by Larissa Marum Moreira
According to the International Diabetes Federation, diabetes mellitus, or simply diabetes, is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells.
Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues.
I have talked to a diabetic patient to know a little bit more of how he deals with this disease in a daily basis, so we could understand how the treatment is, what changes should be done, what precautions should be taken etc.
His diabetes is type 2 which is an adult-onset diabetes, it is characterised by insulin resistance and relative insulin deficiency. It is often, but not always, associated with overweight or obesity, which itself can cause insulin resistance and lead to high blood glucose levels.
I have asked him what treatment was recommended for his diabetes, and he answered that, initially, his doctor recommended exercising and dieting, however, after some time, he had to take oral drugs and insulin.
He said he takes three different types of pills per day and he needs to inject a dose of insulin at night by the time of supper. He mentioned that those dosages are taken to maintain his blood glucose levels at a normal range. Even though following these steps, sometimes they do not prevent him from having high blood glucose levels. He told me that his “normal” blood glucose level is between 140 and 200mg, which is not in the healthy range.
He told me that the doctor said he should avoid or moderate the intake of carbohydrate foods, like bread, cake, pasta, rice, potato, biscuits, crackers, etc because those nourishments increase the blood glucose levels. He said he needs to deal with this disease very carefully, because it is very dangerous if not taken care of. He also observed that he discovered he was diabetic when he was very young, and this helped him to maintain a healthy lifestyle.
I have asked him if he could tell us what are the symptoms of diabetes are, and he answered that when he is hyperglicemic he has frequent urinations and tiredness and he is excessive thirsty.
According to the World Health Organization, 347 million people worldwide have diabetes, and, in 2012, an estimated 1.5 million deaths were directly caused by diabetes. Apparently, people should pay a visit to the doctor often and do tests to check whether they have diabetes or not.