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Diabetes – not so sweet
             - Dr.Sivaram Devaraj

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Like a slow erupting volcano, Diabetes is causing misery to many South Indians. The type 2 diabetes that  is more prevalent in South Asians and any discussion on the subject would be of interest to every one of us.

Currently approximately 1.4 million people in the UK have diagnosed type 2 diabetes. However, it is  thought that a further 1 million people - the so-called "mission millions" have the disease. The projected  prevalence of around 3 millions by the year 2010. The NHS spent a total of approximately £2 billion.

We all should be aware of the early symptoms of this very important illness. They are :

  •  increase thirst

  •  increase urine frequency

  •  weight loss

  •  lassitude

In type 2 diabetes :

  •  The weight loss is substantial even though the patient is still obese.

  •  In women vaginal thrush with itching could be early symptom.

  •  In men banalities causing inflammation around the penis.

  •  Other non-specific symptoms commonly reported are the exacerbation of cramps  in the legs.

  •  Some patients complain of loss of appetite, but others develop a craving for sweet foods.

  •  Patients develop blurring of vision due to change in lens refraction.

Type 2 diabetes is a well established as an important risk factor for cardiovascular disease including coronary artery disease and stroke. Many of the complications of diabetes are already present in 50% of the patients when it is diagnosed.

It is a serious illness in South Asians leading to premature deaths and diabetes could affect any system in the body.  I stress that everyone over the age of 40 should have their fasting blood sugar and cholesterol checked annually. Early detection of the illness would minimise in developing complications. The role of the patient: Self-manage their disease can improve the sugar control, reducing the risk of long-term complications.

My advice is get your fasting blood sugar checked and it is a simple test.  On a lighter side, let me recall an incident. My sweet uncle (who was a diabetic) ordered coffee and masala dosa in a vegetarian restaurant in India. The waiter shouted to the chef “one coffee without sugar for Iyer”, everyone in the place hastened to look at my poor uncle… Since then he would simply stroll into the kitchen to order his special coffee! 

 Courtesy: Newsletter from London Sath Sangham

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