Diabetes mellitus
is a disorder in which the body does not produce enough
insulin and the blood glucose levels are abnormally
high. The insulin helps move the sugar from the blood to
the cells where it is used as energy. Women having
diabetes mellitus are more prone to recurring
Candida
infections. But the opposite is also true. Recurrent
Candida infections may also be a sign of undiagnosed
diabetes mellitus.

Women with
recurring Candidiasis, that is four or more
infections per year, must be screened for
diabetes. If the glycemia or blood glucose is
poorly controlled vaginal Candidiasis is a common
problem. Yeast cells normally live in the vagina and
their numbers are kept in control by the acidic
environment and the beneficial bacteria which allow only
a minimal amount of nutrients to be available to the
Candida.
Due to the higher blood glucose levels in
diabetic women, their vaginal secretions contain high
amounts of glucose which nourishes the Candida and they
multiply unchecked.
Apart from
the elevated blood glucose in diabetic patients, their
immune response also shows some aberrations making them
prone to recurring Candida. Even in non-diabetic women
with recurring Candida, the tolerance to glucose is
discretely impaired. The hyperglycemia limits the action
of neutrophils as a result of which diabetics are not
able to clear the Candida as well as non-diabetics. The
high blood sugar affects not only the immune system but
also the nervous and circulatory system. This further
leads to breakdown of natural barriers to infection. It
was found that in diabetics, the incidence of infection
with Candida glabrata was more than with the more common
Candida albicans. Candida glabrata is less responsive to
normal medications than Candida albicans.
Diabetics
are overall at an increased risk to common infections.
The recurrent use of antibiotics in diabetics makes them
more prone to recurrent Candidiasis. The infections may
worsen glucose control leading to further delays in
recovery from the infection. Any infection in a person
with diabetes poses a risk because as the body tries to
fight the infection the blood sugar levels may fluctuate
wildly from very low to very high, which could be
potentially life-threatening in
diabetics.
There are
many antifungal medications available over the counter.
But it is critical that patients with diabetes go to a
medical practitioner and plan out treatment best suited
to them. This is because the antifungal medications
interact with regular medications.
As diabetes and recurrent Candida are both very complex diseases triggered by various internal and external factors, holistic medicine which is patient centric is highly recommended. This approach goes beyond just treating physical symptoms. Detoxification, changes in lifestyle, vitamin and herbal supplements, eliminating stress, incorporating dietary changes will safely and effectively control both the diabetes as well as recurrent Candida.
