INSULIN

WORLD DIABETIC DAY-Itis marked every year on 14th November, the birthday of Sir 
FrederickBanting, who co-discovered insulin along with Charles Best in 
1922.14-Nov-2022

In the last few days I was going through talks fromdifferent doctors with post 
graduate degrees working in different hospitalsappearing in watts app.

I could observe a marked difference from the talks of youngstersfrom elders. 
One of themain differences was expressing the same matter in softer ways. I 
think wecannot get this much information from even these doctors on 
consultation. 

Though diabetics is metabolic disorders most new doctors talk of it as disease. 
The soft talks rich ininformation, along with seriousness of the problem are 
told by all. 

Some of the information which appealed me is listedbelow. These are just 
information sharing. 

Main pointabout insulin.

Diabetics are advised to inject insulin when bloodsugar level is high and to 
control and bring back to normal levels. Unless blood sugar level is not 
controlled by tablets, then onlyinsulin is prescribed.

Two types of insulin are advised. One to reduce bloodsugar levels and another 
to work in the body all the 24 hours of a day. Every time we take a snack, 
insulincannot be injected. 

There are different parts where flush is more in thehuman body where insulin 
can be injected. 90% of diabetics perform self-injectionof    insulin. 10% 
depends on staff or others.

One of the youngster male doctors pointed out whiletaking food, injecting near 
naval is more efficient than in thighor upper hand flesh area.

HbA1c

HbA1c is what's known as glycated hemoglobin. This issomething that's made when 
the glucose (sugar) in your body sticks to your redblood cells. Your body can't 
use the sugar properly, so more of it sticks toyour blood cells and builds up 
in your blood.

All doctors were of opinion daily /weekly reading withblood sugar level is for 
self-check and controls self in consuming food. One day if one is tensioned or 
had anger the bloodsugar reading will go high. Or consuming some special food. 

Monitoring by HBA1c is suggested by all. 

3.Consideration of feet

All the doctors were talking about feet protection.Every day removing water 
between toes after bath this most may not do. 

One of the doctors opinioned, not so much of soapshould not be applied on legs 
and feet especially by elders. Application of oilis must in legs and feet, to 
avoid dry skin. But it should not be removed much.One doctor shortened his 
telling saying, feet should be considered above faceby diabetics in care. 

Appearing black marks is natural in body. But in toesappearing toes and 
swelling is an indication of diabetic neuropathy. 

One should every day wide out toes and examine any damageto skin has occurred 
and if found, it should be immediately treated. Furtherevery day doing so will 
increase blood circulation to toes, which is the firstpart getting affected in 
diabetic neuropathy. 

Fruits and nuts

Most doctors were advocating eating small quantity of nuts by diabetics 
regularly.

 The effect ofthis I have practically felt. When getting up from the bed I was 
feeling slightbend in the back bone. Even before reading it, I was eating 5-7 
cashews perday. Now I find the body does not bend. 

Most doctors were agreeing eating Kerala banana (nenthran)about to ripe or 
boiled and sweet potato boiled for its fiber content. 

Drinking water

8-12 glasses of water including coffee and tea was advocated bydoctors. Water 
quantity has to be reduced when kidney capacity is reduced. 

Tablets.

Some tablets can affect kidney when used with more milligrams.So those taking 
tablets must make periodic consultation with doctor to reducethe quantity when 
the insulin production in the body has increased.

Dialysis

Doctors from dialysis side were telling those whosekidney is affected is given 
other treatments. In the worst case only dialysisis performed. Normally 
diabetics are given blood pressure tablets to reduceblood pressure of kidneys. 

Friends, 

These are information I heard andsharing just for information, nothing more. 
Those with diabetic should not takethese information as authority. They should 
consult their doctors before followingany information told here in

Gopalakrishnan 5-12-2022

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