انسانی جسم خون میں موجود شکر سے توانائی بناتا ہے۔ ذیابیطس ایک ایسا مرض ہے جس میں جسم شکر کو استعمال نہیں کر پاتا اور اس باعث خون میں شکر کی سطح بڑھ جاتی ہے جو کہ جسم کے دیگر اعضا کو نقصان پہنچاتی ہے۔ ذیابیطس کی وجہ سے دیگر کئی امراض لاحق ہو سکتی ہیں جن میں نابینا پن، دل کی بیماریاں، گردوں کے مسائل اور دیگر کئی عوارض شامل ہیں۔ یہ مرض دنیا بھر میں تیزی سے پھیل رہا ہے۔ ایک اندازے کے مطابق دنیا بھر میں بتالیس کروڑ سے زائد افراد اس مرض میں مبتلا ہیں۔
Family Medicine, General Physician, Internal Medicine Specialist
MBBS , MCPS (Family Medicine)
Internal Medicine Specialist, General Physician, Pulmonologist / Lung Specialist, Diabetologist, Family Medicine
MBBS, MD (Medicine), MD (Pulmonology), FACP (USA)
Internal Medicine Specialist, General Physician, Diabetologist, Family Medicine
MBBS, FCPS (Medicine), MRCP (Medicine)
Diabetologist
MBBS, Occupational Health, PhD Family Medicine
Pulmonologist / Lung Specialist, General Physician, Diabetologist
MBBS, DTCD (T.B and Chest Diseases), MCPS (T.B and Chest Diseases), FCCP (USA)
Endocrinologist, Diabetologist
MBBS, MSC, MCPS, FCPS, MPH (Johns Hopkins) Fellowship in Diabetes and Endocrinology
Diabetes affects many people due to various reasons. If you or any person in your family has diabetes, seek medical assistance from a diabetologist immediately to avoid complications. Fortunately, Marham has a complete panel of qualified doctors for diabetes in Pakistan. If you want to consult diabetologists of Pakistan, you can book an appointment online through Marham.
The chronic disease diabetes affects the way the body absorbs sugar and can lead to high blood sugar levels if left untreated. It is of two types categorized according to your body's insulin production. You can get Diabetes due to family history, obesity, or low physical activity. If you are experiencing any signs of diabetes, you should consult a doctor immediately.
You need to see a doctor for Diabetes in Pakistan if you have any of the following symptoms:
Some of the causes of Diabetes include:
There are mainly three types of Diabetes:
Your doctor might ask you to get the following tests done to check if you have diabetes:
There are any treatment options available to manage diabetes. Some of these are:
Insulin pumps or injections
Finding treatment for Diabetes is essential as it can lead to many other complications if left untreated. Marham has listed the Top Doctors for Diabetes in Pakistan to get the best treatment.
There are two types of diabetes. Some sign and symptoms of both types include:
But in diabetes, type 1 people experience irritability and weight loss. In diabetes-type2 people feel numbness and tingling in their hands.
Cause of Type 1 Diabetes:
Type 1 diabetes is caused by an autoimmune disorder. The immune system starts producing antibodies against the pancreas beta cells and destroys it.
Cause of Type 2 Diabetes:
Type 2 diabetes is caused by an inability of the body to use insulin efficiently. The amount of sugar in the blood is controlled by a hormone called insulin, which is produced by the pancreas (the gland behind the stomach). When the food is digested and enters the bloodstream, insulin releases glucose from the blood and introduces it into the cells, where it is broken down to produce energy. However, if you have diabetes, your body can not turn glucose into energy. In fact, either there is not enough insulin to transmit glucose, or the insulin that is produced does not function properly. Although you can not change your lifestyle to reduce the risk of Type 1 diabetes, Type 2 diabetes is often associated with obesity.
There are many risk factors for diabetes. There are chances of diabetes type 1 in people whom parents and sibling having diabetes. Type 1 diabetes can appear at any age but commonly its signs appear at childhood or adolescence. Genetics is considered a major contributor to the cause of diabetes type 1 diabetes.
There is no treatment of diabetes type 1. In type 1 insulin injected into the body regularly. People regularly inject insulin into the body. Some people use insulin pumps. Insulin pumps supply little amount of insulin in the body through small tubes.
Diabetes type 2 can be controlled through diet or exercise. People having diabetes needs extra support for controlling diabetes. According to the American diabetic association, depression is one of the risk factors of diabetes. Other risk factors include:
Diet and exercise are used as treatment and prevention of diabetes type 2. According to the medical news today if a doctor diagnoses a person with type 2 diabetes, he or she will often recommend a lifestyle change to promote weight loss and overall health. The doctor may refer to diabetics or pre-diabetics to a dietician. A specialist can help a person with diabetes to lead an active and balanced lifestyle and control their condition.
The steps a person can take to adopt a lifestyle with diabetes include:
Eat a diet rich in fresh, nutritious foods, including whole grains, fruits, vegetables, lean proteins, low-fat dairy products, and healthy sources of fat, such as nuts.
Avoid high-sugar foods that provide empty calories or other nutritional values, such as carbonated drinks, deep-fried foods, and high-sugar desserts.
Do not drink too much alcohol or drink less than one drink a day for women or two drinks a day for men.
Perform at least 30 minutes of exercise for at least 5 minutes a week, e.g. B. Hiking, aerobics, cycling or swimming.
People can also take steps to reduce the body mass index (BMI), which can help some people with type 2 diabetes to cope with a disease without medication.
The slow and consistent goals of losing weight are more likely to help a person achieve long-term benefits.
Diabetes has two types:
1- Type 1
2- Type 2.
In diabetes type 1 individuals unable to produce insulin and in diabetes type 2 individual body produces insulin but their body unable to respond to the insulin. But in both these types, the level of sugar in the blood is high. This high sugar level produces complications in the body.
AFI (Amniotic Fluid Index) 22 cm se zyada, ya ultrasound pe aik single pocket 8 cm se zyada ho to isko polyhydramnios kehte hain - yaani extra paani. Iske do bare wajuhat: maa ka diabetes aur bachay ki koi anomaly.
Zyada tar centres 22 se 24 weeks ke beech Oral Glucose Tolerance Test (OGTT) ki advice dete hain. Agar scan pe paani zyada nazar aaye aur 20-week anomaly scan clear ho to OGTT priority test hai.
Ji haan - 24 weeks pe bachay ke paas kafi jagah hoti hai move karne ki, aur zyada tar bachay 32-36 weeks tak head-down position mein aa jate hain. Rozana walk, balanced diet, kam namak aur sugar, aur stress se bachna madad karta hai.
Agar koi medical issue, medicine, ya high-risk history na ho to standard antenatal visits follow karein. Ahem scans: dating scan 6-7 weeks, nuchal translucency 13 weeks, anomaly scan 20 weeks, aur 27 weeks ke baad baar baar visits.
Teen scans routine hain: first-trimester dating scan (6-7 weeks), nuchal translucency scan (13 weeks) sath kabhi double marker test, aur detailed anomaly scan 20 weeks pe. High-risk patients ko additional scans chahiyen.
Extra visits aur scans tab zaroori jab diabetes, hypertension, ya congenital anomalies ki history ya risk ho. Diabetic patients ko 16 ya 24 weeks ke aas paas OGTT/OGCT aur baar baar fetal growth scans chahiyen.
Agar diabetes pregnancy mein shuru hui: fasting 90-95 mg/dl se kam, khana ke 2 ghante baad 120 mg/dl se kam. Agar diabetes pehle thi: fasting 60-99 mg/dl, post-meal 100-129 mg/dl. Inn ranges ke lower end pe rakhein.
HbA1c pichle 8-10 weeks ki average sugar dikhata hai. Conception ke waqt 6.1 se kam (ideal 5 ke aas paas) hona chahiye taake miscarriage aur birth defects ka risk kam ho. Early pregnancy mein har maheene check karein.
Significant diabetes wali zyada tar pregnancies mein, jaise pregnancy aage barhti hai, oral medicines se hata kar insulin pe shift kiya jata hai. Din mein 6 baar sakht glucose monitoring chahiye, aur third trimester se fetal movements pe ghor se nazar.
Pregnancy try karne se pehle diabetic specialist ke sath HbA1c aur fasting sugar normal karein. Conception ke waqt uncontrolled sugar miscarriage, congenital defects, bara bacha aur stillbirth ka risk barhati hai.
Period ke doosre din testosterone, prolactin, insulin, FSH, LH, progesterone aur thyroid (TFT) sath transvaginal scan karwayen. Agar cycles irregular to day 21 progesterone bhi karwayen.
Rozana exercise se normal BMI, balanced diet (kam namak, tel, masala), khoob paani, aur rozana 5 mg folic acid shuru karein. Husband ko bhi smoking chorni aur general health achi honi chahiye.
Kuch sugar aur processed food kam karna madad deta hai, lekin bilkul doodh aur gosht chor dena calcium aur protein ki kami kar sakta hai, khaas tor par diabetes mein. Uncontrolled diabetes sath low calcium muscle pain, jorhon ka dard aur nerve damage karta hai.
Nashta: 1 slice whole-wheat bread + 1/2 cup high-fiber cereal low-fat milk + 1 fruit + coffee. Lunch: roast chicken sandwich wheat bread pe sabziyon ke sath + apple + paani. Dinner: balanced plate sabzi, dal/chicken, brown rice/roti.
Aam, ananas, malta, cherries aur dry fruits mein carb zyada aur blood sugar jaldi barhate hain. Berries, apple, naashpati aur amrood limit mein safer hain. Hamesha doctor se check karein - portion size matter karta hai.
Lambe arsay ki diabetes pait ki autonomic nerves ko damage karti hai, jis se maida aur intestines dheere chalte hain. Khana ziyada dair rehta hai, paani ziyada absorb hota hai, aur stool sookha aur sakht ho jata - diabetic gastroparesis ya autonomic neuropathy.
Aam options Tab Esso 20 mg nashtay se pehle, Tab Itofix 50 mg har main meal se pehle, aur Syp Duphalac ya Lilac 2-3 teaspoons din mein teen baar. Agar kaam na karein to Tab Bisacodyl 2 raat ko paani sath add ki ja sakti hai.
Daily routine: subah uthte hi 1-2 glass garam paani, 30 minute intezaar, phir 10 minute toilet pe baithein bina zor lagaye taake circadian rhythm set ho. Har khane ke baad 15 minute walk gut motility barhata hai.
Implants mumkin lekin diabetic aur cardiac patients mein khaas care chahiye. Uncontrolled blood sugar implant failure ka sabab, aur sub-periosteal implant ke liye general anaesthesia chahiye - jo arrhythmia wale kuch cardiac patients ke liye mehfooz nahi.
Agar kuch dant maujood hon to partial denture (Prosthodontic treatment) simple option hai. Niche jabray mein bilkul dant na hon aur bone reduce ho to local anaesthesia ke sath multiple single implants partial denture support kar sakte hain - bina general anaesthesia.
Pehle blood sugar properly control karwayen - uncontrolled diabetes hi dant gum honay ki main wajah. Lifestyle aur behavioural changes aur regular warzish add karein, aur dentist sab se kam invasive procedure choose karega.
Lambay arsay ki diabetes pet ki nerves ko nuksaan pohncha sakti hai - diabetic autonomic neuropathy. Doosri aam wajuhat hyperthyroidism, metformin, aur baar baar pet ke infections hain.
Doctor se stool R/E aur culture, CBC, thyroid profile (TSH, FT4), HbA1c, aur electrolytes ke tests karwane ko kahein. Sath hi dawaiyon ka jaiza - khaas tor par metformin aur antibiotics - jo khud bhi aksar dast ka sabab bante hain.
Naram khurak khayen - khichdi, dahi, kela - chotay chotay aur baar baar, tail aur masaledar khane se parhez, aur ORS se hydration barqarar. Agar stool report par infection nahi to probiotics faida de sakte hain.
Achanak bar bar urination sath diaper rashes UTI, zyada fluid intake, ya kabhi childhood diabetes ki early nishani bata sakte hain. Rashes aur 8+ ghanton mein unusual amounts ke sath, pediatrician se jald milna behtar.
UTI check karne ke liye urine routine aur culture, plus diabetes rule out ke liye blood sugar aur HbA1c. Pediatrician diaper area ko dermatitis, yeast, ya bacterial infection ke liye check karein gay.
Jagah saaf aur khushak rakhein - diapers zyada change, wipes ki bajaye plain paani aur narm kapra, motri zinc-oxide barrier cream lagayen, aur diaper changes ke beech skin ko 10-15 minute hawa mein khushak hone dein. 2-3 din mein behtar na hon to doctor.