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    Diabetes: Understand It, Prevent It, Manage It

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    Bangkok Hospital Phitsanulok
    Updated on: 20 Jun 2025
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    Diabetes: Understand It, Prevent It, Manage It
    Bangkok Hospital Phitsanulok
    Updated on: 20 Jun 2025

    What is Diabetes?
    Diabetes Mellitus is a condition in which blood sugar (glucose) levels are abnormally high due to the body’s inability to produce enough insulin or to use insulin effectively. Insulin is a vital hormone that helps transport glucose from the bloodstream into the cells to be used for energy.

    📌 Types of Diabetes

    1. Type 1 Diabetes
      The body is unable to produce insulin, requiring lifelong insulin injections.

    2. Type 2 Diabetes
      The body still produces insulin but cannot use it efficiently. This type is more common in adults, especially those who are overweight or have a family history of diabetes.

    3. Gestational Diabetes
      This occurs during pregnancy and usually resolves after childbirth. However, it increases the risk of developing Type 2 diabetes later in life.

    ⚠️ Early Symptoms You Shouldn’t Ignore

    • Frequent thirst and urination
    • Constant hunger with unexplained weight loss
    • Fatigue and blurred vision
    • Slow-healing wounds, itching skin or genital areas
    • In some cases, no symptoms appear until complications arise

    🧬 Risk Factors to Watch Out For

    • Family history of diabetes
    • Being overweight or obese
    • Lack of physical activity
    • Age 40 and above
    • Previous history of gestational diabetes

    🛡️ Prevention and Self-Care

    ✅ Maintain a healthy weight
    ✅ Choose high-fiber, low-sugar, low-fat, and low-sodium foods
    ✅ Exercise regularly – at least 30 minutes a day, 5 days a week
    ✅ Get annual health check-ups, especially for those over 35
    ✅ Manage stress and ensure adequate sleep

    💉 Treatment Options

    1. Lifestyle and dietary changes

    2. Oral medications to lower blood sugar – e.g., Metformin

    3. Insulin therapy – for those who cannot manage with pills alone

    4. Regular monitoring – including HbA1c, cholesterol, blood pressure, eye, kidney, and foot exams

    🦶 Serious Complications of Uncontrolled Diabetes

    Without proper management, diabetes can lead to long-term complications such as:
    • Cardiovascular disease
    • Diabetic retinopathy – which may lead to blindness
    • Chronic kidney disease or kidney failure
    • Nerve damage and foot ulcers – possibly requiring amputation

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