diabetestalk.net

Flu Diabetes Type 2

Diabetes Health Type 1 Diabetes: Diabetes Self Management In Flu Season

Diabetes Health Type 1 Diabetes: Diabetes Self Management In Flu Season

The crowd in the small Boston theater laughed and clapped. The comedy show was a good one, and I was enjoying it from a cramped seat in the balcony. It was October 29, a Friday, and while it was brisk outside, winter hadn’t yet clamped down. But the date was more important than I thought. The viruses that attack during the winter flu season had already begun to circulate, and some of them were in that very theater. During the show, dozens of people coughed and sneezed. And at some point during my two hours in the theater, I breathed in a tiny bit of evil. You might call it a germ. But for me it was the beginning of more than two weeks of coughing, sore throat, visits to the doctor, and challenging diabetic control–all from one evening’s light entertainment. Prevent, if possible The ordeal was partly my fault. According to the Centers for Disease Control and Prevention, the most important thing an individual can do to protect against the flu is get a flu shot. And as a diabetic, I’m at greater risk for developing complications from the flu. (I’m type 1, but type 2s are also considered at risk.) Guess who wasn’t vaccinated? Sure, I wind up getting a shot every year, but it’s usually in November or December. I had an appointment scheduled for the next week, and I was expecting that my doctor, as usual, would suggest the shot. But it was too late. The other thing I failed to do, according to diabetes educator and author Constance Brown-Riggs, was prepare a sick day plan. I should have decided on the medical professionals with whom I needed to check (doctor and insulin pump coach, for example), made sure I had sick time ready at work, had food and drink at hand, and generally been ready for the vilest of viruses. “A plan prepared in advance can make getting a Continue reading >>

Coping With Diabetes And The Flu

Coping With Diabetes And The Flu

Coping with diabetes and the flu is never easy. Flu season is now at its peak, and its especially severe this year. Emergency rooms are overcrowded, and people are dying from the flu. For those of us living with diabetes or caring for someone with diabetes, this is terrifying. What might be a hard flu or messy stomach bug for most people can be a frightening, challenging ordeal for people with diabetes . It may involve hourly blood glucose checks and ketone checks, constant calls to the doctor, or even a scary rush to the emergency room. We hope you stay healthy, and weve put together a few tips to help you get through flu season. Be well! What to Do with Diabetes and the Flu Dealing with diabetes and SWOOP in comes flu season? Lets see what our best defenses are. Get a flu shot. You might think its too late in the season to The Extra Reason to Get a Flu Shot This Year The flu shot is recommended every year for people with diabetes, both Type 1 and 2, who are more vulnerable to complications of the virus. But this year, vaccination might 10 Things Your Diabetes Doctor Wants You to Know (and Do!) Since I started my practice as an endocrinologist, Ive had tens of thousands of office visits, mainly seeing people with diabetes. Heres my wish list of some of the things 10 Diabetes Management Mistakes, and How to Correct Them People with diabetes make mistakes, just like everyone else. Below is a list of common diabetes managementmistakes, and tips to help get you back on track. 1. Underestimating the How I Finally Lost Weight and Took Control of Diabetes Mrs. Kelly, can you come back in? the doctors assistant asked. Theres an irregular reading in your blood work. You might have diabetes. I was 38 years old and although Continue reading >>

What To Do With Diabetes And The Flu

What To Do With Diabetes And The Flu

Dealing with diabetes and SWOOP in comes flu season? Lets see what our best defenses are. Get a flu shot. You might think its too late in the season to vaccinate, but its not. Flu shots are still readily available across the country and you can and should get one. (And if youre already dealing with the flu, skip to the next set of recommendations. Also, Im sorry youre sick.) Track your symptoms. Symptoms of the flu include fever, cough, sore throat, runny or stuffy nose, aching body, headache, chills, fatigue, and sometimes vomiting and/or diarrhea. Take preventative actions. Do what you can to keep germs at bay. Wash your hands with soap and water (for at least 20 seconds) often throughout the day, and avoid touching your eyes, nose, and mouth (because thats a delicious way for germs to jump into your body). Dont share drinks or utensils, in efforts to keep germs contained. If youre sick, STAY HOME. This can be frustrating advice, especially when your job depends on you being there, but do your best to keep your sick self, or sick child, at home. Dont go to the grocery store, dont drop something off at work keep your germs at home. If youre sick, call your doctor early. Dont wait until day 5 of your illness to reach out to your medical team. As soon as symptoms start, reach out, as antiviral drugs work best when started as early as possible (the Centers for Disease Control recommend within 48 hours of symptoms starting). Involving your doctor early can make a big difference in your recovery. Dont forget about diabetes. Even if you have the flu, you still need to take all of your diabetes medications , and you also need to keep extra tight tabs on your blood sugars. Checking for ketones is also crucial, especially if you are running high and/or dehydrated. And if youre Continue reading >>

Diabetes And The Flu

Diabetes And The Flu

Flu can be especially hard on people with diabetes. Here are some tips to protect your self from the flu and take care of yourself if you get sick. Get Vaccinated! The Centers for Disease Control (CDC) recommends that everyone with diabetes get a flu vaccination.The CDC has a great Flu Facts page. There is a both a shot and a nasal spray available: ‘Flu shot:’ an inactivated vaccine (containing killed virus) that is given with a needle, usually in the arm. The flu shot is approved for use in people older than 6 months, including healthy people and people with chronic medical conditions. If a pregnant mother is vaccinated, the immunity will pass to the child! Nasal-spray flu vaccine: a vaccine made with live, weakened flu viruses that do not cause the flu (sometimes called LAIV for “live attenuated influenza vaccine” or FluMist). LAIV (FluMist) is approved for use in healthy* people 2-49 years of age who are not pregnant. Follow Common Sense Precautions. Wash your hands regularly, stay away from sick people, and stay home if you start showing symptoms (it’s the polite thing to do). High Fever Muscle Aches Headaches Exhaustion Dry cough or Sore Throat Runny or Stuff Nose Stomach Symptoms (nausea, vomiting, and diarrhea) in children Watch for High Blood Sugar. Flu and other illnesses can cause high blood sugar. So test your blood sugar often and consult your doctor on how to keep your numbers in line. If you have a pump, your doctor may recommend setting an increased temporary basal rate. Choose Flu Medicine Carefully. If you take an over-the-counter medication to combat flu symptoms, read the label carefully. Many medicines contain a lot of sugar and can spike your blood sugar. Ask your pharmacist or doctor for a recommendation. Have questions about how others d Continue reading >>

Why Diabetes Can Sometimes Look Like The Flu

Why Diabetes Can Sometimes Look Like The Flu

Today is World Diabetes Day, turning the spotlight on this silent killer of almost 5 million people worldwide each year. In the U.S. alone, 25.8 million people suffer from diabetes, including 7 million people who don’t even know they have it. And the number is growing, with two million adults newly diagnosed every year. Today is World Diabetes Day, turning the spotlight on this silent killer of almost 5 million people worldwide each year. In the U.S. alone, 25.8 million people suffer from diabetes, including 7 million people who don’t even know they have it. And the number is growing, with two million adults newly diagnosed every year. While the most common complications of diabetes, such as heart attack and stroke, can be years in the making, other severe complications can come on suddenly and may even be mistaken for something as commonplace as the flu. In this video, Deborah, a 57-year-old who didn't know she had type 2 diabetes, talks about how she was diagnosed with the disease. At first she went to her doctor for a sore throat, but was so sick she eventually went to the hospital. In fact, her blood sugar had soared to 10 times what it should have been, and she began t to slip into a diabetic coma. She woke up in the intensive care unit. Fortunately, Deborah recovered to tell her story, but not all people are so lucky. Uncontrolled high blood sugar can cause both diabetic ketoacidosis and diabetic hyperosmolar syndrome, both of which can lead to a diabetic coma, which can be fatal. “This state is a life-threatening emergency,” said Spyros Mezitis, MD, PhD, an endocrinology consultant and clinical investigator at Lenox Hill Hospital in New York City. Diabetic hyperosmolar syndrome is more often seen in type 2 diabetics, which is by far the most common form o Continue reading >>

Cold And Flu And What To Do

Cold And Flu And What To Do

Getting sick can be scary and especially when you or a loved one is Type 1. As the body tries to fight off the virus, blood glucose levels elevate, causing rapid and dangerous highs. And when youre not feeling well, you may find it difficult to keep down fluids or even eat, causing you to go too low. Then theres the issue of medicine which to take and how to dose for it if needed. Theres a lot to consider, but rest assured! Weve talked to doctors about what is recommended in terms of planning ahead and the protocol if you or your loved one are faced with a bug. While this season brings with it challenges to staying healthy, here are some helpful guidelines when facing off with the cold or flu. Whatsthedifference between a cold and flu? A cold is a milder respiratory infection than a flu. While both can cause a soar throat, cough, runny nose and congestion, a flu is usually accompanied by body aches, fever and lasts much longer than a common cold. As a Type 1 or as a caretaker of a Type 1, you should plan ahead so youre readynot only for the cold, a common and frequent ailment, but also, the more unruly cousin the flu, who outstays his welcome and can cause serious havoc if left unchecked. lists of recommended medications you can taketo alleviatecertain symptoms the contact of your doctor and when / where they can be reached during regular hours as well as holiday time a plan of action (if / then scenarios), how often you should check your BGLs and whenyou should contact a doctor. low-calorie sports drinks (for fast-acting sugars and electrolytes) These are usually offered in the fall and are highly recommended for anyone who is at higher risk for complications if they contract influenza. Youve heard it a million times, but it really is one of the best ways to prevent c Continue reading >>

Flu And Diabetes

Flu And Diabetes

Tweet People with diabetes are generally at a greater risk if they catch flu (influenza) as it can pose significant difficulties with diabetes management. Flu is a viral infection which is easily caught through inhaling small droplets released when someone with the flu virus nearby coughs or sneezes. A dangerous complication of the flu is pneumonia and people with diabetes are more at risk of developing this complication than people without diabetes. Flu, and other viral infections, can lead to higher blood sugar levels and increase the risk of serious short term complications risk, particularly short term complications such as ketoacidosis and Hyperosmolar Hyperglycaemic State (HHS). Read more on getting vacinated against the flu. What are the symptoms of flu? Symptoms of flu may occur rapidly and include: Severe aching and pain in joints Aching muscles Aching around the eyes Fever Warm, flushed skin Headache Dry cough Sore throat and discharge from the nose Complications of the flu Influenza can lead to chest infections which may develop into pneumonia. Rarer complications include tonsilitis, meningitis and encephalitis. The flu can be a killer and is responsible for around 600 deaths a year. During an epidemic, flu can kill thousands of people in a year. Diabetes and flu medication Some over-the-counter flu medication is suitable for people with diabetes. Some over-the-counter flu medication will be more suitable for people with diabetes than others. For instance, some flu medications contain non-steroidal anti-inflammatory drugs, such as ibuprofen, which are not usually recommended for people with diabetes because they may slightly increase the risk of heart problems and stroke. A number of flu medications may contain a relatively high level of sugar which could pre Continue reading >>

Sick Day Management Tips When Your Child Has Type 1 Diabetes

Sick Day Management Tips When Your Child Has Type 1 Diabetes

Having a sick child can be challenging—getting time off work and securing a last-minute doctor's appointment isn't always easy. But when your sick child also happens to have type 1 diabetes, it presents a separate set of complications relating to insulin and blood glucose (blood sugar) management. This article covers some important considerations to keep in mind the next time your child with type 1 diabetes feels under the weather. Checking Blood Glucose and Ketones Even the most common ailments, such as a cold or flu, can cause your child's blood glucose levels to rise. Plus, some over-the-counter medications can cause blood glucose levels to increase even more. Complicating matters, your child's blood glucose levels may actually drop too low if he or she is vomiting or has stopped eating. You just can't be certain how an illness will affect your child's blood glucose—that's why it's important to check their levels more often than you normally would. A general guideline to shoot for is to check their blood glucose every 2 to 3 hours, but remember—that's a guideline. Your child may require more or fewer checks, depending on your health care professional's recommendations. In addition to checking blood glucose levels, you also need to check for the presence of ketones in the urine. In people with type 1 diabetes, common illnesses can lead to diabetic ketoacidosis, a condition characterized by acidic blood caused by the release of too many ketones. Ketones are released when your body doesn't have enough insulin, so it's important to check your child's urine regularly (usually every 4 hours) until there are no ketones detected. If ketones are still present, that's a sign that your child needs more insulin. There are 2 ways to check ketones: using urine ketone strips Continue reading >>

Diabetes And The Flu

Diabetes And The Flu

Diabetes can turn a simple case of the flu into a serious problem. "People who have diabetes are three times more likely to be hospitalized if they get the flu," says Helena Duffy, CDE, a nurse practitioner at Montefiore Medical Center in New York City. Diabetes can weaken your immune system and make it harder for your body to fight off the influenza virus, she says. The flu can affect your blood sugar levels. You're also at higher risk for pneumonia. And if you're not eating well while you're sick, you could be at risk for hypoglycemia. Get a Flu Shot for Prevention The best way to protect yourself is to get a flu shot at the beginning of every flu season. Avoid the nasal flu vaccine, which has not been extensively studied in people with diabetes (PWDs). Ask people living in your house to get a flu vaccine, too. PWDs also should get the pneumococcal vaccine to protect against pneumonia. If you have diabetes, ask your doctor about getting a second shot five to 10 years after the first. When You Have Diabetes and the Flu If you do get sick, ask your doctor about Tamiflu (oseltavimir), a prescription antiviral medication that can ease symptoms and shorten the duration of your illness. For best results, take it as soon as you notice symptoms. It's also important to pay close attention to your blood glucose levels. "Check your blood glucose every two to four hours, and record your readings," Duffy says. "If your blood sugar remains high or gets too low, call your doctor." Duffy says people with type 1 diabetes who feel ill and have a blood glucose reading over 250 mg/dl should test for ketones in the urine. Left untreated, excessive ketones can result in ketoacidosis, a dangerous condition that occurs when fat is burned for energy instead of glucose. If you have the flu, do Continue reading >>

Managing Diabetes With A Cold Or Flu

Managing Diabetes With A Cold Or Flu

The cold and flu season is on its way. And while sick days bring everyone down, people with type 2 diabetes have some special considerations when they're under the weather. In addition to choosing the right cold medications and checking in with your doctor about possible dosage changes, good diabetes care means being prepared for the days when you would rather not drag yourself out of bed for a glucose check or a snack. Pick the Right Cold Medicine “A lot of [cold and flu] medications, particularly cough syrup, are high in glucose,” says internist Danny Sam, MD, the program director of the residency program at Kaiser Permanente in Santa Clara, Calif. His practice specializes in adult diabetes. If you have diabetes, your best bet is a medicine that is clearly labeled sugar-free. Almost every major pharmacy has a store brand of sugar-free cold or cough medicine, says Dr. Sam. If you have questions, ask your pharmacist for help. Check Blood Sugar Often “Diabetes is not as well controlled when you are sick,” observes Sam. This is because when your body fights infection, it releases a chemical cascade that can alter your body’s glucose and insulin response. As a result, you may need to check your blood sugar more often than you usually do. People with type 2 diabetes may need to check their blood sugar four times a day, and should check their urine for ketones anytime their blood sugar level is higher than 300 mg/dL. Other medications you may need to take when you are sick can affect your blood sugar levels: Aspirin may lower blood sugar levels Certain antibiotics may decrease blood sugar levels in those taking some oral diabetes medications Decongestants may raise blood sugar levels Adjust Your Plan “You have to monitor your blood sugar more frequently and you m Continue reading >>

Should I Get A Flu Shot If I Have Diabetes?

Should I Get A Flu Shot If I Have Diabetes?

Having type 1 or type 2 diabetes puts you at increased risk of illness because elevated blood sugar weakens the immune system. Getting an annual flu shot is the best way to protect yourself. Fall is here, and that means that along with pumpkins and hay rides, it’s influenza (flu) season—which can last until May. For those with diabetes, flu isn’t just a drag: It can result in hospitalization, and occasionally even death. Fortunately, a vaccine can slash your risk of the illness by an estimated 40-60%, according to the Centers for Disease Control and Prevention (CDC). The flu shot also lowers your chances of hospitalization, which is most common in flu patients with chronic conditions like diabetes. The vaccine can also “prevent major respiratory infections during the flu season,” says Kavita Seetharaman, MD, staff physician at Joslin Diabetes Center, a Boston-based non-profit affiliated with Harvard Medical School. Why Is the Flu So Dangerous for People with Diabetes? “As with any other infection, the flu virus can cause inflammation, congestion, and mucus production in the respiratory tract,” as well as cough, fever, and even breathing difficulties, Dr. Seetharaman says. But for diabetes patients, there’s another risk. “When patients with diabetes are not feeling well,” due to illness, infection, or injury, “they can become more insulin resistant. Blood sugar rises [even if patients aren’t eating], and ketones can develop,” she explains. Ketones are chemicals that are produced when there’s not enough glucose (sugar) to fuel the metabolism; the presence of ketones (which can be detected with over-the-counter test strips) indicate that the body is using fat for energy. Patients with diabetes can accumulate ketones in the blood, which can make Continue reading >>

Diabetes And Influenza: A Dangerous Combination

Diabetes And Influenza: A Dangerous Combination

Nov. 14, 2017 is World Diabetes Day, the world’s largest diabetes awareness campaign that aims to unite the global diabetes community to produce a powerful voice to highlight the realities and threats of dealing with this chronic medical condition. Diabetes is a major threat to health globally. In the U.S., diabetes rates have almost doubled in the past two decades, from 5.5 percent in 1994 to 9.3 percent in 2012. An estimated 30.3 million people, or 9.4 percent of the U.S. population, had diabetes in 2015. The CDC projects that one in three adults could have diabetes by 2050. More than one-quarter of seniors (ages 65 and older) has diabetes (25.9 percent, or 11 million seniors). In the European region, about 60 million people have diabetes, or about 10.3 percent of men and 9.6 percent of women aged 25 years and over. In Africa, the rate of diabetes remains low, but the number of people living with diabetes has dramatically increased from 4 million in 1980 to 25 million in 2014. More than 60 percent of those with diabetes live in Asia, with nearly half in China and India combined. The Asia Pacific region has 138 million people with diabetes, and the number may increase to 201 million by 2035. The prevalence of diabetes is increasing mostly due to increases in obesity, unhealthy eating habits and decreased physical inactivity. Globally, diabetes kills about 3.4 million people annually. WHO projects that diabetes deaths will double between 2005 and 2030. Diabetes itself is not a major problem unless the blood glucose is uncontrolled and either rises too high or drops too low. If diabetes is not managed correctly (meaning blood glucose is not properly regulated), sufferers are likely to become progressively sick and debilitated. Over time, diabetes can damage the heart, Continue reading >>

What Should A Person With Diabetes Do If They Get Sick With Flu Or Cold?

What Should A Person With Diabetes Do If They Get Sick With Flu Or Cold?

There are everyday actions people can take to stay healthy. Try to avoid close contact with sick people. Flu spreads mainly person-to-person through the coughing or sneezing of infected people. If you get sick, the CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them. Be sure to continue taking your diabetes pills or insulin. Don’t stop taking them even if you can’t eat. Your health care provider may even advise you to take more insulin during sickness. Test your blood glucose every four hours, and keep track of the results. Drink extra (calorie-free) liquids, and try to eat as you normally would. If you can’t, try to have soft foods and liquids containing the equivalent amount of carbohydrates that you usually consume. Weigh yourself every day. Losing weight without trying is a sign of high blood glucose. Check your temperature every morning and evening. A fever may be a sign of infection. Call your health care provider or go to an emergency room if any of the following happen to you: You feel too sick to eat normally and are unable to keep down food for more than 6 hours. You're having severe diarrhea. You lose 5 pounds or more. Your temperature is over 101 degrees F. Your blood glucose is lower than 60 mg/dL or remains over 300 mg/dL. You have moderate or large amounts of ketones in your urine. You're having trouble breathing. You feel sleepy or can't think clearly. For more information, see: Continue reading >>

Diabetes & Flu: A Devastating Combination

Diabetes & Flu: A Devastating Combination

Flu hits diabetes patients hard – nurses and GPs can help improve vaccination rates ‘I remember the fever and fatigue as being unbearable,’ recalls Maximino Álvarez, a diabetes patient who has had flu twice. ‘It is an unpleasant experience which should be avoided.’ Flu infection can be serious for anyone but for people with chronic diseases, such as diabetes, the risk of hospitalisation can be as much as ten times higher than the rest of the population. ‘Anything that affects your health has an impact on your diabetes,’ explains Maximino. ‘With flu, your blood sugar levels are affected and it becomes difficult to keep it under control. Resistance to fast-acting insulin is a frequent effect of influenza infection.’ Dr Xavier Cos, a GP specialising in diabetes care, says people with diabetes are more severely affected by any respiratory tract infections and can suffer serious complications as a result. ‘The reaction to the infectious process often exacerbates their metabolic disease,’ he says. ‘In many cases, they are also not as well able to fight the infection so a cascade of consequences can follow – just as in older people or those with chronic lung or kidney diseases.’ Vaccine-prevent diseases Flu and pneumococcal disease – both of which can be prevented by vaccination – are serious respiratory diseases that can increase the risk of hospitalisation. ‘Epidemiological data tells us that people with diabetes who suffer from flu or other respiratory problems are at higher risk of hospital admission and likely to spend more days in hospital,’ says Dr Cos. His advice? ‘It makes sense to vaccinate all diabetes patients against flu given the potential for complications.’ Maximino echoes this view but acknowledges that too few people w Continue reading >>

Why People With Type 2 Diabetes Should Get The Flu Vaccine

Why People With Type 2 Diabetes Should Get The Flu Vaccine

Flu vaccine cuts hospitalization risk for people with Type 2 diabetes. Have Type 2 diabetes? Then you should probably get a flu shot each year. Those with diabetes who received a vaccination for the flu were less likely to wind up in the hospital due to cardiovascular or respiratory problems, according to a Reuters report. For the study, UK researchers examined medical data from 125,000 people with Type 2 diabetes for a period of seven years. They found that those who received the flu vaccination had a 30 percent lower rate of hospital admission for strokes, a 22 percent lower hospitalization rate for heart failure, and a 15 percent lower hospitalization rate for pneumonia. People with chronic conditions like diabetes are at a higher risk of suffering from common flu complications, like pneumonia, bronchitis, heart attack, and stroke. Overall, those who received the vaccination had a 24 percent lower risk of death from all causes during the study period, but researchers caution that they can’t pin that lower risk solely on flu vaccinations. For example, it’s possible those who are proactive enough to get a flu shot are also proactive about their health overall, which would certainly affect their risk of death. Researchers also weren’t able to determine in the medical records how many of those studied had undiagnosed diabetes; this would also greatly influence the risk of hospitalization or death. The American Diabetes Association estimates that roughly 28 percent of those with Type 2 diabetes in 2012 do not know they have the condition. sponsor There is not one “flu”. Each year, variations of influenza circulate around the world. Getting the flu vaccine does not guarantee that you will not get the flu, but it does cut your risk of getting the flu during flu se Continue reading >>

More in diabetes