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?

Season is changing and kids are very susceptible to cold and flu these days. Here are 5 ways you can keep your kids safe -

1. Blow their Noses: Frequently and Right: Blow their noses often and don't let them gulp the mucus. Don't ask them to exert too much pressure as it might hurt their ears.
2. Gargle Daily: Make your kids gargle with lukewarm water everyday. It moistens the sore throat and gives relief.
3. Give them a Steamy Bath: Make sure they always take bath with warm water. It relieves nasal congestion and makes them feel good
4. Hygiene is a must: Inculcate good personal hygiene.
5. Hand Wash: Ensure frequent Hand Wash with antiseptic lotion and lukewarm water.

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Avoid Cold & Flu in Toddlers in 5 easy ways

Influenza is more commonly known as the flu. It is an infection that affects the respiratory system and is caused by the influenza virus. This injection is recommended for kids who are under the age of 6 months. It ensures that the baby is safeguarded from the virus during an influenza outbreak. Since the nature of virus changes year on year, the immunity doesn t last for more than 1 year. This vaccination is ideally taken during the month of October and November. The effect of the vaccination typically lasts for 6-8 months.

Ideally, kids who have never had a flu vaccination should take 2 vaccinations within 4 weeks. Kids who have received a shot of flu should undertake this vaccination once in a year. This arrangement is ideal up to 9 years of age. Flu shot is extremely important for a kid due to the following reasons:

It saves a kid from chronic lung and heart disorders such as asthma and cystic fibrosis
Kids suffering from immune deficiency, cancer, and HIV should take this vaccination to avoid further complication of the existing disease
Kids suffering from diabetes, kidney diseases, and metabolic disorders should go for this vaccination without a second thought
Kids suffering from a neurological disorder, haemoglobin deficiency, and anaemia should take this vaccination to refrain from the risk of aggravation of the present disease
Pregnant women should ideally take it for the safeguarding the fetus
Flu shot should not be taken be taken if:
1. A baby is under the age of 6 months.
2. The baby has thimerosal allergy.

Is flu shot safe?
The flu shot is considered to be very safe. It does not result in flu. Few side effects include:
a. Soreness of the place where the needle is injected. This doesn t last for more than a couple of day.
b. Body ache and mild fever for the first couple of days after the vaccination is done.
c. There is little to no pain in the place where the injection is injected by the doctor.

What is nasal flu vaccine?
This is an influenza dose that is not injected into the body but given in the form of nasal spray. Healthy kids above the age of 2 years are fit to get this injection. For those kids who have a history of chronic illness should check with their doctor to go ahead with nasal spray. Each dose is given in each nostril. Like the influenza vaccine, nasal flu vaccine should be undertaken once for those who have already taken this dose once. Kids who have not undergone this vaccination are eligible for 2 dosages each 4 weeks apart from each other.

Influenza Vaccine - Why is it Important for Kids?

A cough and cold are caused by infections, sinusitis, bronchitis, and exposure to dust. Ayurveda recommends not just medications to treat a cough and cold. It also insists on incorporating certain dietary and lifestyle changes for complete cure. A cough is a way that the human body uses to blow off foreign bodies from the respiratory airways. However, when someone coughs for long, it can lead to dizziness, hoarseness of voice, and wheezing. In case of a chronic cough, fatigue and aches in the joints are experienced.

In Ayurveda, cold is also known as Vata-Kaphaja Pratishaya. According to Ayurveda, Virudh ahar (incorrect combination of foods), Ama (toxins), and Asatmya (change in environment) lead to allergic reactions, and cold is one such example. Toxins may accumulate in the body of an individual due to impaired metabolism and digestion. On the other hand, intolerance towards specific food items may lead to an allergy.

Vamana Panchakarma, followed by Virechana can be administered for the treatment of a chronic cough and cold. This helps correct the balance between the three doshas and to eliminate toxins. In some individuals, nasal drops therapy or Nasya treatment can be administered to clear congestion. This is done by pouring herbal oils such as Shadbindu or Anu taila in the nostrils. Ayurvedic medications can also be administered to strengthen the immune system and the respiratory tract.

The following sections explain some of the other Ayurvedic remedies that a person can try out to relieve cough and cold.

Home remedies: Ayurveda points the kitchen to get relief from a cough and cold. Ingredients from the kitchen shelf can help a lot, along with medications. Ginger juice is an effective way to treat a cold and cough. This helps in ejecting mucus. To try out this remedy, an individual can prepare fresh ginger juice and add turmeric (one-fourth teaspoon), tulsi leaves juice and honey (half teaspoon each) and a pinch of black pepper powder to it. Mix everything together. If you want to use it multiple times, you can increase the quantities in the same ratio and refrigerate it. Consume one and a half teaspoon of the mixture at least three to four times a day to get relief from a cough. For children, give half the quantity thrice a day. This is an excellent remedy to relieve a cough and cold without leading to any side-effects.

Gargling also helps. Mix a spoon of salt to warm water. Gargle twice a day with this. Chewing cardamom buds and cloves also help in eliminating cough. You can also take four black raisins and add a pinch of rock salt and black pepper powder to them. Dry roast and take this three times a day. You need to eat this for at least for 15 days.

Otherwise, take a glass of water. Boil with licorice powder and black pepper powder (half teaspoon each). Grate fresh ginger and add one spoon of it to the mixture. Add 10 basil leaves, and make a decoction of everything. The water should turn half the quantity. Palm candy can be added to sweeten the decoction. Try this instead of coffee or tea in the morning and evening to relieve cold and cough.

Dietary changes: Take lots of fresh pulses with grains. Taking pulses with grains help in gaining all the goodness of the pulses. Green gram, yellow lentils, and red lentils can offer nutrients that are required and are easy to digest. Vegetables such as pumpkin, marrow, squashes, ivy gourd, ridge gourd, snake gourd, smooth gourd, onions, beetroot, celery, carrots, and parsnips can be consumed as well. However, consume cooked vegetables only. Grains such as rice, oats, and millets are good choices. You should refrain from taking wheat and processed flour. Almonds, apricots, figs, dates, and hazel nuts are beneficial. Limit your consumption of fish, chicken, and turkey. Red meat can be taken twice a week. Avoid dairy milk. You can take soy milk or oat milk as a replacement.

Lifestyle changes: Quit smoking. The health of the lungs can be damaged to the core with smoking and this can also lead to cancer. When you suffer from chronic cold and cough, immediately consult a doctor, if you smoke. Avoid exposure to pollens, dust, and pollutants. Use a mask while driving, and cover ears and nose exposed to cold.

Talk less: This gives enough rest to vocal cords. Taking warm water instead of plain water is a good option. Take tea made of herbs. Tulsi, mint leaves, and ginger can be added to the herbal tea. Do not mix milk with tea. Take a balanced diet and keep yourself away from processed and junk foods.

Chronic Cough And Cold - How Ayurveda Remedies Can Help? 

All year round, we are vulnerable to an array of health disorders, be it due to poor lifestyle choices, a pre-existing disease, or changing climate/weather. While most people focus on the cure of grave diseases, the most common ailments are often overlooked. One such condition is cold and flu   a viral infection of the nose and throat. Although the infection usually occurs in winters, the viruses causing cold and flu can make you fall sick anytime, and when you do, you are forced to sit back at home and keep away from people because the infection is contagious.

What are the symptoms?

If you catch a bad cold and flu, you are likely to experience the following symptoms  

  Runny nose

  Nasal congestion

  Sneezing and coughing

  A sore throat

  Headaches

  Body or muscle aches

  Tiredness/fatigue

  Fever and chills

Usually, the symptoms resolve in a week or two and most people recover on their own. However, if the condition does not improve and if you fall sick repeatedly, you might have to turn to medications.

Who gets a cold and flu?

Ever wondered  Why am I getting sick all the time ? That is probably because you have a weak immune system. Certain autoimmune conditions exhaust the immune system and make you prone to infections, flu and cold. People, who have chronic immune conditions, tend to fall sick and take longer to recover.

How do you stop from getting sick?

If you have been falling sick more than once in every few months, then you can ask your doctor for supplements that will help build your immunity. Probiotics, zinc supplements, and vitamin supplements are good for cold and flu. You can also avoid getting cold and flu following a few preventive measures, such as the following  

  Get vaccinated against flu and cold, influenza, and seasonal allergies

  Keep your surroundings clean and free from pollutants because such viral infections are air-borne. If you need to go out, make sure you are using a mask to cover the mouth and the nose.

  Viruses that make you sick often spread by coming in contact with an infected person or contaminated surfaces. Therefore, you must always practice good hygiene. Wash your hands with soap or a sanitizer immediately after touching an unclean surface. Also, make sure you clean your hands before eating.

  Exercise at least thrice or four times a week. Any sort of physical activity helps build immunity, improves your overall health and reduces the risk of a number of ailments.

  Eat a balanced diet that includes enough proteins, fibre, healthy fats and lots of fluid. It is very important to keep yourself hydrated, especially in summer to avoid falling sick. The above measures not only prevent you from contracting flu and cold but also keep a dozen other ailments at bay.

How To Avoid Getting Sick?

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

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