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5 Pre-Diabetes Symptoms You Must Know

The Kashmir Monitor





Prediabetes is when your blood glucose level is higher than it should be but is not high enough to be considered as diabetes. Prediabetes is the pre-diagnosis of diabetes. Diabetes occurs gradually when there is an elevation of blood sugar and insulin levels in your body. Problems arise whenever the glucose level is high for a longer period of time and this happens because pancreas are unable to make enough insulin. If you do not make certain significant changes in your lifestyle, prediabetes can precede into type 2 diabetes. To ward off the disease you need to alter your diet, the kind of physical activities you are doing and how you maintain your weight. Even though the exact reason of prediabetes is unrecognized, genes, family history, poor food diet and stressful lifestyle, are believed to be some of the risk factors.
Apart from symptoms like gout: a form of arthritis that forms when uric acid builds up in your body. Other symptoms include thicker skin, blurry vision and weight loss despite eating a lot.
Here’s a list of 5 prediabetes symptoms you must know:
1. Extreme Fatigue
It is fine when you feel tired after a long day at work, but it is certainly not fine when you are feeling tired and exhausted all the time, even while working. If you are struggling to get through the day, feeling draggy and drowsy then you need to worry. One of the reasons why it is happening is because of sugar, which is lingering in your bloodstream and not going into your cells where it needs to go and channelize the energy properly.
2. Excess hair loss
Along with factors like stress, medication, and genetics, hair loss is also related to a number of problems, insulin resistance being one of them. Insulin resistance is an indication of prediabetes and types 2 diabetes. If you are losing hair unnaturally, then you need to get your blood sugar level checked. Elevation of blood sugar level is due to the insulin resistance which means that the sugar is not able to move properly into the cells.
3. Patches on your skin
According to studies, patches of reddish, brownish, or yellowish skin known as necrobiosis lipidic, are spotted if you are prediabetic. Many dermatologists say that your skin may have a shiny, scaly itchy appearance, and visibility of blood vessels. Check out for dark, velvety patches on the skin as well — this indicates that you have too much insulin in your blood.
4. You drink more water
It is true that you need more fluid when blood glucose is high but drinking excessive water can be harmful. One of the important symptoms of prediabetes is that you are not only drinking water to quench your thirst, but also when you are full. Drinking water is a healthy solution to reduce the impact of high blood sugar but drinking too much of it might not be the best thing to do.
5. Frequent Urination
Continuing for point 4, since you drink more water, you tend to go to the washroom more for urinating. You tend to overlook this factor because you think this is happening due to over drinking of water. But you need to keep an eye on the number of times you are going to the loo because a lot of the times your body loses more water than what you drink. It is extremely important to keep a check on the color, odor, and your urinatory cycle. If you think it unnatural, then you need to see a doctor immediately.
Excessive drinking of water lead you to urinate more

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Hepatitis A Causes and Symptoms

The Kashmir Monitor



Generally speaking, hepatitis A is more common in parts of the planet that are developing. It’s for the fact that sanitation and food handling practices are by and large poor. However, medical experts say that living in developed countries can also put you at risk of having hepatitis A, but it’s really a rare occurrence.

Just like what’s mentioned earlier, hepatitis A is caused by the hepatitis A virus or HAV. It can be spread around by someone who has hepatitis A because he or she is a carrier of the virus behind it. It is said that a person with hepatitis A is most infectious about 2 weeks before he or she begins to experience signs and symptoms.

Here are some of the ways that hepatitis A is spread around:


Consumption of food that is prepared by a person who has hepatitis A. This is most especially true if he or she has not properly washed his or her hands.

Drinking of water that is contaminated with the hepatitis A virus.

Intake of raw or undercooked seafood obtained from contaminated water.

Close contact with someone who has hepatitis A. This includes having sexual intercourse with an infected person, especially when the rectal or anal area has been touched with the fingers, mouth or tongue.

Using illegal drugs, especially when paraphernalia contaminated with the hepatitis A virus are used.


Medical experts say that it may take a while before the various signs and symptoms associated with hepatitis A show up. They say that someone may experience them about 4 weeks after getting infected. It’s even possible for someone with hepatitis A to not experience any sign and symptom at all.

Some of the initial signs and symptoms of hepatitis A include:

Tiredness and malaise
Achy muscles and joints
Pain in the upper right section of the abdomen
Loss of appetite
Mild fever
Sore throat
Diarrhea or constipation
Hives or raised rash that’s itchy

These initial signs and symptoms associated with hepatitis A can last anywhere from a few days only to a couple of weeks. Afterwards, as the infection of the liver progresses, the following may be experienced by the individual:

Jaundice, which is the yellowing of the skin as well as the whites of the eyes (sclera)

Pale colored stools
Dark colored urine
Skin itching

Tenderness and swelling of the upper right section of the abdomen

Although it rarely happens, hepatitis A can cause liver failure. When such develops, the person who is infected may experience severe vomiting, frequent bruising, bleeding of the nose and gums, drowsiness and confusion.

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Busting myths around blood donation

The Kashmir Monitor



As per the World Health Organisation (WHO) norms, ideally, one per cent of the total population should regularly donate blood to meet the requirements, which is anywhere between 1% and 3% of country’s population that would require blood in a year.

Contrary to the myth about blood donations making a person weak or anaemic, the body replenishes the lost blood in a matter of a few days, say experts.

“A healthy bone marrow makes a constant supply of red cells, plasma and platelets, so there is no question of becoming weak, much less anaemic. It is a myth and should not deter people from donating blood,” says Dr RK Singal, chairman, internal medicine department, BLK super-speciality Hospital.


The donors can give either whole blood or specific blood components, as there is sophisticated equipment available these days that extract relevant components from blood and the rest of the blood can be transfused back to the donor.

As per the World Health Organisation (WHO) norms, ideally, one per cent of the total population should regularly donate blood to meet the requirements, which is anywhere between 1% and 3% of country’s population that would require blood in a year.

About 65% of India’s population is young and if this section donates blood regularly, chances of the country facing blood shortage will be remote. Hence, there is all the more reason for people, especially youngsters, to come forward and be regular blood donors.

How to prepare

Have enough fruit juice and water in the night and morning before you donate

Have a full meal 3 hours before donation; never on an empty stomach

Have some rest for about 10-15 minutes after donation

Have some snacks or a juice with high sugar content after donation

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Erectile dysfunction’s connection with lifestyle

The Kashmir Monitor



By Dr Anjani Kumar Agrawal

healthy-lifestyle-can-reverse-effects-of-hypertensionAll over the world, but perhaps more so in India, men are embarrassed to admit that they may have a problem getting or keeping an erection — a condition known as erectile dysfunction (ED).

All over the world, but perhaps more so in India, men are embarrassed to admit that they may have a problem getting or keeping an erection — a condition known as erectile dysfunction (ED). From my research, I have found a strong link between ED and stress. Other major causes include smoking, drinking, diabetes, hypertension or high blood pressure and cholesterol levels. My advice to these patients is — do not get even more stressed over this situation. Instead, focus on taking the right medication and making some changes to your lifestyle, so you can once again enjoy a satisfactory sexual life.



We normally diagnose ED and its underlying causes by asking the patient a few questions about his medical and sexual history. This is sometimes done by sharing a questionnaire with the patient. The questions that we ask are designed to help us understand the cause of ED in the particular patient.

We also do a physical exam, ask for certain blood tests to rule out other medical conditions responsible for erectile dysfunction, and recommend imaging tests (if required) to determine whether the person is physically able to have an erection or not.


Underlying medical conditions such as diabetes, hypertension and hypercholesterolaemia (high cholesterol levels) can cause ED. In these cases, ED can be reversed once the patient starts treatment.

In my experience, many men suffer from ED because of work stress, family pressure and anxiety. So, changes in lifestyle with regular exercise, yoga, abstaining from alcohol and smoking, and proper counselling help in treating ED. Along with this, medicines for ED are usually prescribed for about 3 to 6 months by which time lifestyle changes start to take effect and the patient is physically and mentally healthier, which helps resolve the problem.

An estimated 16% to 25% of men experience ED at some point in their lives. I would urge them not to be embarrassed about it. Seek medical help from a urologist or andrologist; get the necessary advice/medication; and go on to enjoy a healthy, fulfilling sexual life.

The author of this article is Dr Anjani Kumar Agrawal, head, andrology, department of urology sciences, Max Smart Super Speciality Hospital, Saket

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