In Delhi, there has been a significant increase in H1N1 influenza cases, with current figures surpassing those recorded last year. Dr. Saptarshi Ghosh, a consultant clinical oncologist, attributes this surge primarily to seasonal shifts and notes that the circulating strain is a well-known, non-virulent variant. He reassures the public by stating, “There is no cause for alarm regarding the uptick in H1N1 cases.” Furthermore, he emphasizes that most instances are self-limiting, cautioning against the inappropriate use of antibiotics such as Azithromycin and Cefixime, which could contribute to the development of antimicrobial resistance.
Dr. Seema Dhir, head of the internal medicine unit at Artemis Hospitals, highlights that individuals with diabetes may face heightened risks from influenza. Poorly controlled blood sugar levels can hinder the body’s infection-fighting capabilities. The presence of H1N1 can complicate blood sugar management, as illnesses often trigger a rise in stress hormones that elevate glucose levels. This creates a detrimental cycle where both the infection and high blood sugar exacerbate each other.
Dr. Pankaj Khatana, a senior consultant in internal medicine at Marengo Asia Hospitals in Gurugram, advises monitoring certain symptoms closely. He points out that significantly high blood sugar levels, especially when accompanied by ketones in urine or blood, can be alarming. Additionally, signs of dehydration such as decreased urination, dry mouth, and dizziness should not be overlooked.
It is crucial for individuals with diabetes to pay attention to early warning signs. Dr. Diksha Goyal, also a consultant in internal medicine at Marengo Asia Hospitals, warns that diabetes can complicate the body’s response to infections, making blood sugar control more challenging. H1N1 may lead to lung issues or increase the risk of bacterial infections, which can result in respiratory difficulties and may require hospitalization. Conditions such as bronchitis, sinus infections, and aggravation of pre-existing health issues are also possible.
Another concern is the fluctuation of blood sugar levels. Dr. Diksha notes that fever, stress, and infections can elevate glucose levels, while a poor appetite, vomiting, or reduced food intake may lead to dangerously low blood sugar. Managing diabetes becomes increasingly difficult during illness due to these variations. In severe instances, influenza can lead to sepsis, respiratory failure, kidney complications, or other organ issues, which are not exclusive to diabetic patients.
Seeking prompt medical advice and considering early antiviral treatment can significantly lower the risk of serious complications. Dr. Pankaj notes that flu treatment for diabetic patients may involve antiviral medications. Drugs like oseltamivir are often prescribed based on the patient’s medical history and condition. Though antivirals are most effective when administered within the first 48 hours of symptom onset, they can still benefit those at increased risk of complications, including diabetic patients, even if treatment begins later.
He underscores the importance of adjusting diabetes medications during illness, highlighting that early medical evaluations and timely antiviral therapies can substantially diminish the risk of severe complications, hospitalization, and deterioration of health.
Dr. Sfurti Maan, from Shalby International Hospital in Gurgaon, offers additional insights regarding management strategies for those affected.
DISCLAIMER: This article reflects information gathered from public sources and consultations with experts. Always consult your healthcare provider before making any changes to your health regimen.
