Insulin is the most common treatment prescribed for people affected with diabetes. Diabetes is condition where high amounts of glucose prevail in the blood for an extended period of time. However, there are some drugs that offer an alternative to insulin in treating diabetes, which are:

1. Liraglutide: Liraglutide is a glucagon-like peptide-1 (GLP-1) drug that causes the body to release greater amounts of insulin so as to facilitate the movement of glucose from the blood to the cells. People with type 2 diabetes generally use this treatment. It slows the digestion process and can cause symptoms of headache and nausea. 

2. Pramlintide: It's an artificially produced version of amylin. It is taken by both type 1 and type 2 diabetic patients, facilitates slower digestion of food and therefore, controls release of sugar in the blood. It can cause tiredness and nausea.

3. Dulaglutide:This treatment is for people affected with type 2 diabetes and it is administered once a week. It causes more insulin to be released and pass the glucose to the cells. It can cause loss of appetite, nausea and abdominal cramps as side effects.

4. Albiglutide: This treatment facilitates pancreas to release insulin and limits the glucagon hormone production. It is used by type 2 diabetes patients who have not taken well to other treatments. The side effects are skin reaction, respiratory tract infection and nausea.

5. Exenatide: It is a drug that causes pancreas to release insulin that facilitates movement of glucose to cells. It is a treatment for type 2 diabetes and it restricts release of glucagon in the body. The possible side effects are acidity, constipation and vomiting.

Common Insulin Alternatives

Thyroid disorders are conditions that affect the thyroid gland, which is a butterfly-shaped gland in front of the neck. There are specific kinds of thyroid disorders that include:

Hypothyroidism
Hyperthyroidism
Goiter
Thyroid Nodules
Thyroid Cancer
Epidemiology, Incidence, and Prevalence
It has been estimated that about 42 million people in India suffer from thyroid diseases.

Hypothyroidism

Hypothyroidism occurs when the thyroid gland produces an insufficient amount of thyroid hormone. It can develop from problems within the thyroid gland, pituitary gland, or hypothalamus. 

Symptoms of hypothyroidism can include:

Fatigue
Poor concentration or feeling mentally "foggy"
Dry skin
Constipation
Feeling cold
Fluid retention
Muscle and joint aches
Depression
Prolonged or excessive menstrual bleeding in women
Common Causes of Hypothyroidism

Hashimoto's thyroiditis (an autoimmune condition that causes inflammation of the thyroid gland)
Thyroid hormone resistance
Other types involving inflammation of the thyroid, such as acute thyroiditis and postpartum thyroiditis
Hyperthyroidism

Hyperthyroidism refers to the excessive production of thyroid hormone, a less common condition than hypothyroidism. Symptoms of hyperthyroidism are usually related to increased metabolism. In mild cases, there may not be apparent symptoms.

Signs and symptoms of hyperthyroidism can include:

Tremors
Nervousness
Fast heart rate
Fatigue
Intolerance for heat
Increase in bowel movements
Increased sweating 
Concentration problems
Unintentional weight loss
Common causes of hyperthyroidism

Graves' disease
Toxic multinodular goiter
Thyroid nodules that overexpress thyroid hormone (known as "hot" nodules) 
Abnormal secretion of TSH
Thyroiditis (inflammation of the thyroid gland)
Excessive iodine intake
Goiter: A goiter is an enlargement of the thyroid gland, regardless of cause. A goiter may be associated with hypothyroidism, hyperthyroidism, or a normal thyroid function. 

Thyroid Nodules: Nodules are lumps or abnormal masses in the thyroid. Nodules can be caused by benign cysts, benign tumors, or less commonly, by cancers of the thyroid. If nodules are excessively large, they may cause symptoms related to compression of nearby structures. 

Thyroid Cancer: Thyroid cancer is more common among adult women than men or youth. About 2/3rd of cases occur in people under age 55. There are different kinds of thyroid cancers depending upon the specific cell type within the thyroid that has become cancerous. Most cases of thyroid cancer have a good prognosis and high survival rates, especially when diagnosed in its early stages.

Investigations

Blood tests are done to measure levels of thyroid hormones. Blood tests are also done to identify antibodies against thyroid tissue, such as titers of antithyroglobulin, antithyroperoxidase, or TSH receptor-stimulating antibodies.

Treatment

Thyroid disorders can be treated with medications or, in some cases, surgery. The treatment will depend on the particular disease of the thyroid.Medications can be given to replace the missing thyroid hormone in hypothyroidism. Synthetic thyroid hormone is given in pill form by mouth. When hyperthyroidism is present, medications can be used to decrease the production of thyroid hormone or prevent its release from the gland. 

Thyroid Disorder - What All Should You Know 

Thyroid disorders are associated with the thyroid gland. A thyroid gland is a butterfly-shaped gland situated right at the base of one s neck. The role of the thyroid gland is to carry out numerous metabolic processes within the body. The brain regulates the functioning of the thyroid gland through a feedback mechanism. There are a number of disorders, both severe and trivial, which could affect the thyroid gland.

Main symptoms of thyroid disorders:

Weight loss and weight gain

Changes in heart rate (arrhythmia)

Hair loss

Frequent mood swings

Swollen neck

Sudden bouts of moderate to high fever

Other symptoms include:

Numbness or a tingling sensation in the hands

Constipation

Abnormalities or irregularities in menstruation

Brittle nails and dry skin

Blurred vision

Weakened muscle tone and frequent tremors in the body

Treatment Options:

Intake of thyroid hormone pills may prove beneficial. Once you start with the treatment, you may notice significant improvement within the first two or three weeks. Generally, once affected by thyroid disorders, one might have to be on these medications his/her entire life. Over time, this treatment procedure should result in lowering of the cholesterol levels, increased energy; but in certain cases, might throw up side effects in the form of sudden and unexplained weight loss.

Anti-thyroid medications help reduce and regulate the secretion of the thyroid hormone, thus treating certain thyroid disorders (such as hyperthyroidism).

Beta blockers are drugs help in reducing high blood pressure, heart palpitations and controlling heart rate.

In severe cases, such as enlargement of the thyroid gland, surgery is advised by the doctor, in which the thyroid gland is removed. Tumors or thyroid nodules are also treated by this surgical process.

In cases of thyroid cancer, besides the surgical procedure, radioactive iodine therapy (radioiodine) is recommended. This therapy helps destroy the thyroid gland and other thyroid (malignant) cells which may be taking up iodine. However, the side effects of this technique are minimal. This procedure helps to destroy those tissues which may not have been removed by the surgery. If the thyroid cancer has spread to the lymph nodes or to other parts within the body, this particular mode of treatment can be very effective.

Types of Thyroid Disorders:

Hypothyroidism: This is a condition characterized by an underactive thyroid gland. In this case, sufficient thyroid hormone is not secreted in the body.

Hyperthyroidism: This is characterized by an overactive thyroid gland, that results in overproduction of the thyroid hormone.

Thyroid cancer: It is a type of cancer of the thyroid gland.

Goiter: This is a disorder wherein the thyroid gland gets abnormally enlarged.

Thyroid nodules: This is marked by swelling of the thyroid gland.

Thyroid Disorders - Signs & Symptoms To Watch Out For!

Pregnancy is a time when women need to be in the best of their health. Yet, there are various kinds of conditions and ailments that a pregnant woman can suffer from. One of them is gestational diabetes mellitus. Gestational diabetes is a type of diabetes mellitus that usually afflicts pregnant women who are suffering from high glucose levels in their blood. Let us get to know more about this condition.

Timing: gestational diabetes strikes an expecting mother around the third trimester. This is usually the time when pregnant women exhibit levels that are higher than normal. This may be due to the fact that the placental lactogen can block the action of the insulin receptors, leading to a spike in blood sugar levels.&nbsp;

Past history of diabetes: women who have not previously witnessed a rise in their blood sugar levels or any previous diagnosis of diabetes can also end up contracting gestational diabetes during their pregnancy due to an ineffective insulin response of the body and its chemicals. Also, after suffering from gestational diabetes, women are at a higher risk of suffering from type 2 diabetes mellitus, thereafter.&nbsp;

Untreated gestational diabetes: the children born to mothers, who were not treated properly for gestational diabetes, are usually at risk of various other ailments. These children may be prone to complications during delivery. After birth, they are prone to various issues like low blood sugar levels as well as jaundice. These children may not be able to enjoy a normal delivery, and may have to be delivered via caesarean section, and even face premature delivery.&nbsp;

Food: it is important to monitor the blood sugar levels in gestational diabetes. One of the best ways to do this is to follow a proper diet plan. The food in the diet of these expecting mothers should include dietary fibres, carbohydrates and other nutrients like protein, calcium and iron. It is important to break the meals down into smaller portions or mini meals so that the insulin inhibitors can do their work more effectively, even as the body and the baby remain nourished.&nbsp;

Exercise: while most forms of exercise are discouraged during pregnancy, it is always a good idea to remain fit by doing your chores and walking. Pre-natal yoga can also help by introducing certain yogic poses that are good for expecting mothers. Gestational diabetes can also be tackled with the help of exercises like walking.&nbsp;
Gestational diabetes must be treated on time, and properly, so as to avoid complications for the baby and mother during and after birth.


Things To Know About Gestational Diabestes

Common causes of infertility in Women

Fertility in women can be affected because of various external or internal reasons. It is good to understand the problems since this fast becoming a very common problem. 

The causing factors usually include - 

1. Ovulation problems - One reason for female infertility is when eggs don't mature in the ovaries. This is known as ovulation problems. Possible symptoms of this are absent or irregular periods and the possible solution is keeping a check on body weight, taking fertility drugs and/or having IVF.

2. Uterus problem - There are tissues, known as endometrial tissues which form the lining of the uterus. When they grow outside the uterus, it is called endometriosis and can be a reason for infertility. While some women have no symptoms of this, some have painful periods. Fertility drugs, ivf and surgery to remove the tissue are its possible solutions.

3. Pcos - Pcos or Polycystic Ovarian Syndrome is of late one of the most common reasons of female infertility. It is characterised by unpredictable ovarian patterns and hormonal imbalances. Possible symptoms are acne, obesity, irregular periods, and excessive hair growth. Weight loss, changes in lifestyle, injected fertility drugs, ivf and ovarian drilling are its possible solutions.

4. Damaged fallopian tubes - Some women have blocked or damaged fallopian tubes which prevent the sperm from getting to the egg. This situation leads to stds and pelvic inflammatory diseases. There are no symptoms as such and the methods of solution are surgery to open the tubes and if that is not possible, to remove the tubes and try ivf.

5. Unidentified reasons - There are many unexplained fertility problems where none of the above mentioned problems exist. In such situations, fertility drugs - with or without artificial insemination or ivf are advised.

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5 Major Causes Of Infertility In Women

At present 3 out of the 5 people are suffering from diabetes and it is the 7th leading cause of death worldwide. Moreover, it is no more restricted just to adults and affects children as well. Diabetes is a metabolic disease resulting in increase in the level of glucose in the body. Glucose is a source of energy for the cells making up the muscles and other tissues in the body. But if the level of glucose goes up, it shows the sign of danger. Diabetes is of 2 types: 

1. Type 1: body fails to produce insulin.
2. Type 2: Body fails to produce enough insulin which is required by the body.

There are no definite signs of diabetes. It simply varies from person to person. In many of the cases it goes unnoticed. Such signs are as follows:

1. Sudden weight loss: You might experience a sudden weight loss of 5 to10 kgs within a month. This happens when sugar metabolism ceases very quickly.  Insufficient insulin prevents the body from taking in glucose in the body cells from the blood to use as energy. In such a scenario the body starts burning fat and muscle for energy. This results in weight loss.

2. Intense hunger: The cells in your body might not get enough energy either due to absence or improper functioning of insulin in your blood. This makes you hungry quite often.

3. Excessive urination and thirst: Due to diabetes, the glucose level in the body goes up. The kidneys are overloaded with the burden of working overtime for filtering and absorbing the excess glucose in your body. The excess sugar, which the kidney cannot store is excreted out of your body. This makes you urinate frequently.  Due to frequent urination the body gets dehydrated which makes you feel thirsty more often.

4. Blurred vision: Due to the high level of glucose in your body tissues gets pulled away from the lens of the eyes. This results in vision issues. If not treated on time, it may even lead to blindness.

5. Increased fatigue: The cells in your body might not get enough energy either due to absence or improper functioning of insulin in your blood. This makes you restless more often and you may even feel too weak to do your regular activities.

If you notice any of these signs, get the level of sugar in your checked and take the required remedies. It is good to get it treated as early as possible rather than facing immense trouble in future.

5 Common Signs of Diabetes That Often Go Unnoticed

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