The Diabetic Mogul

   The background story of a very young boy (teenager), who got diagnosed with type 1 diabetes, in 2011 when he was actually 14 years old; Nobody in the family could read the signs & symptoms from the very moment; He endured some enormous & agitating discomforts (dizziness/drowsiness, grumpy, severe thirsty, loose bladder, fatigue, abdominal pain) etc; Fortunately, he was taken to an extraordinary nurse (back in village, at a local clinic) who mentioned the word "DIABETES" and so he referred to a General Hospital where he was officially diagnosed. Above all, he is more than grateful for life and to the people who always showed him nothing but love (friends & family). Unite for Diabetes. #insulin4all 

  Cover photo “You cannot stop the birds of sorrow from flying over your head — but you can stop them from building a nest there.” ( Chinese saying) . When someone develops a long-term illness, the situation for the whole family is always a difficult one. There are people who come to a standstill in their grief and are unable to move on. Such people will need professional help. Continuing denial inhibits people from absorbing knowledge and adjusting life to accommodate diabetes (DR. Ragnar Hanas, MD). Semantic Scholar Most people go through the same stages when faced with crisis (the onset of Diabetes has proved to be no exception). Professor Johnny Ludvigsson describes the different phases of crisis: Shock phase (difficult to think clearly, thoughts will be whirling around in your head, everything seems unreal, failing to take in information, you listen out for hope, consolation, belief in the future, but shut out all details of the disease); Reaction phase (feeling sorrow, bitte...

  The goals of treatment for diabetes are to prevent or delay complications and optimize quality of life. However, it is difficult, if not impossible, to manage your diabetes without monitoring it at home. It often said that “trying to manage your diabetes without home monitoring is like driving a car without a milometer, fuel gauge or temperature gauge”. Therefore, undoubtedly/ without doubt “Everyone is like a child when starting something new.” Diabetes self-management education and support, medical nutrition therapy, routine physical activity, smoking cessation counselling when needed, and psychosocial care are essential to achieving treatment goals for people with diabetes as suggested by (ADA, 2020). There are two major self-management tasks to keep in mind. The first is to maintain a safe blood glucose level (this means balancing all the treatment methods, which include healthy eating, exercise, managing stress and emotions, and medication) and to detect early any problems c...

It is important to be careful about what you eat, even if you don’t have diabetes. It will be much more rewarding if you are able to discuss what you can eat with a dietitian who will help you draw up a meal plan based on the mealtimes, routines and preferences that are important to your family. “You should never eat what you don’t like”, says UK dietitian Sherry Waldron. This study will give you many details about blood glucose and different foods, but you will learn the general aspects of healthy eating from your dietitian. Based of ADA (America Diabetes Association) and ISPAD (International Society for Pediatric and Adolescent Diabetes) guidelines, Postprandial glucose level is recommended to be less than 180 mg/dl (10 mmol/L) Current Standard of Care: Dosing insulin solely based on carbohydrate (CHO) content of meal. (Blood glucose in range might become more feasible) Glycaemic Effects of Dietary Fat • Fat delays gastric empting, increases insulin resistance (the inability of cel...

Background  • Adults with diabetes are at increased risk for atherosclerotic cardiovascular disease (CVD) including heart attack and stroke  • Mortality from CVD in people with diabetes is significantly increased compared to non-diabetic population • While CVD events are rare in paediatrics, increased carotid intima-media thickness (cIMT) and endothelial dysfunction have been documented in youth with type 1 diabetes (T1D) • Dyslipidaemia is a known major and MODIFIABLE risk factor for atherosclerotic CVD (ASCVD)- defined as coronary heart disease) • Reduction of cholesterol levels reduces coronary disease risk in adults • In patients with diabetes, control of dyslipidaemia early in life may result in significant decrease in morbidity and mortality due to CVD DYSLIPIDAEMIA IS VERY COMMON IN YOUTH WITH DIABETES Screening: ISPAD guidelines Paediatric Type 1 Diabetes   • Lipid profile soon after stabilization of glycaemic control for children > 11 years...