Diabetes is a metabolic disorder characterized by Hyperglycemia (elevated blood glucose level) due to either reduced production of insulin or the inability of the body to utilize the insulin produced. Today management of diabetes has become a prime concern. Over the winter months, diabetic patients are likely to suffer from higher blood glucose levels than during the warmer months. As the temperature drops and the sugar levels up, thus, diabetic patients should be extra careful about the temperature fluctuations or seasonal changes.The cold weather makes diabetics experience many health problems, besides creating a major change in their sugar levels.

Following are the most harmful effects that diabetic patients may suffer from during the cold weather

Change in hemoglobin level: There is a great change in their glycated hemoglobin levels. Whatever the type of diabetes an individual has, the freezing temperature can increase the level of HbA1c or glycated hemoglobin. This is most likely because of decreased physical activity. Cold weather makes it difficult for some people to go out. A little activity each day can help with insulin sensitivity (in all types of diabetes) which can help the body to regulate sugar level in a better way.
Prone to diseases: Since the immune system is also not at its best strength in winters, there are increased incidences of microbial infections like cold and flu or in some cases pneumonia. As a result, the body produces counterregulatory hormones (Cortisol, Adrenaline, and Glucagon) to counteract the situation. These hormones affect the utilization of insulin by the body thereby elevating the blood glucose level. Also, conditions like flu and cold tend to make them feel lethargic and stress and can prevent them from taking the diet, which is required, which eventually can lead to an increase in the blood sugar level.
Winter blues: It is often seen that people feel low during winters, as they tend to go out less and prefer to stay indoors. Less outdoor activity during winters can sometimes trigger mood swings or in some cases depression, which in turn can shoot up the level of blood sugar in their body. Thus it is advisable that one should spend more time with friends and family, in order to keep these blues at bay. 
Other problems: Most diabetic people are unaware of their nerve functions, and are unable to feel the difference between the cold and hot water, which can lead to burn injury. Also, during the winter season, most diabetic patients tend to lose feeling in their toes and feet due to vascular changes. Therefore, it is advisable that people should check their feet frequently, so as to ensure that there is no open wound or pressure area in their feet. One must take very good care of their feet, keep them moisturized, inner fingers clean and dry, prevent any type of fungal growth in toes, etc. By taking required preventive measures before the onset of winters diabetic patients can control their blood sugar level, which enables them to stay away from associated problems. 
In case the blood sugar level goes beyond 130, one should not take the medicine on their own but should get in touch with their endocrinologist (diabetologist).

Cold Weather - How It Can Affect Diabetic Patients?

One thing that a weather change brings about is lung infections - most commonly cough and cold. Most people dread the change of seasons from one temperature to another because of the fear of how their body will react to the weather change. Be it extreme hot or cold, most people end up with a cough and cold. The more affected age groups again are the children and the elderly. However, all it takes to prevent this is to plan a little so that the body can get used to the change and not react with a cough or cold.

Prevention: There are few things that can be done which can help avoid catching cold.
1. Avoid sudden exposure to cold, from a heated room to the cold outdoors, especially in the evening and morning. Those who are used to a morning and evening walk may have to change the routine.
2. Avoid cold food items such as cool drinks, milk shakes and ice-creams.
3. Having a warm bath, early morning and late evening is advisable.
4. Avoid foods such as sour stuffs, pickles and fried foods.
5. Eat small, frequent meals that are prepared fresh are nutritious and of moderate temperature.
6. If there are infected people in your neighborhood, avoid being in close contact with them as you might get infected as well.
7. Wash your hands enough to keep them free of germs
8. As much as cold weather does not make you thirsty, push enough fluids so that your body stays hydrated. If water is not appealing enough, drink warm water or tea or lime.
9. Ensure the house, especially kitchen and bathroom are clean and disinfected.
10. Avoid exposure to dust and pollen as they carry lot of germs.
11. Avoid staying in a poorly ventilated room, enough circulation ensures germs are not concentrated in one room
12. Timely vaccination against flu

Treatment: Despite these measures, once the cough and cold has set in, the following are some easy remedies:

1. Steam inhalation, preferably with eucalyptus oil added to it.
2. Having warm soup with ginger and garlic added to it to soothe the throat
3. Ginger and other spices like cardamom and cinnamon can also be added to tea.
4. Lemon and honey can be added to a glass of warm water. This will soothe the throat and help fight cold.
5. Chewing Tulsi leaves can be beneficial
6. Yoga exercises such as Pranayama and Jalneti can be done to cleanse the nasal cavity, prevent sinus congestion, and clear mucus

Cough and Cold Due to Weather Change - Prevention & Treatment Tips

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Common cold, as the name suggests, is one of the most common diseases in the world. It is a communicable disease, mainly occurring during seasonal change, even though it is not chronic in nature. And homeopathy has the most effective medicines which treat common cold without the side effects offered by allopathic medicines, such as drowsiness.
Read on to know which are those:

1. Aconite
This homeopathic medicine is recommended when the most preliminary signs of common cold appear, such as getting thirsty frequently and being overly-anxious.

2. Belladonna
Belladonna is for more severe signs of cold, such as high fever and persistence of a throbbing headache.

3. Natrum mur
This medicine is effective for a runny nose, with initially clear snot thickening after a period of 24-48 hours.

4. Nux vomica
Nux vomica is effective for constant sensation of chill, with warmth not felt even in the comfort of the bed. It is also effective for headaches, blocked nose, body-aches, and nausea as results of the cold.

5. Gelsemium
Gelsemium is advisable for the known symptoms of common cold such as headache, fever, fatigue, drowsiness, shivers, etc.

6. Eupatorium perf
This medicine is effective in case of recurring thirst, sore muscles and bones, and immense headache that get worse on any kind of movement.

7. Arsenicum iod
If you are experiencing continuous sneezing with burning sensation and a nasal discharge, this is the medicine you should take.

8. Ferrum Phos
This medicine is also given at the preliminary stage, when the onset is slow, with mild fever, which gets worse especially with the approach of night.

9. Pulsatilla
When you have a nose with dense discharge and blocked ears, remember that these symptoms may worsen at night. This is the medicine best suited to your cold in such a situation.

10. Influenzinum
It is a homeopathic remedy for flu. The medicine, which is diluted and potentized, strengthens the immune system to fight against flu viruses. It does not suppress the symptoms but makes your immune system strong to not allow foreign viruses affect your health.

Homeopathy and Common Cold

Prevention of leprosy: Leprosy is caused by the bacterial infection of Mycobacterium leprae and it is classified into multiple types. Leprosy is communicable through contact with common objects or a person by infected droplets within their nose. It primarily affects mucous membranes and the skin and the nerves on the hands, feet, and in extreme cases may cause disfigurement as well. There are no specific ways to prevent leprosy as no specific correlation between transmission and development has been found so far. Leprosy can happen through one time contact or through contact over extended period of time within the same household. Thus preventive measures will primarily include the following:

Regular checkups by going to the doctor
Ensuring that surfaces are kept clean if you share a household with a leprosy patient
Skin biopsies at regular intervals just to check if you may have contracted the bacteria
If a rash has developed, then it is urgent that you visit the doctor. Earlier the leprosy is detected, quickly it can treated and resolved
Incidences of leprosy have reduced over the last few decades due to improvements in medicine and early detection. This has allowed people to nip the problem in the bud and does not allow it to spread within their bodies or to other people.

Treatment of leprosy: The primary weapon that modern medicine has against leprosy is known as MDT or multidrug therapy. Multidrug therapy is the combination of multiple drugs, which attack the various aspects of leprosy, such as skin problems, nerve damage, loss of sensation, deterioration of skin conditions etc. This is the proven way to not only reduce symptoms, but also cure the problems in the long run.

Some of the drugs in the MDT used are as follows:

Rifampicin and dapsone
Rifampicin and clofazimine and dapsone
Rifampicin, minocycline and ofloxacin
However, the combination will depend on the type of leprosy the person is affected with, such as paucibacillary leprosy or multibacillary leprosy and thus can only be prescribed by the doctor after the thorough and detailed examination.

Leprosy - Treatment And Prevention!

Having a fever makes you feel weak such that you don t feel like doing anything. Medical treatment for flu includes usage of antiviral drugs as prescribed for decreasing the severity and duration of the infection. You may also consult your doctor to know about the antibiotics that can treat bacterial infections which may arise as an effect of flu. However, antibiotics are not always required for treating viral infections like flu. On the contrary, you can also follow a few home remedies to get rid of your suffering.

Home remedies for treating flu
You can treat flu by following a few home remedies like resting in bed and avoiding physical exertion. Hydration is very important and minor pains and aches can be relieved with over-the-counter medications as prescribed by the physician. You should avoid spreading the flu virus and germs and wash your hands often.

Stay hydrated: You should drink ample amount of water, clear soup and fruit juices. Though flu causes appetite loss, you should not depend on water entirely, as it doesn t contain enough amount of electrolytes that are required for your body to function optimally. Energy drinks can also help you in this respect. In case these products are not available, you can also prepare a homemade solution by mixing plain or rice water with sugar and a pinch of salt. You can also enhance the taste by adding orange juice and freshly cut bananas, and you can drink it right away irrespective of your age.
Getting rid of cough: Though expectorants and cough suppressants would help the cough to subside, steam inhalations can also prove to be useful for opening a blocked nose. To create steam, pour water in a pot and heat it. After removing the pot from the stove, cover your head with the towel and inhale the steam. The water should be hot, but not boiling, and you can also add eucalyptus oil and few slices of ginger to the hot water. Another way is to steam up your bathroom by allowing the shower to run with hot water and inhale the moisture from the steamy room. You should refrain from touching hard surfaces where the viruses would remain alive. Sneeze and cough into a soft tissue or a handkerchief and carefully dispose of the tissues once they are used. If possible, stay away from people who have flu.
With these simple homemade tips, you would be able to control the symptoms of flu. But in case it does not subside, you shall have to seek medical assistance.

Seasonal Flu in Adults - How It Can Be Treated?

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