Dr Rajiv Desai
An Educational Blog
SELF MONITORING (MEASUREMENT) OF BLOOD GLUCOSE (SMBG)
_______ SELF MONITORING (MEASUREMENT) OF BLOOD GLUCOSE (SMBG): _______ _______ Prologue: Way back in 1991, on a Sunday afternoon, a young Parsi lady from Mumbai who was holidaying in a nearby village came to me with sudden breathlessness at my nursing home at Vapi, 160 km north of Mumbai. Clinical examination was normal except severe breathlessness. I suspected diabetic ketoacidosis and asked about history of diabetes. Patient and her relatives flatly denied any history of diabetes and told me that she was investigated in Mumbai for weakness recently and there is no diabetes. In those days, glucometer was not available in India. We used to blood sugar by Folin-Wu method. Being Sunday, laboratory was closed, so I could not do blood and urine sugar. I believed the story of relatives, ignored my gut feeling of diabetes, did ECG and X-ray chest which were normal, gave some primary care and sent […]
OBESITY
OBESITY: _ _ Prologue: It only needs a daily excess of energy of 100 kilocalories (the equivalent of a small chocolate bar) to lead to an increase of around 5Kg of fat over 12 months or 50 Kg over 10 years. For thousands of years obesity was rarely seen. Obesity is a modern problem – statistics for it did not even exist 50 years ago. The increase of convenience foods, labor-saving devices, motorized transport and more sedentary jobs means people are getting fatter. It was not until the 20th century that it became common, so much so that in 1997 the World Health Organization (WHO) formally recognized obesity as a global epidemic. The WHO describes the “escalating global epidemic” of obesity as “one of today’s most blatantly visible — yet most neglected — public health problems”. Obesity is a bigger health crisis globally than hunger, and the leading cause of […]
