Wednesday , January 27 2021

Dr. Zack: "Up to 1 million of us have had undiagnosed diabetes"



Figures from NHS Digital reveal the cost of prescriptions for diabetes in England has £ 1 billion in the last year.Although this figure is almost double that spent ten years ago, it is just the tip of the iceberg, with an estimated total cost of £ 10 billion to tackle With complications of devastating diabetes, including heart attacks, stroke, blindness and limb amputation.

A modern health epidemic contagion, a sharp increase in the number of people diagnosed with diabetes is reflected by figures for those classified as overweight or obese. Type 1 diabetes can not be prevented. However, type 2, accounting for more than 90 percent of cases, can be avoided or at least delayed to four to fifty people by lifestyle changes.

In the normal state, when you eat something containing sugar, your pancreas gland produces insulin. Sugar is then stored in the liver and muscles, to be used for energy later. In type 1 diabetes, the pancreas does not produce insulin. Type 2, the pancreas is able to produce enough insulin, but because it is taken by your fat cells instead of remaining in the blood, the circulating sugar levels remain high. Over time it hits both nerves as well as arteries. Nerve damage causes painful sensations or numbness, especially in the legs. Narrow arteries may block completely, sometimes with the first sign of a heart attack or stroke.

Type 1 diabetes develops rapidly, usually in children, when a person becomes a patient quickly, unless he asks for medical help. However, type 2 can remain unetected for several years, especially if your blood sugar is only slightly raised. It is estimated that there are up to a million people in the UK with undiagnosed diabetes, who will unfortunately develop complications as a result.

The cautionary symptoms include excessive thirst, and the need to transfer water all the time. You may find yourself losing weight without trying. Fuzzy vision caused by excess sugars causes the eyeball to swell alternately. Repeated gluing of a shutter, especially affecting the genitals, is another possible sign. However, you can just feel very tired or tired. Diabetes is more prevalent among certain ethnic groups, including South Asia and Afro-Caribbean. If you have concerns, the simplest thing to do is seek medical help. Sugars and tumors can be identified in a urine sample, but a blood test is required to do the diagnosis.

The number of treatment options has increased massively in recent years, and if your sugars are raised only slightly and you do not have complications, it may be right to conduct an experiment of lifestyle changes for several months to see if it brings your levels in the normal range.

However, even if you need to start the treatment, a healthy lifestyle should be continued, concentrate on stopping smoking and losing weight if necessary, a balanced diet and alcohol within the recommended amounts.

Insulin is rarely the first treatment of type 2; Do not let this fear stand in the way of being tested.

ASK DR ZAK

Question: I have heard that taking long-term acid drugs can cause damage. This is true? – Vernon, 60

Answer: Proton pump inhibitors (PPIs), the most commonly prescribed lansoprazole, are used to treat excess acid. They were associated with an increased risk of abnormalities of some salts in the blood. Long-term users may be more prone to infection with difficile clostridium, which causes diarrhea as well as having an increased chance of pneumonia. However, these are overweighted by excess acid being in contact with your throat, which is not designed to resist acid in the way your stomach. Without treatment, it increases the risk of esophageal cancer. It is recommended to use the lowest dose of PPI needed to control your symptoms as well as to make the appropriate lifestyle changes including weight loss, smoking cessation and reasonable alcohol intake. If you develop a worsening of symptoms while on a PPI that does not solve, you should still seek quick medical advice.

Question: I'm concerned my 20 year old has obsessive-compulsive disorder. Once it was just a repeat check of things, now he seemed forever worried about it. Gwendolin

Answer: Many of us will have some obsessions (thoughts) or compulsions (behaviors), but when they reach the point where they interfere with the person's life or cause distress, it can be said that it is obsessive-compulsive disorder (OCD). Often sufferers refuse to come forward as they feel embarrassed. However there is treatment. Cognitive behavioral therapy (CBT) can help treat some of the thinking processes. Medicines, especially antidepressants may be appropriate, especially if anxiety or low mood is a key feature. It is important to note that OCD rarely improves without help, so please help him to ask for help.

If you have any question for Dr. Zach, please send an email to: [email protected]

W: doctorzak.co.uk

T: @AskDoctorZak

Dr. Odin's advice is given in good faith and in accordance with current evidence, however, this content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.You should always seek the advice of GP or any other qualified health provider regarding a medical condition .


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