Get Rid Of Tiredness and Sleep Less
Tiredness is an insidious but frequent symptom. It ranges from a slight dampening of joie de vivre to exhaustion and inability to work. 'Even when the pressure was on I couldn't produce. I was finding it just a drag to get out of bed I was literally falling asleep in meetings. It was awful ' (Gwyn Maclean and Oram 1988). Non-specific malaise may be unnoticed until the treated patient looks back in retrospect. Their friends and family may complain that the patient is irritable and hard to live with.
Fainting, tiredness or other complications. Care must be taken regarding concurrent illnesses, such as circulatory problems in the legs or brain, since a low blood pressure can aggravate these conditions. The target value for blood pressure management therefore varies from patient to patient and should always be determined individually. The experts have set a value of 130 80 mmHg as a guideline.
Type 1 diabetes usually presents in children or young adults with acute symptoms of diabetes (thirst, increased urination, tiredness, blurred vision) associated with weight loss. Peak incidence is between 11 and 13 years, although it may present at any age. The incidence of type 1 diabetes appears to be increasing, especially in the under age 5 age group.43 Sex distribution is roughly equal.44
Dietary prevention of chronic heart failure CHF the role of micronutrients dietary fatty acids and reduced sodium intake
Other nutrients, however, may be also involved in certain cases of CHF. While deficiency in certain micronutrients, whatever the reason, can cause CHF and should be corrected (see below), it is important to understand that patients suffering from CHF also have symptoms that can affect their food intake and result in deficiencies, for instance tiredness when strained, breathing difficulties and gastrointestinal symptoms such as nausea, loss of appetite and early feeling of satiety. Drug therapy can lead to loss of appetite and excess urinary losses in case of diuretic use. All of these are mainly consequences, not causative factors, of CHF. Thus the basic treatment of CHF should, in theory, improve these nutritional anomalies. However, since they can contribute to the development and severity of CHF, they should be recognised and corrected as early as possible.
Diabetic neuropathic pain is characteristically more severe at night, and often prevents sleep (18,19). Some patients may be in a constant state of tiredness because of sleep deprivation (18,19). Others are unable to maintain full employment (18-21). Severe painful neuropathy can occasionally cause marked reduction in exercise threshold thus interfere with daily activities (20). This is particularly the case when there is an associated disabling, severe postural hypotension because of autonomic involvement (9). Not surprisingly therefore, depressive, symptoms are not uncommon (21). Although, subclinical autonomic neuropathy is commonly found in patients with distal symmetrical neuropathy (22), symptomatic autonomic neuropathy is uncommon.
Primary symptoms of hyperglycemic ketoacidotic decompensation are polyuria, thirst, and loss of weight. Furthermore, these patients complain of weakness, tiredness, headache, lack of appetite, nausea or vomiting. Typical clinical signs of ketoacidosis are the acetonic fetor ex ore and the so-called Kussmaul's respiration. Exsiccosis or hypovolemia manifests clinically as oligo- or anuria (prerenal insufficiency) and hypotension. Further clinical signs of the dehydration are tachycardia, dry tongue, standing skin folds, muscle cramps, and soft bulbi. A special clinical picture is the pseudoperitonitis diabetica, which is a painful tension of the abdominal wall in association with diabetic ketoacidosis. This can be associated with elevated serum-alpha-amylase levels as well as with leukocytosis. It is very important to recognize this clinical picture early and to differentiate it from other causes of an acute abdomen, to avoid unnecessary surgery.
Mood changes In addition to the generation of warning symptoms, changes in mood occur during hypoglycemia, which are predominantly negative. These vary between individuals and comprise feelings of tense-tiredness (anxious tension), low energy, irritability, unhappiness, anger, and general pessimism. The effects of hypoglycemia on emotions are unpleasant but important, yet are frequently ignored by clinicians.
When symptoms are present, they alter metabolism. Hyperthyroidism and hypothyroidism affect diabetic control, and it's important to diagnose them by doing thyroid blood tests. Treatment for hypothyroidism is replacement of thyroid hormone. Treatment of hyperthyroidism is with antithyroid drugs, radioactive iodine, or surgery. The symptoms of the more common hypothy-roidism are weight gain, slowness, dry skin, brittle nails, tiredness, and intolerance to cold. With hyperthyroidism, you get weight loss, palpitations, high body temperature, nervousness, and trouble sleeping.
In celiac disease, eating foods containing gluten (that is, those derived from wheat, oats, rye, and barley) cause an autoimmune damage to the wall of the small bowel. This damage leads to diarrhea, abdominal pain, tiredness, problems absorbing vitamins such as vitamin B12, poor weight gain, and decreased growth. It can also affect the absorption of carbohydrates, causing hypoglycemia. The treatment is a gluten-free diet. Screening for celiac disease is done when a diagnosis of type 1 diabetes is made, and then again if the child has problems such as growth failure or weight loss or gastrointestinal problems. The blood test that is done is called tissue transglutaminase IgA autoantibody. If the blood test is positive, then your child will need to see a gastroenterologist, who may do a small bowel biopsy to confirm the
Tiredness resulting from uraemia and chronic anaemia limits exercise capacity and leads to further loss of fitness. Renal osteodystrophy is an early complication of renal failure and the loss of bone mass is exacerbated by lack of exercise. Exercise programs can reduce disability and handicap in patients with ESRD (Painter 1988), and therefore qualify as valid rehabilitation activities.
Random plasma glucose tests are the simplest way to detect diabetes. This test measures the amount of glucose in the blood at any given time and is done without fasting. If you have obvious symptoms of diabetes and the amount of glucose in your blood is 200 mg dl or higher, you have diabetes. Symptoms of diabetes include frequent urination, intense thirst, blurred vision, unexplained weight loss, and extreme tiredness.
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