Q- Foot care in diabetes
Ans- Taking care of your feet is extremely important if you have diabetes as foot & leg
complications are common causes of hospitalization in persons with diabetes & can also lead to
limb amputation if not treated on time. However, most foot problems can be prevented
through proper care & precautions.
You just need to follow these simple steps!!!
Do's
- Notice and feel your feet daily for blisters, open sores, cuts, color changes, or ingrown toe nails.
- Wash your feet daily with soap and lukewarm water.
- Take care to wash between toes.
- Keep your feet dry especially between toes. Use powder if needed.
- Keep your skin soft. Put lotion on top and bottom of your feet. Do not apply between toes.
- Cut toe nails straight across
Q- What is celiac disease ?
Ans- Celiac Disease is an autoimmune disease which damages the lining of small intestine
and interferes with the absorption of nutrients from the food. People with celiac disease
cannot tolerate gluten, a protein which is found in wheat, rye, barley and oats. Celiac disease
is genetic, it means has high chance of running in the families. This disease can occur at any age
group from infancy to late adulthood.
Common Symptoms :
- Abdominal Pain, Bloating
- Dental Enamel Defects
- Diarrhea
- Foul smelling stools which are difficult to flush away
- Growth Failure in children
- Vomiting
- Constipation
How is Celiac Disease Diagnosed ?
On having any of the above symptoms the patient should get in touch with the doctor
for diagnosis of the disease Diagnosis of celiac disease involves a blood test, for levels of
anti-tissue transglutaminase antibodies (tTGA) or anti-endomysium antibodies (EMA).
A blood test is followed by a biopsy of the small intestine to confirm the diagnosis of the disease.
(Starting on with a Gluten Free Diet before being tested, may result in negative test for
Celiac disease even if th1 disease is present. Hence one should not start Gluten Free diet before
a confirmed diagnosis is made.)
Treatment :
The only treatment for celiac disease is a strict gluten free diet for life. It's essential that
patients with celiac disease should go for a initial assessment, education and follow up with
Dietitian and the Doctor for gluten free diet.
Foods Allowed :
Naturally Gluten-free foods include plain meat, poultry, fish, eggs, legumes, nuts, seeds, milk,
yogurt, cheese fruits, vegetables, as well as many gluten-free flours, cereals and starches that
can be substituted for wheat, rye and barley. Distilled alcoholic beverages and wines are also
allowed, however beer derived from barley must b avoided. Patients should consume Gluten
Free Foods rich in Iron, Calcium, Vit .D and Dietary fiber.
Foods to Avoid :
Patient should totally eliminate wheat and its products, Rye, Barley, Oats from the diet.
Q- Type 1 diabetes mellitus and celiac disease
Ans- Many patients with type 1 Diabetes are also diagnosed with Celiac Disease,
in such cases patients should consult Dietitian who can guide about long term goals and
guidelines for management of both disease. Frequent follow u visits are essential for how
to take Gluten free diet in accordance with diabetic meal plan, monitoring and insulin adjustment.
Use accurate and practical resources on managing both disease. There is a lot of misinformation
about the GF: (Gluten Free Diets) on the internet and from other sources.
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