Diabetes is growing to be the epidemic of modern days. The challenge here is it is not just about managing your sugar levels, but the whole lot of symptoms that diabetes brings with it. From bones to teeth to kidneys to wounds, diabetes affects all body systems. It is therefore very essential to watch out for symptoms of diabetes and curb it in its early stages. This will help control diabetes significantly along with its effects on the whole body.

Diabetes Complications-

Long-term complications of diabetes develop gradually. The longer you have diabetes   and the less controlled your blood sugar   the higher the risk of complications. Eventually, diabetes complications may be disabling or even life-threatening. Possible complications include:

Cardiovascular disease. Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and narrowing of arteries (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
Nerve damage. Excess sugar can injure the walls of the tiny blood vessels (capillaries) that nourish your nerves, especially in your legs. This can cause tingling, numbness, burning or pain. Left untreated, you could lose all sense of feeling in the affected limbs. 
Kidney damage. The kidneys contain millions of tiny blood vessel clusters (glomeruli) that filter waste from your blood. Diabetes can damage this delicate filtering system. Severe damage can lead to kidney failure or irreversible end-stage kidney disease, which may require dialysis or a kidney transplant.
Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. 
Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. These infections may ultimately require toe, foot or leg amputation.
Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.
Hearing impairment. Hearing problems are more common in people with diabetes.
Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. 
The following are some of the basic must do's if you have diabetes. These can go a long way in preventing adverse diabetic side effects.

Diet: Whether diabetic or not, it is always important to watch your diet. You are what you eat. Eat what your body needs, reduce refined foods, processed foods and increase the amount of whole grains and fruits and vegetables. Eating small frequent meals goes a long way in managing sugar levels than binging at one meal and starving the rest of the day. Reduce intake of saturated fats; include more lean meats. Choose grilling and steaming over frying and roasting. Diet is very important in diabetes. Recommended foods - Healthy carbohydrates, Fiber-rich foods, Heart-healthy fish and Good fats. Foods to avoid - Saturated fats, Trans fats, Cholesterol and Sodium
Exercise: Every week, make sure about 2 hours is dedicated to physical activity. This could include any exercise of your choice, brisk walking, swimming, cycling, aerobics, hiking, jogging, skipping, gymnastics, or playing games like football or basketball. While in most cases, the person can do these on their own, in some people, supervision may be required.
Watch your weight: For a diabetic person, controlling weight to a desirable level of BMI of 18 and 23 is very important. Obesity is one of the predisposing factors for diabetes, and reducing weight controls the onset of diabetes and helps the progression of symptoms in diabetics.
Smoking: Another risk factor for diabetes onset, quitting is the best option. If not feasible, reducing smoking and gradually quitting should be aimed at. Not just diabetes, the effects on overall health will be evident almost immediately after quitting.
Stress management: One of the main risk factors for diabetes, there is no getting away from stress. Everybody has their stresses but the trick is to manage it well. Whether it is music or meditation or medication or counselling, make sure stress levels are managed. This also helps prevent diabetic complications like heart disease and stroke and promotes well-being.
Constant Checkups: Periodic check-up of blood sugar levels, cholesterol levels, eye exam, dental checkup, foot checkup to test for nerve damage are all extremely important. Take your medications regularly without fail.
Diabetes requires a change in lifestyle, which may seem tedious initially. But after a while, it will become the norm and then diabetic control does not feel like something additional that is to be done.

Diabetes - 6 Ways You Can Prevent it

The adrenal glands, which sit above the kidneys, are very important to your body as they secrete many important hormones. These hormones are required to regulate many functions within the body. The two most important hormones that these glands produce are  cortisol  and  aldosterone . When your body suffers from the condition of Addison s disease, the glands end up producing very little amounts of these hormones. This will result in many functions in the body being adversely affected.


How do you know your loved one is suffering from Addison s disease?
Addison s disease develops overtime and doesn t happen immediately. However, you would be able to notice some of the following symptoms:
Drop in blood pressure which may result in fainting as well
Development of darker skin due to hyperpigmentation
Development of hypoglycemia or low blood sugar
Unexpected weight loss and a decreased appetite in general 
Craving for salt
Extreme fatigue
Irritability and depression
Vomiting, nausea and diarrhea 
Muscle and joint pains
Abdominal pains
Of these, if you start seeing a combination of frequent hyperpigmentation, muscle and joint pains, nausea, vomiting, abdominal pain, extreme fatigue and unexplained weight loss, you should take your loved one to the doctor immediately as these are telltale signs of Addison s disease.


Diagnosis
There are no ways to self-diagnose this disease as it requires proper medical tests. Some of the medical tests that may be advised for this are:
Blood tests: These are done to measure the levels of sodium, potassium and cortisol in your blood.
ACTH tests: This is a test to determine the exact levels of  cortisol  in your blood and whether it is being produced normally or not.
Hypoglycemia test: This is a test to measure whether adrenal glands are producing enough hormones to regulate insulin. If blood sugar is low, it will indicate problems with the adrenal glands.
Imaging tests: Other tests, such as CT scans may also be prescribed to detect problems within your adrenal glands.


Steps to manage Addison s disease 
Pay regular visits to your doctor: This is very important along with regular tests and checkups as other dependent functions may be damaged and suddenly become life threatening. It may fall on you to take your loved one to a doctor regularly for this reason.
Carry bracelets which have your medical information: If your loved one has a tendency to faint due to the problems caused by Addison s disease, it is important that you ensure they always carry bracelets with medical information with them. This way, strangers will be able to recognize the problem and get help quickly in emergency situations. 
Always keep extra medications: This is a very important point as missing a couple of daily doses and medication can result in sudden deterioration of your loved one's  condition. Have all other forms of administering medications handy as well such as syringes among others.

Addison's disease - How to Support a Loved One Suffering from it?

Do you feel extremely tired many times in a day? Are you experiencing sudden weight gain, chills at night and hair loss? Is your neck a bit bloated up? If you are experiencing any of the mentioned symptoms, it might be that your body regulator- Thyroid- is unbalanced. Quick 3 tests can help you detect any abnormality - TSH, T3 and T4. Women were three times more likely to be affected by thyroid dysfunction than men. 1 in 10 adults in India suffers from hypothyroidism, with 50 per cent being women.

What is the thyroid gland?
The thyroid is a butterfly shaped gland in the front of the neck. It produces hormones that control the speed of your metabolism - the system that helps the body use energy. Thyroid disorders can slow down or rev up your metabolism by disrupting the production of thyroid hormones. When hormone levels become too low or too high, you may experience a wide range of symptoms.

What are the Symptoms?
Thyroid can be of 2 types - Hyper (Overactive) and Hypo (Underactive) Thyroid.
Low and Underactive Thyroid High and Overactive Thyroid
Fatigue Nervousness
Dry Skin & Hair Tremors - Hand Shaking
Brittle Hair Hair loss or thinning hair
Constipation Diarrhea
Low Pulse High Pulse
Weight Gain Weight loss without trying
Intolerance to cold temperature Intolerance to hot temperature
Depression Sweatiness
Swelling in lower part of neck Swelling in lower part of neck

The swelling in the neck is a major and most significant feature. Hence one should always do the Self Neck Test.

Who should be tested?
Women aged 35 and above or those with symptoms/risk factors/family history are the right candidates for screening. It has been estimated that 75% of the people suffering from thyroid are undiagnosed.

Diagnosing thyroid disorders - A simple blood test can provide an answer. TSH (Thyroid Stimulating Hormone) levels determine thyroid hypo and hyper function as it regulates the work of thyroid gland. Rarely an imaging study or biopsy is needed. Two additional tests may be required - T3 and T4.

What happens if Thyroid remains undetected?
As Thyroid disorders are hormonal imbalances, undetection can lead to a number of secondary complications:
Obesity
High Cholesterol and Hypertension
Hair Fall
Heart Disease
Complications in pregnancy

Understanding Thyroid Problems in Women: Did You Get the Test Done?


Many overweight and obese people have darkened and a rather flaky texture behind neck, darkening in armpits and other parts of body with creases and folds like elbows, knees or knuckles. This is commonly mistaken as smudge of dirt, uncleanliness or lack of hygiene. Some people think that it is due to repeated friction caused by necklace or chains etc. In fact it is a sign of'diabetes' which is already developed or might develop in future.

This darkening is due to excessive cell growth and differentiation of fibroblasts caused by excess of insulin in the body especially in obese individuals and type 2 diabetes patients.

In obese individuals and type 2 diabetes patients excess amount of fat especially abdominal fat (tummy fat) causes resistance to action of insulin secreted by pancreas and tends to hamper its action. In return, body produces more and more insulin from pancreas to keep blood sugar under control. This excess amount of insulin secreted by body promotes this skin cell growth leading to the visible condition called'acanthosis nigricans' in medical terms.

After producing excess amount of insulin pancreas start exhausting, this converts into diabetes. At this stage diabetes can be prevented by simple lifestyle modifications &amp; focussed weight loss.

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Are Dark Cracks Behind Neck A Sign Of Diabetes?

Sugar is the generic name that represents sweet-tasting, soluble carbohydrates, many of which are used in food. 

What Happens When Concentrated Sugar Enters the Body?
Sugar is a poison when concentrated because it causes swelling of joints, liver, and brain. Sugar will hamper the healing of your body if you have an injury or chronic illness. Sugar acts as a source of energy for cancer cells and all infectious diseases. Sugar blocks the absorption of the nutrients you are eating, especially all of your minerals.

Harmful Effects of Sugar on the Body

It is a true silent killer: A study in 2008 linked excess fructose consumption to an increase in leptin resistance. Leptin is a hormone that tells you when you have had enough food. For some people, leptin simply does not work, leaving the person with no signal whatsoever that the body had enough food leading to over-consumption of food and consequently, obesity. As all this happens without symptoms or warning bells and you can t quite figure out why you ve gained weight in the past year  sugar  is labeled as SILENT KILLER.
It can damage your heart: In 2013, the Journal of the American Heart Association displayed strong evidence that sugar can actually affect the pumping mechanism of your heart and could increase the risk for heart failure. A molecule from a sugar called glucose metabolite glucose 6-phosphate (G6P) is responsible for the changes in the muscle protein of the heart leading to heart failure.
It promotes belly fat: Excess fructose intake (but not glucose intake) actually causes visceral fat cells to mature leading to a big belly and higher risk for heart disease and diabetes.
It has toxic liver effects on the body: Fructose and glucose in excess can have a toxic effect on the liver as the metabolism of ethanol, the alcohol contained in alcoholic beverages, has similarities to the metabolic pathways like fructose.
It saps brain power: Study shows that excess sugar consumption was linked to deficiencies in memory and overall cognitive health.
Quick Facts!

Your brain lights up with sugar just like it does with heroin or cocaine. Sugar is eight times more addictive than cocaine.
Sugar has empty calories meaning you can consume a lot of it and feel full, but receive no nutritional value.
It is certainly one of the leading causes of early death and chronic illnesses, including diabetes, obesity, and heart disease.
Food companies try to hide sugars in their food by using other forms of sugar. This leads to addiction of their products (e.g. high-fructose corn syrup).
Sugar in itself offers absolutely no nutritional value what so ever to the body. It is often coined with the term empty calories.

Sugar: A Silent Killer!

The body is controlled by chemicals known as hormones. These are produced in minute quantities by minute organs, but have great control on almost all body functions. There are different hormones, each determining different functions like how tall a person will grow, how strong the bones will be, how well a person can react to stress and the reproductive ages. There is also a master gland called the pituitary which is situated somewhere deep in the brain, which controls all these organs. Small variations in the amount of these chemicals in the body produce significant effect on their respective control organ.

Thyroid is one such major gland, which produces a hormone called thyroxine or T4 as it is commonly called. This controls metabolism and emotional health to a large extent. Reduced amounts of T4 is very common in women, and with altered metabolism, there is increased musculoskeletal pain in various joints.

Here are some of the best ways to reduce Joint Pain from Hypothyroidism:

Step Up to Low-Impact Aerobics: Twenty to 60 minutes of near-daily aerobics   really any exercise that gets your heart pumping   can help speed up your metabolism and counter weight gain, a common hypothyroidism symptom and a contributor to joint pain. But if you have joint or knee pain, choose low-impact aerobics. Swimming is the ideal low-impact aerobic exercise   the water buoys your body and cushions joints.
Strengthen Your Muscles: Strength- or weight-training exercises build muscle mass, which uses more calories than fat even at rest. That promotes weight loss and can ease the strain on your joints. Stronger muscles also directly help protect nearby joints. For example, strengthening exercises such as squats, lunges, and leg lifts develop the muscles that support the knees. Start slow with 15 repetitions of each exercise. Then build up to three sets of 15 reps each.
Get Plenty of Sleep: Sleep is the time for muscles and joints to recover. If you're not sleeping well, you are not recovering as fast as you could be. What's more, when you're sleep deprived, you're likely to crave junk and comfort foods that can contribute to weight gain, which adds stress to your joints and increases joint pain. Aim for seven to eight hours of quality sleep each night.
Stick to a Healthy Diet: Replace the junk food that can lead to weight gain with choices that enhance your health. For example, add fatty fish to your diet. It's a good source of omega-3 fatty acids, known to decrease inflammation, which may be contributing to your muscle and joint pain. Coldwater fatty fish such as salmon, mackerel, and tuna have some the highest amounts of omega-3s. Also be sure to get lots of fresh fruit and vegetables high in antioxidants, which may counter inflammation, too.
Practice Yoga: Yoga poses are a great way to provide relief for joint pain while also increasing flexibility. For shoulder pain, look for poses that open your chest, like this simple pose: Sit with your feet flat on the floor. As you inhale, stretch your arms over your head. Clasp your hands together over your head and then turn your palms up toward the ceiling. Drop your shoulders and straighten up as if pushing through your head. Hold for 30 seconds. Release your hands, bringing them down behind you. Next, clasp your hands behind your back and lift your arms. Hold for another 30 seconds.
Don't Let Fatigue Win: Fatigue is one of the most common hypothyroidism symptoms. Even though you might feel listless, you'll benefit from exercise because it will rev your metabolism and help you maintain flexibility despite muscle and joint pain. If you're too exhausted to complete a full exercise routine, break it up into several short bouts   even 10 minutes done three times a day will be effective. Also, stretching and relaxation exercises within two hours of bedtime may help you sleep better.
Meditate for Stress Relief: Having a chronic condition such as hypothyroidism can be stressful, and that stress can actually contribute to pain and tension. That's why it's important to find ways to reduce stress, such as the practice of mindfulness meditation. This form of meditation teaches you how to distract yourself from what's bothering you by refocusing your attention, often on your own breathing. 
Thyroid hormones help all your organs work well. They control how your body uses food for energy.

What Do Thyroids Do

Thyroid hormones affect your metabolism rate, which means how fast or slow your brain, heart, muscles, liver, and other parts of your body work. If your body works too fast or too slowly, you won t feel well. For example, if you don t have enough thyroid hormone, you might feel tired and cold. Or, if you have too much thyroid hormone, you might feel nervous, jumpy, and warm.

What hormones does my thyroid gland produce?

The thyroid gland produces thyroxine (T4), which is a relatively inactive prohormone and lower amounts of the active hormone, triiodothyronine (T3). Collectively, T3 and T4 are referred to as the thyroid hormones. Twenty percent of the body s triiodothyronine is made by the thyroid gland; the other 80% comes from thyroxine converted by organs such as the liver or kidneys.

The thyroid gland also produces calcitonin from cells called C-cells. Calcitonin is understood to play a role in regulating calcium levels in the body, but its exact function in humans remains unclear. Thyroid hormone is one such chemical which has effect on all organs of the body including the joints. Vague pains may be due to thyroid disorders. They are easy to manage with treatment.

Joint Pain Due to Hypothyroidism - Know How You Can Manage it!

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