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Medicine & Health Education
The Story of Diabetes Mellitus
Lifestyle Modifications for a Healthy Body, Mind and Spirit
Bala N. Aiyer, M.D.

What is Diabetes ?

Diabetes Mellitus is a disease that affects 16 million Americans each year. The American Diabetes Association estimates that at least one million people who live in Texas are unaware that they have diabetes. If left untreated or unnoticed, diabetes may lead to kidney failure, blindness, heart disease, amputations, strokes, birth defects and even premature death.

DIABETES : The Body's Energy Crisis - #1
A condition for Life - to be Controlled & not Cured !
Part - 1

You should be tested if you:
1. have one or more of the following symptoms on a regular basis:
i. excessive thirst,
ii. frequent urination,
iii. extreme fatigue
iv. unexplained weight loss
v. blurry vision from time to time.
2. weigh 30% over your ideal weight
3. are a woman who had a baby weighing over 9 lbs at birth.
4. have history of diabetes in your family
5. have a slow healing of cuts and sores
6. have frequent infections
7. have high blood pressure
8. experience dry, itchy skin, numbness or tingling in hands or feet.
Diabetes Screenings
Recommendations for Diabetes Screening Programs
according to the American Diabetes Association [2005]

1. The blood glucose screening test is a finger stick glucose test. Patients may either come for a fasting or for a "random" testing. Fasting test is defined as no consumption of food or beverages other than water for at least 3 hours before testing. A glucose level >100 mg/dl is an indication for further diagnostic testing. Individuals with glucose levels < 100 mg/dl should be retested in 3 years if they still have > 1 of the defined diabetes risk factors. Individuals whos have a fasting blood glucose of between 101 to 125 are considered to be in the stage of Pre-Diabetes and need to take extra precautions of regular exercise and proper diet. There is a very high likelyhood of developing Diabetes and need to reduce their weight to normal levels.

2. Fasting Blood Glucose levels above 125 mg/dl, after over-night fasting, is considered as Diabetes. Finger stick glucose testing also may be performed on individuals who have taken food or drink shortly before testing. Such tests are referred to as random glucose measurements. If food or drink (other than water) has been ingested within 3 hours preceding the test, a random glucose level >160 mg/dl is considered positive. Individuals testing positive should be referred for diagnostic testing.



Major Risk Factors or High Risk conditions for Diabetes Include:
1. A family history of Diabetes
2. Obesity ( > 30% over ideal body weight )
3. Race ( Native American, Hispanic or African-American )
4. Age > 40 years
5. Hypertension or significant Hyperlipidemia
6. In woman, a history of delivery of a baby 9 lbs. or over.
Continued on next page
-- High Blood Sugar and Diabetes are harmful to good health--
Essential Changes -- for a healthy Heart and General Health0