For diabetics, healthy eating is essential. This can be the most important tool available in managing diabetes and blood sugar fluctuations. This is because what a person eats has a direct effect on their blood sugar levels. When food is digested, it is broken down into a form of sugar known as glucose. This powers the body and acts as an energy source. For this, the body needs insulin. In the case of diabetics, insulin does not function the way it should or is not present in the required amounts. This causes the glucose to remain in the blood and in turn spikes blood sugar levels. The good news is that diabetes can be controlled. This is where the person s diet plays an important role.

Not all food causes an increase in blood sugar levels. The effect of a food item on a diabetic depends on how it affects the body s ability to process glucose. Processed foods, fatty foods, food with added sugar etc. can cause a spike in blood sugar levels. However, fruits and vegetables do not have the same effect. Foods that have a high glycemic index do not keep a person satiated for long but cause blood sugar fluctuations. On the other hand, foods with a low glycemic index do not cause blood sugar fluctuations and keep hunger satiated for longer. Hence, the former should be avoided as far as possible. Replace processed grains with whole grains, red meat with lean meat or fish and add plenty of beans and legumes to your diet. Trans fats should also be avoided.

Eating right can also help with weight management. Being overweight puts additional pressure on the insulin available which leads to frequent blood sugar fluctuations. Eating right accompanied by regular exercise is crucial to weight management. Keeping your weight under control can even help prevent diabetes especially in cases, where a person has a high genetic risk of developing diabetes. This can also help reduce the risk of further complications.

When it comes to diabetes, eating at the right time is as important as eating the right food. Diabetics should not leave long gaps between their meals. This is because having a gap of more than 3 hours can destabilize blood sugar levels and be dangerous for the patient. Hence, a diabetic should eat smaller, more frequent meals. It is also a good idea for a diabetic to monitor sugar levels before going to sleep and after waking up.

Importance Of Diet Management In Diabetes!

Sleep apnea is a disorder which is characterized as interruptions in breathing when you are sleeping. These interruptions or pauses in breathing usually last for about 10 to 20 seconds and may be repeated over 100 times alongside the duration of your sleep. This condition leads to poor sleep resulting in drowsiness, fatigue and poor concentration throughout the day.

Sleep apnea can be classified as:
1. Central sleep apnea: Central sleep apnea impairs the central nervous system wherein the brain fails to control muscles which regulate breathing while you sleep.
2. Obstructive sleep apnea: This type of sleep apnea occurs when the soft tissues present in the back of the throat block the airway and thus resulting in loud snoring.

Signs and symptoms
The various signs and symptoms of sleep apnea are
1. Loud and chronic snoring during sleeping
2. Interruptions in breathing
3. Shortness of breath during sleep
4. Fatigue during the day
5. Choking and gasping during sleep
6. Extreme irritability and drowsiness
7. Experiencing headaches in the morning
8. impaired concentration and forgetfulness
9. Chronic sore throat and dry mouth
10. Depression

The various risk factors for sleep apnea are:
1. If you are overweight
2. If you are male
3. If you are over the age of 40
4. If you have a large tongue and tonsils
5. If someone in your family has sleep apnea
6. Nasal obstruction due to sinus problems

There are certain prevention measures to control sleep apnea, they are:
1. Limit smoking: Smoking may cause you to retain fluid in the throat which contributes to sleep apnea.
2. Exercise: You should exercise regularly to keep off weight as being overweight increases the chances of getting affected by sleep apnea.
3. Schedule your sleep: You should get enough sleep every day so that your body is refreshed and revitalized. Getting enough sleep, thus helps in preventing sleep apnea.

Risk Factors Associated with Sleep Apnea

Pain related sleep disruption has affected a large number of people around the globe. Statistics has it that, in India, about 25% of the population suffers from pain-related sleep deprivation. Studies call it  the vicious cycle of pain and sleep  as pain affects your ability to sleep and lack of sleep makes the pain even worse.

Back pain and arthritis are examples of some common pain-related medical disorders. People with these types of chronic pains have reported persistent sleeplessness or have had immense trouble falling asleep.

The following are the primary sleep disorders associated with chronic pain:

Insomnia: It is a medical condition that is characterized by an inability to fall asleep no matter how physically exhausted you are. Insomnia can be acute (lasting for one night to a week) or chronic (that lasts for more than 3 weeks).
Hypersomnia: It is a condition wherein you tend to sleep excessively; in this condition, you will have trouble being awake throughout the day or can fall asleep at any point of time.
Sleep Apnoea: This is a sleep disorder wherein breathing pauses and resumes repeatedly. Risk factors include obesity, age and gender; it is more commonly observed in men. This condition can be chronic with symptoms such as snoring loudly or feeling very tired even after one has had a night s sleep.
Restless leg syndrome: It is a sleep disorder wherein you continuously move your legs while sleeping. However, this condition can also cause you to move your legs even if you aren t sleeping.
Some of the causes of sleep disorders due to chronic pain are:

Pain
Worry and anxiety
Sweating at night
Depression and other mental disorders
Treatment

A pain and sleep disorder should be simultaneous as both the components of it, pain and sleep, are interrelated. Some of the ways people with chronic pain can still have a good night s sleep are:

Limiting caffeine intake
Abstaining from alcohol and smoking, as these disrupt the sleep cycles, thus aggravating the existing pain.
Practicing meditation and other relaxation techniques
Pain killers or sleeping pills can be administered, but only with the doctor s advice.
Hot water fomentation over painful area during night, for better sleep.

Back Pain and Bad Sleep

Sleep disorder is a serious problem which a large number of people are facing due to multiple reasons. Almost every other person complains of having some sort of sleep disorder, irrespective of his/her age. Sleep disorders may come across as something which can be overlooked, but this shouldn t be the case, as when the problem aggravates it can take quite a scary turn. You need to be aware of the different kinds of sleep disorders which affect a vast number of people, on a daily basis. Given below are some of the most common ones which affect the majority of the crowd.

1. Insomnia
Insomnia, a worldwide epidemic, is the most common type of sleep disorder today. A number of factors can cause insomnia and affect even the healthiest being. From stress, anxiety or depression, substance and alcohol abuse to certain types of medication, a lot of factors can cause this issue. People who have insomnia have difficulty in sleeping and then maintaining that sleep. A cognitive behavioral therapy can help people suffering from this disorder. Often medications are also prescribed.

2. Sleep Apnea
If you have a partial or complete blockage of the throat then, you might be suffering from sleep apnea. This disorder is the second most prevailing sleep disorder in the world today. People who suffer from this disorder hardly realize it until someone informs them about having the trouble. Some of the common symptoms of Sleep apnea are morning headaches, daytime sleepiness, and excessively loud snoring as well. People suffering from apnea may also face trouble breathing multiple times per night. Continuous Positive Airway Pressure machine is a common treatment for this disorder.

3. RLS or Restless Leg Syndrome
The real reason behind RLS is still not known by experts, however, most believe the real cause of the disorder is hereditary. Some medications can also be a cause of restless leg syndrome. In this disorder, an urge to move your legs and hands precedes the need to sleep. RLS usually occurs when the patient is resting. In order to treat the restless leg syndrome, one must reduce the consumption of alcohol and caffeine along with doing regular exercises. For more severe cases, often medications are prescribed. RLS is observed more in women than in men.

4. Narcolepsy
People with narcolepsy often complain about falling asleep during odd times and feeling weak quite often. An abnormality in the brain is usually the reason behind this sleep disorder. Patients of narcolepsy often develop cataplexy which is a condition where patients feel faintish as an emotional reaction to any situation. People suffering from narcolepsy are given medications as a treatment.


4 Most Common Sleep Disorders

Sleep apnoea is a kind of disease that can affect people of any age and is basically a kind of sleep disorder. The person suffering from sleep apnoea may feel extremely tired and fatigued even after having a full night s sleep and his snoring may become extremely loud which is again a serious problem.

What are the symptoms of sleep apnoea?

There can be many cases where the symptoms of central sleep apnoea and complex sleep apnoea may be overlapping which makes it a bit difficult to get diagnosed properly. But, there are certain very basic symptoms of sleep apnoea.
Very loud snoring is a basic characteristic of patients with sleep apnoea.
The patient may suffer from regular episodes of cessation when they are sleeping as might be pointed out by other people.
The patient may awaken from sleep regularly due to shortness of breath and problems in the sleeping order.
The patient suffering from sleep apnoea may wake up from sleep with a very dry mouth and or a sore throat.
The patient may suffer from a bad headache often and in many unfortunate cases, the patients may also suffer from insomnia which is the problem of sleeplessness.
Patients of sleep apnoea suffer from intense problems of irritability and bouts of morning sleepiness.
Shortness of breath may intensify in a patient so much so that the person may get awakened from sleep gasping for air as if choking.
Excessive bouts of daytime sleeping may cause a person to perform very poorly in his work as well.
It is at these times when a patient should immediately consult a doctor for a proper treatment and further solution to this problem.

Causes of sleep apnea

Obstructive sleep apnoea is caused when the muscle in our throat starts relaxing. It is this muscle that gives support to the triangular piece of tissue that hangs from the uvula which is the soft palate and the side walls of the tongue. Basically, when this muscle relaxes, the airways in the body gets narrowed as a result of which the blood does not get enough oxygen which is required for proper breathing. It is then that the brain starts sending signals to get up from sleep so that the nasal passage can be reopened for sufficient amount of oxygen.
There can also be cases where the brain is unable to send a proper signal to the muscles that help us to breath as a result of which a person does not breathe for a certain period of time. This, in turn, makes the patient awaken abruptly from sleep with shortness of breath and the patient finds it difficult to fall asleep.


Sleep Apnea - Know The Common Signs Of It!

Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.

What are the different stages of Sleep

Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.

Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.

    Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
    Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
    It also relaxes our voluntary muscles and thereby, relieves us from physical stress
    Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.

Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.

Sleep Pyschiatry: Its Stages and Benefits

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