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Dr. Deepak Sanghavi, Deputy Chief of Lab Services, Metropolis Healthcare Diabetes, a disease in which the glucose or blood sugar levels are higher than normal, is one of the most common lifestyle diseases to affect adults. However, with changing lifestyle trends, the disease is no longer restricted to adults. An increasing number of children in India are also being affected by diabetes. But understanding the types, causes and means of prevention of the disease can surely help address the growing concern of diabetes in the younger population. Type I Diabetes Earlier called Insulin-Dependent diabetes or Juvenile diabetes, type I diabetes occurs as a result of the pancreas’ inability to produce insulin. Scientists reason that the destruction of these cells may be a result of a genetic predisposition. However, it may not be solely due to genes, but possible exposure to a virus as well. Type II Diabetes Formerly called Non-Insulin-Dependent diabetes or Adult-Onset diabetes, type II diabetes is vastly different from type I diabetes. Unlike in the case of type I diabetes, the body can still produce insulin, however it is not enough to meet an individual’s needs. Despite the presence of the insulin making hormone, the child’s blood sugar level may increase. If left untreated, it may lead to blindness, heart disease and kidney failure. The unfortunate fact remains that type II diabetes progresses faster in teenagers than in adults. Prediabetes Prediabetes is a condition where the blood sugar levels are higher than normal, but not high enough to diagnose the condition as diabetes. If controlled, prediabetes can delay the onset of type I or type II diabetes. Causes of diabetes Hereditary – The chances of a child being diagnosed with diabetes are higher when either or both parents have the condition. In such cases, babies have a higher chance of being born with diabetes or contracting the disease between the ages of 25 to 50. It is also important for women to keep their blood sugar under control when pregnant, as the placenta absorbs sugar and can imbue the foetus with it. Constant cold – When your body contracts a common ailment like cold, your immune system produces antibodies in order to fight, leaving it exhausted. With the antibodies getting consumed to destroy the cold, insulin production goes down, resulting in diabetes. Viral infections – Viral infections can be a trigger for type I diabetes as they destroy insulin producing cells. However, this is not a common cause of diabetes and occurs only in case of a history of low immunity. Lack of physical activity – Little to no physical activity decreases the functioning of the cells that are responsible for insulin production. Consequently, blood sugar levels are affected, leading to diabetes. Excessive eating – Eating carbohydrates which are easily absorbed by the body and convert into stored fat, like sugar, chocolate, sweets and farinaceous products can increase the load on pancreatic gland. Gradual exhaustion of the insulin cells leads to diabetes. Symptoms Symptoms of diabetes include increased thirst, urination, hunger, fatigue, blurred vision, numbness or tingling in the feet or hands, sores that do not heal, and unexplained weight loss. Symptoms of type I diabetes are easily observed whereas those of type II diabetes often develop over a period of time. People with type II diabetes do not learn that they have the disease until diabetes-related health problems, such as blurred vision or heart trouble, develop. Prevention Babies who are bottle fed soon after birth are more prone to contracting diabetes as, readymade formula contains cow’s milk protein that affects the normal functioning of the pancreas. Breast milk has nutrients that protect your baby from the possibility of early diabetes and improves the immune system. Preventive measures also include defining risk groups, like members in the family that have diabetes, disorder of metabolism in a child and obesity. Children that fall into these categories need be referred to an endocrinologist and undergo an examination twice a year. If the disease is diagnosed, dispensary observation and monthly examination by a child’s endocrinologist is prescribed.

When was the last time you saw the mild sunrays in morning? Or waited for few minutes while your skin soaked in the sunlight at dawn. Are you feeling depressed? Are you always hungry? Are you facing anxiety issues? Have you put on extra belly fat? If yes to all the above, then your body might be deficient in Vitamin-D. Vitamin-D deficiency is quite common, and yet most people are not aware when they suffer from it. That's because the symptoms are often subtle and non-specific, meaning that it's hard to know if they're caused by low Vitamin-D levels or something else. Mild sunlight in morning is the best source of Vitamin-D. Other sources of Vitamin-D are cheese, egg yolks, soymilk, fatty fish, salmon, tuna, mackerel, mushrooms. If your daily exposure to sunlight is limited because you wake up at later hour, if you stay indoors for long duration, live in northern latitudes or have an occupation that prevents sun exposure you may be at risk of Vitamin-D deficiency. If you think you may have a deficiency, it's important that you speak to your doctor and get your blood levels measured. Fortunately, a vitamin D deficiency is usually easy to fix. You can either increase your sun exposure during morning, eat more Vitamin-D-rich foods, such as fish or fortified dairy products. You can also find a variety of Vitamin-D supplements. Vitamin-D supplements should be taken by advice of a doctor. Common signs and symptoms of Vitamin-D deficiency - Common signs and symptoms of Vitamin-D deficiency - Depression and anxiety Body produces serotonin from the body chemical melatonin, melatonin is produced in response to sunlight, the more exposure to sunlight results in more melatonin thus more serotonin. Too little of serotonin leads one to feel cranky, irritable, depressed, anxious.  Muscle pain, bone pain, low bone density Due to vitamin-D deficiency, there will be inadequate absorption of calcium in the body, vitamin-D helps in absorption of calcium. In case of inadequate Vitamin-D in body low bone mineral density can occur which results in chronic muscular pain, pain in joints, osteoporosis. Hair loss Stress, anxiety, depression, low immunity gradually causes hair loss. As all the above are signs of vitamin-D deficiency. Calcium, vitamins and minerals are major building components of hair and skin and nutritional deficiencies do affect their vitality. 65% of Indians have Vitamin-D deficiency! Get yourself and your family checked up for Vitamin-D. Click here to know more Unexplained infertility It is observed that the vitamin-D deficient women have less chances of getting conceived. Poor wound healing It's also been suggested that vitamin-D's role in controlling inflammation and fighting infection which is important for proper healing. Poor immune function, increased risk of illness or infections One of vitamin-D's most important roles is keeping your immune system strong so you're able to fight off viruses and bacteria that cause illness. It directly interacts with the cells that are responsible for fighting infection. Constant feeling of fatigue and tired are the signs of low vitamin-D If you find these symptoms then you lack vitamin-D, though it’s not life threatening initially but it does affect quality of life. Wishing you a very happy and healthy life. Take care. Contributed by - Dr. Anushree MV, an Ayurvedic physician specializing in weight loss, PCOS, thyroid disorders, diabetes, infertility and childcare.