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?

As we are all aware that there is an explosive outbreak of H1N1 swine flu infection in India. The high risk groups are pregnant women, people above 60 years of age, infants and children. I would recommend you the following to keep yourself protected and also help in stopping the spread of infection:

1) If you have fever and cough, seek immediate treatment. Insist on testing for H1N1 and take Tamiflu as per results.

2) Use handkerchief when you cough. Cover your mouth and nose to prevent spread to others.

3) Isolate those patients who are positive for H1N1.

4) Eat healthy food and exercise daily to keep your immunity intact.

5) Vitamin C is a good immunity booster for viral infections.

6) Avoid travel to areas where there is an outbreak.

7) Use N95 mask for protection - especially nurses and other health care workers who deal with positive patients.

8) Get yourself vaccinated with influenza vaccine - especially those who are in the high risk group.

If you have any more questions, please contact me.

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Act before swine flu strikes you down!

Allergic rhinitis is characterized by symptoms of a runny nose, congestion, itchy eyes and sneezing. This disorder is usually caused by allergens such as pollen and dust. Commonly known as hay fever, allergic rhinitis may exhibit the following symptoms:

The symptoms of allergic rhinitis are:
1. You may experience a runny nose and congestion in the nose
2. You may have allergic conjunctivitis where your eyes turn itchy and watery
3. Persistent coughing
4. Symptoms of sneezing
5. Swelling may develop underneath the eyes
6. You may have an itchy nose
7. Constant signs of fatigue

Causes
Allergic rhinitis or hay fever causes the immune system to recognize certain airborne substances as harmful. The immune system in the body starts to form antibodies to combat these irritants. The antibodies cause the body to release  histamine , a chemical that triggers the symptoms of allergic rhinitis.

The various triggers that may cause allergic rhinitis are:
1. Dust mites
2. Tree pollen
3. Grass pollen
4. Spoors from outdoor and indoor fungi
5. Ragweed pollen

The treatment for this disorder is to avoid exposure to the triggers. Mild symptoms of this disorder may be treated with over-the-counter medications whereas severe symptoms may require prescription medications.
The various medications for allergic rhinitis are:

Antihistamines: Antihistamines may be administered as pills or nasal sprays; these medications can help with itching and sneezing. Antihistamines help in limiting the effects of histamine in the body.
Nasal corticosteroids: These prescription medications can help treat itching and inflammation in the nose. They are usually the first medications that are administered.
Decongestants: Decongestants are over-the-counter medications that can be used to treat congestion in the nose. You should be careful not to overuse these medicines as they can increase blood pressure.
Allergy shots: If medications do not relieve symptoms of allergic rhinitis, the doctor may prescribe allergy shots to treat the disorder. The injections contain allergens in small amounts which are injected over a period of time; this causes the body to get used to these allergens, resulting in a reduction of the symptoms.

Allergic Rhinitis - 7 Signs You Are Suffering from it!

All year round, we are vulnerable to an array of health disorders, be it due to poor lifestyle choices, a pre-existing disease, or changing climate/weather. While most people focus on the cure of grave diseases, the most common ailments are often overlooked. One such condition is cold and flu   a viral infection of the nose and throat. Although the infection usually occurs in winters, the viruses causing cold and flu can make you fall sick anytime, and when you do, you are forced to sit back at home and keep away from people because the infection is contagious.

What are the symptoms?

If you catch a bad cold and flu, you are likely to experience the following symptoms  

  Runny nose

  Nasal congestion

  Sneezing and coughing

  A sore throat

  Headaches

  Body or muscle aches

  Tiredness/fatigue

  Fever and chills

Usually, the symptoms resolve in a week or two and most people recover on their own. However, if the condition does not improve and if you fall sick repeatedly, you might have to turn to medications.

Who gets a cold and flu?

Ever wondered  Why am I getting sick all the time ? That is probably because you have a weak immune system. Certain autoimmune conditions exhaust the immune system and make you prone to infections, flu and cold. People, who have chronic immune conditions, tend to fall sick and take longer to recover.

How do you stop from getting sick?

If you have been falling sick more than once in every few months, then you can ask your doctor for supplements that will help build your immunity. Probiotics, zinc supplements, and vitamin supplements are good for cold and flu. You can also avoid getting cold and flu following a few preventive measures, such as the following  

  Get vaccinated against flu and cold, influenza, and seasonal allergies

  Keep your surroundings clean and free from pollutants because such viral infections are air-borne. If you need to go out, make sure you are using a mask to cover the mouth and the nose.

  Viruses that make you sick often spread by coming in contact with an infected person or contaminated surfaces. Therefore, you must always practice good hygiene. Wash your hands with soap or a sanitizer immediately after touching an unclean surface. Also, make sure you clean your hands before eating.

  Exercise at least thrice or four times a week. Any sort of physical activity helps build immunity, improves your overall health and reduces the risk of a number of ailments.

  Eat a balanced diet that includes enough proteins, fibre, healthy fats and lots of fluid. It is very important to keep yourself hydrated, especially in summer to avoid falling sick. The above measures not only prevent you from contracting flu and cold but also keep a dozen other ailments at bay.

How To Avoid Getting Sick?

Loose motion, commonly known as diarrhea refers to a state where the affected person suffers from frequent passage of loose, watery or unformed stool. It may lead to exhaustion and dehydration as with frequent passage of stool the body loses water and essential minerals. Here are some natural remedies which are capable of relieving you from loose motion effectively.

1. Lemon

Lemon juice has anti-inflammatory properties that assist in cleansing of the stomach. After extraction of the lemon juice it should be mixed with a tablespoon of sugar and salt. This solution should be consumed every one hour until you feel that all the toxins from your bowels have been flushed out.

2. Fenugreek seeds

Fenugreek or methi seeds have antibacterial and antifungal properties. You need to mix one to two tablespoon powder of dried up fenugreek seeds in a glass of water and have it in an empty stomach in the morning for three to four days. It may taste bitter might but it's bound to completely relieve you from loose motion.

3. Buttermilk

Butter milk not only works wonders for soothing your stomach but also assists the process of digestion. The acid content in buttermilk fights the bacteria and germs in your digestive system. Adding a pinch of turmeric powder or cumin powder or black pepper powder to your buttermilk increases its efficiency to cure loose motion.

4. Adequate rest

If you are suffering from several bouts of loose motion it is bound to cause weakness and dehydration as the body is drained of essential minerals and water. It is advisable that you take complete best rest for two to three days to recover from this fatigue completely. Using heat bags on your stomach can relieve you of cramps and pains. During this period you should abstain from rich and oily foods.

4 Natural Ways To Cure Loose Motion

Dyspepsia is an uncommon word, but a very common problem. This medical condition is more commonly known as indigestion of the stomach and small intestine. The symptoms of this condition include abdominal pain, bloating, belching, nausea and a loss of appetite. They come and go varying terms of frequency and intensity. 

Some of the common causes of dyspepsia are lactose intolerance, anxiety, regurgitated stomach juices, stomach ulcers, irritable bowel syndrome and excessive caffeine or alcohol intake. In most cases dyspepsia can be easily treated with home remedies. 

Here are the 5 best ways to treat it.
1. Lemon juice: Lemon juice cleanses the digestive system by flushing out waste material and undigested food. It also inhibits the formation of acids in the stomach and boosts appetite. Dilute the juice of 1 lemon in a glass of water to avail its benefits. You could also add half a teaspoon of fresh ginger juice to this. Ginger also aids in digestion and prevents flatulence.

2. Buttermilk: Buttermilk has cooling properties and helps calm the stomach and intestines. It is also suitable for people who are lactose intolerant. Drink a glass of buttermilk immediately after a meal to improve your digestion. You could also flavor it with roasted cumin powder or mint. Mint also helps in relieving indigestion and prevents buildup of gases in the stomach while cumin stimulates the secretion of pancreatic enzymes.

3. Yogurt: Yogurt is the best remedy for any stomach bug. It is rich in probiotics that help restore balance healthy gut bacteria and stabilize digestion. Yogurt can be had as an accompaniment to your meals or mixed with steamed rice to make it a meal in itself.

4. Fenugreek: Fenugreek boosts appetite and helps relieve indigestion. This herb is known for its soothing properties that cleanse the digestive system. Fenugreek leaves can be bitter and unpalatable. Hence, to benefit from this, boil the leaves and then lightly fry them in butter before eating them.

5. Pomegranate juice: Pomegranate juice is an excellent way to treat indigestion and diarrhea. Its antioxidant properties also make it a good remedy for heartburn. To benefit from pomegranate juice, dilute the juice of a pomegranate in a glass of water along with a tablespoon of honey.

Along with this, also take a look at your eating habits. Avoid eating on the move and chew your food properly. Eat only when you are hungry and control your portion sizes. Lastly, make the time to exercise for half an hour or so every day.

What Is Dyspepsia? 5 Best Ways to Treat It

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