• Symptoms of diabetes include frequent urination, feeling very hungry, thirsty for water, not being able to work properly, not having a good wound or infection, not having a good cough for a long time, not having a good urinary tract infection in girls, infertility etc.
• Diabetes is a disease that is never completely cured, but can be easily controlled. According to the World Health Organization, it is an epidemic.
• According to the International Diabetes Federation, the number of diabetics in this country is about 6 million.

Diabetes is a disease that is never completely cured, but can be easily controlled. According to the World Health Organization, it is an epidemic. It is difficult to find a family in Bangladesh where at least one person does not have diabetes. According to the International Diabetes Federation, the number of diabetics in this country is about 6 million. Due to lack of proper information and awareness, its rate is increasing uncontrollably day by day.

Patients with diabetes are at higher risk due to the Corona epidemic. What they should do at this time is discussed in the second episode of ‘Digital Hospital LiveHello Doctor’.

Dr. Digital Health Care Solutions Clinical Consultant Dr. Jayant Pal Chowdhury. The event was broadcast live on the official Facebook page of Prothom Alo and Digital Hospital on 16 December.

At first Dr. Jayant Pal Chowdhury said, “Even though the awareness about diabetes has increased in our country now, many people do not realize that he is suffering from this disease.” There are some symptoms of this disease, such asfrequent urination, feeling very hungry, thirsty for water, not being able to work properly, any one wound or infection is not good, cough is not good for a long time, urinary tract infection is not good in girls. However, if there are such symptoms of infertility, everyone should be tested for diabetes.

Diabetes is tested through OGTT. Blood and urine samples will be collected on an empty stomach in the morning at the beginning of this test. After that the sample will be collected again after drinking sugar water and waiting for two hours. And for patients who do not get time in the morning due to busyness or any other reason, there are HBANC and RBS tests. On an empty stomach ৬ and on a full stomach ৮ is the normal level of glucose.

Again in many cases but no symptoms appear. Especially in the case of type-2 diabetes. So Dr. Jayant Pal Chowdhury suggested that if you are 40 years old, if you are overweight, that is, if you have a BMI of more than 23, who work less, who have more tension or stress, if you have a family history of diabetes, then you must get tested once a year. Lately, people under the age of 40 are showing diabetes. This is because of the high popularity of fast food among the youth in the country and their tendency not to work hard. Diabetes is caused by waking up at night and smoking. People who have this habit should also get tested for diabetes at least once.

There is a medical term for ‘impaired glucose tolerance’. The amount of glucose in the blood has increased a lot, but it has not increased so much that it has to be called diabetes. There are many such people in our country. Dr. Jayant Pal Chowdhury said, “If we can identify such people now, it will be easier to protect them from diabetes.” For this, everyone has to be brought under proper eating habits and lifestyle.

Dr. Jayant Pal Chowdhury said that the important step in the treatment of diabetes is to control the eating habits. The risk of diabetes is higher due to the high intake of carbohydrates in the diet. Dr. advised to reduce the amount of rice and eat more fish, meat, pulses, vegetables and nuts that have low glycemic index. Jayant Pal Chowdhury. He said, ‘You have to eat six meals instead of three. The main meal in it should be eaten in moderation and light breakfast should be eaten in the middle of it. And dinner should be eaten before eight o’clock. ‘

Diabetic patients should consume vitamin C-rich nuts. The expert said that eating such fruits at this time of corona will increase the immunity. At other times this fruit can be eaten along with seasonal sweet fruits, but in moderation.

At this point in time, patients with diabetes who can afford it will be able to walk outside following hygiene rules. You have to walk at least 150 minutes every week. But everyone should walk every day. Earlier it was said that it is better to walk in the morning. But now walking in the morning without eating on an empty stomach is not supported. There is also a risk of heart attack. Walking or exercising can be done half an hour after breakfast in the morning or in the evening. At this time you can walk inside the house. People who have osteoarthritis can do stress exercises at home.

Since it is not possible to go out at any time during coronation, diabetics are advised to keep their own glucometer at home. Jayant Pal Chowdhury. Thus, knowing the amount of glucose, he said to consult a doctor through telemedicine. Insulin can be taken in patients with covidosis if their glucose levels are high. At this time it is necessary to eat properly, walk for one hour in a row, drink water regularly and insist on 30 minutes or one hour walk inside the house in the evening.

At this time, if someone is sick at home, diabetics should stay away from them or go to quarantine voluntarily. Regular gargling and walking should not cause any pain or sores, special care should be taken. In addition to this, if there are other diseases, his treatment should also be continued. Dr. said to use any means of entertainment to reduce stress. Jayant Pal Chowdhury.

Patients with diabetes often do not understand when they have shortness of breath. For this, they should take each symptom seriously and test it within three to four days of the onset of symptoms. If the sugar level is high in it, you should try to reduce it quickly.

Patients with coronary diabetes may need to go to the hospital for serious reasons. In that case, they have to find out about the hospital and the communication system in the area beforehand.

Fahmida Sikder
Prothom Alo, 19 December 2020