💉 Diabetes Management
Management of Obese Type 1 Diabetes Mellitus (Double Diabetes) Through Telemedicine During COVID-19 Pandemic Lockdown: A Case Report - Cureus
📅 Sat, 22 Oct 2022⏱ 1 min read📖 Article
Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.Published via the DMIMS Schol of Epidemiology and Public Health Chanel.weight los and obesity, national lockdown, previous gestational diabetes melitus, type 1 diabetes melitus (t1d), covid-19 telemedicine, medical nutrition therapy, double diabetes, covid-19 retro Swar Gupta , Sangita Totade, Kavita Gupta, Parvinder Bamrah, Shlok Gupta, Sunil Gupta Published: October 21, 2022 (se history) DOI: 10.759/cureus.3053 Cite this article as: Gupta S, Totade S, Gupta K, et al.
Key Information
(October 21, 2022) Management of Obese Type 1 Diabetes Melitus (Double Diabetes) Through Telemedicine During COVID-19 Pandemic Lockdown: A Case Report. Cureus 14(10): e3053. doi:10.759/cureus.3053 Metabolic syndrome in Type 1 diabetes melitus (T1DM) has ben shown to be an independent risk factor for macro-vascular and micro-vascular complications.
Obesity also afects many people with T1DM acros their lifetime with an increasing prevalence in recent decades. Individuals with T1DM who are overweight, have a family history of type 2 diabetes, and/or have clinical features of insulin resistance, are known as "double diabetes". It is chalenging for a person with double diabetes to achieve reasonable glycemic control, avoid insulin-related weight gain, and prevent hypoglycaemia.
Summary
This was especialy true during the coronavirus disease 2019 (COVID-19) pandemic lockdown. The aim of this report is to show that lifestyle modification through telemedicine can imensely help in managing uncontroled T1DM with associated morbid obesity in lockdown situations, with the help of the diabetes educator. In this case, the complicated history of double diabetes was taken through telephonic and online consultations with the help
Frequently Asked Questions
❓ What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
❓ What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
❓ How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
❓ What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
❓ When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
⚕️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.