5 Surprising Symptoms Of Diabetes You May Not Know

Not every case of type 2 diabetes presents with the obvious symptoms—unquenchable thirst, nonstop bathroom trips, and numbness in your hands or feet. Look out for these other subtle signs that something may be amiss with your blood sugar:

Surprising Symptoms of Diabetes

1. You've noticed Unpleasant Skin Changes

Dark, velvety patches in the folds of skin, usually on the back of the neck, elbows, or knuckles, are often an early warning sign of too-high blood sugar levels. Although genetics or hormonal conditions can cause the skin disorder, called acanthosis nigricans, "when I notice the patches, the first thing I do is test my patient's blood sugar," says Sanjiv Saini, MD, a dermatologist in Edgewater, Maryland. "High insulin levels promote the growth of skin cells, and melanin, a pigment in these cells, makes the patches dark." The test may show that the patient already has diabetes, but, more likely, it will detect higher-than-normal blood sugar levels, suggesting the patient is on the way to developing the disease, explains Saini. Losing weight—as little as 10 pounds—will likely lower blood sugar levels and help the condition clear up. Otherwise, he says a dermatologist can treat it with laser therapy or topical retina A.

What happen to my skin?

2. Your Vision Improved out of nowhere

Sorry, suddenly being able to ditch your glasses probably isn't good news: "You'll often read that blurry vision is as a diabetes symptom when, in fact, vision can change for better or worse," says Howard Baum, MD, an assistant professor of medicine in the diabetes division at Vanderbilt University. "I've had patients tell me that their vision has improved when their blood sugars were elevated, and then after they start treating their diabetes, they needed their glasses again." What gives? Diabetes causes fluid levels in the body to shift around, including inside your eyes, which leads to the erratic eyesight.

Suddenly, I can see clearly without my glasses

3. You have Unrelenting Itchiness

Think it's silly to mention scratchy skin to your doctor? Not so. Diabetes impairs blood circulation, which can lead to dryness and itchiness. "Some of my newly diagnosed diabetes patients mention they're itchy on their extremities—the hands, lower legs, and feet—so it's something doctors should consider in conjunction with other symptoms," says Baum. If regular use of a moisturizer doesn't fix the itch, bring it up at your next appointment.

It get itchy always but it is not allergy

4. Your Hearing isn't what it used to be

If you find yourself cranking the volume on the TV or you can't get through a conversation without asking people to repeat themselves, tell your doctor you need a blood sugar test. One study by the National Institute of Health suggested hearing loss could be an early warning sign of diabetes: People with higher than normal blood sugar who didn't yet meet the criteria for diabetes were 30% more likely to have hearing damage than those with healthy glucose levels. The researchers believe that diabetes damages the blood vessels and nerves of the inner ear, leading to sub-par hearing.

What are you saying?

5. You Snore like a Chainsaw

"About half of type 2 diabetics have sleep-disordered breathing," says Osama Hamdy, MD, director of inpatient diabetes management at Joslin Diabetes Center in Boston. So if you're diagnosed with the condition—characterized by loud snoring and daytime sleepiness—it's a good bet to get your blood sugar levels checked, too. One recent Canadian study showed that 23% of patients diagnosed with mild or moderate obstructive sleep apnea, a common sleep disorder, went on to develop diabetes within 5½ years. The connection isn't completely understood, but there's one important link between the two: Patients with sleep-disordered breathing tend to release stress hormones during sleep, which can raise blood sugar levels.

I wish I can Shut his mouth up!

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5 Foods Women Should Avoid

For women, eating healthy is essential to staying healthy and well enough to take care of their families and go to work. If you want to stay healthy during this summer, then avoid these five foods to keep your body strong.

Choose your Food Carefully

1. Diet Soda

Diet soda seems like a great option for many women who wish to stay thin. It is calorie free, sugar free and often still tastes like their favorite soda beverage. 

However, diet soda can be incredibly unhealthy for you. This type of soda is littered with artificial sugars and chemicals that can severely mess up your body chemistry. Diet soda may taste great, but it often is horrible for you. The soda lacks calories itself, but drinking the soda actually has been linked to eating higher calorie meals and snacks. According to many research studies surrounding diet soda, people who drink the beverage have more cravings for sugary or salty foods. In turn, they may actually eat more calories in their day because they are constantly craving processed snack foods.

Also, diet soda should be avoided because it is pro-inflammatory and can increase their risk of developing heart disease, cancer, and many chronic pain conditions. Instead, women who are craving the sweet taste of diet soda should choose apple slices, water, or even seltzer water or juice. These foods and drinks can curb their cravings for diet soda and keep them healthy.

2. Chewing Gum 

Like diet soda, many women chew gum in order to suppress their appetites and keep full in between meals. However, chewing sugar free gum may actually harm their bodies. Sugar free gum is packed full of chemicals that actually trick your body into believing that you are ingesting some form of nutrition. In turn, you may notice that you feel a little bloated or queasy after chewing gum for long periods of time. Your body is trying to digest what it believes is going to be a nutritious meal, and instead, you never actually swallow any food.

For this reason, your stomach and your digestive system will rebel and cause you to have many symptoms of digestive distress. Instead, try reaching for a bottle of water whenever you feel like chewing a piece of gum. Many gum-chewers forget to drink water throughout their days because they are constantly chewing on a piece of gum. In turn, they become dehydrated and their bodies crave water. To combat this, gum-chewers need to drink water each day instead of reaching for another piece of gum. 

If you have to have something to chew on, then try to munch on a few veggies or fruits to curb your gum cravings. 

3. Red Meats 

Most women aren't heavy red meat eaters. In fact, most women eat a lot of chicken, turkey and fish. Whether this is because their tastes are different than men’s tastes, or they understand the health behind choosing these meats is another story. But, if you are a red meat eater, then you may want to cut back. 

According to recent research, red meat is the culprit behind internal and external swelling in women. This swelling is caused by inflammation that is released in your body after you consume large portions of red meat. In turn, you may feel aches and have a few joints or muscles that become inflamed and painful. Or, you may notice that your body appears bloated and swollen. These are all signs of too much red meat in your diet. If you do want to indulge in a piece of red meat every once in awhile, that’s completely okay, just pick a cut of meat that is low fat and choose meat that doesn't contain any antibiotics or hormones. These latter two compounds may be contributing to many health issues in the United States right now.

Instead of eating red meat, you can eat a variety of chicken, turkey and fish. Wild salmon is a great choice for women, because the compounds and protein in salmon have been shown to actually balance women’s hormone levels and leave them feeling energetic and happy. 

4. Fat Free Yogurt 

Fat free and low fat yogurt is something that all women should avoid. These types of yogurt are riddled with chemicals and are just generally unhealthy for you. Plus, according to a recent study, women who eat high amounts of low fat yogurt and low fat dairy products are at an 85 percent higher risk of developing infertility issues sometime in their life versus women who consume little to no low fat dairy products. For this reason alone, women should stay away from low fat dairy products, especially if they want children in their future. 

Another reason to stay away from low fat yogurt, is because the tiny cups of yogurt are bursting with sugar. These yogurt products are packed with sugar and will keep you hyper and cause your blood sugar levels to skyrocket. Instead, choose full fat yogurt in moderation, or eat cottage cheese for your daily dairy product. 

5. Canned Food

According to many experts, canned food just aren't safe for consumption, no matter what brand you buy. Any time you buy anything out of a can, the can is lined with a compound known as bisphenol-A, or BPA. This compound is a synthetic estrogen compound that has been linked to numerous ailments, including heart disease, diabetes and obesity when it is found in high concentrations in the human body.

Research has shown that the concentration of BPA in most people’s body’s exceeds the maximum recommended concentration. Due to this, the BPA found in humans could be suppressing their sperm or changing the DNA of their chromosomes found in their eggs. In turn, they could be passing on diseases to their future children. Canned food are dripping with BPA, and are a food that most people enjoy often.

Eat Fresh is better

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6 Simple Habits That Can Lower Your Heart Disease Risk by 92%

Researchers followed nearly 70,000 people for two decades and concluded that three-quarters of heart attacks in young people could be prevented if they closely followed six healthy lifestyle practices, even if they'd been diagnosed with one or more risk factors such as high cholesterol, high blood pressure and diabetes. In fact, people who adhered to all six healthy lifestyle practices had a 92% lower risk of heart attack and a 66% lower risk of developing a risk factor for heart disease.

Check out these 6 habits that can save your heart.

Try Not Smoking

Science has proven time and time again that smoking increases the risk for cardiovascular events such as heart attack and stroke. And the sooner you quit, the sooner you reap health benefits. Research published in the European Journal of Epidemiology found that people who quit smoking lowered their risk of disease by 40% in 5 years.

Smoking increases the risk, you know that.

A Normal Body Mass Index (BMI)

Obesity was deemed a disease by the American Medical Association in 2013 because carrying extra weight may lead to factors that contribute to conditions such as heart disease. This is just one of the reasons why a healthy body mass index makes the list, but as Chomistek points out, people can be overweight and still be cardiovascularly fit. So while you might be fighting the battle of the bulge, if you are eating well and exercising—two of the lifestyle factors on this list—you're still helping to ward off heart disease.

Stay slim, stay healthy

Exercising At Least 2.5 Hours A Week

Incorporating daily activity into your routine can help diminish your heart disease risk by 46%, suggests a 2014 study published in the journal Circulation. Just make sure you're reaping the benefits by getting in a few sessions that make you really huff and puff.

It is advisable to exercise whenever you can

Watching 7 or Fewer Hours of TV a Week

We're sure you've seen the studies that show sitting for long periods diminishes your mortality rate, eating in front of the TV contributes to overeating, and using electronics prior to bed disrupts sleep. By reducing the time that you're planted in front of the television, you can increase the amount of time that you're exercising, socializing, and relaxing—all things that can also help slash your heart disease risk.

It's time to leave the couch and get moving

Drinking an Average of One Alcoholic Drink per Day

According to Chomistek, this is one of the least influential lifestyle habits on your heart health. "If you drink alcohol, limit it to one drink a day; but if you don't drink, I'm not going to recommend you to start."

One glass of wine improves blood circulation

Eating a High-Quality Diet

Chomistek explains that the participants in the study who experienced the least heart disease risk ate a diet that was high in fruits, vegetables, whole grains, nuts, legumes, and fish, and low in red and processed meats, and trans fats.

Do a Regular Cholesterol Screening

It is advisable to do a cholesterol screening every 3-6 month to monitor your cholesterol level. You will know when you need to do something when you look at your results.

Cholesterol Screening every 3 months keep you updated

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6 Sneaky Signs You Drink Too Much

You rarely turn down wine with dinner, not to mention that second (or third) cocktail at happy hour—but that doesn't make you a binge drinker, does it? 

Wine are good for Health, don't they?

More than 38 million adults binge drink an average of four times a month, according to a the report, and while 18 to 34 year olds are more likely to go overboard than any other age group, it’s actually the over-65 set that does it most often. Tying one on now and then may seem harmless, but overindulging in alcohol is responsible for more than 80,000 deaths in this country per year, and is the third leading cause of preventable deaths. 

So how much alcohol means you’re overdoing it? 

For women, binge drinking means having four or more drinks in a short period of time, compared to five or more for men. 

One Cup every night makes you a drinker

Most people who binge drink don’t fit the definition of an alcoholic, but there aren't just two camps of drinkers, say experts: Many of us are somewhere in between. To find out where you fall on the problem-drinking spectrum, read on for these surprising signs you may be drinking too much.

You become a Daredevil.

Anyone who’s seen their normally shy co-worker dancing on the bar at the company party knows drinking can lower inhibitions. Getting drunk can come with repercussions far worse than feeling embarrassed—it can lead to risky decisions. “Drinking too much on just one occasion can change your life for the worse,” says Gregory A. Smith, MD, an addiction specialist at the Comprehensive Pain Relief Group in Los Angeles. Alcohol is also a factor in approximately 60% of fatal burn injuries and drownings, 40% of fatal falls and car accidents, and half of all sexual assaults, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA).

When you are drunk, anything can happen!

You’re a Weekend Warrior.

If you don’t drink daily but are drinking regularly, such as every Friday night, that’s a red flag,” says Dr. Smith. While research shows that having about seven alcoholic beverages per week lowers your risk of diabetes and cardiovascular disease, abstaining all week only to guzzle five or six glasses in a single sitting negates any of alcohol’s potential health benefits. Moreover, binge drinking can raise blood pressure and interfere with certain medications. “Plus, it’s easier for women to suffer acute alcohol poisoning that could lead to death because it could take only six or seven drinks for someone who is 5’3” and 115 pounds, while it may take twice that amount or more for a larger man,” says Dr. Smith.

Drinking just “creeps up on you.”

Have you ever told yourself you were going to have only a drink or two at happy hour, and before you knew it you’d downed four? One of the clues that you may be a binge drinker is not knowing your limits—or feeling surprised when you've "suddenly" passed them. Like diabetes, heart disease, and other health problems, drinking problems develop gradually. That’s why it’s smart to re-evaluate your drinking habits regularly by writing down how much you drink and when. That will make it easier to rein yourself in if you’re starting to get a little out of control.

This is just great, I think I will have 2 more bottle

Your memory has temporarily gone missing.

Alcohol affects everyone differently, depending on your genes, what, if any, medications you’re taking, as well as whether you just ate a big meal (food slows the absorption of alcohol in your bloodstream). Still, researchers speculate that heavy drinking interferes with how you remember by disrupting a key brain messenger called glutamate, which is linked to memory. That means if you have ever “forgotten” parts of the night until your drinking buddies reminded you, or have woken up foggy as to how you got home and into bed, you've definitely had one (or three) too many.

What happen last night? I cant remember anything

You let some responsibilities slide.

“Drinking is a problem when you notice that you’ve started to neglect things that are important to you for the sake of alcohol,” says Keith Humphreys, PhD, of the VA/Stanford University Center for Health Care Evaluation in Palo Alto, California. Maybe you’re normally a dedicated parent, but a Saturday night buzz means you have trouble putting the kids to bed. Or you skip your Monday morning spin class because you feel hung-over from the weekend. When drinking is prioritized over your normal day-to-day life, you’re probably in the danger zone.

My head hurts after the party last night

People close to you seem concerned.

If your family, friends, or co-workers have hinted (or flat-out vocalized) that they’re worried about you, it’s time to cut back. “The first step is to recognize that you’re drinking more than you should, and then to set some goals for yourself,” says Deidra Roach, MD, of the NIAAA. Tell your partner or friend what your drinking limit is going to be before you go to an event where alcohol is free flowing. This makes it easier to say no to the next drink, because you’re being held accountable by someone else. “And if you’re afraid to ask people if you drink too much, that’s probably a sign that you’re overdoing it, too” says Dr. Humphreys.

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The Amazing Health Benefits of Chickpeas

The chickpea or chick pea is a legume of the family Fabaceae, subfamily Faboideae. It is also known as gram, or Bengal gram, garbanzo or garbanzo bean, and sometimes known as Egyptian pea. Like other legumes such as beans, peas and lentils, chickpeas are prized for their high protein and fiber content, and also contain several key vitamins and minerals known to benefit human health.

1. Reduce Cholesterol Levels

Having elevated cholesterol levels significantly increases your risk of suffering from a stroke or heart attack. Eating soluble-rich foods like chickpeas and oatmeal can reduce your cholesterol levels naturally.

2. Diabetes Prevention

Preliminary evidence suggests that the consumption of chickpeas may be beneficial for correcting dyslipidemia (when the concentration of cholesterol or lipids in the blood exceeds normal limits), and preventing diabetes.

3. Help in Weight Loss

Including fiber-rich foods in your diet plan can make weight loss more effective. Fiber distends your stomach, making you feel satiated for longer periods. If you eat regularly vegetables like chickpeas, you can expect more robust weight loss than you’d get from simply cutting calories.

4. High in Protein

Chickpeas are a good source of protein. Combined with a whole grain such as whole-wheat protein, they provide amount of protein comparable to that of meat or dairy foods without the high calories or saturated fats.

5. Energy Booster

Chickpeas can boost your energy because of their high iron content. This is particularly important for menstruating women, pregnant or lactating women and growing children. Iron is an integral component of hemoglobin, which transports oxygen from the lungs to all body cells, and is part of key enzyme systems for energy production and metabolism.

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3 Herbs To Help You With Anxiety

When anxiety starts to rise in your body, it can feel like the world is closing in on you. Your breath comes in short gulps, your pulse speeds up, and your mind starts to race.

Whether your anxiety is a rare visitor who only shows up when you’ve got an important meeting in the morning, or a more consistent companion that’s been with you for years, there are natural herbal therapies that are safe, effective and non-habit forming.

Of course, lifestyle practices like conscious breathing, exercise, and ensuring that you’re eating a mineral-rich diet can make a big difference in dealing with anxiety. But when I was struggling with severe anxiety, it could seem like those common suggestions didn’t even put a dent in my suffering. My clients tell me similar stories. “I really don’t want to take medication,” they say, “because I know a lot of the anti-anxiety meds are addictive.” Then they sit for a moment and confess, “But it really feels like I need more than just the breathing exercises.”

Afraid of everything

The good news is that there are lots of wonderful herbs that are strongly effective against anxiety, and they don’t share the same risk of addiction and dependence that come with pharmaceutical anti-anxiety medications like benzodiazepines. Like all medicinals, these herbs aren’t right for everyone, but they can be tremendously helpful when they’re used at the correct dose and are correctly matched to your needs.

Here’s the lowdown on three herbs that can help you dance more gracefully with anxiety. It’s important to remember that herbs aren’t like drugs; there’s no “anxiety herb.” You’re looking for the herb that’s the best match for you.

1. Skullcap (Scutellaria lateriflora)

Skullcap is the anxiety remedy for people who experience anxiety along with restlessness, muscle tension, and jaw clenching. If you tend to toss and turn in bed, or if you feel like you can only relax when you’re out walking (but sitting still makes you want to jump out of your skin), or if you feel like “climbing the walls” when you’re stuck inside during a bout of anxiety, skullcap can help you to unwind not only your anxiety, but also the accompanying muscular tension and restlessness. Skullcap is effective in tea or tincture (a tincture is an herb extracted in alcohol) form, but if you can tolerate small amounts of alcohol I think 20-40 drops of the tincture (for a 150-pound person) is the most effective form.

Scutellaria lateriflora

2. Passionflower (Passiflora incarnata)

Often mistaken for an aphrodisiac because of its seductive name, passionflower is actually the remedy for people who are so burned out and exhausted that all that’s left is anxiety. This is the remedy for people who give and give until they have nothing left for themselves. The tips of their tongues are usually bright red, and they feel a sense of being exhausted but unable to rest because the thoughts in their head keep spinning out of control. They may have heart palpitations or a racing heartbeat during bouts of anxiety.

Passion flower

This plant is effective in both tea and tincture form, but like skullcap, I tend to prefer tinctures for anxiety remedies because they’re easy to use and ready in an instant. Use 20-40 drops of tincture in a little bit of water (for a 150-pound person) and increase the dose by 10 drops at a time if you don’t feel relief after 15 minutes.

3. Kava kava (Piper methysticum)

Kava kava is the most famous anti-anxiety herb, and with good reason. It’s a powerful remedy that’s been shown to be effective in reducing anxiety, as compared to a placebo. Kava kava is more sedating and hypnotic than passionflower and skullcap, and some people find that it creates a blissed-out feeling. It has an intriguing taste that almost numbs your mouth, and has a long tradition of ritual use in Polynesia as well as medicinal use for its sedative and pain-relieving properties.

Young Kava plant

In recent years there’s been some research to suggest that over-consumption of kava kava may damage the liver, complication may happen to use this herb if they have liver problems, if they consume alcohol regularly, or concurrently with acetaminophen. That said, there is a very long history of safe use of this herb, so as long as you don’t have any liver issues, you can feel confident using this herb up to 3-4 times per week to help relieve your anxiety. It’s effective as a tea, tincture, or capsule, but I think tea or tincture is best.

Cautions

Avoid taking any of these herbs (unless otherwise directed by a qualified practitioner) if you’re taking prescription medication for sleep, anxiety, or depression, or if you’re taking blood thinners like Coumadin or Warfarin.

OMG! Izzit safe? Izzit edible? Izzit poisonous?

Remember, these herbs are helpers on your journey to healing your anxiety. All of your other lifestyle practices, like breath work, exercise, journal writing, a healthy diet, and reaching out for support from friends, family, and practitioners are still important — but there’s no question that life with anxiety is a lot easier with safe and effective herbal remedies in your back pocket.

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7 Reasons You're Tired All the Time

We all tend to blame fatigue on a too-busy lifestyle. And much of the time we're right. But if you feel tired all the time, don't blow it off. Give yourself about 2 to 3 weeks to make some lifestyle changes: Get more sleep, trim your social calendar, eat more wholesome foods, drink more fluids, take a multivitamin, and cut back on caffeine and alcohol. "If you're still feeling the symptoms of fatigue after those changes, then you need professional help," says Sandra Adamson Fryhofer, MD, an internal medicine doctor in Atlanta. Excess exhaustion could be the sign of a more serious medical condition that can be treated.

Feeling tired always

Here are the 7 most common problems you need to know about.

Anemia

The fatigue caused by anemia is the result of a lack of red blood cells, which bring oxygen from your lungs to your tissues and cells. You may feel weak and short of breath. Anemia may be caused by an iron or vitamin deficiency, blood loss, internal bleeding, or a chronic disease such as rheumatoid arthritis, cancer, or kidney failure. Women of childbearing age are especially susceptible to iron-deficiency anemia because of blood loss during menstruation and the body's need for extra iron during pregnancy and breastfeeding, explains Laurence Corash, MD, adjunct professor of laboratory medicine at the University of California, San Francisco.

Genetic inherited Anemia

The Symptoms: Fatigue is a major one. Others include extreme weakness, difficulty sleeping, lack of concentration, rapid heartbeat, chest pains, and headache. Simple exercise, such as climbing the stairs or walking short distances, can cause fatigue.

The Tests: A thorough evaluation for anemia includes a physical exam and blood tests, including a Full blood count (FBC), to check the levels of your red blood cells. It's also standard to check the stool for blood loss.

Thyroid Disease

When your thyroid hormones are out of whack, even everyday activities will wipe you out. The thyroid gland, about the size of the knot on a man's tie, is found in the front of the neck and produces hormones that control your metabolism. Too much thyroid hormone (hyperthyroidism), and metabolism speeds up. Too little (hypothyroidism), and metabolism slows down.

Thyroid hormone controls your metabolism

The Symptoms: Hyperthyroidism causes muscle fatigue and weakness, which you may notice first in the thighs. Exercises such as riding a bike or climbing stairs become more difficult. Other symptoms include unexplained weight loss, feeling warm all the time, increased heart rate, shorter and less frequent menstrual flows, and increased thirst. Hyperthyroidism is most commonly diagnosed in women in their 20s and 30s, but it can occur in older women and men too. Hypothyroidism causes fatigue, an inability to concentrate, and muscle soreness, even with minor activity. Other symptoms include weight gain due to water retention, feeling cold all the time (even in warmer weather), heavier and more frequent menstrual flows, and constipation. Hypothyroidism is most common in women over age 50; in fact, as many as 10% of women past 50 will have at least mild hypothyroidism.

The Tests: Thyroid disease can be detected with a blood test. Your doctor may order for Thyroid Function test. 

Thyroid Function Test

Diabetes

More than a million people are diagnosed with type 2 diabetes every year, but many more may not even know they have it. Sugar, also called glucose, is the fuel that keeps your body going. And that means trouble for people with type 2 diabetes who can't use glucose properly, causing it to build up in the blood. Without enough energy to keep the body running smoothly, people with diabetes often notice fatigue as one of the first warning signs, says Christopher D. Saudek, MD, professor of medicine and program director for the General Clinical Research Center at the Johns Hopkins University School of Medicine.

Diabetes lead to fatigue

The Symptoms: Aside from exhaustion, other signs include excessive thirst, frequent urination, hunger, weight loss, irritability, yeast infections, and blurred vision.

The Tests: There are two major tests for diabetes. The fasting plasma glucose test, which is more common, measures your blood glucose level after fasting for 8 hours. With the oral glucose tolerance test (OGTT), blood is drawn twice: just before drinking a glucose syrup, then 2 hours later.

Depression

More than "the blues," depression is a major illness that affects the way we sleep, eat, and feel about ourselves and others. Without treatment, the symptoms of depression may last for weeks, months, or even years. 

Feel Depressed

The Symptoms: We don't all experience depression in the same way. But commonly, depression can cause decreased energy, changes in sleeping and eating patterns, problems with memory and concentration, and feelings of hopelessness, worthlessness, and negativity. 

The Tests: There's no blood test for depression, but your doctor may be able to identify it by asking you a series of questions. If you experience five or more of these symptoms below for more than 2 weeks, or if they interfere with your life, see your doctor or mental health professional: fatigue or loss of energy; sleeping too little or too much; a persistent sad, anxious, or "empty" mood; reduced appetite and weight loss; increased appetite and weight gain; loss of interest or pleasure in activities once enjoyed; restlessness or irritability; persistent physical symptoms that don't respond to treatment, such as headaches, chronic pain, or constipation and other digestive disorders; difficulty concentrating, remembering, or making decisions; feeling guilty, hopeless, or worthless thoughts of death or suicide. 

Rheumatoid Arthritis

This autoimmune disease is not always easy to diagnose early, but there are some subtle clues to look for. RA happens when your immune system turns against itself and attacks healthy joint tissue, sometimes resulting in irreversible damage to bone and cartilage.

Unexplained Pain? Check for Rheumatoid Arthritis

The Symptoms: Many symptoms (such as fatigue, low energy, loss of appetite, and joint pain) are shared by other health conditions, including other forms of arthritis such as fibromyalgia and lupus. Anemia and thyroid disorders, which also cause fatigue, are even more common in people with RA, according to John Klippel, MD, president and CEO of the Atlanta-based Arthritis Foundation. Rheumatologists look for at least four of the following criteria in diagnosing RA: morning stiffness in and around the joints lasting at least 1 hour before maximum improvement; at least three joint areas with simultaneous soft tissue swelling or fluid; at least one joint area swollen in a wrist, knuckle, or the middle joint of a finger; simultaneous involvement of the same joint areas on both sides of the body; lumps of tissue under the skin; and bone erosion in the wrist or hand joints, detected by x-ray.

The Tests: A thorough physical exam by a rheumatologist can provide some of the most valuable evidence of the disease, but there is also a test for the presence of rheumatoid factor, an antibody found in the blood. About 80% of people with RA test positive for this antibody, but the test is not conclusive.

Chronic Fatigue

This baffling condition causes a strong fatigue that comes on quickly. People who suffer from CFS feel too tired to carry on with their normal activities and are easily exhausted with little exertion.

No mood in anything

The Symptoms: Other signs include headache, muscle and joint pain, weakness, tender lymph nodes, and an inability to concentrate. Chronic fatigue syndrome remains puzzling, because it has no known cause.

The Tests: There is none. Your doctor must rule out other conditions with similar symptoms, such as lupus and multiple sclerosis, before making the diagnosis.

Sleep Apnea

You could have this sleep-disrupting problem if you wake up feeling tired no matter how much rest you think you got. Sleep apnea is a disorder characterized by brief interruptions of breathing during sleep. In the most common type, obstructive sleep apnea, your upper airway actually closes or collapses for a few seconds, which, in turn, alerts your brain to wake you up to begin breathing again. Someone with obstructive sleep apnea may stop breathing dozens or even hundreds of times a night, says Roseanne S. Barker, MD, former medical director of the Baptist Sleep Institute in Knoxville, TN.

The Symptoms: Sleep apnea is often signaled by snoring and is generally followed by tiredness the next day. Because sleep apnea can lead to heart disease, high blood pressure, and stroke, it's important to be tested.

The Tests: This involves an overnight stay at a sleep clinic, where you'll undergo a polysomnogram, which is a painless test that will monitor your sleep patterns, breathing changes, and brain activity.

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