• Dr Francisco

Dr Francisco and All against diabetes!

Updated: Apr 7, 2018

General recommendations for diabetic patients (the more recommendations you follow the better your health and the lesser the complications you can have). But discuss with your doctor if all of them apply to you or if there is any contraindication.

It is not simple to follow all the recommendations and it takes time, effort and perseverance, but you can do it, you just need to believe it is important and good for you and your life as a whole, including your family. But at the end of the day, it depends mainly on you and on the effort you put on it. The effort is worth as you could reduce complications and likely live longer and better for you to enjoy a healthier life with your family and friends.

Consult your doctor for specific advice and clarifications.


Dr Francisco's recommendations:

1.If overweight or heavier, aim to lose weight through diet improvements and exercise

2.Do at least light to moderate exercise if no heart problems (consult first your doctor) several days a week

3.Reduce fried, fatty, oily food (reduce saturated fats, especially)

4.If you have high blood cholesterol, you might need anti-cholesterol medications and to be more strict in your diet

5.If you smoke…sincerely, stop smoking. It is not easy, ask for help if having difficulties, there are many methods to help you to quit smoking

6.Reduce sugary food and sugary drinks, and take your anti-diabetes medications as prescribed by your doctor to target the right level of blood HbA1C (consult your doctor regarding which level is the right for you and try to achieve it)

7.Avoid very salty food, especially if you have high blood pressure

8.Aim to have a blood pressure of at least <140/90 mmHg (the target can vary among patients, talk to your doctor)

9.Buy a blood pressure machine to monitor your blood pressure at home and ask your doctor how to use it. This is very useful for you and your doctor…It is an extra cost, but see it as an important investment in your health

10.Get your kidney function checked and test for leakage of protein in the urine, as diabetes can affect your kidney without you noticing it

11.If leakage of protein detected in your urine, ask your doctor if you should/could be on anti-proteinuric medications, as they can protect your kidneys, but some patients might have contraindications and cannot use them

12.Many patients with high cardiac risk factors can benefit from taking aspirin, so ask your doctor if this is suitable for you; not everyone can take aspirin

13.Ask your doctor if you need some vitamin supplements

14.See an eye doctor to examine the back of your eye yearly or earlier if changes in your eyesight occur

15.Get your feet checked yearly by a podiatrist or specialist, but check your feet (by yourself) daily for any new lesion, redness, broken skin, splinters, swelling, blisters or pus. Avoid tight shoes, avoid walking barefoot even at home, test the temperature of the water before putting your feet in it, change socks daily, avoid scratching your skin, do not cut the cuticles as you can introduce infections.

16.It is advisable you have yearly influenza vaccination. Pneumococcal vaccination as well if it is not up to date. Hepatitis B vaccination is advisable: consult your doctor

17.Have your teeth checked by a dentist also as dental and gum problems/infections are common in diabetes

18.Regarding alcohol, if possible avoid it, otherwise, do not binge-drink and avoid drinking in excess

19.Inform your doctor immediately after becoming pregnant as you might need to discontinue medications like anti-cholesterol and anti-proteinuric medications

20.Go back to consult your doctor if you have queries or worries about your health or side effects of therapies or recommendations or you do not respond as both expected to the strategy proposed by your doctor

If you would like more specific advice, Dr Francisco will be happy to advise you.

Wishing you the best possible health,

Dr Francisco Salcido-Ochoa Nephrologist and Transplant Immunologist.

Active promoter of healthy living and a provider of approachable, flexible and empathic care in Singapore for Singaporeans, Expats and International patients.