Pregnancy brings with it a set of challenges, and for a diabetic woman, these only increase further. Earlier, the risks of dealing with pregnancy and diabetes as a combination were too high. However, over the last few decades, things have changed. The age at which women are choosing to have a baby has gone up. On the other hand, the age of onset of diabetes has come down drastically.
These days, there are many diabetic women who go through pregnancy smoothly without major complications. Of course, there is extra care and precaution required, but it is not something that cannot be planned and managed well between the doctor and the mother-to-be.

The following are some rough guidelines for a pregnant diabetic woman.
Potential complications

It increases the risk of polycystic ovaries, thereby making it difficult to conceive.
Fluctuating sugar levels can be a reason for not being able to conceive, as the body does not see itself as healthy.
It increased the chances of miscarriage.
There are higher chances of birth defects in the developing baby due to very high sugar levels in the first trimester.
Preparation
If you are planning for a pregnancy, meet with your doctor to review your sugar levels. Chalk out a plan with your doctor, taking into account your diet and nutrition, exercise, lifestyle, and medications.

Diet: Ensure you cautiously decide what and how to eat ahead of your pregnancy. Moving away from refined carbohydrates and processed foods towards wholesome food items like whole grains, fresh fruits and vegetables will make a difference.
Exercise: Build an exercise routine to suit your body and keep yourself active. It is very important to stay active so that diabetes is under control.
Lifestyle: Quit smoking and reduce alcohol use. This helps in managing stress also, which can help keep diabetes under check.
Medications: Check with your doctor on the medicines you are taking and if dose adjustments are required to get sugar levels under control, plan them out.
During pregnancy, constant monitoring and vigilance is required to ensure diabetes is under control.

Let your gynecologist know about your condition (stable/fluctuating), and if you are doubtful about them being able to handle your condition, do not hesitate to change.
Many consider switching to oral medications as the risk of transmission to the baby is less and the control over sugar levels is better.
Constant monitoring for daily blood sugars is essential.
A regular, healthy lifestyle in terms of eating and sleeping should help keep the sugars under check.
Constant monitoring of the baby is essential to ensure its normal growth with no developmental defects.
Read up and train yourself on how to deal with low or high sugar levels. Happy sugary pregnancy!

Diabetes During Pregnancy - Know The Best Ways To Control It!

Addison s disease is known as adrenal insufficiency or hypocortisolism. It is a hormonal disorder which occurs when adrenal glands which are located just above the kidneys do not produce enough of the hormone. The hormones produced by adrenal glands include cortisol and aldosterone, which are essential for a healthy life.

The disease is characterized by weight loss, muscle weakness, fatigue, low blood pressure, and darkening of the skin also sometimes. Most cases of Addison's disease are caused by autoimmune disorders.
It is quite a rare condition. Only 1 in 1 lakh suffer from this condition. this condition can affect a person of any age group irrespective of sex. To live a normal life people, with this condition, a patient will be required to take their medication regularly.

Cortisol and Aldosterone - What do they do?
The most important function of the cortisol in the body is to respond to stress. It helps the body in using protein, carbohydrates, and fat. It maintains blood pressure, cardiovascular function; and controls inflammation. While as aldosterone helps kidneys in regulating the amount of salt and water in the body   which helps in regulating blood volume and keeping blood pressure under control.

Cause of Addison's Disease
Mostly Addison s disease occurs due to problems with adrenal glands themselves   which is known as primary adrenal insufficiency. While Autoimmune disease accounts for 70% of Addison s disease. In this condition, the body's immune system mistakenly attacks the adrenal glands. This attack destroys the outer layer of the glands.

Some long-term infections such as tuberculosis, HIV, and some fungal infections harm the adrenal glands. It is also caused by the cancer cells that spread from other parts of the body to the adrenal glands.
Less commonly, adrenal glands can also be affected by secondary adrenal insufficiency. It is caused by a problem with the pituitary gland or a problem with the hypothalamus, both located in the center of the brain.
These glands produce hormones that control the production of hormones in the rest of the body. A pituitary hormone called ACTH which turns on cortisol production in the adrenal gland. If ACTH levels are too low, the adrenal glands do not function.
One more cause of secondary adrenal insufficiency is also caused by the prolonged or abuse of steroid hormones such as prednisone.
Symptoms of Addison's disease
The symptoms of adrenal insufficiency grow gradually and the main characteristics are:

Chronic, worsening fatigue
Muscle weakness
Loss of appetite
Weight loss
About 50 percent of the time, one will notice:

Nausea
Vomiting
Diarrhea

A Quick Guide To Addison's Disease!

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!

The adrenal glands, which sit above the kidneys, are very important to your body as they secrete many important hormones. These hormones are required to regulate many functions within the body. The two most important hormones that these glands produce are  cortisol  and  aldosterone . When your body suffers from the condition of Addison s disease, the glands end up producing very little amounts of these hormones. This will result in many functions in the body being adversely affected.


How do you know your loved one is suffering from Addison s disease?
Addison s disease develops overtime and doesn t happen immediately. However, you would be able to notice some of the following symptoms:
Drop in blood pressure which may result in fainting as well
Development of darker skin due to hyperpigmentation
Development of hypoglycemia or low blood sugar
Unexpected weight loss and a decreased appetite in general 
Craving for salt
Extreme fatigue
Irritability and depression
Vomiting, nausea and diarrhea 
Muscle and joint pains
Abdominal pains
Of these, if you start seeing a combination of frequent hyperpigmentation, muscle and joint pains, nausea, vomiting, abdominal pain, extreme fatigue and unexplained weight loss, you should take your loved one to the doctor immediately as these are telltale signs of Addison s disease.


Diagnosis
There are no ways to self-diagnose this disease as it requires proper medical tests. Some of the medical tests that may be advised for this are:
Blood tests: These are done to measure the levels of sodium, potassium and cortisol in your blood.
ACTH tests: This is a test to determine the exact levels of  cortisol  in your blood and whether it is being produced normally or not.
Hypoglycemia test: This is a test to measure whether adrenal glands are producing enough hormones to regulate insulin. If blood sugar is low, it will indicate problems with the adrenal glands.
Imaging tests: Other tests, such as CT scans may also be prescribed to detect problems within your adrenal glands.


Steps to manage Addison s disease 
Pay regular visits to your doctor: This is very important along with regular tests and checkups as other dependent functions may be damaged and suddenly become life threatening. It may fall on you to take your loved one to a doctor regularly for this reason.
Carry bracelets which have your medical information: If your loved one has a tendency to faint due to the problems caused by Addison s disease, it is important that you ensure they always carry bracelets with medical information with them. This way, strangers will be able to recognize the problem and get help quickly in emergency situations. 
Always keep extra medications: This is a very important point as missing a couple of daily doses and medication can result in sudden deterioration of your loved one's  condition. Have all other forms of administering medications handy as well such as syringes among others.

Addison's disease - How to Support a Loved One Suffering from it?

Hypoglycemia, commonly referred to as low blood sugar is the condition of the body, when the level of blood sugar falls down below the normal level. This accounts for clumsiness, feeling shaky, feeling confused, losing consciousness, serious seizure. Severe lowering of blood sugar may cause death. You are likely to feel exhausted and very hungry. The symptoms usually show quite quickly.

Hypoglycemia is commonly caused due to diabetes medicine like insulin, sulfonylureas or biguanides. Starving for long hours, over straining the body or extreme alcohol consumption may lead to hypoglycemia. Failure of the kidneys, liver diseases, metabolism disorders also lead to hyperglycemia.

Fall in the the blood sugar level must be taken very seriously and never be ignored. If you feel the symptoms of lowered blood sugar, it is advised that you immediately take a sugar test. You must also indulge in high calorie food items such as sweets or chocolates. You need to increase the glucose intake, so that the blood-sugar level rises up.

Here are some steps you should follow to control hyperglycemia.

1. Keep away from the practices, which lead to hyperglycemia
The best way of keeping away from hyperglycemia is by taking all measures, which would avoid the condition to develop. The medical schedule of diabetic patients should be closely monitored and optimized by the patient's caregivers. Their lifestyle should be kept under check. It should be ensured that the patients do not skip meals. Insulin should be avoided as much possible.

2. Discuss problems with the patient
Patients and their guardians must be properly educated about the disease and what important steps they should take, in spite of all kinds of prevention treatments they take. Teach them about the symptoms and the steps to be taken in case of any emergency. Use of glucose tablets should be encouraged. They must know that the process is ongoing. Every patient is different from another and hyperglycemia differs from person to person.

3. Use glucagon
Glucagon is basically a hormone, which stimulates the liver to release pre-stored glucose all over your bloodstream in case your blood-sugar level falls down steadily. Glucagon is usually injected, and kits are available. Prescribed by doctors, glucagon can be used to treat a person who has fallen unconscious after a fatal reaction due to insulin. You should consult an expert before buying a glucagon kit.

Hypoglycemia is a serious problem. Lowering or fall in your blood sugar level must never be ignored, and measures must be taken to regain your sugar balance immediately.

Hypoglycemia: Going Lower Is Not Always Good

A number of factors, such as physical ailments, stress, anxiety and even relationship problems can cause sexual problems. Relationship concerns where intimacy and the culmination of the various phases of sexual activity from stimulation to excitement and peak, cannot be possible in a satisfactory manner. So what are the routine sexual problems recognised and treated as per ayurveda? read on to know more.

1. Erectile dysfunction: this condition is also known as impotence and it usually occurs when male patients cannot muster up and retain an erection for long enough to enjoy sexual intercourse. This problem can be fixed with various herbs and condiments including sanda oil massage on the testicles and nearby areas in order to increase the blood flow. Also, one can have ginger, honey, drumsticks, milk and other such ingredients for better achievement and retention of an erection for a prolonged period of time during sexual intercourse.

Sanda oil is not available in its pure form and simple branding of this name is not useful. Sanda is a wild reptile, which was boiled in ancient times and fats taken out to make sanda oil. This is not possible now a days. Instead various'tilas' (penis massage oils) prepared by valuable herbs and vegetable oils such as sesame oil should be used. Tila using mall (purified arsenic) and egg are also effective. Preparation and use should be as per instructions in classic ayurveda. Tila is selected as per history, present condition and duration of specific problem

Otc or advertisement products are general products, which do not benefit all. Post application directions are also important otherwise there may be adverse effect of tila application

2. Premature ejaculation: premature ejaculation is a condition when the male patient may face ejaculation as soon as the intercourse begins, or upon insertion. This happens in an unplanned way and is a sudden occurrence that usually puts a damper on the sexual mood and activity. In ayurveda, there are various herbs including ashwagandha and a variety of oil massages that can help in treating this problem.

3. Sexual weakness: sexual weakness is a condition when the female or male patient may not have the energy to go through with sexual intercourse and may even complain of pain during intercourse. This problem is especially common among women, and may be caused due to fatigue, stress or even low pelvic strength following childbirth or miscarriage. The best way to treat this issue is with the help of proper counselling and therapy that will help in introducing yogic poses that can strengthen the pelvic area so as to have better sexual strength.

4. Infertility: this problem may be found in both men and women. Ashwagandha, vasant kusumakar ras, shilajit and labub kabir are some of the herbs and concoctions that can help in increasing virility and the chances of conception by creating better sperm quality and quantity, as well as more effective ovulation.

Most of the sexual problems in ayurveda are recognised as factors that arise from stress and anxiety. These are recognised as temporary issues that can be fixed with the help of a proper routine of eating, resting and exercising, as well as a healthy diet where the patient stays away from smoking, excessive drinking as well as drug abuse. Before taking any herbal medicines, one will have to consult the doctor and find out about side effects for patients suffering from chronic ailments like diabetes, cardiovascular diseases and others.

Solving Routine Sexual Problems Through Ayurveda

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