Diabetes Self-Management Articles

These articles cover a wide range of subjects, from the most basic aspects of diabetes care to the nitty-gritty specifics.

Links not loading properly?

Some of our pages use Portable Document Format (PDF) files, which require Adobe Acrobat Reader. To download Acrobat Reader for free, visit www.adobe.com.

Sign up for our weekly e-mail newsletter and receive a FREE GIFT! Enter your e-mail below.

Learn more

Learn more about diabetes

Links to help you learn more about diabetes.

Ask a diabetes expert
Other diabetes resources
Browse article topics

 

Menopause
What to Expect, How to Cope

by Pat Dougherty, C.N.M., M.S.N., and Joyce Green Pastors, M.S., R.D., C.D.E.

Coping with hot flashes

In addition to the lifestyle changes already described, there are many simple techniques that may help to relieve minor to moderate episodes of hot flashes. These include the following:

  • Avoid heat around the face area from devices such as hair dryers and curling irons.
  • Avoid using hot tubs, and keep baths and showers tepid or cool.
  • Drink cold water or water with ice.
  • Wear layers of clothing so you can take off some clothing, if needed.
  • Sleep with a light blanket or other covering and with the windows open or a small fan blowing directly on you.
  • Use a ceiling fan or air conditioner if you have one.
  • Place cold compresses on your face when you experience hot flashes or sweating.
  • Practice deep abdominal breathing—count to 10 while inhaling slowly, then exhale slowly while counting to 10. Repeat 10 times.
  • Try to identify and avoid your own personal hot-flash triggers.
  • Remind yourself that your symptoms will eventually lessen or abate.

Treatment for severe symptoms

Hormone therapy (HT) can be used to alleviate severe menopausal symptoms, especially unrelenting hot flashes, night sweats, and vaginal dryness. Estrogen therapy (ET) is appropriate only for women who have had a hysterectomy (removal of the uterus) because estrogen alone increases the risk of uterine cancer. Women who wish to use hormone therapy who have not had a hysterectomy must use a combination of estrogen and progestin together, called estrogen-progestin therapy (EPT).

Hormone therapy is the only FDA-approved medicine for the treatment of hot flashes and night sweats. Many women report that other menopausal symptoms such as insomnia, mood instability, and lack of concentration are also improved when taking HT, although scientific data has not confirmed these claims.

However, the benefits of HT must be weighed against the risks, such as those recently documented in the Women’s Health Initiative, a large scientific study looking for ways to prevent a variety of conditions in postmenopausal women. According to the results of this study, there is a slightly increased risk of heart attack (7 more cases per 10,000 women per year), stroke (8 more cases per 10,000 women per year), and potentially life-threatening blood clots to the lungs (8 more cases per 10,000 women per year) for women taking EPT. In addition, dementia risk appears to double, increasing from 22 cases to 45 cases per 10,000 women per year.

For women with a hysterectomy taking ET, the risk of heart attack did not increase, but the risk of stroke did increase (13 more cases per 10,000 women per year). In women taking EPT, but not those taking ET, breast cancer increased by 8 cases per 10,000 women per year.

Because women with diabetes already have an increased risk of heart disease, it is especially important for women with diabetes to discuss the benefits and risks of HT with their health-care provider. Heart disease is the leading cause of death of American women.

On the plus side, HT use was associated with 5 fewer hip fractures per 10,000 women per year and with 6 fewer cases of colorectal cancer per 10,000 women per year in the Women’s Health Initiative. HT is approved for the prevention of osteoporosis.

There have been some studies suggesting that taking estrogen promotes insulin sensitivity, which may in turn lead to a lowering of blood glucose levels. (The combination of estrogen and progestin, however, does not seem to have this effect on blood glucose control.) However, this benefit alone is not considered a reason to use estrogen, since there are other, safer options for the prevention and treatment of insulin resistance (namely weight loss and increased physical activity).

Page    1    2    3    4    5    Show All    

Also in this article:
Resources for Readers

 

 

More articles on Women's Health
More articles on Sexual Health

 

 


Statements and opinions expressed on this Web site are those of the authors and not necessarily those of the publishers or advertisers. The information provided on this Web site should not be construed as medical instruction. Consult appropriate health-care professionals before taking action based on this information.

 

 

Blood Glucose Monitoring: Minimize the Pain, Maximize the Gain
When I have the opportunity to review a person's blood glucose log, as opposed to just evaluating... Blog

Diabetes and Cancer
Two weeks ago, actress Angelina Jolie announced that she had undergone a preventive double... Blog

I'll Take the High Road and I'll Take the Low Road and I'll Be Frustrated Afore Ye
Does everybody who participated in the big feast last Thursday have their BGs back down? I... Blog

Can I get off insulin with good self-management? Get tip


Blood Glucose Self-Monitoring — Part 3: Smart Monitoring

10 Keys to Long-Term Weight Loss

Take Your Best Shot: Stay Up to Date on Vaccines

Complete table of contents
Get a FREE ISSUE
Subscription questions