Screening for Diabetes – Fasting Blood Sugar

Posted on March 31, 2017 by hannahpotmd

The best way to know if you have diabetes mellitus is to have yourself screened by doing a FASTING BLOOD GLUCOSE (FBS) test. It is also called the FASTING PLASMA GLUCOSE (FPG) test. To prepare, do not eat or drink anything except water for 8 to 10 hours before your scheduled fasting blood glucose test.

The results are interpreted as follows: you have diabetes is your fasting blood sugar is 126mg/dl and above, you have pre-diabetes if it is 100-125mg/dl, and you have normal blood sugar levels at 99mg/dl or less.

If your results show that you have either diabetes or pre-diabetes, talk to your doctor right away, for advice on proper lifestyle and diet, and to start you on the right medication.

DM FBS cut offs

top photo credit: http://www.heart.org/HEARTORG/Conditions/More/Diabetes/AboutDiabetes/Pre-diabetes-Whats-the-Problem_UCM_461554_Article.jsp#.WN3zfRKGNvc

Foot Complications of Diabetes

Posted on March 26, 2017 by hannahpotmd

Foot gangrene is one of the most dreaded forms of diabetic foot. It may initially present as frequent cramping of the legs with long distance walks. It is worsened with smoking, uncontrolled hypertension and high blood cholesterol levels. The risk of foot amputation is around 15x higher for diabetics (Gayle R, Benjamin AL, Gary NG. The burden of diabetic foot ulcers. The American Journal of Surgery 1998Aug 24; 176(Suppl 2A):65-105).

Diabetes complications like this are preventable with early diagnosis and good control of blood sugars (http://www.nejm.org/doi/full/10.1056/NEJMe0807625).

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What is ENDOCRINOLOGY?

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🏥 Room 206, OPD 3, Lorma Medical Center, Brgy Carlatan, San Fernando City, La Union
📆 Mondays – Fridays 1-5PM/Saturdays by appointment
☎️ 072-7000000 local 206/0932-9992511 (contact: Ms. Khriz)
💻 doktora.hannah@gmail.com

What is ENDOCRINOLOGY?

Posted on October 19, 2015 by hannahpotmd

Endocrinology is a sub-specialization in Adult Medicine, this entails:

3 years of Internal Medicine Specialty Residency Training
2 years of Endocrinology Fellowship Training

Fellowship training involves clinical (out-patients, in-patients and critical care patients) and research training. Upon completion of fellowship, satisfactory marks on a written and an oral board examination are required to be conferred the status of “Diplomate” in Endocrinology.

Unusual diseases of the adrenal/pituitary/parathyroid glands, metabolic bone diseases such as post-menopausal osteoporosis and complicated cases of thyroid disorders and diabetes are best handled by an Endocrinologist.

Check out http://endo-society.org.ph/find-an-endocrinologist/ to find an Endocrinologist near you. 🙂

WEIGHT MANAGEMENT

Posted on May 18, 2014 by hannahpotmd

Upang malaman kung tama ang iyong timbang para sa iyong height, o Body Mass Index (BMI):

Body Weight (kg) / Height (m2)

Halimbawa, ako ay 5’ feet at 4 inches = 1.62 meters (5 foot 4′ = 64 inches = 162 cm = 1.62 m), at ang aking timbang ay 58 kg:

58 kg / 1.62² = 22.1 (ang aking BMI)

Ikumpara sa susunod na chart ang resultang makukuha:

Mga Antas ng BMI para sa mga Pilipino

Underweight	< 18.5 kg/m²
Normal	18.5 – 23.9 kg/m²
Overweight	24 – 27.5 kg/m²
Obese	> 27 kg/m²

Ang normal na BMI para sa mga Pilipino ay nasa 18.5 hanggang 23.9. Mas mababa sa 18.5 ay underweight, at and sobra naman sa 23.9 ay overweight o obese.

Upang maabot ang nais na timbang natin, isa sa mga epektibong weight loss strategies ay ang pagbibilang ng calories. Ang ating pagkain ay may katumbas na caloric content at ang pagbabawas ng calories ay makababawas ng timbang.

Upang makabawas sa timbang, limitahin ang dami ng calories na kakainin at damihan ang calories na ibu-burn sa pamamagitan ng exercise. Narito ang ilan sa mga exercise at kaakibat na calories na nababawas kada uri ng ehersisyo:

	Weight: 150 lbs	Weight: 200 lbs
30 minutes a day	Calories burned	Calories burned
Basketball	153	153
Bicycle	272	272
Bowling	102	102
Dancing	153	153
Gardening	136	136
Running (5 mph)	272	272
Swimming (leisure)	204	204
Tai Chi	136	136
Washing Car	102	102
Yoga	85	85

* Adapted from Lilly Diabetes Personal Solutions Pamphlet

Heto naman ang ilang sa mga usual na pagkain natin at ang calories na nilalaman nila:

Food	Caloric Content
Rice, cooked ½ cup	100 calories
Pandesal, 3 pcs small	100 calories
Pan Amerikano, plain, 2 pcs	100 calories
Chicken, no skin, 1 oz	41 calories
Shrimps, 25 gms	41 calories
Balut, 1 pc	122 calories
Bacon, 1 strip	45 calories
Fresh cow’s milk, 1 cup	170 calories

* Adapted from Lilly Diabetes Personal Solutions Pamphlet

Ang basic na principle dito ay kailangang mas malaki ang calories na nabuburn sa pamamagitan ng exercise at iba pang activities kaysa sa calories na dinadagdag sa pagkain. Para sa mas kumpletong listahan, maaring i-download mula dito ang: Calorie Count of Exercise and Food pamphlet mula sa lilly diabetes. Maari itong i-print at ipaskil sa bahay kung saan madaling makikita ito. Iba pang mga websites na maaring makatulong ang sumusunod:

http://caloriecount.about.com/tools/calories-goal

http://www.lillydiabetes.com/Pages/index.aspx

Tantyahin kung gaano karami ang calories na kinakain bawat araw at bawasan ng 500 ito. Halimbawa, kung ang aking usual na calories sa isang araw ay nasa 1,700, babawasan ko ito ng mga 500 = ibig sabihin, dapat limitahan ko sa 1,200 na lamang ang aking kakainin para mabawasan ang timbang.

Kung ikaw ay may smartphone, subukan i-download ang app na myfitnesspal – kumpleto ito sa tips at charts para sa weight management.

Kung kayo ay seryoso sa pagpapapayat, disiplina, tamang pagkain, ehersisyo at tamang kaalaman lamang ang katapat nito. Sumangguni sa iyong doctor para sa iba pang detalye. Huwag mag-umpisa ng kahit anong weight loss regimen nang hindi muna nagpapa-clear sa inyong doctor upang makaiwas sa kumplikasyon.