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Diabetes is a multisystemic metabolic disorder which is charaectrized by a rise in blood sugar level due to insulin resisatnce and insulin deficiency. A fasting blood glucose level of 126 mg % or more, a 2 hour post meal sugar level of 200 mg% or more and. an HbA1c of more than 6.5% is diagnostic of diabetes

The common symptoms of the diabetes are increased thirst (polydipsia) ,increased urination (polyuria), weight loss, tiredness, fatigue, weakness and lack of energy.  

Patients with diabetes can eat fruits. Fruits contain carbohydrates, minerals, and vitamins. The serving size of fruit is detrmined by its carbohydrate content. The more the carbohydrate content smaller is the serving size. A balanced diet and healthy eating plan must include locally available seasonal fruits. 

Good blood glucose control can delay the onset and slow the progression of diabetic retinopathy. Symptoms like redness, floaters, pain, deterioration in vision must be taken seriously. Annual fundus examination is recommended for early diagnosis and detection of diabetic retinopathy. 

The use of insulin for management of diabetes doesn't mark a personal failure in diabetes management. Type 2 diabetes is a progressive disease and your doctor may choose to prescribe insulin at any point during treatment. Approximately 50 % of patients with type 2 diabetes will ultimately require insulin therapy. Insulin therapy is easily manageable. 

Prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be labelled as diabetes.  Prediabetes increases the risk of future type 2 diabetes and cardiovascular disease. A person with prediabetes may not have any symptoms. Obesity, family history of diabetes, physical inactivity, age more than 45 years, diabetes during pregnancy are some of the risk factors for prediabetes. 

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