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?

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 

Coughing during the night can really wreak havoc for your sleep and cause inexplicable discomfort in the throat and chest region. Thankfully, you can manage it by soothing your tickling throat as well as sensitive airways before you go to bed at night. 

Drink herbal tea: A mugful of non-caffeinated tea mixed with a teaspoon of honey before going to bed can help you to a considerable extent. This is because any warm liquid has the power to break down the formation of mucus in the throat region and with a bit of honey, the herbal tea becomes even more powerful.
Try to sleep in an inclining position: Gravity is your greatest enemy while combating night-time cough. When you lie down flat on your back at night, all the mucus and dust particles, which you have swallowed all through the day, would accumulate in the throat area and aggravate it making more cough. But you can easily defy gravitational force by piling up some pillows and prop yourself on them while sleeping. You may also keep a wooden block of 4 inches height under your head, which would keep the acids in the stomach so that they don t come up to irritate your throat.
Make sure you use the steam cautiously: When your airways are dry, it can make you cough harder. Therefore, you may find relief if you take a warm shower or a bath before going to bed. But you have to be sure that you don t have asthma as steam can prove harmful for you.
Check the level of humidity: Humidifiers are known to soothe the problem of persistent coughing when the surrounding air is dry. But too much of moisture during the night can also make you cough. This is because dust mites, mold and other allergens thrive well in the damp air and they could conspire to make your cough even worse. So, pick up a cheap hygrometer from a hardware store and see that the humidity level stays within 40 to 50 percent.
Equip yourself at night: Keep all the things from drops to water to cough syrup or anything that soothes coughing at your bedside so that you can help yourself in case you wake up in the middle of the night and start coughing.
By following these few tips every day, you can manage the night time cough and have a good night s sleep without any interruptions.

Night Time Cough - 5 Tips to Manage it

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

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!

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

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