Understanding the Health Risks of Diabetic Macular Edema

Understanding the Health Risks of Diabetic Macular Edema

Precio Daramola |Mar 22, 2021

Diabetic Macular Edema Explained

Diabetic macular edema (DME) is a complication of diabetes that occurs when excess fluid starts to build up in the eye's macula. The macula is the part of the eye that allows us to focus and see fine details, and it is located in the retina, which is full of blood vessels. High blood sugar levels can damage the retina's blood vessels. The damaged blood vessels then begin to leak fluid, thereby causing swelling and other complications. This damage is called retinopathy and generally develops over time.

What Causes Diabetic Macular Edema?

As earlier stated, DME usually occurs due to high blood sugar levels. Other factors such as high blood pressure and high cholesterol levels can also contribute to blood vessel damage. In other instances of diabetes, pregnancy may also increase the risk of developing DME.

Risk Factors

Since DME results from high blood sugar levels, it is common for people with diabetes, especially uncontrolled diabetes, to be at risk for DME. Additional risk factors that can lead to DME include:

Associated Symptoms of Diabetic Macular Edema

In its early stages, there may be no symptoms. However, if you have diabetes, it is important to see an eye care doctor every year so they can examine your eyes for any changes. If you also notice any sign of retinopathy or DME, early treatment can prevent or restore vision loss. Let’s take a look at some of the common signs and symptoms of diabetic macular edema:

  • Blurry or blocked central vision
  • Distorted or "wavy" central vision (called metamorphopsia)
  • Seeing floaters or strings of floaters in your vision
  • Blind or dark areas or spots in your field of vision
  • Difficulty reading at any distance
  • Colors appear more washed out than usual

When to Call the Doctor

Call your eye doctor right away if you notice any of the above symptoms. Be sure to tell your eye doctor if you have any of the following symptoms:

  • Blurry vision
  • Seeing colors that look washed out
  • Seeing more floaters in your vision
  • Double vision

Diagnosis and Different Treatment Options

Diabetic macular edema can be diagnosed through a comprehensive eye examination. There are effective treatments available for DME. Be sure to talk to your doctor to find the right option that will work for you. If you have received a DME diagnosis, ensure that you start treatment quickly to help prevent long-term eye damage and vision loss. Your doctor can recommend any of the following treatments:

Laser Therapy

Laser therapy involves the use of tiny lasers to target damaged areas in the retina. This process seals leaking blood vessels and prevents abnormal blood vessel growth. Laser therapy is effective in maintaining your current vision level and helps prevent further loss of vision. You’ll likely need several laser treatments overtime to repair eye damage and may require additional treatments if more eye damage occurs.

Anti-VEGF Shots

When you have DME, your body tends to produce a protein called VEGF in excess. When this happens, your blood vessels begin to grow too quickly; so, they are weak and leak blood and fluid into your retina and macula.

There are three types of anti-VEGF medicines usually used for DME; they include aflibercept (Eylea), bevacizumab (Avastin), and ranibizumab (Lucentis). These Anti-VEGF shots help to inhibit the effects of the VEGF protein. However, anti-VEGF shots may not be helpful for everyone and should not be used during pregnancy.

Focal-Grid Macular Laser Surgery

This treatment type works by sealing blood vessels in your retina to slow leaking and bring down swelling. If you have DME in both eyes, your doctor will treat one eye at a time, usually within a few weeks. In some cases, a laser may be used along with anti-VEGF shots if the shots alone are not helping.

Corticosteroids

These drugs are often called steroids and are used to target inflammation. They are usually prescribed to help lessen swelling in your retina. Steroids are usually not as effective as anti-VEGF shots, and they can cause other eye problems, like cataracts and glaucoma. They are not traditionally given as first treatment.

NSAID Eye Drops

Doctors sometimes use eye drops as a preventive measure for DME before or after you have eye surgery. These drugs are called non-steroidal anti-inflammatory drugs (NSAIDs) because they help fight inflammation like steroids but do not have the same side effects. Doctors usually prescribe NSAIDs to prevent or ease swelling.

Can Diabetic Macular Edema Be Prevented?

You may not be able to prevent macular edema if you have diabetes, a pre-existing eye condition, or have suffered an eye injury in the past. However, you can follow the nutrition and lifestyle recommendations from your health care provider to avoid developing diabetes in the first place. You will likely be advised to do the following:

  • Keep your blood sugar level under control. Check your blood sugar level several times a day (ask your doctor exactly how often). The American Diabetes Association recommends people with diabetes keep their A1C levels under 7%.
  • Stop smoking or do not start. Ask your doctor for help quitting. Smoking increases your risk of diabetic retinopathy, age-related macular degeneration, and blocked retinal blood vessels. All those toxins damage the eyes’ tiny vessels.
  • Exercise often. Try not to go more than two days between exercising. If you do, the glucose-metabolizing effects of physical exercise will wear off.
  • Eat healthy. Follow your doctor's nutritional guidelines but, in general, avoid junk food and fast food, and try to eat more fresh fruits and vegetables, especially dark, leafy greens such as spinach, kale, and collard greens.

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What You Need to Know About Hyperkalemia

Staff Writer | March 22, 2021

What is Hyperkalemia? Hyperkalemia is the medical term for when you experience high potassium levels in your blood. In terms of numbers, a healthy individual will have between 3.6mmol/L and 5.2mmol/L in their body. Anything higher than that is officially classified as hyperkalemia. Between 5.3mmol/L and 6.0mmol/L is mild hyperkalemia. Between 6.1mmol/L and 7.0 mmol/L is moderate hyperkalemia. Above 7mmol/L is severe hyperkalemia. Why is Too Much Potassium Harmful? Potassium is healthy for you in the right doses. Your body needs it to function properly. It is an incredibly important substance that plays a vital role in your nerves and muscle cells. This means that you need it for your heart to work. Like with anything else, too much of a good thing is not good. The more common form of hyperkalemia only rears mild to moderate symptoms. The most extreme severities of this condition can result in death. Symptoms of Hyperkalemia Generally, until your hyperkalemia is severe, you may not even experience or recognize any of the symptoms. As your levels soar to dangerous heights, you may experience one or more of the following symptoms: Muscle weakness or pain. Your muscles may feel tender or even painful. It may feel as though you just finished an intense workout. Fatigue. Despite getting adequate sleep, you may feel sluggish and tired the entire day or you may be too weak to function. Nausea. An upset stomach may or may not be accompanied by some vomiting. This is a common sign of hyperkalemia. Breathing problems. You may find it difficult to take deep breaths or find yourself forced to gasp for air. Irregular heartbeat. Your heart may beat funnily or feel weird in your chest. This is always a symptom to bring up to your doctor immediately. Chest pains. Chest pains ranging from mild to severe are a common result of hyperkalemia. In the most extreme cases, hyperkalemia left untreated can cause cardiac arrest and death. What Causes Hyperkalemia? There are several known causes of hyperkalemia, which range from medical disorders to lifestyle habits. Hyperkalemia is known to have many causes. These include: Kidney Disease The main function of a kidney is that it filters everything in your body. When there is something wrong with your kidneys, it can mess up all sorts of vitamin levels in your body. Potassium is just one of them. Heart Disease Heart disease results in a variety of factors that make it more likely to have problems with your potassium levels. Hormone Imbalances Having abnormally low amounts of aldosterone can result in potassium problems. This can happen due to a variety of conditions, including hypoaldosteronism and congenital adrenal hyperplasia. Diabetes A lack of insulin may be the culprit behind enhanced potassium levels. This is something that would be more likely to occur if diabetes is undermanaged (or undiagnosed). [youmaylike] Medications Side effects of certain medications could cause potassium levels to rise. You may be surprised to see that some common medications will do this. Non-steroidal, anti-inflammatory drugs, such as ibuprofen and naproxen, will do it. Some of the other medications that can do this are heparin, mannitol, beta-blockers, angiotensin inhibitors, calcium blockers, and cyclosporine. Diet Medications are not the only way to introduce potassium to the body. There are lots of foods that can lead to heightened potassium levels. Many of these foods are healthy, but to a person at risk for hyperkalemia, they can be dangerous if not eaten in responsible quantities. There is also the chance that you are a victim of pseudo hyperkalemia. As the name suggests, you do not have any potassium problems. Sometimes due to faulty equipment, you will get a wrong reading. Hyperkalemia Treatment To determine how to treat hyperkalemia, it is important that you first identify the cause of it in yourself. Getting advice from a licensed medical physician is the best way to determine your treatments. Diet Change Changing your diet can do wonders for your health. If you battle hyperkalemia, consider limiting your intake of foods rich in potassium like cucumbers, pumpkins, potatoes, bananas, grapefruit, oranges, eggplants and peas. Intravenous Calcium or Insulin and Glucose Medical injections are an efficient and fast technique to lower calcium levels. When diet alone is not enough, these can drop your potassium levels to a safer place in a pinch. Albuterol Doctors may also administer albuterol alone or in addition to other treatments. Unfortunately, this does not work for everyone. Changing Medications If a certain medication is causing dangerous, unwanted side effects, you may want to talk to your doctor about switching.

The Top 10 Vitamins and Supplements for Women During Menopause

Danielle Kemp | March 22, 2021

Helping With This Natural Phase for Older Women Menopause is a natural phase in a woman’s life and marks the end of her reproductive years. While it brings significant hormonal changes, it doesn’t have to be a time of discomfort or distress. By incorporating specific vitamins and supplements into their daily routine, women can manage the uncomfortable symptoms that come with menopause. Read on as we discuss the 10 best vitamins and supplements that can support women during this transitional phase. 1. Calcium and Vitamin D During menopause, there is a natural decrease in estrogen levels. This can lead to bone loss and increase the risk of osteoporosis. Calcium and vitamin D are crucial for maintaining good bone health. Calcium supports the formation and maintenance of strong bones, while vitamin D aids in calcium absorption. Dietary sources of calcium include dairy products, leafy greens and fortified foods. Vitamin D can be obtained through sunlight exposure and fortified foods, but supplements may be necessary to meet the recommended daily intake. 2. Omega-3 Fatty Acids Omega-3 fatty acids are essential for overall health, especially during menopause. They have been shown to reduce inflammation, support heart health and improve mood. Additionally, they can alleviate menopausal symptoms such as hot flashes and joint pain. Fish, particularly fatty fish like salmon and sardines, is an excellent source of omega-3s. Fish oil supplements are available that can help ensure optimal intake of these fatty acids. 3. B Vitamins B vitamins, including B6, B9 (folate) and B12, are crucial in maintaining energy levels and supporting emotional well-being. They can help combat fatigue, mood swings and memory lapses commonly experienced during menopause. Foods rich in B vitamins include whole grains, legumes, leafy greens, eggs and fortified cereals. Taking a B-complex supplement is also a good way of ensuring adequate intake. 4. Magnesium Magnesium is an essential mineral that supports many biochemical reactions in the body. During menopause, magnesium can alleviate mood swings, reduce anxiety and improve sleep quality. It has also been shown to aid in maintaining bone density and muscle function. Dietary sources of magnesium include nuts, seeds, legumes, whole grains and leafy greens. Women who are concerned about a lack of magnesium in their diet can also take supplements to ensure optimal intake. 5. Black Cohosh This herbal supplement has been traditionally used to manage menopausal symptoms, including hot flashes, night sweats and sleep disturbances. It is believed to mimic the effects of estrogen in the body. While research results are mixed, many women find relief while taking black cohosh. It is important to consult with a healthcare professional before starting any herbal supplement, as it may interact with certain medications or have side effects. [youmaylike] 6. Soy Isoflavones These plant compounds have a similar structure to estrogen. They are known as phytoestrogens and can help alleviate menopausal symptoms. Products such as tofu, soy milk and tempeh are rich sources of isoflavones, but there are also supplements available. 7. Vitamin E Vitamin E is a powerful antioxidant that can help alleviate menopausal symptoms, particularly hot flashes and vaginal dryness. It works by reducing oxidative stress in the body. Good dietary sources of vitamin E include nuts, seeds, spinach and broccoli. There are also supplements available if you are concerned about achieving adequate intake. 8. Probiotics Menopause can sometimes disrupt the balance of gut flora, leading to digestive issues and a weakened immune system. Probiotics are beneficial bacteria that support digestive health and immune function. They help to alleviate bloating, gas and constipation and are available in fermented foods like yogurt, sauerkraut and kimchi. 9. Evening Primrose Oil Evening primrose oil is derived from the seeds of the evening primrose plant. These seeds are rich in gamma-linoleic acid (GLA), which is an omega-6 fatty acid, and have been found to reduce hot flashes, improve skin elasticity and relieve breast pain associated with menopause. Evening primrose oil is available in capsule form and should be used under the guidance of a healthcare professional. 10. Ginseng Ginseng, particularly the Panax ginseng variety, has been used in traditional medicine to alleviate menopausal symptoms. It may help reduce fatigue, improve cognitive function and enhance overall well-being. It is available as a supplement and should be used with caution as it can interact with certain medications and cause side effects in some individuals. Final Notes It's important to note that while vitamins and supplements can be beneficial during menopause, they should not replace a balanced diet and a healthy lifestyle. It's always advisable to consult with a healthcare professional before starting any new supplements, especially if you have any underlying health conditions or are taking medications. Incorporating essential vitamins and supplements into their daily routines can provide much-needed support for women during menopause. By understanding their unique needs and consulting with healthcare professionals, women can navigate this transformative stage with greater comfort and vitality.

Is An Epsom Salt Bath Good for UTIs?

Pamela Bandelaria | March 22, 2021

A Soak Could Help You Find Some Relief Urinary tract infections are one of the most common outpatient consultations in the United States. They are one of the most common causes of fever in the young and elderly and can cause urinary incontinence in women. Yearly, around 250,000 cases of kidney infections or pyelonephritis occur among women in the United States. Costs for the diagnosis and management of urinary tract infections in the United States can reach up to a total of $2-3 billion dollars a year. It might seem like a simple infection, but it can be really costly when you think of it from that scale. It is an essential infection to treat because it can lead to serious complications such as sepsis and renal damage if left untreated. That is why a lot of other remedies are being tested to see if they can alleviate symptoms of urinary tract infections. This article will discuss how Epsom salt baths are good for UTIs, what benefits Epsom salt baths have, and how to prepare an Epsom salt bath. What are Urinary Tract Infections? What are the Symptoms? Urinary tract infections are infections of the parts that serve as the passageway of the urine out of our bodies; this includes the kidney, bladder, ureters, and urethra. Urine is a sterile substance that passes out of our bodies; therefore, the introduction of bacteria can lead to a bladder infection, inflammation, and pus formation that can lead to various symptoms. Symptoms of a urinary tract infection include pain and burning sensation while urinating, cloudy or foul-smelling urine, blood in the urine, and abdominal pain. What are Epsom Salts? What Do They Do? Epsom salt or magnesium sulfate is a white, crystalline water-soluble chemical compound that has been used for centuries to treat various illnesses. Epsom salts are commonly used to relieve sore muscles, stiff joints, itching, skin irritation, and sunburn and are used as relief for headaches or foot pain. Its uses in the human body are varied, and it has been found to provide relief for various ailments, which include urinary tract infections. How is an Epsom Salt Bath Good for UTIs? What Benefits do Epsom Salt Baths Have? Epsom salts provide several benefits for treating urinary tract infections. The primary benefit of using Epsom salt baths for bladder infections or urinary tract infections is to relieve pain. Epsom salt baths can help relieve pain and discomfort associated with UTIs. UTIs present with a burning sensation, pain while urinating, and cloudy urine. The warm, calming nature of Epsom salt baths has been shown to help relieve this. [youmaylike] If you soak in an Epsom salt bath, it can be helpful to reduce inflammation as well. Because they are rich in magnesium, they can help cleanse the urinary tract and aid in the healing process. The increased concentration of magnesium sulfate is believed to help change the environment in the urinary tract, which can lead to conditions unfavorable for bacteria to grow. It can help prevent bacteria from growing or multiplying when you soak in an Epsom salt bath and has a disinfectant property. Epsom salt baths can also improve the circulation of blood in the body. It can cause dilation of the blood vessels leading to improved blood flow, which also promotes the passage of cells that help in the body’s immunity. Epsom salt baths provide an overall relaxing and calming experience that can leave you feeling detoxified as well. Are Epsom Salt Baths the Answer to UTIs? Although Epsom salt baths may relieve urinary tract infection symptoms, there is not enough evidence to recommend using Epsom salts over established treatments like antibiotics. Epsom salt baths are currently home remedies that can be adjuncts to treatment but cannot be used to replace the treatment of urinary tract infections with antibiotic medications. In order to treat the infection, you should still take an antibiotic regimen prescribed by your physician. Are Epsom Salt Baths Risk-Free? Do Epsom Salt Baths Have Any Side Effects? Generally, Epsom salt baths are safe and don’t have a lot of serious complications. However, you still need to make sure that Epsom salt baths are safe for you. The most common side effects of Epsom salt baths include allergic reactions. So if you have an allergy to Epsom salt, it is better that you avoid this. It can also aggravate pain or discomfort if you have an open wound or breaks or scratches in the skin. If you have these, stay away from Epsom salt baths to avoid further complications. How Do You Prepare an Epsom Salt Bath? The general way to prepare an Epsom salt bath is to dissolve Epsom salt in warm water. Epsom salt is easy to find and can easily be bought in health and grocery stores. Recommendations include dissolving 1 to 2 cups of Epsom salt in a gallon of warm water to create a water-soak bath. It is important not to put too much to avoid irritation and drying of the skin. Let the Epsom salt dissolve in the water, which can take about a few minutes. If you have a bathtub, you can prepare it to submerge and soak in it. However, this can be done as you shower as well. When you have a bladder infection or a urinary tract infection, you can do a water soak for 15-20 minutes to help relieve symptoms. Rinse after every water soak. This can be done daily or on an average of 2-3 times per week. Doing this soak gives ample time in providing relief until the antibiotics start doing their work and control further growth and multiplication of bacteria, completely eliminating symptoms such as pain. If you think you have a urinary tract infection, consult your physician for an evaluation. Further, you should seek medical attention if you are experiencing any serious side effects from using Epsom salt baths. There are no studies that show that using an Epsom salt bath for UTIs will prevent or cure a urinary tract infection, so it is still important to go to the doctor for proper management. Talk to your doctor if you are experiencing symptoms of a urinary tract infection.