HEALTHFACT99: TIPS TO CONTROL DIABETES A SILENT KILLER- Healthfact99

TIPS

TO CONTROL

DIABETES A SILENT KILLER

INTRODUCTION:-

Now days, Diabetes cases are dramatically increasing day by day tuning to epidemic disease soon. Living with this makes an emotional, financial, physical the burden on the entire family. So, it can be described as a silent killer. Term Diabetes first coined by Apollonius of Memphis around 250 BC.Thomas Willis In 1675 added the word ‘Mellitus’ to the word diabetes because of the sweet taste of the urine.

PREVALENCE:-

Diabetes prevalence has been rising more rapidly in middle and low income countries.It It is estimated that 415 million people are living with diabetes in the world, which is to be 1 in 11 of the world’s adult population.
The average age of onset is 42.5 years. Nearly 1 million Indians die due to diabetes every year. According to the CDC, 90 to 95 percent of people with diabetes have type 2.Just 5 percent of people have type 1.

DIABETIC LIFE EXPECTANCY:-

Diabetes will shorten life expectancy 7.5 years in the case of men and 8.2 years in the case of women on average. People with type-1 diabetes have 20 years shorter and with type-2 about 10 years shorter life expectancy in on average.

KNOW THE TERM DIABETES:-

Diabetes Mellitus(DM), commonly known as Diabetes, is a group of a metabolic disorder characterized by increased blood sugar(glucose) level in the body (hyperglycemia )due to deficient secretion and action of insulin hormone.
Though glucose is the main source of energy for our body cells to make up our muscles and tissues; and also glucose is the main fuel for brain action. Insulin, a hormone secreted from the pancreas helps cells to take in glucose to be used for energy and it signals the liver to take up glucose and store it as glycogen for an emergency time in case the body has sufficient energy. In diabetes, the body is unable to utilize food’s nutrients like energy, causing extra sugar to collect in blood and urine. Here; due to the insufficiency of hormone insulin glucose cannot be converted to utilized form and remain in the blood causing hyperglycemia.

CLASSIFICATION OR TYPES OFDIABETES:-

Type-1 Diabetes:-This usually begins before 40 years of age, but occasionally people of older age affected. It is a chronic condition, in which the pancreas produces little or no insulin. Here body’s ability to produce insulin affected. It can be termed as insulin-dependent diabetes mellitus (IDDM) or juvenile diabetes.
Type 2 Diabetes:- This is the chronic condition and is a disease of lifelong in which the body makes insulin but not utilized by the cells. Here body cell fails to use insulin properly. It is also called Insulin resistance Diabetes. It can be termed as non-insulin-dependent Diabetes Mellitus (NIDDM) or adult-onset diabetes. It is the common type of Diabetes having mild unnoticeable symptoms sometimes.
Prediabetes:-It is a condition in which blood sugar level is in the borderline, turn into type-2 Diabetes later on gradually near about after 10 years when not controlled.
Gestational Diabetes:-It is described as an increase in blood sugar levels in the gestational or pregnancy period. Women who have Gestational Diabetes are at greater risk of developing type-2 diabetes later in life.

RISK FACTORS OF DIABETES:-

It is any characteristic or exposure of an individual which causes the increases the chances of disease development. The factors vary according to types.

Type-1 Diabetes: -There is no specific cause behind it, but some factors may triggers are; Bacterial or viral infection, Consumption of food containing chemical toxins, Autoimmune reaction, Genetic disposition etc.
Type-2Diabetes:-There are usually more than one cause behind it. Some important triggering factors are -Family history of type -2 Diabetes( most likely cause), Overweight, Sedentary lifestyle, older in age, Unhealthy food, H/o Gestational Diabetes.
Gestational diabetes:-The cause of this type of diabetes is unknown. Some triggering factors which increase the chances of developing Gestational Diabetes areas follow -Family history, overweight, Polycystic ovarian syndrome (PCOS), short stature, polyhydramnios, hypertension or preeclampsia.
Other common Factors:-There are some other factors which enhance Diabetes:-Pancreatitis or Pancreatectomy, Polycystic ovarian syndrome ( due to obesity-linked insulin resistance), Cushing’s syndrome( due to overproduction of cortisol hormone), Glucagonoma(due to lack of equilibrium between levels of production of insulin and glucagon), Steroid therapy( prolonged use of steroid glucocorticoid).
A person with a body mass index higher then 25, high blood pressure, abnormal cholesterol levels, a sedentary lifestyle, overweight (A woman with a waist circumference of 35 inches or more and a man with a waist circumference of 40 inches or more)

SIGN AND SYMPTOMS OF DIABETES:-

Sign and symptoms vary according to types.

Type-1 Diabetes:-It usually develops suddenly and with high blood glucose level may produce symptoms like : Sudden weight loss, Dry mouth with unusual thirst, Tired or fatigue feeling, Excessive hunger, Increased frequency of urination, Blurred vision, Un control urination or Bed wetting.
Type -2 Diabetes:-People with type 2 diabetes remain unaware of their condition and may take years to be recognized , because the symptoms are usually not as clear as those in type 1 diabetes. The symptoms of type 2 diabetes include:-Frequent and excessive urination, Unusual excessive thirst, Unusual hunger, Blurred vision, extreme tiredness, Feeling of Numbness and tingling in the hands and feet, Recurrent infections and slow healing of the wound.
Gestational Diabetes:-Possible Symptoms and symptoms are:-Extreme thirst, Fatigue, Blurred vision, Nausea, Frequent skin and vaginal infection, Frequency in urination, Sugar in the urine.
Prediabetes:-Pre diabetes leads to type-2 diabetes later on. Symptoms are -Increased Thirst, Increased Appetite, Dry mouth, Frequent urination, Frequent UTI(Urinary Tract Infection), Undesirable weight loss, Fatigue or tired feeling; Blurred vision.

Diagnosis:-

Symptoms of type 1 diabetes often appear suddenly and need for checking blood sugar levels regularly. But the symptoms of other types of diabetes and prediabetes come on more gradually, so not needed to be screened frequently. Risk factors for gestational diabetes should be evaluated early in your pregnancy.
According to the American Diabetes Association (ADA) has recommended screening guideline lines include:-Anyone older than age 45 is advised to be screened for blood sugar and if the results are normal, to be screened every three years thereafter, woman having a history of gestational diabetes is advised to be screened for diabetes in every three years, Person with prediabetes is advised for screening every year.

Tests For Diabetes:-

Glycated hemoglobin (A1C) test:- This blood test indicates the average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin. The higher the blood sugar levels, the more hemoglobin with sugar attached. level of 6.5 percent or higher of A1C on two separate tests indicates diabetes. An A1C between 5.7 and 6.4 percent indicates prediabetes. If it is below 5.7 is considered normal. Fasting blood sample is not required. Compared with repeated daily blood sugar tests, A1C testing better indicates how well the diabetes treatment plan is working. An elevated A1C level may signal the need for a change in oral medication, insulin regimen or meal plan. Sometimes, blood sugar levels may rise with proper maintenance. In this case, stick with a diabetes management plan, and wait for a positive difference in A1C.
Random blood sugar test:- A blood sample will be taken at any time, without any prior preparation for the test. In this level of 200 milligrams per deciliter (mg/dL) or more suggests diabetes. This is usually done when there is unexplained weight loss, extreme tiredness or other signs of diabetes.
Fasting blood sugar test:- In this blood sample will be taken after an overnight fast. The level less than 100 mg/dL (5.6 mmol/L) is normal and the level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two sequential tests, considered as diabetes.
Glucose tolerance test:- In this, the fasting blood sugar level is measured. Here the person is advised to drink a sugary liquid, and blood sugar levels are tested periodically for the next two hours. A blood sugar level of less than 140 mg/dL (7.8 mmol/L) is normal. Value more than 200 mg/dL (11.1 mmol/L) after two hours indicates diabetes. Value between 140 and 199 mg/dL (7.8 mmol/L and 11.0 mmol/L) indicates prediabetes.
Urine Test: -It is suggested, If type 1 diabetes is suspected, for the presence of Ketone bodies (a byproduct produced when muscle and fat tissue are used for energy in case the body doesn't have enough insulin to use the available glucose)
Test for Autonantibobies:-This is meant to find out the destructive immune system cells associated with type 1 diabetes.

MANAGEMENT OF DIABETES: -

Diabetes is a serious disease. Careful management of diabetes can reduce the risk of serious life-threatening complications.

Treatment:-

Depending on type of diabetes blood sugar monitoring, insulin and oral medications may play a role in treatment.

Treatment for type 1 diabetes involves insulin injections or an insulin pump, frequent blood sugar checks, and carbohydrate counting -People with type 1 diabetes need insulin therapy to survive. Treatment of type 2 diabetes involves lifestyle changes, monitoring of blood sugar, along with diabetes medications, insulin or both. In the case of gestational diabetes, In addition to maintaining a healthy diet and exercising, treatment plans may include monitoring blood sugar and, in some cases, using insulin or oral medications.
There are many types of insulin are available, including rapid-acting insulin, long-acting insulin, and intermediate options. A mixture of insulin types used throughout the day and night, Depending on needs. Insulin can't be taken orally in case of high blood sugar because stomach enzymes interfere with insulin's action. Usually, insulin is injected using a fine needle and syringe or an insulin pen, a device that looks like a large ink pen.
An insulin pump is a device about the size of a cell phone worn on the outside of the body. A tube connects the reservoir of insulin to a catheter that's inserted under the skin of the abdomen. A tubeless pump that works wirelessly is now available. It may be taken as an option.
Oral or injected medicines are prescribed which stimulate the pancreas to produce and release more insulin and also inhibit the production and release of glucose liver, meant to need less insulin to transport sugar into your cells. Some medications block the action of stomach or intestinal enzymes that break down carbohydrates or make tissues more sensitive to insulin. Ex:- Metformin (Glucophage, Glumetza, others) is usually the first medication prescribed for type 2 diabetes.
Medications to control cholesterol statins and high blood pressure medications are needed. Low-dose aspirin therapy may help to prevent cardiovascular disease which is at high risk.
In some people who have type 1 diabetes, a pancreas transplant may be one option. With a successful pancreas transplant, there is no longer need insulin therapy. But transplants aren't always successful and these procedures riskful.
Homoeopathic medicine Syzygium Q helps to control and lower the blood sugar level to some extent.

2.Home remedies for the management of diabetes:-

Bitter gourd or karela:- bitter gourd can reduce hyperglycemia. It also contains very e essential compounds called chain and Momordica helps to reduce blood sugar levels. Add bitter gourd once a week in your diet h sabzi or curry and take bitter gourd juice on empty stomach every morning.
Fenugreek:- it helps to control diabetes improve glucose tolerance lower blood sugar level and stimulate the secretion of insulin. Method to use fenugreek; 2 tsp of fenugreek seeds in water overnight and drink in the morning in empty stomach to bring down Glucose level and fenugreek seed powder with cold or hot water advice to consume.
Mango leaf:- fresh mango leaves helps to decrease blood sugar level more. Method to use:- - wash and sundry mango leaves and dry into powder consume this powder with water in morning and night Daily.; Boil some fresh mango leaves in a glass of water leave it full overnight drink the water in the morning on an empty stomach.
Indian gooseberry or Amla:- is the richest source of vitamin C and healthy pancreas to produce insulin on how to balance blood glucose levels. Method to use: -Discard the seeds and Bryant two or three on large to find paste make the juice mix the juice 2 tsp e in a cup of water and drink every morning on empty stomach; consume raw Amla every day; It’s better to mix a cup of bitter gourd juice with 1 tsp Amla juice and drink daily.
Drumstick or moringa leaf:- These leaves can maintain blood sugar level and it contains nutrients that increase the insulin secretion in the body antioxidant and have inflammatory properties. Method to use:- Add 50 grams of fresh moringa leaves into a meal every day.
Vitamin D: -Low vitamin D level related to insulin resistance and diabetes. It plays a vital role in the production of insulin in the body. Sunlight is a good source of vitamin-D. What to do:- expose yourself for 30 minutes daily sun to avoid vitamin D deficiency. Include Vitamin D rich food in your daily diets such as orange juice cheese yogurt and cereals.

3. Acupressure treatment:-
Pressing the following points, help to decrease the blood sugar level gradually.

4. Healthy eating: -
It helps to prevent, control and reverse diabetes.

Nutritional Advice-

It needs to do emphasis on more fruits, vegetables, lean proteins, and whole grains. Foods that are high in nutrition and fiber and low in fat and calories advisable and cut down on saturated fats, refined carbohydrates, and sweets. It’s the best eating plan for everybody.
Food more eat:-nuts, olive oil, fish oils, flax seeds, or avocado which contain healthy fats; Fresh fruits and vegetables, whole fruit rather than juices; High-fiber cereals and bread made from whole grains; Fish and shellfish, organic chicken; High-quality protein food such as eggs, beans, low-fat dairy, and unsweetened yogurt
Food Eat less:-partially hydrogenated or deep-fried foods which contain trans fats; Packaged and fast foods, especially those high in sugar, baked goods, sweets, chips, desserts; White bread, sugary cereals, refined pasta or rice; Processed meat and red meat; Calories obtained from fructose (found in sugary beverages such as soda, energy and sports drinks, coffee drinks, and processed foods like muffins, cereal, candy, and granola bars) are more likely to add weight around the abdomen should be avoided; Low-fat products which have replaced fat with added sugar, such as fat-free yogurt.
Cut down the carbohydrates and increase the fiber content in diet:- - Eating plenty of fiber can help with blood sugar control, and soluble dietary fiber is the most effective. Fiber containing foods include vegetables, fruits, legumes, and whole grains. The recommended daily intake of fiber is about 25 grams for women and 38 grams for men which is for every 1,000 calories near about 14 grams.Instead of Carbohydrates Use high fiber options. Example:- White rice replaced with Brown rice; White potatoes with sweet potatoes, yams, cauliflower mash; Regular pasta with Whole wheat pasta, Spaghetti; White bread with Whole wheat or whole grain bread.
Reduce sugar intake:-Eating a diabetic diet doesn’t mean eliminating sugar altogether. slowly to reduce the sugar in diet a little at a time to give the taste buds time to adjust. There are some tricks to cut down sugar:-

* Serving of a sugar-sweetened beverage increases the risk of diabetes by about 15 percent. water with a twist of lemon or lime is advised instead.

*Buy unsweetened plain yogurt, or unflavored oatmeal or plain food and add sweetener (or fruit). Food likely is added far less sugar than the manufacturer by this process.

* Check labels for low sugar products and use fresh or frozen ingredients instead of canned goods. Must aware of the sugar content of cereals and sugary drinks.

*Avoid packaged or processed foods like canned soups or low-fat meals that often contain hidden sugar. Prefer homemade meals

*Reduce the amount of sugar in recipes by ¼ and boost sweetness with mint, cinnamon, nutmeg, or vanilla extract instead of sugar.

*Find healthy ways to satisfy a sweet tooth:- Instead of ice cream, blend up frozen bananas for a creamy icy treat Or enjoy a small bite of dark chocolate, rather than a milk chocolate bar.

*Choose calorie-free drinks. Alcohol may interfere with diabetes medication and insulin. So, avoid alcoholic drinks including beer and wine.

Identify hidden sugar:-

*Sugar is also hidden in many packaged foods, fast food meals, and grocery store staples such as bread, cereals, canned goods, pasta sauce, instant mashed potatoes, frozen dinners, low-fat meals, and ketchup.
*The first step is to identify hidden sugar on food labels. Manufacturers provide the data about the total amount of sugar on their labels but not mentioned about added sugar; sugar that is naturally in the food. sugar, honey, or molasses are easy enough to spot but added sugar also be listed as corn sweetener, high-fructose corn syrup, evaporated cane juice, cane crystals, invert sugar, or any kind of fructose, dextrose, lactose, maltose, or syrup.

Choose Healthy fat:- Some fats are unhealthy,, so it’s important to choose fat wisely. Avoid commercially-baked goods, packaged snacks. The healthy fats are unsaturated fats, which come from fish and plant sources such as olive oil, nuts, and avocados contain Omega-3 fatty acids; helps to fight inflammation and support brain and heart health. Good sources include salmon and flaxseeds.

Tips to add healthy fats and reduce unhealthy fats:-

*Instead of chips prefer nuts or seeds as a snack.

*Instead of fried, choose boiled, baked, or stir-fried foods.

*saturated fat from processed meats, packaged meals should be avoided.

* Instead of red meat, add in diet skinless chicken, eggs, fish, and vegetarian sources of protein.

*Use extra-virgin olive oil to dress salads, cooked vegetables, or pasta dishes.

*Avoid Commercial salad dressings are high in calories and trans fat so create dressing at home with olive oil, flaxseed oil, or sesame oil.
*Add avocados to sandwiches and salads; because they are loaded with healthy fats, which make for a filling and satisfying meal.

Eat Foods Rich in Chromium and Magnesium:-Chromium helps to control blood sugar levels and a lack of chromium may predispose to carbohydrate intolerance. Chromium rich food includes whole-grain products, high-bran cereals, coffee, nuts, green beans, broccoli egg yolks, and meat. Magnesium lowers the blood sugar levels, and magnesium deficiency leads to a higher risk of developing diabetes. Food rich in Magnesium includes dark leafy greens, whole grains, fish, dark chocolate, bananas, avocados, and beans.
Use Apple Cider Vinegar:-It promotes lower fasting blood sugar levels, possibly by decreasing its production by the liver or increasing its use by cells. vinegar significantly influences your body's response to sugars and improves insulin sensitivity. Add apple cider vinegar to salad dressings or mix 2 teaspoons in 8 ounces of water. However, it's important to check the blood sugar before taking apple cider vinegar.
Add Cinnamon in diet:-It helps to improve insulin sensitivity by decreasing insulin resistance at the cellular level. Cinnamon also acts similarly as insulin, but at a much slower rate. An effective dose is 1–6 grams of cinnamon per day, or about 0.5–2 tsp.
Use Berberine:-Berberine is the active component of a Chinese herb that's been used to treat diabetes. It works well for lowering blood sugar levels and help to manage diabetes. It may have some digestive side effects. A common dosage protocol for this is 1,500 mg per day, taken before meals as 3 doses of 500 mg.
Add Fenugreek Seeds in diet:-Fenugreek seeds are a great source of soluble fiber, which helps to control blood sugar levels. It also helps to reduce fasting glucose and improve glucose tolerance. Fenugreek seeds are 2–5 grams per day is recommended
Ketogenic diets are very effective for lowering blood glucose levels and reducing weight. A ketogenic diet is a very low-carbohydrate diet, around 30g of per day or below. It helps the body cells to get its energy from burning body fat which produces an energy source known as ketones. The diet helps to lower the body's demand for insulin which has benefits for people with type-1 and type-2 diabetes .following the diet as precautions may need to be taken before starting. The primary goal of a ketogenic diet is to keep consumption lower than that of a low carbohydrate diet with moderate protein and a very high-fat content. It has been designed according to physical activity and resistance to ketones.
Stay hydrated:-People with diabetes degrees of dehydration greater. Staying hydrated can reduce blood sugar levels and help prevent diabetes. In addition to preventing dehydration, it helps your kidneys flush out the excess blood sugar through urine. Consume 2.5 water a day
Eat at regular set times:- Body can regulate blood sugar levels and weight when a regular meal schedule is maintained. Start the day with a good breakfast, It will provide energy as well as steady blood sugar levels. Eating regular small meals helps to keep portions in check. To regulate blood sugar levels, try to eat roughly the same amount every day, rather than overeating one day or at one meal, and then skipping the next.
Implementation of Portion Control:- Control the serving size help to control blood sugar level. Portion control helps to regulate calorie intake which leads to reducing weight and subsequent blood sugar. There are some helpful tips for controlling portions:-Measure and weight portions; Use smaller plates; Avoid eating at restaurants; Cutting the serving size.
Choose foods with low Glycemic Index: High glycemic index (GI) has long been promoted as a tool to help manage blood sugar, there is some notable drawback. A low glycemic index food includes meat, eggs, oats, barley, beans, lentils, legumes, sweet potatoes, corn, yams, most fruits, and non-starchy vegetables.

5. Physical activity:-

Exercise lowers blood sugar levels by moving sugar into the cells, where it's used for energy and also it increases sensitivity to insulin means the body needs less insulin to transport sugar to cells. Exercise helps to prevent pre-diabetes and type 2 diabetes. It also helps those who have diabetes to maintain better blood sugar control. A minimum of 30 minutes of moderate exercise such as brisk walking most days of the week is recommended. It's a good idea to spend less time sitting still. Advised to move around for a few minutes at least every 30 minutes.
Yoga asanas for Diabetes:-

Yoga mudras for Diabetes:-

Mudras are hand postures that help for flowing energy to specific areas of the brain. Practice this regularly is very effective for reducing blood sugar levels. It is best to perform the following poses in the morning.

GYAN MUDRA

APAN MUDRA

LINGA MUDRA

PRAN MUDRA

SURYA MUDRA

6. Monitoring blood sugar: -Careful monitoring is the only way to make sure that the blood sugar level remains within the target range. People with type 2 diabetes who aren't taking insulin generally check their blood sugar much less frequently. 5. Make a commitment to managing diabetes:-Make strategy to manage diabetes with the change in a healthy lifestyle and recording the diet schedule of the day for proper planning.

7. Choose healthy foods and maintain a healthy weight:- losing just 5 percent of body weight makes a difference in blood sugar control in the case of prediabetes or type 2 diabetes. Plenty of fruits, vegetables, lean proteins, whole grains, and legumes, with a limited amount of saturated fat, constitutes a healthy diet.

COMPLICATIONS IN ANY TYPE OF DIABETES:-

High blood sugar (hyperglycemia):-It occurs for many reasons, including eating too much, being sick or not taking enough glucose-lowering medication. Check blood sugar level regularly and watch for signs and symptoms of high blood sugar — frequent urination, increased thirst, dry mouth, blurred vision, fatigue, and nausea. In the case of hyperglycemia, we need to adjust the meal plan, medications or both.
Increased ketones in the urine (diabetic ketoacidosis):- cells are starved for energy, so the body may begin to break down fat. This produces toxic acids known as ketones. Watch for symptoms like; loss of appetite, weakness, vomiting, fever, stomach pain and sweet, fruity breath. urine analysis was done for excess. This is common in people with type 1 diabetes.
Hyperglycemic hyperosmolar nonketotic syndrome:-It is a life-threatening condition having signs and symptoms like blood sugar reading over 600 mg/dL (33.3 mmol/L), dry mouth, extreme thirst, fever, drowsiness, confusion, vision loss, and hallucinations. Hyperosmolar syndrome is caused by high blood sugar that turns blood thick and syrupy. It is seen in people with type 2 diabetes.
Low blood sugar (hypoglycemia):- If blood sugar level drops below the target range, it's known as low blood sugar (hypoglycemia). Low blood sugar also occurs by taking too much insulin or an excess of a glucose-lowering medication which promotes the secretion of insulin by pancreas.watch for signs and symptoms of this which includes; sweating, shakiness, weakness, hunger, dizziness, headache, blurred vision, heart palpitations, irritability, slurred speech, drowsiness, confusion, fainting, and seizures. Hypoglycemia is treated with quickly absorbed carbohydrates, such as fruit juice or glucose tablets.
In Gestational Diabetes, extra glucose or sugar of bloodstream crosses the placenta force the baby’s pancreas to produce extra insulin. This results in a large baby (Macro some); it may cause delivery by unexpected c-section.

DIABETIC SELF CARE:-

Identify self:-Identify self as a diabetic always and change lifestyle and food habits accordingly.
Monitor blood sugar in regular basis:- keeping track helps to determine whether to make adjustments in meals or medications.
Schedule a yearly physical and regular eye exams:- yearly physicals or routine eye exams should be included in regular diabetes checkup. Physical checkup meant for any diabetes-related complications and screen for other medical problems. Eye checkup meant for signs of retinal damage, cataracts, and glaucoma.
Keep vaccinations up-to-date:-High blood sugar may weaken the immune system. The pneumonia vaccine may be recommended to avoid flue. The Centers for Disease Control and Prevention (CDC) also recommends hepatitis B vaccination if not previously been vaccinated against hepatitis B and an adult ages 19 to 59 with type 1 or type 2 diabetes. This vaccination is advised as soon as possible after diagnosis with type 1 or type 2 diabetes. If the age is 60 or older, have diabetes, and haven't previously received the vaccine, maybe vaccinated according to the advice of a physician.
Give attention to feet. Wash feet daily in lukewarm water. Dry them gently, especially between the toes. Moisturize with lotion, but not between the toes. Check feet every day for blisters, cuts, sores, redness or swelling. Consult the physician if any sore or other foot problem that doesn't heal promptly on its own.
Keep blood pressure and cholesterol under control:- Eating healthy foods and exercising regularly help for controlling high blood pressure and cholesterol. Medication may be needed, too.
Take care of teeth:-Diabetes may prone to more-serious gum infections. Advised to Brush and floss the teeth at least twice a day. In the case of type 1 or type 2 diabetes, schedule regular dental exams. Advised to do a checkup, if gums bleed or look red or swollen.
Try to quit smoking or use of other types of tobacco:- according to the American Diabetes Association , Smoking increases your risk of various diabetes complications. Smokers who have diabetes are more likely to die of cardiovascular disease than are nonsmokers who have diabetes,.
Avoid alcohol:- Alcohol can cause either high or low blood sugar, depending on the quantity of drink. I have a habit to drink, do so only in moderation — one drink a day for women and two drinks a day for men and always with food. But, it's better to quit alcohol.
Take stress seriously. Due to prolonged stress, the hormones of the body may produce which may prevent insulin from working properly, which will raise blood sugar and stress even more. Set limits for work and prioritize the tasks. Learn relaxation techniques.
Get plenty of sleep.
Improve the quality of the diet.

PREVENTION:-

Regular exercise:-Regular exercise help to increase insulin sensitivity which means cells are better able to use the available sugar in the bloodstream. It helps muscle cells for contraction and to use blood sugar for energy.
Control of Carbohydrate Intake
Increase Fiber Intake
Stay Hydrated
Control Stress Level: -Hormones such as glucagon and cortisol is secreted during stress. These hormones cause to increase the blood sugar level.
Monitoring Blood Sugar Levels in a regular basis After the age of 40 especially.
Get quality and enough sleep.
Weight Control:-Weight control also promotes healthy blood sugar levels and has been shown to reduce your risk of developing diabetes.

CONCLUSION:-

Today, People with diabetes, have an excellent chance of living long, healthy lives, free from serious complications.
Although diabetes is difficult to cure, but it can be managed and prevented by doing selective efforts. Here in this blog; some nutritional advice, acupressure, yoga mudras, yoga poses and other information’s given which may control and easy to manage Diabetes in some extent.