tag:blogger.com,1999:blog-60065695121553434122024-02-19T16:19:51.943+05:30DIABETES !!LONGER THE BELT , LESSER THE LIFE SPAN!Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.comBlogger148125tag:blogger.com,1999:blog-6006569512155343412.post-11088622222271201332019-01-17T19:33:00.000+05:302019-01-17T20:01:41.735+05:30DIABETES PILLS DON’T WORK OVERTIME !!<br>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">The credit for this post goes to Mrs. X. She inspired
me to write this small post as well resuscitate my blog which has not been
updated very frequently off late. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">Mrs.X is a cheerful 60+ lady who has been managing her
blood sugars decently well. She is on a small dose of Glimepiride and
Metformin. She checks her blood sugars regularly. Doctor reviews are perfect
and no complications so far. In short she is the ideal patient every Doctor
would aspire for. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">This cheerful lady went about doing her chores
gleefully till that day… <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 107%;">That day…. She got up in the morning as usual and went
to the bathroom. Her absentminded maid had forgotten to scrub the bathroom
floor. As soon as Mrs.X set foot on the bathroom floor she went sliding to
other corner of the bathroom. Her unplanned inertia was cut short by the wall
where she had hit her knee. With some help from her daughter she managed to
settle down on the bed with liberal supplies of ointments, thailams and how
water bag.</span></div>
<a href="http://riyazsheena.blogspot.com/2019/01/diabetes-pills-dont-work-overtime.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com5tag:blogger.com,1999:blog-6006569512155343412.post-40397268966867679702018-04-27T20:26:00.000+05:302018-04-27T20:26:29.907+05:30PAINLESS BLOOD SUGAR TESTING... <div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">W</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">e are cared for …</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
<div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">T</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">hat is the first thought I had once read it and felt </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">“This </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">needs to be shared</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">!”</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"> </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
<div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">After a small gap</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"> of 3 months I come back with a good news. </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
<div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">O</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">ne of the main issues which affect our diabetes treatment is the lethargy in blood </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">sugar</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"> testing. </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">W</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">hy patients become lethargic? </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">W</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">ell the answer is pain of needle pricks.</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIOCxkGHupYIj3LWcILygLsGflWQqHxHJBQXdpmw_aExL-1f-PonXJz0U9PhHDCYTktRUfcmFBcaPu-OBJn9x5h3pNUSOICCG8jWQN_54FcMpm46Erl_kAM0y6hyM9m6L1vJNsIow2sNM/s1600/a32df21ce85c43cca7f95828831990a9.gif" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="300" data-original-width="300" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIOCxkGHupYIj3LWcILygLsGflWQqHxHJBQXdpmw_aExL-1f-PonXJz0U9PhHDCYTktRUfcmFBcaPu-OBJn9x5h3pNUSOICCG8jWQN_54FcMpm46Erl_kAM0y6hyM9m6L1vJNsIow2sNM/s200/a32df21ce85c43cca7f95828831990a9.gif" width="200" /></a></div>
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span><br />
<div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">T</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">here is our good news! Recently </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">Scientists have developed an adhesive patch, which can non-invasively monitor glucose levels in diabetics through the skin</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">.</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"> </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">Y</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">es you read it right! No more pricks may be a reality soon… </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
<div align="justify" class="p" style="background: rgb(255,255,255); margin-bottom: 18.0000pt; margin-left: 0.0000pt; margin-right: 0.0000pt; margin-top: 0.0000pt; mso-pagination: widow-orphan; text-align: justify; text-indent: 0.0000pt; text-justify: inter-ideograph;">
<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">The patch does not pierce the skin, instead it draws glucose out from fluid between cells across hair follicles, which are individually accessed via an array of miniature sensors using a small electric current. The glucose collects in tiny reservoirs and is measured, according to a study published in the journal Nature Nanotechnology. Readings can be taken every 10 to 15 minutes over several hours. </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">T</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">his information can be accessed via smart watch. This will give us the much needed info on blood sugar variations. </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">T</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">his will eventually translate to better treatment regimens…</span><span style="color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
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<span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">M</span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;">ore info on this subject can be accessed at </span><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><o:p></o:p></span></div>
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<span style="background: rgb(255, 255, 255); color: #3e3e3e; font-size: 12pt; letter-spacing: 0pt;"><a href="https://www.financialexpress.com/lifestyle/science/end-to-painful-finger-prick-tests-scientists-develop-adhesive-patch-that-can-monitor-blood-sugar-in-diabetics-through-skin/1128088/lite/" target="_blank">NON INVASIVE BLOOD GLUCOSE TESTING : SOURCE FILE</a>.</span></div>
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<span style="color: #3e3e3e;"><span style="background-color: white;">My previous posts regarding Painless Blood sugar monitoring </span></span></div>
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<ul>
<li><a href="http://riyazsheena.blogspot.in/2011/03/noninvasive-glucometer-prototype-dreams.html" target="_blank">NON INVASIVE GLUCOMETER PROTOTYPE </a></li>
<li><a href="http://riyazsheena.blogspot.in/2011/05/know-ur-glucose-level-by-looking-into.html" target="_blank">KNOW YOUR GLUCOSE LEVELS BY LOOKING INTO THE EYES</a></li>
<li><a href="http://riyazsheena.blogspot.in/2013/02/pain-free-blood-sugar-monitoring.html" target="_blank">PAIN-FREE BLOOD SUGAR MONITORING </a></li>
<li><a href="http://riyazsheena.blogspot.in/2014/04/google-smart-lens.html" target="_blank">GOOGLE SMART LENS</a></li>
<li><a href="http://riyazsheena.blogspot.in/2014/05/can-we-use-saliva-for-diagnosis_3.html" target="_blank">CAN WE USE SALIVA FOR DIAGNOSIS </a></li>
<li><a href="http://riyazsheena.blogspot.in/2015/01/painless-insulin-delivery-system.html" target="_blank">PAINLESS INSULIN DELIVERY SYSTEM</a></li>
<li><a href="http://riyazsheena.blogspot.in/2016/10/artificial-pancreas-is-here-no-more.html" target="_blank">ARTIFICIAL PANCREAS IS HERE. NO MORE PRICKS</a></li>
</ul>
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Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-2742108296975521842017-12-16T20:42:00.001+05:302017-12-16T20:42:13.121+05:30SSSHHH.... ITS NOT PERFECTLY NORMAL!!!<div class="MsoNormal">
<span style="font-size: 12pt;"><o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhajuqfY8eF64lU9KQWYCmS2NPZQu0tAKlGR5QGIffWmb8M1IaEMiB7MixpMtzLVAPvGhTIuC0GzkC5y5cBSqX64gWrwGlgziXHSXogWO0Q7NrGbpqlX-mXtqZvHD93TDexzLxsxNGmHa8/s1600/imageedit_1_6636191632.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="217" data-original-width="870" height="99" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhajuqfY8eF64lU9KQWYCmS2NPZQu0tAKlGR5QGIffWmb8M1IaEMiB7MixpMtzLVAPvGhTIuC0GzkC5y5cBSqX64gWrwGlgziXHSXogWO0Q7NrGbpqlX-mXtqZvHD93TDexzLxsxNGmHa8/s400/imageedit_1_6636191632.png" width="400"></a></div>
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<span style="font-size: 12pt;">Today we are going to talk about the least spoken yet very common complication of Diabetes … <b>Erectile Dysfunction (E.D) </b>or in simple terms <b>Sexual dysfunction…</b></span></div>
<a href="http://riyazsheena.blogspot.com/2017/12/ssshhh-its-not-perfectly-normal.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0Kulathoor, Kerala, India8.3319382 77.0967356999999548.2690922 77.016054699999955 8.3947842 77.177416699999952tag:blogger.com,1999:blog-6006569512155343412.post-2413911935351083342017-06-18T20:56:00.003+05:302017-06-18T20:59:08.456+05:30NEW DRUG FOR DIABETES!!<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: Times, Times New Roman, serif; font-size: 12.0pt; line-height: 107%;">There
has always been a search for better... With the advent of newer drugs this
search for better drugs has taken a positive turn. In the recent years the
trend of management of Diabetes has been more optimistic and sophisticated. We want
to prescribe drugs with multiple function. The aim of Diabetes management has always
been to attain the Golden number – HbA1c <7. Along with this if a drug can
minimise or tackle the development of comorbidities it is like getting double
increment at one shot. The life expectancy of people with Diabetes has gone up
which is a welcome change. Along with the increased duration of diabetes comes
increase in rate of comorbidities like Hypertension, Dyslipidemia, other
endocrine abnormalities to mention a few. Right from the day metformin was
introduced along with sulphonylureas they have ruled Diabetes management as
uncrowned kings. </span></div>
<br>
<a href="http://riyazsheena.blogspot.com/2017/06/new-drug-for-diabetes.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3tag:blogger.com,1999:blog-6006569512155343412.post-37138596748761539242016-12-11T12:57:00.000+05:302016-12-11T13:00:04.351+05:30GANDHI GONE !! SUGAR GONE HIGH!!!<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 150%;">A Little over month back we faced
the most familiar dialogue “Mera pyare deshwasiyon...!” But what followed this cuddly line changed
our life! In a matter of minutes I started feeling like an earthworm. Nothing
in hand! My purse is full of waste paper! As it dawned the following days my only worry
was how to get money which can be used. 100 rupee note became my new hero!
People waiting to see the new avatar of Gandhiji were longer than ever...All
banks looked like ration shops or railway ticket booking counters... Overnight
the bank fellows who used to pester for deposits and accounts became all the
more powerful, authoritative and dominating...</span></div>
<a href="http://riyazsheena.blogspot.com/2016/12/gandhi-gone-sugar-gone-high.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-51253003871062640672016-10-13T11:17:00.000+05:302016-10-13T11:17:11.583+05:30ARTIFICIAL PANCREAS IS HERE .... NO MORE PRICKS!!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlWrIX7kG87xcB-BCfFUswcc63jaoz4eBS8fj8qDLIG2ectl9gXJjPumvgp0dW8mkLvhpMwEROOdgSubxuPK7pG6yB_tdTRcXTpbKZnA1BEH-l7-6flWmEBm7zf0TWbH3JH95RNDodlRQ/s1600/medtronic-closed-loop-3x2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlWrIX7kG87xcB-BCfFUswcc63jaoz4eBS8fj8qDLIG2ectl9gXJjPumvgp0dW8mkLvhpMwEROOdgSubxuPK7pG6yB_tdTRcXTpbKZnA1BEH-l7-6flWmEBm7zf0TWbH3JH95RNDodlRQ/s320/medtronic-closed-loop-3x2.jpg" width="320"></a></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9Cb7fBL4z0Su0G0R3FIjT5Ni0lGJ7JdoBSKtspxepaRFWuROoO0RSXWve-2DMoSowXacDt8REa8hUxA-dRGnuCgKEy0lr5-i67w5VIQsJTRhs7AxYVufWtYBIoIrFRAxPThC6Sc6MMdQ/s1600/ucm522765.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg9Cb7fBL4z0Su0G0R3FIjT5Ni0lGJ7JdoBSKtspxepaRFWuROoO0RSXWve-2DMoSowXacDt8REa8hUxA-dRGnuCgKEy0lr5-i67w5VIQsJTRhs7AxYVufWtYBIoIrFRAxPThC6Sc6MMdQ/s1600/ucm522765.jpg"></a><span style="font-family: "times new roman" , serif; font-size: 12pt; text-align: justify;">A
dream come true moment in the history of Diabetes – “September 28, 2016” FDA
approved the Medtronic hybrid closed loop system. This is the first approved system
to automate the dosing of insulin to reduce high blood sugar levels.</span><b style="font-family: "Times New Roman", serif; font-size: 12pt; text-align: justify;"> The Medtronic MiniMed 670G artificial
pancreas system </b><span style="font-family: "times new roman" , serif; font-size: 12pt; text-align: justify;">is a result of innovations, ground breaking technologies
and out of the box thinking. This system is composed of an intelligent pump, 4</span><sup style="font-family: "Times New Roman", serif; text-align: justify;">th</sup><span style="font-family: "times new roman" , serif; font-size: 12pt; text-align: justify;">
generation sensors and software integrating these to create what I would like
to call as a Technological Marvel. In India the use of Insulin pump for
management for Diabetes has increased over the years. Mainly used in Type 1
Diabetes patients, insulin pumps are also used now in patients with
uncontrolled Type 2 Diabetes, brittle diabetes or in patients with phobia for
needles. This artificial pancreas would be boon for these patients and would
help them lead a near normal life without a needle prick!</span></div>
<br>
<br>
<br>
<a href="http://riyazsheena.blogspot.com/2016/10/artificial-pancreas-is-here-no-more.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3tag:blogger.com,1999:blog-6006569512155343412.post-67079050124689865552016-08-26T20:15:00.001+05:302016-08-26T20:15:29.275+05:30GYMNEMA SYLVESTRE I had written about #Gymnema sylvestre and its effects on #Diabetes few months back. When www.healthydietfordiabetics.com asked me to write about this less known useful herb I just couldn't give up the opportunity.<br />
Naturally I went ahead and grabbed it!<br />
Took some articles based on research work and compiled.<br />
In the process I also learnt many things<br />
Here goes my article on GYMNEMA SYLVESTRE<br />
<br />
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<img border="0" height="316" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWwNHPaGoHiMQ-M9sT28k0rxeSB20PdmmP4907wtPrIjyzU7wrVpjaQMSinIujsmnxs-rQPpoNghuVyeSpXPl3Ev_76IyoB_lS8VBm7-pTCPL8esT8fRaTmLqkNrq5sQVqFKAkGoyAiYs/s640/g.jpg" width="640" /><a href="http://www.healthydietfordiabetics.com/gymnema-sylvestre-and-diabetes/" target="_blank">CLICK HERE TO READ THE ARTICLE!!</a></div>
<br />Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3tag:blogger.com,1999:blog-6006569512155343412.post-65086420972358868072016-07-30T23:12:00.000+05:302016-07-30T23:12:40.147+05:30DIABETES PUZZLE!!<div class="separator" style="clear: both; text-align: center;">
<img border="0" height="326" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi_evDiB8b6GzGP6CnE5D2v3nMSdAhtd0Fzx0bHewy4rsz6WhcN9-WRjfffZrUaHON0FVdc348qZdeuUdQ_o7fgstPzMjk2JobdPl75e27uhuBYZ2MVnOq3Fi0hbrxQfC1lO_N6sRE9K8/s400/Picture1.jpg" width="400" /> </div>
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After a long break I am back... </div>
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<br /></div>
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This time we dive into a puzzle which has been baffling the medical field for the past 30 years. It is called "Dawn Phenomenon"</div>
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This phenomenon can result in unexplained rise in fasting blood sugars </div>
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<br /></div>
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Read more about in my article @<a href="http://www.healthydietfordiabetics.com/how-to-lower-fasting-blood-sugar-levels/" target="_blank">www.healthydietfordiabetics.com </a></div>
<br />Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com1tag:blogger.com,1999:blog-6006569512155343412.post-39790636280918103722016-05-02T19:55:00.001+05:302016-05-02T19:55:09.538+05:30SLOW SUICIDE!! DO WE CARE... ?<div style="text-align: justify; text-justify: inter-ideograph;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1ohM94IYXWKgGM39HM4e5VavvWjsdFWO3jm6hLYW-uxSvrGN9IJs9KBuDkXNeO05Ze_rivYPx2nm7ZM7392MacjejxDrMRCbxbXXrAlpwKL0TapDhCnBCHsqlek8-crF-wu0jHBG2hG0/s1600/range-of-medications.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj1ohM94IYXWKgGM39HM4e5VavvWjsdFWO3jm6hLYW-uxSvrGN9IJs9KBuDkXNeO05Ze_rivYPx2nm7ZM7392MacjejxDrMRCbxbXXrAlpwKL0TapDhCnBCHsqlek8-crF-wu0jHBG2hG0/s200/range-of-medications.jpg" width="200"></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I am overtime!</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I am bored of life...</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">For whom should I live??</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I keep forgetting...</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">It is too costly for my age</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">I am just waiting for “HIS” call</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Nobody needs me!</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Too many types of medicines are just confusing!!</span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span></div>
<div style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Haven’t
we heard this all.... YES! Anyone managing a chronic disorder like Diabetes or
Hypertension has spoken these words one time or the other. Management of
chronic diseases is a network. It starts with the patient but, involves family
members, care givers, doctors and society as a whole.</span></div>
<a href="http://riyazsheena.blogspot.com/2016/05/slow-suicide-do-we-care.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3tag:blogger.com,1999:blog-6006569512155343412.post-87940012895588665942016-03-05T12:06:00.000+05:302016-03-05T12:13:22.190+05:30SNIPPETS !!<div class="MsoNormal">
<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">I am back!<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">After a long hiatus here I am with my short
write-up...<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Since this is the first post in 2016 I thought it
would be prudent to start with changes in 2016.<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Well nothing much has changed in terms of personal
or professional life. But...<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">A group of dedicated professionals are constantly
monitoring the world over for subtle evidences in Diabetes which would make the
quality of life better!<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Yes...... I am talking about the American Diabetes
Association (ADA).<o:p></o:p></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">This year the American Diabetes Association has
focussed on preventive aspects – Prevention of Diabetes, Prevention of
cardiovascular complications due to elevated blood cholesterols. <o:p></o:p></span></div>
<br />
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Here are the crux points which we need to consider <o:p></o:p></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGB4naharqHm5TNviA2_fQI7cxxHqJtXbvcC6WFkp49zvLV6-9cndeQZ1PyHSbA9a_Cmd_X52sc_gr-Q3r8KY8DN1SNBUxxRqc4ySn6aijnrmknt9c2w1vmYLI4sfHdG-He89xMZWA1x4/s1600/Untitled.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="303" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGB4naharqHm5TNviA2_fQI7cxxHqJtXbvcC6WFkp49zvLV6-9cndeQZ1PyHSbA9a_Cmd_X52sc_gr-Q3r8KY8DN1SNBUxxRqc4ySn6aijnrmknt9c2w1vmYLI4sfHdG-He89xMZWA1x4/s400/Untitled.png" width="400" /></a></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Luckily i came to know that Government of India in
view of the impact of Diabetes is planning to prepare its own guidelines. </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">This
is a welcome measure from the health ministry & GOI. </span></div>
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<span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">I wish it clears all
official hurdles and <u>Indian Guidelines for Management of Diabetes</u> is released
soon. <o:p></o:p></span></div>
</div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-222910148572096322015-10-22T12:06:00.001+05:302015-10-22T12:06:56.685+05:30DM - DIABETES MIND!!<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Our country has the
largest number of people affected with Diabetes. In the previous posts I have
discussed in detail about the cause of the sudden increase in number of
Diabetic population. Few years back Diabetes used to be termed an “Urban
Epidemic” and now with incorporation of various cultures and poor eating habits,
we have successfully made Diabetes an “Indian Epidemic”. In this post I am NOT
going to talk about Diabetes. Instead , I am trying to go into the
psychological aspects revolving around Diabetes. The following text will be
purely based on the experiences my dear patients have gone through. I am not
sure how many of my colleagues try to analyse the patient’s state of mind before
revealing the diagnosis of Type 2 Diabetes. I am sure most of them do.... <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The people who face the
diagnosis can be broadly classified into three categories.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Patients who have a strong family
history of Diabetes with classical 3P’s (Polyuria, Polyphagia, Polydipsia) of
Diabetes. They generally convince themselves of the diagnosis before they come
for confirmation with blood test. In most cases whether they reveal or not they
would have seen higher numbers in Glucometer /Lab test. These patients are
receptive when the diagnosis is revealed. This acceptance makes it easy to
start off the treatment (Life style modifications/ pharmacological therapy)
immediately. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Patients presenting with classical 3P’s <b>WITHOUT</b> family history of Diabetes.
Well.... there is gonna be starting trouble...<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-indent: 0cm;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The third group of patients are those in
whom the diagnosis presents without any warning symptoms. The patient would
have undergone a blood test for some other reason and Diabetes comes like bolt
out of the blue... They have no clinical symptoms to suggest Diabetes. These
are the set of people who need a great deal of psychological support. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Diabetes
for many is a spine chilling diagnosis. Advances in science and improved
modalities of treatment have not been able to alleviate the fear. In my
personal opinion the fear is because of <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l2 level1 lfo2; text-indent: -18.0pt;">
</div>
<ul>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">The
very name of Diabetes!</span></li>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of insulin pricks which any Diabetic would need, at some point of time.</span></li>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of possible damage to kidneys.</span></li>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of losing the limb.</span></li>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of changing the lifestyle (Daily exercise & Diet restrictions).</span></li>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of frequent blood investigations and the cost factor involved.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Fear
of frequent visits to the doctor.</span></li>
</ul>
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<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Every patient diagnosed
with Diabetes goes through the stages of (i) Denial and isolation (ii) Anger
(iii) Bargaining (iv) Depression and (v) Acceptance. The time duration of every
stage varies from person to person. In the Indian scenario the stage of denial
means</span></div>
<div class="MsoNormal" style="line-height: 150%;">
</div>
<ul>
<li><span style="font-family: Wingdings; font-size: 13pt; line-height: 150%; text-indent: -18pt;"><span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Change
of Doctor</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Change
of Lab which issued the high blood sugar value</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Trial
and error with alternative medicine</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Trial
with fenugreek, ladies finger, insulin plant and many other native ingredients
used in cooking....</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Some
try to stick on laboratories which give lower values </span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: -18pt;">Avoidance
of sweets.</span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The time duration from
stage I to stage V (Denial to Acceptance) has to be considerably reduced so as
to facilitate early institution of therapy and to prevent Diabetes related
short and long term complications. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Indian
mindset does not allow people to access counselling centres. Although the
stature of psychological counselling in India is better that what it was a
decade ago, there is still a long way before people reach out for psychological
help. I feel the treating physician has to take up the role of psychologist as
well as far as Diabetes is concerned. Why? The compliance to therapy whether it
is life style modification of medical nutrition therapy or drugs depends on the
acceptance levels. Going to a psychologist is not well taken by our patients.
If we force them to seek help they are just going to change the doctor leading
to nothing more than delay in initiation of treatment.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Successful
management of Diabetes needs <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">constant
education<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">clarity
on the targets and methods to achieve these targets<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l3 level1 lfo4; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Clear
discussion regarding mode of action, timing of tablets and side effects. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Every person affected
with Diabetes needs a good amount of support mentally to stick on to the
planned regimen. Once the reward of hard work in terms of good blood sugar
levels is reached, then the patient can motivate himself/herself. Diabetes,
being a chronic condition requiring lot of dedication from the patient as well
as his family. It would be better if the
doctor would keep in mind the psychological aspects as well. This will help in
improving compliance to regimen planned, ease in attaining targets and delay /
prevention of Diabetes related complications. In a nut shell we can make THE
difference by providing better quality of LIFE!<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com7tag:blogger.com,1999:blog-6006569512155343412.post-979204800386946482015-09-06T19:26:00.000+05:302015-09-06T19:27:38.824+05:303 - IN - 1. ARE WE FOOLING OURSELVES?<div class="MsoNormal" style="text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Modern medicine has lots of wonders up its
sleeves... So do the pharmaceutical companies that manufacture the wonders
required for maintaining health. The classical methodology of treatment was
using monotherapy (simply speaking its one drug at a time). In diabetes this
policy doesn’t work. As I have discussed in many of my previous posts Diabetes
is multi-factorial and so does the modality of treatment. Combination therapy
is the norm in treatment of Diabetes. We need to squeeze out the insulin from
the pancreas plus make the squeezed out insulin work better by increasing the
body’s sensitivity to insulin plus reduce the carbohydrate absorption from the
food we take... Generally I prefer to start treatment by giving individual
medicines. Once the patient’s blood sugar is under control we can try
combination of tablets. The logic behind combining is to simplify the treatment
schedule for the patient. Lesser number of tablets means more patient
satisfaction.</span><br>
</div><a href="http://riyazsheena.blogspot.com/2015/09/3-in-1-are-we-fooling-ourselves.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-2476592331433882282015-06-23T22:21:00.001+05:302015-06-23T22:29:42.572+05:30DEPRESSION IN DIABETES!!<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"> Our country has the
largest number of people affected with Diabetes. In the previous posts I have
discussed in detail about the cause of the sudden increase in number of
Diabetic population. Few years back Diabetes used to be termed an “Urban
Epidemic” and now with incorporation of various cultures and poor eating habits
we have successfully made Diabetes an “Indian Epidemic”. In this post I am NOT
going to talk about Diabetes, instead I am trying to go into the psychological
aspects revolving around Diabetes. The following lines will be purely based on
the experience which my dear patients have given me. I am not sure how many of
my colleagues try to analyse the patient’s state of mind before revealing the
diagnosis of Type 2 Diabetes. I am sure most of them do.... <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"> The people who face the
diagnosis can be broadly classified into three categories.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
</div>
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Patients who have a
strong family history of Diabetes with classical 3P’s (Polyuria, Polyphagia,
Polydipsia). They generally convince themselves of the diagnosis before they
come for confirmation with blood test. In most cases whether they reveal or not
they would have seen higher numbers in Glucometer /Lab test. These patients are
receptive when the diagnosis is revealed. This acceptance makes it easy to
start off the treatment (Life style modifications/ pharmacological therapy)
immediately.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Patients presenting
with classical 3P’s without family history of Diabetes. Well.... there is gonna
be starting trouble...</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">The third group of
patients are those in whom the diagnosis presents without any warning symptoms.
The patient would have undergone a blood test for some other reason and
Diabetes comes like bolt out of the blue... They have no clinical symptoms to
suggest Diabetes. These are the set of people who need a great deal of
psychological support.</span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Diabetes for many is a
spine chilling diagnosis. Advances in science and improved modalities of
treatment have not been able to alleviate the fear. In my personal opinion the
fear is because of <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
</div>
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of insulin pricks
which any Diabetic would need at some point of time.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of possible damage
to kidneys.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj90sXBdf4UJ4_9juO08RW2ETz-bx5s8XVGQh5QUxQE8_dLUa0QxPQ4k551zlof7o1scpnUN1Cr8_afx4h_zy797_IanRILUZLjAxVH_E0kD3CkJsMlr-DNO8Q16l5jvNVtQE8ZCmfWc0U/s1600/confused.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="132" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj90sXBdf4UJ4_9juO08RW2ETz-bx5s8XVGQh5QUxQE8_dLUa0QxPQ4k551zlof7o1scpnUN1Cr8_afx4h_zy797_IanRILUZLjAxVH_E0kD3CkJsMlr-DNO8Q16l5jvNVtQE8ZCmfWc0U/s200/confused.jpg" width="200" /></a></div>
</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of losing the
limb.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of changing the
lifestyle (Daily exercise & Diet restrictions).</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of frequent blood
investigations and the cost factor involved.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Fear of frequent visits
to the doctor.</span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Every patient diagnosed
with Diabetes goes through the stages of (i) Denial and isolation (ii) Anger
(iii) Bargaining (iv) Depression and (v) Acceptance. The time duration of every
stage varies from person to person. In the Indian scenario the stage of denial
means<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
</div>
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Change of Doctor</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Change of Lab which
issued the high blood sugar value</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Trial and error with
alternative medicine</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Trial with fenugreek,
ladies finger, insulin plant and many other native ingredients used in
cooking....</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Some try to stick on
laboratories which give lower values</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Avoidance of sweets.</span></li>
</ul>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The time duration from
stage I to stage IV has to be considerably reduced so as to facilitate early
institution of therapy and to prevent Diabetes related complications. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Times New Roman, serif;"><span style="font-size: 13pt; line-height: 150%;"> In India the mindset
does not allow people to access counselling </span><span style="font-size: 17.3333339691162px; line-height: 26px;">centers</span><span style="font-size: 13pt; line-height: 150%;">. Although the stature of
psychological counselling in India is better that what it was a decade ago,
there is still a long way before people reach out for psychological help. I
feel the treating physician has to take up the role of psychologist as well as
far as Diabetes is concerned. Why? The compliance to therapy whether it is life
style modification of medical nutrition therapy or drugs depends on the
acceptance levels. Going to a psychologist is not well taken by our patients.
If we force them to seek help they are just going to change the doctor leading
to more delay in initiation of treatment.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"> Successful management
of Diabetes needs constant education, clarity on the targets and methods to
achieve these targets, clear discussion regarding mode of action, timing of
tablets and side effects. Every person affected with Diabetes needs a good
amount of support mentally to stick on to the planned regimen. Once the reward
of hard work in terms of good blood sugar levels is reached then the patient
can motivate himself/herself. Diabetes being a chronic condition requiring lot
of dedication from the patient as well as his family it would be better if the
doctor would keep in mind the psychological aspects as well. This will help in
improving compliance to regimen planned, ease in attaing targets and delay /
prevention of Diabetes related complications. In a nut shell we can make THE
difference by providing better quality of LIFE!<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3tag:blogger.com,1999:blog-6006569512155343412.post-9888536989824722152015-06-10T14:29:00.001+05:302015-06-10T14:35:57.454+05:30THANKS ITB!!<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">It is exciting to be
recognised! <a href="http://www.riyazsheena.blogspot.in/">www.riyazsheena.blogspot.in</a> has been
listed in the directory of Indian top blogs (2014-2015) for the SECOND consecutive year. Thanks <a href="http://www.indiantopblogs.com/" target="_blank">ITB</a> for considering
my amateur work worthy of being in the list. I also congratulate my dear fellow bloggers in the ITB list. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br />
<span style="background-color: white; color: #444444; font-size: 18px; font-style: italic; line-height: 23px;"><span style="font-family: Times, Times New Roman, serif;">Known is a drop, unknown is an ocean. Lets keep learning and sharing!!</span></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<a href="http://www.indiantopblogs.com/p/the-directory-of-best-indian-blogs.html" target="_blank">THE LIST OF INDIA'S BEST!!!</a></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-14524560795720030312015-03-14T11:25:00.001+05:302015-05-23T18:01:23.838+05:30DIABETES DOCTORS!!<div dir="ltr">
Doctor - a very honourable profession. This profession a unique as a Doctor is expected to have many different qualities under his belt.</div>
<div dir="ltr">
Doctor should be a patient listener. </div>
<div dir="ltr">
Doctor should think rationally before suggesting investigations and while interpreting the results of investigations done. </div>
<div dir="ltr">
Doctor should be cordial and easily approachable. </div>
<div dir="ltr">
Doctor should be soft spoken. </div>
<div dir="ltr">
Doctor should be a good counsellor as well.</div>
<div dir="ltr">
<br></div>
<div dir="ltr">
The above mentioned qualities are most important for a doctor while managing patients. These become more important when treating people with chronic disorders like Diabetes. Most of these qualities are sadly missing in our generation of Doctors. <br>
</div><a href="http://riyazsheena.blogspot.com/2015/03/diabetes-doctors.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com2tag:blogger.com,1999:blog-6006569512155343412.post-86626461525481897592015-02-24T18:42:00.001+05:302015-02-24T18:45:36.712+05:30SENSIBLE NEWS Vs SENSATIONAL NEWS!!!<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAD
NEWS SELLS BEST!<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">It is said that our brains are more
receptive to information in the mornings. Like everybody else I was scanning
through the news paper today morning and came across a article titled “<a href="http://timesofindia.indiatimes.com/india/Popular-diabetes-drug-can-cause-side-effects-Study/articleshow/46350264.cms" target="_blank">POPULARDIABETES DRUG CAN CAUSE SIDE EFFECTS: STUDY</a>”. By instinct went through the
details and to my horror it was about “Metformin”. The side effects mentioned
the article related to Vitamin B12 deficiency. This is a classical case of <i>“OLD WINE IN A NEW BOTTLE”</i> Vitamin B12
deficiency on prolonged use of Metformin has been known since ages and it forms
the basis of adding multivitamins in the Diabetes treatment schedule. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkWo1HLR7PcjKrwCQ54fe1IbECKbVy2QC_dX09zfcQq2fqWhHHXGyII-1AdUPrn-qAfcLc4p4bFOykGkVidF5v0DiReaUUXbL27tT6m564gD1THdz0z_FJyTiO8gD-f-w_S-cTbmcRW9I/s1600/download.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkWo1HLR7PcjKrwCQ54fe1IbECKbVy2QC_dX09zfcQq2fqWhHHXGyII-1AdUPrn-qAfcLc4p4bFOykGkVidF5v0DiReaUUXbL27tT6m564gD1THdz0z_FJyTiO8gD-f-w_S-cTbmcRW9I/s1600/download.jpg" height="113" width="200"></a></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-indent: 36pt;">When reading this article
I felt the leading news papers should be more careful while reporting such
sensitive issues of public importance. I do agree that it is a reporter’s duty
to present the facts as such for people to decide but in certain places I think
it is not justified.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%; text-indent: 36pt;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Here is what I feel...<o:p></o:p></span><br>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br></span>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span><br>
</div><a href="http://riyazsheena.blogspot.com/2015/02/sensible-news-vs-sensational-news.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-51402237336754993172015-01-24T10:01:00.001+05:302015-01-25T01:24:26.226+05:30PAINLESS INSULIN DELIVERY SYSTEM<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Medicine
aims to alleviate the pain and distress. Many diseases scourged mankind for
ages. Marvellous inventions and discoveries have been made in the field of
medicine right from the very early times. The significant ones that changed
history as we know it today are <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
</div>
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Antiseptics</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Antibiotics</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Anaesthesia</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Anti-Rabies
vaccination</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Insulin</span></li>
</ul>
<br>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Medicines
which can be taken orally are well accepted by patients. Injections play a
major role during Surgeries (Anaesthesia), acute emergencies and in cases of
severe infections where we want the drug to take an immediate effect . One life
saving medicine which doesn’t come under any of the above mentioned categories
is Insulin. Many people have lost their lives to acute hyperglycemia (High
Sugars). Those affected by the non insulin dependent type of Diabetes (Type2) suffered
the long term complications of elevated blood sugars.</span><br>
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<br>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-7K3YNmAvFswOyKZie9VjQGGEFHlQV78pT27nmcXmHwYahYK0lOQuLwqNFdRMhaCwrF2T2eA72OLBIKoV7TuB0L6DKEpSA9GNm3wkb_a2oUjNhcENeTFQVIS_sd4AG1-avQmFwm61MR0/s1600/17368_Langerhans-Paul.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh-7K3YNmAvFswOyKZie9VjQGGEFHlQV78pT27nmcXmHwYahYK0lOQuLwqNFdRMhaCwrF2T2eA72OLBIKoV7TuB0L6DKEpSA9GNm3wkb_a2oUjNhcENeTFQVIS_sd4AG1-avQmFwm61MR0/s1600/17368_Langerhans-Paul.jpg" height="200" width="163"></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Paul Langerhans</td></tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="http://1.bp.blogspot.com/-IWm61hCztHc/VMMkHk8zT_I/AAAAAAAABg8/lY7rLi9jGQg/s1600/74317-004-9B143D52.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="http://1.bp.blogspot.com/-IWm61hCztHc/VMMkHk8zT_I/AAAAAAAABg8/lY7rLi9jGQg/s1600/74317-004-9B143D52.jpg" height="238" width="320"></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Islets of Langerhans</td></tr>
</tbody></table>
<br>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR_um5YiWpHZ2PlHTwPzeT1_t_1xWMA3EYLqJtKsMWvKiTjPBIrhmIXciEDYhOma9JqvTujpy3J9RvJW9c2mnoMrEaq-DHPIkcH4HriQg1mBRqhqLFDr4o_BcbSOFf1yjyq_TZN7cxA1g/s1600/Charles_Best_and_Frederick_Banting.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiR_um5YiWpHZ2PlHTwPzeT1_t_1xWMA3EYLqJtKsMWvKiTjPBIrhmIXciEDYhOma9JqvTujpy3J9RvJW9c2mnoMrEaq-DHPIkcH4HriQg1mBRqhqLFDr4o_BcbSOFf1yjyq_TZN7cxA1g/s1600/Charles_Best_and_Frederick_Banting.jpg" height="200" width="160"></a></div>
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: 36pt;"><br></span>
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: 36pt;"><br></span>
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: 36pt;">It was the discovery of
Insulin secreting cells in the pancreas by Langerhans which paved way for future
research. Banting and Best provided us with a cure in a bottle – INSULIN. This
saved millions of lives and continues to do so.</span></div>
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<br>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQ4LP5cGSNrM05k5zTuj7fqyq7lBSnlh_k2QVCMwgMv2KWnK8mlbDxHa6T9OdOyyNEJ4F0VJYGB_BLJoUdJLFOxuaZ6duUyKGdjBvOadBO_x1UlTca5AbSdJItXehckf7yxcnOglY6cGM/s1600/7141-1-vetsulin.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiQ4LP5cGSNrM05k5zTuj7fqyq7lBSnlh_k2QVCMwgMv2KWnK8mlbDxHa6T9OdOyyNEJ4F0VJYGB_BLJoUdJLFOxuaZ6duUyKGdjBvOadBO_x1UlTca5AbSdJItXehckf7yxcnOglY6cGM/s1600/7141-1-vetsulin.jpg" height="200" width="200"></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Porcine Insulin</td></tr>
</tbody></table>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span>
<br>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: right; margin-left: 1em; text-align: right;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyn665ILMd6yU1MX30kfIZt27Ozs_eflNQhyphenhyphenzmFoXO7N4pe_9AyglgKkyJ10u9UF-5qa8fOVNZBY_MkFxhPsG72dWIE56xIp4amfv8YB-OIqYsTvHyE0qjmBVntTLIzq67NgrT7Dpmwn4/s1600/69_main.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyn665ILMd6yU1MX30kfIZt27Ozs_eflNQhyphenhyphenzmFoXO7N4pe_9AyglgKkyJ10u9UF-5qa8fOVNZBY_MkFxhPsG72dWIE56xIp4amfv8YB-OIqYsTvHyE0qjmBVntTLIzq67NgrT7Dpmwn4/s1600/69_main.jpg" height="149" width="200"></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Bovine Insulin</td></tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm6UlzcvSm7tU20dp8xuH5iyNuszOW8yR4CJbPP-z8yrxDCrqNwXkwU5roOwG03Mxl6Cn23NAkEa5y5U2-aXae2cERVvJxSBm5MUeDPYI0-9gR1b0bBAbCpBiSAeZQR_eP8kmAlAiZQcs/s1600/NovoPen-Echo-Color-Skins.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjm6UlzcvSm7tU20dp8xuH5iyNuszOW8yR4CJbPP-z8yrxDCrqNwXkwU5roOwG03Mxl6Cn23NAkEa5y5U2-aXae2cERVvJxSBm5MUeDPYI0-9gR1b0bBAbCpBiSAeZQR_eP8kmAlAiZQcs/s1600/NovoPen-Echo-Color-Skins.jpg" height="125" width="200"></a><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span><br>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">We
have come a long way from crude Porcine, Bovine insulin to designer insulin. As
the years passed safe insulin was developed. </span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: 36pt;">These were devoid of side-effects,
much safer to use and more stable are various temperatures. So with this weapon
we are ready to heal the world of Diabetes?? Oh No.... Wait.... There is one
more problem....</span><br>
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%; text-indent: 36pt;"><br></span></div>
<a href="http://riyazsheena.blogspot.com/2015/01/painless-insulin-delivery-system.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com4tag:blogger.com,1999:blog-6006569512155343412.post-26010142589659895322014-12-23T10:23:00.002+05:302015-01-17T11:06:57.027+05:30FACEBOOK DOCTOR<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The days of Face to Face
expression are nearly gone....<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilKw26Wr8PtczM6tkhz-gd4t5kuY6UGkx4nv1Ryf1VSjW6mgkCOZ0vSCab1pfbkb4fAYOqAISUNtlNOUVFC-GDFhkAgEkUYNhQ7yuHI1CIesCm781BiSRCbqAsmTvVqLZCEmKmyK8lqqk/s1600/facebook-inc-news-feed.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEilKw26Wr8PtczM6tkhz-gd4t5kuY6UGkx4nv1Ryf1VSjW6mgkCOZ0vSCab1pfbkb4fAYOqAISUNtlNOUVFC-GDFhkAgEkUYNhQ7yuHI1CIesCm781BiSRCbqAsmTvVqLZCEmKmyK8lqqk/s1600/facebook-inc-news-feed.jpg" height="118" width="200"></a><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Now it is the age of
Facebook!!<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Nearly everybody who
knows to use internet has a Facebook account....!<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Want to know something?
Put a query on FB.... Loads of answers will pour in...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Want to wish your loved
ones for their Birthday, anniversary? FB
is there...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The latest fad of the
younger lot..... FB account!<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The older generation is
not far behind...</span><br>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2sj39GeVaZ1m2UR89wfkJfOS2r-_v-KdCY5qpjcGOhQYwm4qrISCVPZe4cmNIthSs_KDeV9d7YCfpdjPlpKCC3rWmeXZt2eWKw_115-cid2WXswsXYvEe40EFO3IpH28D0hdEOaes2-I/s1600/facebook-evolution-640.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2sj39GeVaZ1m2UR89wfkJfOS2r-_v-KdCY5qpjcGOhQYwm4qrISCVPZe4cmNIthSs_KDeV9d7YCfpdjPlpKCC3rWmeXZt2eWKw_115-cid2WXswsXYvEe40EFO3IpH28D0hdEOaes2-I/s1600/facebook-evolution-640.jpg" height="155" width="400"></a></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"> <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">FB has literally
revolutionized the way people use internet. The think-tank of FB is just
awesome...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Think of the bigger
picture, FB has made our world a “Global Village”. Anyone with an FB account
can connect to people in the other end of the equator Just like that!<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8NrDq0vh90a-OwXcAFuzZMkGQ8_Vp6HU9gNsLrxWSN3nkelSBdoLfgCn0m91kbxYIagBCpYLaNaFRkAAI8wjhe7mI4uVFbIL0n6YBK2rIy5iAL93Dl6wQ355hxFAMom78Pmadqc9vlgc/s1600/1275272_10101026493146301_791186452_o.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh8NrDq0vh90a-OwXcAFuzZMkGQ8_Vp6HU9gNsLrxWSN3nkelSBdoLfgCn0m91kbxYIagBCpYLaNaFRkAAI8wjhe7mI4uVFbIL0n6YBK2rIy5iAL93Dl6wQ355hxFAMom78Pmadqc9vlgc/s1600/1275272_10101026493146301_791186452_o.jpg" height="235" width="640"></a></div>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Social network’s
potential is just waiting to be explored!<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">FB has revolutionized
internet, FB has changed business models. Instead of spending money on creating
websites, small scale businessmen have started developing and generating
business via Facebook pages. FB has played a matchmaker, hell and havoc on interpersonal
relationships as well... <o:p></o:p></span></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoex36BOyVo-3QKusQ0mmay7JJhFLb34morV6B7NhwTfChJzTFKgYSSeIta5hokaydV0J2e3ZV6gaFqPKCUUk0_S5M-_lN2MiAHWQVR6FGi7tFQuB6TVLbTRA2c-vXQzf73qegtR7pVqI/s1600/images.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjoex36BOyVo-3QKusQ0mmay7JJhFLb34morV6B7NhwTfChJzTFKgYSSeIta5hokaydV0J2e3ZV6gaFqPKCUUk0_S5M-_lN2MiAHWQVR6FGi7tFQuB6TVLbTRA2c-vXQzf73qegtR7pVqI/s1600/images.jpg"></a></div>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Can FB revolutionize
Healthcare also?<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Yes !!</b></span><br>
</div><a href="http://riyazsheena.blogspot.com/2014/12/facebook-doctor.html#more">Read more »</a>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-58385015260526222042014-11-12T19:28:00.001+05:302014-11-12T19:28:17.501+05:30DIABETES CASES UP TENFOLD IN CHENNAI IN 40 YEARS!!<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">There has been a <b>quantum leap in
prevalence of diabetes in Chennai and Delhi</b>, and if the figures apply for
other parts of the country, India would be home to the largest diabetic
population on earth.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">The Centre for
Cardiometabolic Risk Reduction in South Asia (CARRS) study conducted by the
Madras Diabetic Research Foundation (MDRF) has shown that <b>more than 24% of people in Chennai and Delhi</b>, besides Karachi, are
diabetics. This is a <b>tenfold increase</b>
in their numbers since 1970, when the diabetic population stood at 2.3%.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><b><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">In Chennai, 38% of people above
the age of 40 are diabetics</span></b><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">. "Especially the Chennai numbers are startling," said Dr V
Mohan of MDRF. "The study shows the <b>prevalence
of diabetes in people above 20 years of age has gone up from 18.6% six years
ago to 24.7% </b>now." In the past 40 years, diabetes has broken many
barriers. While earlier it was believed to be the rich man's disease, today it
is found in the poorest of people. Over time, diabetes has destroyed the
urban-rural divide as well, as sedentary lifestyle and a high fat diet has
become common among all Indians.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">"Everyone is at risk," said Dr Mohan. Adding to the trouble is
Indian's genetic predisposition to diabetes. On the brighter side, detection at
pre-diabetes stage and early intervention using a diet-exercise regime can
prevent if not delay diabetes, experts have found.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">Diabetes has demolished another
theory—that Indians living in the US are more prone to the disorder than those
living in India. The Mediators of Atherosclerosis in South Asians Living in
America (MASALA) study done by the Madras Diabetic Research Foundation (MDRF)
compared the prevalence of diabetes among people in India and migrant Indians
living in San Francisco. "While it was believed that NRIs were more prone
to diabetes, the study showed that Indians living in India have surpassed that
too.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">The prevalence of diabetes in
Chennai was 38% in those above 40 years of age, compared to 24% among migrant
Indians in San Francisco," said Dr V Mohan of MDRF. The MASALA study also
showed that the prevalence of pre-diabetes was higher in San Francisco than in
India. "This is simply because our folks are changing from the
pre-diabetes phase into diabetes in a more rapid fashion than Indians living
abroad," said Dr Mohan. While there has been a debate over whether genetic
factors or environmental factors play a more important role in the high
prevalence of diabetes in India, Dr Mohan pointed out that unchecked
consumption of white rice was one of the major reasons for the alarming
increase in diabetes cases in India, followed by physical inactivity and
urbanization.</span><span style="font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"> </span><span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;">"White rice intake and
diabetes rates go hand in hand. Studies show that the risk of diabetes
increases fourfold if the consumption of white rice increases from 200g to 400g
for every individual," said the doctor. He said that consuming brown rice
or rice rich in fibre would make a lot of difference in reducing the risk of
diabetes and obesity. "It is high time we dropped the rice rich diet and
included a lot of veggies in our meals.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="background: white; font-family: "Georgia","serif"; font-size: 11.5pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-IN;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: 0.0001pt; text-align: justify;">
<span style="font-family: Georgia, serif;"><span style="background-color: white; font-size: 15px; line-height: 23px;">Source - TOI</span></span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-54042559026681098802014-09-15T10:25:00.000+05:302014-09-15T10:26:54.881+05:30SUCRALOSE - SWEET LIFE?<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>People with Diabetes can have sweets? <o:p></o:p></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>How to overcome craving? <o:p></o:p></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u>What is the safest alternative to table sugar?</u></b><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="MsoNormal">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVSxZkR12cGBID7LgegjOvFG8M_eEYMpwOMVt2duUdwHtGUYcOu6ZrPmascQRCgL2nDMWelD_KjxZgIUzgJDVcufnuBlCizukRuXU9NCpwNl5Xy-LgvpKizXe56TEUsFx58_Z7RfHE95Q/s1600/sucralose.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiVSxZkR12cGBID7LgegjOvFG8M_eEYMpwOMVt2duUdwHtGUYcOu6ZrPmascQRCgL2nDMWelD_KjxZgIUzgJDVcufnuBlCizukRuXU9NCpwNl5Xy-LgvpKizXe56TEUsFx58_Z7RfHE95Q/s1600/sucralose.png" height="304" width="640" /></a></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><b><u><br /></u></b></span></div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Well these are some interesting questions based on
which countless amounts have been spent for research. The outcome – Many
different types of alternatives were introduced. Some came with side effects
and some came with a bitter after taste. As of now the most commonly used
alternative is<b> SUCRALOSE</b>. Sucralose is 300 to 1000 times sweeter than our
normal table sugar (sucrose). This sucralose was developed when scientists were
actually trying to develop a sugar based insecticide. At that point the
sweetness of sucralose was identified by chance. The scientist misheard the
term “test” as “taste” and tasted it. He found the compound exceptionally sweet.
Scientists Tate & Lyle patented it in 1976. Slowly the use of sucralose
spread over countries and continents. Now sucralose is used in more than 80
countries all over the world. How our simple table sugar becomes sucralose? It
goes through processing (Simple word to explain </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">selective chlorination of sucrose, which substitutes three
of the hydroxyl groups with chlorine. This chlorination is
achieved by selective protection of the primary alcohol groups
followed by acetylation and then deprotection of the primary alcohol
groups.The partially acetylated sugar is then chlorinated with a chlorinating
agent such as phosphorus oxychloride, followed by removal of the acetyl
groups to give sucralose)<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><b>Sucralose safe?</b><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><b><br /></b></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Well....
anything in excess is definitely harmful. Even water in excess can kill you.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Sucralose
is safe. Maximum dose is 9mg per Kg body weight per day.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Moral of
the story – <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b>You can
have a sweet life with diabetes <o:p></o:p></b></i></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b><br /></b></i></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b>But,<o:p></o:p></b></i></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b><br /></b></i></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b>Measure
before you eat!<o:p></o:p></b></i></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b><br /></b></i></span></div>
<br />
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><i><b>Sweet
life!</b></i><o:p></o:p></span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-34176433642781444342014-09-01T23:34:00.000+05:302014-09-01T23:34:11.641+05:30MAGGOTS BACK WITH A BANG!<!--[if gte mso 9]><xml>
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<br />
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maggots! Maggots Maggots!!!<span style="mso-spacerun: yes;"> </span>Ewww<span style="mso-spacerun: yes;">
</span>ahhh ish.... </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">But can you imagine that before advent of Life
saving antibiotics these maggots had saved many lives and limbs!</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Yes ! Exactly!</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maggots were used for treatment of sloughing wounds
and deep seated infections.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maggot therapy in olden days was a result of
observation by army surgeons that the maggot infested wounds heal faster
compared to non infested wounds.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">William Baer was the first one to use Maggots in
treatment of wounds and also showed that maggots can help the wound to heal
faster.</span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br />
This method became so popular that many hospitals developed their own
insectaries to stock their own insect free maggots for treatment.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Many doctors were happy with this bio-debridement. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">The problems faced that time were Difficulty in
getting insect free maggots, Cost & Difficulty in constructing a dressing
to house these maggots around the wound.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Slowly maggots disappeared from the scene with
advent of “Life- Saving Antibiotics”<br style="mso-special-character: line-break;" />
<i><br style="mso-special-character: line-break;" />
</i></span></div>
<i>
</i><div class="MsoNormal">
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Now Maggots are ready to make a comeback!</span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Why?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Because the Bacteria are becoming more and more
resistant to antibiotics. Even before the drug reaches the stage of mass
production resistant strains emerge. It is not uncommon for any Doctor to see
reports carry these Dangerous terms – MRSA, ESBL, MBL, MDR strains, Pan – Drug
Resistant Strains.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Literally we are running out of antibiotics. The
small single celled invisible creatures are winning!</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span class="A4"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maggot therapy is essentially a
controlled therapeutic maggot infestation on a live host). It is controlled by
selecting a safe strain and made germ free by using disinfectants. These
maggots are introduced in special dressings that prevent them from leaving the
wound.</span></span></div>
<div class="Pa19" style="margin-bottom: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="Pa19" style="margin-bottom: 14.0pt; text-align: justify; text-justify: inter-ideograph;">
<span class="A4"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;">Maggots are applied to the wound at a
dose of 5–10 larvae per square centimetre of wound surface area and are left
within their dressing for 48–72 h. The basic action comprises of Debridement, Disinfection,
Stimulation of healing and</span></span><span class="A4"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;">
Biofilm inhibition and eradication.</span></span><span class="A10"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;"></span></span></div>
<div class="Pa24" style="margin-bottom: 12.0pt; text-align: justify; text-justify: inter-ideograph;">
<span class="A4"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;">Medicinal maggots are like
microsurgeons and are precise in their debridement. It is no wonder that they
have found their way into the hearts and wounds of so many.</span></span><span style="color: black; font-family: "Times New Roman","serif";"></span></div>
<div class="Pa24" style="margin-bottom: 12.0pt; text-align: justify; text-justify: inter-ideograph;">
<span class="A4"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;">Despite our low cultural esteem for
maggots, more and more clinicians and patients are turning to medicinal maggots
for assistance with their wound healing. For most, the drawbacks of maggot
therapy pale in comparison to the remarkable efficacy in treating even the most
recalcitrant wounds.</span></span><span style="color: black; font-family: "Times New Roman","serif";"></span></div>
<div class="Pa12" style="margin-bottom: 13.0pt; text-align: justify; text-justify: inter-ideograph;">
<span class="A4"><span style="font-family: "Times New Roman","serif"; mso-ansi-font-size: 12.0pt; mso-bidi-font-size: 12.0pt;">Modern dressing materials have
simplified the maggot therapy procedure and minimized the risk of escape. The
establishment of laboratories throughout the world, along with access to
overnight courier service in many regions, has made medicinal maggots readily
available to millions of people.</span></span><span style="color: black; font-family: "Times New Roman","serif";"></span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com2tag:blogger.com,1999:blog-6006569512155343412.post-33708045409139072392014-08-20T11:13:00.004+05:302014-08-20T11:13:35.801+05:30DIABETES ! DIABETES !! DIABETES!!!<span style="font-size: large;">Happy to announce the launch of our new website</span><br />
<br />
<span style="font-size: large;"><a href="http://www.diabetes.vpweb.in/" target="_blank"> www.diabetes.vpweb.in</a></span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">This website has given me more flexibility to add pages on many more topics concerning community health.</span><br />
<span style="font-size: large;">This website has been designed to update general public about various health issues. </span><br />
<span style="font-size: large;">The recent update was on the Ebola Outbreak, Inhaled Insulin ...</span><br />
<span style="font-size: large;">I cordially invite all my Friends, Wellwishers and everybody who is interested in health to visit this website..</span><br />
<span style="font-size: large;">As a Doctor i feel this website has given me an opportunity to talk on various health related topics and also to get feedback on a regular basis from you folks! </span><br />
<span style="font-size: large;">I Hope that this website will slowly evolve into a very useful website to serve the common man.</span><br />
<span style="font-size: large;"><br /></span>
<span style="font-size: large;">Finally</span><br />
<span style="font-size: large;">Thanks to <a href="http://www.vistaprint.in/" target="_blank">vistaprint</a> for providing the website space and making my dream come true..</span>Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-21602397496612641582014-08-14T09:46:00.000+05:302014-08-14T20:09:57.550+05:30LATEST TREND - SEND OUT EXCESS SUGAR IN URINE!New member of the squad against Diabetes!<br />
<div>
<br /></div>
<div>
<b><span style="font-size: large;">Canagliflozin</span></b> </div>
<div class="separator" style="clear: both; text-align: center;">
</div>
<div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAKbW9xIfcfQ6hKJcEfYzNlwpxeqN8xZ77VlPndHyFAaNRrjoOWoaI4mVVyMHOTFdahyphenhyphen4mRFjJMWA7gfKmEUmmkWNBs7dGC38yk4mRMVfafLrTIjmGCT5YqguYIhnasl6g6cyidlon0bQ/s1600/Canagliflozin.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAKbW9xIfcfQ6hKJcEfYzNlwpxeqN8xZ77VlPndHyFAaNRrjoOWoaI4mVVyMHOTFdahyphenhyphen4mRFjJMWA7gfKmEUmmkWNBs7dGC38yk4mRMVfafLrTIjmGCT5YqguYIhnasl6g6cyidlon0bQ/s1600/Canagliflozin.jpg" height="78" width="320" /></a></div>
<br /></div>
<div>
<ul>
<li><a href="http://www.invokanahcp.com/" target="_blank">Invokana</a></li>
<li><a href="http://www.biospectrumasia.com/biospectrum/news/218475/fda-approves-janssens-type-diabetes-drug#.U-wvNVWSyCM" target="_blank">Invokamet</a> (Cangliflozin + Metformin)</li>
</ul>
<div>
Canagliflozin is a newest member in treatment of Type 2 Diabetes. This drug can be used as adjuvant to Diet & Exercise.</div>
</div>
<div>
<br /></div>
<div>
Canagliflozin inhibits <a href="http://en.wikipedia.org/wiki/Sodium-glucose_transport_proteins" target="_blank">Sodium Glucose Transport protein Sub type 2</a>. This protein is responsible for reabsoption of sugar in the kidneys.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBGNzBHJPqIVn1GFzZBduvjlFGIIVkkAvpsk6GmEYXO0Vj0vUVGTGjLuQKG1TAPnN5Qow8i8kvgfpeeKC0e5ihVZnmYbmGJ4Cgo534OawF7voUyy1HLeH2dsrOO1EzFCBQ8FnJ3K6sGg8/s1600/810787-fig1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjBGNzBHJPqIVn1GFzZBduvjlFGIIVkkAvpsk6GmEYXO0Vj0vUVGTGjLuQKG1TAPnN5Qow8i8kvgfpeeKC0e5ihVZnmYbmGJ4Cgo534OawF7voUyy1HLeH2dsrOO1EzFCBQ8FnJ3K6sGg8/s1600/810787-fig1.jpg" height="282" width="320" /></a></div>
<br />
By stopping the activity of Sodium Glucose Transport Protein -2 (SGLT-2) will result in loss of glucose in urine. Canagliflozin can help lose about 80-120mg/dl sugar. Additional benefits are better control of Hypertension due to osmotic diuresis and weight loss. </div>
<div>
<br /></div>
<div>
Half life of Canagliflozin is upto 12hours, Hence a twice daily dosage is preferred.</div>
<div>
<br /></div>
<div>
<a href="http://www.invokana.com/" target="_blank">Canagliflozin</a> comes in the strengths of 50mg and 150mg</div>
<div>
<br /></div>
<div>
A recent welcome addition is introduction of Invokamet (Canagliflozin + Metformin)</div>
<div>
<br /></div>
<div>
The available combinations are </div>
<div>
<br /></div>
<div>
Canagliflozin 50 mg + Metformin 500mg</div>
<div>
Canagliglozin 50mg + Metformin 1000mg</div>
<div>
<div>
Canagliflozin 150 mg + Metformin 500mg</div>
<div>
Canagliglozin 150mg + Metformin 1000mg</div>
</div>
<div>
<br /></div>
<div>
Since most of our patients require twice daily metformin this combination will help give better sugar control. 1 Tablet with advantage of two drugs. </div>
<div>
This drug may help patients attain a better control of blood sugars.<br />
Chances of hypoglycemia are relatively less</div>
<div>
<br /></div>
<div>
This Drug cannot be used in patients with <a href="http://www.webmd.com/a-to-z-guides/chronic-kidney-disease-topic-overview" target="_blank">Renal failure</a>, <a href="http://www.webmd.com/heart/understanding-low-blood-pressure-basics" target="_blank">Hypotension</a> and <a href="http://www.webmd.com/diabetes/guide/type-1-diabetes" target="_blank">Type 1 Diabetes</a>!<br />
<br />
Some patients ( ~5%) may experience the side effects like Female genital mycotic infections, Urinary tract infections and increased urination.<br />
<br />
<span style="color: red;">My previous write up about Canagliflozin</span> - <a href="http://riyazsheena.blogspot.in/2013/04/canagliflozin-one-more-soldier-to.html" target="_blank">CLICK HERE!</a><br />
<br />
This drug being marketed by Johnson & Johnson is expected to come to India soon.<br />
<br />
More in news from Johnson & Johnson - <a href="https://www.jnj.com/news/all/US-FDA-Approves-INVOKAMET-canagliflozin-metformin-HCl-for-the-Treatment-of-Adults-with-Type-2-Diabetes" target="_blank">JNJ</a><br />
<br />
Dr.Riyaz Sheriff<br />
<a href="https://www.google.co.in/maps/search/clinic/@12.9380796,80.2485245,15z/data=!4m5!2m4!3m3!1sclinic!2sVettuvankeni,+Neelankarai,+Kotivakkam,+Tamil+Nadu+600041!3s0x3a525cddbb0d3d5b:0xd19a8243bbbcdddf" target="_blank">R.S. Clinic</a><br />
<br />
<br /></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-76738423100560711902014-08-02T15:28:00.001+05:302014-08-02T15:33:47.708+05:30STEP IN TIME <br />
<div style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;">
<a href="http://tamarindrice.in/tamarind-rice-july-14/"><img alt=" Tamarind Rice - July issue" border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjyKTq-hqK5K4ICJEI9Upm6wlW-iIcqWxZSn1OfxwMQc_l6AKq2Lnjbjgj02p7ln5pp-BwF4y_6jKdmibcQW6xDZCmrlXjyJunVe5j1-G4WuO8ir0OTYpq_AXlb_l8GFNKGBWZ6ld0vC6w/s1600/jdv.jpg" height="200" width="138" /></a></div>
<br />
Knowledge needs to be shared.<br />
<div>
<br />
<div>
Here is one other way to do it.</div>
<div>
<br /></div>
<div>
My article published in <a href="http://tamarindrice.in/" target="_blank">Tamarind rice</a> online magazine.</div>
<div>
<br /></div>
<div>
In this article STEP IN TIME i have given an introduction to exercise in Diabetes</div>
<div>
<br /></div>
<div>
You can read the article in July 2014 issue - <a href="http://tamarindrice.in/tamarind-rice-july-14/">CLICK HERE</a></div>
<div>
<br /></div>
<div>
Best part is............... Its FREE!!</div>
<div>
<br /></div>
<div>
Thank you Tamarind rice!</div>
</div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com0tag:blogger.com,1999:blog-6006569512155343412.post-8101234099028995172014-07-12T19:29:00.002+05:302014-10-29T10:04:35.770+05:30GARCINIA CAMBOGIA<div class="MsoNormal">
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">WEIGHT LOSS! WEIGHT LOSS!! WEIGHT LOSS!!!</span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Everybody is talking about weight loss. Doctor’s advice weight loss to their patients whether it is Diabetes, Hypertension, Arthritis, Thyroid, Polycystic ovarian syndrome and the list is endless.....</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Media on its part keeps playing ads for weight loss. Nowadays every third ad in TV is some or the other weight loss products. Some Say use XYZ equipment, some say wear ZYX to hide your tummy, some say Apply ABC oil and what not....</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">One group has started promoting food products as dietary supplements. If you read the food label it is mostly our everyday products with fibre put in an attractive packing with a hefty price tag along with a discount offer! (THIS OLD TRICK NEVER DIES)</span></span></span><br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8JGAcCOAHKobqVtIANP1DwJLDm7e1OVYyKmwmS0HbVsvaHTM_32qt6riu2YZOZEO2k1vqG3TyeeWfw4BaikKO-zeJS1MDvzBYU5pX6kAkz1zfLRBKKX0rxHCsgdKHlnYzja-hxt8a1a8/s1600/images.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="background-color: white;"><span style="color: black;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj8JGAcCOAHKobqVtIANP1DwJLDm7e1OVYyKmwmS0HbVsvaHTM_32qt6riu2YZOZEO2k1vqG3TyeeWfw4BaikKO-zeJS1MDvzBYU5pX6kAkz1zfLRBKKX0rxHCsgdKHlnYzja-hxt8a1a8/s1600/images.jpg" height="142" width="200" /></span></span></a><span style="background-color: white;"><span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"><br /></span></span>
<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">The recent one to hit the market is something called GARCINIA CAMBOGIA.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Being a Diabetologist I started to develop some interest in this product to know what exactly it is.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">So First We will start with the source and about the plant....</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">It grows in Southeast Asia, West and Central Africa.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">In India it grows in Coastal Karnataka and Kerala. (Basically needs a moist climate)</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">It looks like a small pumpkin which can be Green,Yellow or reddish in colour.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">These turn brown to black on drying.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">It is also called Malabar Tamarind / Goraka/ Kattcha puli.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">The other names for this GARCINIA CAMBOGIA are</span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Acid Hydroxycitrique,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">AHC,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Brindal Berry,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Brindle Berry,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Cambogia gummi-guta,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Garcinia Cambogi,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Garcinia cambogia,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Garcinia gummi-guta,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Garcinia quaesita,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Gorikapuli,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Hydroxycitrate,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Hydroxycitric Acid,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">HCA,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Kankusta,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Mangostana cambogia,</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Vrikshamla.</span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"><b>Known uses of this product till 2012 are</b></span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Cooking – condiment</span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Ayurveda – Sour flavour is supposed to activate digestion</span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Purgatives</span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Found a beautiful description of processing of GARCINIA CAMBOGIA (KUDAMPULI) <a href="http://blog.sigsiv.com/2008/04/kudampuli-gambooge.html">click here!</a></span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiA-ZiErCEOttx0mDd1gCAwl2PK3p4QgLHIBFFkivErqJInCpX6Cao16-SNR6GpMqLub7bZT8GboyRoSnaPGe1s_vQTPBhrljBCtcldkyHRJLAeUSzz4QCtjV9bRwdDd9eZSgmkhQto9fc/s1600/Untitled.jpg" imageanchor="1" style="background-color: white; margin-left: 1em; margin-right: 1em;"><span style="color: black;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiA-ZiErCEOttx0mDd1gCAwl2PK3p4QgLHIBFFkivErqJInCpX6Cao16-SNR6GpMqLub7bZT8GboyRoSnaPGe1s_vQTPBhrljBCtcldkyHRJLAeUSzz4QCtjV9bRwdDd9eZSgmkhQto9fc/s1600/Untitled.jpg" height="496" width="640" /></span></a></div>
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"><b>What happened in 2012?</b></span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">United States television personality, Dr. Oz, promoted garcinia cambogia extract as "an exciting breakthrough in natural weight loss" Dr. Oz's previous endorsements have often led to a substantial increase in consumer interest in the promoted products.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">There is a lack of scientific evidence and clinical trials do not support claims that Garcinia cambogia is an effective weight loss aid. A meta-analysis of several clinical trials found no compelling evidence for short-term weight loss. Further, side- effects namely hepatotoxicity (chemical-driven liver damage) — led to one preparation being withdrawn from the market.</span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">A 1998 randomized controlled trial looked at the effects of hydroxycitric acid, the purported active component in Garcinia gummi-gutta, as a potential antiobesity agent in 135 people. The conclusion from this trial was that "Garcinia cambogia failed to produce significant weight loss and fat mass loss beyond that observed with placebo".</span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"> Having read this i turned to see if any reliable sites had any literature on the subject. </span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">First and foremost was <a href="http://www.webmd.com/vitamins-supplements/ingredientmono-818-GARCINIA.aspx?activeIngredientId=818&activeIngredientName=GARCINIA">WebMD</a>. This website just mentions possible for weight loss, side effects unknown, interactions unknown.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Next best option was to search for some scholarly articles on the subject. Many articles were discussing the subject based on experiments done in rats.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">These two articles caught my eye.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">High dose of Garcinia cambogia is effective in suppressing fat accumulation in developing male Zucker obese rats, but highly toxic to the testis</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Lipid-lowering and antiobesity effect of (−)hydroxycitric acid</span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">Albino rats of Wistar strain were fed lipogenic diet with and without the addition of (−)hydroxycitrate for a period of 15 days. It was observed that inclusion of (−)hydroxycitrate in the diet resulted in significant reduction in food intake, body weight, epididymal fat and serum triglyceride in the animals and also decrease in the feed efficiency ratio. The decrease in food intake, body weight gain and feed efficiency ratio brought about by (−)hydroxycitrate was dependent on the content of this compound in the diet.</span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">The search for more human studies lead me to an article titled " <a href="http://jama.jamanetwork.com/article.aspx?articleid=188147">Garcinia cambogia (Hydroxycitric Acid) as a Potential Antiobesity Agent - ARandomized Controlled Trial</a>" published in the prestigious <a href="http://jama.jamanetwork.com/journal.aspx"> JAMA</a></span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">As per this article 135 overweight individuals were divided into two groups and one group was given GARCINIA CAMBOGIA and the other group was given placebo pills.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Both groups were on high fiber , low calorie diet</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh78TpHbVcfehgRf1y_5_PYA026HyqwcLvygxZtwOdAvFIN2Qha0AN91IQhGB7LHKN28596zM89smu68QtdSoOvfQdO8J4H29JynXZBhzv5gSkkdsc3F7Efszx7a7fFwmP2WRRnfT-O_Ns/s1600/110043009_249.jpg" imageanchor="1" style="background-color: white; clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh78TpHbVcfehgRf1y_5_PYA026HyqwcLvygxZtwOdAvFIN2Qha0AN91IQhGB7LHKN28596zM89smu68QtdSoOvfQdO8J4H29JynXZBhzv5gSkkdsc3F7Efszx7a7fFwmP2WRRnfT-O_Ns/s1600/110043009_249.jpg" height="132" width="200" /></a></span></span></div>
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Final results Suggested that weight loss was better in the placebo group. </span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">There were some more studies showing no effect to minimal weight losing effects.</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;"><b>Conclusion </b></span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">We will have to wait for more concrete large population studies. But for those who are interested YES you can go ahead because its a natural food. Has had a place in our kitchens as well as Ayurveda. So GARCINIA CAMBOGIA might not harm. Only thing I can tell you is to set a target for yourselves. The ideal weight loss target would be losing 5-10% of current body weight in first six months. Start exercising, Concentrate on potion sizes. Read food labels to find out the number of calories and fat content. </span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Do not take it for granted that every product advertised on T.V is good!</span></span></span><br />
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<span style="font-family: Times New Roman, serif;"><span style="line-height: 18.399999618530273px;">Dr.Riyaz Sheriff.</span></span></span><br />
<span style="font-family: Times New Roman, serif;"><span style="background-color: white; line-height: 18.399999618530273px;">R.S CLINIC </span></span><br />
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Dr.Riyaz Sheriffhttp://www.blogger.com/profile/12009453033827303184noreply@blogger.com3