How to manage type 1 diabetes with obese and hearing issues?

Question

My 52-year-old uncle has type 1 diabetes and has been gaining weight rapidly. His fasting sugar is above 300, and his doctor says his cholesterol is through the roof. He is always tired, and his joints ache all the time. Recently, he has been saying his hearing feels muffled, and he is worried it might be from his diabetes. Could this weight gain and hearing issue be connected, or is it something unrelated? How do we even start addressing all his health problems?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

If you have type 1 diabetes, your pancreas does not make insulin or makes very little insulin. Insulin helps blood sugar enter the cells in your body for use as energy. Without insulin, blood sugar cannot get into cells and builds up in the bloodstream. High blood sugar is damaging to the body and causes many of the symptoms and complications of diabetes.

Symptoms associated with type 1 diabetes.

The patient will present excessive urination,Excessive thirst and Excessive eating

Management of type 1 diabetes.
1. MDTA multidisciplinary team advice.
2. Consult an endocrinologist and a dietician.
  
  HbA1c
  - Should be maintained 6.4 mg/dl(48mmol/l)
  - If HbA1c is more than 10 mg/dl (86mmol/l) means there is uncontrolled blood sugar level.
  - Daily check four blood sugar levels.
  - Fasting blood sugar, pre-breakfast, post -breakfast, pre-dinner, post-dinner, and bedtime, are the levels you should maintain.
    
    Fasting blood sugar levels should be maintained.
    - 5.6 mmol/l or 95 mg /dl
    - 1 hour after a meal, should be maintained at 7.8 mmol/l or less than 140 mg/dl or
    - 2 hours after a meal should be maintained at 6.4 mmol/l or less than 115 mg/dl
      
      Adjust your insulin dose according to the level of blood sugar.
      
      I hope this helps.
      
      Thank you.