Doctor in Aarav Clinic
Treatment Of Erectile Dysfunction
Treatment of Hypertension
Treatment Of Male Sexual Problems
Treatment Of Female Sexual Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Diabetic Diet Counseling
Urinary Incontinence (Ui) Treatment
Pre And Post Delivery Care
Sperm Donor Program
Type 1 Diabetes Treatment
Type 2 Diabetes Treatment
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Patient Review Highlights
Diabetes and thyroid disorders are the two most common problems affecting people since ages. Diabetes, as is known to all, is a medical condition whereby the body fails to synthesize insulin, a type commonly known as Type-1 diabetes. In another type of diabetes, known as Type-2 diabetes, the body may become insulin resistant. This disorder of the endocrine system can wreak havoc, giving rise to a host of health complications and medical conditions if not treated and managed on time.
The Thyroid hormones (produced by the thyroid glands) play a significant role in various metabolic pathways of the body. Certain conditions (stress, obesity, diseases, medications, to name a few) can affect the production of thyroid hormones, thereby interfering with the normal body activities and metabolic processes. While Increased production of thyroid hormones (T3, T4, TSH) results in Hyperthyroidism, reduced production can give rise to Hypothyroidism. LIke Diabetes, Thyroid diseases also have the potential to throw life in jeopardy if the absence of timely management and treatment.
Are diabetes and thyroid problem interrelated?
This question has baffled scientists and researchers for long. Various studies and research establish a relationship between Diabetes and Thyroid disorders. The Beta cells (Islets of Langerhans) of the Pancreas are responsible for the insulin production, while the thyroid hormones are produced by the thyroid glands. Both the pancreas and the thyroid glands are part of the endocrine system. A scientific paper published in the Journal Of diabetic Research states that the level of the thyroid hormones in the body is directly related to the insulin secretion. An overproduction of thyroid hormones trigger the Beta cells of the pancreases to produce insulin in an increased amount (resulting in Hyperglycemia). On the other hand, a decreased production of thyroid hormones (Hypothyroidism) gives rise to a reduced insulin production by the Beta cells triggering Hypoglycemia.
Some studies also suggest that people with Type-1 Diabetes (an autoimmune condition) is more likely to suffer from Thyroid problems and disorders. In fact, thyroid problems can make the condition more severe, resulting in serious health complications. Thyroid problems may also occur in Type-2 diabetic patients, especially women. However, the extent of damage may be less severe as compared to those with Type-1 diabetes. In this context, it is important to mention that people with low levels of thyroid hormones are likely to suffer from Type-2 diabetes, particularly in pre-diabetic patients.
Thus, it is important that people with diabetes or thyroid problems should get undergo regular medical check-ups and screening tests to avoid any complications. According to the American Diabetes Association, every diabetes patients (especially Type-1) should undergo the thyroid tests (T3 test, T4 test, TSH test) once in every 2 years, even if their thyroid levels are within the normal range.
Though diabetes and thyroid problems are interconnected, proper management can go a long way to keep both the conditions well under control.
In case you have a concern or query you can always consult an expert & get answers to your questions!
For a healthy, non-diabetic person, the blood glucose level should be between 70-100 mg/dl (fasting) and not more than 140 mg/dl (postprandial, checked 2 hours after a meal). However certain conditions (especially diabetic patients who are on oral medications or insulin) can result in the blood glucose level to fall abnormally low (well below 70 mg/dl), a condition medically known as Hypoglycemia.
A sudden dip in the blood glucose level can cause weakness, increased heartbeats, palpitations, dizziness, profuse sweating, headache, shakiness, confusions (a person loses the ability of proper thinking and reasoning). The skin may also turn pale. A person finds it difficult to sleep. In extreme and untreated cases, a person may lose consciousness and even slip into a coma. If you experience any of the mentioned symptoms, seek assistance immediately.
Risks associated with Hypoglycemia and how to manage it
Diabetic patients should be extra careful with their diets and medications. As already stated, untreated hypoglycemia, especially if the blood glucose level is below 40 mg/dl can cause a serious health scare. A more serious type of hypoglycemia is the one that a person experiences at night, often in their sleep, a condition termed as Nocturnal Hypoglycemia. Many people in their sleep are unable to react promptly, resulting in serious consequences.
Further, there may be
- Night sweats
- A person may get nightmares and wake up feeling tired and exhausted in spite of having their full quota of sleep
- Some people may also experience great difficulty in waking up
- Headaches are also common
For diabetic patients, the situation at times can prove to be life threatening. To avoid such situations:
- Doctors always advise night snacks (can be a cucumber, small apple slice, a small slice of bread with meat or cheese. Try and avoid a high carb or high-fat foods) especially for people with diabetes or those who take their dinner early.
- Consuming alcohol at night can also trigger Nocturnal Hypoglycemia and is best left avoided.
- To provide instant relief, the affected person should be made to eat something sweet such as glucose tablets or candy. If these are not available, you can also give the person some sugar (between 10-15 grams) to increase the glucose level in their body.
- It is important that you do not panic.
- As a safety measure, it is best to keep a glucometer at home and get your glucose level checked every alternate day (if not every day).
- One should also be careful about their diet. Do not keep your stomach empty for a long time. Munch on small snacks at regular intervals.
Hypoglycemia can be treated and managed if diagnosed at an early stage. Prolonged hypoglycemia (mainly in diabetic patients) can also result in cardiac problems.
In case you have a concern or query you can always consult an expert & get answers to your questions!
The thyroid hormones, namely T3, T4 and TSH (Thyroid Stimulating Hormone) play a pivotal role in various metabolic processes in the body. Any imbalance in the level of these hormones can interfere with the normal body functions. While an elevated level of the thyroid hormones gives rise to Hyperthyroidism, a reduced level of the same thyroid hormones can lead to a condition medically termed as Hypothyroidism. A proper diagnosis and treatment can bring about a significant improvement. However, there are some common mistakes that many people with thyroid problems often make.
- Choose your diet with care: The health benefits of a balanced and nutritious diet are known to all. However, a food considered healthy may not be an ideal choice for a thyroid patient. Time and again, broccoli and kale have been recommended for its nutritive value. However, these vegetables may not be a good choice for thyroid health. Known to contain goitrogens, they may interfere with the production of the thyroid hormones. Gluten, a protein present in wheat, rye, and barley, though healthy should be avoided, especially in the case of Hypothyroidism.
- Obesity may not be the trigger: While it is a healthy practice to maintain a healthy body weight, it is unfair to blame the extra kilos for every single disease that you suffer from. Many people believe that losing weight is the best way to deal with thyroid problems. However, the fact is quite different from what you believe. Thyroid problems can be an outcome of various triggers where losing weight may provide negligible or no assistance to reverse or improve the condition. In fact, rapid weight loss may give rise to some complications which may aggravate the condition further.
- Thyroid glands are not always at fault: Many people associate thyroid problems with some abnormalities or improper functioning of the thyroid glands. There is no denying the fact that problems in the thyroid glands often trigger thyroid disorders. However, this is not the only cause. A host of other factors such as stress, medical conditions, certain medications and unhealthy lifestyle habits may be equally responsible for the thyroid problems. In some cases, the body may fail to utilize the thyroid hormones produced by the thyroid glands. In another condition, the thyroid hormone produced is unable to enter the cell (triggered by a problem in the cell receptor). It is important to identify the root cause of the problem rather than generalizing.
- People with hypothyroidism do not need to gulp down tons of iodine. Always use the amount recommended by the doctor. Increased intake of iodine supplements (way above the recommended quantity) may result in unnecessary health complications such as Wolff-Chaikoff effect.
- Many health organizations or individuals may promise instant relief and cure. They may lure you with some irresistible offers. However, it will be foolish on your part to fall for such claims. Always seek the help of experienced and genuine health professionals.
Diabulimia is an eating disorder often associated with Type-1 Diabetes. Also referred to as ED-DMT1, not many people are aware of this non-clinical term. It is a well known fact that many people with Type-1 diabetes require the daily administration of insulin. In the case of Diabulimia, a person having Type-1 diabetes purposely manipulates with the insulin dosage in an endeavour to lose weight. In some extreme cases, a person may completely avoid the use of insulin.
You need no rocket science to understand the impact diabulimia will have on a diabetic patient (Type-1) who is entirely dependent on insulin. Some of the lethal consequences of diabulimia include
- Yeast infections: Manipulating with the appropriate dosage of insulin can trigger an abnormal rise in the blood glucose level (Hyperglycemia), some of which gets eliminated out through the urine, thereby enabling a person to lose weight. However, the high glucose level is just the ideal and favorable condition for yeast growth. The hyperglycemic condition will result in increased yeast infections. The infection can be very uncomfortable and annoying. In fact, there will be repeated yeast infections until the blood glucose level comes down to the normal range.
- Ketoacidosis: As already mentioned, diabulimia devoids the body of insulin. As a result, glucose is unable to enter the body cells (glucose is an important fuel for the muscles and the other cells and tissues of the body). In its absence, the body starts looking for alternate sources. Gradually the body starts breaking down fats to get the desired energy. Increased breakdown of fats results in accumulation of ketone bodies in the bloodstream, a condition medically termed as Ketoacidosis or Diabetic Ketoacidosis. The condition if left untreated can be harmful triggering Cerebral Edema (a condition characterized by a swelling of the brain), Hypokalemia (low potassium level) or even Hypoglycemia.
- Diabetic retinopathy: Hyperglycemia can spell doom for your eyes. The accumulation and buildup of high levels of glucose in the eyes often damage the retinal blood vessels, a condition known as Diabetic Retinopathy. There may not be any early signs associated with the condition. However, diabetic retinopathy can give rise to many serious complications such as Glaucoma (characterized by severe damage to the optic nerve), Vitreous Hemorrhage (the blood leaks into the areas adjacent to the vitreous humor of the eye), or even Blindness. There may also be a Retinal Detachment.
- Renal failure: One of the common and harmful consequences of diabulimia is the kidney failure. Increased concentration of glucose in the kidneys often damages the filtration units of the kidneys called the Glomeruli (increased glucose blocks the capillaries of the kidney) leading to kidney damage and failure.
Addison’s disease is considered to be a life threatening and serious illness. When one suffers from this disease, the amount of hormones like Aldosterone and Cortisol reduces rapidly due to the poor functioning of the Adrenal glands. The hormones that the Adrenal glands produce are necessary for the body to function normally. To better understand what Addison’s disease is all about, below are some basic facts.
- Fact 1: Addison’s disease is often confused or linked with adrenal insufficiency. However, Addison’s disease is more of an autoimmune disorder that later leads to adrenal insufficiency, which is a hormone-related imbalance.
- Fact 2: Addison’s disease can happen to anyone regardless of their gender or age. However, genetics may also have a role to play here, as those who have someone affected with Addison’s in the family, face greater risks.
- Fact 3: While for someone it may take years for totally disrupting the hormone production, for some it may grow worse very quickly. Though it is rare, it is possible.
- Fact 4: The symptoms of Addison’s disease often get unnoticed or misinterpreted, as the disease is very uncommon. This is a rare disease that occurs in one in a million.
- Fact 5: When suspected of having Addison’s disease, the screening process doesn’t take much time. Generally, a normal blood test showing the amounts of ACTH and cortisol hormone will confirm the diagnosis.
- Fact 6: Some very common symptoms of this disease are mild to severe pain in the bones and in the abdomen, weight loss, nausea, forgetfulness, low blood pressure and lack of energy. It is these common symptoms that can point to numerous other conditions that make its diagnosis a tricky one.
- Fact-7: Sometimes, Addison's disease may cause the skin tone to become darker due to the hormonal changes. It is probably the only disease that can cause such darkening or skin discolorations of the otherwise normal skin.
- Fact 8: People who have Addison’s disease generally become dependent on the daily intake of cortisol medications or steroids. Without Cortisol, the stress hormone, the body may go into serious adrenal crisis.
- Fact 9: When overlooked for a long time or not provided with the treatment and medication when needed, Addison's disease may lead to sudden organ failure. Therefore, understanding the symptoms and opting for a blood test is essential if this disease is suspected.
- Fact 10: Lastly, Addison's disease can be easily cured and treated by introducing a few serious lifestyle changes and hormonal therapies. Sometimes when oral hormone supplements fail to get properly absorbed, injecting the supplements becomes necessary.
Studies have shown that around 140 people approximately suffers from Addison's disease out of every million. Therefore, knowing the above-mentioned facts becomes necessary for have a clear understanding of the disease which may help in dealing with it in the best way possible. If you wish to discuss about any specific problem, you can consult an Endocrinologist.
I am diabetic for last 15 years. On galvusmet50/500 twice with amaryl2 once daily. For pressure olmax20 that gives my pressure at 166/66 .thyroxine 82. And other vitamins like becadexamine, dexorange,gemitrol, and cariprill as I have low rbc, wbc,and platelet count diagnosed as possible mds. Is it safe to take cardace2. 5.as previously I had taken then it was changed by doc. To nebicard and also given olmetAM40. Pressure was 140/60.55.
Adrenal cancer is a rare and aggressive disease that causes abnormal cell growth inside the adrenal cortex. This cancer usually appears as tumors at the outermost layer of the adrenal glands and gradually develops cancerous cells. In the majority of the cases, adrenal cancer is diagnosed only after it has been growing for several years.
While most of the adrenal cancer patients have the common symptoms, often some people feel just fine, unless until their doctors find the presence of cancerous cells in the adrenal cortex through CT scan. Generally, the symptoms of this life-threatening disease depend on three factors, which are:
- The particular type of overproduced hormone
- The tumor producing hormones excessively
- And, type of the tumor
However, it is the overproduction of particular hormones, that makes the majority of the symptoms visible. Below are the common symptoms of adrenal cancer, depending on hormone types that are overproduced during the presence of this disease.
Symptoms of cortisol overproduction
When the presence of adrenal cancer leads to excess production of the cortisol hormone, people start experiencing different types of symptoms. The accumulation of fat behind the shoulders and neck, gradual weight gain in the stomach and chest portions irregular periods, and hair growth on the chest, face and back (in women) are the most prominent ones. One can also suffer from depression, weakness in legs, and easy bruising as other signs of cortisol overproduction.
Symptoms of aldosterone overproduction
As a result of the overproduction of the aldosterone hormone, people generally have feelings of excessive thirst, feelings of tiredness and weakness and sometimes high blood pressure. The desire of urinating frequently and painful muscle cramps too become evident due to the excessive production of aldosterone.
Symptoms of testosterone overproduction
When as a result of malignant tumors in the adrenal cortex the production of the testosterone hormone goes to higher than normal levels, it is considered to be overproduction. The voice becoming deeper, excessive invasion of acnes, irregular periods become prominently visible symptoms of this kind of adrenal cancer. Even, excessive growth of body hair or the facial hair and heightened muscle mass are some of its common symptoms.
Symptoms of estrogen overproduction
The growth of the breast in males and the early puberty in females are the most common symptoms of adrenal cancer where the malignant tumors overly produce estrogen hormone. Even decreased sex drive or impotence in males can be considered as its other serious symptoms.
Apart from the above mentioned adrenal cancer symptoms, in some cases, the adrenal tumors become so big that they start pressing the nearby organs which leads to signs of abdominal pain or feelings of fullness in the belly. The moment one identifies having any one of the signs discussed here, he or she should look for medical attention immediately. If you wish to discuss about any specific problem, you can consult an Endocrinologist.