Diabetes Type 2 Managem

[seema141]

Hi Doctor,

my mom is a type 2 diabetes patient. she takes 500 mg x 2 glucophage.

since diabetes is linked to other diseases as well, what general tests or physical examinations should she have them done. what special precautions she shud take in her diet like taking high fibre diet is good for her. i have told her to take fish oil by pulse (1000 mg) thrice a week. is that good for her. I cant be sure if its too much or too less, since i have read the dangers of eating excess fish oil, can cause bleeding etc

one more thing she recently got blisters under her skin by wearing a wring shoe and she did feel alot of pain, but now she is better. what special shoes would you recommend cause she has to walk.

Thanks and Regards,

Seema
Karachi, Pakistan

[sanmit]

hi there
strict glycemic control is mainstay therapy of diabetes2.  
u dint tell about blood fasting value and post prandial value of blood sugar. Ask ur doctor for lab test like fasting blood glucose
pp blood sugar
urine sugar.
Lipid profile.
Eye examination.
Thorough foot exam.
Ask ur mother for proper foot wear.
to clean and check foot daily.
Proper Diet & exercise.never write drug brand name u should write generic name of drug.write with recent reports.bye

[Zoelula]

There is no doctor on this board, only other people with diabetes. To give some input to your question though:

I'm assuming your mother is recently diagnosed. She should have a glucose meter and begin taking her blood sugar on a regular basis. She should take her fasting blood sugar that should ideally be under 100. She should also try testing two hours after various meals. She wants that blood sugar to be under 140. If it is higher then that suggests she can't eat that particular food or can't eat that amount. What is important in diet is to cut as much as possible the amount of carbs she eats. Carbs include such things as sweets of course, but also bread, rice, cereal, pasta and potatoes. Every diabetic is different. Some diabetics find whole grains are better for their blood sugar than white. For some of us it makes no difference. The only way to know is to test.

Comfortable shoes are important especially if she walks a lot, because exercise is very good for type 2 diabetes, as is weight loss if she is overweight.

As for tests or exams. All diabetics should get a dilated eye exam, once a year, as high blood sugars can lead to eye damage. Also her doctor should look at her feet because if she develops neuropathy she might lose feeling in her feet and not know if she has a sore which could be dangerous. Type 2 diabetics should take good care of their teeth as they may develop gum infections.

Hope this helps.