DIABETICSFOOTWEAR Dear friends, Among us there may be hundreds of diabetics like me.We cannot call it as a disease or call us as patients. It is a body condition. However it givesproblems as age increase in spite ofmedicines. I thought of sharing a fewimportant information about diabetic, which may be useful to few members. WhenI wrote in an earlier occasion about diabetic, there was a response from anelderly person thanking for the information but it was fearsome in nature tohim. Some information are like that, we have to reconcile.
Sincerely, Gopala Krishna 12-09-09. Edited, updated andposted. Day before yesterday night I was listening to the talk and QA by Dr Thangam of Palghat Governmenthospital aboutDiabetics and Covid19 in Doordarsan Malayalam channel. That prompted me to repost the write up afterupdating. R. Gopala Krishnan. 1 Neatness offeet. The most important one is feet neatness. By this whatI mean is washing thoroughly with soap water feet two times a day with care.Special care may be taken to clean the sole and gap between the fingers. Dirt or mud anywherethere is harmful. Fingernails and thumbnails should also well cut so that no dirt or mud gets under the nail. If ourfeet are neat we need not worry of amputation of any organ under anycircumstance. In places other than with in house, we should wear LEATHER FOOT WEAReverywhere, sufficiently new. Update- According to the doctor Thangam footwearsuited to the size of theperson- Not ready made diabetic footwear from medical shops. 2 Obesity One of the most important reasons for increased bloodsugar level is obesity.Obesity come due intake of normal food also due to lack of exercise. The bestexercise is walking. Ihave experimented with gardening instead of walking. Though the strain is morein gardening and even we may sweat blood glucose level reduction is lessercomparing to walking. Some muscle movement near knee reduce the blood sugarlevel more by walking rather than working .This was told to me by a juniordoctor from Trivandrum Medical College that some nerve below the knee whilewalking does this miracle in 2000. Update- DrThankam was referring of senior persons. According to her four days a week walkingfor about 500 metres is sufficient. Being Covid 19 period she wasof the opinion walking fordiabetic people with in the home was sufficient. 3. Never walk more It may look sometimes strange to many of thediabetics. This was one of the instructions given by my diabatologist Dr Pillaiin an appearance in Jaya TV (2000’s). If we practice to walk more than what is instructed bydoctor, it takes a reverse effect. The brain understands we couldwalk that much every day. Ifwe reduce to a lesser distance later, brain will not accept.Normally the medicine+ food+ exercise+ walk is decided after care fullexamination of a diabetic patients by the doctor. 4. Salt, frieditems and sugar My urology doctor Mr Varadarajan, retired from KilpaukMedical College Chennai had approved with restriction all food items. We cannotstop fascination. So better take small quantity. Once a week sugar with Uppuma,once a week potato fried or Pappadam or vadai etc. But we have to take extracare with salt. Reduce as much as possible. After some time we will feel normalsalt in food is more for us. My note-Now I feel papad is prepared adding more salt. If my wife forget to add salt ina preparation, I do not feel it has no salt added. I feel lesser salt added inthe preparation. 5. Intake ofmedicines Whenever medicines especially antibiotics areprescribed, take full, never make an effort to reduce feeling we are alright.This is very specific for diabetics. Another most important thing: If you forget to takemedicine for diabetic on an occasion do not worry about it. Worry willincrease blood sugar level (My observation- If we forget totake insulin on one occasion, the blood sugar level will shoot by more than 100points and WILL NOT REDUCE WHAT EVER YOU DO BEFORE 72 HOURS.This I have observed at least 10 occasions. After testing for two or three times in 3 days, in taking propermedicines I have observed this. There is an upperlimit increase of blood sugar level. Why it is not escalating? -I raised this just like that to my nephew’s son who is doctor at Ernakulam Governmenthospital now. He was in 3rd year of studies. With an apology hereplied not being a fully qualified doctor- Body adjust and keeps anupper level and controls escalation beyond that level. 6. Glucose orfruits with you. Keep sugar handy. Whenever you undertake a journey please ensure to takeany of these. Please do not feel ashamed to open glucose tin. BLOODSUGAR CAN GO HIGH-BUT NOT LOW. If you are not recollectingwhether you had your insulin better do not take a second time!!! Update- DrThankam was insisting in her talk to the people this point. Many peoplecomplained fainting and getting unconscious. Normallythis phenomina of blood glucose level going low occurs around 3 AM in the night.If one feels something different, immediately consume glucose or sugar. She was suggesting to keep sugar undertongue to dissolve with people fainted to recover conscious. For many who cameup with these type of complaints she asked to reduce the quantity of medicines/ insulin in the night. 7. Glucomania I am naming the disease glucomania for checking theblood sugar levels often on account of we are having handy glucometer and strips.Unless instructed by doctor oncein 3-5n days Fasting and PP is sufficient .No doctor now a days is going to relay on your readingreports. He instructs you to take and simply observe. Doctors orderHB1AC and Fasting and PP.in their hospital. They will not accept any test taken anywhereelse. My point is due to a heated responsesand counter blood sugar levels mayincrease, and a glucose test would show very high sugar level,our better halves would be stricter. There is saying in Malayalam Vati Koduthu Ati vanguga (Givea stick and get blow).. Keep two glucometers and sufficient strips in different containers.Sometimesin the most emergency one may not work. 7. Use ofLeather foot wear Members may think why I have included it as the lastitem after title. Actually my intention was to write about it only. Since thematter was very little I added the other beneficial items also. Four days back while crossing a pedestrian path aftergetting down from bus, to the best of the reasons not known to me a Nailpierced in my right foot. I was wearing a good leather footwear. Somehowholding a pole nearby going at least on single foot for 5’ I removed it. I wasstill having pain. I was actually for a nearby bank for some transaction. Aftertransaction I took an auto and came to my family doctor Dr Einstein. Heexamined the foot by pressing. I was having good pain. He put the firstquestion- Sir; you werewith Leather Chapels on feet?. I said yes. He said then nothing to worry if diabetic control is there.The pain is due to piercing. An injection was given to remove the –ve effect ofcorroded iron nail, and he prescribed two antibiotics for three days. Heexplained the antibiotics work for different parts of the body and Henceessential for three days though in a day I may feel comfortable. He explained the reason for Leather Chapels. If the chapels are leathernothing to worry. No bit will go inside while piercing. If it iswith rubber or polythene, very small bits of the same can also go inside, itwill create lot of complications. He further advised me thoughcostly it is always better to use Leather chapel by Diabetics. I understood the reason very much informative andthought of sharing with diabetics friends. Many may be knowing more than this. 8. Urinaryinfection Diabetics may get urinary infection frequently. Keepmedicines ready hand. If itching or pain is felt immediately consume urinaryinfection medicine whether it is liquid or solid. 9. Period oftreatment Diabetic can be treated to keep undercontrol, but cannot be cured. Before years it was statement ofdoctors- 10 years with tablets, another 10 years with insulin and then onwardswith dialysis. That meant a diabetic may live another twenty years. With improvement in medicinal science and new medicines it can be 15 yearswith tablets and capsules, another 20 years with synthetic insulin and advisedway of life. Family back ground plays a lot. Earlier years, the diabetic urine was having sugar andants could be seen around it. Now with 90% it does not happen. Frequency ofurinating has reduced with most if engaged in works. Exemptions can be there,but exemptions are not rules. -- You received this message because you are subscribed to the Google Groups "Thatha_Patty" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To view this discussion on the web visit https://groups.google.com/d/msgid/thatha_patty/1707014377.3691340.1609027684674%40mail.yahoo.com.
