Often, a medical crisis does not happen suddenly, and your body shows a few symptoms well before it reaches the critical phase. However, there are conditions when the symptoms occur quite suddenly, and one such is the Addisonian crisis.

Addison's disease is a condition that occurs when the body fails to produce sufficient levels of certain hormones that are secreted by the adrenal glands. In this disease, the adrenal glands produce too little cortisol and even low amounts of aldosterone at times. Often referred to as adrenal insufficiency, it may occur at any age, and both sexes are affected by it. The worst part is that the disease can be life-threatening.

The symptoms of Addisonian crisis-
While severe fatigue, hyperpigmentation, severe fatigue, lightheadedness, salt cravings, and muscle and joint pains are the common symptoms of Addison s disease, pain in your lower back, severe vomiting and diarrhea, low blood pressure, and high potassium and low sodium are the symptoms of acute adrenal failure (Addisonian crisis).

The low levels of cortisol associated with the Addisonian crisis are life-threatening; hence, when you experience one or more of these symptoms you must seek professional care immediately.

Treatment options that are available for Addison's disease-
Nearly all treatments for Addison's disease involve hormone replacement therapies for correcting the steroid levels that the body is not sufficiently producing. Some of the most effective treatment options for Addison's disease include:

Oral corticosteroid medicines- Prednisone, Hydrocortisone and Cortisone acetate may be used in the pill form for replacing cortisol. Sometimes, doctors also prescribe fludrocortisone for the replacement of aldosterone.
Corticosteroid injections- This is given to people who cannot take oral pills.
People diagnosed with Addison s disease are at risk of developing Addisonian crisis. Such people must be well-aware of how to tackle the condition if they are to face it. Some people have a home kit which includes hydrocortisone injection. One should not wait too long or wait to feel very weak before taking the injection. Also, it is important to call the emergency after taking the injection to get further treatment.

What should you do to prevent and manage the Addisonian crisis?

If you indulge in heavy workout sessions, you should take ample amount of sodium. This is also recommended when you are experiencing a stressful situation, including any infection, operation or some minor illness.
You should not skip your meals or indulge in binge eating, but focus on having a well-balanced diet. You should also take plenty of healthy fluids throughout the day. Avoid exercising or doing any physically strenuous job in hot and humid weather. Also, you need to balance your active stretch of time with adequate rest.

Taking the prescribed medications on time, and carrying a hydrocortisone kit is crucial. Also, you may carry a card stating the condition that can help during an emergency.

Addison s disease, in most cases, cannot be cured; so, it is vital to be aware of the symptoms and the ways to manage them to avoid an emergency.

Addison Disease - Treatment Options, Management and Prevention

Pregnancy can be a tricky time for most women, although it is not a pathological condition. One must be prepared for pregnancy with the best of health in the pre-pregnancy period. This also includes women who are suffering from diabetes. The complications during pregnancy and delivery increase manifold if one has not controlled the glucose and blood sugar levels before getting pregnant. So read on to know more about coping with the pregnancy if you happen to have diabetes.

Complications: Pregnancy with diabetes can cause severe complications if blood sugar levels are not controlled properly before pregnancy. This can cause diabetes to become even worse in the long run, with the onset of various other related ailments like kidney disease, heart disease, eye problems and more. It can also increase the risk of premature delivery, and too much birth weight of the baby as well as low glucose levels right after the baby s birth. Further, one can also lose the baby to a miscarriage due to excessively high blood sugar levels. This can also affect the glucose and blood sugar level of the baby as the glucose passes through the body.

Related conditions: If you happen to have high blood sugar levels, then you and your baby can get affected in an adverse way. To begin with, you may come down with severe depression regarding how you will be able to manage your diabetes and pregnancy together, and also due to the implications of the condition after the birth of the baby. It can also cause a condition called Preeclampsia in which the pregnant woman s blood pressure becomes high and too much protein starts to pass from the urine, which can also result in frequent urination and life-threatening defects and problems for you and the baby. In such cases, you will have to be hospitalised and the baby will need to be delivered via a C section or a Caesarean Section.



Planning ahead: If you know that you are trying to conceive, the best way is to be fully prepared well in advance. This includes planning ahead for managing the blood sugar levels and keeping the risk of other ailments at bay. You can start by losing excessive weight and seek treatment to bring down the blood sugar levels. Exercising and watching your diet are also some good ways to ensure that your Type 1 or Type 2 diabetes is in control.

Medical Team: It is pertinent to be in touch with your medical team on a constant basis. This team should include the obstetrician and gynaecologist as well as your regular doctor to whom you can report any changes.
Keep health close to your heart when you are pregnant by taking care of all existing ailments.

If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

Diabetes in Pregnancy - How to Tackle it?

How to Prevent Your Child from Developing Type 2 Diabetes?

Type 2 diabetes (T2DM) is a chronic metabolic disorder that prevents the body from processing sugar or glucose. The disorder causes insufficient production of the hormone Insulin (responsible for regulating sugar into the different parts of your body); or the body's failure to respond to the hormone produced. Although no cure is available for T2DM, there are several ways in which you can help prevent Type 2 diabetes in your child. These are:

1. Get your child to indulge in some physical activity

Spending about 60 minutes of the day on physical activity can help your child to ward off Type 2 diabetes. In terms of screen time, it shouldn't be over 2 hours a day. By doing so, he or she ends up building his or her muscles as well as gets rid of extra fat from the body. An active life would also help your child to maintain an optimal body weight with obesity being a cause of this form of diabetes. Whether it's a sport like swimming, cricket or basketball, or even walking and dancing, physical activity in any form can help in preventing your child from developing Type 2 diabetes.

2. Plan a well-balanced diet for your child

Encouraging your child to have healthy foods and making right food choices can also lower his or her chances of getting this metabolic disorder. Foods high in fiber like whole grain cereals and bread, lentils, fruits, and vegetables should be consumed. Similarly, foods low in trans and saturated fats like lean meat, chicken, yogurt and cheese should be included in your child's diet. Processed foods, as well as sugary drinks, should be no-no when it comes to your child's diet.

3. Adopting proper eating habits

It is not only making the right food choices that are important but eating right as well is vital for preventing the onset of diabetes. Having meals with fix portion sizes is a habit that you need to develop in your child. Ideally, half the plate should be filled with vegetables and fruits; a quarter with lean protein like chicken; and the remaining with whole grain. To accompany the meal, make your child have one cup of no-fat or low-fat milk. Desserts like ice cream and cookies should be allowed only once or twice a week.



How to Prevent Your Child from Developing Type 2 Diabetes?

Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
Babies born to diabetic mothers are often bigger. The baby s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. 

How Can High Diabetes Affect Your Pregnancy?

Your thyroid is a small, butterfly-shaped gland situated at the base of the front of your neck, just below your adam's apple. Hormones produced by the thyroid gland do everything from maintaining your heart rate to regulating your body temperature to controlling your body weight. 
Millions of people worldwide suffer from thyroid dysfunction and several don't know about it. This is primarily because people don't tend to link the common symptoms first with a thyroid disease. Some people suffer from mood swings, trouble with memory, weight gain or fatigue, all of which they look upon individually as a problem and hence not piecing together the puzzle of their real medical condition. Here are a few insights that'll help you cope:
How does the thyroid gland work?
About 85% of the hormone produced by our thyroid gland is t4, which is an inactive form of the hormone. After t4 is made, a small amount of is converted into t3, which is the active form of thyroid hormone. T3 is then converted to free t3 or reverse t3. It is the free t3 that forms the base of thyroid functions. 
What is hypothyroidism?
Hypothyroidism, or an underactive thyroid, accounts for 90% of all thyroid imbalances. The signs and symptoms of hypothyroidism develop slowly, often over a number of years, which is why it is often missed from regular treatment charts. For instance, fatigue and weight gain are often attributed to stress, lifestyle changes and natural ageing process. But as time goes by, some of the symptoms show a higher level of manifestation like muscle weakness, elevated blood cholesterol, thinning hair, puffy face, hoarse voice and slowed heart rate. 
If left untreated, hypothyroidism may lead to goiter (enlarged thyroid), increased memory problems, low blood pressure, decreased breathing and in extreme cases, unresponsiveness and coma. 
This disease may also occur in newborns, infants and children. Symptoms include excessive sleepiness, poor muscle tone and constipation. It is important to diagnose and treat it early, as in severe cases it may lead to mental and / or physical retardation. In children and teens, it can result in stunted growth, and delayed puberty.
What is hyperthyroidism?
It's the opposite of hypothyroidism, which means in this case the thyroid overproduces hormones. Common symptoms include lack of sleep, weakness, irregular heartbeat, elevated blood pressure and hand tremors. While genetics are partially responsible for it, it is also triggered by autoimmune disorder. Hyperthyroidism can be treated with medication, radioactive iodine (not the first or best choice as it harms white cells too) and surgery. Keeping a focus on your calcium and sodium intake is crucial to curb the disorder.
Treatments: 
Conventional treatments rely mainly on drugs and surgery. Alternative treatments involve diet and lifestyle changes. Taking multivitamins, going gluten free, getting a good night sleep, and reducing stress is all said to help heal your thyroid gradually.

Thyroid Dysfunction and Treatment


Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications &amp; focussed weight loss.

If you would like to consult with me privately, please click on'consult.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.



Are Dark Cracks Behind Neck A Sign Of Diabetes?

Don't wait any longer, manage your Endochrine Surgeon online with a Lybrate doctor today

Consult for Endochrine Surgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES