• Published on: Jul 14, 2021
  • 1 minute read
  • By: Raj Dwivedi

Telemedicine, COVID-19 And Liver Diseases

  • WhatsApp share link icon
  • copy & share link icon
  • twitter share link icon
  • facebook share link icon
  • For liver diseases, there have been successful experiences with the use of different modalities of telemedicine [i.e. asynchronous telemedicine (analysis of patient's data by a single physician or multidisciplinary team), synchronous real-time patient management and tele-education]
  • Our Telemedicine program showed successful results as the sustained virologic responses achieved by those patients treated in primary care settings under the expert guidance.
  • Currently, this type of care is considered a vital tool for the goal of global elimination of HCV infection.In addition to HCV management, telemedicine offers opportunities for a better management of patients with chronic liver diseases by increasing their access to tertiary care, thus improving efficiency of healthcare delivery at reasonable cost .
  •  We forsee expansion of telemedicine into other areas of hepatology is desirable and hold potential for improving management of pre- and post-liver transplant patients, patients with hepatocellular carcinoma (HCC) and patients with both compensated and decompensated cirrhosis.
  • It is important to note that in liver transplant setting existing data suggest that use of telemedicine may expedite evaluation and listing of patients referred to liver transplant centers and could improve outcomes (hospital readmissions, and quality of life) after liver transplantation.
  • In the case of HCC, telemedicine aslo offers the possibility of multidisciplinary evaluation in virtual tumor boards leading to tailored and more effective treatments . Finally, in cirrhosis, telemedicine may enhance self-care and facilitate HCC surveillance eventually preventing readmissions in recently hospitalized patients.
  • With the onset of COVID-19 pandemic everyone has forced the implementation of telemedicine actions for many liver patients.
  • Major international societies have released recommendations encouraging the use of remote care to manage patients with all liver diseases, particularly liver transplant patients.
  • However, the crisis will seriously impact cirrhosis care with social distancing and isolation causing major delays in elective procedures and routine care with potential overwhelm of medical centers managing postponed and potentially decompensated patients in the upcoming months.
  • Developing robust telemedicine programs and revamping remote care initiatives in hepatology will be critical during COVID times. The next challenge will be how to integrate telemedicine into routine clinical care beyond the COVID-19 pandemic.
Read Blog
Diabetes symptoms

Diabetes Symptoms in Men: Early Warning Signs You Should Not Ignore

Diabetes is one of the fastest-growing health challenges worldwide, and men are particularly vulnerable to its long-term complications. In India, the burden of diabetes has increased sharply over the past two decades, driven by lifestyle changes, sedentary habits and dietary patterns. Despite this, many men remain unaware of early diabetes symptoms or delay medical consultation until complications develop.

Understanding diabetes symptoms in men is essential for early diagnosis, effective management and prevention of serious health consequences.

 

What Is Diabetes?

Diabetes is a chronic metabolic disorder characterised by high blood sugar levels due to:

  • insufficient insulin production
     

  • ineffective insulin action
     

  • or both
     

The most common form affecting men is type 2 diabetes, which is strongly linked to lifestyle factors.

 

Why Men Are at Higher Risk

Several factors increase diabetes risk in men:

  • higher abdominal fat accumulation
     

  • smoking and alcohol consumption
     

  • irregular eating patterns
     

  • work-related stress
     

  • lower healthcare-seeking behaviour
     

According to Indian Council of Medical Research data, a significant proportion of men remain undiagnosed until advanced stages.

 

Early Diabetes Symptoms in Men

Frequent Urination

Excess sugar in the blood causes kidneys to work harder, leading to increased urination, especially at night.

 

Excessive Thirst

Frequent urination leads to dehydration, causing constant thirst.

 

Fatigue and Weakness

Cells cannot utilise glucose efficiently, resulting in low energy levels and persistent tiredness.

 

Unexplained Weight Changes

Men may experience unexplained weight loss despite normal or increased appetite.

 

Increased Hunger

Insulin resistance prevents glucose from entering cells, triggering frequent hunger.

 

Diabetes Symptoms Unique or Commonly Seen in Men

Erectile Dysfunction

Diabetes damages blood vessels and nerves, leading to erectile dysfunction.

Studies show a strong association between diabetes and male sexual health problems.

 

Reduced Testosterone Levels

Men with diabetes often have lower testosterone, affecting libido, muscle mass and mood.

 

Decreased Muscle Strength

Poor glucose utilisation affects muscle health and physical stamina.

 

Skin and Infection-Related Symptoms

Slow-Healing Wounds

High blood sugar impairs wound healing, increasing infection risk.

 

Frequent Infections

Men with diabetes are more prone to:

  • skin infections
     

  • urinary tract infections
     

  • fungal infections
     

 

Vision and Nerve Symptoms

Blurred Vision

Fluctuating blood sugar affects eye lenses, causing blurred vision.

 

Tingling or Numbness

Nerve damage, known as diabetic neuropathy, causes tingling or numbness in hands and feet.

 

Why Diabetes Symptoms Are Often Ignored by Men

Many men dismiss symptoms as:

  • work-related fatigue
     

  • ageing
     

  • stress
     

This delay increases the risk of complications.

 

Long-Term Complications of Untreated Diabetes

If untreated, diabetes can lead to:

  • heart disease
     

  • kidney failure
     

  • nerve damage
     

  • vision loss
     

  • sexual dysfunction
     

According to WHO and Lancet studies, early detection significantly reduces complication risk.

 

Importance of Early Diagnosis

Early diagnosis allows:

  • better blood sugar control
     

  • lifestyle modification
     

  • prevention of organ damage
     

Routine screening is crucial, even in the absence of symptoms.

 

When Should Men Get Tested?

Men should consider testing if they:

  • are over 30 years old
     

  • have a family history of diabetes
     

  • are overweight
     

  • have a sedentary lifestyle
     

  • experience any warning signs
     

Annual screening is recommended for at-risk individuals.

 

Managing Diabetes After Diagnosis

Effective management includes:

  • healthy diet
     

  • regular physical activity
     

  • weight control
     

  • stress management
     

  • medical treatment as advised
     

Early management improves quality of life.

 

Role of Preventive Healthcare

Preventive healthcare focuses on:

  • early screening
     

  • lifestyle intervention
     

  • regular follow-up
     

According to NITI Aayog, preventive strategies are essential to control India’s diabetes burden.

 

Mental Health and Diabetes in Men

Diabetes can affect mental wellbeing, leading to:

  • stress
     

  • anxiety
     

  • depression
     

Addressing emotional health improves diabetes outcomes.

 

Breaking the Stigma Around Men’s Health

Men often avoid seeking help due to stigma.

Promoting awareness helps:

  • normalise health conversations
     

  • encourage timely medical care
     

  • reduce preventable complications
     

 

Conclusion

Diabetes symptoms in men often develop gradually and may go unnoticed for years. Frequent urination, fatigue, unexplained weight changes and sexual health issues should never be ignored. Early diagnosis and timely management significantly reduce the risk of serious complications and improve long-term health outcomes. Awareness, routine screening and proactive healthcare are essential steps for men to protect their health and wellbeing in an era of rising lifestyle diseases.

 

References

  • Indian Council of Medical Research (ICMR) – Diabetes Epidemiology and Risk Studies
  • World Health Organization (WHO) – Diabetes Prevention and Management Guidelines
  • National Family Health Survey (NFHS-5) – Diabetes Prevalence in Men
  • Lancet Diabetes & Endocrinology – Male-Specific Diabetes Outcomes
  • NITI Aayog – Non-Communicable Disease Prevention Reports
  • Statista – Global Diabetes Trends and Gender Differences

 

See all

Live Doctor consultation
Live Doctor Chat

Download Our App & Get Consultation from anywhere.

App Download
call icon for mobile number calling and whatsapp at secondmedic