DM ( Endocrinology) MD ( Internal Medicine) Fellowship in Diabetes Certificate in Diabetes Care ( CIDC)
It was a nice friday after noon. Abdul Razak, a 40 year old business man was driving home after a nice lunch in a local restaurant. Suddenly he felt uneasy and he fainted and the car had a collision with a tree. He was hospitalized and was found that he had suffered a massive heart attack which made him to lose consciousness. He was found to have very high blood glucose levels and blood pressure as well as cholesterol levels when he was admitted to the hospital.
He smoked around 10 cigarettes per day. Never had any complications and hardly ever visited any doctor. This is not an isolated story. Many people get similar surprises. Mr. Razak had diabetes for 3 years and never had regular consultations with a doctor. He never bothered to check his diabetes status and believed that, he had a “mild diabetes” and he is otherwise healthy as he didn’t have any symptoms. Many people believe so.
Diabetes, hypertension and high cholesterol may not have any symptoms for many years. They can silently damage our body . That is exactly the reason why they are called as silent killers. In type 2diabetes, most often, diabetes is present for many years before it is detected. Again, just treating diabetes is not enough. Blood pressure and cholesterol have to be tightly controlled as well. All type 2 diabetes patients need an annual check up which should include examination of eyes, feet, cholesterol profile, kidney functions, liver functions etc. Blood pressure should be examined on each hospital visit. Blood glucose should be checked at home frequently and also during hospital visits.They should visit the hospital at suggested intervals. Diet control and exercise may not be enough in most cases to control diabetes, hypertension and cholesterol. Drugs should be used in correct combination along with diet and exercise.
Diabetes can be compared to the rust under your car. The car may look fantastic outwardly. However, one may not realize that there is rust developing under the car unless you inspect it routinely and have it serviced. Similarly, you may not realize that diabetes is causing complications unless you look for it. Most people are careful about looking after their cars, but not their own body. Our body is more precious than our cars and hence a comprehensive yearly diabetes complication screening is highly recommended for all cases of type 2 diabetes from the time of detection. Your body need periodical check up just like your car .
Mr. Razak probably would have avoided the heart attack if he had controlled his diabetes , blood pressure and cholesterol well. He only slept for 5 hours most of the days. Smoking and tobacco use in any form should be discouraged. Regular exercise for about forty five minutes a day along with a healthy diet low in salt, sugar and fat is essential in most cases. Sound continuous sleep for at least 7 hours is required at night for a healthy life.