number of dengue Delhi has seen a spike in reported cases in the first 12 days of October with 635 new infections. According to a report by the civic body, the annual tally now stands at 1,572. It said that out of the total cases, 693 cases were reported in September alone. With the increase in cases of this viral disease spread to people by the bite of an infected Aedes species mosquito, it is important to follow some safety precautions, especially if you are a diabetes,
this is because diabetics According to Dr. Santosh Pandey, Acupuncture and Naturopathy Specialist, Founder and CEO, Dr. Santosh Healthcare Centre, Mumbai, “In the case of dengue in a diabetic patient, the inflammation markers are increased as they already have immunosuppressive markers.”
Vaishali Pathak, Diabetologist and General Physician, Cardiomet Clinic, Pune says that diabetics are not at high risk of getting dengue, because Mosquito Do not discriminate between diabetics and non-diabetics, “they should be more careful to avoid dengue fever as diabetes increases the risk of complications”.
Explaining the reason why diabetes can increase the severity of dengue in patients, Dr Pathak explained, “Diabetes increases the severity of thrombocytopenia, i.e. low platelet count, in dengue infected patients. Hyperglycemia (high blood sugar) contributes to greater platelet reactivity through a direct effect and by promoting glycation of platelets protein,
He added that diabetes mellitus results in weakened immunity and fragile blood vessels, leading to a higher risk of bleeding. “sometimes, steroids Use in dengue can lead to an increase in blood sugar levels, which can lead to more complications,” she said.
The World Health Organization (WHO) has also noted that diabetics are at higher risk of developing dengue complications such as dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS) and severe dengue (SD). “Other groups at high risk include pregnant womenMenstruating women, and patients with hematological diseases,” said Dr Hina Mehra, Senior Consultant, Internal Medicine, Apollo Hospitals, Bannerghatta, Bangalore.
Additionally, experts highlighted that dengue affects anyone blood sugar level, This is because “by default the sugar level of the patients is already high” inflammationLeading to an increase in blood sugar levels,” Dr Pandey said.
Agreeing, Dr Pathak said that dengue fever is characterized by increased metabolic rate, which can lead to fluctuating blood sugar levels. “If not monitored properly, such patients are at high risk of developing serious complications. Also, in some cases, steroid use given an increased platelet count can lead to very high sugar levels that can lead to diabetes. Ketoacidosis can cause complications such as, fungal infection and chest infection,” she said.
Not only in diabetics, dengue increases blood glucose levels in non-diabetics and pre-diabetics as well, Dr Mehra said. “Special care should be taken to monitor and control blood glucose during dengue infection.”
What should diabetics do if they have dengue?
Experts said it is important to check blood sugar levels at regular intervals. Pathak suggested, “If high is found, consult a doctor.”
Further, emphasizing on the need for proper hydration, he pointed out that in dengue, the capillary permeability increases, leading to low blood pressure, “So proper hydration is essential. At least 3 liters of fluid should be consumed daily.”
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