Story of a patient who became weak in an effort to control his diabetes! 

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To many of us, diabetes is a fearing disease condition. It is not incorrect. Indeed, diabetes is not a trivial disease. An uncontrolled or poorly controlled diabetes may cause a lot of suffering. However, we should go through a systematic way to control our blood sugar. Over-action may bring unwanted results. This story is about such a patient.

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The patient visited another general physician on the 24th of August (i.e. last month 24). That day his blood sugar was a little higher than the normal range but it wasn’t in the diabetes range. However, considering his illness, the doctor prescribed him a sugar-lowering medication and told him to control his diet.

Today he visited me with the complaint of generalized weakness or lack of power. I checked his vitals and all were within the normal limits. I checked his blood sugar and his fasting sugar was 113 mg/dl (normal fasting sugar is less than 110 mg/dl). A fasting 113 mg/dl is not in a diabetes range. If fasting sugar is above 126 mg/dl, it is in the diabetes range. Similarly, random blood sugar should be over 200 mg/dl for diabetes. Meaning, today his sugar was a little high but not to be put in the diabetes range.

The blood sugar level wasn’t the cause of his weakness. His weakness was due to extreme control in his diet. Since the 24th of last month, he hasn't consumed any meat, eggs and milk. He ate only a small amount of rice at his lunch. His body didn’t get a proper supply of protein, fat and even carbohydrates that made him weak over the last few weeks.

It appeared that he wasn't given the proper dietary advice. His lipid profile wasn’t checked but his blood pressure was normal. Moreover, his blood sugar wasn’t that high. It is not prohibited for a diabetes patient to eat meat, eggs or to drink milk. Proteins and fats are required for our body as well. The main concern should have been reducing carbohydrate intake but he reduced them (carbohydrates, protein and fat) all.


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