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?

There are a variety of reasons why a person can fall sick. A good number of these illnesses cannot be prevented though a person may take general precautions. Having said that, in the case of influenza, it can be prevented to a large extent and it does not seem all that smart to avoid taking easy precautions when one has an option, right?

Every year, thousands of people die from influenza, which is so unfortunate because an annual shot can reduce that number by almost 60 percent. So what exactly makes a flu shot or vaccine work? As a result of the vaccine, after about two weeks or so, antibodies begin to develop in the body. These antibodies help fight off infection, specifically the kind that is targeted by the vaccine. It is important to get vaccinated for this flu on an annual basis.

Choosing the right flu shot
Considering the great number of options there are when it comes to flu vaccines, which are the ones to be injected? It is a good idea to get the opinion of a doctor to see which one to choose. This is because the choice is dependent on a variety of factors, which a medical professional would be able to assess appropriately. Note that it is important not to use the nasal spray version of the vaccine as the medical authorities have recently found that it is not as effective a method as it once was.

When should you get it?
Flu season does vary across the world, but in the US, it starts in about October and goes on till May. During this time, the flu viruses are a lot more active. When one gets a flu shot, it is this period that one needs to look out for. So, it is better to get vaccinated in late September or the start of October, so that there is minimal unprotected exposure to the viruses.

Who is it for?
It is to be kept in mind that every individual who is older than six months should be vaccinated. While it is said that getting a vaccine shot year after year reduces its effectiveness, it is still important to do so. This is because each year, the shot is altered to reflect the biggest virus threats in that year. There might be few side effects of the flu vaccine such as redness in the injected area, soreness or swelling. However, as long as one gets a flu shot in time, it is almost a given that there will be almost no time spent  down with the flu .

Flu Shot - Why Is It So Important?

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!

What should you do when you are down with viral

Viral fever or in layman language, Flu causes runny nose , coughing , fever , bodyache and muscle pain. You need to isolate yourself first so that you do not spread to your near and dear ones as it really spreads fast. Common cold too is a viral infection! Many times when we think that our stomach is upset due to improper eating; but the reality is in many cases, it is viral infection. Viruses enter the body in multiple ways; it is almost impossible from stopping them entering inside. A few solutions though work wonders in keeping their effects at bay.

1. Adequate rest- Viruses take a lot away from your bodies. When you work while being affected by virus, you further bog your body down buying more opportunity for viruses to affect you more. Complete rest may sound lazy, but it in fact is a great way to start off the healing process.
2. Drink right- Drink a lot of water, a hydrated body fights virus better than one that is not. Consume fruit juices, energy drinks and vegetable soups every now and again. Stay away from dairy products like milk, butter milk, milkshakes etc.
3. Eat aplenty- Eat plenty amounts of food. When you are down with virus, you tend to lose appetite. But make sure that you eat as much as you can; this helps in replenishing the energy resource of the body which will battle the virus better. Don’t overeat though.
4. Eat it right- Eat salads, fruits, brown rice, cereals etc. In simpler words, eat light; don’t eat stuff that demands a lot of energy for digesting. If eating is difficult, vegetable soups with whole vegetables and dals in them are ideal.
5. Stay warm- Resting doesn’t just mean the lack of activity. Proper rest is when you keep yourself warm. It’s essential to feel good and almost all viral infections make you cold. Tackle this by staying inside your blanket. Use full sleeve shirts and long pants with gloves, a cap and socks supporting them. 

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What should you do when you are down with Viral Attack

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

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!

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