Diabetes is growing to be the epidemic of modern days. The challenge here is it is not just about managing your sugar levels, but the whole lot of symptoms that diabetes brings with it. From bones to teeth to kidneys to wounds, diabetes affects all body systems. It is therefore very essential to watch out for symptoms of diabetes and curb it in its early stages. This will help control diabetes significantly along with its effects on the whole body.

Diabetes Complications-

Long-term complications of diabetes develop gradually. The longer you have diabetes   and the less controlled your blood sugar   the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
Nerve damage. Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain. Left untreated, you could lose all sense of feeling in the affected limbs. 
Kidney damage. The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. 
Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. These infections may ultimately require toe, foot or leg amputation.
Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
Hearing impairment. Hearing problems are more common in people with diabetes.
Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. 
The following are some of the basic must do's if you have diabetes. These can go a long way in preventing adverse diabetic side effects.

Diet: Whether diabetic or not, it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way in managing sugar levels than binging at one meal and starving the rest of the day. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Diet is very important in diabetes. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium
Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required.
Watch your weight: For a diabetic person, controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics.
Smoking: Another risk factor for diabetes onset, quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting.
Stress management: One of the main risk factors for diabetes, there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent diabetic complications like heart disease and stroke and promotes well-being.
Constant Checkups: Periodic check-up of blood sugar levels, cholesterol levels, eye exam, dental checkup, foot checkup to test for nerve damage are all extremely important. Take your medications regularly without fail.
Diabetes requires a change in lifestyle, which may seem tedious initially. But after a while, it will become the norm and then diabetic control does not feel like something additional that is to be done.

Diabetes - 6 Ways You Can Prevent it

Are you suffering from diabetes? If yes, then it s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take medical efforts to get rid of diabetes as soon as possible. 


You are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%.  Also, diabetes patients should keep a check on blood pressure and cholesterol levels. 


Here s how diabetes can affect your overall health:
1. Check your heart: There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as a hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.


2. Neuropathy: Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (which affects toes, feet, legs, hand and arms) and Autonomic (which affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.


3. Nephropathy: Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.


4. Foot ulcers and amputations: Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, Charcot joint or Charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region.


5. Retinopathy: Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina.

Diabetes: It Can be the Reason Behind Other Disorders

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?

If you are suffering from hypothyroidism, it is important for you to deal with the condition so that your daily life and activities do not get affected. Hypothyroidism occurs when your thyroid gland becomes under active and does not produces sufficient amount of hormones. This affects the metabolism rate of your body. Hypothyroidism has several symptoms which include fatigue, constipation, dry skin, muscle cramping, hoarse voice, depression, sudden gain of weight and brittle hair and fingernails.

Here are some important tips which you should follow in order to deal with hypothyroidism and for its treatment:

Go Gluten and A1 Casein free: Common allergies and food intolerance, which occur today are because of wheat and dairy products because of the hybridized proteins of A1 casein and gluten. These may lead to a leaky gut, as a result of which inflammation of the thyroid gland takes place. This affects the thyroid s functioning. You should avoid grain and gluten in your diet. Try to consume dairy products coming from A2 cow s milk.
Avoid BPA: Bisphenol A or BPA is present in plastic bottles. These are capable of disrupting the endocrine system and also affect the thyroid gland. You should avoid drinking from plastic bottles and drink water from glass, stainless steel and plastic bottles which are BPA free.
Check your iodine levels: In case your iodine levels are low, you should use an organic liquid supplement. Kelp is ideal for this purpose.
Heavy metal detox: You need to detoxify your body and eliminate traces of harmful metals from your organs and cells. For this, you may use a combination of milk, turmeric, chlorella, cilantro and thistle, which are ideal for a metal detox.
Increase your selenium intake: It is important for you to consume sufficient amounts of selenium in your everyday diet, but you should not consume them in excess. You should eat food items containing selenium in good amount such as salmon, sunflower seeds, Brazil nuts, mushrooms, onions and beef.
Take adaptogen supplements: You should lower your cortisol levels and improve thyroid functioning by taking supplements such as tulsi and ashwaganda.
Remove silver fillings: If you have amalgam fillings, you should consult a dentist and get the fillings removed.
Lower your carbohydrate intake: You also need to reduce the amount of sugar and grains in your regular diet. Instead, take healthy fats. Consuming too much carbohydrates leads to increased estrogen, which affects thyroid negatively. Choose healthy fats like coconut oils, avocado, wild salmon, hemp seeds and flax seeds. These will help in balancing your hormone levels.
Hypothyroidism usually occurs from common causes such as toxicity due to radiation and metal exposure, deficiency of iodine and selenium, food intolerance and hormonal imbalance due to stress and excess carbohydrates.

Hypothyroidism - 8 Tips To Help You Deal With It!

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

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!

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

Consult for Endocrinologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES