Pregnancy brings with it the need to be extra careful about the overall well-being of the mother-to-be. Extreme caution has to be taken in managing health, as antibiotics and a lot of other treatment modalities are best avoided during pregnancy. With diabetes becoming common in the younger ages and women choosing to delay pregnancy, there are multiple women who are diabetic and choose to get pregnant later in life.

With diabetes being a chronic and a lifestyle condition, it definitely has its effects on pregnancy. However, the key is to manage diabetes cautiously in such a way that its effects on pregnancy, both the mother and the developing baby, are minimal. The increased blood sugar levels from the mother pass on to the baby, so keeping a close watch on the blood sugar levels is very important.

The maximum effect of diabetes on the baby is during the first few weeks of pregnancy. It is when the vital organs (brain, heart, lungs and kidneys) are forming, and high blood sugar levels can be harmful. This is slightly tricky as most women realise they could be pregnant only after about 6 weeks. If pregnancy is planned, it is best advisable to keep a check on sugar levels much ahead of the pregnancy.
The baby could be used to high levels of sugar while in the womb, and once delivered, it could have too low sugar levels. This needs to be monitored.
Preeclampsia, which is increased protein in the urine and high blood pressure, can happen during the second trimester. This may require the baby to be delivered prematurely.
Babies born to diabetic mothers are often bigger. The baby s pancreas is used to higher sugar levels and so the extra sugar gets converted to fat, which is the reason for the bigger babies. This may also necessitate C-sections.
Pregnancy can induce the development of diabetic retinopathy, which may prevent vaginal delivery, as the woman may not be able to exert the required pressure.
Abnormal calcium and magnesium levels, which need to be monitored for a while after birth
Most diabetic women reach full term if the sugar levels have been under good control.
Diabetic pregnant women are high at risk. However, with advanced medical care, these risks and complications are managed very well producing healthy babies from normal deliveries with effectively no harm to the mother s health. Once a diabetic woman tests positive, it is advisable to seek medical help to plan diet/meal plan, physical activities, exercise regimen, lifestyle changes, and medication dose adjustments. This is not a one-time activity, but needs to be closely monitored with daily blood sugar levels throughout the pregnancy. 

How Can High Diabetes Affect Your Pregnancy?

One of the more severe illnesses included in the larger group of diseases known as inflammatory bowel disease (IBD), Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.

Crohn's disease is subdivided into five types, each having its own set of symptoms:
1. Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
2. Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
3. Crohn's colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas,
4. Ileitis: This type affects the ileum and the symptoms are identical to those of ileocolitis.
5. Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.

Causes
Despite the uncertainty as to the nature of the specific causes of Crohn's disease, there have been a few possible causes which have been identified. These include:
1. Immune system problems
2. Genetic disorders
3. Environmental factors
a) Certain edibles
b) Viruses or harmful bacteria
c) Smoke

Symptoms
The primary symptoms of Crohn's disease include the following:
1. Diarrhea: This can occur for about 10 to 20 times a day in more severe cases.
2. In rare cases, there may be blood in your stool.
3. In more intense cases, you may even develop a fever.
4. Cramping and intermittent belly pain.
5. Anemia, due to a reduction in iron levels caused by bloody stools.
6. Weight loss.
7. Erratic appearance of small tears in the anus, called anal fissures.

Causes, Types and Symptoms of Crohn's disease

8 Ways to know that your immunity is low

Are you falling sick very frequently or get tired too soon? It could be most likely because your immunity is very low and your body has to fight harder to function properly. There are certain indicators which tell you that your immunity is low, and you must take quick action to avoid any major problem your body may encounter eventually.

Here are the telling pointers for lowered immunity.

1. Dehydration - Our body is made of 70% water. This goes to show how important water is, for it to function properly. Fluids help get rid of germs and other toxins from the body. It is very important to keep ourselves hydrated. At times, our body loses water, however we do not realize immediately. A good way to find this out is to keep a check on the colour of our urine. Ideally it should be transparent.

2. You are always unwell - It is a no brainer This is the clearest possible indicator that your immunity needs a boost. If every time there is a change in weather or you are around someone who has the flu/is sneezing, you get sick too then it is a clear indication that your body is unable to fight the germs.

3. Drinking water seems impure - Most parts of India doesn’t get pure drinking water and this happens to be a matter of grave concern. This doesn’t apply to only the poor and homeless; a lot of our population resides in localities where pure drinking water in not available. Therefore it is important to make sure you purify your drinking water. Always check your water purifier. In situations where one doesn’t have access to purifier, ensure that you boil and strain your drinking water.

4. You are forever stressed - Your work, family, personal and social obligations might be pulling you down and you are forever stressed or worried about something or the other. If you fall sick when already stressed, you body cannot fight the germs as it could if you are stress free. Chronic stress leads to your immunity being low and you falling sick repeatedly.

5. Your sugar cravings going up - We are all well aware that having a weakness for sweets poses a threat to your oral health and waistline. However, if it leads to a craving and you end up consuming too much, every day, it can lower your immunity by weakening the white blood cells. If the white blood cells are weak, the body loses its ability to fight the germs.

6. Your nasal passage feels dry - This is comparatively rare, but does happen to many people. While a dripping nose is bothersome, what is worrisome is a dry nasal passage. Germs linger in dry passages and one can have cold & flu frequently. Keeping a humidifier in the room might come handy.

7. You are overweight - Being overweight is never a good news. It leads to a multitude of diseases and also weakens your immunity. Once your body mass index is way above the allowed level, your body gets stuck in a vicious circle. An overweight body gives ways to health problems, which again affect your weight for instance, when hormonal imbalance happens.

8. Lack of energy - You are always tired. All you want to do is sleep, even after waking up from a good, long sleep. This is a clear indicator of low immunity. You need to regulate your diet & exercise, apart from ensuring you sleep a good eight hours in the night, instead of 8-10 hours throughout the day.




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8 Reasons Your Immunity Is Lower Than It Should Be

Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

Osteoporosis is a condition wherein the bones become brittle and weak; so much so that even mildly stressful activities such as coughing, bending over or even a slight fall (such as the one from a high rise chair) can result in fractures. Osteoporosis-related fractures commonly occur in the spine, hip or the wrist. The human body has a continuous mechanism of bone absorption and removal. In case of osteoporosis, the creation of new bones doesn t happen in accordance with the removal of old bones.

Spinal Fractures:

The bones of the spine get extremely vulnerable to breakage and even cracking open. The fractures in the spine, also known as vertebral compression fractures can cause a sharp stinging pain in the back that may make sitting, standing, or even walking a very tardy task.

Risk Factors:

Increasing age

Abnormally less or high body weight

Smoking

Menopause or low levels of sex hormones

Gender: This disorder is more likely to affect women as compared to men. Also women, who are above 50 are more likely to suffer from this debilitating disorder.

Race is a significant risk factor of osteoporosis. If you are of Asian descent, you are more likely to be affected by it.

Having a family history of osteoporosis will put you at a greater risk of this disorder.

Symptoms:

Fractured or collapsed vertebra causing back pain

A stooped posture

A shrunken appearance (as if one has had loss of height)

Very fragile bones, thus increasing risks of fractures

Severe and sudden pain in the back

Difficulty in twisting or bending the body

Lower spine fractures are way more troublesome as compared to fractures in the upper spine. Fracturing more than a bone in the spine also remains a huge possibility.

Diagnosis and Treatment:

Firstly, an X-ray or a computerized tomography (CT scan) will be done to have a closer look at the bones. A bone density test is another commonly used method of diagnosing osteoporosis. 

Steroids and medications: Some medications may be used to prevent or combat osteoporosis. These include alendronate, ibandronate, risedronate and zoledronic acid.

Physical therapy: Just like muscles, bones get stronger too when you exercise. Weight-bearing and muscle- strengthening exercises are the most helpful in this regard and are considered best for the treatment of osteoporosis. Cardiovascular exercises such as walking, jogging or even swimming can prove to be immensely beneficial.

Diet: Make a diet chart that includes high-calcium food items, dairy products such as yogurt, cheese, and low-fat milk, tofu, green vegetables such as collard greens and broccoli, sea fish such as salmon and sardines.

Salt: Limit salt intake

Therapy: Hormone replacement therapy (treatment method consisting of estrogens to alleviate and treat symptoms of osteoporosis) is another method of treatment that can be recommended by the doctor.

Osteoporosis Spine Fractures: Risks, Symptoms and Treatments

Skin is the first and foremost organ exposed to the onslaught of a variety of germs and bacteria. Your skin fights against these germs to keep you safe and healthy. Thus, skincare should not be treated as an element of vanity. A skincare regimen is something essential for your overall wellness.

Ways you should adopt to take care of your skin on a daily basis:

1. Dry skin should be kept safe from harsh face washes: Face washes have a milder effect as compared to soaps, but they surely aren't good for the health of your skin. Skin, especially that on your face, is delicate. To retain its natural glow and nourishment, care should be taken to maintain its natural oils and nutrients. Washing your face repeatedly with harsh face washes can make your skin dull and rough. If you have a dry skin, you should be extra careful to retain the natural oils of your skin and hence should stay away from soaps or face washes.

2. A skin with large pores should be exfoliated frequently: Skin with large, open pores is usually oily. Excess oil can lead to several other problems like acne, pimples or skin pigmentation. Such kind of skin should therefore be exfoliated and toned as part of a person's daily routine. Exfoliation rids your skin of dead cells, which on continued accumulation, can lead to infections. However, toning helps in tightening your skin.

3. Sunscreens should be used irrespective of the prevailing weather: Whether it is sunny or cloudy outside, sunscreens are a must. You should never venture outdoors without applying sunscreen on the bare parts of your body. Sunscreen lotions are known to prevent you from the harmful UV rays of the sun that can subject you to the threat of skin cancer. It is absolutely necessary to apply these lotions generously and at least twenty minutes before a person goes outside.

4. Hydration is the best suited way to have a healthy skin: When it comes to the look and well-being of your skin, hydration is indeed important. Drinking plenty of water and fruit juices can keep your skin moisturized naturally. Make sure you include fresh fruits and vegetables in your daily diet.

5. Settle for herbal or natural face packs: Herbal or natural face packs run from a lower propensity to react with your original skin type. This helps you to avoid chances of contracting acne or any other kind of fungal or bacterial infection. You should make efforts to grind turmeric at home to apply it on your face instead of buying a readymade pack. This way, you steer clear of chemical substances and their disadvantages.

5 Skincare Tips You Should Follow Regularly

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