Stress and Diabetes | Adult Vaccination | Fasting in Diabetes

Stress hormones are released immediately during challenging situations, making stress a significant yet subjective experience. These stress hormones increase insulin resistance & cause hyperglycemia unlike physical weight, stress cannot be quantified—it varies for everyone, making it a deeply personal phenomenon. Uncontrolled blood sugar can lead to complications like early-onset cataracts, often appearing as early as 45 or 50, especially in diabetics. Retinal issues and glaucoma are also common, emphasizing the need for annual eye exams. People with Diabetes should inform their doctors and prioritize regular evaluations to detect and manage potential eye complications effectively. Awareness promoted by the government and media highlights the importance of vaccinations. A disease Herpes zoster or shingles can affect individuals with diabetes. This virus resides in everyone but becomes active when the immune system weakens. Fortunately, a vaccine with 90% efficacy is available for those over 50. Administered in two doses, the first dose is followed by the second after two months, within a six-month window. Adult vaccination schedules should include common vaccines such as hepatitis B, pneumococcal, influenza, and herpes zoster. Evaluations for neuropathy (nerve damage) and vasculopathy (blood vessel damage) are also critical. Neuropathy affects nerves, while vasculopathy leads to arterial damage. Dr. Kavita Gupta advises caution during fasting, as starchy foods like potatoes and sabudana can spike blood sugar levels. Instead, opt for foods with a low glycemic index to avoid sugar surges. Increase fiber intake while avoiding sugar and jaggery. Common fasting foods like halwa, sago vada, and khichdi can elevate sugar levels. A better alternative is incorporating salads, roasted chickpeas, lemon water, small amounts of coconut water, or fresh coconut. Bhagar (a low glycemic index grain) combined with vegetables like tomatoes, peas, and carrots is beneficial. Including protein and lean meat can further improve dietary balance. Recorded on: 11.10.2024 Recorded at: Akashwani Nagpur