Diabetes Archive

Ask the doctors

Q. I had a fainting spell the other day. Should I be concerned? What should I do?

A. Fainting, which your doctor may refer to using the medical term syncope, is not uncommon. Experts say as many as one in three adults experiences at least one fainting spell over time. In most cases, it's not related to a serious medical condition, but if you faint, you should always get an evaluation by a doctor to rule out more serious causes, including heart-related problems.

Most people take bladder control for granted — until the unintended loss of urine interrupts the ability to carry on an ordinary social and work life.

Often, the causes of incontinence are out of a person's control. For example, in women, incontinence is a common side effect of childbirth. For men, it's often a side effect of treatment for prostate problems.

Some data suggest that people with diabetes who get COVID-19 are more likely to have serious complications or to die. If you have diabetes, you need to take steps to reduce your risk of getting sick.

Most people with type 2 diabetes also have obesity. Weight-loss surgery has a positive impact on risk factors for heart disease, and a recent study found that this surgery significantly reduced the risk of death in people with obesity and diabetes.

In the journals

Older adults with a healthy weight but a large waistline could have a higher risk of developing dementia, according to a recent study.

Weight gain and obesity are known risk factors for dementia, and body mass index (BMI) is often used to estimate excess body fat. (BMI is a measure that takes into account both weight and height.)

Ask the doctors

Q. I have a lot of varicose veins. Do they present any sort of a health risk?

A. Varicose veins are typically viewed as a mild, non-life-threatening condition that is more of a cosmetic annoyance than a serious health problem. That said, varicose veins can be associated with some health-related issues, such as swelling in the legs, blood clots, or damage to the skin caused by pressure from the veins. They may also make you more prone to skin damage, infections, and ulcers.

Allergic rhinitis, commonly called hay fever, can be a minor seasonal nuisance or a troubling year-round problem. Most people can find relief by taking an antihistamine and by avoiding the allergens that trigger the irritation.

Also called painful bladder syndrome, this frustrating disorder disproportionately affects women.

Interstitial cystitis is a chronic bladder condition that causes recurring bouts of pain and pressure in the bladder and pelvic area, often accompanied by an urgent and frequent need to urinate — sometimes as often as 40, 50, or 60 times a day, around the clock. Discomfort associated with interstitial cystitis can be so excruciating that, according to surveys, only about half of people with the disorder work full-time. Because symptoms are so variable, experts today describe interstitial cystitis as a member of a group of disorders collectively referred to as interstitial cystitis/painful bladder syndrome. (In this article, we'll call it interstitial cystitis, or IC.)

Among the one to two million Americans with IC, women outnumber men by as much as eight to one, and most are diagnosed in their early 40s. Several other disorders are associated with IC, including allergies, migraine, irritable bowel syndrome, fibromyalgia (a condition causing muscle pain), chronic fatigue syndrome, and vulvodynia (pain or burning in the vulvar area that isn't caused by infection or skin disease).