- 24.3k views
Continuous Glucose Monitoring
Continuous Glucose Monitoring (CGM) is a technology used to monitor glucose levels in individuals with diabetes. It involves the use of a small sensor inserted under the skin, usually in the abdomen, that measures glucose levels in the interstitial fluid. The sensor sends real-time data to a receiver or a smartphone, providing users with a continuous stream of information about their glucose levels. CGM helps individuals make informed decisions about their diet, medication, and activities, leading to better diabetes management and improved glycemic control.
About the Speaker
Dr. Ramya Bevoor
Consultant Physician, Diabetologist, Faculty at CMC, Vellore
Insulin and Weight Gain – Clinical Insights
Weight gain is a common concern for individuals with diabetes who require insulin therapy to manage their blood sugar levels. Insulin is a hormone that regulates glucose uptake by cells, and when used to treat diabetes, it can lead to an increase in body weight for some individuals. This weight gain is primarily due to insulin's role in promoting the storage of glucose as fat in adipose tissue and reducing the breakdown of stored fat. Insulin-induced weight gain tends to affect some people more than others, and genetic factors may play a role in determining susceptibility. Healthcare providers often emphasize the importance of monitoring caloric intake, portion sizes, and carbohydrate consumption when using insulin.Insulin therapy may lead to an increased appetite, making it important for individuals to be mindful of their eating habits. The prognosis for diastolic dysfunction varies but is generally better than systolic heart failure, especially with early diagnosis and appropriate treatment. Patients with diastolic dysfunction require regular follow-up and monitoring to assess changes in cardiac function and adjust treatment as needed.
Diabetes and Cardiovascular Health
Diabetes is a chronic health condition that affects how your body turns food into energy. With diabetes, your body doesn’t make enough insulin or can’t use it as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream. Over time, that can cause serious health problems, such as heart disease, vision loss, and kidney disease. People with diabetes are more likely to develop heart disease and have certain risk factors, such as high blood pressure or high cholesterol, that increase their chances of having a heart attack or a stroke. High blood glucose from diabetes can damage blood vessels and the nerves that control your heart and blood vessels. Over time, this damage can lead to heart disease. Adults with diabetes are nearly twice as likely to have heart disease or stroke as adults without diabetes. High blood pressure, high low-density lipoprotein (LDL) cholesterol, smoking, and secondhand smoke exposure, obesity, unhealthy diet, and physical inactivity are leading risk factors for heart disease and stroke. Proper control and treatment of diabetes is critical as both the prevalence and economic burden of the disease continue to mount.
TB-Diabetes Co-Infection Insights
Coinfection of tuberculosis (TB) and diabetes presents a complex healthcare challenge. TB-diabetes co-infection is increasingly prevalent due to the global rise in both diseases, particularly in countries with high TB incidence. Diabetes increases the risk of TB infection, and TB can worsen glycemic control in diabetics, creating a dangerous feedback loop. Co-infected individuals often face more severe TB symptoms, delayed treatment response, and a higher risk of TB drug resistance.Diabetes impairs the immune response, making individuals more susceptible to TB infection and complicating treatment.Accurate diagnosis can be difficult due to overlapping symptoms and the need for specialized tests to confirm both diseases. Managing both TB and diabetes simultaneously requires careful coordination of medications, as some anti-TB drugs may affect blood sugar levels.Routine screening for diabetes in TB patients and vice versa is crucial to identify coinfections early and provide appropriate care.Collaborative efforts between TB and diabetes healthcare teams are essential to ensure comprehensive care and better outcomes for co-infected individuals.
Diabetes and Daily Insulin Use
For many individuals with diabetes, daily insulin use is a crucial component of their treatment plan, helping to regulate blood glucose levels and prevent complications. Insulin is a hormone that enables the body's cells to absorb and use glucose from the bloodstream, thereby lowering elevated blood sugar levels. People with type 1 diabetes typically require daily insulin injections or insulin pump therapy to compensate for their body's inability to produce insulin. In type 2 diabetes, insulin may also be prescribed when oral medications and lifestyle modifications alone are insufficient to control blood sugar levels. Managing daily insulin doses requires careful monitoring of blood glucose levels throughout the day to make adjustments as needed.