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

While some couples conceive with ease, conceiving a child can be extremely difficult for others. In cases where a woman is not able to get pregnant despite having regular intercourse in tune with her biological cycle, infertility tests may be suggested to investigate the reason behind this. In most cases, these tests are suggested if a year has gone by without intercourse resulting in a pregnancy. Women may also be said to be infertile, if they cannot carry a foetus to full term. 

Infertility can affect both men and women and can be triggered by a number of different reasons. In some cases, it is treatable while in others, alternative ways of having a family may need to be discussed. Hence, it is very important to understand the different types and triggers for infertility and to undergo complete infertility investigations. Some of the common types of infertility investigations are as given below.

Blood tests: A blood test of both partners is used to assess the general health of the couple and to identify any health factors that may be impeding fertility.
Tests for women: 
Hysterosalpingogram: This is an X ray that can identify if a blockage or any other issue in the fallopian tubes are the cause for infertility.
Pelvic ultrasound: This is used to have a look at the anatomy of the female reproductive system and to check for fibroids.
Laparoscopy / hysteroscopy: This is used to get a clearer picture of the ovaries, uterus and other parts of the reproductive system.
Tracking cycle: Ovulation and the thickness of the uterus lining may also affect infertility, This can be diagnosed by tracking and assessing the menstrual cycle.
Tests for men
Semen analysis:This test is used to get an idea of sperm concentration, motility and the appearance of sperm in a man s semen. In some cases, the semen may not include any sperm cells. In such cases, a follow up investigation may be required to assess if sperm cells are being created in the testicles. This is known as testicular sperm aspiration or a testicular biopsy.
Sperm DNA: The DNA in sperm also plays an important role in fertility. This test is used to assess the sperm DNA integrity and to see how it may affect embryo development and chances of an on-going pregnancy.
Infertility treatment depends on the cause identified by the above tests and hence it is important for both partners to undergo complete testing.

Complete Infertility Investigation - Why is It Important?

Diabetes is often called the silent killer. This is because you would not even know when it sneaks up on you. It may not have any symptoms initially but once you have it, you would need lifelong administration of drugs. Diabetes or diabetes mellitus, is a metabolic disease in which sugar does not get metabolized properly in the body. This means that the blood sugar levels continue to be high, threatening the normal functioning of the body.

Types of Diabetes

There are three types of diabetes. These are:

Type 1 Diabetes: this is a condition in which in which the body does not produce insulin at all. Patients suffering from this condition may need to take insulin supplements for the rest of their life, in order to properly metabolize sugar in the body. This is a very rare, genetic condition.

Type 2 Diabetes: this is a condition in which the insulin product is impaired and there is not enough insulin in the body for metabolizing sugars properly. This leads to high blood sugar and eventually, the symptoms of diabetes.

Gestational Diabetes: This is an affliction of pregnant women. Some women s bodies may not be able to produce enough insulin at the time of pregnancy and therefore they have excess sugar in their blood stream. Gestational diabetes may be harmful for both the mother and the baby.

Diabetes Treatment in Ayurveda

For Ayurvedic treatment of diabetes, the first step is usually dietary planning and lifestyle change. Adopting a more active lifestyle, and a healthy, balanced diet low on sugars and starches, is a must. You must begin by avoiding sugars in all forms. This means you will have to get rid of rice, potatoes, white bread, sugar coated cereals, bananas, colocasia and much more. Add a lot of green leafy vegetables to your diet to improve your nutritional status and metabolism. In addition to these, also add some herbs to your diet. Ayurvedic herbs that act as natural medicine for diabetes include turmeric, bitter gourd, gurmar leaves, bael, fenugreek and many more.

Apart from diabetes Ayurvedic treatment, you could also practice yoga, which can help you improve your health. Several yogic asanas help massage your internal organs so that they are healthier and can function much better. Some of the asanas are especially beneficial for the pancreas, which produce insulin. You may have to make some changes to your lifestyle as well. For starters, you will have to maintain a more active lifestyle. You will also have to avoid sleeping in the daytime. Avoid smoking and consuming alcohol and take extra care of your feet.

Here are a few home remedies that may help cure diabetes naturally:

Juice of Bitter Gourd:

You may consume 30ml of fresh juice of Karela/ bitter melon every day early in the morning. You can also mix it with other things to make simple recipes and consume it.

How to prepare:

Separate the seeds and mix the fruit in the mixer. Add a little bit of water and mix it in the blender. Use a sieve to obtain the juice.

Small and thin pieces of the bitter gourd are cut. Fry them with some mustard oil and the required quantity of salt. Add green chillies and onions to the pan and heat the mixture for 10-15 minutes.

Aloe Vera and Ground bay leaf:

The mixture of aloe vera gel (1 tbsp), ground bay leaf (1/2 tsp), and turmeric (1/2 tsp) is recommended to be taken twice a day before lunch and dinner for effective hyperglycaemic control.

Methi Seeds:

Methi seeds, also known as Fenugreek seeds, when taken by itself or in combination with other Ayurvedic herbs, can act as an effective remedy to lower the symptoms of diabetes.

How to prepare:

Grind a few Methi seeds and turmeric together and take it with a glass of milk at least twice a day.

Soak fenugreek seeds in warm water overnight followed by chewing it in the morning.

Soak 4tbsp of fenugreek seeds in about 300ml of water overnight and chew it the following morning.

Prepare chapattis with fenugreek seed powder

Jamun Seeds:

The powdered seeds of Eugenia jambolana (about 1 tsp) should be taken twice a day with lukewarm water. Jamun has the beneficial property of not allowing the starch in food to get converted into sugar.

Amla:

Amla juice (Embelica officinalis) (20 ml) two times a day is beneficial for a diabetic patient. You may also use powdered  Amla  powder and consume it twice a day.

Banyan Tree Bark:

A decoction of the bark of banyan tree is taken (50 ml) twice a day.

Preparation method: 20 gm of the banyan tree bark is boiled in 4 glasses of water. Evaporate the water until only about one glass of the decoction is remaining and drink it when it is warm.

Cinnamon Powder:

Cinnamon powder is probably considered as one of the most important home remedies.

How to prepare: Add 3-4 Tbsp of cinnamon powder and add to one litre of water and boil the same for about 20 minutes. Strain this mixture and cool the same. It is recommended to consume it every day.

Diabetes Cure In Ayurveda 

Gestational diabetes, as the name suggests, occurs during gestation or pregnancy when the blood sugar levels exceed the normal level. Gestational diabetes, like other form of diabetes, affects how your body cells use glucose or sugar during pregnancy, and usually disappears after you ve given birth.

Causes and symptoms to look out for!
During gestation, the placenta produces hormones that lead to the accumulation of blood glucose. Under normal condition, the pancreas forms enough insulin to counter the buildup of blood glucose. The level of blood sugar rises when the pancreas fails to produce adequate insulin to manage your blood sugar.

Usually, women with gestational diabetes do not show symptoms. So, the presence of the condition can go unnoticed if they are not diagnosed during routine checkups and screening tests. Nevertheless, if the condition goes out of control, you may feel tired, feel thirsty or hungry, or feel the urge to urinate more often.

What are the risk factors?
About 2-10% of pregnant women are affected by gestational diabetes every year. The following factors are likely to put you at risk of developing gestational diabetes-

Excess body weight- You may develop gestational diabetes if you were overweight or had gained excess weight (BMI equal to or greater than 30) before getting pregnant
Family history- Women who have a family history of diabetes are likely to have gestational diabetes.
Age- Women aged more than 25 years are at a greater risk of developing this condition.
Diabetic history- A slightly raised blood sugar level may act as the precursor to Type-2 diabetes, which in turn increases your chance of getting affected by gestational diabetes.
Previous pregnancy- Women who ve previously given birth to a child weighing more than 4.1 Kg (9 pounds), or have delivered a stillborn child are likely to have gestational diabetes.
What is the treatment for gestational diabetes?
Urine tests are performed to check for ketones. In a non-diabetic person, glucagon, insulin and other hormones avert ketone levels in your blood from soaring up too high. Once you re diagnosed with gestational diabetes, it s important that you consult your doctor for treatment. Uncontrolled blood sugar level can affect you and your baby s health after birth. This condition can be treated in the following ways-

Keep a check on your blood sugar- During pregnancy, your doctor will have you tested for gestational diabetes 4-5times a day to keep a tab on your blood glucose level. For this, a small drop of blood is first drawn from the finger using a needle. The sample of blood is then placed on the test strip inserted into a device called the blood glucose meter to measure and monitor the level of blood sugar in your body.
Medication- Anti-diabetic medications and insulin are prescribed to control the amount of glucose or sugar in the bloodstream. Your doctor may also suggest oral medications like Diabeta and Glynase to manage your blood glucose level.
Healthy diet- Diabetic diet- one that helps control blood sugar levels- is highly prescribed by doctors during pregnancy. Cut down on carbohydrates and sugar, and switch to food items that provide your body sufficient nutrients and calories.
Post treatment the blood sugar levels usually come down to normal within 4-6 weeks of giving birth.

Gestational Diabetes - Know The Risk Factors!

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!

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?

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