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دكتور عبد الكريم السلقاوي

دكتور عبد الكريم السلقاوي

طبيب

الأسئلة المجابة 22777 | نسبة الرضا 98%

Doctor
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My mother is diabetic patient

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الرد من العميل

Her sugar level last night crossed 440

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Today morning her sugar level dropped to 53

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She is on steroids due to Pnemonia

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We need your advice on above

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Medical test

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Awaiting your reply

إجابة الخبير: دكتور عبد الكريم السلقاوي

دكتور عبد الكريم السلقاوي

دكتور عبد الكريم السلقاوي

طبيب

الأسئلة المجابة 22777 | نسبة الرضا 98%

treatment:


  • Diabetes is an immune disease that results from the body's attacking and destroying beta cells in the pancreas, which leads to a lack of insulin production, which is the hormone that allows sugar to enter the cells, and thus its deficiency leads to an increase in sugar in the bloodstream, which leads to long-term complications in many body systems and organs , No ultimate cure has been discovered for the disease so far, but sugar is controlled by artificial insulin, drugs to lower the level of sugar, and some advice to prevent complications, among the most important advice that must be followed is to focus on high-fiber and low-fat foods such as fruits, vegetables and whole grains, eating small amounts of Carbohydrates such as white bread and sweets, avoiding animal fats such as butter and margarine, avoiding fast-absorbing sugars such as onions and jam, distributing meals throughout the day with a snack between every two main meals, avoiding frying food and preferring grilling or boiling, reducing red meat and more white meat, dependence on olive oil, the use of milk and its derivatives, calculating the amount of carbohydrates in foods until the insulin dose is adjusted accordingly, Avoid smoking and drinking alcohol. It is also recommended to do regular aerobic exercise at a rate of half an hour per day, reduce weight, avoid inactivity and stay seated for an hour or more, move every hour or less, walk half an hour a day, and it is important in the case of your mother that the insulin dose be adjusted accordingly based on blood sugar measurements during the day and according to the weight, it is also important to stop taking steroid because steroid drugs increase blood sugar level and it is recommended that this be done under the supervision of a doctor

How is the diagnosis made:


  • Diabetes is diagnosed by taking the medical history and studying the symptoms that the patient suffers from, a clinical examination, and then running some tests such as random blood sugar, which can be done at any time of the day. If it is more than 200 with symptoms, this indicates diabetes, a fasting blood sugar test is done after 6-8 hours of fasting, if it is more than 126, this indicates the presence of diabetes, and the HgbA1c accumulative sugar test, which measures the level of sugar in the past three months

Monitoring and follow-up for diabetic patients:


  • A routine eye examination should be done every year
  • A routine urine test should be done every year
  • Kidney functions
  • Routinely measure blood pressure
  • Periodically measure triglyceride and cholesterol level
  • HgbA1c stores should be measured every 3-6 months
  • Take a flu shot every year
  • Taking vaccinations
  • Pay attention to the hygiene of the teeth and gums and visit the dentist regularly
  • Clean the feet on a daily basis, especially between the toes
  • Avoid stress and get enough sleep

Our advice:


  • Follow the above-mentioned advice regarding daily living practices, and consult a doctor to adjust the insulin dose, and to discontinue the steroid

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دكتور عبد الكريم السلقاوي

دكتور عبد الكريم السلقاوي

طبيب

الأسئلة المجابة 22777 | نسبة الرضا 98%

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