Monday September 24, 2018

Diabetes can hamper your reproductive health

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By NewsGram Staff Writer

Today India is facing a potential health epidemic – diabetes. Millions in India have been diagnosed with Diabetes, which earns India a place among the list of top diabetic countries in the world. It’s not just a malady that affects blood sugar level, but it has vital ramifications on the overall functioning of your body. It can lead to vision loss, gangrenes, nerve damages, heart attacks as well as cause infertility.

Alarming reports by WHO state that more than 180 million people worldwide have diabetes, and the number is likely to more than double by 2030.

How does diabetes affect your reproductive Health?

The effect of diabetes on both the male and female fertility quotient is equal. In males, diabetes mellitus (DM) is associated with very subtle disorders, and affects, either directly or indirectly, various functions of the male reproductive system. The T synthesis condition is instigated by molecular deviations at the level of Leydig cells, and may lead to other disorders in all target organs and tissues, which reduces erection, causing impotence, and other libido dissociations.

It has been estimated that approximately 35–75% of men with diabetes experience, at least some degree of erectile dysfunction during their lifetime. While in the case of females, diabetes has a massive effect on reproductive health. The women with diabetes tend to have less sexual desires because of hormonal imbalances. The reproductive period of diabetic women may be reduced due to delayed menarche and premature menopause.

Diabetic females face a lot of menstrual abnormalities; hence, they need a broader evaluation, which will include the examination of the hypothalamic–pituitary–ovarian axis, along with evaluation of hormonal status, checking for the presence of autoimmune thyroid disease, antiovarian autoantibodies, and checking for hyperandrogenism. Diabetes is considered fatal for both mother and child. It can create a life and death situation for both of them when women with diabetes conceive.

How  many types Diabetes are there?

Diabetes is  mainly classified  into three types, Type1, Type2 and Gestational Diabetes. In Type 1, the pancreas produces very little or no insulin, and insulin directly controls the burning of sugar; thus, this leads to excess levels of sugar in the blood stream. This condition is commonly noticed in youth. In Type 2 diabetes, body does not produce insulin at all, leading to fertility alterations in the length of the menstrual cycle, and the age of onset of menopause and  Polycystic ovary syndrome (PCOS).

Gestational diabetes is a type of diabetes that is seen or diagnosed in a pregnant woman. Obesity is a general problem in both PCOS-affected women and women with Type 2 diabetes. Experts say  that an overweight lady seeking gestation faces longer time to conceive.This is unrelated to age and to cyclic variations. If you are trying to conceive and are diabetic, it is always advised to plan your pregnancy; otherwise it can result in complications.

Working out should be an integral part of daily life.It is recommended that there has to be  at least 150 minutes of physical activity in a week. It can be a 10-minute brisk walk a day or anything like that.

Healthy food is also very significant, but keeping a check on diet never means to eat less. Eating less poses a threat of lowering down of blood sugar level drastically and suddenly,which can be risky.

Another thing that every  woman with diabetes must  follow, is to be in constant touch with your doctor before and during gestation. As, for a diabetic person, medication differs in both the phases; also, keeping an account of blood sugar is mandatory.

So, If you are diabetic and are trying to conceive, but still have not been able to, please consult a doctor immediately.

Mr. Yogesh Vaidya, founder and Chairman of Ivfgurus.com says,“We get a lot of patients who are suffering from diabetes and have failed to conceive, despite being in constant touch with the doctors; as diabetes and pregnancy don’t go well together. We refer them to appropriate doctors as per their medical condition based on what suits them best, for both health and pocket”

Dr. Ruchi Malhotra, Managing director of Fertile solutions IVF & Research Center, says, “Diabetes is a tough disease and also, apart from  medication, diet and physical exercise, one more important thing that is required, is emotional strength. Diabetic patients tend to have more mood swings, in the case of fertility  issues, it is  very difficult for them to keep calm. We always take special care of a diabetic patient’s emotional needs, as it affects the pregnancy directly “.

If multiple trials and constant doctors consult for having a little angel in your life have failed, please do not get disheartened, because science has progressed considerably, and IVF has been discovered long back in 1986. By IVF procedures, it is possible to successfully conceive and have your own child biologically.

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Ebola-Stricken Congo Suffers From A Rebel Attack

The latest Ebola outbreak, which causes hemorrhagic fever, vomiting and diarrhea, is believed to have killed 99 people since July and infected another 48.

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Ebola, congo
The violence "will have a considerable impact on the whole response to Ebola," a local public health official told Reuters on condition of anonymity. VOA

At least 14 civilians were killed on Saturday in a six-hour attack by rebels on the town of Beni in eastern Democratic Republic of Congo, local officials told Reuters, warning the unrest may hamper efforts to quash an Ebola epidemic in the area.

The latest outbreak of the deadly disease has been focused in North Kivu and Ituri provinces, which have been a tinder box of armed rebellion and ethnic killing since two civil wars in the late 1990s.

Militants believed to belong to the Allied Democratic Forces, a Ugandan Islamist group active in eastern Congo, clashed with Congolese troops in Beni, a town of several hundred thousand people, local civil society leader Kizito Bin Hangi said by telephone.

“Beni is ungovernable this morning. Several protests have been declared in the town where the people express their anger with consternation,” he said.

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A boy runs past a dispenser containing water mixed with disinfectant, east of Mbandaka, DRC. VOA

In addition to the known fatalities, dozens of civilians were wounded as they fled the violence, which broke out in the early hours of Saturday evening and lasted until midnight, Bin Hangi added.

A spokesman for the army declined immediate comment.

The attack underscores the challenges the government and health organizations face in tackling Ebola in an area where years of instability has undermined locals’ confidence in the authorities.

The violence “will have a considerable impact on the whole response to Ebola,” a local public health official told Reuters on condition of anonymity.

“The general hospital which houses one of the Ebola treatment centers was the focus of angry protests this morning.

Ebola, Congo
Little 11-year-old German Umba, whose father died in May of Ebola and who is being monitored by the U.N. for potential signs of infection along with her 6-year-old brother, hides her face in her shirt, sobbing, outside her classroom in Mbandaka, Congo. VOA

This is a normal reaction for a community that is bereaved for the umpteenth time,” the official said.

Also Read: Ebola Increases The Number of Orphans in DRC: UNICEF

The latest Ebola outbreak, which causes hemorrhagic fever, vomiting and diarrhea, is believed to have killed 99 people since July and infected another 48. (VOA)