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?

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?

It is a known and proven fact that eating while consuming alcohol is necessary. One tends to grow hungrier, the more he or she drinks alcohol. This is because alcohol has the attribute to stimulate one s appetite in such a way that one would have you craving for food that is rich in salt and high in fibre. Consuming only alcohol ignoring the hunger would lead to several diseases like pancreatitis and issues with the liver.

Though the appetite of an individual during alcohol consumption tends to incline towards snacks like pizza, french fries, nuts and cheese cubes, it is wise to opt for healthier food choices. Salty food can worsen the dehydration effects of the body. And as the body tends to be dehydrated during drinking, it is better to avoid salty food. High-fibre food items are not good for the health either. It delays the digestion process, which is not a good sign for the body. Also, it is also not advisable to eat food in large portions before going to bed, especially after alcohol intake.

There is a variety of healthy food that one can eat along with alcohol

Soup: A clear soup, like chicken clear soup or vegetable clear soup, which has a broth-like texture, is a healthy choice. Creamy soup with cream of chicken or cream of mushroom should be avoided as it would make one heavy, thus delaying the digestion process.
Rice: Plain rice is said to be one of the best food that is easy to digest, paired up with a light vegetable dish. It is very nutritious as well.
Chicken sandwich: Grilled chicken sandwich without cheese and mayo is a healthy food tip as it contains sodium.
Popcorn: Popcorn does not contain fat, neither is it high-fibre. It is the best low-calorie food to go along with alcohol and it tastes really good too.
Wheat crackers: Wheat crackers contain whole grains. It is full of complex carbohydrates, which help the alcohol to absorb easily. It also consists of Vitamin B, which like potassium, gets reduced with the consumption of alcohol.
Banana: It is rich in potassium. Though an individual would never have a banana along with alcohol, it is healthy as the level of potassium should be taken care of while drinking alcohol.
Wheat bread: Wheat bread toast can be consumed with alcohol without butter or cheese. It is an alternative to wheat crackers for those who do not prefer it.
Oats: Cooked food is easy to digest with alcohol, so a pot of cooked oatmeal can be a healthy accompaniment. It can be spiced up a bit to add flavour.
Salad: Salad is refreshing and healthy at the same time. It can be bland, but it is better to have healthy salad as an accompaniment than having salty food with alcohol.
Milk cereal: Cereal, especially whole grain cooked with low-fat milk, is healthy.
By being aware of the right eatables, the ill effects of alcohol can be mitigated to a large extent.

Alcohol - 10 Healthy Foods that You Can Eat With It!

Flu is caused by a virus known as influenza and is a common respiratory disease. It is typically caused from the month of October to May. Some of the common symptoms include fatigue, runny nose, fever, cough, muscle ache, sore throat, body ache, etc. 

The flu vaccination helps to protect from influenza. The effect generally lasts for a year. It is recommended that an individual takes this vaccination once in a year since the strain of the virus keeps changing every year. Flu vaccine comprises of an egg-based technology.

Who Can catch flu?
Anyone can get a flu vaccination. Children above the age of 6 months or more are eligible to get a flu vaccination. In addition, the person who has a severe outbreak of allergic reaction due to the flu vaccination should also stay away from this. 

Pregnant women can also get this vaccination without any worry about the baby. They not only safeguard the mother, but protect the child from influenza too. Adults who are more than 65 years old can take this vaccination without worrying. Patients with an acute allergy should consult their doctors before taking a flu shot.

Are there any side effects?
Although most people do not feel a thing after the flu shot, some might experience mild symptoms, such as redness of the area where the vaccine has been injected, mild body aches, soreness, redness and fever. Other serious side effects include allergic reaction resulting in soreness and very high fever. A doctor or healthcare personnel should be immediately contacted in such an instance. 

Can flu shot cause flu?
This is totally a myth. A flu vaccine doesn t result in the flu. The virus content of the flu vaccine doesn t contain any live virus that can potentially trigger an outbreak of flu in the body. They are noninfectious in every sense of the word. It takes a couple of weeks for the flu vaccine to build immunity in the body. A person might get affected during this time if he comes in contact with an infected person.

Confusing flu with similar symptoms:
Common symptoms of flu such as nausea, vomiting, sneezing, body ache and fever can be symptoms of an entirely different disease such as diarrhoea. Until the tests are conducted and the doctor gives an assured verdict of flu, it is unwise to take a flu vaccination based on gut feel and mere speculation. 

When is an ideal time to take flu vaccine?
There is no right or wrong time of taking a flu shot. It is seriously infectious and can catch hold of a person at any time. The right time to take a flu shot is now. It is readily available over the counter and can be injected at any time of the year.

Flu Shot - Things You Need to Know About 

Things to do when your child gets flu

Although cold and flu are very common issue it is usually not a very serious condition. However when it affects your child, it is essential to take good care since a child’s immune system is not fully developed. Children tend to get flu very easily and if immediate care is not taken it has the potential to develop into serious conditions. Running nose, headache, nausea, body aches, fever, feeling cold, coughing etc. are some symptoms of common flu.

When to call the doctor?
Flu sometimes comes and goes away all by itself. However, when it is about younger ones, take professional advice if you see the following symptoms

- Difficulty in breathing
- Dehydration
- Extreme loss of appetite
- Difficulty in breathing
- Continuous coughing
- Get a rattling sound while breathing
- Sudden loss of energy, dullness
- High temperatures even after intake of appropriate medicine

How to quickly rid your child of Flu 
Apart from the prescribed medication here are few points you must always take care of, when affected by flu-

1. Good Rest - Complete rest till symptoms vanish
2. Nasal Drops - Use nasal drops to support easy breathing
3. Warm Water - Warm fluids, honey-lemon potion, cough syrup for chest congestion
4. Administer Paracetamol - Fever medicines that are available specially for infants
5. Increase fluids - Abundant intake of fluids in the form of soups, fruit juices or electrolytes in water.
6. Body Sponging - Warm water sponge bath for relieving muscle or body fatigue

If you would like to consult with me privately, please click on 'Consult'.

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Things To Do When Your Child Gets Flu

There are a variety of reasons why a person can fall sick. A good number of these illnesses cannot be prevented though a person may take general precautions. Having said that, in the case of influenza, it can be prevented to a large extent and it does not seem all that smart to avoid taking easy precautions when one has an option, right?

Every year, thousands of people die from influenza, which is so unfortunate because an annual shot can reduce that number by almost 60 percent. So what exactly makes a flu shot or vaccine work? As a result of the vaccine, after about two weeks or so, antibodies begin to develop in the body. These antibodies help fight off infection, specifically the kind that is targeted by the vaccine. It is important to get vaccinated for this flu on an annual basis.

Choosing the right flu shot
Considering the great number of options there are when it comes to flu vaccines, which are the ones to be injected? It is a good idea to get the opinion of a doctor to see which one to choose. This is because the choice is dependent on a variety of factors, which a medical professional would be able to assess appropriately. Note that it is important not to use the nasal spray version of the vaccine as the medical authorities have recently found that it is not as effective a method as it once was.

When should you get it?
Flu season does vary across the world, but in the US, it starts in about October and goes on till May. During this time, the flu viruses are a lot more active. When one gets a flu shot, it is this period that one needs to look out for. So, it is better to get vaccinated in late September or the start of October, so that there is minimal unprotected exposure to the viruses.

Who is it for?
It is to be kept in mind that every individual who is older than six months should be vaccinated. While it is said that getting a vaccine shot year after year reduces its effectiveness, it is still important to do so. This is because each year, the shot is altered to reflect the biggest virus threats in that year. There might be few side effects of the flu vaccine such as redness in the injected area, soreness or swelling. However, as long as one gets a flu shot in time, it is almost a given that there will be almost no time spent  down with the flu .

Flu Shot - Why Is It So Important?

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