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MESSAGES TO
Diabetes

Diabetes

A DxD Session with Dr Abel Soh


Ended on Fri Nov 30 2018
Ended
Have a question to ask?

Get Dr Abel Soh's opinions on your questions! Only approved questions are displayed.

Top Answers


Type 2 diabetes mellitus is the most common type of diabetes. Up to 90% of people with diabetes have type 2 diabetes.

The risk for someone to develop type 2 diabetes is multi-factorial. Both heredity (genetics) and lifestyle/environmental factors play a role in influencing one's risk of developing type 2 diabetes.

If you have one first-degree relative (parent or sibling) who has type 2 diabetes, your risk of developing type 2 diabetes is increased 2- to 3-fold. 18,19]. Your risk of developing type 2 diabetes is higher (5- to 6-fold) if both your parents have type 2 diabetes.

Although heredity (genetics) is something that we cannot change, lifestyle/environmental risk factors can be modified to reduce your risk of developing diabetes. Lifestyle/environmental factors that increases one's risk of having diabetes include:

  • Unhealthy diet
  • Lack of exercise or physical activity
  • Being overweight or obese

Dietary consumption of red meat, processed meat, and sugar-sweetened beverages is associated with an increased risk of diabetes, whereas consumption of a diet high in fruits, vegetables, nuts, whole grains, and olive oil is associated with a reduced risk.

A sedentary lifestyle that lacks exercise or physical activity reduces one's energy expenditure, promotes weight gain, and increases the risk of type 2 diabetes.

If you are overweight or obese, your body cannot use insulin properly (insulin resistance) and your pancreas will work harder to make extra insulin to make up for it. However, over time the pancreas will not be able to keep up and insulin production will drop, resulting in high blood sugar levels.

In order to avoid getting diabetes even if you have family history of diabetes, you should do the following:

  • Eating a healthier diet
  • Exercising regularly - at least 150 minutes of moderate-intensity exercise is recommended
  • Maintaining a healthy body weight - body mass index of less than 23 kg/m2
14 Nov 2018

Diabetes mellitus is medical condition that causes blood sugar (glucose) levels to rise higher than normal in the body. Type 2 diabetes is the most common form of diabetes.

In a normal individual, the pancreas produces a hormone called insulin which allow the cells to take up and use glucose from the bloodstream.

When the pancreas makes less than normal amount of insulin, blood glucose level will increase more than normal.

When a person has type 2 diabetes, the body does not use insulin properly. This is called insulin resistance. Being overweight increases insulin resistance in the body. At first, the pancreas makes extra insulin to make up for it. But, over time it will not be able to keep up and insulin production will drop, resulting in high blood glucose levels.

When glucose builds up in the blood instead of going into the cells, the cells may be starved for energy. Over time, high blood glucose levels may hurt the eyes, kidneys, nerves or heart. 

If you have symptoms such as:

  • increased thirst and frequent urination
  • weight loss
  • fatigue
  • blurred vision, or
  • slow-healing wounds

you should get a blood test done to check if you have diabetes. 

Prediabetes is the condition in which blood glucose levels are higher than normal, but not high enough to be considered type 2 diabetes.

It can lead to type 2 diabetes if nothing is done. If you have prediabetes, adopting a healthier diet, having regular exercise and maintaining a healthy weight can reverse prediabetes as well as reduce the risk of you developing type 2 diabetes.

There is unfortunately no cure for type 2 diabetes at the moment. But individuals with type 2 diabetes can manage the condition by eating well, exercising regularly, maintaining a healthy weight and taking medications.

Some people with type 2 diabetes can control their blood glucose with just healthy eating and exercising regularly alone. However, type 2 diabetes usually gets worse over time – even if medications are not needed at first, the affected person may need them later on.

12 Nov 2018

Top Questions


Dear doctors, I will like to know the main differences in dietary restrictions and diet that Diabetics Type 1 and Type 2 will have to adhere to. 

I am a 22 year old female with Type 1 Diabetes. My blood glucose swings a fair bit, and even tends to the low side (3.8mmol). I am looking to see how I can better control my blood glucose level (BGL) within a good range. Does a low carb diet help improve blood glucose levels, and which health professionals should I seek out to help improve my blood glucose levels? 

My grandma has diabetes. Her doctor regularly checks her eyesight, as he says that there is a relationship between glaucoma and diabetes. I do not understand how the two conditions can be linked. 

I would like to understand how does this disease suddenly become incurable at a certain point?