
Is Your Medicine Setting You Up For Heat Stroke?
Is Your Medicine Setting You Up for Heat Stroke? Dont get mad at us; were as tired of that question as you are. Cows are dying, chickens are exploding and athletes are dropping like flies. Heat exhaustion and heat stroke are striking people around the country, especially children, the elderly, athtletes and people taking medications. If your body were an automobile, you wouldnt get far when the water in your radiator boiled away. Ignore the warning light, and you could easily blow the engine. The body doesnt come with an idiot light or a gauge to signal overheating, but overlooking the warning signs of heat exhaustion could lead to a serious medical emergency. Heat stroke can result in brain damage or even death. First, lets clear up the differences between heat exhaustion and heat stroke. Heat exhaustion occurs as a result of a loss of fluid. This may occur as a result of not drinking enough to replace sweating losses. The person becomes weak and may feel nauseated, anxious and lightheaded. When a crowd gathers and stands around for some event in hot weathera military parade, a baseball gamesome folks are overcome by heat exhaustion and they faint. Their pulses are weak and slow, their skin is pale and clammy, and their blood pressure is low. Heat stroke, on the other hand, happens when the bodys normal means of losing heat shut down or cant cope with extreme temperature. The onset of symptoms may be sudden, with headache, weakness and disorientation signaling an imminent loss of consciousness. The skin is hot, USUALLY dry, and flushed. The pulse is fast and hard, and the body temperature is elevated. Children and pets have died from heat stroke when they were left in a closed car. HEAT STROKE REQUIRES IMMEDIATE EMERGENCY MEDICAL ATTENTION. Odd behavior, agitation, co Continue reading >>

Will You Have Sensitivity To Heat With Metformin - From Fda Reports - Ehealthme
A study for a 63 year old woman who takes Spironolactone, Almased, Dexedrine NOTE: The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. You may report adverse side effects to the FDA at or 1-800-FDA-1088 (1-800-332-1088). If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Continue reading >>

Will You Have Heat Intolerance With Metformin - From Fda Reports - Ehealthme
A study for a 77 year old woman who takes Levothyroxine 0.100mg, Matzim La 240mg, Valsartan 160mg, Eliquis NOTE: The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. You may report adverse side effects to the FDA at or 1-800-FDA-1088 (1-800-332-1088). If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Continue reading >>

How To Manage Your Diabetes In Extreme Summer Heat
We often look forward to changes of season, but if you have diabetes , you need to be extra careful when temperatures climb dramatically. Extreme heat can affect your blood sugar control. Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy If you use insulin or if your treatment of blood sugars is inadequate, this can put you at higher risk. Often, worsening blood sugar control is the main concern. Depending on the situation and your level of physical activity, low blood sugars are also possible. Extreme temperatures can also damage your medications and testing equipment. I always remind my patients to take precautions to protect themselves and their supplies during both winter and summer. If a patient’s blood sugars are mostly higher than 250 mg/dl, I recommend improving blood sugar control before engaging in heavy physical activity — regardless of the climate and the temperature, as recommended by the American Diabetes Association. The extreme heat of summer affects blood sugar levels. How the heat affects your levels depends on what you’ve eaten, whether you’re well-hydrated and your activity level. If the heat and your activity make you sweat profusely, you may become dehydrated, leading to a rise in glucose levels. If you become dehydrated, your blood glucose levels will rise. This can lead to frequent urination, which then leads to further dehydration and even higher blood sugar levels — a kind of vicious cycle. Further, if the treatment includes insulin, dehydration reduces blood supply to the skin and, therefore, less absorption of injected insulin dosage. Most types of insulin can tolerate temperatures from 93 degrees F to 95 d Continue reading >>

Metformin - Oral, Glucophage
are allergic to dapagliflozin or any of the ingredients in FARXIGA. Symptoms of a serious allergic reaction may include skin rash, raised red patches on your skin (hives), swelling of the face, lips, tongue, and throat that may cause difficulty in breathing or swallowing. If you have any of these symptoms, stop taking FARXIGA and contact your healthcare provider or go to the nearest hospital emergency room right away have severe kidney problems or are on dialysis. Your healthcare provider should do blood tests to check how well your kidneys are working before and during your treatment with FARXIGA Dehydration (the loss of body water and salt), which may cause you to feel dizzy, faint, lightheaded, or weak, especially when you stand up (orthostatic hypotension). You may be at a higher risk of dehydration if you have low blood pressure; take medicines to lower your blood pressure, including water pills (diuretics); are 65 years of age or older; are on a low salt diet, or have kidney problems Ketoacidosis occurred in people with type 1 and type 2 diabetes during treatment with FARXIGA. Ketoacidosis is a serious condition which may require hospitalization and may lead to death. Symptoms may include nausea, tiredness, vomiting, trouble breathing, and abdominal pain. If you get any of these symptoms, stop taking FARXIGA and call your healthcare provider right away. If possible, check for ketones in your urine or blood, even if your blood sugar is less than 250 mg/dL Kidney problems. Sudden kidney injury occurred in people taking FARXIGA. Talk to your doctor right away if you reduce the amount you eat or drink, or if you lose liquids; for example, from vomiting, diarrhea, or excessive heat exposure Serious urinary tract infections (UTI), some that lead to hospitalization, occu Continue reading >>

Is Heat Exhaustion A Side Effect Of Metformin ? ( Factmed.com )
Introduction This page is designed to help you determine the relationship, if any, between METFORMIN and HEAT EXHAUSTION. In doing so, we compare METFORMIN with other drugs that cause HEAT EXHAUSTION, to help you evaluate whether or not METFORMIN causes HEAT EXHAUSTION. Likewise, this page shows the most highly-reported side effects of METFORMIN, so you can see if HEAT EXHAUSTION ranks among METFORMIN's most well-known side effects. Reports of METFORMIN causing HEAT EXHAUSTION: 5 Reports of any side effect of METFORMIN : 22852 Percentage of METFORMIN patients where HEAT EXHAUSTION is a reported side effect: 0.0219% FDA reports of any drug causing HEAT EXHAUSTION : 247 Average percentage for all medicated patients where HEAT EXHAUSTION is reported as a complication: 0.0015% Physician opinion on METFORMIN as adverse event culprit: Overall opinion for all reports of this drug: Most frequent diagnoses/indications for prescribing METFORMIN: TYPE 2 DIABETES MELLITUS ( 1542 patients ) PRODUCT USED FOR UNKNOWN INDICATION ( 1149 patients ) DRUG USE FOR UNKNOWN INDICATION ( 736 patients ) DIABETES MELLITUS NON-INSULIN-DEPENDENT ( 264 patients ) GLUCOSE TOLERANCE IMPAIRED ( 90 patients ) Is Metformin safe if you already have Macular Degeneration? I definately think Metformin (after about 6 years of use -2 500 mg tabs in AM/PM) have started to cause problems with my connective tissues. First it was Achilles tendonitis and now what seems like Tennis or Golfers elbow. Even my wrist have been hurting. I have done nothing to injure these areas. Also after running, I can tell I have muscle tears in my calves. I don't think people realize how Metformin really affects the whole body. I also was extremely B-12 deficient and anemic due to Metformin. I have to convince my Endocrinologist of Continue reading >>

Will You Have Intolerance To Heat With Metformin - From Fda Reports - Ehealthme
A study for a 28 year old man who takes Effexor Xr NOTE: The study is based on active ingredients and brand name. Other drugs that have the same active ingredients (e.g. generic drugs) are NOT considered. WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. All information is observation-only, and has not been supported by scientific studies or clinical trials unless otherwise stated. Different individuals may respond to medication in different ways. Every effort has been made to ensure that all information is accurate, up-to-date, and complete, but no guarantee is made to that effect. The use of the eHealthMe site and its content is at your own risk. You may report adverse side effects to the FDA at or 1-800-FDA-1088 (1-800-332-1088). If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Continue reading >>

Diabetes And Hot Weather - Staying Safe In The Heat
Diabetes and Hot Weather - Staying Safe in the Heat There are hypo and hyper risks in hot weather Whether you are going on holiday or simply spending some time outdoors in the heat, high temperatures and the close humidity currently sweeping the UK do have an influence for people with long term conditions such as diabetes. This may partly be explained by increased activity in hot weather, but there is no doubt that the heat does affect some people with diabetes in other ways. What problems can hot weather cause for people with diabetes? Dehydration can be an issue in hot weather, and higher blood glucose levels can further increase this risk. People with diabetes may need to increase their intake of fluids in hot weather, drinking water regularly through the day. One of the major concerns regarding diabetes and hot weather is the risk of blood sugar levels rising or falling and causing hypoglycemia or hyperglycemia . What are the hypo risks from hot weather? Hot weather can increase the risk of hypoglycemia for those on blood glucose lowering medication. The Joslin Diabetes Centre notes that the bodys metabolism is higher in hot and humid weather which can lead to an increased chance of hypoglycemia. Hypos may be slightly harder to spot in hot weather. Dont be tempted to disregard hypo symptoms , such as sweating and tiredness, as a result of hot weather as it could be a sign of hypoglycemia. Take extra care when driving and test your blood sugar before and after each journey and stop regularly to check your blood sugar if taking longer journeys. To prevent hypos, be prepared to test your blood glucose more often, particularly if taking part in physical activity in hot weather. Keep a source of fasting carbohydrate, such as glucose tablets, to hand. To help treat hypos Continue reading >>

Summer Heat And Type 2 Diabetes
When the hottest days of summer hit, people with type 2 diabetes need to pay close attention to their condition. Here's how to savor the season without health worries. Medically Reviewed by Lindsey Marcellin, MD, MPH Summer conjures up images of backyard barbecues, pools and beaches, street festivals, fireworks, stargazing, and more. But summer heat can add to the problems faced by people living with type 2 diabetes . In fact, studies have shown that during a heat wave, emergency room use by people with diabetes increases. And while most people with diabetes are aware that extreme heat poses a danger, they may not always know when to take precautions . If you have diabetes, the high heat and humidity of summer can be difficult for your body to manage. The Centers for Disease Control recommends caution when the heat index which combines temperature and humidity readings reaches 80 degrees Fahrenheit with 40 percent humidity. Elderly people are at particular risk, but people of all ages with diabetes should be aware of summertime dangers. These include dehydration, heat exhaustion, and foot problems. Everyone, regardless of their health status, should make sure they drink enough fluids during the summer. People with type 2 diabetes, however, face an additional challenge because when their blood sugar levels are too high, they may be passing more urine than usual which means they are losing fluids more quickly. Add sweating into the mix and you have a recipe for speedy fluid loss. Certain medications, such as metformin (Glucophage), also increase the risk of dehydration. If you are out and about on a hot summer day, make sure you have enough of these beverages on hand to stay hydrated: Also, avoid alcohol and caffeine. Alcohol and caffeinated drinks are usually okay in mo Continue reading >>

Heat And Diabetes
Living with diabetes blog Diabetes research is turning up new information on diabetes and diabetes management all the time. In 2009, I wrote a blog about the effects of heat on blood glucose control if you have diabetes. I mentioned, then, that heat doesn't have a direct effect on your blood glucose, but that heat can lead to changes in your daily routine which, in turn, can affect your blood glucose. Later research, published in September 2010 by researchers at Mayo Clinic, Scottsdale, Ariz., suggests, additionally, that some Arizonans with diabetes have considerable gaps in their "heat awareness." This lack of awareness led to actions such as waiting until temperatures were quite high (above 101 F, or 38.3 C) before taking precautions against the heat and leaving medications and supplies at home rather than risk exposing them to the heat — meaning not having the supplies to manage diabetes while away from home. Sweating is an important means of cooling the body in hot weather, and the ability to sweat can be affected in some people with diabetes. Other studies have shown an increase in emergency room visits, in those who have diabetes, when temperatures are high. Diabetes equipment and medications can also be affected by heat. Tips for managing diabetes in warm temperatures remain the same: Avoid sunburn, it can stress your body and can raise your blood glucose. Wear a good sunscreen, sunglasses and hat when out in the sun. Drink plenty of water to avoid dehydration. Carry a bottle of water with you on walks, etc. Exercise and do more strenuous activities in the early or later hours of the day when the temperatures are cooler and the sun is not at its peak. Check blood sugar levels frequently, since they may fluctuate. Remember, extreme temperature changes can have Continue reading >>

Managing Diabetes In The Heat
How to keep your cool during the hottest time of year. Did you know that people who have diabetes—both type 1 and type 2—feel the heat more than people who don’t have diabetes? Some reasons why: Certain diabetes complications, such as damage to blood vessels and nerves, can affect your sweat glands so your body can’t cool as effectively. That can lead to heat exhaustion and heat stroke, which is a medical emergency. People with diabetes get dehydrated (lose too much water from their bodies) more quickly. Not drinking enough liquids can raise blood sugar, and high blood sugar can make you urinate more, causing dehydration. Some commonly used medicines like diuretics (“water pills” to treat high blood pressure) can dehydrate you, too. High temperatures can change how your body uses insulin. You may need to test your blood sugar more often and adjust your insulin dose and what you eat and drink. Drink plenty of water. Test your blood sugar often. Keep medicines, supplies, and equipment out of the heat. Stay inside in air-conditioning when it’s hottest. Wear loose, light clothing. Make a plan in case you lose power. Have a go-bag ready for emergencies. It’s the Heat and the Humidity Even when it doesn’t seem very hot outside, the combination of heat and humidity (moisture in the air) can be dangerous. When sweat evaporates (dries) on your skin, it removes heat and cools you. It’s harder to stay cool in high humidity because sweat can’t evaporate as well. Whether you’re working out or just hanging out, it’s a good idea to check the heat index—a measurement that combines temperature and humidity. Take steps to stay cool (see sidebar) when it reaches 80°F in the shade with 40% humidity or above. Important to know: The heat index can be up to 15°F Continue reading >>

Diabetes And Heat Intolerance
D.D. Family type 2 since Oct 2010, metformin 2 Gm As I said, I used to sweat like crazy before dx. I would stand in line at the store and be the only one sweating. I used to think, "This is crazy." After dx, losing 50 lbs, getting my BG under control and stopping alcohol, it has basically stopped. I'm normal now. Oh, to be 'normal' again. But the thing is, the cause of your sweating could be different, as sweating is a symptom of other things too. Unless there is a way to daignose the cause, different things will work (or not) for different people. I guess. In order to become what you are to be, you must learn, first, to be what you are. I've had heat intolerance my entire life - I was the little kid who would pass out in the sun. I was recently diagnosed with lupus and the sun/heat thing was part of the diagnosis. I hibernate on sunny days and I know lots of ways to cool off. Interesting that there might be a connection with neuropathy?? Yes. I am still looking for articles that explain it more clearly. But somehow I don't think there is much more about it as the cases seem to be based on animal findings. Perhaps the hypothalamus can't be diagnosed? Or not so easily. Maybe it is just in the "too hard" basket. Yeah, I can't get warm this winter, but I just think it is old age setting in LOL. I hate summer heat but I have always been that way. I do know that heat makes us dehydrate, which in turn makes BG rise, I suppose that could be part of the problem. who knows. Electrolyte imbalance caused by temporary blood sugar highs--say a night of being high--can cause, in my experience, reduced ability to deal with sun, cold, exercise. Electrolyte imbalance throws off all kinds of things, including blood pressure--makes it harder to cool down--just adding one more idea to all Continue reading >>

Diabetes In Hot Weather — 12 Things To Know
To date, 2016 has been the hottest year ever, and it’s getting hotter. From now on, coping with heat will be an important part of managing diabetes. Some knowledge that might help you: 1. High body temperatures can lower blood sugar. Mayo Clinic writers Nancy Klobassa Davidson, RN, and Peggy Moreland, RN, CDE, say you should check your sugars more often in the hot weather. 2. Sunburn can raise blood sugar. The Mayo Clinic advises wearing a good sunscreen, sunglasses, and a hat while out in the sun. 3. Warm skin absorbs insulin faster, while dehydrated skin absorbs insulin more slowly. The closer you can keep your injection site to normal temperature and hydration, the better. 4. Dehydration from sweating can raise blood sugar and can lead to heat exhaustion. According to the Cleveland Clinic, people with diabetes are more likely than others to be admitted to hospitals for dehydration and heat exhaustion, and to die from it. High glucose levels lead to urinating more, which increases risk for dehydration. This may be especially true if you’re on an SGLT-2 inhibitor drug. Keep drinking water with a bit of salt if you are blessed to live in an area where water is available. Have a bottle with you and don’t wait until you’re thirsty to drink. Learn to check yourself for dehydration by pinching up some skin on your arm and letting it go. It should snap right back into place. If it goes more slowly, you are getting dehydrated. Don’t drink alcohol or caffeine in super-hot weather, as they are dehydrating. 5. Heat can damage insulin, other medications, and test strips. The Joslin Clinic advises people to keep their insulin cool, but not on ice. If you take medicines with you while you’re away from home, get a cooler bag to keep your medicines and test strips in. Ext Continue reading >>

The Claim: Diabetes Makes You Sensitive To Heat
Health |The Claim: Diabetes Makes You Sensitive to Heat Summer can be uncomfortable for anyone. But for people with diabetes, the heat and humidity can be particularly hazardous. One of the complications of diabetes, both Type 1 and Type 2, is an impaired ability to adjust to rises in temperature, which can cause dangerous increases in body temperature during the summer. The underlying problem, nerve damage , occurs in 60 to 70 percent of Americans with diabetes; it can affect nearly every organ in the body, including sweat glands. When nerve damage keeps the sweat glands from working properly, the body fails to cool down as the mercury rises. In one small study, scientists compared diabetic patients and a group of healthy control subjects as they were exposed to increasing temperatures. The subjects were hooked up to devices that measured skin temperature, core temperature and sweat rates. As temperatures rose, the control subjects perspiration rates increased proportionately; their core temperatures stayed constant. For subjects with diabetes, sweat seemed to plateau irrespective of an alarming rise in core temperature , the scientists wrote. The diabetic subjects generalized inability to sweat across the body had a profound effect on core temperature. Research by the Mayo Clinic in Arizona shows that diabetic patients have higher rates of adverse events like hospitalizations, dehydration and death in the heat. Yet a survey by the clinic found that many were unaware of the greater risk and the need for special precautions. People with diabetes are particularly vulnerable to hot weather. A version of this article appears in print on June 29, 2010, on Page D5 of the New York edition with the headline: THE CLAIM: Diabetes makes you sensitive to heat. Order Reprints | To Continue reading >>

The Claim: Diabetes Makes You Sensitive To Heat
THE FACTS Summer can be uncomfortable for anyone. But for people with diabetes, the heat and humidity can be particularly hazardous. One of the complications of diabetes, both Type 1 and Type 2, is an impaired ability to adjust to rises in temperature, which can cause dangerous increases in body temperature during the summer. The underlying problem, nerve damage, occurs in 60 to 70 percent of Americans with diabetes; it can affect nearly every organ in the body, including sweat glands. When nerve damage keeps the sweat glands from working properly, the body fails to cool down as the mercury rises. In one small study, scientists compared diabetic patients and a group of healthy control subjects as they were exposed to increasing temperatures. The subjects were hooked up to devices that measured skin temperature, core temperature and sweat rates. As temperatures rose, the control subjects’ perspiration rates increased proportionately; their core temperatures stayed constant. “For subjects with diabetes, sweat seemed to plateau irrespective of an alarming rise in core temperature,” the scientists wrote. “The diabetic subjects’ generalized inability to sweat across the body had a profound effect on core temperature.” Research by the Mayo Clinic in Arizona shows that diabetic patients have higher rates of adverse events — like hospitalizations, dehydration and death — in the heat. Yet a survey by the clinic found that many were unaware of the greater risk and the need for special precautions. THE BOTTOM LINE People with diabetes are particularly vulnerable to hot weather. ANAHAD O’CONNOR [email protected] Continue reading >>