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    Diabetes is more common in South Asians then in other groups.

    • More common in South Asians with a lower body weight
    • Tend to develop earlier in South Asians when compared with other groups
    • Diabetic complications like kidney disease and heart disease are more common in South Asians
    Statistics at the Palo Alto Medical Foundation shows South Asians are at 2.5 times more likely to have diabetes versus non Hispanic/whites.

    With diabetes the body does not produce enough insulin or it cannot use insulin effectively and as a result sugar cannot get into the cells. This in turn causes blood glucose levels to rise which can lead to immediate or long term complications.

    How is diabetes diagnosed?
    Diabetes can be diagnoses by a simple blood sugar test. You may have diabetes if your fasting blood sugar is more than 126 mg/dl or non-fasting blood sugar is more than 200mg/dl.

    Risk Factors for the development of type 2 diabetes

    • Family history of diabetes
    • Obesity
    • Hypertension
    • High triglycerides
    • Low HDL-C
    • Elevated Glucose
    • South Asian Ancestry
    • Vascular Disease
    • History of gestational diabetes
    • History of baby weighing > 9 pounds
    • Sedentary lifestyle
    • Schizophrenia
    Weight Loss is Critical
    • Prevents and reverse diabetes
    • Can reduce the number of medications
    • Eliminate the need for injectable insulin
    • Reduces diabetic complications like heart attacks and strokes
    A healthy body mass index for South Asians is less than 23.
    BMI can be calculated here.

    Preventing Diabetes Complications
    High blood sugar levels can cause complications over time. Every 24 hours people with diabetes have:

    • 200 strokes
    • 600 heart attacks
    • 120 kidney failures
    • 230 lower body amputations
    • 55 go blind
    It is vital for patients to control their blood sugar. Tighter control with new medications and therapies can reduce these conditions.

    To prevent heart attacks and strokes take care to control your blood pressure, cholesterol levels and take aspirin. Aspirin use should be discussed with your family doctor.

    To prevent kidney failure control your blood pressure, blood sugar and take a medication called ACE-inhibitor. Urine protein should be monitored yearly.

    To protect your eyes control your blood pressure, blood sugar and have yearly eye exams.

    To protect your feet keep them clean, check for blisters, cuts and bruises, trim and file nails and finally stay physically active to promote circulation.

    Diabetic Goals
    • Blood pressures less than 130/80
    • LDL less than 100
    • HbA1c less than 7%
    • Annual urine test
    • Annual diabetic eye exam
    • Annual diabetic foot exam
    Important Diabetes Medications
    Patients with diabetes have to take many medications including:

    • Blood sugar medications
    • Blood pressure medications
    • Cholesterol medications
    • Ace Inhibitors: kidney protection
    • Aspirin as directed by physician
    Gestational Diabetes
    Gestational diabetes is diabetes in pregnancy in which South Asians have a higher risk of occurrence. They make up 7% of pregnancies and mother and child will have a lifelong risk of developing type 2 diabetes.

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