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Diabetes And Sinusitis

Sinus Infections With Diabetes | Diabetic Connect

Sinus Infections With Diabetes | Diabetic Connect

I have had a sinus infection on the right side of my head for two months. I am currently on my third antibiotic and in the care of an ENT. I am concerned that the doctors are not taking my T2 diabetes into account during my treatment. I was on Ceftin for 10 days which almost cleared the problem up, but a few days after the antibiotics ran out the headaches and pain/stuffiness came back. Then I was put on Avelox for 14 days and it did little or nothing to my symptoms. Now two weeks later I am on Omnicef for 10 days. It seems to be knocking out the symptoms, but I am afraid that in a couple weeks after the drugs run out I will be in the same situation with pain and terrible headaches. Anyone out there with similar experience or advice? glad your symptoms have improved. I hope something will knock it out soon. I know how you feel. I have chronic sinusitus my allergy doc said years ago. I suffered for many years with several sinus infections per year, started with one, then two then three each year, until I finally went to the ENT. I hope you don't go down that road. He put me on a regimen on a prescription nasal spray and Claritin, worked well for a few years, now he has me on Zyrtec in the morning, Singulair at night, works great for me, have not had an infection in about two years. Sorry about those headaches, I never had them too bad, sometimes I had them sometimes not, sometimes fever but usually no fever. My main thing was all the congestion, just a yucky sick feeling, did not want to do anything, and awful sore throat, sometimes coughing a lot. I hope they are taking your diabetes seriously. He asked me if I wanted a shot once, after I was diagnosed, told me it would raise my BS, I said no thanks. I had a sinus infection and bronhitis for almost 4 months. Antibiotic Continue reading >>

Infection In Patients With Diabetes Mellitus

Infection In Patients With Diabetes Mellitus

Infection in Patients With Diabetes Mellitus Author: Romesh Khardori, MD, PhD, FACP; Chief Editor: George T Griffing, MD more... Diabetes increases susceptibility to various types of infections. The most common sites of infection in diabetic patients are the skin and urinary tract. Malignant otitis externa and rhinocerebral mucormycosis are 2 head-and-neck infections seen almost exclusively in patients with diabetes. Malignant or necrotizing otitis externa principally occurs in diabetic patients older than 35 years and is almost always due to Pseudomonas aeruginosa. [ 1 ] Infection starts in the external auditory canal and spreads to adjacent soft tissue, cartilage, and bone. Patients typically present with severe ear pain and otorrhea. Rhinocerebral mucormycosis collectively refers to infections caused by various ubiquitous molds. [ 2 ] Invasive disease occurs in patients with poorly controlled diabetes, especially those with diabetic ketoacidosis. Organisms colonize the nose and paranasal sinuses, spreading to adjacent tissues by invading blood vessels and causing soft tissue necrosis and bony erosion. Patients with diabetes have an increased risk of asymptomatic bacteriuria and pyuria, cystitis, and, more important, serious upper urinary tract infection . [ 3 , 4 ] Intrarenal bacterial infection should be considered in the differential diagnosis of any patient with diabetes who presents with flank or abdominal pain. Pyelonephritis makes control of diabetes more difficult by causing insulin resistance; in addition, nausea may limit the patient's ability to maintain normal hydration. Treatment of pyelonephritis does not differ for patients with diabetes, but a lower threshold for hospital admission is appropriate. Sensory neuropathy, atherosclerotic vascular disease, Continue reading >>

Sinusitis Understood

Sinusitis Understood

Link to Journal of Sinus Diseases and International Journal of Otorhinolaryngology. Sinusitis in the Immunocompromised, Diabetic, Cystic fibrosis, and HIV Infected Patients Bacterial and fungal sinusitis occurs in a wide range of immunocompromised hosts, including those with neutropenia,diabetesmellitus, patients in critical care units (intubation, nasogastric tubes), cystic fibrosis, and patients infected with HIV , and may be acute or chronic. Although each group possesses a different risk attributed to their acquired immunodeficiency, early recognition, diagnosis, and treatment are paramount. Sinusitis continues to be a potentially lethal and dreaded infectious complication of chemotherapy or bone marrow transplant-induced neutropenia. Recovery of the immune system is still the major prognostic factor in patients with this infection. Absolute neutrophil counts (ANC) below 500 cells/mm3strongly correlate with the development of invasive fungal disease in neutropenic patients.In bone marrow transplant patients, the critical time period for the development of fungal rhinosinusitis is approximately 3 weeks after transplantation.Secondary risk factors include 2 weeks or more of any of the following: systemic steroid use, ANC < 500 cells/ml,and exposure to multiple broad-spectrum antibiotics. A number of factors may predispose the HIV-infected patient to sinonasal disease. Qualitative and quantitative humoral immunity defects likely predispose HIV-infected patients to sinusitis. As in bone marrow transplant patients, mucociliary clearance abnormalities have been demonstrated in patients infected with HIV, particularly with CD4 counts < 300 cells/mm3. Ig-E mediated allergic disease is more prevalent in HIV-infected patients than in non-infected individuals and can cause mu Continue reading >>

The Effect Of Diabetes Mellitus On Chronic Rhinosinusitis And Sinus Surgeryoutcome.

The Effect Of Diabetes Mellitus On Chronic Rhinosinusitis And Sinus Surgeryoutcome.

1. Int Forum Allergy Rhinol. 2014 Apr;4(4):315-20. doi: 10.1002/alr.21269. Epub 2014Jan 10. The effect of diabetes mellitus on chronic rhinosinusitis and sinus surgeryoutcome. Zhang Z(1), Adappa ND, Lautenbach E, Chiu AG, Doghramji L, Howland TJ, Cohen NA, Palmer JN. (1)Department of Biostatistics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. BACKGROUND: Patients with diabetes mellitus (DM) are known to be prone toinfection. However, the association between diabetes and chronic rhinosinusitis(CRS) has not been well studied. We sought to determine the effects of DM on CRS culture results and quality of life (QOL) after functional endoscopic sinussurgery (FESS).METHODS: We conducted a retrospective cohort study. Adult CRS patients undergoingFESS were recruited from October 1, 2007 to December 31, 2011. Patientdemographics, comorbidities, medication use, and Lund-Mackay CT scores werecollected prior to FESS. Intraoperative culture was obtained. Preoperative and1-month, 3-month, and 6-month postoperative QOL was measured by scores on the22-item Sinonasal Outcome Test (SNOT-22). A mixed effects model was performed foranalysis.RESULTS: Among the 376 CRS patients included, 19 patients (5.05%) had DM.Compared to non-DM patients, DM patients were significantly more likely to havePseudomonas aeruginosa (26.32% vs 7.56%; p = 0.004) and Gram-negative rods(26.32% vs 8.96%; p = 0.013), but there was no significant difference in theprevalence of Staphylococcus aureus; DM patients were also significantly morelikely to have nasal polyps and gastroesophageal reflux disease. Additionally, DMpatients had significantly less improvement of postoperative SNOT-22 scores from baseline to 6-month Continue reading >>

Diabetics And Sinus Infections. Are They Synonymous?

Diabetics And Sinus Infections. Are They Synonymous?

Diabetics and sinus Infections. Are They Synonymous? Registration is fast, simple and absolutely free so please,join our community todayto contribute and support the site. This topic is now archived and is closed to further replies. Diabetics and sinus Infections. Are They Synonymous? Since I've been talking (on line) with other diabetics, I've noticed that many of us seem to have problems with our sinuses. This leads me to ask if any of you have noticed a similar trend? I have chronic sinusitis, and have had sinus surgery...but it is a direct relation to my cystic fibrosis (just like my diabetes is, so take my response with a grain of salt I tend to get a lot of sinus infections, but I did so before diabetes, too. I was using that Neti Pot for awhile until all the bad PR came out last year about it. Definitely not synonymous, that means interchangeable or the exact same thing. But do you mean, do sinus problems always come along with diabetes? I don't think so, but errant blood sugars can definitely lead to a susceptibility of any infection, so if you are prone to sinusitus, you may get it worse or more often. I still use a neti pot. That's the only thing keeping me from going back to several sinus infections a year. However, I don't think my sinus issues are related to diabetes. I had the issues for 20 years before being diagnosed with diabetes and, thanks to the neti pot, had the sinus mostly under control by the time I was diagnosed. When my sugars run high, my nose gets stuffy and or runny. My eyes get watery too. Until about 5 years ago I'd get about 4 sinus infections per year. This was before diagnosis. Anytime I'd get a runny nose whether from a cold or allergies, I'd get an infection. Just diagnosed with diabetes (but probably T2 for years before) a year and Continue reading >>

Uncommon Sinus Infection Causes: Diabetes, Dry Eyes | Kaplan Sinus Relief

Uncommon Sinus Infection Causes: Diabetes, Dry Eyes | Kaplan Sinus Relief

Sinus infections are typically caused by bacterial or viral infections. There are other, less common causes of sinus infections, such as dry eyes, that develop in conjunction with other medical conditions.This often leads to further questions, such as, Can a sinus infection cause dry mouth? With certain preexisting health conditions, sinus infection causes can become complicated. For example, diabetes and sinus infections can be linked if conditions are not well managed. Did you know that diabetes and sinus infections can be related? High blood glucose levels from diabetes can also make you more susceptible to developing sinus infections. Some people, especially those who poorly manage their disease, can have higher risks of developing infections, including those of the skin, oral cavity, and sinuses. However, the right mixture of treatment and control can lower the potential for diabetes and sinus infections occurring together. Maintaining tight control over your blood sugar levels will help mitigate this risk, while helping to reduce the risk for diabetes-related complications, such as renal failure, heart attack, and stroke. Diabetics may be at a higher risk for developing yeast infections, such as oral candida, which can also spread to your nasal cavity, leading to a fungal sinus infection. Candidiasis favorswarm, moist environments such as the mouth and throat.Because diabetes can causehigh concentrations of glucose to accumulate in your mouth,fungi and yeast microorganisms flourish because they thrive on sugar. Once you have good control over your diabetes, your risk for oral yeast infections will decrease, as will your risk for sinus infections. Another way diabetics are more susceptible to sinus infections is that diabetes can suppress the immune system, raisin Continue reading >>

13 Sneaky Causes Of Sinus Trouble

13 Sneaky Causes Of Sinus Trouble

Sinus infection relief Sinus infections, the cause of untold misery, strike about 37 million people in the U.S. each year. On the surface of things, the cause of sinus trouble is clear. Teeny holes that connect your nasal passages to your sinuses (basically a collection of hollow, moist cavities that lurk beneath your nose, eyes, and cheeks) get blocked. Then gunk builds up in your sinuses, germs may grow, and you feel, well, hideous. But the cause of the blockage is sometimes trickier to figure out. Here are 13 things that can cause an acute sinus infection (the most common type) and, in some cases, lead to a chronic sinus infection. Viruses Most sinus infections start with a cold. Colds are caused by a virus, which can make nasal tissue swell, blocking the holes that normally drain sinuses. If your sinus infection is caused by a virus, antibiotics won’t help since these drugs kill only bacteria. Your symptoms will probably get better after about a week or so. A decongestant can help, but don’t use it for more than four or five days to avoid becoming dependent. The best defenses against these sinus infections are the same things that protect against colds and the flu. In other words, get a flu shot, wash your hands, and don’t chill with the visibly ill. Allergies Because inflammation can block the nasal passages and prevent draining, allergies are often associated with sinus infections. In fact, studies have shown that people with sinus infections who have allergies tend to have more extensive sinusitis, says Sonia Bains, MD, assistant professor in the Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine at the Medical University of South Carolina. If you’re prone to allergies or hay fever, avoid things that trigger allergic reactions, such as dust Continue reading >>

Diabetes Body Care: It's For Everyone

Diabetes Body Care: It's For Everyone

Common foot problems can cause many complications, including athlete's foot , fungal infections in nails, calluses , corns, blisters , bunions , dry skin , sores, hammertoes , ingrown toenails , and plantar warts . While anyone can have these problems, they're more critical for people with diabetes because: If you have nerve damage , you may not feel small wounds that need treatment. If you're immune suppressed, you may be more prone to infection. Damaged foot muscle nerves may prevent your foot from aligning properly, causing you to put more pressure on one area of the foot, leading to foot sores and pressure point ulcers. Prevention tips: Make time for foot care daily. Wash, dry and examine the tops and bottoms of your feet. Check for cracked skin, cuts, scratches, wounds, blisters, redness, calluses, and other changes. Use antibiotic creams recommended by your doctor and apply sterile bandages to protect cuts. Prevent ingrown toenails by cutting toenails straight across; don't cut corners. Don't go barefoot and always protect your feet. Make sure you wear properly fitting footwear. If you develop even minor foot problems , treat them right away or see a doctor. And see a foot doctor (podiatrist) every two or three months. Checking your feet daily means you can catch small things and get them treated before they become serious. Make it part of your daily morning routine -- it doesn't take long. Bacterial infections , fungal infections, and itching are common skin problems anyone can develop, but they're especially problematic for people with diabetes because of poor blood flow and because the body may not be fighting infection well. Avoid extremely serious complications. Don't ignore these problems: Bacterial infections like boils ( hair follicle infections) require Continue reading >>

Diabetes And Colds

Diabetes And Colds

Colds aren't fun for anyone, but if you have diabetes, all that sniffling and sneezing comes with an extra risk. When you're sick, there's a chance your blood sugar levels could go up. Some smart strategies can get you back on track. Why Is My Blood Sugar Going Up? When you have a cold, your body sends out hormones to fight the infection. The downside: That makes it hard for you to use insulin properly, and your blood sugar levels may rise. If you have type 1 diabetes and your blood sugar levels get hard to manage, it can lead to problems like ketoacidosis. That's a buildup of too much acid in your blood and it's potentially life-threatening. If you have type 2 diabetes, especially if you're older, very high blood sugar can bring on a serious condition called diabetic coma. How Often Should I Check My Blood Sugar? Check it at least every 3 or 4 hours when you're sick with a cold. If your levels aren't near your target, you can tweak your diabetes management plan -- your doctor may tell you to use more insulin if your blood sugar levels are too high. What Should I Eat and Drink? You may not feel hungry when you first get sick, but it's important to try to eat something anyway. You can have foods from your regular meal plan. The American Diabetes Association recommends you try to eat something with about 15 grams of carbohydrates every hour or so. Some foods to try: 3-ounce fruit juice bar 1/2 cup frozen yogurt 1/2 cup cooked cereal If you don't eat, your blood sugar might fall too low. *CGM-based treatment requires fingersticks for calibration, if patient is taking acetaminophen, or if symptoms/expectations do not match CGM readings, and if not performed, may result in hypoglycemia. Please see important risk and safety information. If you have a fever, vomiting, or diarr Continue reading >>

What Is A Sinus Infection?

What Is A Sinus Infection?

Sinusitis affects up to 20 percent of people at some point, and can be caused by viruses, bacteria, or other factors. A sinus infection is an occasionally painful inflammation of the sinusesthat's caused by a viral, bacterial, or fungal infection. The terms "sinus infection" and "sinusitis" are often used interchangeably doctors may also use the term "rhinosinusitis" but sinusitis refers to inflammation of the sinuses , with or without an infection. Sinusitis is a very common condition that affects 16 to 20 percent of adults and children. Women are more likely to be diagnosed with sinusitis than men, and the condition is more common in the South than in other parts of the United States. How Do I Know if I Have a Sinus Infection? The sinuses filter and humidify the air you inhale. The membrane that lines each sinus contains mucus and tiny hair-like cells called cilia, which collect and sweep out pollutants, microorganisms, dust, and dirt from the nasal passages. In healthy people, sinus secretions are always moving and draining into the nasal cavity. When blockage occurs, mucus fails to drain properly, increases in thickness, and fills the sinus spaces. At the same time, oxygen levels in the affected sinuses are reduced. The cilia also slow down their sweeping and cleaning, making it even harder for mucus to drain. But if you have sinusitis or a sinus infection, the movement of those secretions is blocked or mucus is thickened . How Long Does a Sinus Infection Last, and Is It Contagious? Sinusitis can be very painful and lead to taking time off from work. Sinusitis can be acute or chronic , and infectious (contagious) or noninfectious (not contagious). The type and severity of sinusitis is defined by the length of time that inflammation lasts. Acute sinusitis often deve Continue reading >>

Sugar's Effects On The Sinuses

Sugar's Effects On The Sinuses

Christine Garvin is a certified nutrition educator and holds a Master of Arts in holistic health education. She is co-editor of Brave New Traveler and founder/editor of Living Holistically... with a sense of humor. When she is not out traveling the world, she is busy writing, doing yoga and performing hip-hop and bhangra. MRI Xray of human sinuses. Sinus issues may be stemming from excessive sugar intake.Photo Credit: Photoprofi30/iStock/Getty Images Sugar is found in a wide variety of foods ranging from breakfast cereals to salad dressings. In fact, the average American consumes over 30 tsps. of refined sugar daily, according to registered dietitian Sandra Woodruff in her book, "The Complete Diabetes Prevention Plan." This is on top of the large consumption of high carbohydrate foods such as white bread, rice and baked goods. The impact of sugar on the human body is still up for debate, but more and more health professionals believe it has a detrimental effect on the immune system, causing issues ranging from fatigue to long-term sinus issues. Sinusitis is one possible effect of sugar on the sinuses, according to Jacob Teitelbaum, M.D., in his book, "Beat Sugar Addiction Now!" Usually this has to do with the growth of fungal yeast that is fed by sugar, which in turn causes an inflammatory reaction in the sinuses. The inflammation then creates swelling, which blocks the drainage from the nose and sinuses. Sinusitis is often treated with antibiotics, but this makes the yeast overgrowth worse, which can lead to chronic sinusitis, maintains Teitelbaum. One way to fight against sinusitis is to cut down sugar intake tremendously or remove it altogether. Dr. Robert S. Ivker states in his book, "Sinus Survival," that sugar weakens the immune system, which leads to higher poss Continue reading >>

Chronic Sinusitis & Diabetes

Chronic Sinusitis & Diabetes

New Member Type 2 - Metformin Smoothies for Bfast and Dinner I have been having some rather pressing issues going on with my body and I am really unsure as to what is going on. I have seen 4 doctors and so far no one really has an answer for me as to what is happening with my body. Long story somewhat short: I had sinus surgery 2 years ago for deviated septum and found out the day of surgery that I was diabetic. After surgery, I was started on Metformin (was already taking Lisinopril for HBP). After 7 months after my surgery and the beginning of my metformin use, I started to get really shaky and uneasy and had what was called a syncope episode (by the ER) while driving on the highway. I did not crash, however, came close. Since then I have had some pretty serious anxiety towards driving but that is besides the point... fast forward now to January of this year... I started getting crazy dizzy spells and pressure in my ears. I have been off and on to doctors... I have been to two ENTs who prescribed me antibiotics, my general doc which ordered a cat scan that came back negative for tumors, etc. I am now on another round of antibiotics but things aren't getting better. I am wondering if I have something else wrong with me or if there is some crazy drug interaction I am having... I have checked drugs.com and a few other interaction checker sites and it says nothing about my meds interfering but I am starting to get to my wits end... I am on Metformin, Lisinopril, and Lovastatin. I have changed my diet somewhat but have had a few bad eating days here and there. My sinusitis is chronically affecting me and my anxiety levels are through the roof. This all happened within the 6 month diagnosis of my diabetes, my surgery, and my start of all my meds. My question to people is: Continue reading >>

Diabetes And Infection: How To Spot The Signs

Diabetes And Infection: How To Spot The Signs

Diabetes can slow down your body's ability to fight infection. The high sugar levels in your blood and tissues allow bacteria to grow and help infections develop more quickly. Common sites for these problems are your bladder, kidneys, vagina, gums, feet, and skin. Early treatment can prevent more serious issues later on. What to Look For Most infections in people with diabetes can be treated. But you have to be able to spot the symptoms. Tell your doctor immediately if you have any of the following: Fever over 101 F Pain, tenderness, redness, or swelling Wound or cut that won't heal Red, warm, or draining sore Sore throat, scratchy throat, or pain when you swallow Sinus drainage, nasal congestion, headaches, or tenderness along upper cheekbones White patches in your mouth or on your tongue Flu-like symptoms (chills, aches, headache, or fatigue) or generally feeling "lousy" Painful or frequent peeing or a constant urge to go Bloody, cloudy, or foul-smelling pee *CGM-based treatment requires fingersticks for calibration, if patient is taking acetaminophen, or if symptoms/expectations do not match CGM readings, and if not performed, may result in hypoglycemia. Please see important risk and safety information. Continue reading >>

Chronic Sinusitis | Diabetes Forum The Global Diabetes Community

Chronic Sinusitis | Diabetes Forum The Global Diabetes Community

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Have just spent the last 2 weeks battling ' off ' my 5th dose of sinussitus, am on my 2nd lot of antibiotics now for it.... My GP has sent me for both chest and facial xrays , plus given me 2 scripts of antibiotics. He is being helpful and supportive. Am back to see him this week for check up and feedback on how I am progressing. This last lot of it has wiped me out! Slept the hours of the days away. Off my food with the facial jaw pain.Plus out of it with the strong painrelief [which just knocked me out, and never really killed the pain ] Given up on the monititoring of my BG levels, as they shot up with both the virus,bacterial infection, and the strong antibiotics my GP gave me. Theyre going to shoot upwards anyway, so whats the point! [no point in stressing over them - when have to battle with the agony in my face and jaw and head!] Also for the last 5 days havent been able to cope with even doing my levemir/victoza my diabetes has had to really take a back seat whilst I fought the sinussitus off. Today is the first day where the pain is still there but at a much more copeable level. When I return to my GP am going to stress and push the importance of addressing my low immune system and reoccurring sinus infections. Have felt so frustrated with it all, cant even cope with my diabetes meds/therapy plus fighting away the sinussitus on top of that!!! Any others have had similar experiences like this?? I kept my head and face wrapped up in a warm fluffy towel it didnt take the pain away but it did soothe me! My hubby was wondering what an earth I was doing tho... :shock: Have to say I cant possibly endure this ever again , had BG levels of 27 whilst b Continue reading >>

Chronic Sinus Infections

Chronic Sinus Infections

What causes chronic sinusitis, and how can it be treated? If chronic sinus problems are making you miserable, you're not alone. According to the Centers for Disease Control and Prevention (CDC), over 29 million American adults have been diagnosed with sinusitis . Sinus problems usually start with a viral head cold . Congestion in your nose blocks the drainage of your sinuses, and that can lead to acute sinusitis. "Both your nose and your sinuses are lined by moisturizing mucous membranes," explains Toribio Flores, MD, an ear, nose, and throat (ENT) specialist at the Cleveland Clinic. "When mucus can't get out of the sinuses, bacteria start to grow, and that causes a sinus infection." Sinusitis symptoms that last for more than 12 weeks could be chronic sinusitis. In addition to frequent head colds, your risk for chronic sinusitis also goes up if you have allergies. "Chronic sinusitis can be caused by an allergy , virus, fungus, or bacteria and can go on for months or even years," says Dr. Flores. Symptoms of chronic sinusitis are not very different from acute sinusitis symptoms they just last longer. Whether sinusitis symptoms are the result of infection or allergy, the actual cause of the symptoms is the blocked drainage of mucus from the sinuses into the nose. Sinusitis symptoms you might experience include: Nasal congestion with thick nasal discharge "Acute bacterial sinusitis that occurs after a head cold usually responds to antibiotics , but chronic sinusitis may require anti-inflammatory medications, irrigation, and sometimes surgery to 'open up traffic' between the sinuses and the nasal passages," Flores says. Options for treating chronic sinusitis include: Steroid nasal sprays to fight nasal and sinus inflammation Antihistamines or allergy shots for allergic sin Continue reading >>

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