Overcoming Excessive Sweating In Diabetics?

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Asked, r n My wife has diabetes in this month of Ramadan, my wife (still fasting) one day suddenly her whole body was in so many ranks that her clothes were soaked, .. the question is; r n1. Is it related to disease DM he suffered? How is the first handler solution r n2. I read the doctor’s article explanation that there are 2 types of DM, namely type 1 and type 2, what are the characteristics of each of these r n r n Thank you, r nPanji

1 Answer:

Hello Panji, thank you for the question for HealthReplies.com

Diabetes mellitus is a condition in which blood sugar levels increase. There are 2 types of diabetes mellitus, type 1 diabetes mellitus and type 2 diabetes mellitus. Type 1 diabetes mellitus (DM 1) can occur because the body's immune system damages cells in the pancreas that produce insulin. Because there is no insulin, glucose in the blood cannot enter and be used by the body's cells, so the levels increase. Diabetes mellitus type 2 (DM 2) can occur due to decreased sensitivity of the body's cells to insulin. In DM 2, insulin is available in sufficient quantities and even increases, but the body's cells cannot use this insulin, so glucose cannot enter and be used by cells and its levels increase in the blood.

Both DM 1 and DM 2 have more or less the same symptoms, namely symptoms of hyperglycemia (excess sugar in the blood), including:

polyphagia or eating a lot because you feel hungry quickly
polydipsia or drinking a lot
polyuria or a lot of urinating
limp body
weight loss
visual disturbances
wounds that are difficult to heal
recurrent infections such as infections of the gums, skin and vagina

Although they have more or less the same symptoms, there are several clinical characteristics that can be used to distinguish the two types of diabetes:

The symptoms of hyperglycemia in type 2 diabetes usually appear after puberty, while the symptoms in type 1 diabetes usually appear at a younger age.
Type 2 diabetics tend to be obese, while type 1 diabetics have normal to less weight
Type 2 diabetics have several other conditions such as acanthosis nigricans (thickening and darkening of the skin in the folded areas), hypertension, dyslipidemia (high cholesterol), PCOS (in women). These signs are rarely found in people with type 1 diabetes
Type 2 diabetics usually have close relatives who also suffer from type 2 diabetes (75-90%), while only about 10% of type 1 diabetics have close relatives who also suffer from type 1 diabetes.
Patients with DM 1 can only be treated with insulin, while people with DM 2 can be treated with drugs first

The two types of diabetes can also be distinguished by using an antibody test. In people with type 1 diabetes, antibodies to glutamic acid decarboxylase (GAD65), 40K fragments of tyrosine phosphatase (IA2), insulin, and / or zinc transporter 8 (ZnT8) can be found. These antibodies are only found in a small proportion of people with type 2 diabetes. Another test that can be used to differentiate DM 1 and DM 2 is insulin and C-peptide levels. In people with type 1 diabetes, insulin and C-peptide levels are low compared to blood sugar levels, while in type 2 diabetics, insulin and C-peptide levels are usually high in fasting conditions.

Before undergoing fasting, diabetics should first check with a doctor. This is because several types of drugs given to diabetics (and also insulin if your wife uses insulin) can have a hypoglycemic effect (decreased blood sugar levels). This decrease in blood sugar levels often occurs when diabetics take diabetes medications and do not eat regularly (or fast). Some of the symptoms of hypoglycemia include:

limp body
pale skin
a cold sweat
heart beat
body trembling

In conditions of severe hypoglycemia symptoms such as confusion, decreased consciousness, seizures, and coma may also occur.

If you want to continue fasting, your wife should first consult with her doctor so that adjustments are made to the medication given. In addition, it is better if your wife always brings candy or sugar water when traveling. If the hypoglycemia symptoms mentioned above occur, eat the candy or sugar water that is brought immediately. It would be better if your wife can carry a blood sugar checking device around and check her blood sugar levels when she begins to feel the symptoms of hypoglycemia. If blood sugar is low, eat candy or drink sugar immediately.

So much information from me, hopefully it will be enough to answer

dr. irna cecilia

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