Bronchial Asthma And Diabetes



 In this article, we will discuss bronchial asthma in diabetes. So far, little is known about the science of the combination of these conditions. We know this:

Children with type 1 diabetes are also more likely to have asthma compared to children without diabetes. However, the incidence of bronchial asthma in the general population is relatively low, and the absolute increase in risk is not particularly significant.

Insulin opposition and weight increase the gamble of creating bronchial asthma and deteriorating its course if it now exists. Incendiary proteins created from abundant fat tissue can prompt issues of the invulnerable framework, prompting an expanded gamble of developing bronchial asthma or its somewhat serious course.

In type 1 diabetes, higher doses of asthma medications may be needed to control it successfully, especially in the first year after the diagnosis of diabetes mellitus.

Patients with diabetes were hospitalized for asthmatic status for slightly longer than patients without diabetes. With good glycemic control, hospitalization duration increases by an average of 2 days, and if blood glucose during treatment reaches 11 mmol / L, hospitalization duration is 4 days longer than in nondiabetic patients.

Glucocorticosteroids (hormones used to treat asthma) may reduce insulin sensitivity. Even though inhaled glucocorticosteroids are absorbed into the bloodstream minimally, sensitive people may need to increase their insulin dose to control glycemia while taking glucocorticosteroids. In this regard, you need especially careful glycemic control while taking these medications.


What practical conclusions from this knowledge will be useful. 

  • Good glycemic control contributes to faster alleviation of bronchial asthma exacerbations and facilitates their course;
  • Weight control (BMI less than 25-27) helps to improve the course of bronchial asthma, reduce the frequency of exacerbations and reduce their severity;
  • Against the background of taking glucocorticosteroids (including in the form of inhalation - through an inhaler, spacer, or nebulizer), special careful control of glycemia is required with a possible increase in insulin dose to avoid the development of ketoacidosis.

Bronchial Asthma And Diabetes

A situation where only one person has a disease is very rare. All systems and organs of the human body are closely connected, and problems with one organ often involve complications in the form of diseases of others. 

As a result, a combination of diseases occurs, and if no measures are taken, pathological phenomena can cover the whole organism. Therefore, it is very important to diagnose the problem before it causes additional difficulties. However, this is not always possible.

A common case where a patient has two diseases at the same time is bronchial asthma and diabetes. According to the results of studies, it became known that these diseases, despite the differences in their manifestations, most often occur in the same people, because they are provoked by disorders in the functioning of the immune system.

The presence of two diseases significantly complicates the treatment process and the choice of drugs, as it is necessary for drugs to fight both. It is difficult to achieve such an effect, so doctors try to choose drugs that at least do not aggravate one disease while suppressing the symptoms of another.

Both diabetes and asthma are among the diseases that are very difficult to completely control. Usually, the medical effect is associated with the alleviation of seizures and their further prevention.

In other words, experts are trying to reduce the number of deteriorations. To do this, it is very important to know what is the cause of the disease in each individual patient - it will help reduce the pathological effect of the traumatic factor.

The main causes of developing bronchial asthma include:

  • Heritage;
  • Increased likelihood of allergic reactions;
  • Genetic traits;
  • Sensitivity of the respiratory tract to the harmful effects of the environment;
  • Smoking;
  • The need to interact with toxic substances;
  • Infectious diseases;
  • The body's reaction to drugs;
  • Prolonged exposure to cold;
  • Calcium deficiency;
  • Features of the ecological situation;
  • Chest injuries;
  • Problems with the autonomic nervous system;
  • Physical fatigue due to prolonged physical exertion;
  • Structural features of the respiratory system.

Among the factors that cause diabetes are:

  • Hormonal problems;
  • Heritage;
  • Pancreatic disease;
  • The effect of drugs with their long-term use;
  • Age-related changes in the body;
  • Endocrine disorders;
  • Severe infectious diseases;
  • The presence of excess weight;
  • Problems with the cardiovascular system;
  • Excessive blood cholesterol;
  • Thyroid disease;
  • Prolonged emotional overload, leads to exhaustion.

Doctors note that people with diabetes are significantly more likely to have bronchial asthma. 

This is because diabetes mellitus leads to disorders in various organs and systems and weakens the body, making it more sensitive to external influences.

 As a result, patients often have infectious diseases and allergic reactions. They, in turn, can trigger asthma.

Also, diabetes can occur due to the presence of asthma in the patient. Remember the effects of medications. Some drugs used to treat bronchial asthma can cause pathological changes, leading to diabetes mellitus. Therefore, in people with asthma, it is very important to identify a potential risk group so as not to use harmful drugs in their treatment.

The main reasons that can cause both diseases at the same time are:

  • Genetic traits;
  • Immune system problems;
  • Adverse environmental conditions.

Treating two diseases that occur together involves more difficulties than treating any pathology. This is explained by the need to choose medicines more carefully because they can suppress the symptoms of one disease but worsen another. This causes difficulties in treating asthma complicated by diabetes.

In the treatment of these two diseases, self-medication is very dangerous. Any medication should be prescribed by a physician after a thorough examination and consideration of all individual characteristics. 

Therefore, under no circumstances should you use medications that have not been prescribed by a specialist, even to alleviate seizures. In addition, during the treatment process, the doctor's control is very important, because there is a likelihood of changes in responses to therapeutic effects.

It is very important to take into account the most pronounced symptoms and diseases and their causes. But the most important aspect is the type of disease.

With an allergic origin of asthma, one should be careful when choosing medications for diabetes as there is a risk of reacting to them. The result will be another asthma attack. Therefore, it is better to conduct allergy tests first, and only then prescribe medication.

In insulin-dependent diabetes, it is advisable to exclude glucocorticosteroid drugs, which are often used against asthma. They can worsen the manifestations of diabetes and cause complications. It is therefore necessary if these funds are not completely excluded, and then at least reduce their consumption.

 Glucocorticosteroids are usually replaced by corticosteroids. If their complete rejection is not possible, instead of systemic treatment, inhalation with their help is prescribed, so that substances that negatively affect the course of diabetes enter the bloodstream in minimal quantities.

The presence of two such serious diseases can lead to serious consequences, which change the work of all systems and organs. To avoid this, you must try not to worsen the patient's condition.

 For this, it is very important to treat and control the doctor about any changes in the body. But prevention is no less important. This includes identifying provoking factors and neutralizing their effects.

Because the development of asthma and diabetes is influenced by harmful living conditions, unhealthy lifestyles, and weak immunity, most preventive measures are focused on these areas. The main ones are:

  • Smoking cessation and alcohol;
  • Rational and balanced diet;
  • Moderate physical activity;
  • Compliance with sanitary standards;
  • Avoiding contact with allergens and harmful substances;
  • Doctors monitor the progress of treatment;
  • Adherence to the patient's medical recommendations;
  • Body strengthening;
  • Informing patients about the features of the course of the disease, etc.

It is completely impossible to cure bronchial asthma - doctors can only keep this disease under control and prevent complications. If diabetes is added to that, increased caution is needed, because that narrows the range of medications to fight asthma symptoms.

If patients choose the wrong treatment or do not want to follow medical recommendations, even more serious diseases can occur, for example, coronary heart disease (for those who do not want to quit smoking).

Taking any over-the-counter medication can cause either an allergy that will worsen asthma or a change in sugar levels, which is dangerous for insulin-dependent diabetes.

Diabetes mellitus and bronchial asthma are a fairly common combination that occurs in approximately thirteen percent of patients. Scientific epidemiological studies have proven a link between these diseases caused by certain disorders in the autoimmune system.

Bronchial asthma is a chronic disease that causes the narrowing of the airways due to exposure to specific irritants. The main factors that cause the appearance and development of this respiratory pathology:

  1. Genetic predisposition.
  2. Susceptibility to allergic reactions.
  3. Hereditary factor.
  4. Smoking.
  5. Bronchial hypersensitivity to external stimuli (may be bacterial and nonbacterial in nature).
  6. Prolonged exposure to toxic substances.
  7. Viral infections.
  8. The effect of certain drugs.
  9. Exposure to exposure.
  10. Bacterial infections.
  11. Harmful environmental factor.
  12. Lack of calcium in the body.
  13. Hypothermia.
  14. Disorders of the autonomic nervous system.
  15. Long-lasting and lasting physical effort.
  16. Presence of traumatic chest injuries.
  17. Destructive changes in the bronchi.
  18. Excessive eating of animal products.

Symptoms of bronchial asthma:

  1. Asthma attacks.
  2. Respiratory problems.
  3. Chronic bronchitis.
  4. Persistent cough with a tendency to intensify at night.
  5. Development of severe dyspnea.
  6. A characteristic wheezing that accompanies breathing and is observed in severe forms of the disease course.

Diabetes mellitus is a disease of the endocrine system, characterized by high blood sugar, and insufficient production of pancreatic insulin hormone. As a result of this pathology, metabolic processes in the body are disrupted with simultaneous damage to many organs and systems. The main causes of the development of diabetes endocrinologists include:

  1. Genetic predisposition (the presence of pathology in close relatives increases the risk of its occurrence by more than thirty percent).
  2. Hormonal imbalance.
  3. Pancreatic damage.
  4. Prolonged and uncontrolled taking of some medications.
  5. Beta-cell damage resulting from pancreatic dysfunction.
  6. Age According to statistics, people over the age of sixty are most susceptible to the pathology in question.
  7. Pathologies of the endocrine system.
  8. Overweight, obesity.
  9. The presence of infectious diseases that occur in severe form.
  10. Arterial hypertension.
  11. High cholesterol.
  12. Thyroid disease.

Nervous exhaustion is caused by mental disorders or emotional stress.

The main symptoms and signs characteristic of the presented disease of the endocrine system:

  1. Fast urination.
  2. Possible dehydration.
  3. Constant feeling of dry mouth.
  4. Persistent and intense thirst.
  5. Nervousness, reckless irritability.
  6. Fatigue.
  7. Feeling weak.
  8. Weight loss (depletion of the body is observed at an advanced stage).
  9. Fatigue in arms and legs.
  10. Furunculosis.
  11. Heartache.
  12. Feelings of itching and burning of the skin, as well as in the perineum.
  13. Allergic skin rashes are possible.
  14. Frequent mood swings.
  15. Sudden changes in blood pressure.

Although, at first glance, the observed pathologies have a different nature, several factors determine their relationship. Frequent cases of developing bronchial asthma on the background of diabetes were recorded many decades ago and since then there have been constant discussions among scientists about the possible causes of this phenomenon.


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