Caution With Artificial Sweeteners
We are so used to sugar in our food that the mere thought of having to cut down on sugars can be a horrifying thought. Knowing that taking too much sugar can cause many metabolic issues, people turn to artificial sweeteners. They think that a simple replacement of sugars with these sweeteners can be a simple solution. However, there is some evidence that artificial sweeteners by themselves can make you glucose intolerant as they cannot be digested and therefore interact directly with the gut bacteria. A study from 2014 by scientists from Israel showed that artificial sweeteners quickly caused changes in gut bacteria in some people. The gut bacteria changed to the type of bacteria that are also seen in people with obesity. These bacteria also cause glucose intolerance and glucose intolerance directly means higher susceptibility to candida infections.
Now what this means is that there are some people who can tolerate artificial sweeteners and there are some who cant. What this means for you as someone already having issues with candida is that you should be extra careful while taking anything with artificial sweeteners. You would not want to disturb your gut microbes more than they already are.
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Af% For Infections In Patients With Dm
Finally, we estimated AF% for the three summary groupings plus individual infection types across HbA1c categories for patients with DM compared with the optimal control scenario of 67%. The largest AF% estimate was for bone and joint infections, with 46.0% of hospitalizations being attributed to HbA1c values outside of the range 67%. Other large AF% estimates were observed for endocarditis and tuberculosis , but CIs were wide. Sepsis , pneumonia , skin infections , and candidiasis all produced AF% estimates of 10%. Overall, 15.7% of infection-related deaths, 16.5% of infection-related hospitalizations, and 6.8% of infections requiring a prescription were attributed to values of HbA1c outside the 67% range. These summary estimates were similar in a sensitivity analysis that used a time-updated HbA1c measurement .
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Why Is It Important To Manage Hyperglycemia
Hyperglycemia can increase your risk for infections, prevent healing, and it make it hard to manage your condition. It is important to treat hyperglycemia to prevent these problems. Hyperglycemia that is not treated can damage your nerves, blood vessels, tissues, and organs. Damage to arteries may increase your risk for heart attack and stroke. Nerve damage may also lead to other heart, stomach, and nerve problems.
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What Should My Blood Sugar Level Be
When youre first diagnosed with diabetes, your diabetes care team will usually tell you what your blood sugar level is and what you should aim to get it down to.
You may be advised to use a testing device to monitor your blood sugar level regularly at home.
Or you may have an appointment with a nurse or doctor every few months to see what your average blood sugar level is. This is known as your HbA1c level.
Target blood sugar levels differ for everyone, but generally speaking:
- if you monitor yourself at home with a self-testing kit a normal target is 4 to 7mmol/l before eating and under 8.5 to 9mmol/l 2 hours after a meal
- if your HbA1c level is tested every few months a normal HbA1c target is below 48mmol/mol
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Pneumonia: A Brief Overview
Pneumonia is an infection in the lungs, which can cause a host of symptoms, including difficulty breathing, coughing, fever, chills, chest pain, and nausea. In an infected patient, the normally clear sacs of the lungs are filled with fluid. The condition has both a viral and bacterial origin, with viral pneumonia typically carrying fewer symptoms and clearing up more quickly than a bacterial infection.
A consistent bout of pneumonia can occur with both viral and bacterial infections, which is typically called walking pneumonia. The illness can be contracted via work or school, or can be caught in a medical setting.
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Bladder Conditions And Urinary Tract Infections
Diabetes can affect the function and structure of the lower urinary tract, which in turn may play a role in patients with diabetes having more UTIs, overactive or underactive bladder, and problems with urination, says Michael J. Kennelly, MD, Professor of Urology and Obstetrics & Gynecology at Carolinas Medical Center.
Over time, people with diabetes may lose sensory function. This can make it hard to know that you have to go to the bathroom. As a result, people may wait too long to go to the bathroom, or if the urine stays in the bladder too long, it may raise your chance for getting a bladder or kidney infection.
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How Does Pneumonia Cause Back Pain
To understand how pneumonia causes back pain, you need to understand the nerve supply in your lungs. It is important to understand that there are virtually no pain receptors inside your lungs. You may have pneumonia without any chest pain at all.
As you can see in the picture, your lungs are covered by 2 layers of membrane-like lining, the inner lining and the outer lining. The inner lining goes in-between the fissures of your lungs. It doesnt have any pain receptors. Pain receptors are only found in the outer lining of the lungs. The outer lining is attached to your chest wall, both in the front and in the back.
Pneumonia does not not cause any pain if it doesnt lead to direct irritation of the outer lining of the lungs. When inflammation caused by pneumonia is closer to the surface, near your back, the outer lining at that spot may get irritated. This pain-sensitive outer layer is the reason you get back pain from pneumonia.
Inflammation from pneumonia must be closer to the outer lining of your lungs for you to have back pain.
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Differences Between Those Patients With Or Without Diabetes
Demographic characteristics and comorbidities of diagnosis of CAP in patients with diabetes and in patients without diabetes are shown in Table in Appendix. In patients who have diagnosis of CAP, there was a significant male predominance . Generally, patients with diabetes and CAP were significantly older than patients without diabetes . An 86.1% of the diabetic patients had developed CAP while in non-diabetic patients a 50.2% have had an episode of CAP and had more coexisting chronic medical conditions and lifestyle risk factors. Specifically, diabetic patients with CAP had higher prevalence of heart disease , kidney disease ,), COPD , CVA , anaemia , arthrosis , dementia , liver disease , depression , dysphagia . Tobacco exposure , dental problems , alcoholism , and social problems were lifestyle factors more prevalent in those patients with diabetes and CAP.
Contrary, eating disorder and HIV were more prevalent in non-diabetic patients. There are no statistical significant differences between diabetic and no diabetic CAP cases regarding to medical conditions arthritis, asthma, multiple sclerosis and epilepsy.
In non-diabetic patients who develop CAP a 21.1% do not have any other risk factor associated and 31.3% had one more risk factor. In diabetic patients with CAP usually have 2 or more other risk factors associated.
How Is A Yeast Infection Diagnosed
See your doctor if youre experiencing symptoms of a yeast infection. They can help you treat it and also rule out other causes for your symptoms.
Vaginal yeast infections have many of the same symptoms as STIs, so its important that youre sure of your diagnosis. If left untreated, STIs can have more serious and long-term consequences.
During your appointment, your doctor will ask you to describe your symptoms. They will also ask about any medications you may be taking or other conditions that you may have.
After assessing your medical profile, your doctor will perform a pelvic exam. They first examine your external genital area for any signs of infection. Then they insert a speculum into your vagina. This holds your vaginal walls open, allowing your doctor to look at the inside of your vagina and cervix.
Your doctor may also take a sample of your vaginal fluid to determine the type of fungus thats causing the infection. Knowing the type of fungus behind the infection can help your doctor prescribe the most effective treatment option for you.
Mild to moderate yeast infections can usually be cleared up with a topical treatment such as a cream, ointment, or suppository. The course of treatment can last up to seven days depending on the medication.
Common options include:
- terconazole
These medications are available over the counter and by prescription.
Your doctor may also instruct you to use a condom during sex to avoid spreading the infection to your partner.
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Will Uti Go Away On Its Own
Antibiotics are an effective treatment for UTIs . However, the body can often resolve minor, uncomplicated UTIs on its own without the help of antibiotics. By some estimates, 2542 percent of uncomplicated UTI infections clear on their own . In these cases, people can try a range of home remedies to speed up recovery.
Will High Blood Sugar Cause Uti
But too much insulin or other diabetes medications may cause your blood sugar level to drop too low, causing hypoglycemia. Hypoglycemia can also occur if you eat less than usual after taking diabetes medication, or if you exercise more than you normally do. Hypoglycemia occurs when your blood sugar level falls too low. There are several reasons why this can happen the most common is a side effect of drugs used to treat diabetes. Hypoglycemia is a condition in which your blood sugar level is lower than normal. Glucose is your bodys main energy source. It is crucial that you obtain a blood glucose meter to keep you updated on your blood glucose level
How High Does Blood Sugar Go After Eating Your body also has the ability to make glucose. This process occurs mainly in your liver, but also in your kidneys. If blood sugar levels are dropping too low, some models of CGM will alert you with an alarm. Some insulin pumps are now integrated with CGMs and can shut off insulin delivery when blood sugar levels are dropping too
Why is my wee cloudy? The five causes of something serious and what to do next CLOUDY urine is a common complaint that can be surprising and upsetting. If you notice a change to the colour of your wee,
Your blood sugar ranges are an important a part of your fitness. If theyre too high, you can have intense diabetic symptom. Too low, and youll suffer excessive issues from hypoglycemia. The maximum not unusual cause to focus on blood sugar is that y.
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How Do I Know If I Have Kidney Damage
Most people with early kidney damage do not have symptoms. The best way to find early kidney damage is to have a urine test once a year. This test checks for very small amounts of protein in the urine called albuminuria. It helps show kidney damage at an early stage in people with diabetes. Not everyone with kidney disease gets kidney failure. With the right treatment, you can prevent kidney disease from getting worse.
Pleural Effusions Empyema And Pleurisy
There are two layers of tissue surrounding your lungs called the pleura. One wraps around the outside of your lungs and the other lines the part of your chest where your lungs sit. They help your lungs move smoothly when you breathe.
If your pneumonia isn’t treated, the pleura can get swollen, creating a sharp pain when you breathe in. If you don’t treat the swelling, the area between the pleura may fill with fluid, which is called a pleural effusion.
If the fluid gets infected, it leads to a problem called empyema. Tell your doctor if you are having any of these symptoms:
- Hard time breathing
- You don’t want to breathe deeply because it hurts
Your doctor may look for swelling or fluid with an X-ray, ultrasound, or CT scan. They might also give you an electrocardiogram to make sure that a heart problem isn’t the cause of your chest pain.
If you do have pleurisy, you may need medications that can stop the swelling.
For pleural effusions and empyema, your doctor may suggest a procedure that removes fluid from your body with a needle. Antibiotics are also an option to treat empyema.
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Can Medications Increase Your Blood Sugar
Many can, including steroids, depression and anxiety medications, beta-blockers, statins, some asthma, and acne medications. Knowing the medications that can influence blood glucose levels is basic inappropriately thinking about your diabetes patients. A few drugs raise glucose in patients, while others may bring down their levels.
For What Reason Is My Glucose High Even With Medications
On the off chance that your glucose varies, for the time being, your primary care physician may need to modify your portion or timing or may propose that you attempt alternate medications. You may need to change your drug after a specific measure of time. Watch your eating routine. You may need to eat less.
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Dos And Donts Of Managing Diabetes When Youre Sick
When youre sick, your body releases hormones that can raise blood sugar which is already a concern when you have type 2 diabetes. Find out what you need to know before the next cold or flu strikes.
Thinkstock
Type 2 diabetes doesnt take a day off even if youre feeling lousy because you have a cold or the flu. In fact, when youre sick, you need to be extra mindful to stay on top of your diabetes self-care. Thats because a cold, sinus infection, or the flu can put your body under stress, causing it to release hormones that help fight the illness but these hormones can also affect your blood sugar levels.
Infections, particularly serious ones, can lead to diabetes complications. The most dangerous although its rare in people with type 2 diabetes is diabetic ketoacidosis, which can lead to a diabetic coma, according to endocrinologist Alan Garber, MD, PhD, a professor of medicine in diabetes, endocrinology, and metabolism at the Baylor College of Medicine in Houston and president of the American College of Endocrinology. Infection is a metabolic stress, and it raises your blood sugar, Dr. Garber says. It can be hard to know how you will respond to each infection, he adds.
Being sick can also lead to dehydration, eating differently, oversleeping, and losing track of your schedule all of which can make diabetes management harder.
There are also many things you can do to help keep your diabetes under control if you do get sick.
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Why Pneumonia Is Dangerous For Diabetics
Pneumonia is nothing to ignore.
Summer will soon wind to a close, bringing with it an onslaught of golden-red leaves, cooler temperatures, and impaired immunity. As seasons change, immune responses fail to react as quickly and effectively as normal. This brings about a steady march of colds, the flu, and other bugs, including pneumonia.
In a healthy individual, pneumonia is not usually a matter of concern. Although it may be irritating and set you back for a couple of weeks, it is not typically a dangerous condition. Paired with diabetes, however, pneumonia has the potential to wreak havoc on your body.
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Study Links Abnormally High Blood Sugar With Higher Risk Of Death In Covid
Diabetologia
New research from Wuhan, China shows that, in patients with COVID-19 but without a previous diagnosis of diabetes, abnormally high blood sugar is associated with more than double the risk of death and also an increased risk of severe complications. The study is by Dr Yang Jin, Union Hospital and Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China, and colleagues. The study is published in Diabetologia .
Previous studies have established that hyperglycaemia is associated with an elevated risk of mortality in community-acquired pneumonia, stroke, heart attacks, trauma and surgery, among other conditions. A number of studies have also shown links between diabetes and poor outcomes in COVID-19 patients. However, direct correlation between fasting blood glucose level at admission to hospital and clinical outcomes of COVID-19 patients without diagnosed diabetes has not been well established. In this new study the authors examined the association between FBG on admission and the 28-day mortality of COVID-19 patients without previously diagnosed diabetes in two hospitals.
The authors suggest that possible mechanisms for this increased mortality include hyperglycaemia-induced changes in coagulation , worsening of endothelial function , and overproduction of inflammatory cytokines produced by the immune system .
Journal
Diabetologia
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How To Manage Diabetes And Incontinence
It is no secret that diabetes is on the rise in the United States. With 1.5 million new diagnoses each year, diabetes has a widespread effect on Americans. You may also know that individuals who have been diagnosed with one condition, such as diabetes, are often at a higher risk for developing other secondary conditions. Although often overlooked, diabetes is no exception, and the secondary condition can often be incontinence.
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Diabetes And Bladder Symptoms
The effect of neuropathy on the bladder consist of a triad of changes. First of all a reduction of sensitivity in the bladder. This basically means that you will not sense bladder filling in the same way, resulting in infrequent visits to the toilet with the aim to void.
Secondly, as a consequence to this, bladder volumes will increase since you will not sense/notice that you need to void. Perhaps you will just go to the toilet once or twice per day?
Thirdly you will have an impaired bladder contractility making it impossible to empty your bladder completely. This results in retention, urinary tract infections, incontinence and in the long run, an increased risk of kidney failure.
So these changes leads to a magnified, a-contractile, hypotonic bladder that initially does not need to give so many symptoms. But when the sphincter also becomes affected, it can lead to urinary retention, incontinence and repeated urinary tract infections. Some people also have bladder pareses with painful chronic urinary retention.
You can also find additional information in our enCATHopedia Leaflet.
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