At this point of time, diabetes is one of the most chronic, fastest growing lifestyle disease in the world. Also known as diabetes mellitus, the condition is basically a metabolic disorder, wherein the human body cannot store and use fuel for the energy. This fuel or glucose is the one that powers all our bodily organs and ensures that we have the energy to carry out activities throughout the day.

And while diabetes is a popular medical condition, a lot of people don't have much information about it. Although, they know the major types of diabetes, they have no clue about the difference between them. Here we outline type I vs type ii diabetes-

***Type I diabetes- Formerly known as juvenile onset or insulin dependent diabetes, type I diabetes is the one in which your body's immune system destroys all kinds of cells that release insulin. Over a period of time, this results in elimination of insulin production from the body, because of which the cells cannot absorb glucose or sugar and produce energy. Type I diabetes have episodes of low blood sugar level and it cannot be problem. Symptoms usually start from childhood or young adulthood.

***Type ii diabetes- The adult onset or non-insulin dependent diabetes can develop at any age, particularly after the 30s, although the cases of same are rising rapidly among children. This type of diabetes involves production of insulin, but not in a right way, a condition known as insulin resistance. For this kind of diabetes, the person usually might not have symptoms before the diagnoses and there are rarely any episodes of low sugar level. It can be easily prevented or delayed by following a healthy lifestyle and indulging in regular exercising.

If you have any of the above symptoms or have more questions related to diabetes, click on consult privately to ask me.

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You Surely Know About Diabetes. But Do You Know Its Various Types?

Diabetes is one of the most common problems that are caused by obesity, unhealthy and inactive lifestyle. It is a metabolic disorder in which the body is unable to store and use energy from food. Being physically inactive and eating unhealthy food are primary causes of diabetes. It is a long term condition, which causes high or unstable blood sugar levels in the body.

When a patient suffers from low blood sugar it is called hypoglycemia and if the blood sugar levels are too high, it is called hyperglycemia. Both are extremely harmful for a patient.

Type 1 and type 2 and gestational diabetes:

Type 1

In type 1 diabetes, the body does not produce insulin. The condition has no known cure and is usually hereditary in nature. Approximately 10% of those suffering from diabetes have type 1 diabetes. Patients with type 1 diabetes have to take regular medication, including insulin injections as well as take care of their diet.

Type 2

Type 2 diabetes happens when the body does not produce enough insulin for its proper functioning. 90% of all diabetic people suffer from type 2 diabetes. It is usually caused by poor lifestyle choices, like physical inactivity and unhealthy food habits. The disease lasts a lifetime and is usually progressive in nature, but can be managed by taking regular medication, choosing an active lifestyle and maintaining proper body weight.

Gestational diabetes

Diabetes during pregnancy is known as gestational diabetes. This has to be managed by taking medication or in extreme cases insulin shots. If undetected or untreated, gestational diabetes increases complications during childbirth, and causes unusual weight gain in the baby. However, gestational diabetes usually ends after the baby is born and women can go back to their normal lifestyle and eating habits post delivery.

Symptoms of diabetes

 Frequent urination
 Extreme hunger or thirst
 Weight loss
 Problems with vision
 Tingling or numbness of the extremities.
 Unexplained fatigue
 Dry skin
 Cuts or sores that heal slowly
 High number of infections

Who is at greatest risk for developing diabetes?

People who:

 Are 45 or over
 Are overweight
 Are habitually physically inactive
 Have previously been identified as having ifg (impaired fasting glucose) or igt (impaired glucose tolerance)
 Have a family history of diabetes
 Are members of certain ethnic groups (including asian american, african american, hispanic american, and native american)
 Have had gestational diabetes or have given birth to a child weighing more than 9 pounds
 Have elevated blood pressure
 Have an hdl cholesterol level (the good cholesterol) below 35 mg/dl and/or a triglyceride level above 250 mg/dl
 Have polycystic ovary syndrome
 Have a history of vascular disease

What is pre-diabetes?

Pre-diabetes is a condition of elevated blood glucose level that has not yet reached a diabetic level. Along with insulin resistance, pre-diabetes causes no symptoms. An individual may be pre-diabetic for years without knowing it. Pre-diabetes increases your risk of developing type 2 diabetes and heart disease. Weight loss and exercise may halt the onset of diabetes from pre-diabetes by returning blood glucose levels to a normal range.

Diabetes: At A Glance

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

Cow urine therapy has been in practice for many health problems in india for centuries. In india, cow is a symbol of spirituality and cow urine is not only used in devotional practices, but also comes packed with a bunch of health benefits.

'kamadhenu' is worshipped for thousands of years as the goddess who fulfils desire. In ayurveda, cow is considered as the mother of all entities as the products obtained from cow are beneficial to all mankind in many ways. The milk, urine, curd, ghee and dung obtained from cow are beneficial in different ways as food supplement and medicine. Cow urine or gomutra destroys the poisonous effects of residues and makes body disease free. The medicinal usage of panchgavya, especially cow urine is practiced in ayurveda which is classified as complementary and alternative medicine.

The two indian epics, shushruta samhita and charaka samhita, have described that the consumption of cow urine produces body warmth. In modern medical science, it has been well established that the thyroid hormones are responsible for producing body warmth. The oral administration of cow urine has thyroid stimulating effect and therapeutic value of urinary iodine present in the cow urine is immense. Cow urine or gomutra contains iodine, which is easily absorbable from the gastrointestinal tract. The mean urinary iodine levels in dairy cows may vary from 79.2 to 94.8 micrograms of iodine per litre of urine depending upon their physiological conditions. Iodine is an essential element to produce thyroid hormones such as triiodothyronine and thyroxine. These are catabolic hormones that generate heat and cause body warmth. It has been proven that the cow urine contains iodine in required level for normal functioning of thyroid gland.

Urinary iodine concentration in cow urine varies depending upon its biological status and it could stimulate the patient's thyroid gland activity on oral administration of iodine. Thyroxine stimulates more oxygen utilization and heat production by many different cells of the body.

During iodine deficiency, the pituitary gland secretes enhanced amounts of thyroid stimulating hormone (tsh), which causes compensatory adjustment. This leads in the production of more extensive secretory epithelium which in turn will result in enlargement of the thyroid gland and loss of colloid material in the thyroid follicles. In this scenario, exogenous supplementation of iodine brings back the normal thyroid status.

The administration of cow urine, which contain good levels of iodine, can keep the thyroid gland activity on a better footing. We now have the support of scientific validation for the experience of warming up of the human body after consumption of cow urine or gomutra.

Cow Urine Therapy for Thyroid

There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long. All these have led to diseases like diabetes and cancer that were not so common about say few decades ago.

Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).

The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.

Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.

The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.

Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.

Diabetes and Cancer: The New Epidemic?

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

Weight loss and weight gain

Changes in heart rate (arrhythmia)

Hair loss

Frequent mood swings

Swollen neck

Sudden bouts of moderate to high fever

Other symptoms include:

Numbness or a tingling sensation in the hands

Constipation

Abnormalities or irregularities in menstruation

Brittle nails and dry skin

Blurred vision

Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.



Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

Thyroid cancer: It is a type of cancer of the thyroid gland.

Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

Thyroid nodules: This is marked by swelling of the thyroid gland. If you wish to discuss about any specific problem, you can consult a endocrinologist and ask a free question.

Thyroid Disorders: Symptoms, Treatment and Types

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