Gestational Diabetes

๐Ÿ’ŒGestational Diabetes(GDM) ๐Ÿ’Œ

โ™ฆ๏ธOverview

๐Ÿฎ GDM is a potential

threat to maternal and child health in Pakistan. Women with GDM are

becoming an ideal group for primary prevention of diabetes, as women

with GDM are at increased risk of developing Type 2 diabetes.

๐ŸšจThe prevalence of GDM has #increased 11-fold in women from the Indian subcontinent. In #Pakistan

Prevalence of GDM has been reported to be from 4.2% to 26%. ๐Ÿšจ๐Ÿšจ๐Ÿšจ

In women with GDM blood sugar usually returns to normal soon after delivery. ๐Ÿ”บBut if you’ve had gestational diabetes, you have a higher risk of getting type 2 diabetes. ๐Ÿ”บYou’ll need to be tested for changes in blood sugar more often.

๐ŸŸ Risk factors

Some women have a greater risk of gestational diabetes. Risk factors for gestational diabetes include the following:

โ™ฆ๏ธOverweight and obesity.

โ™ฆ๏ธA lack of physical activity.

โ™ฆ๏ธPrevious gestational diabetes or prediabetes.

โ™ฆ๏ธPolycystic ovary syndrome.

โ™ฆ๏ธโ™ฆ๏ธDiabetes in an immediate family member.

โ™ฆ๏ธPreviously delivering a baby weighing more than 9 pounds (4.1 kilograms).

โ™ฆ๏ธRace โ€” Women who are Black, Hispanic, American Indian and Asian American have a higher risk of developing gestational diabetes.

๐Ÿ”ดComplications that may affect your baby

If you have gestational diabetes, your baby may be at increased risk of:

๐Ÿ”ธExcessive birth weight. Very large babies โ€” those who weigh 9 pounds or more โ€” are more likely to become wedged in the birth canal, have birth injuries or need a C-section birth.

๐Ÿ”ธEarly (preterm) birth.

๐Ÿ”ธSerious breathing difficulties. Babies born early to mothers with GDM may experience respiratory distress syndrome โ€” a condition that makes breathing difficult.

๐Ÿ”ธLow blood sugar (hypoglycemia). Sometimes babies of mothers with GDM have low blood sugar (hypoglycemia) shortly after birth. Severe episodes of hypoglycemia may cause #seizures in the baby.

๐Ÿ”ธ Obesity and type 2 diabetes later in life. Babies of mothers who have GDM have a higher risk of developing #obesity and #type_2_diabetes later in life.

๐Ÿ”ธ Stillbirth or Neo-natal death Untreated GDM can result in a baby’s death either before or shortly after birth.

๐Ÿ›‘Complications affecting Mother

GDM may also increase your risk of:

๐ŸงฟHigh blood pressure and preeclampsia.

๐ŸงฟHaving a surgical delivery (C-section).

๐ŸงฟFuture diabetes. If GDM in one pregnancy, you’re more likely to get it again during a future pregnancy. You also have a higher risk of type 2 diabetes as you get older.

๐ŸŸฃDiagnosis

๐Ÿ˜„If you’re at #average risk of GDM, you’ll likely have a screening test during your #2nd_trimester โ€” between 24 and 28 weeks of pregnancy.

๐Ÿ˜กIf you’re at #high_risk of diabetes โ€” for example, if you’re ๐Ÿ”บoverweight or ๐Ÿ”บobese before pregnancy or you have a ๐Ÿ”บmother, ๐Ÿ”บfather, ๐Ÿ”บsibling or ๐Ÿ”บchild with diabetes โ€” your doctor may test for diabetes #early in pregnancy, likely at your #first_prenatal_visit.

๐ŸŸก Treatment

Treatment for gestational diabetes includes:

๐ŸฉธLifestyle changes

๐ŸฉธBlood sugar monitoring

๐ŸฉธMedication, if necessary

Managing your blood sugar levels helps keep you and your baby healthy. Close management can also help you avoid complications during pregnancy and delivery.

๐ŸŸข Prevention

๐Ÿ’Œ Eat healthy foods. Choose foods high in fiber and low in fat and calories. Focus on fruits, vegetables and whole grains. Watch portion sizes

๐Ÿ’Œ Keep active. Exercising before and during pregnancy can help protect you from developing gestational diabetes. Aim for 30 minutes of moderate activity on most days of the week. Take a brisk daily walk.

๐Ÿ’Œ Start pregnancy at a healthy weight. If you’re planning to get pregnant, losing extra weight beforehand may help you have a healthier pregnancy.

๐Ÿ’Œ Don’t gain more weight than recommended.

gaining too much weight too quickly can up your risk of GDM

โค๏ธHappy Sindhi Culture Dayโค๏ธ #Sindhi is a nation who proudly holds & cherish its culture and customs since centuries. Sindhi Cultural Day is widely celebrated to spotlight the centuries-old rich culture of Sindh.

An unemployed young man committed suicide by jumping from the third floor of Karachi’s #LuckyOneMall on Tuesday……… . . Financial distress and suicidal behaviour during COVID-19: Family identification

Help taken and paragraphs qouted from this study https://journals.sagepub.com/doi/full/10.1177/13591053211014597

An unemployed young man committed suicide by jumping from the third floor of Karachi’s #LuckyOneMall on Tuesday

https://www.dawn.com/news/1661161/man-commits-suicide-by-jumping-from-third-floor-of-karachis-lucky-one-mall

The unique combination of #health, #economic and #social impacts resulting from the COVID-19 pandemic has already begun to affect the occurrence of #suicidal thought and behaviour

The survey supported predictions by indicating that #COVID_related ๐Ÿ๐ข๐ง๐š๐ง๐œ๐ข๐š๐ฅ ๐๐ข๐ฌ๐ญ๐ซ๐ž๐ฌ๐ฌ predicts a range of ๐ง๐ž๐ ๐š๐ญ๐ข๐ฏ๐ž ๐ฉ๐ฌ๐ฒ๐œ๐ก๐จ๐ฅ๐จ๐ ๐ข๐œ๐š๐ฅ outcomes: ๐ฅ๐จ๐ง๐ฅ๐ข๐ง๐ž๐ฌ๐ฌ, ๐š๐ง๐ฑ๐ข๐ž๐ญ๐ฒ and ๐๐ž๐ฉ๐ซ๐ž๐ฌ๐ฌ๐ข๐จ๐ง and that these in turn are associated with ๐ฌ๐ฎ๐ข๐œ๐ข๐๐š๐ฅ ๐ญ๐ก๐จ๐ฎ๐ ๐ก๐ญ๐ฌ/๐›๐ž๐ก๐š๐ฏ๐ข๐จ๐ฎ๐ซ.
๐“๐ก๐ž results demonstrate that these relationships are indeed attenuated by ๐Ÿ๐š๐ฆ๐ข๐ฒ ๐ ๐ซ๐จ๐ฎ๐ฉ ๐๐ฒ๐ง๐š๐ฆ๐ข๐œ๐ฌ. Consistent with a range of evidence attesting to the ๐ฉ๐ซ๐จ๐ญ๐ž๐œ๐ญ๐ข๐ฏ๐ž ๐ช๐ฎ๐š๐ฅ๐ข๐ญ๐ข๐ž๐ฌ of ๐Ÿ๐š๐ฆ๐ข๐ฅ๐ฒ ๐ฆ๐ž๐ฆ๐›๐ž๐ซ๐ฌ๐ก๐ข๐ฉ

Our work replicates that of Stevenson et al. (2020) in showing how ๐Ÿ๐š๐ฆ๐ข๐ฅ๐ฒ ๐๐ฒ๐ง๐š๐ฆ๐ข๐œ๐ฌ may serve to ๐ซ๐ž๐๐ฎ๐œ๐ž ๐Ÿ๐ข๐ง๐š๐ง๐œ๐ข๐š๐ฅ ๐ฌ๐ญ๐ซ๐ž๐ฌ๐ฌ

https://journals.sagepub.com/doi/full/10.1177/13591053211014597

https://journals.sagepub.com/doi/full/10.1177/13591053211014597?fbclid=IwAR1cQtlnqIDvKjGDtU6wJJtdehR9ZsgNP0zywUj_mz8HE-Se-9Odza0YtYg&

How long should your periods last

Simplified from :https://health.clevelandclinic.org/how-long-should-your-period-last/

๐‡๐จ๐ฐ ๐ฅ๐จ๐ง๐  ๐ฌ๐ก๐จ๐ฎ๐ฅ๐ ๐ฒ๐จ๐ฎ๐ซ ๐ฉ๐ž๐ซ๐ข๐จ๐๐ฌ ๐ฅ๐š๐ฌ๐ญ ?
Find out whatโ€™s normal menstrual bleeding and whatโ€™s not.
๐ŸŒบ Periods can be puzzling. Some people have 2 or 3 days of bleeding, while others see heavy flow for an entire week. And is it normal to have really light โ€” or really heavy โ€” bleeding each month?

๐ŸŒบ a ๐Œ๐ž๐ง๐ฌ๐ญ๐ซ๐ฎ๐š๐ฅ ๐œ๐ฒ๐œ๐ฅ๐ž, which is counted from the ๐Ÿ๐ฌ๐ญ day of one period to the first day of the next period, varies for everyone.
๐ŸŒบMenstrual flow (bleeding or spotting) may last 2 to 7 days each month. And while short and long periods can be normal,๐ฐ๐ก๐š๐ญ’๐ฌ ๐ง๐จ๐ซ๐ฆ๐š๐ฅ ๐Ÿ๐จ๐ซ ๐ฒ๐จ๐ฎ, ๐ฆ๐š๐ฒ ๐ง๐จ๐ญ ๐›๐ž ๐ง๐จ๐ซ๐ฆ๐š๐ฅ ๐Ÿ๐จ๐ซ ๐ฌ๐จ๐ฆ๐ž๐จ๐ง๐ž ๐ž๐ฅ๐ฌ๐ž.
๐ŸŒบ Your period probably wonโ€™t be exactly the same month after month, but you should see a pattern. The length of bleeding & flow should be consistent.

๐ŸŒบSmall changes in period length are OK, but get any big changes checked out. A little variation, like from 3 to 4 days, is normal,
๐ŸŒบ But if you used to have three-day periods and now theyโ€™re six days, check in with your doctor.

๐๐ฅ๐ž๐ž๐๐ข๐ง๐  ๐›๐ž๐ญ๐ฐ๐ž๐ž๐ง ๐ฉ๐ž๐ซ๐ข๐จ๐๐ฌ

๐ŸฉธOnce your period is done, you shouldnโ€™t see spotting or flow again until your next cycle.
๐ŸฉธIf youโ€™re getting bleeding or spotting between periods, call your gynecologist. ๐ŸฉธBetween-period spotting could be a sign of:

๐Ÿ”บHormonal imbalances.
๐Ÿ”บSexually transmitted infections (STIs).
๐Ÿ”บThyroid disorders.
๐Ÿ”บUterine fibroids (noncancerous growths in the uterus)

๐‡๐จ๐ฐ ๐ก๐ž๐š๐ฏ๐ฒ ๐ฌ๐ก๐จ๐ฎ๐ฅ๐ ๐š ๐ฉ๐ž๐ซ๐ข๐จ๐ ๐›๐ž ?

๐Ÿ”ธThe rate of your menstrual flow depends on many factors, including the thickness of your uterine lining and hormone levels.
๐Ÿ”ธSome people have light periods while others have a heavy flow. Both can be normal, period flow should be somewhat predictable
๐Ÿ”ธ If you used to have heavy periods and they become light, or vice versa, talk to your doctor

๐–๐ก๐ž๐ง ๐ฉ๐ž๐ซ๐ข๐จ๐๐ฌ ๐š๐ซ๐ž ๐ญ๐จ๐จ ๐ก๐ž๐š๐ฏ๐ฒ !!

โ™ฆ๏ธ Your period is heavier than normal if you soak through a pad every hour for a few hours in a row
โ™ฆ๏ธ Large clots โ€” like the size of a golf ball or larger โ€” are also a sign that your bleeding is too heavy
โ™ฆ๏ธ This type of bleeding can get in the way of your life, but donโ€™t assume you have to suffer through it. โ€œYour doctor can help you figure out the cause of heavy bleeding and provide treatment if needed
๐๐ž๐ซ๐ข๐จ๐ ๐ฅ๐ž๐ง๐ ๐ญ๐ก ๐ข๐ง ๐€๐๐จ๐ฅ๐ž๐ฌ๐œ๐ž๐ง๐œ๐ž

๐Ÿ”ปPreteens or teens who recently started menstruating might have unpredictable cycles and flow for a while.
๐Ÿ”ปThatโ€™s because younger females have an immature hypothalamic-pituitary-ovarian (HPO) axis, which controls periods and menstrual cycles
๐Ÿ”ปOnce women reach their late teens or 20s, periods usually become more predictable

๐๐ž๐ซ๐ข๐จ๐ ๐ฅ๐ž๐ง๐ ๐ญ๐ก & ๐๐ž๐ซ๐ข๐ฆ๐ž๐ง๐จ๐ฉ๐š๐ฎ๐ฌ๐ž
โฃ๏ธ In the years leading up to menopause, many women experience changes in their period flow and cycle length. This time of transition is called perimenopause. It can last a year or two or several years
โฃ๏ธ If youโ€™re in your 40s or 50s and your periods are suddenly unpredictable, perimenopause may be the reason. But play it safe and ask your doctor about any changes you notice

๐Š๐ง๐จ๐ฐ ๐ฐ๐ก๐š๐ญ’๐ฌ ๐ง๐จ๐ซ๐ฆ๐š๐ฅ ๐Ÿ๐จ๐ซ ๐ฒ๐จ๐ฎ
๐Ÿ’•๐Š๐ž๐ž๐ฉ ๐ญ๐ซ๐š๐œ๐ค of your periods with an app or a simple paper calendar. Take note of the rate of flow and when it shows up, so youโ€™ll spot any changes right away
๐Ÿ’• If anything seems weird to you, see your doctor
๐Ÿ’• Your period is a clue to whatโ€™s going on with your reproductive health, Your doctor wants to know the details so we can help you stay healthy

Secondary Subfertility

Struggling to have another baby,

 Weโ€™ve all hear about couple who are unable to conceive their first baby  โ€“but less is known about secondary infertility. Read the truths about secondary infertility here.

There is an assumption that if a couple has been able to conceive easily in the past, they will be able to have more children in the future.  But, this is not always the case. Their experience to build on to their family can be a difficult and painful experience. A common case of secondary infertility may go undiagnosed for years. Those suffering from secondary infertility may not even realize they have a reproductive problem. it must be understood that secondary infertility is not about woman problems only, problems can occur in Man as well after first baby.

The problem could be:- male, female, or both.

Secondary vs. Primary Infertility Overview

Primary infertility is the inability to conceive a first child. For women under 35, a diagnosis of primary infertility โ€“ explained or unexplained โ€“ is made after one year of unprotected, regular sexual intercourse fails to conceive a pregnancy. For women over 35, this period is shortened to six months.

Couples suffering from secondary infertility are often turned down by fertility clinics because diagnosis is difficult.

Causes of Secondary Infertility

Sec Infertility 2

The causes of secondary infertility are very close to the causes of primary infertility. The human reproductive system changes over time and medical conditions arise. Secondary infertility can result from either male-factor infertility or female-factor infertility causes:

โ€ขLow sperm production

โ€ขPoor sperm motility

โ€ขPoor sperm quality โ€“ morphology

โ€ขIrregular or no ovulation in women

โ€ขHormonal issues for both men and women

โ€ขFallopian tube blockage, after miscarriage, D&C, Post delivery infections

โ€ขDamage due to Endometriosis

โ€ขUterine cavity damage that may have occurred during a previous pregnancy

Both partners should undergo testing to identify the root cause of secondary infertility. Then, a personalized treatment plan can be developed addressing the  medical needs.

Successful Treatment options are available , You can call:-

Mrs. Musharaf , Secretary to Dr Samrina Hashmi from 11 am to 4 pm except Sundays
Or SMS or WhatsApp any time
Appointment 0336 0262929

๐‘๐ž๐ฆ๐ž๐๐ข๐ž๐ฌ ๐Ÿ๐จ๐ซ ๐…๐ฅ๐ฎ ๐๐ฎ๐ซ๐ข๐ง๐  ๐๐ซ๐ž๐ ๐ง๐š๐ง๐œ๐ฒ

There isnโ€™t much doctors can do to treat the flu itself; because itโ€™s a ๐•๐ข๐ซ๐š๐ฅ illness, it canโ€™t be combated with ๐€๐ง๐ญ๐ข๐›๐ข๐จ๐ญ๐ข๐œ๐ฌ.

Since a ๐…๐ฅ๐ฎ-๐ซ๐ž๐ฅ๐š๐ญ๐ž๐ ๐Ÿ๐ž๐ฏ๐ž๐ซ in early pregnancy can be dangerous for baby, itโ€™s important to get a spiking temperature under control. (๐š๐œ๐ž๐ญ๐š๐ฆ๐ž๐ง๐จ๐ฉ๐ก๐ž๐ง) is considered safe for treating a fever during pregnancy.

๐‡๐จ๐ฆ๐ฐ ๐ซ๐ž๐ฆ๐ž๐๐ข๐ž๐ฌ ๐Ÿ๐จ๐ซ ๐Ÿ๐ฅ๐ฎ

Since there isnโ€™t much you can take to treat the flu while pregnant, home remedies can help make you more comfortable and get you feeling better faster.

โ€ข ๐’๐ญ๐š๐ฒ ๐ฐ๐ž๐ฅ๐ฅ ๐ก๐ฒ๐๐ซ๐š๐ญ๐ž๐ . Itโ€™s easy to become dehydrated during pregnancy to begin with, and even easier when youโ€™re sick with the flu. Make sure to drink plenty of liquids.

โ€ข๐‘๐ž๐ฌ๐ญ . Being sick takes a lot out of you. Resting allows your body to focus on fighting off the illness.

โ€ข ๐‚๐จ๐จ๐ค ๐ฌ๐จ๐ฆ๐ž ๐œ๐ก๐ข๐œ๐ค๐ž๐ง ๐ฌ๐จ๐ฎ๐ฉ. Chicken soup is good for more than just the soulโ€”itโ€™s also a great home remedy for flu. A bowl of the steaming broth can help loosen chest congestion, and studies suggest that chicken soup may have a mild anti-inflammatory effect, helping to ease respiratory infections.

โ€ข๐ƒ๐ซ๐ข๐ง๐ค ๐‹๐ž๐ฆ๐จ๐ง & ๐‡๐จ๐ง๐ž๐ฒ ๐ญ๐ž๐š . easy remedy for breaking up chest congestion

.๐†๐š๐ซ๐ ๐ฅ๐ž ๐ฐ๐ข๐ญ๐ก ๐ฌ๐š๐ฅ๐ญ ๐ฐ๐š๐ญ๐ž๐ซ . It may not be the tastiest of home remedies for flu, but if youโ€™re struggling with a sore throat, ๐ข๐ญ ๐œ๐š๐ง help ease the pain.

๐”๐ฌ๐ž ๐’๐š๐ฅ๐ข๐ง๐ž ๐๐š๐ฌ๐š๐ฅ ๐ฌ๐ฉ๐ซ๐š๐ฒ๐ฌ . Nasal congestion can also set in with the flu. ,saline sprays and drops are a pregnancy-safe way to help unstuff your nose.

โ€ข๐‘๐ฎ๐ง ๐š ๐ก๐ฎ๐ฆ๐ข๐๐ข๐Ÿ๐ข๐ž๐ซ. The air in your home can be especially dry in the winter. To ease your chest congestion, plug in a cool mist humidifier to add some moisture to the room.

๐๐ซ๐ž๐ฏ๐ž๐ง๐ญ๐ข๐ง๐  ๐…๐ฅ๐ฎ ๐๐ฎ๐ซ๐ข๐ง๐  ๐๐ซ๐ž๐ ๐ง๐š๐ง๐œ๐ฒ

Thereโ€™s only so much you can do to prevent the flu when itโ€™s going around, but washing your hands thoroughly and frequentlyโ€”especially after you go out in publicโ€”and doing your best to avoid interacting with sick people is ke๐ฒ

4 Important Facts You Need to Know About ๐—”๐—ป๐˜๐—ถ๐—ฏ๐—ถ๐—ผ๐˜๐—ถ๐—ฐ๐˜€


๐——๐—ผ๐—ป’๐˜ ๐—ฎ๐˜€๐˜€๐˜‚๐—บ๐—ฒ ๐˜†๐—ผ๐˜‚ ๐—ป๐—ฒ๐—ฒ๐—ฑ ๐˜๐—ต๐—ฒ๐—บ, ๐˜„๐—ต๐—ฒ๐—ป ๐˜†๐—ผ๐˜‚ ๐—ฎ๐—ฟ๐—ฒ ๐˜€๐—ถ๐—ฐ๐—ธ
๐Ÿ‘น๐Ž๐ฏ๐ž๐ซ๐ฎ๐ฌ๐ž is a major issue. Here are some facts you should consider the next time you visit your doctor.
๐Ÿฉธ Antibiotics donโ€™t work for everything
๐Ÿฉธ Taking unnecessary antibiotics may do more harm than good
๐Ÿฉธ Antibiotics are not one-size-fits-all
๐Ÿฉธ You should not save old antibiotics โ€˜just in caseโ€™