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Congenital heart disease is one or more problems with the heart's structure that exist since birth. Congenital means that you're born with the defect. Congenital heart disease, also called congenital heart defect, can change the way blood flows through your heart. Some congenital heart defects might not cause any problems. Complex defects, however, can cause life-threatening complications.

Symptoms

Some congenital heart defects cause no signs or symptoms. For some people, signs or symptoms occur later in life. And symptoms can return years after you've had treatment for a heart defect.

Common congenital heart disease symptoms include:

Abnormal heart rhythms (arrhythmias)

A bluish tint to the skin, lips and fingernails (cyanosis)

Shortness of breath

Tiring quickly upon exertion

Swelling of body tissue or organs (edema)

Most Common Types of Congenital Heart Defects

ASD- Atrial Septal Defect. A birth defect that causes a hole in the wall between the heart's upper chambers (atria).

VSD- Ventricular Septal Defect. A heart defect due to an abnormal connection between the lower chambers of the heart (ventricles).

Patent Foramen Ovale- patent foramen ovale (PFO) is a hole in the heart that didn't close the way it should after birth. The small flaplike opening is between the right and left upper chambers of the heart (atria).

As a baby grows in the womb, the foramen ovale is present in between the right and left top chambers of the heart (atria). It normally closes during infancy. When the foramen ovale doesn't close, it's called a patent foramen ovale.

Patent Ductus Arteriosus- Before birth, an opening that connects two major blood vessels leading from the heart — the aorta and pulmonary artery — is necessary for a baby's blood circulation. The connection diverts blood from a baby's lungs while they develop, and the baby receives oxygen from the mother's circulation. After birth, the ductus arteriosus normally closes within two or three days. In premature infants, the opening often takes longer to close. If the connection remains open, it's referred to as a patent ductus arteriosus.

Teratology of Fallot- A condition caused by a combination of four heart defects that are present at birth. Tetralogy of Fallot defects cause oxygen-poor blood to flow out of the heart and into the rest of the body.

Ebstein Anomaly- The tricuspid valve — the valve between the upper right chamber (right atrium) and the lower right chamber (right ventricle) of the heart — isn't formed properly

 

Causes

To understand congenital heart disease, we must know how the heart works.

The heart is divided into chambers — two upper chambers (atria) and two lower chambers (ventricles).

The right side of the heart moves blood to the lungs through blood vessels (pulmonary arteries).

In the lungs, blood picks up oxygen and then returns to the left side of your heart through the pulmonary veins.

The left side of the heart then pumps the blood through the aorta and out to the rest of the body.

Congenital heart disease can affect any of these heart structures, including the arteries, valves, chambers and the wall of tissue that separates the chambers (septum).

 

Risk factors

Certain environmental and genetic risk factors might play a role in the development of congenital heart disease, including:

Genetic Predisposition: Congenital heart disease appears to run in families (inherited) and is associated with many genetic syndromes. For instance, children with Down syndrome often have heart defects. Genetic testing can detect Down syndrome and other disorders during a baby's development.

German measles (rubella): Having rubella during pregnancy may affect how the baby's heart develops while in the womb.

Diabetes: Having type 1 or type 2 diabetes during pregnancy also may affect a baby's heart development. Gestational diabetes generally doesn't increase the risk of congenital heart disease.

Medications: Taking certain medications while pregnant can cause congenital heart disease and other birth defects. These drugs are called Teratogenic. Always tell your doctor about the medications you take during pregnancy.

Alcohol: Drinking alcohol while pregnant also contributes to the risk of heart defects in the baby. These are classified as Fetal Alcohol Syndrome.

Smoking: A mother who smokes while pregnant increases her risk of having a child with a congenital heart defect.

 

Complications

Congenital heart disease complications that might develop years after you receive treatment include:

Irregular heartbeats (arrhythmias): Arrhythmias occur when the electrical signals that coordinate your heartbeat don't work properly. Your heart may beat too fast, too slowly or irregularly. In some people, severe arrhythmias can cause stroke or sudden cardiac death if not treated. Scar tissue in your heart from previous surgeries can contribute to this complication.

Heart infection (endocarditis): Endocarditis is an infection of the inner lining of the heart (endocardium). It generally occurs when bacteria or other germs enter your bloodstream and move to your heart. Untreated, endocarditis can damage or destroy your heart valves or trigger a stroke. If you are at high risk of endocarditis, it's recommended that you take antibiotics one hour before dental cleanings. Regular dental checkups are important. Healthy gums and teeth reduce the risk that bacteria will enter the bloodstream.

Stroke: A congenital heart defect can allow a blood clot to pass through your heart and travel to your brain, where it reduces or blocks blood supply.

Pulmonary hypertension: This is a type of high blood pressure that affects the arteries in your lungs. Some congenital heart defects send more blood to the lungs, causing pressure to build. This eventually causes your heart muscle to weaken and sometimes to fail.

Heart failure: Heart failure (congestive heart failure) means your heart can't pump enough blood to meet your body's needs. Some types of congenital heart disease can lead to heart failure.

 

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More Vulnerable to Heart Attack ?

We are all rattled by the latest news of actor Sidharth Shukla leaves us at an age of 40 years due to sudden heart attack.

Cardiovascular Heart Disease is the single largest non-communicable disease contributing to the morbidity burden in India. Cardiologists say they have, over the last decade, seen an increase in persons suffering heart attacks in their 20s and 30s. Fifty per cent of all heart attacks in Indian men occur under 50 years of age and 25 per cent of all heart attacks in Indian men occur under 40 years of age. Indians have a greater genetic predisposition to heart diseases. Studies have found that Indians get heart diseases at least 10 years before people in the West.

So what are the Risk Factors?

Indians consume a lot of trans fats- the ones we often find in fried and oily foods.

Apart from that There are some risk factors like smoking, stress, alcohol and family history. Diabetes, hypertension, sedentary lifestyle, high cholesterol, obesity are the common risk factors across all age groups.

In the past few years, work culture has changed drastically. People are very stressed in their workplace and tend to eat outside a lot. They eat food that is high in sugar, salt and fat. The stress also causes youngsters to take to smoking, drinking and other unhealthy habits. Sleeplessness as another risk factor.

While a heart attack cannot necessarily be prevented, one can control the risk factors. Also, one must not ignore any new symptom just because he is in the 20-30 age group.

Things to Keep in Mind

Do not ignore symptoms like breathlessness, chest pain, excessive sweating and dizziness. Also, one should try to stop smoking and consuming too much alcohol. Have an active lifestyle and avoid fatty foods

Peripheral artery disease (also called peripheral arterial disease) is a common circulatory problem in which narrowed arteries reduce blood flow to your limbs.

When you develop peripheral artery disease (PAD), your legs or arms — usually your legs — don't receive enough blood flow to keep up with demand. This may cause symptoms, such as leg pain when walking (claudication).

Peripheral artery disease is also likely to be a sign of a buildup of fatty deposits in your arteries (atherosclerosis). This condition may narrow your arteries and reduce blood flow to your legs and, occasionally, your arms.

You often can successfully treat peripheral artery disease by exercising, eating a healthy diet and quitting tobacco in any form.

Symptoms

While many people with peripheral artery disease have mild or no symptoms, some people have leg pain when walking (claudication).

Claudication symptoms include muscle pain or cramping in your legs or arms that's triggered by activity, such as walking, but disappears after a few minutes of rest. The location of the pain depends on the location of the clogged or narrowed artery. Calf pain is the most common location.

The severity of claudication varies widely, from mild discomfort to debilitating pain. Severe claudication can make it hard for you to walk or do other types of physical activity.

Peripheral artery disease signs and symptoms include:

Pain when using your arms, such as aching and cramping when knitting, writing or doing other manual tasks

If peripheral artery disease progresses, pain may even occur when you're at rest or when you're lying down. It may be intense enough to disrupt sleep. Hanging your legs over the edge of your bed or walking around your room may temporarily relieve the pain.

Causes

Peripheral artery disease is often caused by atherosclerosis. In atherosclerosis, fatty deposits build up on your artery walls and reduce blood flow.

Although discussions of atherosclerosis usually focus on the heart, the disease can and usually does affect arteries throughout your body. When it occurs in the arteries supplying blood to your limbs, it causes peripheral artery disease.

Less commonly, the cause of peripheral artery disease may be blood vessel inflammation, injury to your limbs, unusual anatomy of your ligaments or muscles, or radiation exposure.

Risk Factors

Factors that increase your risk of developing peripheral artery disease include:

People who smoke or have diabetes have the greatest risk of developing peripheral artery disease due to reduced blood flow.

Drink enough water

Importance of proper hydration needs no introduction. It not only helps keep up the water balance in our body, but also boosts metabolism, gut health and digestion - further promoting immunity and nourishment.

Eat wholesome breakfast

Breakfast is deemed the most important meal of the day. Literally meaning breaking the fast, a wholesome morning meal refuels you with energy after night-long fasting. This subsequently, helps us kick-start the day.

Eat seasonal vegetables

Every season brings along a host of vegetables that are loaded with several essential nutrients. Adding those vegetables in our daily diet may help immune us against several seasonal diseases.

Load up on fruits

Fruits are considered superfood. They are light, fulfilling and low in calorie, making it an ideal snack to munch on in between meals.

Reduce gap between meals

If you thought starving may help you lose weight, then you are absolutely mistaken. Experts across the world suggest, it is always good to have smaller portion of meal in every 3-4 hours. This helps you digest food easily and regulate metabolism. These factors further help prevent bloating, acidity etc.

Avoid junk foods

We love pizzas, burgers and fries. Don't we? But the excess fat in each of these foods lead to different types of lifestyle diseases- obesity being one major issue. This is why it is always recommended to avoid these fatty, greasy foods as much possible; and load up on healthy alternatives instead.

Avoid sugary drinks

We agree keeping our body hydrated is the most important part of healthy diet. But that doesn't mean we can load up on colas, readymade juices, sodas et al. These drinks include high amount of sugar, which (like junk foods) lead to lifestyle problems like diabetes, obesity and more

Include healthy carbs and fats

While excess carbs and fats lead to several health issues, it can't also be denied that healthy carbs and fats are much needed to keep up a nutrient balance in our body. So, experts suggest inclusion of whole grain, fish etc in our diet to include these nutrients in the healthies way possible.

Moderate exercise

Exercise also plays an important role in healthy diet habit. Moderate exercise, brisk walking etc are important to help regulate metabolism and digest food.

Proper sleep

Another important factor affecting our diet is sleep. Studies have shown adequate amount sleep actually have positive effects on what we eat every day. Good amount of sleep helps rest our body, which further help us make the most of the nutrients we eat.

What are minerals and what do they do?

Minerals are nutrients necessary to maintain the body's health. The 13 essential minerals include calcium, magnesium, sodium, potassium and others.

Minerals are nutrients necessary to maintain the body's health. The 13 essential minerals include calcium, magnesium, sodium, potassium and others.

Essential minerals are a class of nutrients that are vital for maintaining the body’s health. They are inorganic components that play a multitude of functional roles in human cells both physiologically and biochemically. The minerals are utilized by the body’s organ systems for growth, development, movement, energy production, utilization and maintenance of internal homeostasis. Essential minerals are divided into two main groups based on the concentration required for normal body function: macrominerals and trace minerals. A balanced diet provides all the essential minerals needed to maintain good health. In case of dietary inadequacy to meet mineral requirements, supplements may also be taken.

The 13 essential minerals

Thirteen essential minerals that must be ingested for proper health. Their deficiency leads to critical health conditions.

Calcium: Calcium builds strong bones and teeth and helps in muscle contraction, blood clotting, nerve transmission, cell signaling and regulation of metabolism. The deficiency of calcium makes bone fragile and easy to fracture. Milk and dairy products, cashew, dates, broccoli, parsley and greens are good sources of dietary calcium.

Sodium: Sodium helps in muscle contraction, conducts nerve impulses and controls the fluid balance in the body. The primary source of dietary sodium is table salt. However, salt should be taken in moderation.

Potassium: Potassium plays a crucial role in maintaining fluid balance, muscle contraction and nerve impulse conduction. It supports brain health and reduces the risk of stroke. Low potassium causes irregular heartbeats, edema (swelling), brain damage, etc. Bananas, sweet potatoes, avocados, beets and dates are rich sources of potassium.

Chloride: Chloride in association with sodium maintains the normal fluid balance in the body. It is used in the formation of hydrochloric acid (stomach acid) for digestion and to sustain electrical neutrality in the body. Table salt, tomatoes, celery and lettuce are rich sources of chloride.

Magnesium: Magnesium acts as a cofactor in several enzymatic reactions and is required for the synthesis of deoxyribonucleic acid (DNA) and an antioxidant, glutathione. Green leafy vegetables, legumes, nuts, seeds and whole grains replenish dietary magnesium.

Phosphorous: Phosphorus helps build and repair bones and teeth, helps nerves function and makes muscles contract. Phosphorus deficiency leads to bone diseases and growth restriction in children. Meats, poultry, beans, nuts, seeds and dairy products are rich sources of phosphorus.

Iodine: It is the mineral used to produce thyroid hormones. It is necessary for the body’s metabolism and physical and mental development. Phosphorus deficiency leads to impaired growth in children and metabolic disorders such as goiter and mental problems and affects menstrual health and pregnancy-related issues. Iodized table salt is the main source and is easily available.

Iron: It is used in hemoglobin formation, which carries oxygen in the blood. Iron deficiency can lead to cellular hypoxia (decreased oxygen) and cell death. Green leafy vegetables and meats such as beef, chicken and pork are rich sources of iron.

Zinc: This mineral aids in cell division, immunity and wound healing. Low zinc levels impair the immune system. Oysters, red meat, poultry, beans, nuts and whole grains provide major quantities of zinc.

Copper: Copper helps in energy production and facilitates iron uptake from the gut. Chocolate, liver, shellfish and wheat bran cereals are rich sources.

Manganese: Manganese plays an important role in protein, carbohydrate and cholesterol breakdown and cell division. Along with vitamin K, it helps in blood clotting. Whole grains, nuts, soybeans and rice are rich in manganese.

Sulfur: Sulfur has antibacterial properties and helps fight acne-causing bacteria in the skin. It also repairs DNA damage. Seafood and legumes, especially soybeans, black beans and kidney beans are rich sources of sulfur.

Selenium: Selenium helps prevent oxidative damage to the cells. It is also very important for the metabolism of the thyroid hormone. Brazil nuts, seafood and organ meats are good sources of selenium

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What is Arteriovenous Fistula?

An arteriovenous (AV) fistula is an abnormal connection between an artery and a vein. Normally, blood flows from your arteries to your capillaries, and then on to your veins. Nutrients and oxygen in your blood travel from your capillaries to tissues in your body.

With an arteriovenous fistula, blood flows directly from an artery into a vein, bypassing some capillaries. When this happens, tissues below the bypassed capillaries receive less blood.

Arteriovenous fistulas usually occur in the legs, but can develop anywhere in the body. Arteriovenous fistulas are often surgically created for use in dialysis in people with severe kidney disease.

A large untreated arteriovenous fistula can lead to serious complications. Your doctor monitors your arteriovenous fistula if you have one for dialysis.

Symptoms

Small arteriovenous fistulas in your legs, arms, lungs, kidneys or brain often won't have any signs or symptoms and usually don't need treatment other than monitoring by your doctor. Large arteriovenous fistulas may cause signs and symptoms.

Arteriovenous fistula signs and symptoms may include:

A significant arteriovenous fistula in your lungs (pulmonary arteriovenous fistula) is a serious condition and can cause:

An arteriovenous fistula in your gastrointestinal tract can cause bleeding in your digestive tract.

Causes

Causes of arteriovenous fistulas include:

Injuries that pierce the skin. An arteriovenous fistula may occur if you have a piercing injury, such as a gunshot or stab wound, on a part of your body where a vein and artery are side by side.

Being born with an arteriovenous fistula (congenital). The exact reason why isn't clear, but in some babies, the arteries and veins don't develop properly in the womb.

Genetic conditions. Arteriovenous fistulas in the lungs (pulmonary arteriovenous fistulas) can be caused by a genetic disease (Osler-Weber-Rendu disease, also known as hereditary hemorrhagic telangiectasia) that causes blood vessels to develop abnormally throughout your body, but especially in the lungs.

Dialysis-related surgery. People who have late-stage kidney failure may have an arteriovenous fistula surgically created in the forearm to make it easier to perform dialysis.

Risk factors

In addition to certain genetic or congenital conditions, the following risk factors may make you more likely to develop an arteriovenous fistula:

Being female

Cardiac catheterization, especially if the procedure involves blood vessels in your groin

Certain medications, including some blood thinners (anticoagulants) and medications used to control bleeding (anti-fibrinolytics)

High blood pressure

High body mass index (BMI)

Older age

Complications

Left untreated, an arteriovenous fistula can cause complications, some of which can be serious. These include:

Heart failure. This is the most serious complication of large arteriovenous fistulas. Blood flows more quickly through an arteriovenous fistula than it does through normal blood vessels. As a result, your heart pumps harder to make up for the increase in blood flow. Over time, the increased workload on your heart can interfere with how the heart works, leading to heart failure.

Blood clots. An arteriovenous fistula in your legs can cause blood clots to form, potentially leading to deep vein thrombosis, a painful and potentially life-threatening condition if the clot travels to your lungs (pulmonary embolism). Depending on where your fistula is, it can lead to a stroke.

Leg pain. An arteriovenous fistula in your leg can cause pain in your leg (claudication), or can worsen pain you already have.

Bleeding. Arteriovenous fistulas may lead to bleeding in your gastrointestinal system.

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We all must have read the news that WHO Chief Scientist have made a statement that “India may be entering endemic stage of Covid”

So what implication does it have for us or what does it mean. For that, we need to understand few terms and terminologies. Let us understand more about the three terms- Epidemic, Pandemic and Endemic.

Epidemic is a disease that affects a large number of people within a community, population, or region. For example, when the Covid-19 was first detected and was limited to Wuhan, it was an Epidemic- which is spread across a limited region and population.

So what is the difference between Epidemic and Pandemic? A simple way to know the difference between an epidemic and a pandemic is to remember the “P” in pandemic, which means a pandemic has a passport. A pandemic is an epidemic that travels. So for example, when the Epidemic spreads out to a large scale of population across a bigger geography and demography, it is called a Pandemic.

Epidemic vs Endemic

But what’s the difference between epidemic and endemic? An epidemic is actively spreading; new cases of the disease substantially exceed what is expected. More broadly, it’s used to describe any problem that’s out of control, such as “the opioid epidemic.” An epidemic is often localized to a region, but the number of those infected in that region is significantly higher than normal. For example, when COVID-19 was limited to Wuhan, China, it was an epidemic. The geographical spread turned it into a pandemic.

Endemics, on the other hand, are a constant presence in a specific location. Example:-Malaria is endemic to parts of Africa. It means that the population has learnt to live with the disease and the level of transmission is somewhat predictable.

So what does it mean for us?

The situation in India will continue with ups and downs considering the size and heterogeneity of the population and their immunity status. Hence only the vulnerable population where there are low levels of vaccine coverage can see peaks and troughs for the next several months. So the take home message is that, vaccination is they to halt the progression of the infection. Wearing masks and social distancing are the physical precautions that needs to taken.

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Irritable bowel syndrome (IBS) is one of the most common gastro-intestinal problems faced by many people. This condition involves changes in frequency or form of bowel movements and lower abdominal pain. Diet, stress, poor sleep and changes in gut bacteria may all trigger symptoms. However, triggers are different for each person, making it difficult to name specific foods or stressors that everyone with the disorder should avoid. This article will discuss the most common symptoms of IBS and what to do if you suspect you have it. Let us look at the most common symptoms:

Pain and Cramping

Abdominal pain is the most common symptom and a key factor in diagnosis.Normally, your gut and brain work together to control digestion. This happens via hormones, nerves and signals released by the good bacteria that live in your gut.

In IBS, these cooperative signals become distorted, leading to uncoordinated and painful tension in the muscles of the digestive tract. This pain usually occurs in the lower abdomen or the entire abdomen but is less likely to be in the upper abdomen alone. Pain typically decreases following a bowel movement  

Diarrhea

Diarrhea-predominant IBS is one of the three main types of the disorder. It affects roughly one-third of patients with IBS. Accelerated bowel transit in IBS can also result in a sudden, immediate urge to have a bowel movement. Some patients describe this as a significant source of stress, even avoiding some social situations for fear of a sudden onset of diarrhea.

Additionally, stool in the diarrhea-predominant type tends to be loose and watery and may contain mucus.

Constipation

Although it seems counterintuitive, IBS can cause constipation as well as diarrhea. Constipation-predominant IBS is the most common type, affecting nearly 50% of people with IBS. Altered communication between the brain and bowel may speed up or slow down the normal transit time of stool. When transit time slows, the bowel absorbs more water from stool, and it becomes more difficult to pass.

Constipation is defined as having fewer than three bowel movements per week. “Functional” constipation describes chronic constipation not explained by another disease. It is not related to IBS and is very common. Functional constipation differs from IBS in that it is generally not painful.

In contrast, constipation in IBS includes abdominal pain that eases with bowel movements. Constipation in IBS also often causes a sensation of an incomplete bowel movement. This leads to unnecessary straining.

Incomplete Bowel Movement

Slow-moving stool in the intestine often becomes dehydrated as the intestine absorbs water. In turn, this creates hard stool, which can exacerbate symptoms of constipation. Prompt movement of stool through the intestine leaves little time for absorption of water and results in the loose stools characteristic of diarrhea.

IBS can also cause mucus to accumulate in stool, which is not usually associated with other causes of constipation. Blood in stool may be a sign of another, potentially serious medical condition and deserves a visit to your doctor. Blood in stool may appear red but often appears very dark or black with a tarry consistency.

What is NAFLD?

Nonalcoholic fatty liver disease (NAFLD) is the most common type of chronic liver disease, affecting up to 25% of the general population and becoming a major health concern in both adults and children. NAFLD encompasses the entire spectrum of fatty liver disease in individuals without significant alcohol consumption, ranging from nonalcoholic fatty liver (NAFL) to nonalcoholic steatohepatitis (NASH) and cirrhosis. NASH is a manifestation of the metabolic syndrome and hepatic disorders with the presence of steatosis, hepatocyte injury (ballooning), inflammation, and, in some patients, progressive fibrosis leading to cirrhosis. The pathogenesis of NASH is a complex process and implicates cell interactions between liver parenchymal and nonparenchymal cells as well as crosstalk between various immune cell populations in liver. Lipotoxicity appears to be the central driver of hepatic cellular injury via oxidative stress and endoplasmic reticulum (ER) stress. This review focuses on the contributions of hepatocytes and nonparenchymal cells to NASH, assessing their potential applications to the development of novel therapeutic agents. Currently, there are limited pharmacological treatments for NASH; therefore, an increased understanding of NASH pathogenesis is pertinent to improve disease interventions in the future.

Pathogenesis of NAFLD

The pathogenesis of NASH is not yet entirely understood and the mechanism leading to NASH appears multifactorial. A recent retrospective restudy using liver biopsies from patients with NAFL or NASH suggests that rather than being distinct entities NAFL and NASH represent different stages in the progression of NAFLD. Hepatocyte damage is an important factor that drives NAFLD progression. In the initial phase, hepatocyte damage triggers the release of damage-associated molecular pattern molecules (DAMPs) into the microenvironment, which stimulates macrophage activation. This process is influenced by both direct metabolic effects in the liver, such as excessive oxidative stress driven by lipotoxic metabolites, as well as indirect effects coming from the other tissues such as inflammatory initiators released by adipose tissue, the intestine, and the immune system. As a result of these complicated effects, there have been multiple hypotheses describing the pathogenesis of NASH, such as the “two hits,” “three hits,” and “multiple hits” hypotheses.

What is NASH?

Nonalcoholic steatohepatitis (NASH) is liver inflammation and damage caused by a buildup of fat in the liver. It is part of a group of conditions called nonalcoholic fatty liver disease. You may be told you have a "fatty liver." Many people have a buildup of fat in the liver, and for most people it causes no symptoms and no problems. But in some people, the fat causes inflammation and damages cells in the liver. Because of the damage, the liver doesn't work as well as it should.

NASH can get worse and cause scarring of the liver, which leads to cirrhosis. But the disease doesn't always get worse.

NASH is similar to the kind of liver disease that is caused by long-term, heavy drinking. But NASH occurs in people who don't abuse alcohol.

 

What is the difference between Type 1 and Type 2 Diabetes?

Type 1 Diabetes is a condition where the Pancreas fails to produce Insulin. Insulin is a hormone produced by the pancreas which helps in transportation of blood glucose into the cells of the body for utilization. Type 1 Diabetes is an auto-immune disorder, where the body’s own immune system attacks and destroys the Insulin producing cells of the Pancreas. Therefore very little or no insulin is produced. Therefore Type 1 Diabetes is also called Insulin Dependent Diabetes Mellitus (because the Pancreas does not produce insulin) or Juvenile Diabetes (because the onset of this condition is during the adolescence).

Now let us know what is Type 2 Diabetes. Type 2 Diabetes is a condition, when the β cells of the pancreas gets progressively damaged and hence the insulin production of Pancreas goes down. Simultaneously the insulin receptors of the cells of the body changes its structure such that, although there is insulin in the blood, but it cannot transport the glucose from the blood into the cells. This is called Insulin Resistance. Therefore the blood glucose levels are elevated which is called hyperglycemia. Since in such cases, when the Pancreas secretes Insulin, but it cannot transport the glucose into the cells. In response, the Pancreas try to produce more Insulin, thinking that due to lack of Insulin, the cells of the body are not getting sufficient glucose. Therefore we see a condition, when there is excess glucose in blood (hyperglycemia) and excess insulin in the blood also (Hyperinsulinemia). So we learn that, in Type 2 Diabetes, there is a condition called Insulin Resistance along with the ability of the Pancreas to produce less Insulin.

What are the Symptoms of Type 2 Diabetes?

The symptoms of Type 2 Diabetes are:-

If you are feeling any one more symptoms, you should consider getting your blood sugar levels checked. The two most common type of blood sugar tests are

Both the tests have one major drawback- It provides the blood sugar levels at the current status and therefore prone to fluctuation. Therefore to get a more accurate and a holistic level of the blood glucose, it is advised to conduct a HbA1C test.

What is HbA1C Test?

HbA1C stands for Glycosylated Hemoglobin- An HbA1C Test records a 3 months average data of the glucose levels of the body and hence provides a holistic data on the overall Glucose levels. HbA1C measures the amount of blood sugar (glucose) attached to hemoglobin. Hemoglobin is the part of your red blood cells that carries oxygen from your lungs to the rest of your body. An HbA1c test shows what the average amount of glucose attached to hemoglobin has been over the past three months. Mentioned below are the levels of HbA1C and how the data is interpreted:-