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?

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

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Things To Do When Your Child Gets Flu

Influenza is more commonly known as the flu. It is an infection that affects the respiratory system and is caused by the influenza virus. This injection is recommended for kids who are under the age of 6 months. It ensures that the baby is safeguarded from the virus during an influenza outbreak. Since the nature of virus changes year on year, the immunity doesn t last for more than 1 year. This vaccination is ideally taken during the month of October and November. The effect of the vaccination typically lasts for 6-8 months.

Ideally, kids who have never had a flu vaccination should take 2 vaccinations within 4 weeks. Kids who have received a shot of flu should undertake this vaccination once in a year. This arrangement is ideal up to 9 years of age. Flu shot is extremely important for a kid due to the following reasons:

It saves a kid from chronic lung and heart disorders such as asthma and cystic fibrosis
Kids suffering from immune deficiency, cancer, and HIV should take this vaccination to avoid further complication of the existing disease
Kids suffering from diabetes, kidney diseases, and metabolic disorders should go for this vaccination without a second thought
Kids suffering from a neurological disorder, haemoglobin deficiency, and anaemia should take this vaccination to refrain from the risk of aggravation of the present disease
Pregnant women should ideally take it for the safeguarding the fetus
Flu shot should not be taken be taken if:
1. A baby is under the age of 6 months.
2. The baby has thimerosal allergy.

Is flu shot safe?
The flu shot is considered to be very safe. It does not result in flu. Few side effects include:
a. Soreness of the place where the needle is injected. This doesn t last for more than a couple of day.
b. Body ache and mild fever for the first couple of days after the vaccination is done.
c. There is little to no pain in the place where the injection is injected by the doctor.

What is nasal flu vaccine?
This is an influenza dose that is not injected into the body but given in the form of nasal spray. Healthy kids above the age of 2 years are fit to get this injection. For those kids who have a history of chronic illness should check with their doctor to go ahead with nasal spray. Each dose is given in each nostril. Like the influenza vaccine, nasal flu vaccine should be undertaken once for those who have already taken this dose once. Kids who have not undergone this vaccination are eligible for 2 dosages each 4 weeks apart from each other.

Influenza Vaccine - Why is it Important for Kids?

Seasonal changes are usually a time when we need to take extra precautions to ensure that we do not end up catching any bacteria that may lead to infections or influenza as well as allergic reactions. Common cold and flu is a common occurrence during such times. Seasonal changes are usually known to cause flu and cold, which can also come with chills, sneezing, cough and fever. 

Here are a few homeopathic medicines and remedies that can be used during this season.

Aconite: This medicine is especially helpful when there is fever after sudden exposure to dipping temperatures. Once the cold starts to affect the patient, this medicine must be taken so that congestion is prevented. It can also be used when initial symptoms like tingling and burning sensations in the nose start.
Arsenicum: This medicine can be used during harsh winters and can be prescribed for stopping the discharge from the nostrils. It can also help in treating congestion and severe cold. If sneezing fits do not reduce, one can have this medicine. It also relieves burning sensation in the throatand nose, as well as fever.
Allium Cepa: When the discharge from the nose is cold and heavy as well as thin, it can be cured with the help of Allium Cepa. Persistent discharge is one of the symptoms for which this medicine is usually prescribed. Also, this medicine helps patients who experience cough and discharge once they step out of a warm room.
Euphrasia: When the top part of the respiratory mucous membrane is affected, this medicine can be used. It is also helpful when there is soreness in the nostrils and lips. Also, yellow and acrid discharge from the nostrils can be cured with this medicine. Dryness and pain is also one of the symptoms for which this medicine may be prescribed.
Gelsemium: When the cold first starts and begins to manifest as headaches, this medicine can be used so that it breaks up the cold effectively. Also, dullness and weakness due to oncoming fever can be checked with this medicine. Further, a sore throat can be treated with this medicine. Excessively warm weather that leads to a cold can be treated with Gelsamium too.
Nux Vomica: If you have caught a cold from damp and cold weather conditions, the doctor can prescribe Nux Vomica. This effectively treats cold symptoms likedry nose, minimal discharge and a tickling sensation in the nose.
Mercurius: This medicine can be prescribed to treat frontal sinuses that may be suffering due to the flu. Violent sneezing and excessive sweating can be cured with this medicine.

Seasonal Flu - 7 Best Homeopathic Remedies for 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 

What should you do when you are down with viral

Viral fever or in layman language, Flu causes runny nose , coughing , fever , bodyache and muscle pain. You need to isolate yourself first so that you do not spread to your near and dear ones as it really spreads fast. Common cold too is a viral infection! Many times when we think that our stomach is upset due to improper eating; but the reality is in many cases, it is viral infection. Viruses enter the body in multiple ways; it is almost impossible from stopping them entering inside. A few solutions though work wonders in keeping their effects at bay.

1. Adequate rest- Viruses take a lot away from your bodies. When you work while being affected by virus, you further bog your body down buying more opportunity for viruses to affect you more. Complete rest may sound lazy, but it in fact is a great way to start off the healing process.
2. Drink right- Drink a lot of water, a hydrated body fights virus better than one that is not. Consume fruit juices, energy drinks and vegetable soups every now and again. Stay away from dairy products like milk, butter milk, milkshakes etc.
3. Eat aplenty- Eat plenty amounts of food. When you are down with virus, you tend to lose appetite. But make sure that you eat as much as you can; this helps in replenishing the energy resource of the body which will battle the virus better. Don’t overeat though.
4. Eat it right- Eat salads, fruits, brown rice, cereals etc. In simpler words, eat light; don’t eat stuff that demands a lot of energy for digesting. If eating is difficult, vegetable soups with whole vegetables and dals in them are ideal.
5. Stay warm- Resting doesn’t just mean the lack of activity. Proper rest is when you keep yourself warm. It’s essential to feel good and almost all viral infections make you cold. Tackle this by staying inside your blanket. Use full sleeve shirts and long pants with gloves, a cap and socks supporting them. 

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

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What should you do when you are down with Viral Attack

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