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?

Diabetes is a systemic disease that affects almost every part of your body. Of these, the digestive system is the most badly affected. While gastrointestinal disorders are commonly experienced by everyone, diabetics have a much higher risk of suffering from indigestion, food poisoning, gallstones and ulcers. Some of the most common gastrointestinal problems experienced by diabetics are:

Gastroparesis: High blood sugar levels can damage the vagus nerve that controls the emptying of the stomach. As a result fo this damage, the muscles of the stomach and intestines do not work optimally leading to a condition known as Gastroparesis. This is a condition where the stomach is not able to empty itself properly and the digestion process is slowed down. Gastroparesis can cause bloating, nausea, pain in the abdomen, heart burn and a loss of appetite. It can also cause undigested food in the stomach to harden and form lumps that block food from moving into the intestines. This disease cannot be cured but can be managed with medication and a special diet.
Ulcers: Stomach ulcers can be described as open sores that develop on the inner lining of the stomach, oesophagus and beginning of the small intestine. These ulcers form as a result of bacterial infections. Diabetes weakens a person s immune system thus reducing their ability to fight these infections and increasing the risk of developing ulcers. Diabetes also increases the risk of bleeding from these ulcers and secondary infections that may arise from it.
Yeast infections: Diabetics are extremely vulnerable to yeast infections. This is aggravated by fluctuation in blood sugar levels and can extend from the mouth to the oesophagus. Common symptoms of this type of yeast infection are pain in the throat and difficulty swallowing. It may also cause heartburn and intestinal bleeding if left untreated.
Celiac sprue: This condition creates gluten allergies and causes the inflammation and thinning of the small intestine s mucosa. In some cases, this condition may interfere with the absorption of food and lead to diarrhoea and weight loss.
Diabetic diarrhoea: Patients who have been suffering from diabetes for a few years may experience an increased urge to pass stools frequently. This is usually related to gastric problems in the colon which cause fluids to move at a faster than normal speed through the small bowel and colon. It may also be caused due to the secretion of fluids in the colon and improper absorption of food.

5 Common Gastric Problems Experienced By Diabetics!!

Do your eyes get tired easily? Do they look sore or sandy? If yes, then it s time to worry for your eyes now. There is every possibility that you might have developed a dry eye. It is a common disorder of the eyes that occurs due to aging. It causes discomfort as you end up feeling scratchy or gritty all the time. The eyes turn red and have a burning sensation and feel itchy. Things get worse when you tend to stress your eyes by spending extra hours in front of the computer or read texts. In fact, the discomfort increases as the blinking frequency of the eyes get reduced.

One may also develop blurred vision due to dry eyes. An individual feels as if there is some particle inside his or her eyes, but finds nothing. Though this condition doesn t lead to very dangerous consequences, it is always a wise decision to seek medical help. The medical term for this condition is keratoconjunctivitis sicca. Once you develop dry eye, there is always a tendency to get it back again. But, the good news is that it can be treated to get some relief.

Causes
Dry eye is caused due to problems related to tear formation. When we blink our eyes, a film is formed over it. This thin layer is called a tear film. Tear film is responsible for clarity in vision. In case, enough tear is not produced, one tends to suffer from dry eyes. It is mainly caused due to ageing. 
If you don't produce enough tears, if your tears aren't of the right quality or your tears aren't spread across the front of your eye properly then you may develop dry eye. The glands producing tear or the tear film get inactive with age. Sometimes, the tear film is also affected by certain medicines, contact lenses, diseases like rheumatoid arthritis and Sjogren's syndrome.

Treatment
Dry eyes caused due to ageing cannot be cured completely. You must see a doctor for treatment but there are no permanent cure remedies. However, there are ways to help you get some relief. Here are the ways:

Try to increase the natural tears: There are certain home-based remedies to get some relief from the problem. You can keep the temperature of your room lower to get rid of the symptoms of dry eyes. Higher temperature leads to the evaporation of the tears. You can keep a humidifier in your room that adds more moisture to the air inside the room. This prevents drying up of the eye due to evaporation of tears. It is also found that when one blinks less, tear formation is reduced. The blinking is reduced while working on computers and reading. One must be careful while doing such things and try and blink as many times as possible.
Use eye drops: One needs to use eye drops called  artificial tears.  They are an alternative to the natural tears. If usual drops are not effective, gel-based thicker drops or overnight ointments are prescribed.
Block tear ducts: Another way of tackling dry eyes is by reducing the drainage of tears. For this, the tear ducts are blocked by plastic pieces called punctual plugs. The process is termed as punctal occlusion.
Take food supplements: Certain oils and Omega 3 and 6 are known to be beneficial in treating dry eyes. Include these supplements in your diet to keep your eyes healthy.

Dry Eye Syndrome - 4 Ways to Treat It!

Chlamydia is one of the more common STDs among both the genders. It spreads through physical intimate contact; it can develop irrespective of one s age, however, is most commonly observed among young women. In women, the symptoms include yellow or green colored odorous vaginal discharge, painful urination and a burning sensation or itching around the vagina, lower abdominal ache, painful menstruation or bleeding during sexual intercourse. Now if the infection reaches up to the fallopian tubes, it causes a disease known as Pelvic Inflammatory Disease (PID). In case of unprotected oral sex, the bacteria causing this disorder,  Chlamydia Trachomatis  might infect the throat as well.

Reasons Behind Chlamydia in Women:

Being a sexually transmitted disease, Chlamydia gets passed on from one person to another through unprotected sex or through the contact with the genitals of an infected person.

In some cases, infants are likely to inherit the disease from their mothers during birth, if she is already affected with it. Hence pre-natal checkups are essential for detection.

Although very rare, this infection can affect the eyes as well via oral or genital contact.

How To Treat Chlamydia?

The infection can be resolved within a couple of weeks with the use of antibiotics. Once it is diagnosed, the treatment course should start immediately. The widely used antibiotics for curing chlamydia are azithromycin and doxycycline. If you are breastfeeding or pregnant or suffering from any allergy, your doctor might prescribe erythromycin or amoxicillin. For severe complications, a longer course is administered. The treatment may induce mild side-effects in the form of vaginal thrush, sickness, diarrhea and tummy pain.

Try and avoid any sort of sexual activity (intercourse or other activities) till the treatment is completely done and none of you show any other sign of the infection.

Chlamydia - Reasons Why it Affects Women

Urinary incontinence is the unintentional passing of urine. It's a common problem thought to affect millions of people. There are several types of urinary incontinence, including:

Stress Incontinence  when urine leaks out at times when your bladder is under pressure; for example, when you cough or laugh.
Urge Incontinence  when urine leaks as you feel a sudden, intense urge to pass urine, or soon afterwards.
Overflow Incontinence (chronic urinary retention)  when you're unable to fully empty your bladder, which causes frequent leaking.
Total Incontinence  when your bladder can't store any urine at all, which causes you to pass urine constantly or have frequent leaking.
It's also possible to have a mixture of both stress and urge urinary incontinence.

What causes urinary incontinence in men?

Urinary incontinence in men results when the brain does not properly signal the bladder, the sphincters do not squeeze strongly enough, or both. The bladder muscle may contract too much or not enough because of a problem with the muscle itself or the nerves controlling the bladder muscle. Damage to the sphincter muscles themselves or the nerves controlling these muscles can result in poor sphincter function. These problems can range from simple to complex.

A man may have factors that increase his chances of developing UI, including

birth defects problems with development of the urinary tract
a history of prostate cancer surgery or radiation treatment for prostate cancer can lead to temporary or permanent UI in men
UI is not a disease. Instead, it can be a symptom of certain conditions or the result of particular events during a man s life. Conditions or events that may increase a man s chance of developing UI include

benign prostatic hyperplasia (BPH) a condition in which the prostate is enlarged yet not cancerous. In men with BPH, the enlarged prostate presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty, leaving some urine in the bladder. The narrowing of the urethra and incomplete emptying of the bladder can lead to UI.
chronic coughing long-lasting coughing increases pressure on the bladder and pelvic floor muscles.
neurological problems men with diseases or conditions that affect the brain and spine may have trouble controlling urination.
physical inactivity decreased activity can increase a man s weight and contribute to muscle weakness.
obesity extra weight can put pressure on the bladder, causing a need to urinate before the bladder is full.
older age bladder muscles can weaken over time, leading to a decrease in the bladder s capacity to store urine.
Treating Urinary Incontinence

Initially, your GP may suggest some simple measures to see if they help improve your symptoms. These may include:

lifestyle changes   such as losing weight and cutting down on caffeine and alcohol
pelvic floor exercises   exercising your pelvic floor muscles by squeezing them, taught by a specialist 
bladder training   where you learn ways to wait longer between needing to urinate and passing urine, guided by a specialist
You may also benefit from the use of incontinence products, such as absorbent pads and handheld urinals.
Medication may be recommended if you're still unable to manage your symptoms.
Surgery may also be considered. The specific procedures suitable for you will depend on the type of incontinence you have.
Surgical treatments for stress incontinence, such as tape or sling procedures, are used to reduce pressure on the bladder or strengthen the muscles that control urination.
Operations to treat urge incontinence include enlarging the bladder or implanting a device that stimulates the nerve that controls the detrusor muscles.

Men Urinary Incontinence Treatment

Moles are a common form of growth or formation on your skin that appear often in the form of small, black spots. They can develop anywhere on the body. They usually occur during adolescence or childhood and with the passage of time, they may change colour. Moles are a type of skin growth, which usually do not go away with time.

On the other hand, freckles are often described as round, flat, dark colour spots which vary in size from about 2mm to 4mm. They may result from pigment precipitation in one particular area as the skin that surrounds the dark spot is comparatively lighter in shade. Being sensitive to the sun s ultra violet rays, freckles become more noticeable during or after sunlight exposure. Although freckles are usually found in areas which are not covered from the sun s exposure, they could also occur anywhere on your body.

What causes them?
Moles are caused due to certain skin cells, known as melanocytes, grow in a very close group instead of being evenly and normally spread across the skin. Moles that occur during birth are called congenital nevi and their chances of occurring are around 1 in a 100. These moles are more prone to develop into skin cancer (melanoma) in later stages of life.

Freckles on the other hand are 

Genetically transferred, so the chance of you becoming affected are higher, if any of your parents have it.
If there s a prolonged exposure to the sunrays, then freckles may appear on your skin and they become even more prominent on a fair skin. Since the presence of melanin is less in people with fair skin the sunlight exposure causes these dark spots to surface easily
Hormonal imbalances could be yet another reason for freckles to appear as estrogen could be over-stimulate cells that produce pigment and thus become more prominent in the presence of sunlight.
Rare disorders like Xeroderma Pigmentosum (a condition leading to extreme light sensitivity and also skin cancer in certain cases) can make your skin more sensitive to the UV rays, thus resulting in freckles.
Treatment of moles and freckles

Laser Treatment: There are different types of lasers which are absolutely safe and can help reduce or lighten these dark spots effectively.
Cryosurgery: The physician would use a light freeze in conjunction with liquid nitrogen to reduce the spots of freckles. However, not every spot responds to this kind of treatment.
Retinoids: Mostly used with a combination of other bleaching creams, retinoids help reduce freckles when used continuously for a couple of months.

Moles and Freckles? How They Can Be Treated?

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