Emcure_Diabetes Matters express_20pages

More documents

Recommendations

Info

6diabetesAnaemia In Diabetes:Stir The BloodWhen someone has anabnormally low amount of redblood cells they are said tobe anaemic. Red blood cellsin the body transport oxygento different parts because ofhaemoglobin. When thereare less red blood cells, thebody’s organs don’t receivethe oxygen which they need.This causes them damage. Italso decreases an anaemicperson’s quality of life bycausing weakness, fatigue andmore. There are different typesof anaemia and some of thediabetesmatters - express
Dr. SujitChandratreyaMD (Medicine)(Gold Medallist),DM (Endocrinologist),DND (Endocrinologist),Nashik, Maharashtra.7causes would be:• Deficiency of iron and vitamins• Anaemia related to kidney disease• Heavy bleeding due to wounds,heavy menstrual bleeding, ulcersand certain cancers.• Chronic diseases or longstanding orongoing medical condition.Relationship betweendiabetes and anaemiaDiabetes does not directly causeanaemia, but certain complications andconditions associated with diabetes cancontribute to it. A person with diabeteshas an increasing risk of developinganemia the longer they have thecondition. The risk develops notdirectly due to diabetes but becauseof its complications, like diabetesrelatedkidney disease (nephropathy)and nerve damage (neuropathy).Regarding the former condition, saysa 2002 study in the journal ‘TheNephrology Dialysis Transplantation’,“In the past complications of diabetessuch as hypertension, heart disease,polyneuropathy, and foot problemswere so devastating, that anaemiapaled in comparison. Today, however,we know that in diabetic nephropathy,anaemia tends to be more severe thanin non-diabetic renal disease and isseen in the earlier stage of chronickidney disease. Furthermore, sincelate complications of diabetes areischaemic in nature, anaemia may playan important part in the offset of thosecomplications.”Says a 2017 study in the journal‘Acta Diabetologica’, “Anaemia isan independent risk factor of DPN(Diabetic Peripheral Neuropathy) inT2DM patients.”Kidney damageDiabetes can lead to kidney damage,and failing kidneys can cause anemia.The kidneys secrete a hormone callederythropoietin, which stimulates thebone marrow to produce red bloodcells. But as kidneys get damaged,they make less of this hormone and,without this hormone, the bodydoesn’t make enough red blood cells,which leads to anaemia. Chronicallyhigh blood glucose levels can causekidney damage.Heart failurePeople who have diabetes areat increased risk for heart failure -the inability of the heart to pumpenough blood to meet the body’sneeds. Decreased heart function cancause kidney dysfunction, which cancontribute to anaemia.Nutritional deficienciesMany people who have diabeteshave nutritional deficiencies that cancause anemia. These deficiencies canbe caused by either not getting inenough nutrients or by the body’sinability to absorb the nutrients thatare eaten. Deficiencies in iron, vitaminB12, vitamin B6, and folate can allcause anaemia.Diabetic drugsSome diabetes medicationscan interfere with the absorptionof vitamin B-12. Certain othermedications can dilute haemoglobinconcentration in the blood.Watch your numbersNormal range for men ishaemoglobin between 13.8 and 17.2(or haematocrit of 40.7 to 50.3). Forwomen, it’s between 12.1 and 15.1(or a haematocrit of 36.1 to 44.3).Generally, the physician will ask youto do blood tests for iron, ferritin,and vitamin levels, stool tests to see ifthere is blood in your stool and bloodand urine tests for kidney function.Symptoms of diabetesrelated anaemia:• Weakness and decreased energy• Shortness of breath• Feeling lightheaded, dizziness• Racing heart, palpitations orirregular beating• Pale skin and brittle nails• Depression and irritability• Cold hands and feet• Numbness and tingling of thefingers and toes• Trouble concentrating• Sexual problems.Managing anaemia anddiabetesSince high blood sugar levels canlead to anaemia, good glycaemiccontrol is a vital part of keepingthe levels red blood cells high. Ironsupplementation is the most commontreatment for anaemia. When kidneydisease is involved, this is what youcan do about it:• Prioritise controlling your bloodsugar to keep anemia and othersymptoms at bay. Consult a dietitianor nutritionist to determine whichspecific foods are best to restoreessential nutrients to the body, aswell as recommendations for theirportions.• Adjust your diet to include foodsrich in iron, folic acid, and vitaminB12. Get your nutrition expert tohelp you give you a meal plan toinclude these nutrients.• Incorporate iron-rich foods like leanred meat, dark leafy greens, andbeans into your diet.• Accompany the healthy diet withregular exercise to prevent highblood pressure and obesity.diabetesmatters - express
Page 1: VOLUME VIexpressWith Best Complimen
Page 4 and 5: 4diabetesSo, You HaveDiabetes…Dia
Page 8 and 9: 8diabetesPins & Needles:Are You At
Page 10 and 11: 10diabetesNutrition Warriors:Vitami
Page 12 and 13: 12diabetesHowVitamin B12 HelpsThe h
Page 14 and 15: 14diabetesWhy Is Folic AcidSo Impor
Page 16 and 17: 16diabetestreatment for type 2 diab
Page 18: 18diabetesonset of initial pain and

Emcure_Diabetes Matters express_20pages

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?