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High blood pressure or hypertension is a condition caused when the force of the blood against the arterial walls exceeds drastically than what it normally is. A blood pressure reading exceeding 140/90 over a prolonged period of time is considered to be ‘high blood pressure’ or diagnosed as ‘hypertension’.
What is Diabetes?
Diabetes is characterized by extremely high levels of blood glucose (blood sugar) in the body, either due to the insufficient secretion of insulin by the pancreas or reduced sensitivity of the body to insulin. This makes your body unable to break down the sugars. At first glance, these two conditions seem completely unrelated, but, according to certain studies, the two conditions do have similar outcomes and could be inter-dependent.
According to the American Diabetes Association, the combination of hypertension and type 2 diabetes is particularly lethal and can significantly raise a person's risk of having a heart attack or stroke. Having type 2 diabetes and high blood pressure also increases your chances of developing other diabetes-related diseases, such as kidney disease, and retinopathy (eye blood vessels), which may cause blindness. There is substantial overlap between diabetes and hypertension, reflecting substantial overlap in their etiology and disease mechanisms. Genetic structure, Obesity, inflammation, oxidative stress, and insulin resistance are thought to be the common pathways. A prospective cohort study in the United States reported that type 2 diabetes mellitus was almost 2.5 times as likely to develop in subjects with hypertension as in subjects with normal blood pressure.
In the Hong Kong Cardiovascular Risk Factor Prevalence Study, only 42% of people with diabetes had normal blood pressure and only 56% of people with hypertension had normal glucose tolerance. There are many minor lifestyle changes that can lower your blood pressure and blood sugar. A brisk walk for 30 to 40 minutes every day, or any aerobic activity can make your heart healthier. In addition to lowering blood pressure and blood sugar, physical activity can strengthen the heart muscle and may reduce arterial stiffness. You may need minor modifications in your diet like, cutting out sugar salt, high-fat meats etc. You can take several servings of vegetables, low-fat dairy products, leans meats and fish or meat substitutes, fruits, whole (not processed) foods, whole-grain pastas, breads, and brown rice etc. While some people can improve their type 2 diabetes and hypertension with lifestyle changes, most require medication.
Depending on their overall health, some people may need more than one medication to reduce their risk. Consult your doctor to choose best possible medicines for your diabetes and / or blood pressure control.
I am30 years old I am suffering from diabetes I tried all medicines tell me the best medicine doctor.
I am male with 52 years old. Having little big belly which prevents me from bending initiatives. Normally I eat less quantity of food. I am diabetic patient.
The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus. It is here that conception occurs and hence healthy fallopian tubes are essential for the fertilization of an egg.
Damaged fallopian tubes are the most common cause of infertility. This damage can fall under three categories.
- Blocked fallopian tubes
- One blocked and one open fallopian tube
- Tubal scarring
The third is usually an effect of pelvic infections or natural healing after a pelvic surgery. Sadly, in most cases, this condition is discovered only after infertility has been diagnosed. Other causes of fallopian tubal scarring include:
- STDs such as chlamydia trachomatis and neisseria gonorrhea
- Adhesions caused by ruptured ovarian cysts
- A history of ectopic pregnancies
Fallopian tubal scarring has no recognizable symptoms. Chronic pelvic pain is the only known symptom of this damage and that too can be seen only in severe cases of tubal scarring. On diagnosing infertility, your doctor will perform one of these tests to determine the condition of your fallopian tubes.
- Hysterosalpingogram: This is a type of X-ray. Your doctor will open the vagina with a speculum and inject a liquid into the uterus with the help of a catheter. If the liquid does not pass through the fallopian tubes, it is said to be blocked. This however, does not say much about tubal scarring.
- Laparoscopy: A small incision is made below the belly button and a slim, flexible tube with a camera is passed through the incision. This gives your doctor a clear view of the condition of your fallopian tubes. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis or blocked fallopian tubes.
Treatment for infertility caused by tubal scarring is of two types:
- Surgery: This is suggested in cases where tubal scarring is minimal. Depending on the intensity and placement of scar tissue, your doctor may decide to perform one of many types of surgeries. He may choose to remove the scarred section of the fallopian tube, create a new opening (in case of blockages) or rebuild the damaged edges of the fallopian tubes.
- In Vitro Fertilization(IVF): Women with badly scarred fallopian tubes usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment route. However, your doctor may still advise you to undergo surgery and remove the damaged tubes prior to IVF to prevent the tubes from filling with fluid.
I am having sugar complaint. Since last 2 years. I am using reclimet 60 tablets daily twice. But now also I am having sugar complaint above 250?
My mom has effected with sugar. Today checked after food level 260. How to control with food. Please suggest some food and snacks.
Hi Doctor ,I had total thyroidectomy due to Thyroid cancer, 4 Parathyroids were preserved, my surgery happened on 28th February it's almost 47 days, I am still using calcium supplement two times a day along with vitamin3 (2000 mg ). I had RAI as well on 31st March, currently taking 200 mcg Eltroxin. When Parathyroids are preserved when will the parathyroids start functioning again it's almost 50 days after surgery? My doctor told to reduce calcium supplement to one tablet a day but my Calcium decreased after taking 1 tablet per day what could be the reason? Is there any other reason causing low calcium what diagnosis should I attend?
During pregnancy, it is not uncommon for women to contract thyroid diseases like gestational hyperthyroidism and gestational hypothyroidism. The main problem, however, is that the symptoms of gestational hypothyroidism are very much similar to those which can be observed during a normal pregnancy. The difficulty in differentiating between the two is the sole reason why many pregnant women are caught unawares, eventually resulting in further complications after the first trimester.
If gestational thyroid diseases are left untreated, you and your baby may experience a ton of problems such as preeclampsia, low birth weight, miscarriage and pre-mature birth amongst others. Needless to say, if you already have a history of pre-existing hypothyroidism, then you will most certainly need more medical attention than is required.
Symptoms of gestational hypothyroidism, like high fatigue and excessive weight gain, are hardly distinguishable from those associated with a normal pregnancy. Other symptoms can also include:
- Severe constipation
- Muscle cramps
- Trouble sleeping
- Hair loss
- Dry skin
- Difficulty concentration
- Memory problems
- Intolerance to cold temperatures
There may be a variety of causes that are responsible for the development of gestational hypothyroidism but the most common cause is usually an autoimmune disease known as Hashimoto's thyroiditis, which stimulates the body's immune system to attack thyroid gland cells, leading to a deficiency in the number of active thyroid cells and enzymes, and ultimately resulting in a shortage of the thyroid hormone.
Treatment for gestational hypothyroidism is normally uncomplicated, and follows just two simple steps:-
1. Proper diagnosis, via the use of a synthetic hormone called levothyroxine, which is very much similar to the hormone T4 produced by the thyroid.
2. Continuous monitoring of thyroid function tests held every four to six weeks during pregnancy. If you wish to discuss about any specific problem, you can consult a General Physician.