Wednesday, September 14, 2011

DIABETES DAN LEMAH TENAGA BATIN: ERECTILE DYSFUNCTION

Lemah tenaga batin sangat kerap dikalangan lelaki Diabetes. Cuma ramai yang malu untuk memberitahu doktor. Punca adalah kelemahan saraf dan aliran darah ke bahagian sulit sempit. Ada juga ubat yang menyebabkan lemah tenaga batin seperti beta blocker ( metoprolol, atenolo, propranolol), CTZ/HCTZ. Kawalan diabetes amat penting. jika tiada ubatan yang menjadi punca dan kawalan diabetes adalah baik maka kita boleh mencuba ubatan ( seldanafil: viagra atau serupa dengannya). Tetapi pastikan anda berbincang dengan doktor anda sebelum memulakan ubatan ini. Doktor akan memastikan jantong kita selamat dan kita tidak mengambil ubatan isordil untuk jantung.

Cegah Diabetes halang lemah tenaga batin
Kawal Diabetes cegah lemah tenaga batin
Kawal dapat dapat merawat tenaga batin

Jauhi gula, dekati stevia

HOW TO OPTIMIZED & INTENSIFY THE DIABETIC CONTROL

We can see in two direction:
Direction 1
1.1. If we just been diagnosed to have Diabetes and what is our Fasting blood sugar or HbA1c: depending on the value, we can decide what is the best treatment for us. If Fasting blood sugar less than 6mmol/l or HbA1c <6.5% so we can go on lifestyle modification( diet, exercise, stop smoking, reduced weight) and see our blood test again after 3 month. if fasting blood sugar still <6mmol/l or HBA1c < 6.5% so continue with lifestyle things.
BUT if our Fasting blood sugar >6mmol/l or HbA1c >6.5% but <8.0%, we need to add on oral medication ( preferred Metformin started 500mg twice perday then increase to 1 gm twice perday after 203 week if no sideeffect). Monitor this over 3 -6 month, if our Fasting blood sugar >6mmol/l or HbA1c >6.5% need to add second medication ( either Daonil or Diamicron). optimized this medication until a maximum dose over 3-6 month. If HbA1c still above 6.5% so we still failed to control our Diabetes. Go to insulin. dont wait. we know our diabetes become out of control as its behavior follow the pancrease reserved of insulin become less.
additional insulin can be two way, if you scared or malas, you can choose only one dose insulin at night ( 10pm, intermediate acting insulin i.e Insulatard or Humalin N) or Premixed Insulin at predinner ( 7pm).

Direction 2:
what is our Fasting blood sugar or HbA1c at time of diagnosis. Example our FBS >13mmol/l or HbA1c>10%. This is bad diabetes. so treatment at this time is insulin either 4 injection perday or twice perday. obviously more injection is better regime. until you have good control and we can oral medication at this time either olone or in combination with insulin. thing to remember, once we receive insulin esp short acting insulin so we must reduced or omit sulphonylurea group ( Daonil or Diamicron)

Selamat Hari Raya dan jauhi gula dan dekati stevia