Thursday February 22, 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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Air Pollution And Its Effects On Our Heath

Man is not just affected physically but his mental peace takes a toll too due to the increasing air pollution

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Stubble burning is one of the main reason behind heavy pollution in the Delhi and NCR region. Wikimedia Commons
  • Air pollution is a major concern nowadays and has major effects on one’s health
  • There are many toxic air pollutants in our environment which can cause severe health hazards
  • Health-related problems like asthma, headaches, nausea, etc. can be caused as an effect of air pollution

Air Pollution and their dreadful consequences are not some newly found phenomena of the new-found world. There have been instances of hazardous effects even in the past. The three major historic documentation, dating back to the middle of the 20th century, happened at Meuse Valley in Belgium, Donora in Pennsylvania, and London. The most gruesome of the three is the well-known London mishap that claimed over 4000 lives during the episode, due to temperature inversion and associated elevated levels of Air Pollution, and over 8000 lives in the subsequent period.

Air pollution can have severe effects on one's health.
Air pollution can have severe effects on one’s health.

Mankind is in a fast-paced race, always in the process of trying to outwit each other. The numerous developments born out of this race have brought along with them dreadful health consequences. Air Pollution is one such inadvertent yet a disregardful act by humans. The pollution does not begin only when you step out of your homes but is present within your safety havens itself.

According to the World Health Organization report in 2014, 92% of the world population was living in places where the air quality guidelines levels were not met. Outdoor Air Pollution was cited to be the cause of  3.7 million premature deaths in both cities and rural areas. Around 80% of those deaths were due to heart diseases and stroke, and the rest were due to respiratory illnesses and cancers due to exposure to fine particulate matter.

Air pollution can even cause risk of life.
Air pollution can even cause risk of life.
Air pollutants categories:

Air pollutants are categorized into two groups based on their impact, Criteria pollutants and Toxic air pollutants. Criteria pollutants include particulate matter (PM), ozone (O3), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and lead (Pb). (defined by the United States Environmental Protection Agency in the Clean Air Act). These pollutants are present everywhere and cause health issues when present at significant ambient levels. In general, the criteria pollutants are regarded as the cause of most respiratory and cardiac issues.

Also Read: How exposure to air pollution in womb may shorten lifespan

Toxic air pollutants are also known as “hazardous air pollutants,” are substances that cause cancer or lead to other potential non-cancerous effects on the reproductive and neurological systems and have disastrous consequences in the development process. It is also assumed that there is no threshold level of exposure required to cause cancer. Meaning any amount of exposure to these toxic pollutants can lead to cancer.

At risk Populations:

In any geography, the already ailing and sick (pre-existing medical condition) population is more at risk for suffering from the ill effects of air pollution. Apart from this category, young children are the next at risk.

The reason for children being affected more is that they have higher breathing rates than adults. Therefore, they unknowingly inhale a lot more pollutants than an average adult. The potential for exposure is also increased with increased amount of time spent outdoors. The developing lungs of the young people have a limited metabolic capacity to placate toxicity.

Exposure to air pollutants can case cancer as well.
Exposure to air pollutants can cause cancer as well.

 

Air Pollution Respiratory Diseases:

The small particulate matter of the criteria pollutants has the capacity to reach the lowest portion of the lungs, where the gaseous exchange occurs. The larger particles get trapped in the nose and the medium- sized ones settle in the tracheobronchial region.

The effects of the settlement of these particles are upper and lower respiratory symptoms, asthma attacks, loss of quality living days, and restricted activities. Chronic exposure to particulate matter has also been associated with the development of chronic bronchitis- inflammation of the lining of the bronchial tubes. This condition presents as a cough with mucus.

Also Read: Neurologists say rising air pollution can cause stroke among adults

Lung Cancer:

It is a commonly known fact and an “ought to be stressed upon” fact that chronic exposure to polluted air can also lead to the cancer of the lungs.

Ozone’s effect:

Ozone, an oxidant gas that is poorly water-soluble, travels throughout the respiratory tract due to its nature of solubility. It reacts with the molecules on the surface of the lung and leads to pulmonary oedema, inflammation, and the destruction of epithelial cells that line the respiratory tract. Children who stay outdoors in high Ozone areas develop asthma. Some of the disastrous effects are permanent in nature.

Air pollution can harm you even when you are inside your own houses.
Air pollution can harm you even when you are inside your own houses.
Some more Criteria air pollutants:

When Carbon monoxide reacts with blood haemoglobin, it reduces the oxygen-carrying capacity of blood and hence can cause damage to the nervous system. It causes a headache, fatigue, dizziness, coma, respiratory failure, and eventually death.

Nitrogen dioxide is mostly an indoor air pollutant released due to the increasing use of gas stoves. Exposure to high levels of nitrogen dioxide can lead to respiratory distress with symptoms such as cough, shortness of breath, and tightness in the chest.

Air Pollution Cardiovascular Effects:

The above-mentioned actions of air pollutants in the respiratory tract can also affect the cardiovascular system. The inflammation in the breathing tract induces transient hypercoagulability (abnormal blood clotting), the progression of atherosclerosis, and propensity to plaque rupture, especially in people with coronary atheroma. Long-term exposure to Air Pollution can also speed up the atherogenesis process, heart rate invariability, and arrhythmia (irregular heartbeat). Some recent studies have also found a significant relationship between heart attack (Myocardial infarction) and exposure to polluted air.

Air Pollution in Reproductive and Child Health:

Long-term exposure to the air pollutants poses risks even to an unborn child. It causes Intrauterine growth restriction -low birth weight at term, intrauterine growth retardation, smaller fetus for gestational age etc.

Indoor Air Pollution :

Some of the major causes of indoor air pollution are indoor smoking and burning of fuels for cooking purposes, especially in the second and third world countries. The people in these countries cook and heat their homes with biomass fuels and coal. Thus the main noxious gas released is sulfur dioxide, that causes respiratory issues and eye irritation

 

In Delhi, air pollution is a major concern.
In Delhi, air pollution is a major concern.
Quality of life:

Man is not just affected physically but his mental peace takes a toll too when the feelings of insecurity and the perception of having to live in a hazardous environment take over. Severe annoyance, sleep disturbances, reduced the ability to concentrate, communicate or perform normal daily tasks also accompany the psychological stress issues.

Some of the issues are too massive to be controlled at an individual level but a resolution to change can, of course, make a significant impact. Individually we are just one drop of water but together we can make a big ocean.

Simple steps involve following the government regulations in your state regarding the upkeep of your vehicles, carpooling, avoiding the burning of coal, adequate ventilation of your homes to dilute the effect of indoor air pollutants among others.

Wish for a change? Be the change! Same Condition

Air Pollution Health Effects