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Doctorcall

Diabetes Week (10 - 16 June) is the annual highlight in the Diabetes UK calendar, designed to raise awareness and understanding of the condition.

 
Over the past 20 years, the number of people in the UK living with diabetes has risen from 1.4 million, to 3.8 million. If we take into account the likely number of those who are undiagnosed, the figure is well over 4 million, with increased prevalence only set to continue. From a global perspective, it is estimated that around 1 in 11 people now have the condition. 
 
There are several factors driving this, from changing lifestyles, more accurate diagnosis, and the simple fact that we are living longer all contributing to these numbers. Yet even though diabetes is more common than ever before, there are many misconceptions associated with the condition, with a key objective of national Diabetes Week is to dispel such myths.
What is diabetes?
 
Type 1 - Type 1 diabetes, or childhood-onset, is characterised by insufficient insulin production and thus requires the daily administration of insulin. Of those in the UK who have diabetes, around 8% have this type, the root cause of which, is still not known to this day.  
 
Type 2 - Type 2, or adult onset, constitutes the majority of those living with the condition and is a result of the body’s ineffective use of insulin. Whereas type I’s root causes are unknown, type 2 is largely the result of behavioural issues, such as body weight and physical inactivity. The symptoms between the two types are similar, however, Type 2’s impact tends to be less marked, often meaning diagnosis is a lot later, enabling complications to develop before diagnosis. 

What are the symptoms?

Type 1 is often identified at a young age because it is sufficiently symptomatic, with increased thirst (polydipsia), urination (polyuria) and general weakness and discomfort (malaise) all tell tale signs of the condition. Type 2, however, is not usually picked up until it is tested for. Nevertheless, the symptoms outlined in type 1 are replicated here, with other issues such as sudden weight loss, or wounds taking longer to heal, also indicating the occurrence of diabetes. 
How can it be managed?
 
Type 1 - A diabetes management plan will help people to manage their diabetes, enabling them to stay healthy and active. Such a plan will include the regular use of prescribed insulin, a balanced diet, with accurate carbohydrate counts, exercise and constant monitoring of their blood sugar levels.
 
Type 2 - With the right level of treatment and care, the effects of type ii diabetes can be managed, and even reversed. There are different ways of treating the condition, but the most common pathway will include healthier eating, exercise and weight loss. Most people will also need medication to bring their blood glucose down to a safer level. 
How can we reduce the risk of diabetes?
 
If left untreated, diabetes boasts a whole host of nasty repercussions, from blindness to kidney failure. Yet while genetics, age and past behaviors all play their part, there are many actions we can all take to significantly reduce the risks associated with the condition:
  1. Avoid purified sugar and refined carbohydrates 
  2. Exercise on a regular basis
  3. Make water your go-to beverage of choice 
  4. Cut out cigarettes
  5. Make a significant effort to lose weight
  6. And finally, be sure to get tested annually!

What Doctorcall can do to help?

Doctorcall provides health screening and also a Diabetes Screen – Home Testing Kit. Also known as a HbA1c test, the Diabetes Home Testing Kit is for anyone concerned about diabetes. Using the latest technology, we can make an analysis from a single sample. This home testing kit is posted in a discrete, unmarked packet delivered by Royal Mail.
Tissues at the ready. The season is finally here. 
 
Allergy season, that is. 
 
So, what exactly is hay fever, why do we get it and how can we best manage it?
 

The Long Battle

 
Allergic rhinitis – more commonly known as hay fever - is an allergy to inhaled pollen that causes the inside of the nose to become inflamed. 
 
When you have an allergic reaction, it is essentially your body overreacting to something it perceives as a threat. In hay fever, an allergy to pollen leads your immune system to respond as if it were being attacked by a virus, releasing a number of chemicals designed to fight off what it wrongly perceives as an infection, manifesting as symptoms of that allergic reaction.
 
The typical symptoms of hay fever are sneezing, a stuffy nose and red, sore eyes. 
 
Based on the symptoms you’re experiencing, your GP should be able to diagnose hay fever, and in some cases, you may be referred for allergy testing (a skin prick test and a blood test).
 
The differential diagnosis is infection, but when the symptoms affect both nose and eyes at the same time in the absence of a coloured discharge and when it is seasonal, the diagnosis is clear. In severe and long-standing cases, there can be sinus pain caused by congestion and blockage and we can even see swelling of the bridge of the nose caused by grossly congested sinuses.

Beyond the Wall

 
Our nasal passages are designed to remove impurities from the air we breathe in: passageways in the walls called turbinates help to moisten the air that flows in through the nose, filtering and depositing impurities such as dust, pollen or bacteria onto the walls, where goblet cells produce sticky mucus to trap these particles, which are expelled by sneezing or swallowed and destroyed by the stomach acids. This system is triggered inappropriately in those with allergies, to the extent that the airways and other mucous membranes become inflamed and swollen (over time, this hypertrophy of tissues can lead to the formation of nasal polyps), causing the symptoms associated with hay fever. 
 
Hay fever can be seasonal (caused by an allergic reaction to pollen from grass, trees and weeds during the early spring and summer months), or perennial, where people experience symptoms year-round (from allergens such as such as house dust mites, pets, or moulds). 

The Winds of Winter

 
If you’re allergic to pollen, you may finally get a break as the long nights of winter arrive and the weather turns cold. Between late March and September, however, (between Easter and the end of the summer school holidays), hay fever is usually worse, especially when it's warm, humid and windy. This is when the pollen count is at its highest and more likely to be spread, making symptoms of hay fever worse. 
 
Depending on the type of pollen you're allergic to, symptoms also differ during the year as trees and plants produce their pollen at different times.
 
It also tends to be slightly worse around the middle of the day, so sufferers are advised to exercise at the beginning or at the end of the day, where pollen levels tend to drop. 
The Children 
 
You can get hay fever at any age, though it is more commonly developed in childhood or teenage years. 
 
Along with asthma, eczema, hives, nut allergy and food/antibiotic allergies, hay fever is a Type 1 Hypersensitivity allergy. If you have a family history of allergies (particularly asthma or eczema) or a parent with Type 1 Hypersensitivity, after exposure to pollen there is a chance of your allergic system becoming intolerant of it, increasing your likelihood of developing hay fever. 
 
Hay fever is also most common in children, particularly boys. Many people partially or completely grow out of it, and in adults it is equally common in both sexes.

Hold The door

 
Although it’s difficult to completely avoid pollen, there are some things you can do to manage exposure to it, for example keeping indoors when pollen levels are high, wearing wrap-around sun glasses, putting Vaseline around the nostrils to trap pollen, and using medication as required. Medication consists of antihistamines and steroids, which we prefer to give topically (i.e. creams and drops) to minimise side effects.
 
If you have hay fever, it is also best to avoid outdoor exercise when pollen levels are high#HoldTheDoor

Summer is Coming

 
With hay fever season upon us, there are some other steps you can take to manage your symptoms, for example opting for foods high in antihistamine with anti-inflammatory effects, such as:
·      Coffee, which reduces the tendency of mast cells to excrete antihistamine
·      Omega 3 fatty acids found in oily fish
·      Fresh fruit containing anti-oxidants and vitamin C 
 
Additionally, we recommend treatment for severe and persistent hay fever, as untreated rhinitis places you at risk of developing nasal polyps which comes with further complications. Immunotherapy, aimed at retraining the immune system to reduce allergy symptoms, is an interesting and ongoing area of research, though it has a long way to go yet.
 
Although there is currently no cure for hay fever, there are treatments available and ways to help mitigate its symptoms - particularly during allergy season when pollen levels are high. 
 
So, there you have it. With the long days upon us you now know everything, Jon Snow, about how you can best manage your symptoms this season. 
 
For more information about Doctorcall, visit www.doctorcall.co.uk.
Doctorcall was pleased to allow the cameras into our Harley Street clinic recently for a special piece in The Sun.

The video article highlighted the importance of smear tests for women and how easy it is to arrange one.

What is a smear test?

  • A smear test, or cervical screening test, checks for abnormal cells on the cervix (the womb's entrance from the vagina).
  • If any abnormal cells are found, these can be removed - to stop them becoming cancerous.
  • This is a preventative measure, and does not mean you already have cancer.
  • For one in 20 women, these checks will pick up some abnormal changes.
  • It's possible for sexually active women of any age to develop cervical cancer, but it's most common in women aged 25-29.
  • The condition is very rare in women under 25.
  • Women aged 25-49 are offered tests every three years, while women between the ages of 50 and 64 are tested every five years.

Smear tests are available at all three Doctorcall clinic locations.

Much of the UK is basking in sunshine and hot weather, and whilst it may be enjoyable for many, the heat and direct sunlight carry some potential health risks.

Britain doesn’t often get prolonged heatwaves, or even temperatures above 30 degrees Celsius, so it’s no surprise the weather is the talking point of many.


We have asked our doctors to prepare some advice for everyone;

·         Direct sunlight can cause skin damage, and prolonged exposure can result in skin cancer. You should always wear sun protection when outdoors and avoid extended periods in the direct sunlight. UV rays can cause skin damage even when it’s cloudy.

·         Direct exposure to sunlight isn’t the only risk – the heat in the summer months can lead to severe illness. Make sure you stay in well ventilated areas and drink plenty of fluids. You should avoid beverages that contain caffeine or alcohol during the day as these can cause dehydration.

·         Be sure to check on relatives who may be sensitive to heat and sunlight, especially the elderly.

Be prepared

It may be a good idea to keep bottled or filtered water in your fridge as the water from the tap may be at ambient temperature.

Stay tuned to the forecast, especially if you plan on travelling. Check on the weather for the journey as well as the destination.

If you're still unsure of how to prepare, or if you have any concerns you should contact a GP or other appropriate medical help.

 

We are an approved provider of medical assessments required by the Oil & Gas industry.

We offer a comprehensive range of standard test protocols, and can also provide additional testing if required.

Medical assessments are available at a variety of clinic locations, and often at short notice. Once completed, results are generally available within an hour and can be sent by email or fax to any location.

We also provide relevant travel medicals, vaccinations and advice for personnel working overseas in countries around the world.

To arrange an appointment or for more information on this and other services from Doctorcall contact us now:

0844 257 0646

email bookings@doctorcall.co.uk

or book online to get 10% discount on the cost of the appointment.