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Published on: Jul 02, 2021
2 minute read
By: Dr Rakesh Rai

Delta Plus Variant Mystery: What Can Cause The Third Covid Wave?

Delta plus variant mystery: What can cause the third Covid wave?

Things in India are looking to normalize and beginning to reopen after a deadly second wave of Covid-19 infections devastated the country in April and May. There is various thought process from experts who are warning that a third wave could strike in the next few months. The majority of Indians are worried about new variants named delta plus, which is related to the Delta, an existing variant of concern first identified in India last year that was responsible for the deadly second wave.

The million-dollar question is how realistic these fears are. The reality is that future waves are not out of question but their severity and spread depend on several factors. In the past few weeks, the number of average daily cases in India has tapered down to less than 40,000 in recent days which was peak over 420,000 in May. The big drop in numbers has mainly because of strict lockdowns by states.

Many social and political events added to the second wave. If the reopening process are not orchestrated in a controlled fashion the next wave could come sooner than expected.

We are in a very decisive phase and our fate will depend on how we behave. Opening the states in a staggered manner is best. Going aggressive with vaccination and continue with COVID protocols will be the winning strategy. A balanced local and central health protocols could do the magic while severe action on defaulters could be used as a deterrent.

We know that the Delta variant had a killer impact during the second wave. The risk of future mutants in densely populated areas is known and preventive actions should be put in place immediately. There is no clear data around Delta plus but things have changed really fast when the proactive approach is not taken in advance. We need to understand that mutants only emerge when active transmission happening. A lot of research is happening around it take preemptive containment measures by understanding probable sequences.

So far data is indicating that the current vaccine is delivering good results in emerging mutants. India had sequenced 30,000 samples until June, but experts believe more needs to be done because the current vaccine is not a guaranteed long-term solution.

There are multiple cases where vaccinated people have got infected. Some call 3rd wave inevitable and some call it will be a smaller wave but the science is indicating that it will all depend on how effective our existing vaccine is against the new variants.

So, in conclusion, one can say that the key is the vaccinated population in controlling the wave and even allowing it to be formed. The acquired immunity and its efficacy will be crucial in determining the damage the third wave can cause. The required daily dose is upwards of 10 million to get all eligible populations covered by 2021.

The wide range of infection-causing natural antibodies and vaccination combined will provide the ammunition India needs badly to shield against future variants. The problem is the data around it is not very accurate. During the height of infections lot of COVID, infections went unreported. A lot of statisticians around it are guessing the acquired immunity percentage to be around 65%. This number should not be the reason we can take it easy.

Acquired immunity is immunity you develop over time from a vaccine or exposure to the infection.

Conclusively it can be said that “Third wave is only possible if the new variant beats the barriers of acquired immunity.”

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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

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