Diabetes Mellitus is a chronic progressive spectrum of diseases which involved almost every organ of the body. It's one of the most common causes of premature aging.

In a natural course of the uncontrolled Diabetes the organs like Kidneys (Nephropathy/ Chronic Kidney Disease) , Eyes ( Retinopathy/ Early Cataract) , Nervous system (Neuropathy) , Cardiovascular system ( Coronary Artery Disease, Ischemic Heart Disease, Cardiomyopathy), Skin ( Acanthosis, pigmentation) , Nails ( fungal infections), Gastro-intestinal system (Gastroparesis, Altered bowel) , Sexual health (Erectile dysfunction , low libido, anorgasmia) and almost all other organs are involved.

The current trends of managing Diabetes focuses on tight blood sugar control by medications, life style modification, exercise, dietary modification, sleep management and stress reduction.

Now we have started to look in the other potential hormonal and metabolic implications of Diabetes and started focusing on fixing them.

Once diagnosed with Diabetes one should not leave hope. The current medical world is working very hard to give array of hope to people living with diabetes.

Key to success in Diabetes management is

• Be vigilant about Blood sugar.(Fasting Blood Sugar, Post Prandial Blood Sugar, Glycosylated Haemoglobin).
• Regular screening for Diabetes complications.(Blood Cholesterol, Kidney Function test, Liver Function test, Nerve testing, Complete eye check up, Complete Cardiac work up, Other hormones evaluation, SHBG)
• Control of blood cholesterol.
• Modify life style.
• Healthy eating.
• Yoga, meditation.
• Sleep/Stress management.
• Avoidance of Smoking/Alcohol.
• Take medicines on time.
• Follow up with your doctors very regularly.

Diabetes can be prevented to some extent. Its complications can be delayed or prevented if the above points can be followed.

Instituting Early Insulin Therapy in newly diagnosed diabetes patients is a proven measure to delay/prevent the complications of Diabetes. The Insulin therapy needs to be closely supervised and all the measures need to be taken to prevent any episode of hypoglycemia.

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