{"id":65443,"date":"2021-05-26T17:22:59","date_gmt":"2021-05-26T17:22:59","guid":{"rendered":"https:\/\/websitedesigns.com.au\/elankanew\/?p=65443"},"modified":"2023-06-28T16:29:39","modified_gmt":"2023-06-28T16:29:39","slug":"why-should-you-maintain-a-normal-range-blood-sugar-level-by-dr-harold-gunatillake","status":"publish","type":"post","link":"https:\/\/websitedesigns.com.au\/elankanew\/why-should-you-maintain-a-normal-range-blood-sugar-level-by-dr-harold-gunatillake\/","title":{"rendered":"Why should you maintain a normal range blood sugar level?-by Dr harold Gunatillake"},"content":{"rendered":"<h1 style=\"text-align: center;\"><span style=\"font-size: 28px; color: #008080;\">Why should you maintain a normal range blood sugar level?-<span style=\"color: #333399;\">by Dr harold Gunatillake<\/span><\/span><\/h1>\n<p><img loading=\"lazy\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-77916 aligncenter\" src=\"https:\/\/websitedesigns.com.au\/elankanew\/wp-content\/uploads\/2021\/11\/Harold-Gunethilake.jpg\" alt=\"Harold-Gunethilake\" width=\"160\" height=\"160\" \/><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/NkB8Z3zem5k\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Transcript:<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Why should we maintain a normal range blood sugar level, and that is our topic of talk, today?<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A non-diabetic individual maintains a normal range blood sugar, due to the normal hormonal and metabolic activities of the pancreas and the liver. This is done by storing glucose as glycogen in the liver to make the blood sugar level remain steady between meals and during sleep. When blood glucose falls, cells in the pancreas secrete glucagon from the alpha cells of the Islet cells, and glucagon instructs the liver to convert the stored glycogen to glucose, making glucose more available and sustained in your blood stream.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The pancreas further secretes insulin in the Islet beta cells, which enables the blood sugar to courier to specific cells in the body, such as the fat cells called lipocytes, which stores the sugar as a fat called triglyceride.<u><\/u><u><\/u><\/span><\/p>\n<p><!--more--><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This process is called lipogenesis where the excess acetyl CoA generated by glycolysis i.e., breakdown of glucose, is converted into fatty acids, triglycerides, cholesterol, steroids, and bile salts.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">These stored triglycerides when released into your blood as blood triglycerides may increase the risk of diabetes, and diabetes increases triglyceride levels, too.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The two are intertwined. So, if you are a diabetic, with high triglycerides in your blood, you are at a great risk of heart attack or stroke than those with normal triglyceride level.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The important lesson is that one should lower the intake of high glycemic foods to avoid this situation.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A fasting blood sugar of a non-diabetic is less than 100mg\/dL 5.6mmol\/L.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A person with diabetes should strive to achieve fasting blood sugar levels below 131mg\/dL and levels following meals below 180 mg\/dL. what is referred as the post-prandial level.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Through lifestyle changes, right low glycemic diets, exercise and maintaining a normal body weight, a diabetic should aim to achieve this range daily to prevent complications.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In terms of the blood sugar memory test, a diabetic should have an average blood sugar level during the day below 154 mg\/dL should give a HbA1C level of below 7%.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">So, the question arises why a diabetic should strive to achieve the above ranges, and what happens if you just eat, drink and merry with no concern to your blood sugar levels.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">When your blood sugar is high and not controlled, you may tend to pass more urine, more frequently. You may feel thirsty, and other problems related to your high blood sugar.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">If you do not control your blood sugar level it can take a toll on every organ in your body, such as the heart and blood vessels, Eyesight, kidneys, nerves, gastro-intestinal tract, including gums and teeth.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">How does increased blood sugar affect the heart and blood vessels?<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Increased blood sugar affects the blood vessels in many ways. High blood sugar can decrease the elasticity of the arteries and make more resilient or resistant to the pressure from the heart pumping blood, resulting in high blood pressure.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This leads to narrowing of the blood vessels, reduces blood and oxygen supply to the internal organs, including the heart muscles.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Narrowing of blood vessels leading to increased peripheral resistance led to high blood pressure. High blood pressure is a risk factor for heart disease.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Damage done to the large blood vessels is known as macrovascular disease, while microvascular disease refers to damage to minute blood vessels as in the glomeruli in the kidneys.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Macrovascular disease due to thickening of the vessels, can cause heart attack, stroke, peripheral artery disease called atherosclerosis in the limbs.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Atherosclerosis is the most common cause of chronic arterial occlusive disease of the lower extremities, resulting from uncontrolled blood sugar levels.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Do not wait for the day your doctor to tell you that your leg needs amputation. Think of it and control your blood sugar level consistently.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Microvascular disease can cause problems in the eyes, kidneys, and nervous system.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This could happen in the heart too, due to the minute branches of the main coronary arteries getting occluded with plaques and clots. These vessels are lining the inner walls of the heart muscle and lead to patches of dead tissue referred to as necrosis.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In such a situation you may be unfit for open heart surgery or insertion of stents into the blocked main arteries of the heart.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Diabetic Macular Oedema<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Up to 1 in 10 people with diabetes develop diabetic macular oedema.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">High blood sugar weakens the blood vessels in your eyes. That can make them leak or grow out of control in your retina, the light-sensitive area at the back of your eyes. This is called diabetic retinopathy. When fluid seeps into your retina, it can cause diabetic macular edema.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">There is no cure for diabetic macular oedema, but treatment can help slow progression of the condition and prevent blindness.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A healthy lifestyle, exercising regularly, eating lots of veggies, fruits and tight control of blood sugar levels are recommended when you have macular edema.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">How does diabetes cause kidney damage?<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">High blood sugar levels with time can cause damage to the minute blood vessels in your kidneys.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Diabetic nephropathy or chronic disease of the kidneys have no symptoms early. Having high blood pressure with uncontrolled diabetes will cause early kidney damage. The damaged kidneys filter becomes \u2018leaky\u2019 and lets albumen from the blood leak into the urine. This is referred to as micro-albuminuria.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">It is good to know that most people with diabetic kidneys may not progress to kidney failure needing dialysis.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Your doctor will do a blood test to assess the kidney functions routinely when you are a diabetic.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">There are two important tests that he will get done in addition to the blood electrolytes- blood creatine level and eGFR.eGFR stands for Estimated Glomerular Filtration Rate.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">eGFR is the best test not measure your level of kidney function and determine your stage of kidney disease.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A normal eGFR for adults is greater than 90 mL\/min\/1.73m2, according to the National Kidney Foundation.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">With age it drops and when it drops below 60mL\/min you are having early chronic kidney disease.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">A diabetic can maintain his blood sugar level within the normal range, like a non-diabetic, with proper low glycemic fiber-rich diet, regular exercise, keeping the weight down, with or without medication, irradicating stress factors through the practice of yoga.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">It is important to take fish oil as a supplement for blood vessel health to keep them soft and elastic.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Damage to nerves.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">How does high uncontrolled blood sugar damage your nerves?<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Half of all people with diabetes have nerve damage. The nerve cells called neurons are damaged or destroyed.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Researchers have found that uncontrolled high blood sugar damages.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">the nerves and interferes with their ability to send signals, and this condition is called diabetic peripheral neuropathy.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">This type of neuropathy is also called distal symmetric peripheral neuropathy. It generally affects the feet and legs followed by hands and arms. The symptom of this neuropathy is worse at night.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">You may have numbness and reduced ability to feel pain or temperature changes.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Some may feel tingling and pins and needles. Cramping of muscles and so on.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Nerve damage from diabetes cannot be reversed because the body is unable not repair nerve tissues that have been damaged.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">You may be having early diabetic neuropathy, but symptoms often do not begin until many years after diabetes has been diagnosed.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">The carbs you eat in your daily food is converted into glucose in the gut.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">If you eat processed carbs like white rice and white bread your blood sugar immediately will rise in the blood. If you have uncontrolled diabetes there will be spiking of the sugar level in your blood.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">It is always advisable to eat unprocessed carbs if you are a diabetic so that the absorption of glucose from the digested carbs will be slow.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">In non-diabetics the glucagon secreted by the pancreas, and prompt insulin secretion will normalize the blood sugar level within two hours.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">But, unfortunately, this God -given control is lacking among diabetics.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">With strict discipline, diabetes can be reversed, but cannot be cured, whatever the pundits say.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Exercise daily to reduce the insulin resistance and make it more sensitive. That is the answer to reverse diabetes.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Hope this video talk was useful.<u><\/u><u><\/u><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-size: 20px; color: #000000;\">Take care and goodbye for now.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Why should you maintain a normal range blood sugar level?-by Dr harold Gunatillake &nbsp; Transcript: Why should we maintain a normal range blood sugar level, and that is our topic of talk, today? A non-diabetic individual maintains a normal range blood sugar, due to the normal hormonal and metabolic activities of the pancreas and the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":116942,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"aside","meta":{"footnotes":""},"categories":[20,1103],"tags":[872],"class_list":{"0":"post-65443","1":"post","2":"type-post","3":"status-publish","4":"format-aside","5":"has-post-thumbnail","7":"category-articles","8":"category-dr-harold-gunatillake","9":"tag-dr-harold-gunatillake","10":"post_format-post-format-aside"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.7.1 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why should you maintain a normal range blood sugar level?-by Dr harold Gunatillake<\/title>\n<meta name=\"description\" content=\"Why should we maintain a normal range blood sugar level, and that is our topic of talk, 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