Frequent visit to your Diabetes doctor helps in quicker and better control of Diabetes

Meeting your Diabetes Doctor more frequently keeps your Sugar levels under better control and faster…

According to the results of a study published in the Archives of INTERNAL MEDICINE September issue. Researchers analyzed data of more than 26000 diabetic patients the years 2000 and 2009, with uncontrolled Blood Glucose, Total & LDL Cholesterol levels and high Blood Pressure . They concluded that those patients who visited their Diabetes doctors more frequently were faster to control their Blood Glucose levels- those who visited their doctors on average once in a week or once in 2 weeks were able to achieve HbA1c levels of 7% or less ( indicating Good Control) in just 4.4 months as compared to others who took average of 24.9 months ( more than 2 years) to achieve same levels ; time to control BP to levels 130/85 was 1.3 months as compared to 13.9 months ( more than a year) for those who rarely visited their doctors, time to control LDL Cholesterol to less than 100 mg/dl was 5.1 months versus 32.8 months ( almost three years) for the same contingents. Not only this but also noticeable was that doubling the time between physician encounters led to an increase in time to control these parameters, clearly showing that frequent visits are necessary to bring Blood Sugar levels under control. An abstract of this article is available here..
When the Glucose and cholesterol levels are high pancreas is working under the considerable pressure of High Glucose and Lipids – which are toxic to the pancreas and decrease its ability to secrete the all important hormone Insulin. This is akin to flogging a sick horse to run faster. But once you bring Blood Sugar levels under control the pancreas is able to cope up with the increased workload fairly well and its easier to manage and maintain the same Blood Glucose levels.

Fighting Flu -Dr Kesari's commentaries on CNEB News

Teaching Flu

"Can you please give me your mask for some time, I forgot to bring mine and the teacher would scold me since I'm coughing", or "Let us exchange our masks, Green is my favourite colour and you are wearing a green one but my mom has given me a blue mask", these are the sorts of conversations going on in my 9 year old daughters class. I don't think things would be too different in other schools...

Giving blanket instructions to children and their parents about the need of wearing face masks is not enough. The children and the parents need to be educated about this disease and its more familiar 'analogues' - seasonal cold and flu. But the teachers are also parents- perhaps it would be best to start with them.

Every school should organize a seminar or workshop for teachers to give them the right knowledge instead of half baked 'truth' or remedies of unknown significance which are abundant in the media. The teachers can thus impart proper knowledge to pupils and help prevent outbreaks in schools and other closed communities.

It is high time that the government came up with specific guidelines and a structured approach to this. Medical care offcourse is important, and doctors if given the adequate means are efficient enough to take care of the patients, But prevention is more important an aspect today. As time has already proven, effective communication, screening and isolation are the best measures and have drastically decreased the casualities from this disease as compared to earlier epidemics.

Swine Flu - Bubble yet to Burst

This is just the starting, Even today on 11th Aug with more than 900 infections and seven deaths... this may just be the begining.
Most of the victims till yet are the middle class and the upper middle class. Most of the middle class indian households have one or more Bai's or kamwalis which come and go. These domestic workers, including drivers, cooks, cleaners, maids generally live in very congested areas often sharing one small room with number of their relatives, friends or family member. THIS IS the place where the buuble may burst. even if they work during the day and just sleep in these closed quarters overnight- infection of all the inhabitants of such slums, housings is gauranteed if one of them gets infected......
We are not ready to tackle such a situation in any way.
Government action lacks strategy and analysis of future spread and impact of this disease.

This is just the starting, Even today on 11th Aug with more than 900 infections and seven deaths... this may just be the begining.
Most of the victims till yet are the middle class and the upper middle class. Most of the middle class indian households have one or more Bai's or kamwalis which come and go. These domestic workers, including drivers, cooks, cleaners, maids generally live in very congested areas often sharing one small room with number of their relatives, friends or family member. THIS IS the place where the buuble may burst. even if they work during the day and just sleep in these closed quarters overnight- infection of all the inhabitants of such slums, housings is gauranteed if one of them gets infected......
We are not ready to tackle such a situation in any way.
Government action lacks strategy and analysis of future spread and impact of this disease.

Most likely & Unlikely places to catch Swine Flu

Most Likely places to catch Flu ( not only Swine Flu)

• Schools (children sit in close proximity to each other)
• Airport, Taxis ferrying international passengers, and passenger lounges at Airports
• Packed public Transport (Delhi, Kolkata Buses, Mumbai Locals)
• Bed - during love making!!!!
• Popular concerts and public functions, stadiums, malls, packed theatres

Most unlikely places to catch Flu ( does not exclude other Flu's & Modern Pandemics)

• Internet
• TV
• Radio
• News Papers & Magazines
• SMS
• Mobile Gossips

Centres for treatment and Diagnosis of Swine Flu

List of centres for treatment and Diagnosis of Swine Flu or novel H1N1 influenza ( This list is not exhaustive since more centres have been added by the local Govts)
Mumbai
Kasturba Gandhi Hospital
Arthur Road, N M Joshi Marg, Jacob Circle, Mumbai - 11
(022) 23083901, 23092458, 23004512
Haffkine Institute
Acharya Donde Marg, Parel, Mumbai - 12
(022) 24160947, 24160961, 24160962
Sir J J Hospital
J J Marg, Byculla, Mumbai - 08
(022) 23735555, 23739031, 23760943, 23768400
23731144 / 5555 / 23701393 / 1366
Chennai
King Institute of Preventive Medicine (24/7 Service)
Guindy, Chennai – 32
(044) 22501520, 22501521 & 22501522
Communicable Diseases Hospital
Thondiarpet, Chennai
(044) 25912686/87/88, 9444459543
Government General Hospital
Opp. Central Railway Station, Chennai – 03
(044) 25305000, 25305723, 25305721, 25330300
Pune
Naidu Hospital
Nr Le'Meridian, Raja Bahadur Mill, GPO, Pune - 01
(020) 26058243
National Institute of Virology
20A Ambedkar Road, Pune – 11
(020) 26006290
Kolkata
ID Hospital
57,Beliaghata, Beliaghata Road, Kolkata - 10‎
(033) 23701252
Coimbatore
Government General Hospital
Near Railway Station,
Trichy Road, Coimbatore - 18
(0422) 2301393, 2301394, 2301395, 2301396
Hyderabad
Govt. General and Chest Diseases Hospital,
Erragadda, Hyderabad
(040) 23814939
Kochi
Government Medical College
Gandhi Nagar P O, Kottayam - 08
(0481) 2597311,2597312
Government Medical College
Vandanam P O, Allapuzha - 05
(0477) 2282015
Taluk Hospital
Railway Station Road, Alwaye, Ernakulam
(0484) 2624040 Sathyajit - 09847840051
Taluk Hospital
Perumbavoor PO, Ernakulam 542
(0484) 2523138 Vipin - 09447305200
Gurgaon & Delhi
All India Institute of Medical Sciences (AIIMS)
Ansari Nagar, Aurobindo Marg Ring Road, New Delhi - 29
(011) 26594404, 26861698 Prof. R C Deka - 9868397464
National Institute for Communicable Diseases
22, Sham Nath Marg,
New Delhi - 54
(011) 23971272/060/344/524/449/326
Dr. Ram Manohar Lohia Hospital
Kharak Singh Marg,
New Delhi - 01
(011) 23741640, 23741649, 23741639
Dr. N K Chaturvedi – 9811101704
Vallabhai Patel Chest Institute
University Enclave, New Delhi- 07
(011) 27667102, 27667441, 27667667, 27666182
Bangalore
Victoria Hospital
K R Market, Kalasipalayam,
Bangalore - 02
(080) 26703294 Dr. Gangadhar - 94480-49863
SDS Tuberculosis & Rajiv Gandhi Institute of Chest Diseases
Hosur Road, Hombegowda Nagar,
Bangalore - 29
(080) 26631923 Dr. Shivaraj - 99801-4878

Caution: These are the places where Swine Flu is spreading Fastest