Diabetes is a chronic condition that affects how the body processes blood sugar (glucose). When diabetes is uncontrolled, it means that blood sugar levels are persistently elevated, leading to a range of health problems. Uncontrolled diabetes can result from inadequate treatment, poor lifestyle choices, or other underlying factors. Early intervention and innovative treatments, such as stem cell therapy, can help stabilize blood sugar levels and prevent complications.

The symptoms of uncontrolled diabetes can vary but often include:

Frequent urination: Increased need to urinate, especially at night.
Excessive thirst: Constant feeling of thirst despite drinking fluids.

Fatigue: Persistent tiredness or lack of energy.
Blurred vision: Difficulty focusing or seeing clearly.
Slow-healing wounds: Cuts or sores that take longer to heal.
Unexplained weight loss: Losing weight without trying.
Numbness or tingling: In the hands or feet (diabetic neuropathy).
Recurrent infections: Such as urinary tract infections or skin infections.

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Uncontrolled diabetes can result from various factors, including:

Inadequate medication:

Incorrect dosage or type of diabetes medication.
Poor adherence to prescribed treatment.

Poor diet:

Consuming excessive sugary or high-carbohydrate foods.
Lack of a balanced diet rich in fiber and nutrients.

Lack of exercise:

Sedentary lifestyle contributing to insulin resistance.

Stress or illness:

Physical or emotional stress can raise blood sugar levels.

Other medical conditions:

Hormonal imbalances or infections that affect blood sugar control.

Uncontrolled diabetes is diagnosed through various tests that measure blood sugar levels and assess for complications:

A1C Test (Glycated Hemoglobin Test): This blood test measures your average blood sugar level over the past 2 to 3 months. An A1C level of 6.5% or higher on two separate tests indicates diabetes. For someone already diagnosed, an A1C consistently above their target range indicates uncontrolled diabetes.

Fasting Plasma Glucose (FPG) Test: This measures your blood sugar after an overnight fast (at least 8 hours). A fasting blood sugar level of 126 mg/dL (7.0 mmol/L) or higher on two separate tests indicates diabetes.

Oral Glucose Tolerance Test (OGTT): This test measures your blood sugar before and 2 hours after you drink a sugary drink. A blood sugar level of 200 mg/dL (11.1 mmol/L) or higher after 2 hours indicates diabetes.

Random Plasma Glucose (RPG) Test: A blood sugar level of 200 mg/dL (11.1 mmol/L) or higher at any time of day, along with symptoms of diabetes, suggests the condition.

Urine Tests: To check for the presence of ketones (a sign of DKA) or protein (a sign of kidney damage).

Comprehensive Medical Evaluation: Your doctor will review your symptoms, medical history, and current treatment plan to identify factors contributing to uncontrolled diabetes.

Screening for Complications: This may include blood pressure checks, foot exams, eye exams (retinal screening), kidney function tests, and cholesterol levels.

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The treatment of uncontrolled diabetes focuses on bringing blood sugar levels back into a healthy range and preventing or managing complications. This often involves a multi-faceted approach:

Medication Adjustment:

Oral Medications: Your doctor may adjust the dosage of existing oral medications or prescribe new ones that work through different mechanisms (e.g., metformin, sulfonylureas, DPP-4 inhibitors, SGLT2 inhibitors, GLP-1 receptor agonists).

Insulin Therapy: If oral medications are insufficient, insulin therapy may be initiated or adjusted. This can include basal insulin (long-acting), bolus insulin (rapid-acting, taken before meals), or pre-mixed insulins.

Dietary Modifications:

Carbohydrate Counting: Learning to count carbohydrates to better manage blood sugar responses.

Portion Control: Eating appropriate portion sizes to avoid excessive calorie and carbohydrate intake.

Balanced Diet: Emphasizing whole grains, lean proteins, fruits, vegetables, and healthy fats while limiting processed foods, sugary drinks, and unhealthy fats.

Regular Meal Times: Eating meals at consistent times to help regulate blood sugar.

Increased Physical Activity:

Regular exercise helps lower blood sugar by increasing insulin sensitivity and glucose uptake by muscles. Aim for at least 150 minutes of moderate-intensity aerobic activity per week, along with muscle-strengthening activities.

Regular Blood Glucose Monitoring:

More frequent home blood sugar testing (using a glucometer) or continuous glucose monitoring (CGM) can provide valuable data for adjusting medication and lifestyle choices.

Lifestyle Changes:

Stress Management: Techniques like meditation, yoga, or deep breathing can help manage stress, which can impact blood sugar.

Weight Management: Losing even a small amount of weight can significantly improve blood sugar control.

Adequate Sleep: Poor sleep can negatively affect insulin sensitivity.

Smoking Cessation: Smoking worsens diabetes complications.

Limited Alcohol Consumption: Alcohol can affect blood sugar levels and interact with diabetes medications.

Education and Support:

Working with a certified diabetes educator (CDE) or nutritionist can provide valuable guidance on diet, exercise, and self-management.

Support groups can offer emotional support and shared experiences.

Addressing Complications:

Regular screening for and management of diabetes complications such as neuropathy, retinopathy, nephropathy, and cardiovascular disease.

Innovative Therapies (like hUC-MSC – specific to Concord Stem Cell Limited):

For certain patients, and under specific medical guidance, advanced therapies like Human Umbilical Cord Mesenchymal Stem Cell (hUC-MSC) therapy, as provided by DGDA Approved Concord Stem Cell Limited, may be considered as a potential treatment modality.

These therapies aim to address the underlying cellular dysfunction and promote tissue regeneration, offering a new avenue for managing the complexities of uncontrolled diabetes.

It is crucial to emphasize that such therapies are cutting-edge and should only be pursued in consultation with specialists and at approved facilities like Concord Stem Cell Limited.

Consult now with our Specialist Doctor

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