tag:blogger.com,1999:blog-46525745676706647352024-03-13T15:33:36.277+05:30SWEET LIFE......!Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4652574567670664735.post-38347437143170526292015-01-10T10:01:00.000+05:302015-01-10T10:13:41.256+05:30LIVE A SWEET LIFE!!<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Stress! Tension!
Anxiety! Apprehensions! Fears! <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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Part & Parcel of
modern life! (Obvious isn’t it?)<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Can we count atleast
ten people who live oblivious of the obvious? <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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Difficult right....?<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%;">Have you ever wondered
how exactly do we live in peace, unmindful of the pressures around us? <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%;">Few follow the simple
policy – “Ignorance is bliss”<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%;">But not always <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%;">Then what happens....<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%;">It’s our brain.....<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%;">Yes! We have “Short –
term Memory” for “selected” items...<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%;">There has been loads of
research on how we remember certain things and how we forget most of the
things... It is because of repetition....... <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%;">A very simple example
lies in our exam preparation...<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The answers which we
have read many times come in handy at the time of exams even if we hadn’t
revised it the previous night. This is because many neuronal circuits are
brought into play every time we read – The basis of Remembering!<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">There are certain
things which forget – how?<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%;">We tend to ignore a few
things and over period of time our Brain ignores these details!!<o:p></o:p></span></div>
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<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-iBLalgYYMdQ/VLCtfOFw2EI/AAAAAAAAAME/8X3ih9_o9AQ/s1600/BRAIN%2BNEW.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-iBLalgYYMdQ/VLCtfOFw2EI/AAAAAAAAAME/8X3ih9_o9AQ/s1600/BRAIN%2BNEW.jpg" height="496" width="640" /></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%;">How is this relevant in
any way to us? To this blog..... Diabetes??<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Yes it is pretty much relevant...<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The common
misconception is that Diabetes stops with blood sugar being high, so it is
enough to keep checking Fasting and Post prandial sugars alone!<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">In fact Diabetes is a
Multisystem disorder (Not a Disease per se). It can literally affect any part
of our body.<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">It is not enough to
only check blood sugars, screen for other possible problems as well...<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Because,<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">“Prevention is always
better than cure”<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%;">Here is a reminder or repetition
of what tests we need to do and when<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%;">Quaterly </span><span style="font-family: Wingdings; font-size: 13.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">
HbA1c<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%;">Half -yearly </span><span style="font-family: Wingdings; font-size: 13.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">
Lipid profile, Spot Microalbuminuria, Serum electrolytes (if you are on ACE/ARB
antihypertensives)<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%;">Once in a year </span><span style="font-family: Wingdings; font-size: 13.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;">à</span><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">
Blood urea, Serum creatinine, Liver function test, Retinal examination, ECG, thyroid
function test, Foot Neuropathy testing
& Complete Hemogram<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%;">May require (in some
patients) – USG Abdomen, TMT, ECHO, C-peptide<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%;">Also discuss with your
doctor regarding pneumococcal vaccination...<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%;">Take time for your
health! Manage Diabetes better!<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%;">Give importance to
prevention!<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%;">Discuss with your
Doctor!<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%;">Live a sweet life!<o:p></o:p></span></div>
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<br /></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com8tag:blogger.com,1999:blog-4652574567670664735.post-72399460868273548442014-11-28T18:28:00.001+05:302014-11-28T19:23:39.660+05:30DIABETES - WHAT YOU NEED TO KNOW! (PART FIVE)<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Human mind is filled
with desires. It may be related to profession, personal life or purely to enjoy
a cosy life!<o:p></o:p></span><br />
<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%;">Desires are good!<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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Professional desires
help us set targets for ourselves and angle us towards achieving great heights.
<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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Personal desires and wish
buckets help us challenge ourselves to a better living!<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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Without desires life
will be Monotonous & Boring. <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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">From time immemorial it
has been a neat business trick to capitulate on human desires for better
profits!<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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Give the man what he
wants...... He will forgo his fortune to
fulfil his desires....<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>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-9oy91dHgaGA/VHh9k1T31OI/AAAAAAAAALY/64v8jqXqKt0/s1600/REWORKED.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://3.bp.blogspot.com/-9oy91dHgaGA/VHh9k1T31OI/AAAAAAAAALY/64v8jqXqKt0/s1600/REWORKED.jpg" height="210" width="320" /></a></div>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Why am I talking about
this?<o:p></o:p></b></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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Well, as we all know
Diabetes is spreading far and wide.</span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">India has become the Capital of Diabetes.
Chennai is slowly moving towards having 40% of its people affected by Diabetes. </span><br />
<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%;"><b>Now why actually are people scared of Diabetes?<o:p></o:p></b></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>
<br />
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Can’t eat sweets!</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Have to go for walking!</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Intermittent and
excessive snacking has to be controlled!</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Diet restrictions &
Modifications!</span></li>
</ul>
</div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Do you think people are
scared of these things? <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%;">The answer is a pure <b>NO!!<o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Now in the era of
internet dominating our lives diet restrictions and exercise are slowly
becoming more common even in a non-diabetic population. People follow these may
be for pure weight loss or to prevent Diabetes or just to stay Healthy!<o:p></o:p></span><br />
<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>If these are not
bothering people why is everybody scared of Diabetes?</b><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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">It is the puzzles
associated with diabetes which scares people....<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%;">By puzzles I mean the
inner conflict which a person with Diabetes goes through... Every single
symptom starts a war of thoughts inside the 1.5kg battle ground called the
brain...<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%;">Numbness or tingling in
feet........ Are my nerves affected? Will I lose my limb? Will I be bedridden?<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%;">Lesser urine or passing
yellowish urine....... what about my kidneys? Sugar is eating up the kidneys? Dialysis?
Kidney transplant?<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%;">Slight discomfort in
chest ...... Diabetics can have silent heart attacks. Am I having one right
now?<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%;">These may sound funny
or over exaggeration for some of you.
No.... these thoughts do linger in every person with Diabetes!<o:p></o:p></span><br />
<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%;">As Doctors we always
suggest some preventive measures. Some specific and some general...<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br />
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Reduce fried foods</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Reduce salt</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Avoid sugar and
carbonated drinks.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Stop smoking</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Reduce alcohol
consumption</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Check your feet
everyday</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Have regular checkups
so that problems may be identified and corrected in the very early stages.</span></li>
</ul>
</div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Here comes the
business! The profit!<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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Advances in technology
have helped find alternatives for every Doctor’s advice.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Some have worked and
some are yet to reach the masses.</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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Now two things which
stand out among the recommendations are<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br />
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Reduce alcohol
consumption</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Stop smoking</span></li>
</ul>
</div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Believe me or not! Some
company has started advertisements of<i> non-alcoholic whiskey!</i><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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Smoking! This is
something which the patient lies every time to the Doctor!<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%;"><i>“I stopped years ago!!”<o:p></o:p></i></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><i>“I used to smoke 2
PACKETS a day... Now I smoke only 2”<o:p></o:p></i></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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">It is the pure
addiction which makes the person lie for years....<i><b><u>The Desire!</u></b></i><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>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Few years back came the
E-cigarettes! Claimed to be less harmful than the routine cigarettes. Every
mode of personal advertising was exploited..Promises of being a safe alternate
to smoking. Innumerable phone calls from companies claiming to sell
E-cigarettes, ads in websites and what not....<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%;">E-cigarettes were
poised to overtake traditional cigarettes in a decade or so...<o:p></o:p></span><br />
<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>So how do these
basically work?</b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">They look like the real thing. The
end glows as you inhale. As you exhale, you puff out a cloud of what looks like
smoke. It's vapour! All e-cigarettes work basically the same way. Inside,
there's a battery, a heating element, and a cartridge that holds nicotine and
other liquids and flavours. Features and costs vary. Some are disposable.
Others have a rechargeable battery and refillable cartridges. Using an
e-cigarette is called "vaping."<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><b>Are these safe?</b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO! Nicotine inside the E-cigarette
is addictive. You can get withdrawal symptoms including feeling irritable,
depressed, restless and anxious.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><b>What we advised all these years?<o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="color: #222222; font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Not a smoker - </span></b><span style="color: #222222; font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">D</span><span style="color: #222222; font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">on't start va</span><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">ping. There are no health benefits
and some risks.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Decided to Quit smoking -</span></b><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Better off with an FDA-approved
method of quitting, like the nicotine patch or gum. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Not decided about quitting -</span></b><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> would it be healthier to
switch from tobacco products to e-cigarettes? Maybe! Talk to your doctor about
the risks and benefits.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br /></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><b>What happened now?</b><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 7.5pt; margin-left: 0cm; margin-right: 0cm; margin-top: 2.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Recent research shows otherwise!<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">E-cigarettes contain up
to 10 times the amount of cancer-causing agents as regular tobacco. Researchers
found carcinogens such as formaldehyde and acetaldehyde in vapour produced by
several types of e-cigarette liquid. Formaldehyde- a substance found in
building materials and embalming fluids- was present at levels 10 times those
found in the smoke from regular cigarettes.<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Final Conclusion is......<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Nicotine in any form is
unsafe...<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Best way to quit smoking
is never in turning to alternatives....<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Never fully believe
advertisements..... Particularly Health related....<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">“Everybody lies” to make
money.... <o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Your health lies in your
hands! Make an informed decision!<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Dr.Riyaz Sheriff<o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: 11.25pt;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Consultant Diabetologist</span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com1tag:blogger.com,1999:blog-4652574567670664735.post-1629169692782229912014-11-10T18:38:00.000+05:302014-12-08T00:23:01.147+05:30DIABETES - WHAT YOU NEED TO KNOW !! (PART - FOUR)<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Hi 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%;">
<a href="http://2.bp.blogspot.com/-ivk0hi2yHQ0/VGC3VJIHC9I/AAAAAAAAALI/uBGJUxCgnlY/s1600/1265.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://2.bp.blogspot.com/-ivk0hi2yHQ0/VGC3VJIHC9I/AAAAAAAAALI/uBGJUxCgnlY/s1600/1265.jpg" /></a><span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Hope you all enjoyed a
beautiful Diwali...<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%;">Here in Chennai it was
a wonderful weather with Monsoon setting in making Chennai a “cool” place.<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%;">Last three weeks I have
written about three important topics<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%;"><a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know.html" target="_blank">DOCTOR SELECTION</a><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;"><a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know-part-ii.html" target="_blank">METFORMIN</a></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%;"><a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know-part-iii.html" target="_blank">ALPHA GLUCOSIDASE INHIBITORS.</a><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%;">Now we will discuss
about one of the main PILLARS of diabetes management – <b><u><i>Sulphonylureas</i></u></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">. <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%;">These classes of drugs
were introduced in the 1950’s.... A
classical example for “Accidental Discovery”... Yes, the blood sugar reducing
potential of these compounds was discovered as a side effect... Actually at
that point of time scientists were busy discovering oral antibiotics. When some
of the sulphonamides were used for treating infections in diabetic patients
they also noticed a remarkable reduction in blood and urine sugar values. This
slowly translated into the first generation sulphonylureas – Carbutamide, Tolbutamide,
Chlorpropamide and Tolazamide. These drugs were very effective in treatment of
Type 2 Diabetes. These drugs helped millions
wean off insulin and live a near normal life. Unfortunately these drugs were
taken off due to harmful side effects on bone marrow and blood profile. The
next generation drugs which we are using are <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%;">Glibenclamide – DAONIL <sup>*<o:p></o:p></sup></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Glipizide – GLYNASE <sup>*<o:p></o:p></sup></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Gliclazide – DIAMICRON,
RECLIDE, GLYCINORM <sup>*<o:p></o:p></sup></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 latest member of
the family is Glimipride- 3<sup>rd</sup> Generation Sulphonylurea (AMARYL, GP,
GLIMESTAR<sup>*</sup>). This molecule claims to have a cardioprotective effect
and is supposed to give a smoother control of blood sugars.<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%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>How do these drugs
work?</b><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%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">To put it in very very
simple words these drugs bind to receptor on the cell membrane of pancreatic
beta cells (insulin producing cells) this binding results in a series of
chemical reactions and finally increases the intracellular calcium level in the
Beta cell leading to release of insulin. So basically speaking these drugs do
not increase insulin production. They only help to bring out the already
produced insulin.<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%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>How to take these
drugs?</b><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%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">For some unknown
reasons the timing of these drugs are not given due importance. The mode of
action which I have explained here is an over simplified version. It contains
more intricate steps which needs time. In order to obtain the full benefit of
the drug and to get a proper sugar control Sulphonylureas have to be taken
30minutes before food. This family currently comprises of 4 members and all of
them come as plain tablets or in combination with metformin or as a megamix of
sulphonylurea + metformin + pioglitazone. Personally i do not prefer using
triple drug combinations as dose adjustments becomes more confusing plus the
chances of appearance of unwanted side effects are more when such multiple
combinations are used. <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%;"><b>Disadvantages.</b><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%;"><b><br /></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">These drugs are like a
boon to Diabetic patient saving him from daily pricks for approximately
10-15years. Lucky are those who continue to get better control after 20years
with oral drugs. All these drugs come with minimal side effects which may be
clinically evident in a very small percentage of patients. So I am not going to
discuss about them in detail. But, the most common disadvantage with this group
of drugs is that they can push you into severe hypoglycaemia if used inadvertently...<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%;"><b>Winding up....</b><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%;">Sulphonylureas are real
pillars for effective management of Diabetes. Used as per recommendations they
serve you well. When dosing sulphonylureas the chances of hypoglycaemia have to
be kept in mind. Never try to double the dose of half the dose without expert
help. I think i have covered the most important drugs used in Diabetes. My next
post would be on <u><b>Newer drugs used in Diabetes..</b></u><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%;">Till then.....<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%;">Take care...<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%;">Bye....<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%;">Dr.Riyaz Sheriff<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%;">Consultant
Diabetologist<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<sup><span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-size: 13.0pt;">*</span></sup><span style="font-family: "Times New Roman","serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-size: 13.0pt;">- Trade names are used only for the sake of familiarity.
Author does not intend to support any of these brands using this blogpost.. <o:p></o:p></span></div>
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<br /></div>
<br />
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<br /></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com7tag:blogger.com,1999:blog-4652574567670664735.post-44950500196349778132014-10-21T00:09:00.002+05:302014-11-17T18:17:12.087+05:30DIABETES - WHAT YOU NEED TO KNOW !! (PART III)<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Hope you all have enjoyed reading my previous posts
on <b>“DIABETES - WHAT YOU NEED TO KNOW”..</b><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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Today I am going to
explain another drug in a simplest way possible..<sup>*</sup><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%;"><sup><br /></sup></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">In the last post I had mentioned about <a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know-part-ii.html" target="_blank">Metformin</a>.
Today we will be dealing with another class of drugs called <i><b><u>ALPHA GLUCOSIDASE
INHIBITORS. </u></b></i><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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Too technical??<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%;">Names like GLUCOBAY<sup>**</sup>, ACARB<sup>**</sup>,
MIGNAR<sup>**</sup>, ELITOX<sup>**</sup>, VOBOSE<sup>**</sup>, VOLIX<sup>**</sup>,
PPG<sup>** </sup>may sound more familiar.... Right?<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">These drugs belong to the class of drugs which help
in controlling the post prandial blood sugar values. Three major groups are
currently available in the market. In
the late 90’s the group <b>ACARBOSE</b> (Glucobay<sup>**</sup>, Acarb<sup>**</sup>)
was introduced in India. By 2006 <b>VOGLIBOSE</b> (Vobose<sup>**</sup>, Volix<sup>**</sup>,
Ppg<sup>**</sup>) was introduced into the market. The main purpose of these
groups of drugs was aimed at controlling the post prandial spikes in
Diabetics. <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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>How does this drug
work?</b><sup><b>#</b></sup></span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b><a href="http://4.bp.blogspot.com/-jC_FtBc_Vao/VEXnm8Rqq-I/AAAAAAAAAKw/TfXH0BIzMec/s1600/19826.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://4.bp.blogspot.com/-jC_FtBc_Vao/VEXnm8Rqq-I/AAAAAAAAAKw/TfXH0BIzMec/s1600/19826.jpg" height="160" width="200" /></a></b></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%;"><sup><b><br /></b></sup></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">To have a better understanding of this we need to
know how the normal body works. Generally speaking the fasting blood sugar
level is based on what you eat and also on the amount of glucose being pumped
out from the liver. The post prandial values are largely based on what you eat.
In normal people the pancreas release insulin in spurts in response to the food
you take. So the pizza, burger, chocolates, ice creams or sweets are processed
well and blood sugars are maintained in the normal range. As a patient develops
Diabetes this normalcy is altered. The first pathology noticed is the altered
timing of release of insulin from the pancreas. There is a delay in release of
insulin so what happens is that the insulin is released a little later than
expected. As there is nobody to regulate the incoming sugars the blood sugar
levels slowly start to creep in the post prandial state. During management of
Diabetes we face this challenge with majority of patients in India. There is an
unexplained peak of blood sugars in the post prandial stage. Here is where this
group of drugs help us. </span><br />
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<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><a href="http://1.bp.blogspot.com/-64UFmEVJ9Vs/VEXn4DzgmmI/AAAAAAAAAK4/J4nb23pmmpw/s1600/POST%2B3%2BPIC.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://1.bp.blogspot.com/-64UFmEVJ9Vs/VEXn4DzgmmI/AAAAAAAAAK4/J4nb23pmmpw/s1600/POST%2B3%2BPIC.jpg" height="441" width="640" /></a></span></div>
<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%;">Basically what we eat comes in the form of complex
carbohydrates. For effective absorption these complex carbohydrates have to be
converted to simple carbohydrates. This function is carried out by an enzyme in
the body called Alpha Glucosidase. This alpha glucosidase enzyme is inhibited
by these groups of drugs. The result is that the complex carbohydrates cannot
be converted to simple carbohydrates and hence cannot be taken up by our
system.<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%;"><b>How to take alpha glucosidase inhibitors?</b><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%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The duration of action of these tablets is very
short compared any other tablets used in Diabetes management.<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%;"><u>The general recommendation is to take the tablet
just before food or take one morsel of food, take the tablet and continue with
the food..</u><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%;">These tablets are available in plain and as
combination with metformin.<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Strengths & Potency..</b><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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Although the mechanism of action seems very
convincing it normally doesn’t prevent the complete absorption of carbohydrates
from the food we take. These drugs are generally used as <b>“second line”</b> drugs in
management of diabetes. Acarbose & miglitol are available in 25mg and 50mg
packing. Voglibose comes in 0.2 and 0.3mg forms. <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%;"><b>Drawbacks ..</b><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%;"><b><br /></b></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: 13.0pt; line-height: 150%;">The incidences of gastrointestinal disturbances are
more with this drug. Nearly 20-30% of patients develop Gastritis, Flatulence, and
Nausea. In very few cases the side effects are troublesome leading to
withdrawal of drug. The side effects can be minimized or prevented by adding
appropriate drugs while starting on alpha glucosidase inhibitors (<i>Doctor who
examines you personally is the best judge on what drug will prevent side
effects in you</i>)<o:p></o:p></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: 13.0pt; line-height: 150%;"><u>Some patients can have altered Liver Function Test
with this drug so it is necessary to check your LFT once in 6months or atleast
once a year.</u><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%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Before I say Good bye....</b><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%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">The class of Alpha Glucosidase inhibitors are a very
good option in controlling post prandial blood sugars. They have no effect on
the Fasting blood sugars. It is safe to start on a lower dose. Hypoglycemia with
is tablet is very rarely. The side effects in the form of gastrointestinal or
Hepatitis are to be taken seriously. Doctor is the best judge to decide the
dosage and timing of these tablets.<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b><i>Wishing all my readers a very happy and safe
Diwali!!</i></b><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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">See you all soon...<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%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Dr.Riyaz Sheriff<o:p></o:p></span><br />
<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%;">Links to the previous posts on <span style="color: purple;"><b>DIABETES - WHAT YOU NEED TO KNOW SERIES</b></span></span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><span style="color: purple;"><b><br /></b></span></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b><a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know.html" target="_blank">DOCTOR SELECTION IN DIABETES</a></b></span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b><br /></b></span>
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b><a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know-part-ii.html" target="_blank">METFORMIN</a></b></span></div>
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<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></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br /></span></div>
<div style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: x-small;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">*This write up is intended only to present
scientific facts in the simplest way possible. There is no intention of
contradicting your doctor’s treatment or opinion.</span></span><br />
<span style="font-size: x-small;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">**Trade names are used only to make the reader
understand the drugs better. The writer does not intend to support any
particular brand via this blog.</span></span><br />
<span style="font-size: x-small;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;">#This information is provided in a simple format for
clear understanding. It does not mention about the elaborate chemical reactions
going on inside the body... </span></span></div>
<div style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: x-small;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;"><br /></span></span></div>
<div style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-size: x-small;"><span style="font-family: 'Times New Roman', serif; line-height: 150%;"><br /></span></span></div>
<div style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: 'Times New Roman', serif; line-height: 150%;"><span style="font-size: x-small;"> </span> (To be Continued...........................)</span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com3tag:blogger.com,1999:blog-4652574567670664735.post-4345664764402328852014-10-15T10:34:00.001+05:302014-10-15T10:36:07.754+05:30DIABETES - WHAT YOU NEED TO KNOW !! (PART II)<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Hi again!<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%;">So continuing with the
series of <span style="color: red;"> <a href="http://diabetologistchennai.blogspot.in/2014/10/diabetes-what-you-need-to-know.html" target="_blank">Diabetes – What You Need to Know!!</a></span><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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Today I am going to
talk about Oral medicines.<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>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">When we think of
Diabetes the name which comes along with Diabetes is the wonder drug called
<b>METFORMIN.</b><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>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Metformin has been a
cornerstone in Diabetes Management for decades now. A small group of old time physicians
are still apprehensive of using this drug. The reason is not Metformin but its predecessor
<i>PHENFORMIN.</i> This phenformin which was used during our grandpa’s time had its
own side effects. This drug was withdrawn from the market long back. Metformin
is devoid of most of the unwanted and dangerous side effects. Metformin comes
under the class of BIGUANIDES. <o:p></o:p></span></div>
</div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br /></span></div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Apart from its major
role in the treatment of Diabetes Metformin is used in Conditions like Polycystic
ovarian syndrome, weight management and where ever there is a need to combat
insulin resistance Metformin is the drug of choice. Recent studies also indicate
that this drug is useful in Breast Cancer. There are some studies which talk about the benefits of metformin in Rheumatiod Arthritis as well.<o:p></o:p></span></div>
</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>How does this drug
work?</b><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%;"><b><br /></b></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Well to understand this
you need to know the very basic principle of Diabetes. Diabetes is a result of
two processes. First one is the reduced insulin production by the pancreas and
secondly the Insulin resistance. This means already the pancreas is producing
little insulin and the body is not ready to take up the insulin in a normal
way. Now this doesn’t happen overnight... It takes years before you actually develop
Diabetes. This stage where the body is trying to help you by overworking is
called <b><u>PREDIABETES</u></b>. This is the only stage where the pathological process of
progression from Normal to Diabetes can be STOPPED! ( I will write about Prediabetes
in a later post ) When the body doesn’t utilize
insulin in the normal way the Pancreas tries to compensate by producing much
more insulin than required. This phase goes on for a few years. Slowly the pancreas
also gets tired and Beta cells (Insulin producing cells in the Pancreas) start
failing. Only when a considerable amount of Beta cells fail Diabetes develops.
Metformin acts at the level of insulin resistance. The cells of our body act
like locks and insulin acts like a key. Insulin opens up the receptors (the
lock in the cells of our body) so that GLUCOSE can get inside the cells for a
normal function and extra glucose can be converted to glycogen which is the
storage form of glucose. In Diabetes, the number of receptors readily accepting
insulin are less. With addition of metformin glucose uptake is better thereby
reducing the level of glucose in blood. <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%;"><b>How to take Metformin?</b><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%;">Metfomin is available
commercially in many forms. It comes as <o:p></o:p></span></div>
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</div>
<ul>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Plain metformin</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">A combination of
Metformin & Acarbose.</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Combination of
Metformin & Voglibose</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Combination of
Metformin & Sulphonylureas (Glimipride, Glipizide, Gliclazide &
Glibenclamide)</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Combination with
Pioglitazone</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Metformin with the
latest DPP IV inhibitors (Sitagliptin, Vildagliptin)</span></li>
<li><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 150%;">Combination of
Metformin , Sulphonylurea & Pioglitazone.</span></li>
</ul>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">When you are prescribed
a plain tablet it is better to be taken after food. If you have been asked to
take a combination generally the 2<sup>nd</sup> member in the combination is
important to decide the timing of tablet. This holds true for combination of
Metformin and sulphonylureas. So whenever you visit your Diabetologist or Physician
never forget to ask in detail regarding timing of tablets.<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%;"><b>Strengths & Potency</b><o:p></o:p></span></div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Metformin comes in
various strengths. In India its is available as 250mg, 500mg, 500mg SR, 850mg ,
1gm and 1gm SR. Although the number looks big compared to other tablets used in
the treatment of Diabetes it is relatively a mild tablet. As it acts
peripherally in reducing Insulin Resistance it can be used as the sole drug in
treatment of diabetes or as an adjuvant to Sulphonylureas or Insulin.<o:p></o:p></span></div>
</div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Drawbacks....</b><o:p></o:p></span></div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Patients during initial
course of treatment with metformin can experience Gastritis (Ask your Doctor
about side effects and report to your Doctor if you are uncomfortable after
starting Metformin)<o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Some patients lose
weight ( Not exactly a drawback.... right??)<o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">This drug should not be
used when the Kidney function tests are abnormal..<o:p></o:p></span></div>
</div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><br /></span></div>
</div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Before closing...... </b><o:p></o:p></span></div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">Metformin is a Wonder
Drug in the management of Diabetes. It works exceptionally well and its
efficacy has been proven beyond doubts over the decades.. Several hundreds of
research papers have been published proving that metformin works well in different
settings. Now like any other drug we use, this drug also has side effect but
MINIMAL. It is only prudent to say that Metformin is a tool which works well in
the hands of the Doctor who knows to use it well......<o:p></o:p></span></div>
</div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;">So, Till we meet
next.....<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%;">Take care... Stay
healthy...<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>Dr.Riyaz Sheriff<o:p></o:p></b></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13.0pt; line-height: 150%;"><b>Consultant
Diabetologist..</b><o:p></o:p></span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com1tag:blogger.com,1999:blog-4652574567670664735.post-31336932814633202452014-10-12T19:03:00.002+05:302014-10-12T21:48:40.859+05:30DIABETES - WHAT YOU NEED TO KNOW!!<div class="MsoNormal" style="-webkit-text-stroke-width: 0px; color: black; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Hi everybody</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Hope you all are having a sweet life..!</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Today I am going to talk about some simple points which every Diabetic and care givers need to know.</span></div>
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<u><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><br /></span></u></div>
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<u><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><b>Doctor selection</b></span></u></div>
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<u><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><b><br /></b></span></u></div>
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<div style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Diabetes as you all know is one topic which is widely spoken, discussed, researched and everyone tends to have their own views on<b><i><u><span class="Apple-converted-space"> </span>Do’s and Dont’s</u></i></b>. This happens among Physicians and Diabetologists as well. One doctor says<span class="Apple-converted-space"> </span><b>“You can”</b><span class="Apple-converted-space"> </span>and the other doctor says<span class="Apple-converted-space"> </span><b>“It is bad”</b>. So how to decide what to do??</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><br /></span></div>
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<div style="margin: 0px;">
<a href="https://1.bp.blogspot.com/-6gUdMWqGmJQ/VDp-fAMzgKI/AAAAAAAABZY/tN8uE33op6I/s1600/998118.jpg" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" src="http://1.bp.blogspot.com/-6gUdMWqGmJQ/VDp-fAMzgKI/AAAAAAAABZY/tN8uE33op6I/s1600/998118.jpg" height="200" style="cursor: move;" width="133" /></a><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Well the answer to this dilemma remains in you choosing your Doctor.</span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px;">The normal pattern of Doctor Selection in India depends on where the Uncle, Aunty or Neighbour is consulting. If they say Dr.X is good then we start believing that and go ahead blindly with what he/she says. Worse scenario is when you go to pharmacy and ask the pharmacist who is the nearest good Doctor. Pharmacist doesn’t exactly know what you are having. End result is that<span class="Apple-converted-space"> </span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px;"> </span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px;">we see is that there are so many patients whose diabetes is managed by surgeons or gynaecologists. We do face this situation where the patient ends up with the Diabetologist only when the treating doctor says “<i>You Need INSULIN”</i>. By this time you have already<span class="Apple-converted-space"> </span><u>wasted much valuable time</u><span class="Apple-converted-space"> </span>experimenting on different types of medicines and<span class="Apple-converted-space"> </span><u>your pancreas is too tired to take up any more experimentation/trial of tablets.</u></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px;"><u><br /></u></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">My suggestion would be - </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><br /></span></div>
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<a href="http://4.bp.blogspot.com/-ChdpRBq4DXs/VDp-ekIX4yI/AAAAAAAABZU/65nUjIdKrSw/s1600/k8716085.jpg" style="clear: right; display: inline !important; float: right; margin-bottom: 1em; margin-left: 1em; text-indent: -18pt;"><img border="0" src="http://4.bp.blogspot.com/-ChdpRBq4DXs/VDp-ekIX4yI/AAAAAAAABZU/65nUjIdKrSw/s1600/k8716085.jpg" style="cursor: move;" /></a><span style="text-indent: -18pt;"><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> 1.</span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">Select a Doctor whose is ready to spend time during your first visit.</span><br /><br /><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> <span class="Apple-converted-space"> </span></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">See if he is asking you regarding details of your diet, exercise, regularity of medication & Timing of medication. </span></span></div>
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<span style="text-indent: -18pt;"><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> These are the points which help a Diabetologist select the best regimen for you.</span></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> 3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> <span class="Apple-converted-space"> </span></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">Every Doctor needs time to bring your sugars down. Always assess </span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> your progress by how you are feeling after starting the new medicines.<span class="Apple-converted-space"> </span><u>Always report any kind of discomfort to your new Doctor.</u></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> 4.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> <span class="Apple-converted-space"> </span></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">Of Course .... Needless to say that you should<b><u><span class="Apple-converted-space"> </span>never lie or hide</u></b><span class="Apple-converted-space"> </span>some details from your doctor. The most common explanation given are<span class="Apple-converted-space"> </span><i>“Oh ! That was done a long time back... Is it important”</i><span class="Apple-converted-space"> </span>or<span class="Apple-converted-space"> </span><i>“ I dint feel good with the earlier medicine, SO we will forget all old things and start treatment fresh”</i><span class="Apple-converted-space"> </span>or<i><span class="Apple-converted-space"> </span>“ We lost it all when we shifted from the old house, let’s start fresh”</i>...... The fact remains that you Doctor knows best what is important and what is not so let him decide. Please don’t take decisions on your Doctor’s behalf. Secondly you and I can forget everything and start fresh but your body<span class="Apple-converted-space"> </span><b>DOESNT</b><span class="Apple-converted-space"> </span>follow the policy of<span class="Apple-converted-space"> </span><b>FORGET & FORGIVE!</b><span class="Apple-converted-space"> </span>It remembers all the trials, insults and experimentations done on it so instead of getting better you may feel<span class="Apple-converted-space"> </span><i>WORSE</i>.. Finally your old health records are not just papers... They hold so much of valuable information on what your body has gone through.<span class="Apple-converted-space"> </span><u>They help the Doctor understand your body better and avoid unwanted drugs or drugs which may have some adverse effects on you..</u></span></div>
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<span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> 5.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> <span class="Apple-converted-space"> </span></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;"> Take all your old reports and prescriptions with you during your first visit. Make sure the Doctor goes through these during your first visit before prescribing medicine. If the Doctor is least interested to go through your old reports then you need to Think twice..</span></div>
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<span style="font-family: Times New Roman, serif;"><span style="font-size: 17px; line-height: 19.933334350585938px;"><br /></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">6.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> <span class="Apple-converted-space"> </span></span></span><span style="font-family: 'Times New Roman', serif; font-size: 13pt; line-height: 19.933334350585938px; text-indent: -18pt;">Never ask us “Doctor , Can ayurveda or Siddha Cure Diabetes? Can I try?” It is not that we don’t like traditional medicine, the fact is we don’t know how it works. It is a undeniable fact that we do see lots of screw ups and lots of major organ damages so to be frank we would not like to comment on it.</span></div>
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<a href="http://2.bp.blogspot.com/-y8slEsWjwtk/VDp-pAXhlBI/AAAAAAAABZs/ZhPZF9oQLQE/s1600/stock-photo-mixed-herbs-of-sage-rosemary-basil-with-red-hot-pepper-in-mortar-with-pestle-bottle-of-oil-on-116403289.jpg" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-y8slEsWjwtk/VDp-pAXhlBI/AAAAAAAABZs/ZhPZF9oQLQE/s1600/stock-photo-mixed-herbs-of-sage-rosemary-basil-with-red-hot-pepper-in-mortar-with-pestle-bottle-of-oil-on-116403289.jpg" height="212" style="cursor: move;" width="320" /></a></div>
<div class="MsoNormal" style="-webkit-text-stroke-width: 0px; color: black; font-family: 'Times New Roman'; font-size: medium; font-style: normal; font-variant: normal; font-weight: normal; letter-spacing: normal; line-height: normal; margin-left: 18pt; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">
<div style="margin: 0px;">
<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><br /></span><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;"><br /></span><span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Before you log out of my blog I must tell you that this post is not intended to criticise my colleagues or to form a generalised opinion. This is a result of experiences I have personally faced over the past 5 years as Diabetologist and 10years as a Doctor (There are worse ones which I feel should not be publicised in a public forum). Secondly I intend to cover some topics like timing of medicines- why follow them, Adverse effects of common medicines used in Diabetes etc. So please feel free to come back.. Finally before i say Bye I would be happy to see your comments and/or Constructive criticism..</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Stay healthy...</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">See you Soon..</span></div>
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<div style="margin: 0px;">
<span style="font-family: "Times New Roman","serif"; font-size: 13pt; line-height: 19.933334350585938px;">Dr.Riyaz Sheriff</span></div>
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<br />
<br />
<br />
(To be Continued..................)</div>
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<!-- Blogger automated replacement: "https://images-blogger-opensocial.googleusercontent.com/gadgets/proxy?url=http%3A%2F%2F1.bp.blogspot.com%2F-6gUdMWqGmJQ%2FVDp-fAMzgKI%2FAAAAAAAABZY%2FtN8uE33op6I%2Fs1600%2F998118.jpg&container=blogger&gadget=a&rewriteMime=image%2F*" with "https://1.bp.blogspot.com/-6gUdMWqGmJQ/VDp-fAMzgKI/AAAAAAAABZY/tN8uE33op6I/s1600/998118.jpg" -->Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com4tag:blogger.com,1999:blog-4652574567670664735.post-65251670759571954822014-09-17T18:21:00.001+05:302014-09-17T18:21:13.568+05:30SUCRALOSE <div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><u><b>People with Diabetes can have sweets? <o:p></o:p></b></u></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><u><b><br /></b></u></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><u><b>How to overcome craving? <o:p></o:p></b></u></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><u><b><br /></b></u></span></div>
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><u><b>What is the safest alternative to table sugar?</b></u><o:p></o:p></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";"><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";">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";"><b><i>Moral of
the story – <o:p></o:p></i></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";"><b><i><br /></i></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";"><b><i>You can
have a sweet life with diabetes <o:p></o:p></i></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";"><b><i><br /></i></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";"><b><i>But,<o:p></o:p></i></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";"><b><i><br /></i></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";"><b><i>Measure
before you eat!<o:p></o:p></i></b></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";"><b><i><br /></i></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";"><b><i>Sweet
life!</i></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><i><br /></i></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";"><b>Dr.Riyaz Sheriff</b></span></div>
Dr.Riyaz Sheriffhttp://www.blogger.com/profile/03471103090064446283noreply@blogger.com0tag:blogger.com,1999:blog-4652574567670664735.post-13361848872222109422014-09-01T23:37:00.000+05:302014-09-01T23:37:12.304+05:30MAGGOTS BACK WITH A BANG!<br />
<br />
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Maggots! Maggots Maggots!!! Ewww
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 />
<i><br />
</i></span></div>
<i>
</i><br />
<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><br />
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></span></i>
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-pmXftFGGOSs/VAS1tn0YtCI/AAAAAAAAAGg/wXo_meyRiPA/s1600/images.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://2.bp.blogspot.com/-pmXftFGGOSs/VAS1tn0YtCI/AAAAAAAAAGg/wXo_meyRiPA/s1600/images.jpg" /></a></div>
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br /></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";">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";">
Biofilm inhibition and eradication.</span></span><span class="A10"><span style="font-family: "Times New Roman","serif";"></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";">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";">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";">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/03471103090064446283noreply@blogger.com1