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?

One thing that a weather change brings about is lung infections - most commonly cough and cold. Most people dread the change of seasons from one temperature to another because of the fear of how their body will react to the weather change. Be it extreme hot or cold, most people end up with a cough and cold. The more affected age groups again are the children and the elderly. However, all it takes to prevent this is to plan a little so that the body can get used to the change and not react with a cough or cold.

Prevention: There are few things that can be done which can help avoid catching cold.
1. Avoid sudden exposure to cold, from a heated room to the cold outdoors, especially in the evening and morning. Those who are used to a morning and evening walk may have to change the routine.
2. Avoid cold food items such as cool drinks, milk shakes and ice-creams.
3. Having a warm bath, early morning and late evening is advisable.
4. Avoid foods such as sour stuffs, pickles and fried foods.
5. Eat small, frequent meals that are prepared fresh are nutritious and of moderate temperature.
6. If there are infected people in your neighborhood, avoid being in close contact with them as you might get infected as well.
7. Wash your hands enough to keep them free of germs
8. As much as cold weather does not make you thirsty, push enough fluids so that your body stays hydrated. If water is not appealing enough, drink warm water or tea or lime.
9. Ensure the house, especially kitchen and bathroom are clean and disinfected.
10. Avoid exposure to dust and pollen as they carry lot of germs.
11. Avoid staying in a poorly ventilated room, enough circulation ensures germs are not concentrated in one room
12. Timely vaccination against flu

Treatment: Despite these measures, once the cough and cold has set in, the following are some easy remedies:

1. Steam inhalation, preferably with eucalyptus oil added to it.
2. Having warm soup with ginger and garlic added to it to soothe the throat
3. Ginger and other spices like cardamom and cinnamon can also be added to tea.
4. Lemon and honey can be added to a glass of warm water. This will soothe the throat and help fight cold.
5. Chewing Tulsi leaves can be beneficial
6. Yoga exercises such as Pranayama and Jalneti can be done to cleanse the nasal cavity, prevent sinus congestion, and clear mucus

Cough and Cold Due to Weather Change - Prevention & Treatment Tips

A cough is not necessarily to be worried about always. It is the natural response of our body to throw out harmful particles which somehow managed to enter our respiratory tract. There is sticky mucus situated in the pathway to lungs which plays a major role in trapping harmful particles. Coughing once or twice is generally a natural phenomenon but if it s persistent it is called the chronic cough, and there is a reason to worry.

Is your cough chronic?
An acute cough aggravates within a very short span of time, maybe 2-3 days. There are situations when coughing doesn t hinder your day to day activities and are easily neglected. Sometimes these infrequent bouts of a cough can persist for long and continue for more than 2 months, which has been characterized as a chronic cough.

A chronic cough is sometimes found associated with blocked or running nose. Persons suffering from a chronic cough feel very exhaustive and suffer from a headache, dizziness along with excessive sweating. Under such situations, you must consult a pulmonologist.

Know the causes of a chronic cough
There are several causes for persistent coughing, and the following are the common causes of a chronic cough and medication is taken in consultation with a trained medical practitioner only.

Infections: Bacterial or viral infection in lungs can be one of the causes of a chronic cough. Tuberculosis is one of them which initiates as a chronic cough and is later characterized by emitting blood after cough bouts.
Drug Interactions: Antihypertensive drugs have been found to be responsible for a chronic cough in some people. Hypersensitivity to the prescribed drugs is found to responsible for the cough bouts, and change in medication takes care of the issue.
Asthma: It s a situation characterized by blockages in the bronchi which disallows the normal air flow during inhalation and exhalation. Due to inadequate oxygen, brain assumes that there is a blockage which needs to be expelled and coughing pattern starts. However, asthma has to be treated, and the bronchi have to be brought back to normal with the help of medication by an expert medical practitioner.
COPD: The most common cause of a chronic cough nowadays is COPD, better known as Chronic Obstructive Pulmonary Disease. This is one of the progressive diseases which means it deteriorates with time. Active smokers are the biggest victims of it. Persons exposed to high degree of pollution or similar occupational hazards are also at high risk. Exposure to these pollutants causes inflammatory responses in lungs resulting in the tapering of the airways and destruction of lung tissues. These can be measured by lung function tests. In asthma, the narrow airways can be broadened by external medication, but in case of COPD, it s not possible.
To conclude, chronic cough is a preventable disease by reducing the exposure to risk factors as mentioned above. Quitting smoking, improving the indoor air quality with the use of solar cooking and moving on battery run vehicles can prevent COPD from further worsening. You can also undergo pulmonary rehabilitation program which is being counseled and coordinated by many physicians to benefit the individual suffering from the issue.

Chronic Cough - Why It Happens?

A slipped disc is when the soft part of the disc bulges through the circle of connective tissue. This prolapsed may push on the spinal cord or on the nerve roots. However, it is worth noting that 20 percent of the population has slipped discs without experiencing any noticeable symptoms. The term 'slipped disc' does not really describe the process properly - the disc does not actually slip out of place, but bulges out towards the spinal cord. This condition is also known as a herniated, ruptured, prolapsed, or, more commonly, slipped disk. Some of the most common symptoms of slipped disk are pain in back, neck and lower part of the body, feeling of partial or complete numbness in the parts above and below the affected area, weakness in the lower limbs, scratchy/itchy (tingling) feeling around the genitals, pain while doing any activity such as sneezing, coughing, walking, people suffering from slipped disk often complain of experiencing partial or regular unconsciousness.

In the past, a patient suffering from Disc problems may have been prescribed painkillers/medications, instructed to refrain from physical activities, referred for Physiotherapy, received steroidal shots or injections, and when they weren t progressing, they were sent for Spinal Surgery. Frankly speaking only 5% of Back pains require Surgeries; the other 95% can be dealt with conservative & curative Ayurveda Panchakarma Chikitsa. The Ayurvedic treatment usually involves Panchakarma expert Ayurvedic doctor s consultation and a series of ayurvedic panchakarma treatments like Abhayangam, Swedam, Elakizhi, Navarakizhi, Nasayam, Kativasti, Anuvashan and Kashaya vasti, Marma chikitsa, Meru Chikitsa (Ayurvedic Neuro-Therapy) along with Vatahara chikitsa and Brumhana chikitsa and internal medicines. Usually the treatment p, riod is 7/14/21/28 days according to the severity of the disease.

Today, you may not have to live with that pain anymore. We have successfully treated Lower Back Pain resulting from herniated, bulging, or degenerative discs. We are dedicated to improving the health and function of our patients by combining Traditional Ayurveda Panchakarma Chikitsa with modern technology and Osteopathic manipulation techniques (OMT) to deliver an unprecedented level of service. 

We have treated many patients with Spinal conditions like: 

Herniated Discs
Bulging Discs
Degenerative Disc Disease
Sciatica Syndrome
Spondylosis (Cervical /Lumbar/ Ankylosing)
Cervical radiculopathy,
Lumbago
Dehydrated disc
Disc prolapsed
Spondylolisthesis
Spinal canal stenosis
Lower back pain
Neck pain
Scoliosis etc.

Ayurvedic Management For Slip Disc!

A cough is probably one of the most common respiratory diseases that people suffer from. In most cases, it is nothing to worry about and can be cured with cough suppressants and salt water gargles. However, coughing of blood is a serious problem. The coughing up of blood that originates from below the level of the larynx is known as hemoptysis. This can vary in terms of severity depending on the amount of blood being expelled. This disease is a common condition, but on an average, less than 5% of hemoptysis cases are life threatening.

Hemoptysis rarely affects children. The symptoms of this condition include:
Sudden onset of a cough with bloody phlegm

Fever
Anorexia and weight loss
Dyspnoea
Paroxysmal nocturnal dyspnoea
Fatigue
Chest pain: Medical attention should be sought in cases where this condition recurs often, if it lasts for longer than a fortnight or if the volume of blood expectorated is more than 30ml per day. The various tools that help in the diagnosis of this condition are:
Chest radiography: This imaging modality helps lateralize bleeding and understand the amount of lung involvement. It is quick, inexpensive and can also help detect other underlying abnormalities.
Bronchoscopy: This involves the insertions of a rigid or flexible endoscope into the bronchial passages to check the airways and determine active bleeding sites.
MDCT: A multidetector CT is a non-invasive imaging tool that provides a comprehensive evaluation of airways, lung parenchyma, and thoracic vessels. It can also be used to uncover potential causes of bleeding such as bronchiectasis, pulmonary infections and lung cancer. In some cases, a multidetector CT angiography may also be used.

Oral antibiotics are usually the first stage of treatment for this condition. Smokers will also be urged to quit cigarettes as this can worsen their condition. Treatment for minor hemoptysis may also include:

Oral hemostatics
Cough suppressants
Anticoagulants
Radiation of laser treatment
Therapeutic bronchoscopy
In its later stages, hemoptysis can be treated with a minimally invasive procedure known as endovascular embolization or with surgery. In some cases, endovascular embolization may also be sued to stabilise the patient before surgery. This procedure reduces the pressure in the hypertrophic arterial blood vessels and decreases the risk of perioperative bleeding.

Hemoptysis is also one of the most common complaints of lung cancer patients. Depending on the stage of cancer and the amount of blood expectorated, treatment in some cases may not be possible. In such cases, a parenteral opioid and fast-acting benzodiazepine may be administered. 

How to Treat Coughing Blood (Hemoptysis) Problem

No matter how well you take care of yourself, everyone catches a cold or flu at some time or the other. That s probably the reason why it is popularly known as a  common  cold. A cold on its own does not harm the body much but it leaves you feeling weakened and suppresses the immune system. Cold is a viral infection and hence is usually unresponsive to antibiotics and other medication. However, Ayurveda can help manage a cold better and speed up the recovery process.

Cough and cold can be triggered by a number of factors including a sudden drop in temperature, exposure to dust or pollen or staying in rooms with poor ventilation. Additionally, aggravating the structure, stability, and cohesiveness of the body can also cause a cold or cough. When the food we eat is not digested properly, it turns into partly digested that triggers cold or cough when it reaches the respiratory system. Some common ayurvedic remedies for coughs and colds are:

Enhance your body heat: Keeping the body warm, especially the head, throat, chest and feet, is the first step to recovering from a cold. Drinking a cup of hot spiced tea or a glass of warm water mixed with 1 teaspoon of honey and 1 teaspoon of lemon juice, a few times a day, can also help. Spices like cumin, coriander and black pepper are considered heat generating spices and hence should be used liberally when preparing food.
Vapour therapy: To recover from a cough that is accompanied by congestion, try inhaling the hot vapours of water mixed with a little eucalyptus oil. This helps dilate the bronchial tubes and unblocks the nostrils. Inhaling the vapours of water mixed with rock salt can help relieve heaviness in the head and a mild cold. Simple hot water vapours itself can even be inhaled to relieve sinusitis pain. To benefit from vapour therapy, it is essential to sit in a room without the fan on and to cover your head and the vapour source while inhaling the steam.
Turmeric Smoke: Inhaling turmeric smoke is said to have an antiseptic effect on the lungs and respiratory tract. To benefit from this therapy burn a dried root of turmeric and inhale the smoke a few times. If you do not have access to the dried root of turmeric, place a red hot piece of charcoal with a few dried leaves in a clay pot, add a heaped spoon of turmeric powder to this and blow gently till it catches fire before inhaling the smoke.

Common Cold & Cough - Home Remedies For It!

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