An Ambulatory Glucose Profile (AGP) provides a snapshot of a patient's glucose levels over a typical day for 14 consecutive days. This makes it easier for the patients and their doctors to spot trends and identify dangerous hypoglycemic (very low sugar) episodes and high sugars. So the doctor can customize the diet and the treatment for the patient for best blood sugar control. The AGP is done through a very small sensor which is waterproof and does not hamper your daily activities. The process is painless and no pricking the fingers and blood tests are required for this.
With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy.
What is CGMS:
Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis.
Whom is it for?
If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes.
The Usage
Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows.
Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team.
If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels.
If you are suffering from diabetes then you would know how crucial it is to maintain optimum glucose or sugar level. Increasing or decreasing of the sugar level in your body can be extremely fatal. Diabetes is a disease which arises due to excessive sugar in your blood. Thus, in order to control the disease, you need to make sure that the sugar level is maintained evenly. Sudden changes in the level might cause other health problems.
Thus, not only do you need to go for constant check-ups by the medical practitioner but also need to conduct regular blood tests every year. These apart, to maintain a standard glucose level or to measure the level in your body, you can make some of the Continuous Glucose Monitoring system or the CGM.
What are Continuous Glucose Monitoring Systems?
CGM’s are small devices that a diabetic patient wears on their skin. This device measures the glucose content of the body day and night and alerts the patient in case of an imbalance in the sugar levels. A graphical representation of the sugar levels is presented to you every day so that you can see for yourself the rise and fall of the glucose content in your body. The Continuous Glucose Monitoring Systems are of two different types.
The first type involves those devices which provide you a graphical representation of your sugar levels in real time. The second type involves those devices from where you can download and analyse a recorded sugar level of your body throughout the day.
Advantages of CGM’s:
There are several advantages of using a CGM. Some of them are:
These are some of the essential facts that you need to know about CGM’s. These devices are becoming quite popular with those suffering from diabetes. It is one of those instruments which have made it easier to balance the lifestyle of the diabetic patients.
With the increasing prevalence of diabetes, it is being considered as the next big epidemic – completely related to lifestyle. India has become the diabetes capital of the world with increasing prevalence. The age of onset of diabetes is reducing, with children having diabetes and requiring insulin. The complications arising out of diabetes are also more – there is no bodily system which is not affected by diabetes. For someone who is diabetic, keeping blood sugars under check is the constant challenge. Uncontrolled blood sugars can lead to transient complications including loss of consciousness and fatigue and long-term complications including neuropathy and retinopathy.
What is CGMS:
Continuous glucose monitoring system is an FDA approved device. This device has a sensor that is placed either in the belly area or on the arm. These sensors identify the sugar levels in the body fluid and send it to a wireless which is worn by the monitor patient as a belt. Readings can be obtained at regular intervals, ranging from every 5 to 15 minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day The data can be downloaded into a persona device – smartphone, tablet, or laptop and used for further analysis. It does not replace the need for routine monitoring, but helps improve vigilance with a constant monitoring. It can help detect trends and patterns and helps the doctor identify periods of the day when the sugars are too high or too low. The amount of insulin or antidiabetic medication required can be adjusted based on sugar levels. The exercise regimen can be defined including the type, time, and duration of workout. Meal planning can be customized to suit body needs in a better manner. Night-time sugar lows which often go undetected can be monitored with the alarm Highs or low between meals (especially with snacking) can be tracked Determine treatment efficacy. The biggest advantage of CGM devices is that they provide information on what is happening to your blood glucose level every few minutes.
CGMS measures blood sugar levels every 15 mins, that is 96 times a day. The newest devices display glucose readings on a screen so you can see – in real time - whether glucose levels are rising or falling. Some systems also contain an alarm to let you know when your glucose reaches high or low levels. Some devices are able to display graphs revealing glucose levels collected over a certain number of hours on its display screen. The data collected on all devices can be uploaded to a computer for graphing and further important trend analysis.
Whom is it for?
If you think this is a great way to constantly watch your sugars, it is not required. The following people would benefit from this. People with insulin pump usage Those who have frequent fluctuations in sugar level, which is not clearly explained Those who are not aware of low sugars, and may have problems with fatigue or loss of consciousness Gestational diabetes.
The Usage
Continuous glucose monitoring systems (CGMS) may not make life with diabetes any easier. But they can definitely improve health, if you can deal with the hassle and expense. So how do you know if such a system is right for you? You can easily and discreetly view your current glucose values continuously throughout the day, without having to do a finger stick. It’s easy and discreet. The monitors have “trend arrows” that show you if your level is rising or falling quickly, so you can prevent highs and lows.
Continuous glucose monitoring can help “identify fluctuations and trends that would otherwise go unnoticed with standard HbA1c tests and intermittent fingerstick measurements. The device can capture dangerously low overnight blood sugar levels which often go undetected, reveal high blood sugar levels between meals, show early morning spikes in blood sugar, evaluate how diet and exercise affect blood sugars, and provide up to a 72-hour complete review of the effects of changes made to your therapy by your health-care team.
If you are a dedicated investigator, you can use CGMS to understand what’s happening with your blood sugar levels. If you wish to discuss about any specific problem, you can consult a Cardiologist.
If you are suffering from diabetes then you would know how crucial it is to maintain optimum glucose or sugar level. Increasing or decreasing of the sugar level in your body can be extremely fatal. Diabetes is a disease which arises due to excessive sugar in your blood. Thus, in order to control the disease, you need to make sure that the sugar level is maintained evenly. Sudden changes in the level might cause other health problems. Thus, not only do you need to go for constant check-ups by the medical practitioner but also need to conduct regular blood tests every year. These apart, to maintain a standard glucose level or to measure the level in your body, you can make some of the Continuous Glucose Monitoring system or the CGM.
What are Continuous Glucose Monitoring Systems?
CGM’s are small devices that a diabetic patient wears on their skin. This device measures the glucose content of the body day and night and alerts the patient in case of an imbalance in the sugar levels. A graphical representation of the sugar levels is presented to you every day so that you can see for yourself the rise and fall of the glucose content in your body. The Continuous Glucose Monitoring Systems are of two different types.
The first type involves those devices which provide you a graphical representation of your sugar levels in real time. The second type involves those devices from where you can download and analyse a recorded sugar level of your body throughout the day.
These are some of the essential facts that you need to know about CGM’s. These devices are becoming quite popular with those suffering from diabetes. It is one of those instruments which have made it easier to balance the lifestyle of the diabetic patients.
In case you have a concern or query you can always consult an expert & get answers to your questions!
For people who need to keep an eye on their blood sugar level, a glucose meter is a handy thing to keep around. There are many different types of glucose meters available with continuous glucose monitor being one of them. Unlike other glucose monitoring devices that merely detect the amount of glucose present in your system, a continuous glucose monitoring device also detects trends and patterns thus, gives your doctor a more comprehensive picture of your condition.
A continuous glucose monitor is not available over the counter and will need to be prescribed by your doctor. It uses a tiny sensor that is placed under the skin of your abdomen to measure the glucose level in the fluid within your body. This insertion is quick and quite painless. The sensor has a transmitter that sends the information about your glucose levels to a small pager like device. The data collected can be seen in the form of readings every 1,5 or 10 minutes. If your sugar levels drop to an extremely low level to go up to a very high level, the monitor will sound and alarm to notify you.
The data collected by a continuous glucose monitor can also be downloaded to your smartphone, laptop or tablet. By looking at the readings over a period of time, you will be able to notice trends and patterns in your sugar levels. This data helps diabetic patients and their doctors to decide on a number of things such as:
Diabetics who use an insulin pump can also link this to the continuous glucose monitor so that they do not need to manually program the pump. This is known as a sensor augmented pump. This device can also help record blood sugar levels as you sleep thus, detecting spikes and lows that would otherwise go undetected. It also helps understand the relationship between your diet as well as exercise and your blood sugar levels.
A continuous glucose monitor needs to be changed every 3 to 7 days. Also, it cannot be used to replace finger sticks or traditional home monitors. You may also need a little training on how to use the device correctly.
हमारी सभी गतिविधियों के लिए ऊर्जा की आवश्यकता है. यहाँ तक कि हमें चलने और साँस लेने के लिए भी ऊर्जा की आवश्यकता होती है. हमारी दैनिक आवश्यकताओं के लिए आवश्यक ऊर्जा का स्रोत ग्लूकोज होता है. हमारे शरीर को ग्लूकोज हमारे आहार में खाए गए स्टार्च और शुगर से प्राप्त होता है. पाचन की प्रक्रिया के दौरान इंसुलिन की सहायता से स्टार्च और शुगर चीनी में टूट जाते हैं. तब ग्लूकोज कोशिकाओं की दीवार में प्रवेश करता है. अगर भोजन में अधिक मात्रा में शुगर होता है तो यह हमारे मांसपेशियों, लिवर और शरीर के अन्य भागों में जमा हो जाता है जो बाद में फैट के रूप में परिवर्तित हो जाता है.
चूंकि ग्लूकोज वजन बढ़ाने और कम करने दोनों तरीकों से काम करता है इसलिए ग्लूकोज को अपने आहार में शामिल करने के लिए सावधानी बरतनी चाहिए. तो चलिए हम आपको बताते हैं कि किस तरह के ग्लूकोज आहार का आपको सेवन करना चाहिए. ताजे फल जैसे तरबूज, रास्पबेरी, अंगूर, ब्लूबेरी, नाशपाती और बेर आपको फाइबर, बहुत अधिक पानी और नेचुरल शुगर प्रदान करते हैं. अतः इन फाइबर युक्त फलों का सेवन करें. रिफाइंड अनाज के सेवन से बेहतर है कि आप साबूत अनाज का सेवन करें. ये आपको फाइबर और पोटेशियम, मैग्नीशियम और सेलेनियम प्रदान करते हैं. अनाज को रिफाइन करने से पोषक तत्व और फाइबर की मात्रा कम हो जाती है. वैसे तो सभी अनाज ग्लूकोज प्रदान करते हैं लेकिन साबुत अनाज अतिरिक्त लाभ प्रदान करते हैं. साबुत अनाज से बने आइटम जैसे ब्रेड आपको बाजार में मिल जाएंगी हैं.
फलियां प्रोटीन का समृद्ध स्रोत हैं और इनमें पोटेशियम, मैग्नीशियम, सेलेनियम और फोलेट जैसे आवश्यक जैसे पोषक तत्व भी शामिल होते हैं. सेम, दाल और मटर में फाइबर (घुलनशील और अघुलनशील) प्रोटीन होते हैं और इसमें किसी भी प्रकार का कोलेस्ट्रॉल नहीं होता है. ये अन्य खाद्य पदार्थों की तुलना में अधिक फायदेमंद होते हैं. फलियों में कोलेस्ट्रॉल और संतृप्त वसा नहीं होता है इसलिए हृदय रोगियों के लिए बहुत लाभदायक है. संतृप्त वसा का सेवन सीमित करने के लिए हमें कम वसा वाले डेयरी उत्पादों का उपयोग करना चाहिए. कम वसा वाले डेयरी उत्पाद हमें कम कैलोरी के साथ विटामिन, खनिज, प्रोटीन, और कैल्शियम देते हैं. पर यह सुनिश्चित करना आवश्यक है कि आप जिस भी डेयरी उत्पाद का सेवन करते हैं उसमें चीनी की मात्रा ज्यादा नहीं होनी चाहिए.
रेशेदार भोजन यानि फाइबर युक्त आहार कुछ बीमारियों जैसे टाइप 2 मधुमेह और मोटापे से लड़ने में हमारी मदद करते हैं. फाइबर अपच और कोलेस्ट्रॉल और हृदय रोगों को नियंत्रण में रखने में मदद करता है. फाइबर हम साबुत अनाज से प्राप्त कर सकते हैं. व्यायाम और उचित कैलोरी का सेवन कई बीमारियों जैसे टाइप 2 मधुमेह और हृदय संबंधी समस्याओं को रोकने में मदद करता है. कम वसा, कम कोलेस्ट्रॉल वाले कार्बोहाइड्रेट्स हृदय संबंधी बीमारियों का खतरा कम कर सकते हैं.
हम में से कई लोग वजन बढ़ने के लिए ग्लूकोज को दोषी मानते हैं. लेकिन उचित तरीके से ग्लूकोज का सेवन आपके वजन को कम करने या नियंत्रित करने में मदद करता है. यदि आप सही तरह से अपने आहार में फल, सब्जियों और रेशेदार खाद्य पदार्थों का सेवन करते हैं तो यह आपका वजन कम करने में मदद करते हैं. ग्लूकोज में समृद्ध आहार वजन घटाने और मांसपेशियों को टोन करने में फायदेमंद है.
अधिक मात्रा में ग्लूकोज के सेवन से शरीर में कैलोरी की मात्रा बढ़ सकती है जिसके कारण मोटापा हो सकता है. पर्याप्त मात्रा में ग्लूकोज क सेवन नहीं करने से कुपोषण की समस्या हो सकती है. अधिक मात्रा में चीनी का सेवन हमारे स्वस्थ के लिए अच्छा नहीं होता है. यह हमरे वजन को बढ़ाने के साथ-साथ खराब पोषण प्रदान करते है और इसके सेवन से दातों की क्षय भी हो सकती है. इसलिए कैंडी, शुगर ड्रिंक, मिठाई के सेवन से बचें. ये आपको कैलोरी के सिवा कोई पोषण प्रदान नहीं करते हैं.
Can diabetes patients eat fruits?
It is a common understanding that fruits are not good for diabetic patients or they should not eat fruits, but is it really true? Almost all diabetic patients hesitate to eat fruits, as they consider them to contain sugar and since they already suffer from high sugar, they believe that eating fruits will spike it further.
Does diabetes mean excess sugar in blood?
No, diabetes means excess glucose in blood, not sugar. So, what's the difference? The difference is that all sugars are not glucose. Glucose is just one type of sugar and the only sugar that can cause diabetes. Glucose is present in most of the food that we eat. It is highest in white table sugar, processed & packed food items and grains like rice & wheat.
Which kind of sugar is present in fruits?
Fruits contain a type of sugar known as fructose. Fructose is a simple sugar like glucose. However, it acts very differently as compared to glucose, and it does not mix with blood, as glucose does. Also, it is stored in the liver. Therefore, Fructose acts as stored sugar and not as instant sugar like glucose. Some fruits also contain glucose, but it is present in much lower quantity, which is not responsible for increasing the blood glucose level. Remember, glucose is the energy or fuel for the body and even diabetic patients need it. But certainly not in excess.
Fruits & diabetes:
Conclusion -
Diabetic patients must not hesitate to eat fruits but they must eat 3 different types of fruits every day, including one citrus fruit like orange & sweet lime.
Can diabetes patients eat fruits?
It is a common understanding that fruits are not good for diabetic patients or they should not eat fruits, but is it really true? Almost all diabetic patients hesitate to eat fruits, as they consider them to contain sugar and since they already suffer from high sugar, they believe that eating fruits will spike it further.
Does diabetes mean excess sugar in blood?
No, diabetes means excess glucose in blood, not sugar. So, what's the difference? The difference is that all sugars are not glucose. Glucose is just one type of sugar and the only sugar that can cause diabetes. Glucose is present in most of the foods that we eat. It is highest in white table sugar, processed & packed foods and grains like rice & wheat.
Which kind of sugar is present in fruits?
Fruits contain a type of sugar known as fructose. Fructose is a simple sugar like glucose. However, it acts very differently as compared to glucose, and it does not mix with blood, as glucose does, and is stored in the liver. Therefore, Fructose acts as stored sugar and not as instant sugar like glucose. Some fruits also contain glucose, but it is present in much lower quantity, which is not responsible for increasing the blood glucose level. Remember, glucose is the energy or fuel for the body and even diabetic patients need it. But certainly not in excess.
Fruits & diabetes
Conclusion
Diabetic patients must not hesitate to eat fruits but they must eat 3 different types of fruits every day, including one citrus fruit like orange & sweet lime.
In case you have a concern or query you can always consult an expert & get answers to your questions!
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