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Thyroid Disorder Treatment
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Adult Diabetes Treatment
Type 1 Diabetes Treatment
Type 2 Diabetes Treatment
Treatment Of Foot Infection
Treatment of Thyroid Disease in Children
Treatment Of Childhood Diabetes
Gestational Diabetes Management
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Patient Review Highlights
The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person.
Various risk factors that are associated with diabetes and depression are as follows-
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.
When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes.
If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin.
People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy.
Various signs that can be observed in a state of depression are as follows:
- Complete lack of interest in doing any activity
- Irritation or mood swings
- Depressed mood
- Disturbed sleep pattern
- Changes in the appetite
- Constant feeling of despair
- Guilt Fatigue, weakness
- Difficulty in concentration, transient memory loss
- Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users.
Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.
In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.
Polycystic Ovaries Syndrome (PCOS) is a disorder of the endocrine system which leads to an imbalance of sex hormones in women. However, women are aware of the PCOS, but many of them do not know that is a pre-diabetic stage causes hormonal imbalance and infertility.
PCOS is known as a pre-diabetic stage because just like diabetes, it also starts resisting the insulin and causes a high sugar level in body. The study reveals women having PCOS three to five times are more prone to have diabetes hence, both the conditions are interrelated. PCOS is a condition that cannot be cured, but awareness can help a lot as one can recognize symptoms and prevent the further complication by diagnosing it in an early stage. The common sign and symptoms are given below:
- Irregular or menstrual cycle
- Painful periods
- Incapability to get pregnant
- Heavy bleeding
- Excessive hair growth on body and face
- Dark patches of skin under neck fold, waist and armpits
PCOS is not a curable disease but can be managed to prevent the further complication. Birth control pills are prescribed by a doctor as they help to regulate the proper mensuration cycle, clear ance and reduce the androgen level. One can reduce the symptoms of PCOS by including exercise and proper balanced diet in daily routine.
How can PCOS lead to diabetes?
A study revealed that around 10 million women in the world suffer from Polycystic Ovaries Syndrome (PCOS), a disorder of the endocrine system. PCOS is the pre-diabetic stage that causes the imbalance of sex hormones in the women. This imbalance of hormone resists the excretion of insulin, which results in a high blood sugar level, Diabetes. Women who experience PCOS at an early age are more prone to have diabetes and heart problems. PCOS can be controlled by taking proper diet and starting a day with a physical exercise.
- Prevention measures: In this prevention measures taken to cure PCOS will indirectly help to prevent diabetes.
- Exercise: Regular exercise is vital for a healthy body as it is a remedy for obesity and diabetes. Regular exercise helps to burn the excessive sugar and make cell sensitive to insulin. This permit the body to use insulin in a better way and beneficial for both PCOS and diabetes.
- Balanced diet: A balanced diet is fundamental to manage the overweight and reduce the risk of PCOS and diabetes. Make sure your diet is full of nutrients, including whole grain, lean proteins and healthy fats.
- Regular visits to the doctor: If you are suffering from PCOS consult to doctor for proper treatment and medication, this will help you to reduce the risk of diabetes. Minor life changes and medication can help to prevent these diseases.
PCOS is a deadly disease if not treated at early stage causes severe problems such as diabetes. It cannot be cured by can be prevented or manage to add exercise and diet into your routine. If you are experiencing any of symptoms, consult your doctor as it helps to avoid further complications.
Diabetes has been largely identified as a lifestyle disease that not only affects the physical health, but also causes a deterioration of the general well-being of a person. If a person is suffering from diabetes then it is not the only disease that a person should be concerned about. It is a debilitating disease that is linked to a multitude of other problems that affects health. However, even though the condition affects the body in a bad way, all is certainly not lost. Regular monitoring of blood glucose and maintaining it in a normal range reduces the risk of complications. If a person is suffering from diabetes or is in a pre-diabetic stage, then it is necessary to watch out for certain other diseases that can occur simultaneously with diabetes. The following conditions fall under the multitude of diseases associated with diabetes.
Diseases that affect the heart are one of the leading causes of death for people suffering from diabetes. Rise in the blood sugar levels can cause a building up of deposits of fats inside the blood vessels. This blocking of blood vessels is due to the clog caused by the fat deposit and it hardens the blood vessels. A partial blockage or narrowing of blood vessels can lead to a disruption in the functioning of heart. It leads to a stroke or a heart attack. The risk of developing a cardiovascular disease is high when a person is living with diabetes for a period of more than 12-15 years. Physical activity and diet management plays an important role in reducing the risk factor of developing heart related complications. Major risk factors include smokers, hypertensive patients, increased levels of cholesterol in blood and individuals with a history of heart diseases.
A leading cause of failure of kidneys is diabetes. A large number of people suffering from diabetes also have kidney problems. Chronic kidney disease is seen in people with a family history of increased blood pressure. Hypertensive conditions also tend to increase the rate of development of kidney diseases. Similarly, kidney problems can also lead to cause hypertension. Being linked to diabetes and hypertension, evaluation of kidney at regular intervals is mandatory to ensure a healthy lifestyle.
Nerve damage is invariably associated with diabetes. The nerve disorders that are caused by diabetes are termed as neuropathies. Damage to the blood vessels due to fat deposits affect the blood supply to the nerves. Lack of a regular blood supply leads to damaging of these nerves. Other causes of nerve damage in a diabetic patient are infection and inflammation. Pain, numbness of the affected area like toes and legs, tingling sensation or sometimes even loss of sensation is observed in diabetic neuropathy. Some may even experience disturbances in the digestive system. Nausea, uneasiness in the stomach, constipation, irregular bowel movements are amongst the common presenting symptoms. Nerve damage can also affect reproductive system and its functions.
Blood vessels present in the retina can get blocked or there may be development of abnormal growths in the eye of the individuals with diabetes. Image formation in the eye also gets affected. Two major diseases affecting the eye, cataracts and glaucoma, are also more likely to develop in diabetic people. It is essential for diabetics to undergo eye examination regularly. If the blood glucose in maintained in a normal range, eye problems can be largely avoided.
Amputation and other foot problemsAmputation of the foot is most likely to occur in people with diabetes. Diabetics are prone to have peripheral arterial disease, where blood flow to the foot is reduced. Narrowing of blood vessels affects the blood supply and thus delays healing of wounds and cuts. Neuropathic problems further worsen the condition of the foot. Unnoticed sores and ulcers can get infected and may cause an amputation. Poor circulation and high blood glucose levels cause the foot ulcers to remain unhealed. Calluses are also seen commonly on the foot of the diabetic people. Skin of the foot also becomes dry and tends to peel or crack. Proper care of the feet, with adequate moisture control is necessary to avoid foot problems. In case you have a concern or query you can always consult an expert & get answers to your questions!
An important aspect of diabetes treatment is modification of lifestyle. Unhealthy lifestyle pattern that includes a lack of physical activity and unhealthy food habits, initiate majority of type 2 diabetes cases. The incidence of diabetes has increased in tandem with obesity essentially all over the world. Adequate researches have concluded of a strong relationship between excess weight and the risk of development of diabetes and hypertension. Lifestyle modification is integral to the protocol of diabetes management. Existing cases of diabetes can be controlled with anti-hyperglycemic medications. Along with medicines, it has been proved that regular exercise and a balanced low sugar diet can help in management of diabetes.
The benefits of a healthy diet, regular physical activity and planned weight loss in individuals already diagnosed with diabetes has been much researched with a conclusion of positive results. A dietary restriction to 1200 kcal/day on average, has been documented to decrease the fasting blood glucose of overweight patients with diabetes in a period of under a week. This control of blood glucose levels is likely attributed to be the result of a decreased hepatic output of glucose. A decrease in the blood pressure is also observed in the persons who undergo a planned weight loss.
The risk of developing hyperlipidemia and hypertension is also high in obese individuals in comparison to the non-obese people. This may further cause various micro and macrovascular complications of diabetes in such individuals. Dietary considerationsMeticulous planning of meal is necessary in people with diabetes. The balance of nutrients required for the normal functioning of the body is necessary to be mentioned, along with the reduction of consumption of refined sugars. In the daily diet, around 55 to 65% of the total calories should be obtained from carbohydrates and mono-unsaturated fats. People on doses of insulin should alter the carbohydrate intake in accordance to the insulin dosage, with advice from the nutritionist. Complete elimination of sugars from the diet is not recommended, refined sugars are eliminated. Glycemic index is an important factor in determining the consumability of a food item.
Low glycemic index diets can help in maintaining low blood sugar levels. Some level of improvement in the HbA1C count has also been observed after consuming a low glycemic index diet. Artificial sweeteners use should be limited. Certain non-nutritive sweeteners, that have no effect on the blood glucose levels, are also used. Modification of carbohydrate consumption should be done only under the physician’s recommendation. In a diabetic patient, the protein metabolism is also affected, with a negative nitrogen balance in the body in comparison to the nitrogen balance in non-diabetics. High protein diets are not advised for diabetic patients.
Consumption of trans-fatty acids is advised to be minimized to avoid the risk of heart related complications. Cholesterol consumption should be reduced. To avoid the risk of developing cardiovascular diseases, management of fats consumption is necessary in diabetics. LDL cholesterol levels are to be brought down and plant sterols effectively reduce LDL. Certain micronutrients like zinc, antioxidants and chromium are added in the diet to improve diabetes control.
The risk of developing coronary artery disease and other cardiovascular problems is very high in people with diabetes. A key component of lifestyle change that can benefit the individuals in prevention or controlling diabetes is to begin with an exercise regimen. Exercise regimen should be modified according the health status and needs of the individual. Risk factors for cardiovascular diseases can be eliminated with following a proper weight loss or weight control regimen. Mild to moderate activity can help in lowering the risk of developing diabetes or pre diabetes. Reduction in the levels of HbA1C with increasing the level of physical activity and exercise has been observed. Exercise should be considered as the mainstay of the prevention protocol of diabetes. It is often difficult for the physician to inculcate the importance of physical activity and exercise in people with a long history of sedentary lifestyle and very little physical activity. But it is the most important way of management of diabetes, which further saves the patient from progression of the disease and development of diabetes related complications. In case you have a concern or query you can always consult an expert & get answers to your questions!
What is hypoglycaemia?
It is the decrease in the blood sugar amount to a certain level. If the disease is identified at an early stage, then the treatment can make the person free of the disease quickly. It affects people having diabetes as well as arthritis, increased blood pressure, high cholesterol and many others.
Early signs of the disease
- Blurred vision
- Increased heart rate
- Increased sweating
- Extreme levels of tiredness
- Pale face
- Coma in the last stage
- Problems with sleeping
Who are the people risk of having this disease?
People who take this three medications have a higher risk of having the disease:
- Sulphopnylureas (such as glibenclamide, gliclazide, glipizide, glimepiride, tolbutamide)
- Prandial glucose regulators (such as repaglinide, nateglinide)
Diabetes medications pose a more significant threat to patients of having hypoglycaemia.
Causes of the disease:
- Delayed meals
- Alcohol drinking
- High dose of insulin
- Tremendous levels of stress
- Deficiency of enzymes
- Not balanced hormonal levels
- At first, the patient must take a blood test to catch up with the levels of blood sugar
- Intake of 15-20 kg of carbohydrates is necessary every day. You can get a stabilized carbohydrate content from a bread slice, a banana and a bar made of cereal.
- Drink sugar-filled drinks such as Pepsi, etc. Glucose tablets and juice ease the disease rapidly. The patient can also eat sweets in this case. Take a balanced level of sugar content drinks such as 160 ml of cola or lemonade or 200 ml of fruit juice.
Natural treatment through diet:
- Liquorice roots: Cut the roots and boil it. Drink the water every day for controlled sugar level.
- Apple- It has magnesium and chromium which regulates the sugar level
- Wild yam
- Sunflower seeds
- Pumpkin seeds
- Gentian Root
If a person is attacked by seizures. It’s not possible to give such medications at that time. At that time a pillow or cushion should be placed below the patients head. The seizure goes away in about 5 min if holds up more time. The person needs to get admitted to a hospital.
Hypoglycemia doesn’t have its adverse side effects if captured at an early stage. The person gets recovered with the above-stated home medications. Although slow realization of the disease can take the person to the stage of a comma. The disease engulfs body’s maximum energy and few essential body functions also get hampered. But it is treatable with regular natural medications. People having diabetes receives the highest threat of the disease. The sugar levels have to be maintained for proper body working. If the person’s blood sugar level is not right, he/she may have the tendency to get hypoglycaemia and hyperglycemia. Having both this disease is the root of having diabetes. It would make the body weak, and the person will crave for more sugar. It will also weaken the nerve cells and tissues of the brain. Weight will be lost gradually which is a terrible sign. Therefore don’t be late if you are having this above-stated signs go to the doctor and have the proper diagnosis of the disease.
#Fenugreek seeds are high in soluble fibre, which helps lower blood sugar by slowing down digestion and absorption of carbohydrates. That's why it is effective in treating people with diabetes. Several studies showed that fenugreek seeds can improve most metabolic symptoms associated with both type 1 and type 2 diabetes.
Fenugreek seeds are helpful in controlling Diabetes and Cholesterol.
There are various manifestations of hypothyroidism; joint pain is one of them. Majority of people who are suffering from hypothyroidism have joint pain. This can cause difficulty in day to day life of the person.
So here are the ways to decrease joint pain from hypothyroidism-
- Lose weight- Weight is the one factor which gives more stress to the joints. By losing weight, the stress upon the joints reduces. This not only decreases the pain but also increases the mobility, and prevents future damage to your joints.
- Strengthen your muscles- Strengthening of muscles is necessary to protect your joints. By building the muscle mass you also use more calories than fat which results in weight loss and reduces the stress upon the joints. Physiotherapy will be helpful in this.
- Exercise regularly- Doing exercise is more beneficial than just weight loss. It helps to maintain flexibility in your joints. Low-impact exercises such as water aerobics or swimming are more beneficial than weight-bearing exercises like running and walking.
- Healthy Diet- Add fresh fruits, vegetables which are highly antioxidants. Also, fatty fish which is a good source of omega-3 fatty acids, which are known to decrease inflammation. This can help in resolving your joint pain. Avoid the junk food which leads to weight gain.
- Good Sleep- Sleep is the ultimate solution for your stress. Also, sleep is the time when your joints and muscles repair. If you are sleeping well you may take less time to recover. At least 7-8 hours of sleep every day is a must.
- Meditation- Sometimes constant pain can be stressful and troublesome. Meditation helps you to deal with stress. It distracts you from your bothering like joint pain and makes you focus on your breathing. It also makes you calm and settled.
- Yoga- Yoga not only helps in joint pain but it improves the overall health. It increases the flexibility. It makes you feel fresh and keeps you healthy.
- Hot and Cold Therapy- It helps to reduce the stiffness and swelling of the muscles and joints hence reducing the pain. A cold fomentation is best for relieving joint pain, swelling, and inflammation. Apply a gel ice pack to painful joints for quick relief.
- Massage- Massage of the painful joint will help to decrease the pain, swelling and stiffness. It also improves the range of motion of the joint.
- Medication- Medications such as NSAID’S, steroids are used to reduce the inflammation hence the pain. But these are temporary treatments and they also have adverse effects on the body. This is prescribed along with thyroxine if the pain is severe. Even supplements like calcium and vitamin D are given according to the need.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Thyroiditis is the inflammation or swelling of the thyroid gland. It primarily affects women from early adulthood to middle age, although anyone can get it. The thyroid is the butterfly-shaped gland located in the front of your throat, just below your Adam’s apple. It controls your metabolism by producing hormones that influence how fast or slow your heart, brain, and other parts of your body work. Thyroiditis can make thyroid gland produce too many or not enough hormones. Too many hormones can make you feel jittery and possibly make your heart race. Too few hormones can make you feel tired and depressed.
Types of thyroiditis: There are several types of thyroiditis –
- Hashimoto’s thyroiditis: This is the most common type of thyroiditis. It is caused by the immune system attacking the thyroid gland, making it swelled and damaged. As the thyroid is destroyed over time, it is no longer able to produce enough of the thyroid hormone.
- Subacute thyroiditis: It is possibly caused by a viral infection such as mumps or the flu. It usually causes fever and pain in the neck, jaw, or ear. Post-partum thyroiditis: This is an autoimmune condition caused by antithyroid antibodies that sometimes occurs shortly after a woman gives birth. However, it is more common in women with type 1 diabetes, positive thyroid antibodies, and a previous history of postpartum thyroiditis.
- Silent thyroiditis: Silent thyroiditis is similar to postpartum thyroiditis but it can occur in men and women both. Moreover, it is not related to giving birth. This is also an autoimmune disease caused by antithyroid antibodies.
- Drug-induced thyroiditis: Some medications can damage the thyroid and cause either symptom of the overactive thyroid gland or underactive thyroid gland.
- Radiation-induced thyroiditis: The thyroid gland can sometimes be damaged by radiotherapy treatment given for an overactive thyroid gland.
- Acute or infectious thyroiditis: Acute or infectious thyroiditis is usually triggered by a bacterial infection. It is rare and is associated with either a weakened immune system or, in children, a problem with the development of the thyroid.
Symptoms of thyroiditis: The symptoms of thyroiditis depend on the type and phase of thyroiditis. Thyroiditis can cause slow, long-term thyroid cell damage and destruction that causes thyroid hormone levels in the blood to fall. If this happens, the symptoms are similar to those of hypothyroidism, which includes fatigue, unexpected weight gain, constipation, dry skin, depression, and muscle ache. On the other hand, thyroiditis can also cause rapid thyroid cell damage and destruction that causes thyroid hormone in the gland to leak out and increase the thyroid hormone levels in your blood. If this happens, symptoms that are similar to those of hyperthyroidism may occur. This may include weight loss, nervousness, anxiety or irritability, difficulty in sleeping, rapid heart rate, fatigue, muscle weakness, and tremors.
Treatment of thyroiditis: Hypothyroidism is generally treated with synthetic versions of the thyroid hormone. These are taken as pills. As your metabolism returns to normal, your doctor may adjust the dosage. The treatment of hyperthyroidism depends on the type of inflammation and also on any symptoms that you may be having.
In case you have a concern or query you can always consult an expert & get answers to your questions!
If you are suffering from diabetes then you would know how crucial it is to maintain optimum glucose or sugar level. Increasing or decreasing of the sugar level in your body can be extremely fatal. Diabetes is a disease which arises due to excessive sugar in your blood. Thus, in order to control the disease, you need to make sure that the sugar level is maintained evenly. Sudden changes in the level might cause other health problems. Thus, not only do you need to go for constant check-ups by the medical practitioner but also need to conduct regular blood tests every year. These apart, to maintain a standard glucose level or to measure the level in your body, you can make some of the Continuous Glucose Monitoring system or the CGM.
What are Continuous Glucose Monitoring Systems?
CGM’s are small devices that a diabetic patient wears on their skin. This device measures the glucose content of the body day and night and alerts the patient in case of an imbalance in the sugar levels. A graphical representation of the sugar levels is presented to you every day so that you can see for yourself the rise and fall of the glucose content in your body. The Continuous Glucose Monitoring Systems are of two different types.
The first type involves those devices which provide you a graphical representation of your sugar levels in real time. The second type involves those devices from where you can download and analyse a recorded sugar level of your body throughout the day.
Advantages of CGM’s:
There are several advantages of using a CGM. Some of them are:
- The sugar level can be accurately tracked all day long and even at nights. This is helpful in alerting you even to the slightest change in the level in your body.
- With continuous measurements, you can get rid of regular blood tests prescribed by your doctor. However, it is advisable to consult your doctor once prior to the skipping of any blood tests.
- You can monitor the trends of the sugar level in your body. That is, you can gauge the trend as to when the sugar level is high or low in your body.
These are some of the essential facts that you need to know about CGM’s. These devices are becoming quite popular with those suffering from diabetes. It is one of those instruments which have made it easier to balance the lifestyle of the diabetic patients.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetes Myths vs. Facts
Diabetes is a serious condition in which body can’t use glucose properly and is also commonly misunderstood by the people. Not everything we hear about diabetes is true. Today we would learn from Diabetologist in Delhi Dr Rajesh Kesari what’s true and what’s not- so we can make the right decisions and better manage diabetes. There are number of Myths about diabetes lets allay some of them and bring out the facts.
- Myth: Eating too much sugar can cause type2 diabetes.
- Fact: Its only when our body fails to properly utilize and store this glucose that one develops Diabetes .
- Myth: Having diabetes would always lead to significant health complications.
- Fact: No-If you control your blood sugar level, you have a healthy life and be able to delay or prevent diabetes complications altogether.
- Myth: Diabetes is contagious.
- Fact: Simply No. You can’t catch it from someone as cold or flu. Type 2 can run in families.