Heatwaves got a grip on parts of Europe during the month of June

 

Dear Bloggers,

As the Earth warms, heatwaves are expected to occur more often, with sharper intensity and for longer periods. Rising temperatures adversely affect worker productivity and human health, but for policymakers to take substantive action for heat adaptation, making an economic case is key.

 

The Netherlands was suffering from its first summer heatwave with the national weather service was declaring a red alert on Monday for large parts of the provinces of Zeeland, Noord Brabant and Limburg in the south of the country.

 

The area reached 33 degrees Celsius in the shade in the late afternoon. In some places the temperature was approaching 35 degrees by midday.

Other regions in our country also felt the heat, with my hometown Sneek cooling down to 22 or 23 degrees at night.

Few people were seen on the streets, while many tried to cool off with fans, umbrellas or water bottles in the strong sunshine, with more than 30 degrees in the shade.

The daily maximum temperature of 37 degrees, as announced by the weather forecasts, was to be reached between 3 pm and 6 pm central European time in the city of Amsterdam.

 

"You can really only go out these days after dark, from 10 pm onwards. And even then you're still sweating," the bars and nightclub owner told me.

"I'm only outside because the fridge is empty and I mainly need beer." A random neighbor told me. But in the supermarket, he said, it was "nice and cool."

Temperatures are expected to drop slightly from Thursday after peaking on Monday, but the heatwave will not noticeably subside until next Thursday.

Meanwhile, the maximum temperatures of 32 or 33 degrees will drop after a bit of rain and thunder. People with mental health issues are facing a lot of challenges when it comes to hot weather. I have trouble dealing with the heat and as diabetic it is not easy to keep hydrated and keep the levels regular. For persons with mental health issues it is not easy as well as they sometimes don’t realize the power of the heat and they forget to cool themselves down.

The reasons why mental health patients are more vulnerable during periods of extreme heat are only just beginning to be explored. During heat waves, night-time temperatures are also elevated, leading to poor sleep which might contribute to mental stress.

Those that are taking medication to treat their illnesses are even more vulnerable to extreme heat. Lithium, used to treat bipolar disorder, can become toxic when patients are dehydrated. Tricyclic antidepressants can cause excess perspiration, leading to dangerous levels of dehydration. And clozapine, a powerful antipsychotic used to control schizophrenia, is anticholinergic, meaning that among other effects it reduces or stops sweating, the body’s most important defense against overheating. “This population is the most impaired, but then they’re taking the most high-risk medication that can further worsen their condition and their ability to thermoregulate.

That doesn’t mean patients should stop taking the drugs during heat waves, says our psychiatrist: “These are absolutely necessary, lifesaving medications that improve quality of life among people with disorders.”

That means alerting the entire gamut of social services to risk of heat waves on clients suffering from mental health disorders. “Knowing that there are going to be periodic heat waves, [psychiatrists and psychologists] have to actively engage with our patients by educating them about behavioral ways they can protect themselves,” through adequate hydration, appropriate clothing, and suitable shelter. For the most vulnerable—those with severe mental illness—“we need to engage local organizations and people who are from the community who have established relationships ahead of time to be able to go in and find Mr. Jones (fictive name), who we know is vulnerable because of mental illness.”

Now that heat wave season is upon us, I would suggest that care takers should be setting up a climate-focused group therapy. “It gives patients an opportunity to talk about this issue openly so that they’re more aware and know what to do. And if they feel more irritable or psychotic, they can think for themselves, ‘Oh, maybe the climate is affecting my health.’” 

Climate change is a health threat. But unlike floods, heat waves are predictable, which means deaths from heat waves should not be.

Stay cool and relax during the heat.

The Old Sailor,

 

 

 

 

 

 

Surviving the heatwave with Diabetes

Dear Bloggers,

When temperatures start to get out of control, so can you’re blood sugar can get out of control.. Both hot and cold weather extremes can harm your testing equipment and your medications and have a negative impact on your body’s ability to produce and use insulin.

Research shows that when it’s hot out, more people with diabetes end up in the ER and are hospitalized because of heat illness. The number of deaths in diabetes patients due to heat illness also increases in summer. Low temperatures can be an issue for people with diabetes as well.

But you don’t have to let the environment have the upper hand. Taking a few smart precautions can help you outsmart Mother Nature. Here are the adjustments to make depending on where you live and the weather forecast.

 

Managing the Summer Heat

Take these steps to keep your diabetes under control when the temperature soars:

Stay hydrated. “The problem is that in the heat, people tend to get dehydrated easily. When you’re dehydrated, you have higher concentrations of blood sugar because less blood flows through your kidneys. With less blood, your kidneys don’t work as efficiently to clear out any excess glucose (blood sugar) from your urine.” When it’s hot, be sure to drink plenty of water or sugar free beverages. Don’t wait until you are thirsty to replenish fluids.

Store your medications properly. High summer temps can affect your diabetes medications, glucose meter, and diabetes test strips. “When it’s hot out, it’s easy for insulin and other drugs to become degraded,” Be sure to store your medications properly out of the extreme heat. Never leave them in your car on a sweltering summer day, for instance. “It could get up to 50 degrees inside your car."

If you’re traveling, don’t forget to take your diabetes medicines with you. You may need to carry them in a cooler with an ice pack. Just be sure they’re not sitting directly on ice or the ice pack.

Stay out of the heat of the day. Exercise is an important part of diabetes management and blood sugar control. But you don’t want to be outside exercising during the hottest part of the day. “Get in your exercise first thing in the morning or once the sun goes down,”. Another option is to work out in an air-conditioned gym.

Know the signs of low blood sugar. Some of the symptoms of heat exhaustion are similar to those of low blood sugar, or hypoglycemia. These include sweating, light-headedness, shakiness, and confusion. “You may think it’s the heat and not recognize that your blood sugar levels have fallen to dangerous lows,” Be aware of the warning signs of low blood sugar and keep some carbohydrates with you to eat if you need to raise your blood sugar. Have a plan for a medical emergency.

 

Test more often. You may need to test your blood sugar levels more frequently so that you can adjust your insulin and your diet as necessary. Talk with your diabetes educator about guidelines if you're unsure of the best schedule.

Mind your feet. People with type 1 diabetes and type 2 diabetes are susceptible to problems with their feet. In the summer you face the temptation to go barefoot or wear open sandals that expose your toes … to trouble. Always wear shoes that fit well, even in warmer months. And at the end of the day, check your feet for any cuts, scrapes, blisters, or bruises. Don’t ignore injuries to your feet. Get medical treatment right away.

Surviving the Winter

Freezing temps and inclement weather can make it more challenging to stay on top of your diabetes. Here’s what to watch for during the colder months:

Keep your supplies out of the cold. Just like extreme heat, extreme cold can affect your insulin and cause your glucose monitor to stop working. Don’t leave supplies in a car when temperatures outside are below freezing.

Do your best to avoid getting sick. When you’re sick, you’re stressed, and being under stress can raise your blood sugar. Also, when you don’t feel good, you’re likely to not eat properly. Wash your hands with soap and water often so that you don’t spread germs. “We recommend diabetes patients have a sick-day kit at home. Fill it with soup, sugar-free cough drops, tea things that will make you feel better and that you can access easily,”

Avoid packing on the pounds. Managing your  type 2 diabetes during the holiday season can be tricky. Many seasonal treats are loaded with carbohydrates that cause your blood sugar to rise. Plan your meals and pace your special treats so that you don’t greet spring a few pounds heavier. Even a small weight gain makes it more difficult to control your diabetes and blood sugar levels.

Keep an eye on your feet. Diabetes can cause a loss of feeling in your toes and feet. Protect them with the right winter footwear, especially in snow. Apply moisturizer to your feet to keep your skin healthy. Inspect them regularly, and if you notice an injury that doesn’t heal, seek medical attention. Don’t wait. Also important warm your hands. “If your hands are cold, you may have to warm them up to get a good blood sugar reading,” Wash them in warm water before testing.

Don’t skip your workouts. It can be hard to get motivated to exercise in winter. But exercise is an important part of diabetes blood sugar control. It helps if you dress in layers when you’re exercising outdoors in the cold. Or join a gym where you can work out indoors. Another option: Work in exercise at home by taking the stairs, lifting weights, and exercising to videos.

At this moment I have to deal with the summer heat and my type 2 diabetes

When the hottest days of summer hit, people with type 2 diabetes need to pay close attention to their condition. Here's how to savor the season without health worries.

Summer conjures up images of backyard barbecues, pools and beaches, street festivals, stargazing, and more. But summer heat can add to the problems faced by people living with type 2 diabetes. In fact, studies have shown that during a heat wave, emergency room use by people with diabetes increases. And while most people with diabetes are aware that extreme heat poses a danger, they may not always know when to take precautions..

If you have diabetes, the high heat and humidity of summer can be difficult for your body to manage. The problem with hot weather is the combination of temperature and humidity.

Elderly people are at particular risk, but people of all ages with diabetes should be aware of summertime dangers. These include dehydration, heat exhaustion, and foot problems.

Dehydration is your enemy

Everyone, regardless of their health status, should make sure they drink enough fluids during the summer. People with type 2 diabetes, however, face an additional challenge because when their blood sugar levels are too high, they may be passing more urine than usual which means they are losing fluids more quickly. Add sweating into the mix and you have a recipe for speedy fluid loss. Certain medications, such as metformin (Glucophage), also increase the risk of dehydration.

If you are out and about on a hot summer day, make sure you have enough of these beverages on hand to stay hydrated:

• Water or seltzer
• Sugar-free lemonade or other drinks

Also, avoid alcoholic drinks and caffeine. Alcohol and caffeinated drinks are usually okay in moderation but too much of either one can cause you to lose more fluids. And remember to bring along snacks in case your blood sugar drops.

Diabetes and Heat Exhaustion If you’re going to be outside, be alert to these symptoms of heat exhaustion:

• Dizziness
• Fainting or near-fainting
• Sweating to excess
• Muscle cramping
• Cold, clammy skin
• Headaches
• Rapid heartbeat

Check blood glucose levels often. Aim for checking four times each day and before you drive.

With the proper precautions, people with type 2 diabetes can get through the summer and enjoy summer activities with no worries.

The Old Sailor,