including:
You would think we would have discovered the cause of a deadly disease like type 1 diabetes.
Unfortunately, we haven’t discovered a cure for any type of diabetes.
Researchers have not discovered why the immune system attacks its own healthy cells. Still, they theorize that it might have something to do with genetic and environmental factors, including exposure to viruses.
What’s clear about type 1 diabetes is that lifestyle habits do not cause it.
That’s for another type of diabetes, which we will discuss later.
For now, let’s talk about the factors that can make you vulnerable to type 1 diabetes.
Even though these factors cannot be considered completely reliable as experts do not fully understand them, it can still benefit you to learn what may put you at risk of developing the disease.
The risk factors for type 1 diabetes include:
An important thing to know about diabetes and any other disease is that it’s best if it gets diagnosed as early as possible.
Type 1 diabetes can be a deadly condition if left untreated, so starting treatment early is extremely crucial.
As said before, there is no known cure for diabetes.
So the role of treatment is to keep your blood sugar levels as normal as possible and manage your symptoms, making sure complications do not arise.
People with type 1 diabetes need to:
✔️ Take insulin as prescribed
✔️ Consume a healthy, well-balanced diet with accurate carbohydrate counts
✔️ Regularly check their blood sugar levels
✔️ Get regular physical activity
In some cases, you may undergo islet cell transplantation or pancreas transplant.
Islet cell transplantation is where healthy insulin-producing cells from the pancreas of a deceased donor are implanted into the pancreas of a type 1 diabetes patient.
On the other hand, pancreas transplantation is considered rare, and not many health centers offer it.
After discussing the first type of diabetes, let’s move on to the second one.
Type 2 diabetes differs from type 1 diabetes as, instead of being an autoimmune disease, it’s a metabolic condition.
Here, your pancreas does not produce enough insulin, or your body is resistant to it, so your body cannot maintain normal glucose levels. Unlike type 1 diabetes, where there is totally no insulin production, type 2 diabetes still allows for some insulin.
Furthermore, contrary to type 1 diabetes, type 2 diabetes is used to be known as “adult-onset diabetes.” Unfortunately, because more and more children are being diagnosed with it, type 2 diabetes is no longer an adult condition.
The symptoms of these two types of diabetes are relatively identical. However, they tend to present themselves in very different ways.
Type 1 diabetes symptoms develop quickly, usually over several weeks, and as said before, they usually develop during childhood or adolescence.
On the other hand, type 2 diabetes symptoms do not appear for many years and are slow to develop. This is a problem because you might only discover that you have it when you are already experiencing complications.
Like type 1 diabetes, it’s unclear as to what causes type 2 diabetes.
While genetics and environmental factors play a role here, it’s also heavily influenced by lifestyle factors, including your diet, exercise habits, and weight.
Other factors that put you at risk of type 2 diabetes are:
To prevent and treat type 2 diabetes, you need to start making healthy lifestyle choices.
You may be able to achieve your target blood sugar with diet and exercise alone.
This means that, unlike type 1 diabetes, your fate of having type 2 diabetes is within your power.
The thing is, you shouldn’t wait for the worst-case scenario to happen before you start living a healthy lifestyle.
Finally, let’s talk about the third main type of diabetes.
Gestational diabetes is a condition that occurs during pregnancy. Here, your blood sugar levels become high, and while it goes away after you give birth, it can still affect your baby’s health. Plus, it puts you at risk of type 2 diabetes later in life.
There are actually two categories of gestational diabetes:
Like any other type of diabetes, no one knows what causes gestational diabetes, but some theories exist.
The placenta that supports the baby as it grows has hormones that help the baby develop. However, these hormones sometimes prevent the mother’s body from producing insulin (insulin resistance), making it difficult to use insulin. So the mother may need about three times as much insulin in response to insulin resistance.
Gestational diabetes affects mothers during their late pregnancy once the baby has been formed and is busy growing.
This means that it does not cause congenital disabilities that are sometimes present in babies whose mothers had diabetes before pregnancy.
Unfortunately, this does not undo the fact that gestational diabetes can hurt your baby if left untreated or poorly controlled.
The worse news is that this type of diabetes rarely causes symptoms, so you might not even know that you have it!
If it does show symptoms, though, they tend to be subtle. You might experience:
✔️ Fatigue
✔️ Blurred vision
✔️ Excessive thirst
✔️ An excessive need to urinate
✔️ Snoring
In addition to those symptoms, some factors increase your possibility of developing the disease, including:
✔️ If you were overweight before you got pregnant
✔️ If you are African-American, Asian, Hispanic, or Native American
✔️ If you have prediabetes
✔️ If you have a family history of diabetes
✔️ If you have had gestational diabetes before
✔️ If you have high blood pressure or other medical complications
✔️ If you have given birth to a large baby (weighing more than 9 pounds)
✔️ If you have given birth to a baby who was stillborn or had certain congenital disabilities
✔️ If you are older than 25
If you have or suspect that you have gestational diabetes, you’ll need to seek professional treatment as soon as possible, for you and your baby’s sake. Some of the things your doctor will tell you to do are:
✔️ Check your blood sugar levels four or more times a day
✔️ Monitor your urine for ketones
✔️ Eat a healthy, low-sugar diet
✔️ Have a safe, regular exercise routine
✔️ Get appropriate prenatal care
In checking your blood sugar, the American Diabetes Association have target levels for pregnant women:
Why? Because diabetes can bring other life-threatening complications, as mentioned before.
These complications develop long-term and gradually, and the longer you have diabetes, and the less controlled your blood sugar is, the higher the risk that you acquire such complications.
These are the possible complications related to diabetes:
You might feel overwhelmed after learning all about hyperglycemia, hypoglycemia, diabetes, and its three main types.
Don’t fall into that trap, though. You can do many things to control your condition and assure you don’t face any of the complications.
Eating the right foods is a step in the right direction.
Upon exhaustively reading about diabetes and its types, you should know by now that one of the first and best ways to deal with it is eating a healthy, well-balanced diet.
This primarily helps you control your blood sugar levels, manage your weight, and control your risk for heart diseases, such as high blood pressure and high blood fat..
Aside from following a healthy diet plan, it would greatly help to consume foods that can directly help you manage your blood sugar.
Here are the 10 foods you should consider adding to your diabetes diet plan:
1. Bitter Melon – It is a good source of nutrients and has been shown to reduce blood sugar.
2. Cinnamon Bark – It is loaded with antioxidants and has been shown to lower blood sugar levels and reduce inflammation.
3. Guggul – There is an animal study that showed its ability to lower blood sugar levels.
4. Alpha Lipoic Acid – It is an organic compound found in all human cells and is a powerful antioxidant. It has several benefits, including improving nerve function, reducing inflammation, and lowering blood sugar levels.
5. Licorice Root Extract – It has been shown to help repair and restore the stomach lining. This can also help boost the immune system.
6. Banaba Leaf – It is rich in corosolic acid, which is used to lower blood sugar levels. Plus, it has anti-inflammatory properties.
7. Cayenne Pepper – It may boost metabolism through thermogenesis. Some studies showed that confusing cayenne peppers reduced hunger.
8. Juniper Berry – It is a source of antioxidants like vitamin C, which is essential for immune health, as well as collagen synthesis.
9. White Mulberry Leaf – It contains chemicals that slow the breakdown of sugars in the gut, which lowers the absorption speed into the blood.
10. L-Taurine – It is an amino acid used to support your central nervous system and relate to the immune system
Aside from eating healthy and exercising regularly, there are other steps you can take to cope with your diabetes.
Throughout the years, we’ve all heard several things about diabetes that are simply not true.
It might appear a waste of time to tackle false information, but you might be believing some of them for a long time yourself!
Clearing myths that surround diabetes saves you from ineffective management of the disease.
1. Diabetes is caused by eating too many sweet foods – As mentioned before, sweet foods do not necessarily cause diabetes. Instead, it causes you to gain excess weight, making you more likely to get diabetes.
2. Diabetes can be cured – Again, diabetes is a chronic disease that has no cure. The only thing a person with diabetes can do is to manage it and prevent complications from happening.
3. When you have diabetes, you cannot avoid amputation – It’s true that diabetes can lead to complications that lead to foot ulcers and amputations. This is due to poorly controlled diabetes. However, such complications are completely avoidable, and it would really help to go for regular screenings to monitor your feet, eyes, and kidneys.
4. People with diabetes should refrain from carbohydrates – While carbohydrates may raise blood glucose levels, they are also present in various foods, including fruits and veggies, which contain essential nutrients. So completely banning carbohydrates from your diet is not a practical solution. Your best bet would be to consult a dietician so they can offer advice on the kind of diet you should have.
5. Type 2 diabetes is a milder type of diabetes – The thing is, no form of diabetes is “mild.” Type 2 diabetes, when poorly managed and controlled, can lead to serious and life-threatening complications.
6. Type 2 diabetes only affects fat people – Being overweight and obese has been painted by the media as the main culprit for diabetes. While these factors increase your risk of diabetes, it’s untrue that only overweight and obese people can get it. In the UK, around 20% of people with type 2 diabetes have normal weight or are underweight.
7. Diabetes is contagious – Diabetes is categorized as a non-communicable illness, which means it cannot be passed on to someone else by sneezing, through touch, nor via blood or any other person-to-person means.
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✔️ Bitter Melon
✔️ Cinnamon Bark
✔️ Guggul
✔️ Alpha Lipoic Acid
✔️ Licorice Root Extract
✔️ Banaba Leaf
✔️ Cayenne Pepper
✔️ Juniper Berry
✔️ White Mulberry Leaf
✔️ L-Taurine
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References:
Diabetes: https://www.who.int/health-topics/diabetes#tab=tab_1
What is Diabetes?: https://www.cdc.gov/diabetes/basics/diabetes.html
Hyperglycemia and hypoglycemia in type 1 diabetes: https://www.ncbi.nlm.nih.gov/books/NBK279340/
Hyperglycemia vs. hypoglycemia: What you need to know: https://www.woundcareinc.com/resources/hyperglycemia-vs-hypoglycemia-what-you-need-to-know
Type 1 diabetes: https://www.cdc.gov/diabetes/basics/type1.html
Type 1 diabetes: https://www.mayoclinic.org/diseases-conditions/type-1-diabetes/symptoms-causes/syc-20353011
Type 2 diabetes mellitus. What Is It?: https://www.health.harvard.edu/a_to_z/type-2-diabetes-mellitus-a-to-z
Type 2 diabetes: https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193
Gestational diabetes: https://www.mayoclinic.org/diseases-conditions/gestational-diabetes/symptoms-causes/syc-20355339#:~:text=Gestational%20diabetes%20is%20diabetes%20diagnosed,pregnancy%20and%20your%20baby's%20health.
Diabetes: https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444
Diabetes tips: Managing and living with diabetes: https://www.onhealth.com/content/1/diabetes_complications
Myths about diabetes: https://www.diabetes.org/diabetes-risk/prediabetes/myths-about-diabetes
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