Help Yourself to Health Diabetes Awareness The charity Diabetes UK has recently reported that there are 2.9 million people in the UK diagnosed with diabetes plus an estimated 850,000 who are unaware that they are affected by this condition. To some extent, our modern sedentary lifestyle coupled with poor eating habits has contributed to these statistics. And to highlight the situation even more, the National Audit Office estimates that by 2020 these figures will have increased by a further 23%. Diabetes is a serious illness and as yet cannot be cured, but, notwithstanding one’s age and the severity of the condition, it can be successfully managed. By maintaining a healthy balanced diet, not smoking, physical exercise, plus working with one’s diabetes health care team and taking prescribed medication, all these factors should help to make it possible to live a happy and healthy life and reduce the risks of developing long-term complications associated with this disease. What is Diabetes? Diabetes is either caused by the pancreas not producing enough insulin or due to the body becoming resistant to the effect of insulin. There are two main types of diabetes – Type 1 and Type 2. Type 1, which accounts for approximately 10% of people with the disease, can develop at any age but usually appears before the age of 40 and especially in childhood. It develops when the insulin-producing cells in the body have been destroyed and the body is unable to produce any insulin. It is treated by taking insulin daily by injection or pump, plus a healthy diet and regular physical activity. Type 2 develops when the body can still make some insulin, but not enough, or when the insulin that is produced does not work properly – known as insulin resistance. This form of diabetes usually appears in people over the age of 40 and accounts for approximately 90% of people with the disease. It is treated with a healthy diet and regular physical activity, plus medication and/or insulin is often required. Symptoms Symptoms of diabetes can include an excessive thirst extreme tiredness passing urine frequently (especially at night) slow healing of cuts and wounds blurred vision unexplained weight loss itching in the genital areas and/or thrush The reason diabetes needs to be controlled is that abnormally high quantities of sugar in the blood can cause potentially serious long term problems to the eyes, kidneys and blood vessels leading to the arms and legs. However, once the sugar level is corrected and well controlled, diabetics can lead normal lives. How is diabetes diagnosed? Your doctor may carry out one or a range of blood tests: Random blood glucose test - to check blood glucose level. If this test shows that the level is high, then a Fasting blood glucose test will be carried out. The resultant blood glucose level will indicate either a positive or negative result. Managing Diabetes Each individual’s clinical needs will vary, so to achieve the best possible diabetes care, it is essential for those diagnosed with the condition to work with a diabetes health care team for practical advice and psychological reassurance. For example, advice on learning how to deal with a Hypoglycaemic attack (low blood glucose level) and a Hyperglycaemic attack (high blood glucose level) is essential. The aim of managing diabetes is to keep blood glucose, blood pressure and blood fat levels as close to agreed targets as possible. Food choices and eating habits are important to help manage diabetes, but it should be possible to continue to enjoy a wide variety of foods as part of healthy eating. Eating foods with less fat, sugar and salt and increasing amounts of fruit and vegetables, oily fish, pulses and grains should all help with the management of the disease. Reducing consumption of alcohol is also recommended. Quitting smoking and keeping physically active will not only help diabetes, but also help reduce the risk of long-term complications of cardiovascular disease, damaged vision and eye problems, kidney disease and neuropathy (damaged nerves). Information and Support The range of free leaflets on display at the Wilson Practice Patients Participation desk, next to the reception area provide useful information for reading round the subject in an easy to understand way. Contact the following charities for further information Diabetes UK –www.diabetes.org.uk Tel: 020 7424 1000 Local volunteer support groups are at Basingstoke and Petersfield British Heart Foundation - bhf.org.uk Tel: 020 7554 000