COMMON QUERIES
Asked Questions
Q: What is Type 1 diabetes ?
A. Type 1 is usually diagnosed in children and young adults, although it can occur at any time. People with type 1 diabetes must use insulin from an injection or a pump to manage their diabetes.
Q. What is Type 2 diabetes ?
A. Adults with type 2 diabetes account for 95% of all cases. A number of studies show that eating healthy, exercising regularly, and losing weight with prescribed medication can control complications caused by type 2 diabetes and prevent or delay its onset
Q. What is Gestational diabetes ?
A. Diabetes during pregnancy can cause health problems for both mother and child. Children whose mothers had gestational diabetes have an increased risk of developing obesity and type 2 diabetes. While gestational diabetes usually disappears after pregnancy, about half of all women who have gestational diabetes develop type 2 diabetes later on.
Q: What should my blood sugar be when I wake up (fasting) and before meals? What about after?
A: For most people with diabetes, the American Diabetes Association recommends a fasting or before-meals blood glucose (or blood sugar) goal of 70–130 mg/dl. A postprandial blood sugar reading at or under 180 mg/dl is recommended one to two hours after eating.
Q: What is an A1c?
A: A Hemoglobin A1c is a 2-3 month average of your blood sugars. This result gives you a good idea of how well your diabetes is being managed/controlled. The American Diabetes Association recommends an A1c of less than 7 to keep the risk of complications low.
Q: What can I eat if I have diabetes?
A: It is about knowing proper portion sizes and how much you are putting on your plate. A dietitian can help you learn to count carbohydrates and with meal planning that is specific for you.
Q: If it is sugar free, I can eat as much as I want, right?
A: Sugar free foods can be part of a healthy meal plan in small amounts. Keep in mind though that some of these foods still have carbs (in the form of other sweeteners such as sorbitol, isomalt, and mannitol) and may affect your blood glucose levels. Many sugar free foods have calories and carbohydrates and lots of fat. Make sure you read the nutrition labels.
Q: Can I get rid of type 2 diabetes if I stop eating carbs and/or lose a lot of weight?
A: No, but you can control it. If you have prediabetes or were just diagnosed with type 2, losing a lot of weight can put the condition into remission. Weight regain, aging, and the natural progression of type 2 diabetes can bring it back. “Not eating carbohydrate or severely restricting it is nearly impossible for any length of time. It’s also not healthy, because you won’t get essential nutrients.
Q: Why do my legs hurt when I start walking and stop hurting when I sit down?
A: You have signs of peripheral arterial disease or PAD. “It develops when too much plaque in your arteries limits blood flow to the legs. The pain may occur while you walk because muscles need increased blood flow. The pain may stop when you sit because your muscles then require less blood flow,” PAD increases the risk of heart attacks, strokes, and foot ulcers.
Q: Will insulin make me gain weight?
A: The reason we need insulin-as a hormone made in our bodies or as a medication-is to push glucose into cells for energy. Insulin’s job is to process calories. For this reason, it can-but doesn’t have to-cause weight gain. To prevent weight gain: Practice portion control. Burn extra calories with exercise. If your blood sugar has been high for a while prior to starting insulin, you’ve likely been excreting calories in your urine instead of fueling your body. This won’t happen once your blood sugar is under control. If you experience hypoglycemia (low blood sugar), treat it with just 15 grams of carb.
Q: Is it true that complications of diabetes can be delayed and even prevented?
A: Yes! Research shows that the earlier your diabetes is diagnosed and the sooner you start to aggressively get your blood sugar, blood pressure, and cholesterol into target ranges, the healthier you can be over the years. To stay healthy and detect any complications early, make sure your healthcare provider orders all the tests and checks you need. Let your provider know if you have any signs or symptoms of a potential problem. Today, diabetes complications do not need to happen.
Q: Will I need to be on insulin the rest of my life? Why can't I take pills instead?
A: If you have type 2 diabetes and were put on insulin, it’s likely you need it to bring your blood sugar down farther than pills could. In this case, you’ll likely need to take insulin injections the rest of your life. If, however, you started taking insulin when you had an infection, needed surgery, or were hospitalized for a medical reason, your need for insulin may be temporary. These situations raise stress, and stress can raise blood sugar levels. When the stress abates, you may be able to taper or stop taking insulin and get back to your previous medication regimen.
“The big ‘if’ is whether your pancreas still makes enough insulin to get your glucose down” The glucose-lowering medications, other than insulin, available today (mainly pills and a few injectables) use various routes to lower glucose levels. They don’t lower glucose as much as insulin, in part because with insulin you can keep increasing the dose as needed,”.
Q.Can people with diabetes still have a family, career and a full life?
YES! Many adults who were diagnosed with diabetes as children are able to thrive, despite the ongoing challenges of living with diabetes. They have become professional athletes, business leaders, important government figures, community leaders and parents. Indeed, there is something special about people who learn to live with type 1 diabetes, as they are often highly focused in their personal and professional lives and end up achieving amazing things as adults.
Q.What happens if you miss a dose of insulin?
A: In insulin-dependent diabetics when a dose of insulin is missed or if infection is present, weakness, drowsiness, headache, double vision, lack of coordination and convulsions or unconsciousness can occur.
Q.Do I need to follow a low carb diet?
A: Carbohydrates are an important part of a healthy diet. With diabetes, watching portion sizes and getting most of your carbs from fruits, vegetables, whole grains and low fat milk and yogurt is key. Besides counting carbs, people with diabetes can also benefit from eating lower fat, high fiber foods and just enough calories to maintain a healthy weight.
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From last 7 yrs I am taking treatment from Dr Pranjali Shah.I am very happy from her treatment.She is guiding patient very nicely by way of sweet talk.I understand her the way of treatment or prescribing medicine not so high doses.She waits for patients feed back about how patient is finding or adjusted the medicine.
Clean and peaceful environment in the hospital.Kept very useful informative catalogues about eye care taken about patient. Staff are well behaved , very sweet and soft speaking staff are taking care of patients.
Having very good experience at this clinic.Reception staff is attentive and corporate with our concern.
We have interacted with Dr. Pranjali. Her behaviour is nice with us.Each and every details are shared by her.
Doctor pranjali is really nice.I had met her for type II uncontrolled diabetes and she helped me to manage with medications and diet. I don’t even require insulin injections anymore.I am genuinely thankful for doctor pranjali help.
I have been visiting the hospital since a year
now for my mom/dad diabetes check up! The
Dr. Pranjali Shah has been so helpful in every
possible way! Listens to you calmly and
provide you with the best medications. Also,
the staff is really helpful and kind to us
from day 1.
The diagnosis is super apt and so is
the treatment by Dr.Pranjali. The
staff is also very supportive.
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