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Why Dental Visits Are A Must For People Suffering From Diabetes






According to research, it is important for people suffering from diabetes to take care of their oral health. Visiting the dentist regularly is important for diabetics, especially because they are at higher risk of periodontal diseases – which are referred to as gum infections which can cause damage to the jawbone. The research was conducted by New York University and East Carolina University. It states that there is a two-way relationship between diabetes and oral health. The study also showed that there is an overall decline in visiting the dentists among people with and without diabetes. Also, people suffering from diabetes are the least likely to get any oral healthcare.
Periodontal disease is known to have a negative impact on blood glucose control – which can further trigger a condition like diabetes. Periodontal disease has been termed as the 6th complication that arises after a person is diagnosed with diabetes. This is after other health complications like heart diseases, kidney diseases and possible damage to the retina.
The study’s senior author Bei Wu was quoted by ANI saying that people with diabetes should visit the dentist regularly along with being proactive about their dental health. Visiting the dentist regularly will give people suffering from diabetes more opportunities for early detection of periodontal disease, its prevention and treatment. This can further help in controlling blood glucose and preventing complications that arise after a person is diagnosed with diabetes.
The study took into consideration dental visits – of people with diabetes, prediabetes and without diabetes – from 2004 to 2014. The researchers scrutinised the ethnic and as well as racial disparities in these dental visits.
The data was taken from Behavioral Risk Factor Surveillance System which is a telephone survey conducted on adult in the US annually. As part of the survey, the respondents were questioned about their dental visits in the past 12 months. They were also asked if they were ever diagnosed with diabetes or prediabetes.
People with diabetes were found to be least likely to visit the dentist. Following them were people with prediabetes. In the 10 year period from 2004 to 2014, annual dental visits declined from 66.1% to 61.4% among people suffering from diabetes. The annual dental visits among people suffering from prediabetes came down to 64.9% from 66%. Amongst people without diabetes, the annual dental visits came down to 66.5% from 71.9%.
This decline in numbers in dental visits should be a matter of concern. Dental care is an essential requirement for people with or without diabetes. According to dentist Saryu Khanna, a healthy mouth is the gateway to a healthy body. “A healthy mouth leads to a healthy body, which enables us to display our most priced feature – our smile – with confidence. Poor oral hygiene plays a significant role in certain systemic problems and makes an individual more prone to cardiovascular diseases like diabetes, alzeimers and low birth weight babies,” she says.
Agrees Dr Sujeet Jha, who says that there is a direct link between diabetes and oral health care. “There has been direct association that oral health can worsen diabetes and diabetes can worsen oral health. Studies have shown that if you improve your diabetes, your oral health will improve as well. A typical diabetic should make sure s/he makes a dental visit every year. There are studies which show that if your oral health improves, your diabetes will automatically show an improvement. So, the two are directly related to each other and we shouldn’t ignore either of the two.”
(Dr Saryu Khanna is B.D.S, Single Visit Root Canal Specialist and Certified Implantologist based in Delhi)
(Dr Sujeet Jha is Director, Institute of Endocrinology, Diabetes & Metabolism, Max Healthcare) Courtesy NDTV



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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