The disease itself may not discriminate on the gender basis, but when it comes to healthcare for patients with diabetes, women find themselves at a disadvantage as compared to men. Studies indicate that diabetes, a disease that affects over 371 million people worldwide takes a greater toll on women than men. Though, hormones in women do account for some of the unique challenges they have to face, but there are other societal factors as well that bring in the differences.

This World Diabetes Day is about promoting the significance of affordable care for diabetes and equitable access for all women at risk or living with diabetes to essential medicines, technological information and self-management education they require and achieve an optimal outcome to strengthen their adequacy to prevent type-2 diabetes. Because it's your right to a healthy and disease-free future!

So, how will you know if you are suffering from this deadly disease   Diabetes?

Symptoms

Women with diabetes experience many of the same symptoms as that of men. However, there are some that are specific to women.

Symptoms experienced by both women and men:

Frequent urination

Increased thirst and hunger

Unnecessary weight loss or gain

Blurred vision

Fatigue

Wounds that heal slowly

Skin infections

Nausea

Breath that has a sweet or fruity odor

Irritability

Reduced feeling in hands or feet

Symptoms unique to women:

Vaginal yeast infections

Urinary infections

Vaginal thrush

Polycystic ovary syndrome

Female sexual dysfunction

Diabetes is the ninth leading cause of death in women globally, causing 2.1 million deaths each year. Two out of every five women suffering from diabetes are of reproductive age. Women with diabetes have more difficulty conceiving and may have poor pregnancy outcomes.

Diabetes and Pregnancy

The affect of Diabetes, in a pregnancy, will not be great, if controlled properly. Women with diabetes should talk to their gynaecologists while planning to conceive so that they can control their blood sugar levels even before getting pregnant. Your gynaecologist will help you control and monitor your diabetes and blood sugar levels during pregnancy.

And, if you fail to get your blood sugar levels under control during pregnancy, you may experience severe risks:

Miscarriage

Premature delivery

Difficult delivery or cesarean section (C-section)

Birth defects

Having a large baby

Preeclampsia (high blood pressure usually with protein in the urine)

Low blood glucose in a newborn

Breathing problems in the newborn

Yellowing skin and eyes (jaundice) in a newborn

Worsening diabetic eye problems and kidney problems for the mother

Urinary or bladder infections

What is Gestational Diabetes?

When diabetes occurs in women during pregnancy, it is called gestational diabetes. It is usually diagnosed at the first week of pregnancy. Like in type 1 and type 2 diabetes, blood sugar levels become too high. When a woman is pregnant, more glucose is required to nourish the baby developing inside her womb. During this time, the body needs additional insulin, which is produced by the pancreas. In some women, the body does not produce enough insulin to meet this need, and blood sugar levels rise, resulting in gestational diabetes. 

Fortunately, for most women, gestational diabetes will go away once the baby is delivered. However, women who have had gestational diabetes are at increased risk of developing type-2 diabetes. Further, people suffering from PTSD are at higher risk and should consult their doctors immediately and those who are presently affected with Diabetes should consult for pre-conception consultation.

Risk Factors for Diabetes in Women

You are at risk for type-2 diabetes if you:

are overweight or obese

are older than 45

have a family history of diabetes (parent or sibling)

have had gestational diabetes

have had a baby with a birth weight of more than 9 pounds

have high blood pressure

have high cholesterol

have other health conditions that are linked to problems using insulin, such as PCOS

Diabetes Treatment Options

Medications

There are various medications you can take to control the symptoms of diabetes. These include:

Insulin therapy

Sulfonylureas like chlorpropamide, which increase pancreatic insulin secretion

Metformin (Glucophage), which reduces blood sugar

Lifestyle changes

A change in your diet and lifestyle can also help women control their diabetes

Exercise and maintain a healthy weight

Monitor your blood sugar

Eat a diet focused on fruits, vegetables, and whole grains

Strictly avoid smoking cigarettes

Alternative remedies

Women with diabetes can try other alternative remedies to treat the symptoms, such as 

Eat more broccoli, buckwheat, sage, peas, and fenugreek seeds

Take supplements like chromium or magnesium

Take plant supplements

But, always remember to consult with your doctor before trying any new treatment. Even if they are natural, they can intrude with your on-going treatment or medications. So, this World Diabetes Day, take a pledge towards healthy living... because your health is important to someone else!



type diabetes

Diabetes In Women - Because It's Your Right To A Healthy Future!

Diabetes is a lifestyle disease that can easily be managed by controlling our diet. Along with being aware of your sugar intake, your diet should help you lower blood pressure and cholesterol levels. However, this does not mean you have to resign yourself to a lifetime of tasteless food.

Here are a few diet tips that can help manage diabetes: 

Choose high fiber carbohydrates: Carbohydrates are an essential element of the daily diet but have a huge impact on blood sugar levels. Hence, it is important to pick the right carbohydrates. Your diet should have a limited amount of refined carbohydrates such as white bread, pasta, soda etc. and should be focused more on high fiber carbohydrates such as brown rice, sweet potatoes, rolled oats and bran flakes that are digested slowly. This prevents your body from producing excessive insulin.
Be sweet smart: The key to indulge your sweet tooth and controlling diabetes is moderation. Abruptly, removing sugar from your diet can make you crave for it. Instead, gradually lower your sugar intake. If you can't miss out on the dessert at the end of a meal, reduce the amount of carbohydrates in your meal. Adding healthy fats like peanut butter, yogurt or nuts to your dessert can also slow down the digestive process and thus control blood sugar level.
Keep a food diary: When you are diabetic, it is very important to eat at regular intervals. Eating frequent, small meals are often better than fewer large meals. Try and maintain a food diary to keep track of your calorie intake. This helps identify problem areas of where your body is getting excessive calories from. When you are aware of the calories associated with things you eat, it is easier to cut down on snacks and replace unhealthy snacks with healthier options.
Choose fats wisely: It is impossible to completely cut out fats from your diet. While some fats such as liquid vegetable oils and commercial baked goods are unhealthy, others have important health benefits. Unsaturated fats are the healthiest and safest. Replacing your vegetable cooking oil for olive oil and biscuits with nuts are easy ways to make smart choices with your fat intake.
Go green: Green leafy vegetables are low on carbohydrates and high on nutrients. Thus, make them an integral part of your meal. Vegetables like kale, spinach, lettuce, etc. can be eaten raw or cooked. Along with being nutritious, they also add texture and color to your meals, thus making them more visually appealing.
If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

5 Tips To Control Diabetes Through A Diet!

With sedentary lifestyle, refined and processed food habits, obesity and diabetes is the new age epidemic. India, in fact, is being termed as the diabetes capital of the world given the huge rise in the number of cases over the last couple of decades.
There are well established risk factors for diabetes and if these can be managed, then the chance of delaying onset, controlling progress and containing complications are highly possible. Read on to know how simple things can be effective in preventing and managing diabetes.


Weight control: Obesity is the most important risk factor for developing diabetes. A person with normal BMI is 20 to 40 times less likely to develop diabetes than an overweight person. Losing about 10% of the excess weight can help prevent diabetes by more than 50%. Check with your doctor what should be the ideal recommended weight for you and draw up a routine (diet, exercise, etc.) that will help you achieve and stay around that weight range.
Exercise: All methods of exercise help in moving the muscles, which is drastically reduced given our sedentary lifestyle. Moving the muscle (as much and as often as possible) ensures they absorb more glucose and reduce the stress on insulin production. Something as simple as brisk walking for 30 minutes is good enough to reduce the chances of developing diabetes by 50%.
Don t be a couch potato: If watching television is your favourite pastime, it is time to change it. This puts people at risk of developing obesity, heart disease and diabetes. Also, watching television is usually associated with overeating, further adding to the risk of diabetes.
Fibrous foods: Eating fibrous fruits and vegetables as compared to refined and fried foods helps prevent diabetes. 
Whole grains vs processed foods: When you have to choose between a pizza and a bowl of brown rice, go for the latter.
Good fats vs bad fats: Polyunsaturated fatty acids are found in vegetable oils, nuts, and seeds and help control diabetes. Trans fats present in margarine and baked foods are best avoided.
Non-vegetarian foods: If you have a choice, pick fish and poultry versus red meat (processed or otherwise). The fish is rich in Omega-3 fatty acids and helps control inflammation.
Leave the whites: Get off white rice, white refined sugar and white flours. Include brown rice, brown or demerara sugar and wheat flour instead. 
Smoking: Quit smoking and you will note how beneficial it is in preventing diabetes. 
Alcohol: Moderate amount helps in effective functioning of the insulin.
If you have a family history or have risk factors, follow the above to prevent diabetes.

Diabetes - 10 Easy Steps To Help You Prevent it 

Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body. 
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.


Top 5 Things All Diabetics Must Do

There was an era where we had deadly infections like plague and polio causing death of thousands of people. We still have occasional outbreak of swine flu, but by and large, infections are quite controlled. The new killer diseases are caused because of the lifestyle we have adapted and the damage we have done to the environment. High intake of processed foods, artificial chemicals in our foods, sedentary lifestyle with very minimal to no physical activity, couching over the computers; the list is quite long. All these have led to diseases like diabetes and cancer that were not so common about say few decades ago.

Detailed observation has revealed that both these new epidemiologic diseases have a close correlation. There are factors, which induce diabetes and diabetes in turn and in some cases, diabetes inducing agents, can cause cancer also. It has also been observed that mortality is severely increased if diabetic patients are diagnosed with cancer. There are two types of diabetes. While type 1 is mostly hereditary, type 2 is lifestyle induced and the age at which this is being diagnosed is taking a severe plunge. Adolescents and teenagers are being diagnosed for diabetes. Cancer, on the other hand, is of various types (leukaemia, melanoma, etc.) and can affect various organs (lung, breast, prostate, stomach, liver, etc.).

The medical community is yet to decipher the disease pattern of both these conditions. While there is no definite correlation between diabetes and all types of cancer, some types of cancer are definitely correlated with a definite reason identified, pancreatic and liver cancer for instance. The high amounts of insulin that diabetic patients are exposed to causes changes in liver and pancreas including fatty liver and cirrhosis, here the incidence of cancer is higher. The linkage is not very clear in lung and intestinal cancers and also there is no link between prostate cancer and diabetes.

Diabetes is considered as a state of chronic inflammation and leads to conditions like hyperinsulinemia (higher levels of insulin in the blood) hyperglycemia (higher levels of sugar in the blood). These are believed to aggravate the neoplastic process of cancer formation, thereby inducing cancer at a greater pace and also increasing the mortality rates.

The following are risk factors that are applicable to both age, physical activity, diet, obesity, drinking and smoking. It is also possible that onset of one can be followed by the other. As noted earlier, more detailed research is awaited to establish a definite linkage, but the correlation cannot be ignored at all.

Both these new epidemics are here to stay and since they have a common set of factors, we need to work on ways to contain them.

Diabetes and Cancer: The New Epidemic?

Are you suffering from diabetes? If yes, then it s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take medical efforts to get rid of diabetes as soon as possible. 


You are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%.  Also, diabetes patients should keep a check on blood pressure and cholesterol levels. 


Here s how diabetes can affect your overall health:
1. Check your heart: There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as a hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.


2. Neuropathy: Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (which affects toes, feet, legs, hand and arms) and Autonomic (which affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.


3. Nephropathy: Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.


4. Foot ulcers and amputations: Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, Charcot joint or Charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region.


5. Retinopathy: Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina.

Diabetes: It Can be the Reason Behind Other Disorders

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