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diabetic double risk of parkinsonism

diabetic double risk  of parkinsonism
Diabetes more than doubles the risk of developing Parkinson's disease while metformin therapy protects against that risk, according to research published in the publication Parkinsonism and Related Disorders.

Parkinson's disease is a disorder of the brain that leads to tremors and difficulty with walking, movement and coordination. It most often develops in people age 50 or older and is one of the most common nervous system disorders of the elderly, according to the National Institutes of Health. There is no known cure.

The major 12-year study in Taiwan found that while diabetes increases the risk of Parkinson's 2.2 fold, including metformin in the therapy negates that risk.

“An exciting aspect of the finding is that metformin seems to be working to protect the brain against neurodegeneration which contributes to Parkinsonism. This means it may also be considered a relevant therapy for the prevention of dementia as well,” said Mark Wahlqvist, professor at the National Health Research Institutes in Taiwan and lead author of the study.

Metformin is the first-line medication for patients with type 2 diabetes. This affordable and commonly prescribed oral drug lowers blood glucose levels by decreasing the amount of glucose produced by the liver and enhancing insulin action. It's a type of biguanide drug used since the 1950s with a relatively safe record.

Researchers also found that use of sulfonylurea drugs, a common treatment for diabetes, further increases the risk by about 57 percent.

Sylfonylureas are a category of oral medications that stimulate the beta cells of the pancreas to release more insulin, according to the American Diabetes Association. Sylfonylurea drugs have been in use since the 1950s and include glipizide, glyburide, glimepiride and chlorpropamide.

Researchers theorize that metformin may re-set the regulation of energy metabolism in the brain cells. They suspect that exercise and diet may have the same energy regulating effect.

The study does not examine the mechanism behind metformin's protective effect on the brain. Researchers say that additional research is needed in this area.

Past research has shown that metformin reduces cardiovascular mortality and several cancers, including those of the large bowel, liver and pancreas.
62 people found this helpful

Avoid The Ban Medicines To Be Safe

Avoid The Ban Medicines To Be Safe

Govt bans 344 drugs, including phensedyl, corex
Sr. No. Product name (irrational fdc) 
1 aceclofenac + paracetamol + rabeprazole
2 nimesulide + diclofenac
3 nimesulide + cetirizine + caffeine
4 nimesulide + tizanidine
5 paracetamol + cetirizine + caffeine
6 diclofenac + tramadol + chlorzoxazone
7 dicyclomine + paracetamol + domperidone
8 nimesulide + paracetamol
9 paracetamol + phenylephrine + caffeine
10 diclofenac+ tramadol + paracetamol
11 diclofenac + paracetamol + chlorzoxazone + famotidine
12 naproxen + paracetamol
13 nimesulide + serratiopeptidase
14 paracetamol + diclofenac + famotidine
15 nimesulide + pifofenone + fenpiverinium + benzyl alcohol
16 omeprazole + paracetamol + diclofenac
17 nimesulide + paracetamol injection
18 tamsulosin + diclofenac
19 paracetamol + phenylephrine + chlorpheniramine + dextromethorphan + caffeine
20 diclofenac + zinc carnosine
21 diclofenac + paracetamol + chlorpheniramine maleate + magnesium trisillicate
22 paracetamol + pseudoephedrine + cetrizine
23 phenylbutazone + sodium salicylate
24 lornoxicam + paracetamol + trypsin
25 paracetamol + mefenamic acid + ranitidine + dicylomine
26 nimesulide + dicyclomine
27 heparin + diclofenac
28 glucosamine + methyl sulfonyl methane + vitamini d3 + maganese + boron + copper + zinc
29 paracetamol + tapentadol
30 tranexamic acid + proanthocyanidin
31 benzoxonium chloride + lidocaine
32 lornoxicam + paracetamol + tramadol
33 lornoxicam + paracetamol + serratiopeptidase
34 diclofenac + paracetamol + magnesium trisilicate
35 paracetamol + domperidone + caffeine
36 ammonium chloride + sodium citrate + chlorpheniramine maleate + menthol
37 paracetamol + prochlorperazine maleate
38 serratiopeptidase (enteric coated 20000 units) + diclofenac potassium & 2 tablets of doxycycline
39 nimesulide + paracetamol suspension
40 aceclofenac + paracetamol + famotidine
41 aceclofenac + zinc carnosine
42 paracetamol + disodium hydrogen citrate + caffeine
43 paracetamol + dl methionine
44 disodium hydrogen citrate + paracetamol
45 paracetamol + caffeine + codeine
46 aceclofenac (sr) + paracetamol
47 diclofenac + paracetamol injection
48 azithromycin + cefixime
49 amoxicillin + dicloxacillin
50 amoxicillin 250 mg + potassium clavulanate diluted 62.5 mg
51 azithromycin + levofloxacin
52 cefixime + linezolid
53 amoxicillin + cefixime + potassium clavulanic acid
54 ofloxacin + nitazoxanide
55 cefpodoxime proxetil + levofloxacin
56 azithromycin, secnidazole and fluconazole kit
57 levofloxacin + ornidazole + alpha tocopherol acetate
58 nimorazole + ofloxacin
59 azithromycin + ofloxacin
60 amoxycillin + tinidazole
61 doxycycline + serratiopeptidase
62 cefixime + levofloxacin
63 ofloxacin + metronidazole + zinc acetate
64 diphenoxylate + atropine + furazolidonee
65 fluconazole tablet, azithromycin tablet and ornidazole tablets
66 ciprofloxacin + phenazopyridine
67 amoxycillin + dicloxacillin + serratiopeptidase
68 azithromycin + cefpodoxime
69 lignocaine + clotrimazole + ofloxacin + beclomethasone
70 cefuroxime + linezolid
71 ofloxacin + ornidazole + zinc bisglycinate
72 metronidazole + norfloxacin
73 amoxicillin + bromhexine
74 ciprofloxacin + fluticasone + clotrimazole + neomycin is
75 metronidazole + tetracycline
76 cephalexin + neomycin + prednisolone
77 azithromycin + ambroxol
78 cilnidipine + metoprolol succinate + metoprolol tartrate
79 l-arginine + sildenafil
80 atorvastatin + vitamin d3 + folic acid + vitamin b12 + pyridoxine
81 metformin + atorvastatin
82 clindamycin + telmisartan
83 olmesartan + hydrochlorothiazide + chlorthalidone
84 l-5-methyltetrahydrofolate calcium + escitalopram
85 pholcodine + promethazine
86 paracetamol + promethazine
87 betahistine + ginkgo biloba extract + vinpocetine + piracetam
88 cetirizine + diethyl carbamazine
89 doxylamine + pyridoxine + mefenamic acid + paracetamol
90 drotaverine + clidinium + chlordiazepoxide
91 imipramine + diazepam
92 flupentixol + escitalopram
93 paracetamol + prochloperazine
94 gabapentin + mecobalamin + pyridoxine + thiamine
95 imipramine + chlordiazepoxide + trifluoperazine + trihexyphenidyl
96 chlorpromazine + trihexyphenidyl
97 ursodeoxycholic acid + silymarin
98 metformin 1000/1000/500/500mg + pioglitazone 7.5/7.5/7.5/7.5mg + glimepiride
99 gliclazide 80 mg + metformin 325 mg
100 voglibose+ metformin + chromium picolinate
101 pioglitazone 7.5/7.5mg + metformin 500/1000mg
102 glimepiride 1mg/2mg/3mg + pioglitazone 15mg/15mg/15mg + metformin 1000mg/1000mg/1000mg
103 glimepiride 1mg/2mg+ pioglitazone 15mg/15mg + metformin 850mg/850mg
104 metformin 850mg + pioglitazone 7.5 mg + glimepiride 2mg
105 metformin 850mg + pioglitazone 7.5 mg + glimepiride 1mg
106 metformin 500mg/500mg+gliclazide sr 30mg/60mg + pioglitazone 7.5mg/7.5mg
107 voglibose + pioglitazone + metformin
108 metformin + bromocriptine
109 metformin + glimepiride + methylcobalamin
110 pioglitazone 30 mg + metformin 500 mg
111 glimepiride + pioglitazone + metformin
112 glipizide 2.5mg + metformin 400 mg
113 pioglitazone 15mg + metformin 850 mg
114 metformin er + gliclazide Mr. + voglibose
115 chromium polynicotinate + metformin
116 metformin + gliclazide + piogllitazone + chromium polynicotinate
117 metformin + gliclazide + chromium polynicotinate
118 glibenclamide + metformin (sr)+ pioglitazone
119 metformin (sustainded release) 500mg + pioglitazone 15 mg + glimepiride 3mg
120 metformin (sr) 500mg + pioglitazone 5mg
121 chloramphenicol + beclomethasone + clomitrimazole + lignocaine
122 of clotrimazole + ofloxaxin + lignocaine + glycerine and propylene glycol
123 chloramphennicol + lignocaine + betamethasone + clotrimazole + ofloxacin + antipyrine
124 ofloxacin + clotrimazole + betamethasone + lignocaine
125 gentamicin sulphate + clotrimazole + betamethasone + lignocaine
126 clotrimazole + beclomethasone + ofloxacin + lignocaine
127 becloemthasone + clotrimazole + chloramphenicol + gentamycin + lignocaine ear
128 flunarizine + paracetamole + domperidone
129 rabeprazole + zinc carnosine
130 magaldrate + famotidine + simethicone
131 cyproheptadine + thiamine
132 magaldrate + ranitidine + pancreatin + domperidone
133 ranitidine + magaldrate + simethicone
134 magaldrate + papain + fungul diastase + simethicone
135 rabeprazole + zinc + domperidone
136 famotidine + oxytacaine + magaldrate
137 ranitidine + domperidone + simethicone
138 alginic acid + sodium bicarbonate + dried aluminium hydroxide + magnesium hydroxide
139 clidinium + paracetamol + dicyclomine + activated dimethicone
140 furazolidone + metronidazole + loperamide
141 rabeprazole + diclofenac + paracetamol
142 ranitidine + magaldrate
143 norfloxacin+ metronidazole + zinc acetate
144 zinc carnosine + oxetacaine
145 oxetacaine + magaldrate + famotidine
146 pantoprazole (as enteric coated tablet) + zinc carnosine (as film coated tablets)
147 zinc carnosine + magnesium hydroxide + dried aluminium hydroxide + simethicone
148 zinc carnosine + sucralfate
149 mebeverine & inner hpmc capsule (streptococcus faecalis + clostridium butyricum + bacillus
Mesentricus + lactic acid bacillus)
150 clindamycin + clotrimazole + lactic acid bacillus

151 sildenafil + estradiol valerate
152 clomifene citrate + ubidecarenone + zinc + folic acid + methylcobalamin + pyridoxine + lycopene
+ selenium + levocarnitine tartrate + l-arginine
153 thyroxine + pyridoxine + folic acid
154 gentamycin + dexamethasone + chloramphenicol + tobramycin + ofloxacin
155 dextromethorphan + levocetirizine + phenylephrine + zinc
156 nimesulide + loratadine + phenylephrine + ambroxol
157 bromhexine + phenylephrine + chlorepheniramine maleate
158 dextromethorphan + bromhexine + guaiphenesin
159 paracetamol + loratadine + phenylephrine + dextromethorphan + caffeine
160 nimesulide + phenylephrine + caffeine + levocetirizine
161 azithromycin + acebrophylline
162 diphenhydramine + terpine + ammonium chloride + sodium chloride + menthol
163 nimesulide + paracetamol + cetirizine + phenylephrine
164 paracetamol + loratadine + dextromethophan + pseudoepheridine + caffeine
165 chlorpheniramine maleate + dextromethorphan + dextromethophan + guaiphenesin + ammonium
Chloride + menthol
166 chlorpheniramine maleate + ammonium chloride + sodium citrate
167 cetirizine + phenylephrine + paracetamol + zinc gluconate
168 ambroxol
+ guaiphenesin + ammonium chloride + phenylephrine + chlorpheniramine maleate + menthol
169 dextromethorphen + bromhexine + chlorpheniramine maleate + guaiphenesin
170 levocetirizine + ambroxol + phenylephrine + guaiphenesin
171 dextromethorphan + chlorpheniramine + chlorpheniramine maleate 
172 cetirizine + ambroxol + guaiphenesin + ammonium chloride + phenylephrine +
Menthol
173 hlorpheniramine + phenylephrine + caffeine
174 dextromethorphan + triprolidine + phenylephrine
175 dextromethorphan + phenylephrine + zinc gluconate + menthol
176 chlorpheniramine + codeine + sodium citrate + menthol syrup
177 enrofloxacin + bromhexin
178 bromhexine + dextromethorphan + phenylephrine + menthol
179 levofloxacin + bromhexine
180 levocetirizine + phenylephrine + ambroxol + guaiphenesin + paracetamol
181 cetirizine + dextromethorphan + phenylephrine + zinc gluconate + paracetamol + menthol
182 paracetamol + pseudoephedrine + dextromethorphan+cetirizine
183 diphenhydramine + guaiphenesin + ammonium chloride + bromhexine
184 chlorpheniramine + dextromethorphan + phenylephrine + paracetamol
185 dextromethorphen + promethazine
186 diethylcabamazine citrate + cetirizine + guaiphenesin
187 chlorpheniramine + phenylephrine + dextromethophan + menthol
188 ambroxol + terbutaline + dextromethorphan
189 dextromethorphan + chlorpheniramine + guaiphenesin
190 terbutaline + bromhexine + guaiphenesin + dextromethorphan
191 dextromethorphan + tripolidine + phenylephirine
192 paracetamol + dextromethorphan + chlorpheniramine
193 codeine + levocetirizine + menthol
194 dextromethorphan + ambroxol + guaifenesin + phenylephrine + chlorpheniramine
195 cetirizine + phenylephrine + dextromethorphan + menthol
196 roxithromycin + serratiopeptidase
197 paracetamol + phenylephrine + triprolidine
198 cetirizine + acetaminophen + dextromethorphan + phenyephrine + zinc gluconate 
199 diphenhydramine + guaifenesin + bromhexine + ammonium chloride + menthol
200 chlopheniramine maleate + codeine syrup
201 cetirizine + dextromethorphan + zinc gluconate + menthol
202 paracetamol + phenylephrine + desloratadine + zinc gluconate + ambroxol
203 levocetirizine + montelukast + acebrophylline
204 dextromethorphan + phenylephrine + ammonium chloride + menthol
205 acrivastine + paracetamol + caffeine + phenylephrine
206 naphazoline + carboxy methyl cellulose + menthol + camphor + phenylephrine
207 dextromethorphan + cetirizine
208 nimesulide + paracetamol + levocetirizine + phenylephrine + caffeine
209 terbutaline + ambroxol + guaiphenesin + zinc + menthol
210 dextromethorphan + phenylephrine + guaifenesin + triprolidine
211 ammomium chloride + bromhexine + dextromethorphan 
212 diethylcarbamazine + cetirizine + ambroxol
213 ethylmorphine + noscapine + chlorpheniramine
214 cetirizine + dextromethorphan + ambroxol
215 ambroxol + guaifenesin + phenylephrine + chlorpheniramine
216 paracetamol + phenylephrine + chlorpheniramine + zinc gluconate
217 dextromethorphan + phenylephrine + cetirizine + paracetamol + caffeine
218 dextromethophan + chlorpheniramine + guaifenesin + ammonium chloride
219 levocetirizine + dextromethorphan + zinc
220 paracetamol + phenylephrine + levocetirizine + caffeine
221 chlorphaniramine + ammonium chloride + sodium chloride
222 paracetamol + dextromethorphan + bromhexine + phenylephrine + diphenhydramine
223 salbutamol + bromhexine + guaiphenesin + menthol
224 cetirizine + dextromethorphan + bromhexine + guaifenesin
225 diethyl carbamazine + chlorpheniramine + guaifenesin
226 ketotifen + cetirizine
227 terbutaline + bromhexine + etofylline
228 ketotifen + theophylline
229 ambroxol + salbutamol + theophylline
230 cetririzine + nimesulide + phenylephrine
231 chlorpheniramine + phenylephrine + paracetamol + zink gluconate
232 acetaminophen + guaifenesin + dextromethorphan + chlorpheniramine
233 cetirizine + dextromethorphan + phenylephrine + tulsi
234 cetirizine + phenylephrine + paracetamol + ambroxol + caffeine
235 guaifenesin + dextromethorphan
236 levocetirizine + paracetamol + phenylephirine + caffeine
237 caffeine + paracetamol + phenylephrine + chlorpheniramine
238 levocetirizine + paracetamol + phenylephirine + caffeine
239 caffeine + paracetamol + phenylephrine + chlorpheniramine
240 ketotifen + levocetrizine
241 paracetamol + levocetirizine + phenylephirine + zink gluconate
242 paracetamol + phenylephrine + triprolidine + caffeine
243 caffeine + paracetamol + phenylephrine + cetirizine
244 caffeine + paracetamol + chlorpheniramine
245 ammonium chloride + dextromethorphan + cetirizine + menthol
246 dextromethorphan + paracetamol + cetirizine + phenylephrine
247 chlorpheniramine + terpin + antimony potassium tartrate + ammonium chloride + sodium
Citrate + menthol
248 terbutaline + etofylline + ambroxol
249 paracetamol + codeine + chlorpheniramine
250 paracetamol+pseudoephedrine+certirizine+caffeine
251 chlorpheniramine+ammonium chloride + menthol
252 n-acetyl cysteine + ambroxol + phenylephrine + levocertirizine
253 dextromethorphan + phenylephrine + tripolidine + menthol
254 salbutamol + certirizine + ambroxol
255 dextromethorphan + phenylephrine + bromhexine + guaifenesin + chlorpheniramine
256 nimesulide + certirizine + phenylephrine
257 naphazoline + chlorpheniramine + zinc sulphate + boric acid + sodium chloride + chlorobutol
258 paracetamol + bromhexine + phenylephrine + chlorpheniramine + guaifenesin
259 salbutamol + bromhexine
260 dextromethorphan + phenylephrine + guaifenesin + certirizine + acetaminophen
261 guaifenesin + bromhexine + chlorpheniramine + paracetamo
262 chlorpheniramine + ammonium chloride + chloroform + menthol
263 salbutamol + choline theophylinate + ambroxol
264 chlorpheniramine + codeine phosphate + menthol syrup
265 pseudoephedrine + bromhexine
266 certirizine + phenylephrine + paracetamol + caffeine + nimesulide
267 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
268 dextromethorphan + cetirizine + guaifenesin + ammonium chloride
269 ambroxol + salbutamol + choline theophyllinate + menthol
270 paracetamol + chlorpheniramine + ambroxol + guaifenesin + phenylephrine
271 chlorpheniramine + vasaka + tolubalsm + ammonium chloride + sodium citrate + menthol
272 bromhexine + cetrizine + phenylephrine ip+guaifenesin + menthol
273 dextromethorphan + ambroxol + ammonium chloride + chlorpheniramine + menthol
274 dextromethorphan + phenylephrine + cetirizine + zinc + menthol
275 terbutaline + n-acetyl l-cysteine + guaifenesin
276 calcium gluconate + levocetirizine
277 paracetamol + levocetirizine + pseudoephedrine
278 salbutamol + choline theophylinate + carbocisteine
279 chlorpheniramine + vitamin c
280 calcium gluconate + chlorpheniramine + vitamin c
281 chlorpheniramine + paracetamol + pseudoephedrine + caffeine
282 guaifenesin + bromhexine + chlorpheniramine + phenylephrine + paracetamol + serratiopeptidase
(as enteric coated granules) 10000 sp units
283 paracetamol + pheniramine
284 betamethasone + fusidic acid + gentamycin + tolnaftate + lodochlorhydroxyquinoline (ichq
285 clobetasol + ofloxacin + miconazole + zinc sulphate
286 clobetasole + gentamicin + miconazole + zinc sulphate
287 levocetirizine + ambroxol + phenylephrine + paracetamol
288 permethrin + cetrimide + menthol
289 beclomethasone + clotimazole + neomycin + lodochlorohydroxyquinone
290 neomycin + doxycycline
291 ciprofloxacin + fluocinolone + clotrimazole + neomycin + chlorocresol
292 clobetasol + ofloxacin + ketoconazol + zinc sulphate
293 betamethasone + gentamicin + tolnaftate + lodochlorhydroxyquinoline
294 clobetasol + gentamicin + tolnaftate + lodochlorhydroxyquinone + ketoconazole
295 allantoin + dimethieone + urea + propylene + glycerin + liquid paraffin
296 acriflavine + thymol + cetrimide
297 betamethasone + neomycin + tolnaftate + lodochlorohydroxyquinoline + cholorocresol
298 clobetasol + neomycin + miconazole + clotrimazole
299 ketoconazole + tea tree oil + allantion + zinc oxide + aloe vera + jojoba oil +
Lavander oil + soa noodels
300 clobetasol propionate + ofloxacin + ornidazole + terbinafine
301 clobetasol + neomycin + miconazole + zinc sulphate
302 beclomethasone diproprionate + neomycin + tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 betamethasone + gentamycin + zinc sulphate + clotrimoazole + chlorocresol
304 borax + boric acid + naphazoline + menthol + camphor + methyl hydroxy benzoate
305 bromhexine + dextromethorphan
306 dextromethophan + chlopheniramine + bromhexine
307 menthol + anesthetic ether
308 dextrometharphan + chlopheniramine + ammonium + sodium citrate + menthol
309 ergotamine tartrate + belladona dry extarct+caffeine + paracetamol
310 phenytoin + phenobarbitone
311 gliclazide 40mg + metformin 400mg
312 paracetamol + ambroxol + phenylephrine + chlorpheniramine
313 oflaxacin + ornidazole suspension
314 albuterol + etofylline + bromhexine + menthol
315 albuterol + bromhexine + theophylline
316 salbutamol+hydroxyethyltheophylline (etofylline) + bromhexine
317 paracetamol+phenylephrine+levocetirizine+sodium citrate
318 paracetamol + propyphenazone + caffeine
319 guaifenesin + diphenhydramine + bromhexine + phenylephrine
320 dried alumnium hydroxie gel + prophantheline + diazepam
321 bromhenxine + phenylephrine + chlorpheniramine + paracetamol
322 beclomethasone + clotrimazole + gentamicin + lodochlorhydroxyquinoline
323 telmisartan + metformin
324 ammonium citrate + vitamin b 12 + folic acid + zinc sulphate
325 levothyroxine + phyridoxine + nicotinamide
326 benfotiamine + metformin
327 thyroid + thiamine + riboflavin + phyridoxine + calcium pantothenate + tocopheryl acetate +
Nicotinamide
328 ascorbic acid + manadione sodium bisulphate + rutin + dibasic calcium phosphate +
Adrenochrome mono semicarbazone
329 phenylephrine + chlorpheniramine + paracetamol + bromhexine + caffeine
330 clotrimazole + beclomethasone + lignocaine + ofloxacin + acetic aicd + sodium methyl paraben +
Propyl paraben

Avoid this combinations and be safe.

298 people found this helpful

Diabetes - Homoeopathic Treatment!

Diabetes - Homoeopathic Treatment!

Homoeopathy & Its treatment in Diabetes :

Homeopathic treatment does not target a disease, an organ, part of the body or a symptom, treatment is determined on the basis of an totality of all the symptoms, you should know that all the homeopathic medicines that are capable of controlling diabetes. We have to know how the patient feels and how he lives with in his stressful life after knowing his complete history then only we can help him .

Each sufferer of diabetes is experienced differently by symptoms, in which due to mental stress, pancreas increases the level of sugar in the blood .I'm sure every homeopath doctor will be able to get rid of diabetes if he understands the experience of the patient. I gave phosphoric acid in homeopathic by asking the traditional questions about fatigue, energy level, sleep, hunger, personality, nature of a patient. They reported more energy and inspiration after a few days. He was sleeping deep, feeling happy, and was feeling full of more energy. His insulin started coming out in a considerable amount and he was completely free from diabetes.

What is diabetes mellitus?

Diabetes mellitus is a chronic disease caused by inherited and/or acquired deficiency in production of insulin by the pancreas, or by the ineffectiveness of the insulin produced. Such a deficiency results in increased concentrations of glucose in the blood, which in turn damage many of the body's systems, in particular the blood vessels and nerves.

Two type of Diabetes : 

In most people with type 1 diabetes, the body's immune system, which usually fights with infection, destroys cells in the pancreas, which makes insulin. Consequently, your pancreas stops making insulin. Without insulin, glucose does not get your cells in the form of energy and your blood glucose increases above normal, people with type 1 diabetes need to take insulin everyday to survive.Type 1 (formerly known as insulin-dependent) in which the pancreas fails to produce the insulin which is essential for survival. This form develops most frequently in children and adolescents, but is being increasingly noted later in life.

Who is prone to type 1 diabetes?

Type 1 diabetes usually occurs in children and young adults, although it can occur at any age. If diabetes is for parents or brother then the possibility of developing type 1 diabetes can increase. About 5 percent of people with diabetes have type 1.

What are the symptoms of type 1 diabetes?

Symptoms of type 1 diabetes are severe and usually symptoms start showing in a few days. Symptoms may include:

  • Thirst and increase in urination
  • Increase in hunger
  • Blurred vision
  • Fatigue
  • Loss of weight
  • Occasionally the first symptom of type 1 diabetes is a dangerous condition called diabetic ketosididosis (DKA). 

Some characteristics of DKA include:

  • The breath smells of fruit
  • Dry skin
  • Nausea
  • stomach pain
  • Difficulty in breathing
  • Trouble getting confused or paying attention
  • DKA is serious and dangerous

What is the cause of type 1 diabetes?

Experts believe that there are gene and environments in the causes of type 1 diabetes, such as viruses, which can trigger the disease, researchers have worked for the tests of the cause of type 1 diabetes.

Type 2 diabetes: Most of diabetics fall into this category. In type 2 diabetes, the body does not make enough insulin or its proper use of insulin supply. While many type 2 diabetes take medication to reduce their blood glucose, this type of diabetes can be managed with diet, exercise and weight loss where necessary. 

Two major contributing factors for type 2 diabetes are obesity and age.

 In both cases, the body becomes less efficient. When blood glucose grows above normal levels, people experience various symptoms.

The most common symptom is the reason for them.

With fatigue insufficient insulin production, cells do not get enough energy and can not work efficiently. 

This causes: 

  • Fatigue
  • Increased urination: All blood from the kidney is filtered. Extra glucose in the blood should also be filtered by the kidney, which can absorb and recycle glucose in normal quantities. However, when blood glucose is very high, it can be more than the capacity to absorb kidney capacity again. Extra glucose comes out in the urine, it is literally pulling water with it. This means urine production has increased and therefore increased urination.
  • Increased thirst: Thirst increases in increased urine.
  • Blurred vision: With high blood glucose, excess glucose can be in the eye lens. When this happens, the water moves again (because it passes through the kidney). When extra water enters the lens, then it changes its shape. The lens loses its ability to focus on the eyes, which is considered as a blurred vision.
  • Yeast Infections: Yeast keeps the vagina well in the environment (as well as under the holes of the penis). When blood glucose is high, there is also more glucose in the vagina, and the yeast creatures survive.
  •  Weight loss: Loss of glucose through urine means losing calories.

Medications & Management :

Have you ever thought that  number of medicines  today can reduce the blood sugar  homeopathic syrup, medication, needle, capsule, and  Homoeopathic mother tinctures but the pancreas never get repaired To cure this disease, the right doctor needs proper first we understand what we have been doing to the patient with diabetes, how do we stop the disease rather than cure the disease.

Allopathic medications prescribed generally glimepiride (M.L.L.), glimepiride-piaglitazone (duactact), glimepiride-rosiglitazone (havandariel), gliclazide, glipizide (glucotrol), glipizide-metformin (metaglip), glybide (diabeta) , Glynense, micronez), glyburide-metformin (gluconceous) metformin, insulin etc.  .Homoeopathic medicine What we give is Sygygium Jambolum Q , gymnima silvestre Q, insulin 30 ,Ars brom Q. All medicines in Ayurvedic are considered as miracle & curative like  bamboo, bitter gourd, cinnamon, cinnamon, gudmar , Flowers of mangoes, from amla, gram flour and wheat flour, neem, ashwagandha, pomegranate peel, shilajit, wheat jowar, curry leaves, bell, palash flowers, paneer flowers, hundi Water, Turmeric, giloy's  etc. These all medicines can temporarily  reduce the sugar in blood  but cannot stop the destruction process.Only by giving proper medication we can not only stop  the illness but also treat  other manifested  diseases, such as Diabetic retinopathy, Diabetic Dermopathy , Diabetic Neuropathy & Diabetic Nephropathy.

According to new research, the normal glucose regulation depends on the partnership between the pancreas, pancreatic islet cells, and insulin-producing cells of neuronal circuits in the hypothalamus and other brain areas, which are deeply involved in maintaining normal glucose levels.

Pancreatic blood circulation occurs in very small quantities, which is influenced by the brain's thoughts or nerves,  if we taek stress or any emption pressure and no sleep, it affects the pancreas. And stop or decrease blood circulation will get hindrances in the action of pancreas and will continue to give different types of symptoms to your body and this is the first stage of diabetes. Diagnosis will be found on the stage of mind. If the patient is suffering from diabetes at the first stage, it is called psoric diabetes. On the second stage, the sugar control is not happening i.e. the disease is progressing towards pathological changes such as fibroid, pancreatic calculi, pancreatic diabetic it will be Sycosis, third stage Where the cell stops its work, it is tubercular miasm such as Diabetic Retinopathy, Diabetic Nephropathy when the organism has been triggered Destruction (Destruction of cell) that run in the face of diabetes syphilis can be  fourth stage like Diabetic Gangrene. So you first need to know which label the patient has given to you for treatment. There is a need for gross preference on this. Only knowledge and book knowledge will not work. Firstly, the doctor's job is to take the trait of symptoms from the patient, look at all the things, find the reason for having diabetes. And on what stage he found the disease. Write down all the symptom and change, and maintain a list of at least 10-15 medicines and determine  the patient's nature 

Then comes the Psora, syphilis, Sycosis ,Tuberculur and syphilis medicine which is covered by our all homeopathic medicines.After examining the patient, only one medicine will be selected called as SINGLE REMEDY remember there is no specific remedies are available for diabetes. You should never use a mother tincture. Do not withdraw allopathic medicine completely, when you start the treatment of any diabetic patient once you give homeopathic medicine kindly track his blood sugar levels then only taper his allopathic medications . 

  • Do not withdraw allopathic medicines 
  • Prescribe only on totality of symptoms based on miasm & thermal 
  • Diet plan is very essential ( sugar free diet ) 
  • Regular exercises.

Conclusion :

Homoeopathy can be only effective when you follow proper rules of management and control . your selection should be only single remedy prescribing poly remedies can more complicate your treatment .Single remedy has to be selected based on complete picture of symptoms accordingly given by patient.

 

 

 

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Hypoglycemia - Signs & Symptoms You Should Not Ignore!

Hypoglycemia - Signs & Symptoms You Should Not Ignore!

Hypoglycemia is the disease of low sugar level in blood. It primarily occurs when the sugar level is below 4 mmol/L (72mg/dL).

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

  1. Weakness
  2. Hungry
  3. Blurred vision
  4. Increased heart rate
  5. Increased sweating
  6. Extreme levels of tiredness
  7. Pale face
  8. Bewilderment
  9. Convulsions
  10. Coma in the last stage
  11. Anxiety
  12. Headaches
  13. 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:

Diabetes medications pose a more significant threat to patients of having hypoglycaemia.

Causes of the disease:

  1. Exercise
  2. Delayed meals
  3. Alcohol drinking
  4. High dose of insulin
  5. Tremendous levels of stress
  6. Deficiency of enzymes
  7. Not balanced hormonal levels

Treatment:

  1. At first, the patient must take a blood test to catch up with the levels of blood sugar
  2. 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.
  3. 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:

  1. Liquorice roots: Cut the roots and boil it. Drink the water every day for controlled sugar level.
  2. Apple- It has magnesium and chromium which regulates the sugar level
  3. Wild yam
  4. Tomatoes
  5. Sunflower seeds
  6. Pumpkin seeds
  7. Gentian Root
  8. Barley

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.

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Diabetes & Its Homeopathic Medication!

Diabetes & Its Homeopathic Medication!

Diabetes is a state of persistent high blood sugar either due to lack of the hormone called insulin or resistance to the action of insulin even if it is somewhat adequate. Few basic points for the readers before we delve into how the medicines act in controlling blood sugar.

1. Type 1 Diabetes occurs in children or adults aged less than 30 years. It is due to the complete destruction of the insulin-producing cells of the pancreas. (these patients will need external insulin for survival as there is NO insulin in the body)

2. Type 2 Diabetes occurs in adults usually over the age of 30 years and it appears after 80% of the insulin-producing cells of the pancreas are destroyed. (Since there is some amount of insulin in the body, these patients respond to medicines)

3. Insulin helps the glucose in the blood to be pushed inside the cells of different organs especially liver and muscles and thus decrease the blood glucose levels.

4. Type 2 Diabetes patients often suffer insulin resistance, which means, whatever insulin they have in them, is unable to perform to its best due to obesity , extra fats in the tissues and other hormonal dysregulation. Drugs that help to overcome insulin resistance can help in the control of blood sugar without external insulin.

Now let's discuss the medications in brief. 

1. Metformin:

  • This medicine acts by overcoming insulin resistance. Since it simply helps our endogenous insulin (our own residual insulin) to act in its full potential, the chances of fall in blood sugar below 70mg/dL (Called Hypoglycemia) is practically ZERO.
  • The maximum dose is 2500mg per day in divided doses
  • Side effects are gastritis, acidity, flatulence and diarrhoea. Rarely we get cases of Vitamin B12 deficiency.
  • Can be combined with any medication used for Diabetes
  • Cannot be used in patients with Kidney Disease (Create >1.5mg/dL), Heart Failure, Immediately after a heart attack or complicated septicemia.
  • Safe in pregnancy.
  • Due to their unique action in overcoming insulin resistance, they are used in females who suffer from Polycystic Ovarian Disease (as they also do have insulin resistance)

2. Glimepiride/Gliclazide/Glibenclamide/Glipizide/Glyburide/Repaglinide:

  • Yes, they sound similar and they belong to the same family of drugs called Sulfonylureas
  • They can directly stimulate the release of endogenous insulin from the pancreas into the blood which in turn controls the blood sugar.
  • Yes, they are notorious to cause hypoglycemia as the amount of insulin released due to the use of these drugs does not always tally mathematically with the dose administered.
  • Chances of Hypoglycemia increases with higher doses, delay in meal timings, excessive exercises, alcoholism, kidney diseases, concomitant use with external insulin and fasting. The crucial times when hypoglycemia occurs are before breakfast, before lunch, before dinner and around 3 to 4 hours after lunch.
  • They can be combined with metformin and other antidiabetic medicines too.
  • They can cause mild weight gain due to the action of the released insulin.

3. Pioglitazone:

  • This one acts similar to metformin and helps in overcoming the resistance to the action of our endogenous insulin.
  • Since they cause accumulation of fluids in the body, they are not indicated in patients suffering from Chronic Heart Failure, Chronic Liver Failure or any volume overload states.
  • There has been speculation for development of urinary bladder cancer which resulted in discontinuation of this drug, however, the incidence is so low, the drug has been reinstated.
  • The dose ranges from 15mg to 30mg/day often combined with metformin.

4. Acarbose/Voglibose:

  • These medicines have a unique mechanism of action. They act in the intestine where they prevent the complex carbohydrates  to be broken down into simple glucose before being absorbed into the blood from our gut. For a clearer conception, whatever we eat, is actually digested by the enzymes in our intestine to the simplest form e.g Cellulose is digested into Glucose and then they are absorbed into the blood. Complex carbohydrates cannot be absorbed into a blood unless they are digested first.
  • This unique mechanism of action causes excess complex carbohydrates remaining undigested and this bulk reach the colon where they are acted upon by colonic bacteria. This causes excessive flatulence - one of the known side effects of these drugs.
  • Point to be noted: In a situation, a patient consuming these drugs suffers hypoglycemia, they should be provided oral glucose to increase the blood sugar. Even a piece of chocolate or sweet might contain a significant amount of sweetening carbohydrates which actually is complex in nature and will not breakdown to glucose in the intestine due to these medicines.
  • They are often used to control patients who tend to have higher blood sugar values after meals (Raised PP Sugar)

5. Gliptins: (Teneligliptin, sitagliptin, saxagliptin, linagliptin, vildaglitpin)-

  • They have a unique mechanism of action and is a bit complicated. They act in the intestine where they can sense what amount of carbohydrate load is being consumed in the diet. This sensing then is transmitted to the insulin-releasing cells of the pancreas and an exact amount of insulin is released that is necessary to control the transient rise in blood sugar after meals.
  • They do not have the propensity to cause hypoglycemia even in a fasting state.
  • No significant adverse effects of concern have been reported.
  • They are costlier that the medicines mentioned above.
  • Some of them cannot be used in patients with kidney disease. Linagliptin is safe in this regard.
  • Few instances of acute pancreatitis have been reported.

6. Glifosins : (empraglifosin/ dapaglifosin/ empaglifosin)-

  • These are the latest drugs in the armamentarium of management of Diabetes. They are costly and effective
  • Normal urine is basically an ultrafiltrate of our blood which is filtered and formed in the kidneys. The kidney actually filters all excretory products of metabolism from the blood e.g. Urea, Creatinine Uric Acid, Calcium, Organic Acids, and excess water. Interestingly some useful products are also primarily filtered but later they are reabsorbed in the blood eg. Glucose, SodiumPotassium, etc.
  • These medicines prevent the reabsorption of the Glucose after it is primarily filtered from the blood during the formation of the urine. Thus the glucose which is filtered never returns to the blood and is lost by the urine
  • These medications cause weight loss. Yes, they do. Around 5 to 6 Kgs over a period of 3 to 6 months have been reported.
  • Since the urine becomes rich is glucose concentration, one important adverse effects of these medications are dehydration and recurrent urinary tract infection. Both are more common in elderly women. Some might also complain of repeated perivaginal itching which is due to increased bacterial growth due to high sugar content in the urine
  • Volumes of water are recommended for regular consumption when somebody is on this medication


This is just a summary of the oral medications available for the management of Type 2 Diabetes Mellitus. Few points for the readers.

1. Usually, treatment is started with metformin and the dose is gradually increased up to the maximum dose or up to the level of tolerance.

2. The next medicine that is added in case the blood sugar is just out of the range is Pioglitazone, however, in case the blood sugar is significantly high, doctors prefer to add the Sulfonylureas (Glimiperide /Glicazide, etc).

3. Ideal treatment should address insulin resistance first and then target insulin release.

4. Gliptins are the third line drugs or can be used just after metformin is maximized depending on the patients' profile and doctors evaluation.

5. Sometimes Voglibose and Acarbose are used just before the meals to control the disproportionate high postprandial blood sugars in a situation when the fasting is well under control.

6. Caution regarding Hypoglycemia should always be observed when a patient is on the Sulfonylurea group of medications. Keep 2 to 3 packs of sugar along with.

7. Use of gliosis is often restricted due to its cost else, it is a fantastic medicine to lose weight.

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Hives!

Hives!

Hives, also known as urticaria, is a kind of skin rash with red, raised, itchy bumps. They may also burn or sting. Often the patches of rash move around. Typically they last a few days and do not leave any long-lasting skin changes. Fewer than 5% of cases last for more than six weeks. the condition frequently recurs.

Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. Psychological stress, cold temperature, or vibration may also be a trigger. In half of cases the cause remains unknown. risk factors include having conditions such as hay fever or asthma.diagnosis is typically based on the appearance. Patch testing may be useful to determine the allergy

Prevention is by avoiding whatever it is that causes the condition. treatment is typically with antihistamines such as diphenhydramine and ranitidine. in severe cases, corticosteroids or leukotriene inhibitors may also be used. keeping the environmental temperature cool is also useful. for cases that last more than six weeks immunosuppressants such as ciclosporin may be used.

About 20% of people are affected. cases of short duration occur equally in males and females while cases of long duration are more common in females. cases of short duration are more common among children while cases of long duration are more common among those who are middle aged. hives have been described at least since the time of hippocrates. the term urticaria is from the latin urtica meaning" nettle. 

Sign n symptoms

Welts (raised areas surrounded by a red base) from hives can appear anywhere on the surface of the skin. Whether the trigger is allergic or not, a complex release of inflammatory mediators, including histamine from cutaneous mast cells, results in fluid leakage from superficial blood vessels. Welts may be pinpoint in size, or several inches in diameter.

Angioedema is a related condition (also from allergic and nonallergic causes), though fluid leakage is from much deeper blood vessels in the subcutaneous or submucosal layers. Individual hives that are painful, last more than 24 hours, or leave a bruise as they heal are more likely to be a more serious condition called urticarial vasculitis. Hives caused by stroking the skin (often linear in appearance) are due to a benign condition called dermatographic urticaria.

Cause-

Hives can also be classified by the purported causative agent. Many different substances in the environment may cause hives, including medications, food and physical agents. In perhaps more than 50% of people with chronic hives of unknown cause, it is due to an autoimmune reaction.

Medications- Drugs that have caused allergic reactions evidenced as hives include codeine, sulphate of morphia, dextroamphetamine, aspirin, ibuprofen, penicillin, clotrimazole, trichazole, sulfonamides, anticonvulsants, cefaclor, piracetam, vaccines, and antidiabetic drugs. The antidiabetic sulphonylurea glimepiride, in particular, has been documented to induce allergic reactions manifesting as hives. Drug-induced hives has been known to have an effect on severe cardiorespiratory failure.[medical citation needed]

Food- The most common food allergies in adults are shellfish and nuts. The most common food allergies in children are shellfish, nuts, eggs, wheat, and soy. One study showed balsam of peru, which is in many processed foods, to be the most common cause of immediate contact urticaria. A less common cause is exposure to certain bacteria, such as streptococcus species or possibly helicobacter pylori. Infection or environmental agent 

Hives including chronic spontaneous hives can be a complication and symptom of a parasitic infection, such as blastocystosis and strongyloidiasis among others.The rash that develops from poison ivy, poison oak, and poison sumac contact is commonly mistaken for urticaria. This rash is caused by contact with urushiol and results in a form of contact dermatitis called urushiol-induced contact dermatitis. Urushiol is spread by contact, but can be washed off with a strong grease- or oil-dissolving detergent and cool water and rubbing ointments.

Dermatographic urticaria 

Dermatographic urticaria (also known as dermatographism or" skin writing") is marked by the appearance of weals or welts on the skin as a result of scratching or firm stroking of the skin. Seen in 4–5% of the population, it is one of the most common types of urticaria, in which the skin becomes raised and inflamed when stroked, scratched, rubbed, and sometimes even slapped.

The skin reaction usually becomes evident soon after the scratching, and disappears within 30 minutes. Dermatographism is the most common form of a subset of chronic hives, acknowledged as" physical hives.

It stands in contrast to the linear reddening that does not itch seen in healthy people who are scratched. In most cases, the cause is unknown, although it may be preceded by a viral infection, antibiotic therapy, or emotional upset. Dermographism is diagnosed by taking a tongue blade and drawing it over the skin of the arm or back. The hives should develop within a few minutes. Unless the skin is highly sensitive and reacts continually, treatment is not needed. Taking antihistamines can reduce the response in cases that are annoying to the patient.

Pressure or delayed pressure 

This type of hives can occur right away, precisely after a pressure stimulus or as a deferred response to sustained pressure being enforced to the skin. In the deferred form, the hives only appear after about six hours from the initial application of pressure to the skin. Under normal circumstances, these hives are not the same as those witnessed with most urticariae. Instead, the protrusion in the affected areas is typically more spread out. The hives may last from eight hours to three days. The source of the pressure on the skin can happen from tight fitted clothing, belts, clothing with tough straps, walking, leaning against an object, standing, sitting on a hard surface, etc. The areas of the body most commonly affected are the hands, feet, trunk, abdomen, buttocks, legs and face. Although this appears to be very similar to dermatographism, the cardinal difference is that the swelled skin areas do not become visible quickly and tend to last much longer. This form of the skin disease is, however, rare.

Cholinergic or stress 

Main article: cholinergic urticaria
Cholinergic urticaria (cu) is one of the physical urticaria which is provoked during sweating events such as exercise, bathing, staying in a heated environment, or emotional stress. The hives produced are typically smaller than classic hives and are generally shorter-lasting.[13][14]

Multiple subtypes have been elucidated, each of which require distinct treatment.[15][16]

Cold-induced 

Further information: chronic cold urticaria
The cold type of urticaria is caused by exposure of the skin to extreme cold, damp and windy conditions; it occurs in two forms. The rare form is hereditary and becomes evident as hives all over the body 9 to 18 hours after cold exposure. The common form of cold urticaria demonstrates itself with the rapid onset of hives on the face, neck, or hands after exposure to cold. Cold urticaria is common and lasts for an average of five to six years. The population most affected is young adults, between 18 and 25 years old. Many people with the condition also suffer from dermographism and cholinergic hives.

Severe reactions can be seen with exposure to cold water; swimming in cold water is the most common cause of a severe reaction. This can cause a massive discharge of histamine, resulting in low blood pressure, fainting, shock and even loss of life. Cold urticaria is diagnosed by dabbing an ice cube against the skin of the forearm for 1 to 5 minutes. A distinct hive should develop if a patient suffers cold urticaria. This is different from the normal redness that can be seen in people without cold urticaria. Patients with cold urticaria need to learn to protect themselves from a hasty drop in body temperature. Regular antihistamines are not generally efficacious. One particular antihistamine, cyproheptadine (periactin), has been found to be useful. The tricyclic antidepressant doxepin has also been found to be an effective blocking agent of histamine discharge. Finally, a medication named ketotifen, which keeps mast cells from discharging histamine, has also been employed with widespread success.Solar urticaria 

Solar urticaria-
This form of the disease occurs on areas of the skin exposed to the sun; the condition becomes evident within minutes of exposure.

Water-induced 

Water urticaria- 
This type of urticaria is also termed rare, and occurs upon contact with water. The response is not temperature-dependent and the skin appears similar to cholinergic form of the disease. The appearance of hives is within one to 15 minutes of contact with the water, and can last from 10 minutes to two hours. This kind of hives do not seem to be stimulated by histamine discharge like the other physical hives. Most researchers believe this condition is actually skin sensitivity to additives in the water, such as chlorine. Water urticaria is diagnosed by dabbing tap water and distilled water to the skin and observing the gradual response. Aquagenic urticaria is treated with capsaicin (zostrix) administered to the chafed skin. This is the same treatment used for shingles. Antihistamines are of questionable benefit in this instance, since histamine is not the causative factor.

Chizzola maculae is a very specific skin lesion due to fluoride exposure. The size of a coin, these lesions may resemble small blue bruises or be wholly pink. Doctors george waldbott and v. A. Cecilioni named the lesions after a town in italy, where they were common in young women and children. According to waldbott, chizzola maculae are early symptoms of fluoride intoxication.

Exercise 

The condition was first distinguished in 1980. People with exercise urticaria (eu) experience hives, itchiness, shortness of breath and low blood pressure five to 30 minutes after beginning exercise. These symptoms can progress to shock and even sudden death. Jogging is the most common exercise to cause eu, but it is not induced by a hot shower, fever, or with fretfulness. This differentiates eu from cholinergic urticaria.

Eu sometimes occurs only when someone exercises within 30 minutes of eating particular foods, such as wheat or shellfish. For these individuals, exercising alone or eating the injuring food without exercising produces no symptoms. Eu can be diagnosed by having the patient exercise and then observing the symptoms. This method must be used with caution and only with the appropriate resuscitative measures at hand. Eu can be differentiated from cholinergic urticaria by the hot water immersion test. In this test, the patient is immersed in water at 43 °c (109.4 °f). Someone with eu will not develop hives, while a person with cholinergic urticaria will develop the characteristic small hives, especially on the neck and chest.

The immediate symptoms of this type are treated with antihistamines, epinephrine and airway support. Taking antihistamines prior to exercise may be effective. Ketotifen is acknowledged to stabilise mast cells and prevent histamine release, and has been effective in treating this hives disorder. Avoiding exercise or foods that cause the mentioned symptoms is very important. In particular circumstances, tolerance can be brought on by regular exercise, but this must be under medical supervision

 Diagnosis-

The cause of chronic hives can rarely be determined. In some cases regular extensive allergy testing over a long period of time is requested in hopes of getting new insight. No evidence shows regular allergy testing results in identification of a problem or relief for people with chronic hives.[29][30] regular allergy testing for people with chronic hives is not recommended.

Acute versus chronic 

Acute urticaria is defined as the presence of evanescent wheals which completely resolve within six weeks. Acute urticaria becomes evident a few minutes after the person has been exposed to an allergen. The outbreak may last several weeks, but usually the hives are gone in six weeks. Typically, the hives are a reaction to food, but in about half the cases, the trigger is unknown. Common foods may be the cause, as well as bee or wasp stings, or skin contact with certain fragrances. Acute viral infection is another common cause of acute urticaria (viral exanthem). Less common causes of hives include friction, pressure, temperature extremes, exercise, and sunlight.
Chronic urticaria (ordinary urticaria) is defined as the presence of evanescent wheals which persist for greater than six weeks. Some of the more severe chronic cases have lasted more than 20 years. A survey indicated chronic urticaria lasted a year or more in more than 50% of sufferers and 20 years or more in 20% of them.
Acute and chronic hives are visually indistinguishable.

Homeopathic remedies- 

  • Apis mell: The hives consist of isolated patches that are painful, tender, itch at night, feel like bee stings, become purple. There is burning pain, slight fever, and warmth of the surrounding skin. It is worsened by changing weather and exercise, causing severe itching and burning. The patient may already have asthma.
  • Arsenic album: The urticaria is caused by eating shellfish and causes burning and restlessness. The condition gets worse being at the seaside and by getting into sea water. Arsenic is also useful to treat urticarial symptoms during the recession of the lesions. The person also could be down emotionally with depression, despair, indifference and irritability. If the lesions are more severe, the restlessness is also severe. It is worse after midnight, from 1 to 2 a. M.
  • Rhus toxicodendron: Prepared from the leaves and bark of the plant poison ivy, rhus works on multiple body systems including skin, joints, eyes, extremities, and overall vitality. In addition to urticaria, it is also used in cellulitis, arthritis, fevers, etc. It is effective if the urticaria has a burning sensation, inflamed reddened rash that is worsened by cold and improved by warmth.
  • Urtica urens: Made from a plant called stinging nettle, which itself has a tendency to produce urticaria, it is used when there is urticaria from bee stings or after eating shellfish. The lesions are red with severe burning and itching, recurring every year, could be associated with weather changes.
  • Natrum muriaticum: The common salt sodium chloride is potentized, and its inner healing power activated. It is used for chronic urticaria, where the lesions develop after severe irritation
  • Dulcamara: The lesions develop followed a general prickly sensation setting in and at night when it is cold and damp. The hives are irregular white patches surrounded by a red area that itch badly. The hives are associated with violent cough, swelling of the lymph nodes, fever, restlessness, sleeplessness, decreased appetite, nausea, vomiting, bitter taste, and intense aching in pit of stomach.