Global Canadian Pharmacy: Other illnesses associated with diabetes

I have recently had a severe cough and cold and have been given ‘diabetic’ cough medicine by the doctor. Since then my blood glucose has been very high. Could this be due to the medicine?

Antibiotic syrup and cough linctus are often blamed for making diabetes worse during an illness such as flu or a chest infection. In fact a dose of antibiotic syrup only contains about 5 g of sugar and will have very little effect on your blood glucose. It is the illness itself that unbalances the diabetes. In general, medication from your doctor will not upset your diabetes.

Any infection or serious illness will cause a rise in blood glucose and it is important to test your blood if you feel unwell. If you are taking insulin you will probably need to increase the dose during the illness and it is very important to continue regular insulin injections even if you are not eating. If you are vomiting and unable to keep fluids down you will need hospital admission for intravenous fluids. Vomiting can sometimes be a sign of ketoacidosis, which may be fatal if untreated.

The rules for illness are:

• Test blood at least four times a day;
• If tests are high take extra doses of short-acting insulin;
• If the tests are low, take a sugary drink such as Lucozade to treat the hypo;
• Never stop insulin.

It is of course possible to get over a bad cold by carrying on with your normal dose of insulin and accepting bad control for a few days. However, this means that your mouth and nose will be slightly dehydrated and it may take longer before you feel back to normal. You will probably feel better more quickly if you adjust your insulin and try to keep the blood glucose near normal.

I have noticed that I suffer from more colds since developing diabetes. Could this be due to the diabetes?

https://twitter.com/healthcare_mall – canadian health care mall twitter.

Many people make this observation, but there is no real reason why the common cold should be more common in diabetes. However, a relatively minor cold may upset your diabetes control and lead to several extra days of feeling unwell (see previous question). This may make it a more memorable event. To repeat the previous advice, never stop insulin.

What is the best treatment for someone suffering from hay fever? I understand that some products can cause drowsiness, which could affect my balance and be confused with a hypo.

You can use exactly the same treatment for your hay fever as people without diabetes, as it does not affect your control. Antihistamines are often used for hay fever and these may make you feel sleepy, but this should be easy to distinguish from a hypo. Remember that, if you are on antihistamines, you should be very cautious about drinking alcohol. Hay fever can also be alleviated by using a nasal spray to reduce the sensitivity of the membranes in the nose.

The anaejaculation

The man with anaejaculation, during the sexual intercourse with the partner, can maintain in erection for hours, which can induce multiple orgasms to the partner and super-satisfaction. The reaction of the partner toward an anaejac-ulator man is various: some enjoy this kind of man that induces them repeated orgasms until “status orgasmus”, even after the installation of this anaejaculation; sometimes, the partner that reached the maximum of satiety (taking advantage of the situation) can interrupt the sexual act.

It is known that a sexual act prolonged excessively produces to the partner painful sensations and then she gives up. There are also women which, frustrated by the perception of the spermatic jet of the anaejaculator, cannot reach orgasm. Plus, the anaejaculation into the vagina is a factor responsible for the sterility of the couple. Certain men with anaejaculation, not having even an orgasm, get in time to get bored, to lose their libido and to get even to secondary erectile impotence.

The etiology of the anaejaculation can be of organic nature (hyperglycemia, pithy lesions, urethral lesions that create obstacle, genital tuberculosis, prostate cancer that destroys the ejaculatory canals). It can appear as a complication post-surgical: vesical cervix resections, prostate adenomectomy on a high path; in these cases, we are talking about a retrograde ejaculation in the urinary bladder and not about a normal ejaculation.

The iatrogenic anaejaculation (medicinal) can appear after treatments, especially with benzodiazepines, antidopaminergics (chlorpromazine, haloperidol, tricycle antidepressants, B-blockers, alfa-blockers). The anaejaculation can be of psychogenic cause. In this case, the subjects are hyper-reactive, anxious or depressive; most of them present an asteno-vegetative neurosis. The treatment of the anaejaculation depends on the etiopathogenic form.

In the one of organic origin, it must be made urological explorations, neurological, endocrine, and metabolic and, once discovered the etiological factor, the appropriate treatment when it is possible. In psychogenic origin anaejaculation have been tried several medicines but few have a change of success. The antidepressants can be useful at person sick with depressive neurosis; sometimes, the sympathicotonics pay results, but the most efficient is dextroamphetamine, which can induce intra-vaginal ejaculations during coitus or through masturbation.

The amphetamines act by favoring the prevalent alpha-genetic tonus. It is taken into consideration also the prostigmine which because of the para-sympaticomimetic action shall favor the expulsion of the ejaculation.

CAUSES OF DIABETES

Our 16-year-old daughter has just been found to have Type 2 diabetes. Apart from not needing insulin, are there any other differences between Type 1 and Type 2 diabetes?

It may come as a relief to be told that although your daughter has diabetes, she will not need insulin injections – at least for the time being. However, Type 2 diabetes is at least as serious a condition as Type 1. This is because young people with Type 2 diabetes, like adults with this condition, carry an extra threat of heart disease, though this will not apply to your daughter until she is much older. The risk factors include high cholesterol, triglycerides and blood pressure, and increased waist circumference (sometimes called the metabolic syndrome).

A study in America has looked at the frequency with which these risk factors appeared in different groups of young people aged 12-19 years. In the general population of American children, 6.4% in this age range had two or more of these risk factors. In young people with Type 1 diabetes, the frequency was 14%, while in those with Type 2 diabetes it was greater than 90%.

Although this information is bound to worry you, all these risk factors can be identified and corrected. It is important that your daughter has regular checks for body weight, cholesterol and blood pressure and if these are above the normal for her age, she should receive treatment to prevent or delay the risk of heart disease as she grows older. Some drugs used for treatment of cholesterol and blood pressure should not be used in pregnancy and your daughter needs to be aware of this.

I was very ill last year and developed diabetes, which has since got better. Can a severe illness cause diabetes?

Any serious medical condition (such as a heart attack or injuries from a traffic accident) can lead to diabetes. This is because the hormones produced in response to stress tend to oppose the effect of insulin and cause the glucose level in the blood to rise. Most people simply produce more insulin to keep the blood glucose stable. However, in some cases, if the reserves of insulin are low, the blood glucose level will climb. You had temporary diabetes, and the glucose level returned to normal once your stress was over. However, you will carry an increased risk of developing permanent diabetes later in life.

My latest baby was very big at birth. Would she have caused me to have developed diabetes?

No, the opposite is true. It is because you already had unrecognised diabetes that your daughter was big and any woman who has an unexpectedly big baby (more than 4 kg or 9 lb) should be tested for diabetes. If you had diabetes during pregnancy but your blood sugar returned to normal after your baby was born, you will continue to carry an increased risk of developing diabetes at some stage in the future.

http://globalcanadianpharmacy.com – Canadian pharmacy online. Medciations at the low price and high quality products.

TREATMENT WITH INSULIN

Insulin was discovered by Frederick Banting and Charles Best in the summer of 1921. The work was carried out in the Physiology Department of Toronto University while most of the staff were on holiday. Before insulin was discovered, there was no treatment for people with diabetes and if they had what we now call Type 1 diabetes, death was inevitable, usually within a year of diagnosis. The first human to be given insulin was a 14-year-old boy named Leonard Thompson who was dying of diabetes in Toronto General Hospital. This was an historic event, representing the beginning of modern treatment for diabetes. It was then up to the chemists to transform the production of insulin into an industrial process on a vast scale.

There are two groups of people who need insulin. The first group are severely insulin deficient and cannot survive without it (Type 1 diabetes). The other group tends to develop diabetes later in life and they continue to produce some insulin (Type 2 diabetes). These people can usually be treated with diet and tablets initially but need insulin sooner or later.

Insulin still has to be given by injection because at present it is inactivated if taken by mouth. Inhaled insulin has just been released but it not available for general use in the UK. About a quarter of all people with diabetes are treated with insulin. Virtually everyone who develops diabetes when they are young needs insulin from the time of diagnosis. People diagnosed in later life may manage quite satisfactorily for many years on other forms of treatment but eventually many of them will need insulin to supplement the diminishing supply of insulin from their pancreas.

Most people dislike the thought of having to inject themselves but modern insulin pens and needles are so well designed that these fears usually disappear after the first few injections. In general, insulin injections become part of the daily routine.

TYPES OF INSULIN

Since the discovery of insulin, countless people with diabetes have injected themselves with insulin extracted from the pancreas of cows and pigs. In the last 20 years or so human insulin has become widely available. However, human insulin is not extracted from human pancreas in the same way beef or pork insulin is. A great deal of research went into producing ‘human’ insulin by means of genetic engineering. This means that the genetic material of a bacterium or a yeast is reprogrammed to make insulin instead of the proteins it would normally produce. The insulin manufactured in this way is rigorously purified and contains no trace of the original bacterium.

Subscribe to our twitter and learn about new promotions and discounts in our Canadian Pharmacy: https://twitter.com/healthcaremall