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?

Yearly flu vaccination is the best tool currently available to protect against influenza (flu).

While how well the flu vaccine works can vary, the Centers for Disease Control and Prevention (CDC) recommends a yearly flu vaccination as the first and most important step in protecting against flu and its potentially serious complications. Millions of people have safely received flu vaccines for decades. Flu vaccination can reduce flu illnesses, doctors' visits, and missed work and school due to flu, as well as prevent flu-related hospitalizations.

A flu vaccination does not guarantee protection against the flu. Some people who get vaccinated might still get sick. However, people who get a flu vaccine are less likely to get sick with flu or hospitalized from flu than someone who does not get vaccinated.

Why do I need to get vaccinated every year?

New flu vaccines are released every year to keep up with rapidly adapting flu viruses. Because flu viruses evolve so quickly, last year's vaccine may not protect you from this year's viruses.

After vaccination, your immune system produces antibodies that will protect you from the vaccine viruses. In general, though, antibody levels start to decline over time   another reason to get a flu shot every year.

Flu vaccines bring down the risks of suffering from flu. However, its effectiveness is based on different factors.

Age: Usually, the flu vaccine happens to work the best for healthy adults. However, these vaccines cannot work as well with children, especially infants (below the age of 2-3 years). Nevertheless, the efficacy improves with age. Since older people are more prone to contracting the flu virus, it is essential that they get themselves vaccinated. Even if the vaccine is not able to ward off the flu entirely, it can still help reduce the risks to some extent.

General Health: Vaccine spurs immunity into action. It helps your body in identifying and fighting the virus. The efficacy of the flu vaccine solely depends on the capability of your body s immunity system and how well it responds to the virus. Chronic illnesses weaken your body s defense mechanism and with a poor immunity system, the vaccine may not work properly.

The time of the vaccination: For optimal protection, it is advised to go for the vaccination every year right before the  flu  season starts. This is because after the flu season gets done with, old vaccines may not work as effectively.

The flu vaccine needs to be updated every season to guard you against the kind of flu dominant in that particular year. Getting yourself vaccinated is also not a guaranteed foolproof protection, however, it does render partial immunity and helps reduce the severity of the symptoms. However, it should be noted that flu vaccine cannot shield one from cold viruses.

Flu Vaccine Effectiveness: How Well Does It Work?

Things to do when your child gets flu

Although cold and flu are very common issue it is usually not a very serious condition. However when it affects your child, it is essential to take good care since a child’s immune system is not fully developed. Children tend to get flu very easily and if immediate care is not taken it has the potential to develop into serious conditions. Running nose, headache, nausea, body aches, fever, feeling cold, coughing etc. are some symptoms of common flu.

When to call the doctor?
Flu sometimes comes and goes away all by itself. However, when it is about younger ones, take professional advice if you see the following symptoms

- Difficulty in breathing
- Dehydration
- Extreme loss of appetite
- Difficulty in breathing
- Continuous coughing
- Get a rattling sound while breathing
- Sudden loss of energy, dullness
- High temperatures even after intake of appropriate medicine

How to quickly rid your child of Flu 
Apart from the prescribed medication here are few points you must always take care of, when affected by flu-

1. Good Rest - Complete rest till symptoms vanish
2. Nasal Drops - Use nasal drops to support easy breathing
3. Warm Water - Warm fluids, honey-lemon potion, cough syrup for chest congestion
4. Administer Paracetamol - Fever medicines that are available specially for infants
5. Increase fluids - Abundant intake of fluids in the form of soups, fruit juices or electrolytes in water.
6. Body Sponging - Warm water sponge bath for relieving muscle or body fatigue

If you would like to consult with me privately, please click on 'Consult'.

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Things To Do When Your Child Gets Flu

Flu is caused by a virus known as influenza and is a common respiratory disease. It is typically caused from the month of October to May. Some of the common symptoms include fatigue, runny nose, fever, cough, muscle ache, sore throat, body ache, etc. 

The flu vaccination helps to protect from influenza. The effect generally lasts for a year. It is recommended that an individual takes this vaccination once in a year since the strain of the virus keeps changing every year. Flu vaccine comprises of an egg-based technology.

Who Can catch flu?
Anyone can get a flu vaccination. Children above the age of 6 months or more are eligible to get a flu vaccination. In addition, the person who has a severe outbreak of allergic reaction due to the flu vaccination should also stay away from this. 

Pregnant women can also get this vaccination without any worry about the baby. They not only safeguard the mother, but protect the child from influenza too. Adults who are more than 65 years old can take this vaccination without worrying. Patients with an acute allergy should consult their doctors before taking a flu shot.

Are there any side effects?
Although most people do not feel a thing after the flu shot, some might experience mild symptoms, such as redness of the area where the vaccine has been injected, mild body aches, soreness, redness and fever. Other serious side effects include allergic reaction resulting in soreness and very high fever. A doctor or healthcare personnel should be immediately contacted in such an instance. 

Can flu shot cause flu?
This is totally a myth. A flu vaccine doesn t result in the flu. The virus content of the flu vaccine doesn t contain any live virus that can potentially trigger an outbreak of flu in the body. They are noninfectious in every sense of the word. It takes a couple of weeks for the flu vaccine to build immunity in the body. A person might get affected during this time if he comes in contact with an infected person.

Confusing flu with similar symptoms:
Common symptoms of flu such as nausea, vomiting, sneezing, body ache and fever can be symptoms of an entirely different disease such as diarrhoea. Until the tests are conducted and the doctor gives an assured verdict of flu, it is unwise to take a flu vaccination based on gut feel and mere speculation. 

When is an ideal time to take flu vaccine?
There is no right or wrong time of taking a flu shot. It is seriously infectious and can catch hold of a person at any time. The right time to take a flu shot is now. It is readily available over the counter and can be injected at any time of the year.

Flu Shot - Things You Need to Know About 

We all look forward to the burst of rain after a long hot summer and the cool autumn breeze that follows the rains. What we don t look forward to is the sneezing runny noses and coughs that accompany this change in weather. Seasonal flus are very common but they can be prevented by eating right. Some foods that can help prevent colds and coughs include:

Garlic: Garlic is a powerful antioxidant that can boost the immune system and help you fight the flu. One of the major compounds found in garlic is known as allicin. This has antibacterial and anti-microbial properties. Garlic also promotes the growth of healthy gut bacteria that keeps your digestive system functioning efficiently and prevents toxins from accumulating inside your body. Garlic can be easily added to your diet by using fresh garlic pods to flavor your food.
Turmeric: Turmeric is one of the healthiest spices known to man. This is rich in anti-oxidants and also has anti-inflammatory properties. Turmeric helps remove toxins from the body and is known to boost the immune system. It is a popular ingredient in many curries and is typically used in its powdered form.
Green Leafy Vegetables: Green vegetables such as kale, spinach, and arugula are rich sources of vitamin C. This vitamin is known to fight viruses and reduce the risk of catching a cold. These vegetables are also rich in fiber and aid in digestion and removal of waste from the body. When picking green vegetables it is important to note that the darker the shade of green, the higher the nutrient content.
Chicken Soup: Chicken soup is a popular home remedy for the flu. It can also be used to prevent a flu and boost the immune system. This is because a clear chicken soup or broth has concentrated amounts of proteins and vitamins that boost the immune system. Chicken soup should always be consumed while it is hot so that the hot liquid can loosen mucus secretions soothe an itchy throat.
Salmon: Fish such as salmon, canned tuna and sardines and egg yolks have a high level of Vitamin D. As the length of a day reduces and grey clouds hide the sun, it is important for your body to get enough vitamin D through your diet. This vitamin helps fight colds and coughs and helps those suffering from it to recover faster.
Water: In addition to eating right, it is also important to keep your body hydrated. This allows the nutrients to reach all the parts of your body and aids in the removal of waste and toxins. Thus, though you may not feel thirsty, it is essential to drink 8 to 10 glasses of water a day.

Foods That Help Fight The Flu!

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.

Click on consult privately to ask me any questions regarding your kid's health.

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Avoid Cold & Flu in Toddlers in 5 easy ways

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