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Diagnosing HBV: Total

1/7/2022

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Diaetes and Ramadan

4/6/2021

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Guidelines for people with diabetes

Fasting with diabetes can lead to complications that include:
* Low blood glucose (hypoglycaemia)
* High blood glucose (hyperglycaemia)
* Dehydration
* Diabetic ketoacidosis (DKA), in people with type 1 diabetes
It is therefore important that the decision about whether to fast is made on an individual basis in consultation with a healthcare provider, taking into account the severity of illness and the level of risk involved. 
Tips for a healthy Ramadan with diabetes
Know your risk before you decide to fast
As per the Holy Quran, there are groups of people who might make themselves ill by fasting. Based on medical and religious advice, it is recommended to visit your doctor 6-8 weeks before Ramadan to understand your risk category before deciding to fast. If your doctor advises not to fast, you will get the same Thawab (reward).
Check your blood glucose regularly
Blood glucose monitoring and insulin injections do not break the fast and are important. They are your window to know your blood glucose levels and manage your diabetes. Changes in eating habits during Ramadan may affect your blood glucose and therefore it is important check blood glucose levels regularly.
* People at very high risk (even if not fasting) should check blood glucose levels 3-4 times a day
* People at moderate or low risk should check blood glucose levels 1-2 times a day

When to break the fast?
All people with diabetes should break the fast if:
* Blood glucose is lower than 70 mg/dl (3.9 m mol/L). Re-check within one hour if blood glucose is in the range 70-90 mg/dl (50- 3.9 m mol/L)
* Blood glucose is higher than 300 mg/dl (16.6 m mol/L)*
* Symptoms of hypoglycemia, hyperglycemia, dehydration or acute illness occur
Exercising during Ramadan
Perform regular light-to moderate exercise. Rigorous exercise is not recommended during fasting because of the increased risk of low blood glucose and/or dehydration. Physical exertions involved in Tarawih prayers, such as bowing, kneeling and rising, should be considered part of your daily exercise activities.

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Diabetic Nephropathy

3/29/2021

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     Diabetic nephropathy is a common complication of type 1 and type 2 diabetes. Over time, poorly controlled diabetes can cause damage to blood vessel clusters in your kidneys that filter waste from your blood. This can lead to kidney damage and cause high blood pressure. High blood pressure can cause further kidney damage by increasing the pressure in the delicate filtering system of the kidneys.
Risk factors
Your risk of diabetic nephropathy is greater if you have type 1 or type 2 diabetes. Several other factors may increase your risk of diabetic nephropathy, including:
  • High blood sugar (hyperglycemia) that's not well-controlled
  • High blood pressure (hypertension) that's not controlled
  • Being a smoker
  • High blood cholesterol
  • A family history of diabetes and kidney disease
Prevention
To reduce your risk of developing diabetic kidney disease:
  • Treat your diabetes. With effective treatment of diabetes, you may prevent or delay diabetic kidney disease.
  • Manage high blood pressure or other medical conditions. If you have high blood pressure or other conditions that increase your risk of kidney disease, work with your doctor to control them. Ask your doctor about tests to look for signs of kidney damage.
  • Follow instructions on over-the-counter medications. When using nonprescription pain relievers such as aspirin and ibuprofen (Advil, Motrin IB, others), follow the instructions on the package. For people with diabetic kidney disease, taking these types of pain relievers can lead to kidney damage.
  • Maintain a healthy weight. If you're at a healthy weight, work to maintain it by being physically active most days of the week. If you need to lose weight, talk with your doctor about weight-loss strategies, such as increasing daily physical activity and reducing calories.
  • Don't smoke. Cigarette smoking can damage your kidneys and make existing kidney damage worse. If you're a smoker, talk to your doctor about strategies for quitting smoking. Support groups, counseling and medications can all help you to stop.
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COVID-19 AND DIABETES

12/6/2020

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 Are people with diabetes more likely to get COVID-19?
  •  People with diabetes do not have a greater chance of getting the virus. However they are more likely to get complications - if they get the disease .
  • Your risk of getting very sick from COVID-19 is likely to be lower if your diabetes is well-managed.
  •  The more health conditions someone has (for example, diabetes plus heart disease), the greater the risk of getting  serious complications .
Is COVID-19 different from the seasonal flu?
 COVID-19 is proving to be a more serious illness than seasonal flu in everyone, including people with diabetes.
People with diabetes should get a flu shot this year, although it’s important to understand the flu vaccine will not protect against COVID-19.
 Precautions
 General Measures
  • Frequent hand washing
  • Use of face mask
  • Keeping safe distance (6 feet)
  • Avoid social gatherings, markets, eating out in closed spaces. 
 
EXERCISE:
  • Remember Exercise is the best immunity booster.
  • Social distancing does not mean you cannot exercise, walk or cycle .
  • Only Gyms needs to be avoided .
 
Diet
  • Diet should be Healthy & Nutritious
  • Increased intake of immunity boosters like Cinnamon, Clove, Kalonji, Broccoli
  • Handful of Nuts daily
  • Use of Vitamin C and Zinc supplement
  • Soups, Green Tea. 
If you get Covid:
  • Make sure you have adequate supply of glucostrips and your diabetes drugs (Oral/ Insulin),
  • More frequent Blood sugar checking
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Exercise at Any Age Can Help Those With Heart Disease

2/24/2020

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Regardless of age, exercise can improve the physical and mental fitness of people with cardiovascular disease, a common complication of diabetes. French researchers divided 733 people with various heart problems into three age groups: under 65, 65 to 80, and over 80. (About a third had diabetes.) Each took part in a five-week cardiac rehabilitation program that focused on exercise but also included nutrition education and other health counseling. Participants did two hours of exercise (on treadmills and stationary bikes) five times a week. By the study’s end, all had significantly boosted their exercise capacity, a sign of improved heart health, and reported less depression and anxiety. Not only was the program safe for all ages, but participants who started the study with the greatest physical impairment improved the most, no matter how old they were. If you have cardiovascular disease, discuss a referral to a cardiac rehab program with your doctor.
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More Choices Encourage Kids to Eat More Vegetables

2/22/2020

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To get young children to eat more vegetables, try offering them a choice. In a study, 32 veggie-averse kids ages 4 to 6 were randomly assigned to one of three groups: In one, parents were told to offer the child a small amount of cooked broccoli three times a week for five weeks. Participants in another group offered their children two of three vegetables (broccoli, zucchini, or peas) at once, rotating the choices each time. Parents in a third group didn’t change their child’s eating habits. The children who were offered the two different veggies ate twice the amount of vegetables as the other two groups (1.2 versus 0.6 half-cup servings per day). What’s more, the kids kept up the habit three months after the study ended. 
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Cold-Weather Diabetes Management Tips

2/18/2020

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Your go-to glucose remedy is frozen.

Juice boxes, glucose drinks, and glucose gels work well to treat lows most times of the year, but if you take these on an outdoor excursion or leave them in a parked car in the winter, they could freeze. That can leave you without fast-acting glucose should you develop hypoglycemia (low blood glucose).

The Fix: Glucose tablets or powders are a safer bet because they don’t freeze. Pay attention to your glucagon injection kit, too. It should be stored at 68 to 77 degrees. Liquid in a glucagon injection can freeze if you store your kit in your car or take it outside in cold temps. Keep it close to your body, or opt for Eli Lilly’s recently approved nasal glucagon powder, Baqsimi.
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ADLDi and NovoNordisk Pakistan lauched an event FIT 4 HEALTH on Feb 3rd 2020 in Marriet Hotel Islamabad.

2/17/2020

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DIABETES AND ANGER

2/11/2020

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Anger is a common response to diabetes, and is completely natural. People who have been diagnosed with diabetes may wonder why it has affected them when many of their friends or relatives do not have the condition.
Diabetes diagnosis is unfair, and sometimes anger can lead recently diagnosed diabetics to neglect their diabetes management or diabetes treatment.
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Spiced carrot & lentil soup

2/7/2020

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Ingredients
2 tsp cumin seeds
pinch chilli flakes
2 tbsp olive oil
600g carrots washed and coarsely grated (no need to peel)
140g split red lentils
1lr hot vegetable stock (from a cube is fine)
125ml milk (to make it dairy-free, see 'try' below)
plain yogurt and naan bread, to serve

Method
Heat a large saucepan and dry-fry 2 tsp cumin seeds and a pinch of chilli flakes for 1 min, or until they start to jump around the pan and release their aromas.

Scoop out about half with a spoon and set aside. Add 2 tbsp olive oil, 600g coarsely grated carrots, 140g split red lentils, 1lr hot vegetable stock and 125ml milk to the pan and bring to the boil.

Simmer for 15 mins until the lentils have swollen and softened.

The soup with a stick blender or in a food processor until smooth (or leave it chunky if you prefer).

Season to taste and finish with a dollop of plain yogurt and a sprinkling of the reserved toasted spices. Serve with warmed naan breads.
Picture
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