Eye sight is irrecoverably lost especially in old age due to glaucoma, age-related macular degeneration, diabetic retinopathy, hypertensive retinopathy and cataract. Such diseases can be prevented but can not be cured. I don't know why diabetic and hypertensive patients neglect eye diseases and do not consult ophthalmologist once in every six months. Those patients are susceptible/ vulnerable to such eye diseases.
I got CABG X 1 about 2 years and 3 months ago. Now suffering from cateract in my left eye but sugar level (Hb1ac) was 11 about 20 days ago. Now I have been advised Amryl M 500 1 BD, what other precaution should i take to control the sugar level. I am a CA had sitting for my CA Practice from 10 AM to 2PM then 2.30PM to 7.00 PM. Pl suggest a remedy. I go for a walk in the morning that lasts for about 30 35 minutes and 30 minutes in the evening after the above test. What else should I do, to prevent the matter going further dwon, rather improve the situation, to be able to live peacefully, and not become nuisance to the family. - CA Ashok Gutpa
Your HbA1c should be brought down to 6.5 or 7%. you should have normal sugar level to undertake cataract surgery.
Control your blood sugar level by diet and exercise.
* Avoid single high concentrated meals.
* Small frequent meals, more times in a day.
* Avoid consuming food after 8:00 pm.
* Food high in fibre content like vegetables, whole pulses, fruits, etc.
Ideal combination of diabetic diet should be:--
Carbohydrates: 55-60%.
Fat: 30%.
Proteins: 15-20% (0.8g /kg /body wt).
Fibres 40 g/day.
DIABETIC DIET
Do not eat at all:--
Sugar, jam, syrups, honey, sweets, chocolates, fruit juices, ice creams, cold drinks, glucose drinks, cakes and pastries, sweet biscuits, puddings and protein powder with sugar.
* Vegetables (cabbage, baigan, lady fingers, french beans, methi, palak).
* Fruits (except banana, chockoo or mangoes).
* Sprouted beans and pulses.
* Marie biscuit (with less sugar).
* Clear soups, Lemon juice, Buttermilk
Periodical tests to be conducted by a diabetic patient to avoid diabetic complications:--
A: HbA1c. HbA1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months. It shows how well you are controlling your diabetes.
B: Control your high Blood pressure, if any. Normal blood pressure- <120/80 mmHg.
C: Control your blood Cholesterol: Normal cholesterol < 200 mg/dL. LDL <100 mg/dL HDL > 40 mg/dL Triglyceride < 150 mg/dL.
D: Diabetic education. Dental check-up should be done in every six months.
E: Eye examination for glaucoma, age-related macular degeneration, diabetic retinopathy and cataract.
F: Foot examination (Diabetic neuropathy and diabetic foot ulcers)
G: Glucose monitoring. Fasting or postprandial blood sugar may be checked daily and avoid foods that elevates blood sugar.
H: Health maintenance immunization against influenza and pneumococcal pneumonia.
I: Indications for specialty care. Heart, kidney and liver should be checked periodically by concerned specialists.
* Overall, the risk for death among people with diabetes is about twice that of people of similar age without diabetes.
* Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
* The risk for stroke is 2 to 4 times higher among people with diabetes.
India is now home to the world's largest number of blind people. Of the 37 million people across the globe who are blind, over 15 million are from India.
What's worse, 75% of these are cases of avoidable blindness, thanks to the country's acute shortage of optometrists and donated eyes for the treatment of corneal blindness. While India needs 40,000 optometrists, it has only 8,000.
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