Do You Have Autoimmune Based Diabetes?

Un-diagnosed diabetes can cause disease that is preventable. the American Diabetes Association in 2016 new standards has recommended that all adults age 45 and over, and all overweight or obese adults should be screened for diabetes. Diabetics have poor sugar control, and the reason is ultimately due to the function of insulin. Sugar intake is highly related to this, so that over time those who are obese or taking in too much sugar are most likely to also develop poor function of insulin. Although all experts agree that there are some genetic causes and some dietary causes and some cases of diabetes due to cell aging in our pancreas there is a new condition: LADA that not many talk about. LADA stands for latent autoimmune diabetes of adults. The levels of insulin precursor molecules rises and the level of glutamic acid decarboxylase auto-antibodies rise as well.. This condition is just being studied and we think that the degree of poor sugar control will have the same consequences of diabetes. The degree to which it is due to autoimmune factors may relate to other autoimmune conditions that can occur including premature menopause. Diabetes, and prediabetes both predispose women to significant complications to their health over the years their diet and lifestyle are not held in check.. Diabetes, through abnormal sugar metabolism contributes to both microvascular (small blood vessels) and macrovascular(the largest blood vessels) disease, meaning that oxygen is compromised to tissues and significant disease can result. Heart attacks, stroke, kidney disease, eye disease of the retina, and foot ulcers can result from untreated overt diabetes. So all women over the age of 50 with diabetes should also be on aspirin therapy. However, fatigue, worse hot flashes, in ability to exercise without undue fatigue and premature menopause can all be linked to early onset sugar metabolism issues. In areas of the United States it is estimated that about 5 to10% of the population has Type 2 diabetes, and it is estimated that over half of all those with this condition do not yet know it. Early treatment can prevent progression from early glucose intolerance, or early abnormalities in sugar metabolism, to full diabetes. Risk factors for diabetes include age 45 or greater, overweight (not just obese), history of a baby that weighed over 9 lbs, PCOS, genetic or family history of diabetes, and lack of regular exercise, and consumption of sugar drinks.
. Your personal gyno can discuss what test you might need, whether this would be standard testing or testing that includes auto-antibody testing,
here are some guidelines:
1. Those with hypertension or high cholesterol screen every 2-3 years
2. Those with BMI > ro equal to 25 screen every 2-3 years
3. Those with tests for diabetes, that are borderline should be tested yearly
4. Consider repeating tests that indicate diabetes at least once, or use confirmatory tests

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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