How Thyroid issues affect your weight - When I talk with women suffering with unexpected weight gain, often one of the first questions I am asked is "Is it my thyroid?"

Sometimes, my answer is "Yes" - after all, our thyroid hormones play a huge role in regulating our metabolism and how we use nutrients.

And research shows that even small changes to the thyroid function can cause weight gain. In fact, many women who have been told their thyroid test results are "normal" may still have a reduced thyroid function (subclinical hypothyroidism) that's enough to cause weight gain and other bothersome symptoms.

At the clinic, I work with women suffering from a wide range of thyroid issues from those just starting to suspect they have a thyroid problem to those already taking medication. And I tell each and every one of them how they can benefit from natural thyroid support and a holistic approach that considers thyroid function as part of overall hormonal balance.

The thyroid and unexpected weight gain: an early signal - Unexpected weight gain and difficulty losing weight may be one of the first noticeable signals that you're struggling with hypothyroidism (a sluggish thyroid) or subclinical hypothyroidism. Many women tell me about their frustration with gaining five pounds every year and not being able to figure out why!

Reduced thyroid function may be the result of the thyroid's impaired ability to produce hormones, or the body may have difficulty using the thyroid hormones. Either way, problems with your thyroid hormones may cause the rate at which you use nutrients (your metabolic rate) to slow down.

We are especially prone to thyroid issues and weight gain as women because the thyroid is linked to other systems that affect weight including the proper functioning of our neurotransmitters, reproductive hormones, and adrenal glands.

Thyroid issues affect women of all ages - While we see women of all ages with thyroid issues, there are times in your life when your hormones fluctuate more and when the development of thyroid issues may be even more likely.

If you have any questions related to thyroid, ask me by clicking on 'Consult'.

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Revealed - How Thyroid Issues Affect Your Weight

Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 

2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.

3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.

4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.

5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Common Insulin Alternatives

The disease itself may not discriminate on the gender basis, but when it comes to healthcare for patients with diabetes, women find themselves at a disadvantage as compared to men. Studies indicate that diabetes, a disease that affects over 371 million people worldwide takes a greater toll on women than men. Though, hormones in women do account for some of the unique challenges they have to face, but there are other societal factors as well that bring in the differences.

This World Diabetes Day is about promoting the significance of affordable care for diabetes and equitable access for all women at risk or living with diabetes to essential medicines, technological information and self-management education they require and achieve an optimal outcome to strengthen their adequacy to prevent type-2 diabetes. Because it's your right to a healthy and disease-free future!

So, how will you know if you are suffering from this deadly disease   Diabetes?

Symptoms

Women with diabetes experience many of the same symptoms as that of men. However, there are some that are specific to women.

Symptoms experienced by both women and men:

Frequent urination

Increased thirst and hunger

Unnecessary weight loss or gain

Blurred vision

Fatigue

Wounds that heal slowly

Skin infections

Nausea

Breath that has a sweet or fruity odor

Irritability

Reduced feeling in hands or feet

Symptoms unique to women:

Vaginal yeast infections

Urinary infections

Vaginal thrush

Polycystic ovary syndrome

Female sexual dysfunction

Diabetes is the ninth leading cause of death in women globally, causing 2.1 million deaths each year. Two out of every five women suffering from diabetes are of reproductive age. Women with diabetes have more difficulty conceiving and may have poor pregnancy outcomes.

Diabetes and Pregnancy

The affect of Diabetes, in a pregnancy, will not be great, if controlled properly. Women with diabetes should talk to their gynaecologists while planning to conceive so that they can control their blood sugar levels even before getting pregnant. Your gynaecologist will help you control and monitor your diabetes and blood sugar levels during pregnancy.

And, if you fail to get your blood sugar levels under control during pregnancy, you may experience severe risks:

Miscarriage

Premature delivery

Difficult delivery or cesarean section (C-section)

Birth defects

Having a large baby

Preeclampsia (high blood pressure usually with protein in the urine)

Low blood glucose in a newborn

Breathing problems in the newborn

Yellowing skin and eyes (jaundice) in a newborn

Worsening diabetic eye problems and kidney problems for the mother

Urinary or bladder infections

What is Gestational Diabetes?

When diabetes occurs in women during pregnancy, it is called gestational diabetes. It is usually diagnosed at the first week of pregnancy. Like in type 1 and type 2 diabetes, blood sugar levels become too high. When a woman is pregnant, more glucose is required to nourish the baby developing inside her womb. During this time, the body needs additional insulin, which is produced by the pancreas. In some women, the body does not produce enough insulin to meet this need, and blood sugar levels rise, resulting in gestational diabetes. 

Fortunately, for most women, gestational diabetes will go away once the baby is delivered. However, women who have had gestational diabetes are at increased risk of developing type-2 diabetes. Further, people suffering from PTSD are at higher risk and should consult their doctors immediately and those who are presently affected with Diabetes should consult for pre-conception consultation.

Risk Factors for Diabetes in Women

You are at risk for type-2 diabetes if you:

are overweight or obese

are older than 45

have a family history of diabetes (parent or sibling)

have had gestational diabetes

have had a baby with a birth weight of more than 9 pounds

have high blood pressure

have high cholesterol

have other health conditions that are linked to problems using insulin, such as PCOS

Diabetes Treatment Options

Medications

There are various medications you can take to control the symptoms of diabetes. These include:

Insulin therapy

Sulfonylureas like chlorpropamide, which increase pancreatic insulin secretion

Metformin (Glucophage), which reduces blood sugar

Lifestyle changes

A change in your diet and lifestyle can also help women control their diabetes

Exercise and maintain a healthy weight

Monitor your blood sugar

Eat a diet focused on fruits, vegetables, and whole grains

Strictly avoid smoking cigarettes

Alternative remedies

Women with diabetes can try other alternative remedies to treat the symptoms, such as 

Eat more broccoli, buckwheat, sage, peas, and fenugreek seeds

Take supplements like chromium or magnesium

Take plant supplements

But, always remember to consult with your doctor before trying any new treatment. Even if they are natural, they can intrude with your on-going treatment or medications. So, this World Diabetes Day, take a pledge towards healthy living... because your health is important to someone else!



type diabetes

Diabetes In Women - Because It's Your Right To A Healthy Future!

Diabetes is caused in your body due to an insulin imbalance or improper functioning of insulin, and it can affect multiple parts of your body within a short time. Therefore, regular check-ups of your body are very essential to know if you have diabetes.

Once you find out that you have tested positive for the disease, you need to become even more thorough in your testing to find out if your blood sugar levels are rapidly fluctuating. If they get out of hand, they may cause medical emergencies that may be impossible for you to tackle alone at home.

Hence, daily monitoring of blood sugar is of great importance, and can be done in the following ways-

  Monitoring with a meter - In this rather simple but effective way, you have to draw blood from a small puncture on your skin made with the help of a needle or small pricking device. The blood is placed on a strip and then introduced on a testing meter, which displays accurately your blood sugar levels.

  Meters that monitor blood from several body parts - There are meters that monitor glucose levels in blood from several parts of the body. These parts include the base of the thumb, and the forearm too. This method of diagnosis is particularly helpful for those whose blood sugar levels constantly fluctuate, as this device provides an average of blood sugar levels from different parts of the body, as a composite whole.

  Continuous glucose monitoring systems - Known as interstitial glucose measuring devices popularly, they give results not as accurate as the other two devices, but still a fairly accurate estimate.

How to keep your sugar levels in constant control?

If your blood sugar levels are too high or too low, you have to bring them to normal via treatment, and if they are at a harmless level, you have to maintain it at that mark. There are several ways to maintain your sugar levels at acceptable rates. They are-

  Daily regulated exercise - Daily exercise dramatically helps your health if you have diabetes because it increases your insulin sensitivity and promotes better utilization of it in your body. Exercise is also helpful to guard you against other illnesses related to high bad cholesterol, or a weak immune system.

  A balanced, healthy diet - A balanced diet helps you keep your sugar levels in check while providing you with the requisite nutrients for making your body even healthier. Make sure to include an abundance of fresh fruits and green leafy vegetables in your diet, and cut down intake of fast, processed and extremely sugary foods/beverages.

  Drinking plenty of water - Drinking adequate water hydrates your body, and contributes to a healthy diet. It also reduces your risk of diabetes and guards you against diseases like gallbladder stones which are caused due to a lack of water in your body.

  Stay mentally sound and stress-free - Controlling your stress and anxiety levels can work wonders for your diabetes. If you make it a goal to stay stress-free about factors that are beyond your control, and be optimistic about life in general, it could work wonders for control of your diabetes.

Diabetes is a potentially life-threatening disease with a host of secondary complications. To avoid the worst of it, make sure you go for regular medical checks. If you do happen to be diagnosed with it, perform regular tests to check your levels, and take adequate measures to keep it under firm control.

Ways To Monitor Blood Sugar And Followup Care!

Female infertility is considered as the inability of conceiving. As per WHO it is described as the inability to be pregnant, maintain and carry forward a pregnancy to its full term. It is often of two types:

    Primary Infertility: This is the inability to give birth to a baby either due to the inability to become pregnant or maintain a pregnancy, which includes stillborn and miscarriage.
    Secondary Infertility: This refers to the inability to give birth when there is already a live birth or the woman was pregnant.

The causes of infertility can vary from being acquired or genetic. However, following factors are largely responsible for infertility:

    Genetic: Some genes can lead to mutation leading to infertility like, in case of BMP15 gene there is a hypergonadotrophic ovarian failure which causes infertility.
    Acquired: This is caused by factors like age, smoking, sexually transmitted diseases, obesity, body weight, eating disorders, diseases like diabetes, thrombophilia and also radiation and chemotherapy.

The treatment for infertility usually depends on the cause, age, duration of time for which a person has been infertile and preference of the patient. Infertility is believed to be a complex disorder and the treatment involves a huge amount of physical, financial and psychological commitments. All this also requires a lot of time. Some women might need just a minimum of two therapies to attain fertility while others might require different treatment before they can conceive.

Treatment is largely aimed to restore the fertility either by means of medication and surgery or help in reproduction with the help of some procedures.

Fertility Restoration through medication

This is the main treatment for women who are infertile because of ovulation disorders. These drugs include:

    Gonadotropins: These are injected to stimulate the ovaries. Drugs like Menopur, Repronex, Follistim AQ, Gonal-F, Bravelle restore the production of eggs, while Ovidrel and Pregnyl are used for maturing the eggs and for their release.
    Clomiphene citrate: This is taken orally and stimulates ovulation by releasing more Follicle Stimulating Hormone and Luteinizing Hormone from the pituitary gland.
    Metformin: This is used in females who have PCOS and also when insulin resistance plays a major role in infertility.
    Bromocriptine: Used when the infertility is caused due to excess prolactin production.
    Letrozole: This also induces ovulation

Fertility Restoration through surgery

Surgical procedures can amend the problem of infertility. However, these treatments are very rare these days owing to the success of other fertility treatments. These include:

    Tubal ligation reversal surgery: In case a tubal ligation has been performed it can be reversed by reconnecting the tubes again through surgery.
    Hysteroscopic surgery: This corrects or removes the abnormalities that cause infertility. This surgery can correct the shape of the uterus, remove endometrial polyps and improve chance of getting pregnant.
    Tubal surgeries: In case of blocked fallopian tubes laproscopic surgery can be performed to dilate the tubes, removed blockages or create a new opening.

Assistance in Reproduction through techniques

The most common used techniques for reproduction assistance are:

    Intrauterine insemination or IUI: In this about million healthy sperms are put in the uterus at the time of ovulation.
    Assisted reproductive technology: In this mature eggs are retrieved from a woman and this is then fertilized with sperms in a dish in the lab. Once the fertilization is done the embryo is placed in the uterus for further development. IVF is the most common and effective assisted reproductive technology. This procedure takes place over weeks with several blood tests and hormone injections.

Dealing with infertility is not easy and can be emotionally and physically draining. To cope with the various tests and treatments of infertility one should be fully prepared, eat a healthy diet, exercise reach out for help and support of family and friends and look for other options like a donor egg, adoption or no children.

Treatments of Infertility

Sugar is the generic name that represents sweet-tasting, soluble carbohydrates, many of which are used in food. 

What Happens When Concentrated Sugar Enters the Body?
Sugar is a poison when concentrated because it causes swelling of joints, liver, and brain. Sugar will hamper the healing of your body if you have an injury or chronic illness. Sugar acts as a source of energy for cancer cells and all infectious diseases. Sugar blocks the absorption of the nutrients you are eating, especially all of your minerals.

Harmful Effects of Sugar on the Body

It is a true silent killer: A study in 2008 linked excess fructose consumption to an increase in leptin resistance. Leptin is a hormone that tells you when you have had enough food. For some people, leptin simply does not work, leaving the person with no signal whatsoever that the body had enough food leading to over-consumption of food and consequently, obesity. As all this happens without symptoms or warning bells and you can t quite figure out why you ve gained weight in the past year  sugar  is labeled as SILENT KILLER.
It can damage your heart: In 2013, the Journal of the American Heart Association displayed strong evidence that sugar can actually affect the pumping mechanism of your heart and could increase the risk for heart failure. A molecule from a sugar called glucose metabolite glucose 6-phosphate (G6P) is responsible for the changes in the muscle protein of the heart leading to heart failure.
It promotes belly fat: Excess fructose intake (but not glucose intake) actually causes visceral fat cells to mature leading to a big belly and higher risk for heart disease and diabetes.
It has toxic liver effects on the body: Fructose and glucose in excess can have a toxic effect on the liver as the metabolism of ethanol, the alcohol contained in alcoholic beverages, has similarities to the metabolic pathways like fructose.
It saps brain power: Study shows that excess sugar consumption was linked to deficiencies in memory and overall cognitive health.
Quick Facts!

Your brain lights up with sugar just like it does with heroin or cocaine. Sugar is eight times more addictive than cocaine.
Sugar has empty calories meaning you can consume a lot of it and feel full, but receive no nutritional value.
It is certainly one of the leading causes of early death and chronic illnesses, including diabetes, obesity, and heart disease.
Food companies try to hide sugars in their food by using other forms of sugar. This leads to addiction of their products (e.g. high-fructose corn syrup).
Sugar in itself offers absolutely no nutritional value what so ever to the body. It is often coined with the term empty calories.

Sugar: A Silent Killer!

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