Dr. Tanat began by explaining how the body uses sugar. When we eat food, it is broken down and used by the body for energy. When food is digested, a sugar called glucose enters the blood stream which is a fuel for the body. Within the body, the pancreas is an organ that makes insulin. Insulin is a hormone that controls blood sugar to move it from the blood stream into cells where it can be used as fuel.
Fellow member Jerry Dean advises PCEC members of the efforts of the Pattaya ‘Friends of Youth’ to enrich the lives of Pattaya’s less fortunate orphans and street children. Friends of Youth activities include fishing days, bowling, and also shopping days for what we normally regard as essentials, and also the occasional treat.
Diabetes, he explained, is a disease in which there are high levels of sugar in the blood which is caused by too little insulin, a resistance to insulin, or both.
The two major types of diabetes are called Type 1 and Type 2. The causes and risk factors are different for each type. Type 1 diabetes is when the body makes little or no insulin. Type 2 diabetes makes up most of diabetes cases and occurs when cells fail to use insulin properly. Many people with type 2 diabetes do not know they have it.
Using a chart, Dr. Tanat showed that in 2003, about 5.1% of the world’s population had diabetes; which was projected to be 6.3% by 2026. In Thailand, he said, the rate is 10.8% meaning that one in 10 have some form of diabetes.
Dr. Tanat Wongchinsri, M.D., of Phyathai Hospital Sriracha begins his presentation on the subject of Diabetes by explaining how the body uses sugar.
High blood sugar levels can cause several symptoms. He mentioned blurred vision, excessive thirst, fatigue, frequent urination, hunger, and weight loss. However, because type 2 diabetes develops slowly, some people with high blood sugar are asymptomatic (have no symptoms). These people are usually diagnosed as the result of a blood test.
Glucose levels are usually measured in mg per deciliter and Dr. Tanat said that diagnosis of diabetes should be based on the results of at least two blood tests; not just one. The amount of glucose indicating diabetes differs depending on whether you have or have not eaten within a specified period of time. If you have a fasting blood glucose level higher than 126 mg/dl twice, than you are considered to have diabetes; if it is between 100 and 126 you are considered to be impaired.
There is no cure for diabetes. Treatment involves medicines, diet, and exercise to control blood sugar and prevent symptoms and problems. If you have diabetes and it is not adequately controlled, you have a significantly higher risk of developing complications. Long term complications can be cardiovascular disease, retinal damage, chronic kidney failure, nerve damage, poor healing of wounds, and gangrene on the feet which may lead to amputation.
Dr Tanat listens to one of the many questions from the PCEC’s appreciative members as Gavin Waddell looks on, ready to assist.
MC Richard then updated everyone on upcoming events and called on Roy Albiston to conduct the always interesting and lively Open Forum where questions are asked and answered about expat living in Thailand; Pattaya in particular.
The Pattaya City Expats Club meets every Sunday at the Amari Orchid’s Tavern by the Sea Restaurant. Read more about the Club’s activities on their website at www.pattayacityexpatsclub.com.
Staff and nurses of Phyathai Sriracha Hospital, from left Bussaman, Manee, Wanvisa and Anna also attended the meeting, providing free blood pressure checks to PCEC’s grateful members.