Role Of Three Health Care Professionals In Diabetes

Role Of Physiotherapist, Dietitians(Nutritionist),Endocrinologist(Diabetologist) in Controlling Diabetes Either By Medications, Insulin Injection Or by Reversing Diabetes(Pre Diabetic Condition)

What is Diabetes Mellitus :

DM also known as Silent Killer which if not diagnose and cure on its time may have severe affects on your body which include Retina (CATARACT), Heart (BRADYCARDIA, TACHYCARDIA) which leads to Heart fails, Brain( INSULIN RESISTANCE/IMPAIRED INSULIN SENSITIVITY) by pancreas, Nerves (SWOLLEN LEG and FOOT/ NO SENSATION FEELING) if any small deep cut or shoe bite.

Diabetes are of two types Type 1 (young ones and neonatal ones related) and Type 2 (Older one related)

Type 1 diabetes is caused by the loss of pancreatic beta cells, resulting in insulin insufficiency and ketoacidosis. This category covers instances caused by an autoimmune disease as well as those with an unknown cause of beta cell loss.

Type 2 diabetes can range from major insulin resistance and relative insulin shortage to a dominant secretory dysfunction and insulin resistance. Ketosis isn't as frequent.



Who is Physiotherapist ? What is the role of Physiotherapist in Diabetic Patient or in Pre Diabetic Condition?

A Professional who help to restore movement when a patient suffering from any disability or any Injury or by any other illness which affect his/her body movement to function in normal range of motion. The Physiotherapist not only restore but also maintain the range of motion of body and its functions.

Role:

"Geriatric" And "Cardiovascular and Pulmonary Physiotherapist" can help you to get rid of diabetes if your body is in pre diabetic state or you have Type 2 Diabetes through exercise which include Vigorous Aerobic Exercise (Walking, Running, Cycling) at least three days in a week at least 60 to 90 minutes if you don't have any cardiac issue or any other health issue like Fits or Osteo related conditions(Arthritis, Malacia, Porosis) (Note : If these issues related to your body then please you must tell your Physiotherapist or submit your health report) ,t wo consecutive days of HIT(High Intense Training) which include (Mountain Climbers, Planks, High Knees, Squats) from 15 seconds to 4 minutes.



Who are dietitians ? What is the role of Dietitian in preventing and Controlling Diabetes ?

Professionals who help in managing health conditions by providing there expertise in nutrition through healthy diet according to your daily life style and diet routine from what you eat to when you have to eat and when you have to eat and what quantity (The right amount of food) your body needs.

Role :

As most of the people don't know about pre diabetic condition means your body is very close to get diabetes in two to three years if you are not able to see the signs of body which are not good that you have to change your lifestyle and main part of life style start with Diet and this will guide by Dietitian

Here the Dietitians will tell you what type of food your body actually needs and in what quantity, so every other body is different yet the mechanism is same For Example: A Patient who is Lactose Intolerance his/her body works differently to a Non Lactose Intolerance body, This only Dietitian will tell you what type of food suits you.



Who is Endocrinologist ? What is the role of endocrinologist in treating diabetes ?

Professionals who treats Type 1 and Type 2 Diabetes by adjusting through medication like Metformin, SGLT2 Inhibitors, Sulfonylurea and Insulin to better manage your diabetic condition.

Role :

Endocrinologists specialize in hormonal disorders and the glands that create them. Diabetes occurs when the pancreas no longer generates insulin as it should do.



Test

FPG ≥7.0 mmol/L Fasting: no caloric intake for at least 8 hours.

A1C level ≥6.5% in adults.

Using a standardized, validated test in the absence of variables affecting the accuracy of the A1C and not for suspected type 1 diabetes .

Alternatively, 2hPG in a 75 g OGTT ≥11.1 mmol/L or Random PG ≥11.1 mmol/LRandom = any time of day, regardless of the interval since the last meal

FPG is a rapid and easy-to-use test that predicts microvascular complications. It is not stable and has high daily variability. It is convenient (fasting) and can be measured any time of day. It is a better predictor of cardiovascular disease (CVD) than FPG, and has a low daily variability. It also accurately reflects long-term glucose concentrations. However, it is not suitable for children and adolescents† as the sole diagnostic test, pregnant women for routine screening of gestational diabetes, cystic fibrosis, or suspected type 1 diabetes.

A1C is a rapid blood glucose test that can be measured at any time of the day. It is a better predictor of cardiovascular disease (CVD) than FPG, 2hPG, or OGTT (75 g). It has low daily variability and reflects long term glucose concentration. The A1C test can be misleading in a variety of medical conditions. It can also vary by ethnicity and age. A standardized, validated A1C test is required. A1C is not recommended for children and adolescents (as the only diagnostic test) It is not recommended for pregnant women (for routine screening of gestational diabetes) It is also not recommended for people (cystic fibrosis patients or those with type 1 diabetes)