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Diabetes Can Make Dengue More Lethal!

More than 30 million people in India live with diabetes and statistics say that more than 2 lakh people contract dengue every year. Are you wondering why we are linking the two illnesses? Read on to know why.

It turns out that diabetes can worsen the complications caused by dengue and now that winter is almost here, the dengue menace has shot up too. If you are a diabetic, you should be extra cautious about mosquitoes this season, because dengue is more dangerous for you than for non-diabetics.

Diabetes and dengue: The deadly combination

A group of doctors in Chennai has made a startling discovery. They studied 4000 people who had been hospitalized with dengue in 2019. The severity of symptoms differed from one patient to the other. Some were discharged in a couple of days while others had to stay back and receive a plasma transplant.

While going over the patients’ medical history, doctors found that 20% of the patients had something in common – diabetes. Those dengue patients, whose blood sugar was high, developed grave complications triggered by dengue. They suffered intense abdominal pain, extremely high fever and splitting headaches. Further tests at the hospital revealed that the high-risk diabetes patients also suffered internal haemorrhage and collapse of the circulatory system (which doctors call haemorrhagic shock).

In some of the diabetes patients, dengue caused very severe complications. They suffered from respiratory problems, persistent vomiting, sore throat that makes swallowing difficult, continuous coughing, etc and by the time they were brought to a hospital, they were blue in the face and their pulse rate was alarmingly low.

This caused the doctors to declare diabetes as one of the illnesses that increases the fatality of dengue.

Blood glucose is an important factor for viral replication, and it basically facilitates virus transmission in mosquitoes, dengue causes fever and increases metabolic rate, which can lead to a rise in fluctuation in blood sugar levels, strict monitoring is very critical.
Dr. Ashish Bajaj – M.B.B.S, M.D.

Dengue Shock Syndrome

In cases of normal dengue, patients may experience no symptoms, mild symptoms or severe symptoms. These classical dengue symptoms may include headaches, rashes, low white blood cell levels, nausea weakness and of course fever. As mentioned above, sometimes dengue can progress into something called a Dengue Haemorrhagic Fever (DHF). DHF may affect certain people more often, for example, diabetics. Other people may go on to suffer something called Dengue Shock Syndrome. This is characterised by the same symptoms of internal haemorrhage, low pulse, change in mental state, change in blood pressure that happen with DHF. Additionally, Dengue shock syndrome results in multiple organ failures, failure in the circulatory system and a high risk of death (about 10% fatality rate).

Pathologically, dengue is characterised by high levels of inflammatory markers like CRP, endocan and IL-8. Thus, the dengue could be more fatal in patients that have co-morbid conditions of inflammation such as in diabetes
Dr. M.G. Kartheeka, MBBS, MD

Why does diabetes magnify dengue complications?

There is not enough evidence that can tell us why diabetes makes dengue more dangerous. But doctors believe that since a person with diabetes has weak immunity, fragile blood vessels and a higher risk of haemorrhage, symptoms of dengue tend to worsen in diabetics. Dengue destroys a person’s platelets which lead to blood clotting. Together, diabetes and dengue cause a lot of damage inside the body and make it difficult for the diabetic to recover.

What can you do?

Winter, especially the beginning of winter, is when dengue incidents peak. Here are a few things that diabetics can do-

Always use mosquito nets when you sleep at night.
When you go out, apply mosquito-repellent cream on your arms, legs and neck.
Use mosquito-repellent oils during all times of the day when you are home.
Do not let water accumulate near your home or mosquitoes will breed there.
Wear outfits and shirts with long sleeves.
As for your diabetes, monitor your blood sugar level regularly.
Do not forget your insulin shots and medication.
Stick to the prescribed diet and exercise routine.

Also Read: 5 Effective Preventive Measures for Dengue

If you have diabetes, you have to be extra careful about mosquitoes. Follow the precautions mentioned above to stay healthy and safe.

Disclaimer: The information included at this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

How To Beat Diabetes? All You Need To Know!

Do you have some unanswered questions on diabetes? We have answers to some of your doubts and how you can battle diabetes better. Take a look.

Q1: Is it possible to get rid of diabetes by homoeopathy treatment?

Ans: Diabetes can only be controlled through proper medications and a healthy lifestyle. No one therapy can help you get rid of diabetes completely.

Q2: Can diabetes cause sudden death?

Ans: In uncontrolled diabetes, sudden cardiac arrest can cause sudden death.

Q3: Why is diabetes so common among middle-aged Indians?

Ans: Obesity, high blood pressure, high levels of cholesterol, sedentary lifestyle are some of the reasons why diabetes is common in the middle age group.

Q4: What is the cause of diabetes among younger people these days?

Ans: Less active lifestyle and unhealthy dietary habits are the cause of diabetes in younger adults. In children, the cause for diabetes is a family history of diabetes or diabetes in mothers during pregnancy and resistance to insulin.

Also Read: Bladderwrack: Discovering Its Research-Based Health Benefits

Q5: Today, almost everyone has diabetes. I have a diabetes history in my family too. How can I avoid it?

Ans: Keep yourself physically active. Reducing the amount of junk food, fried food, sugary foods will help in reducing the risk. Also, regular blood sugar testing will help in monitoring the risk of developing uncontrolled diabetes.

Also Read: “Diet Alert: Foods To Avoid While Taking Metformin”

Q6: Can diabetes affect a man’s sperm?

Ans: Yes. Diabetes can reduce the quality of sperm. Uncontrolled diabetes can cause erectile dysfunction which leads to low testosterone levels resulting in reduced sperm count and low semen quality.

Q7: How long can a diabetic go without insulin?

Ans: If blood sugar levels are well controlled with medications then diabetics can go lifelong without requiring any type of insulin.

Q8: How do insulin injections work in type 2 diabetes?

Ans: In type 2 diabetes there is either resistant to insulin or inadequate production of insulin. If the medications and lifestyle modifications are not able to achieve desired sugar levels then Insulin can help in attaining a better control on blood sugar levels. Also, it has lesser side effects than some medications.

Q9: Does Type 2 diabetes get worse over time?

Ans: If regular follow up with the doctor is done along with regular and proper consumption of medicine & lifestyle modifications then worsening of diabetes can be prevented over time. Only uncontrolled diabetes gets worse over time.

Q10: How do you test for type 2 diabetes?

Ans: Fasting, postprandial (2 hours after a meal), random blood sugar can be measured for diabetes. Also, HbA1c is used to estimate average blood sugar levels in the last 3 months. Urine sugar levels are also measured for diabetes.

Q11: What is the most reliable test for diabetes?

Ans: HbA1c levels is the most reliable test.

Q12: What is the normal blood sugar level for adults?

Ans: Fasting blood sugar- 70-100 mg/dl

Postprandial blood sugar- 80-140mg/dl

Random blood sugar- less than 200mg/dl

Read More: Understanding Blood Sugar Levels

If you want to know the dietary specifications for a diabetic, click here!

Also Read: Can You Drink While Taking Amoxicillin? Uncovering the Facts

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

Links and product recommendations in the information provided here are advertisements of third-party products available on the website. PharmEasy does not make any representation on the accuracy or suitability of such products/services. Advertisements do not influence the editorial decisions or content. The information in this blog is subject to change without notice. The authors and administrators reserve the right to modify, add, or remove content without notification. It is your responsibility to review this disclaimer regularly for any changes.

World Diabetes Day – Help Your Family Member Defeat Diabetes!

India is the diabetes capital of the world with over 70 million cases being reported every year. One of the main reasons for this is the lack of awareness about diabetes in the country. World Diabetes Day is an event to make the public aware of the dangers of diabetes.

The International Diabetes Foundation (IDF) has decided that the theme of World Diabetes Day this year will be ‘Family and Diabetes’. The focus is on how one’s family can support and help someone who has been diagnosed with Diabetes manage it better.

We all know that diabetes is a complicated disorder. It requires time, patience and discipline to defeat the disease. And in such difficult times, isn’t family the best support system?

Here are 7 ways you can help a loved one manage diabetes better.

1. Educate Yourself

What is the first step in fighting diabetes? Learning everything about it. It is important to know answers to questions like – What type of diabetes is it? How does it affect a person? What complications can arise? What to eat? What exercises are safe for a diabetic?

Many myths are surrounding this disorder that you have to brush away. If you are well informed about diabetes, you will be able to guide your loved ones correctly on their path to recovery.

2. Keep a tab on their blood sugar level

Is your loved one monitoring his blood sugar level? Diabetes patients have to constantly monitor their blood sugar level. You can help them pick a blood sugar test package so that they are aware of their current blood sugar level.

3. Remind them to take their medicines

People with diabetes may need insulin shots every day. Or they may have to take pills or capsules. Since diabetes treatment is long-term, your family member might forget to take the medicines now and then. But even one missed dose can be dangerous. How can you prevent that? Simple, you can set alarms for them to remind them that it’s time for their medication.

4. Help them with the injections

Some people feel uncomfortable pushing the needle into their own veins. It’s perfectly natural. In that case, you can learn how to do it and administer the insulin shots to them every day.

5. Self-testing kits for your loved one

Want an instant blood sugar reading? A blood sugar testing kit can help! These easy to use portable kits are useful if getting a lab test is difficult.

Also Read: Are Bananas Good for Diabetics? A Research-Based Analysis

6. Urge them to eat healthily

Is your loved one fond of sweets? Diabetics should never eat sugary treats. But eliminating them completely from the diet can really upset a person. What can you do? You can use healthier sugar substitutes.

7. You can exercise together

Who wants to exercise alone? It’s boring. So, you can accompany your loved ones during workouts and motivate them to give their best. Losing weight and vigorous physical activity can stabilize blood sugar levels. Read more about the health benefits of exercise.

The support you give to your family members can help immensely in his fight against diabetes. Help them live an active and healthy life with your support.

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

11 Rules Diabetics Must Follow During The Monsoon

The rainy season brings with it infections that affect almost everyone. As the weather changes, it increases the risk for patients suffering from diabetes. Temperature fluctuations, pollution and water contamination jointly contribute to the spread of water-borne diseases.

According to a leading diabetologist Dr Pradeep Gadge, ”What’s even worse is the fact that during this time of the year, intestinal functions, as well as the digestive system becomes weak resulting in low metabolism and increased fat storage.”

If you are living with diabetes complications, for example heart disease or nerve pain (neuropathy), cold weather can make this worse for some people. The cold can raise blood pressure and put more strain on the body. It affects how the blood flows around the body and circulation to your hands and feet can slow down, which could make neuropathy more painful in these areas.
Dr. M.G. Kartheeka, MBBS, MD

Diabetics should avoid getting drenched in the rain. But if they are compelled to head outdoors due to work or other reasons then they should adhere to these guidelines:

Maintain a high level of personal hygiene. Infection and bacteria multiply at an alarming rate especially during the rainy season when the surroundings are already polluted, dirty and contaminated. Stay away from mosquito-infested areas and avoid walking through puddles of water.
Make it a habit to wash your hands frequently. Shower with warm water. Use an antiseptic soap & hand wash to clean your hands.
While it is always healthier to eat home-cooked food, it is especially recommended during monsoons. This way, you can be sure of the hygiene, quality and nutritional value of your food. In fact, sticking to home-cooked food cuts down your risk of contracting infections or diseases. So, avoid eating outside as much as possible.
Avoid raw foods and make sure to steam them before eating during the rainy season.
With the temperatures dropping as compared to summer, we don’t find ourselves getting thirsty as often and can easily forget to drink water. However, this could lead to dehydration, urinary infections and constipation. For the best maintenance of your overall health, make sure you drink enough water. Drinking 10-14 glasses a day is recommended.
Make sure you wash fruits and vegetables thoroughly. During monsoons, these are more likely to be infested by worms.
Carry an extra pair of clothing and footwear. It is important to keep the feet absolutely clean and dry to avoid any infection.
People suffering from diabetes should take special care of their feet. Feet often get wet in the rainy season, so wherever you go, keep an extra piece of clothing to wipe your feet in case this happens. It is necessary for diabetics to wash their feet after exposure to rain. Read more about diabetes foot care tips
Make sure your footwear is of a comfortable material that doesn’t trouble your skin. Even the smallest open wounds are sites for further infections. Also, opt for an open pair that doesn’t trap any water or keep your feet moist. If you’re looking for the perfect footwear, start with diabetes care socks.
Avoid walking barefoot and avoid going long distances in slippers or open footwear.
Take care of your toenails. Infection in toenails is very common in the rainy season.

Blood glucose levels are more likely to be higher in the winter and spring compared to autumn and summer, and the same stands true for glycosylated hemoglobin, this might partly be responsible for the metabolism in winter, caution is always advised for routinely performing blood sugar tests to keep complications at bay.
Dr. Ashish Bajaj – M.B.B.S, M.D.

As a diabetic, you must take extra care of your health to be safe. Follow the tips mentioned above to ensure that diabetes doesn’t restrict you from living to the fullest.

Also Read About: Diabetes Management Tips with Dr Roshani Gadge