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Address: 39 Daryacha, Hauz Khas Villege, New Delhi, India. e-Mail: drkk@ijcp.com , Website: www.ijcpgroup.com

Dr K K Aggarwal

Dr KK Aggarwal
Dr BC Roy Awardee
Sr Physician and Cardiologist,
Moolchand Medcity
President, Heart Care
Foundation of India
Gp Editor-in-Chief,
IJCP Group
Member,
Delhi Medical Council
Director, IMA AKN Sinha Institute (08-09)


 

FIRST NATIONAL DAILY MEDICAL NEWSPAPER OF INDIA

18th December Friday

Dear Colleague,

 Can a diabetic observe Ramadan, Navratras or prolonged fast?
Fasting during Ramadan or navratras is a major tenet of the Muslim/Hindu religion. All adults are required to fast if health permits. However, there are exemptions and having a chronic condition such as diabetes is one. Nevertheless, most diabetics feel obliged to fast during Ramadan or Navratras. This obligation must be respected. There is not enough data to support this practice in diabetics as it potentially makes them vulnerable to developing problems during prolonged fasting. Many studies have examined the ability and safety of young people with diabetes to be able to fast if they so desire.

Two groups of patients have been studied observing fast during Ramadan, those on a multiple injection, so called basal bolus, regimen and those on a conventional twice daily pre mixed insulin regimen. On observing fast those on twice daily insulin regimen continue to have hyperglycaemia during the day whilst those on basal bolus insulin regimen show a steady fall in blood glucose towards normal by the time of breaking their fast. Although there was a greater tendency to hypoglycaemia in the basal bolus group, this could be successfully prevented by reducing the dose of basal insulin by 10 to 20%.

It is safe for adolescents with diabetes to fast during Ramadan as long as they reduce their basal insulin by this amount and continue to monitor their blood glucose regularly.

Dr KK Aggarwal

Editor

 


 Brahm and Monica Vasudeva
High levels of physical activity may reduce renal function decline risk
Higher levels of physical activity (PA) are associated with a lower risk for rapid decline in renal function among older adults according to a study published in the December 14/28 issue of the Archives of Internal Medicine. Researchers calculated a PA score for 4,011 participants by adding kilocalories expended per week and walking pace. Rapid decline in kidney function (RDKF) was defined as loss of GFR of more than 3.0 mL/minute/1.73 m2 per year. Highest PA group (score of 8) had an estimated risk for RDKF of 16 vs. 30 percent in the lowest PA group (score of 2).

High coffee, tea intake may reduce chances of developing type 2 diabetes.
According to a study published in the Archives of Internal Medicine, drinking four cups of coffee, decaf, or tea daily can reduce the chances of getting type 2 diabetes by about 25 percent to 35 percent.

 Harvard University researchers reviewed 18 studies of almost 500,000 people and discovered that "for each cup of coffee people drank, their likelihood of getting diabetes dropped by seven percent.

Even better results were found for bigger coffee and tea consumers    drinking three to four cups a day was associated with about a 25 percent reduced diabetes risk, compared with those who drank between none and two cups day.

Who drank more than three to four cups of decaf a day had about a one third lower risk than those who didn't drink any, while tea drinkers who consumed more than three to four cups a day had about a one fifth lower diabetes risk than non tea drinkers.

Caffeine, magnesium, lignans, and chlorogenic acids etc in the coffee may have a beneficial effect on blood sugar regulation and insulin secretion. Catechins in tea may decrease glucose production in the gastrointestinal system, leading to lower levels of glucose and insulin, and green tea in particular may prevent damage to pancreatic beta cells.
 

5 common eye myths dispelled (Harvard Medical School)

1. Myth: Doing eye exercises will delay the need for glasses.
Fact: Eye exercises will not improve or preserve vision or reduce the need for glasses. Your vision depends on many factors, including the shape of your eye and the health of the eye tissues, none of which can be significantly altered with eye exercises.

2. Myth: Reading in dim light will worsen your vision.
Fact: Although dim lighting will not adversely affect your eyesight, it will tire your eyes out more quickly. The best way to position a reading light is to have it shine directly onto the page, not over your shoulder. A desk lamp with an opaque shade pointing directly at the reading material is the best possible arrangement. A light that shines over your shoulder will cause a glare, making it more difficult to see the reading material.

3. Myth: Eating carrots is good for the eyes.
Fact: There is some truth in this one. Carrots, which contain vitamin A, are one of several vegetables that are good for the eyes. But fresh fruits and dark green leafy vegetables, which contain more antioxidant vitamins such as C and E, are even better. Antioxidant vitamins may help protect the eyes against cataract and age-related macular degeneration. But eating any vegetables or supplements containing these vitamins or substances will not prevent or correct basic vision problems such as nearsightedness or farsightedness.

4. Myth: Itís best not to wear glasses all the time. Taking a break from glasses or contact lenses allows your eyes to rest.
Fact: If you need glasses for distance or reading, use them. Attempting to read without reading glasses will simply strain your eyes and tire them out. Using your glasses wonít worsen your vision or lead to any eye disease.

5. Myth: Staring at a computer screen all day is bad for the eyes.
Fact: Although using a computer will not harm your eyes, staring at a computer screen all day will contribute to eyestrain or tired eyes. Adjust lighting so that it does not create a glare or harsh reflection on the screen. Also, when youíre working on a computer or doing other close work such as reading or needlepoint, itís a good idea to rest your eyes briefly every hour or so to lessen eye fatigue. Finally, people who stare at a computer screen for long periods tend not to blink as often as usual, which can cause the eyes to feel dry and uncomfortable. Make a conscious effort to blink regularly so that the eyes stay well lubricated and do not dry out.

 

 

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emedinews: revisiting 2009
IJCP Group is organizing emedinews: revisiting 2009, conference on 10th Jan 2010 at Maulana Azad Auditorium. It will be attended by over 1500 doctors. Topics will be happenings in the year 2009. There is no registration fee however advanced registration is required.  Top experts (Dr KK Aggarwal (revisiting 2009), Dr Naresh Trehan (whats new in cardiac surgery), Dr Ajay Kriplani (surgical cure for obesity and diabetes), Dr Praveen Chandra (left main stenting), Dr Harsh Mahajan (PET Scan), Dr Kaberi Banerjee (all about infertility), Dr N K Bhatia (TTI infections), Dr V Raina ( molecular genetics), Dr Ajit Saxena (ED and male infertility), Dr S C Tewari (Nephrology update), Dr. Ambrish Mithal from Medanta on Diabetes, Dr Vanita Arora (ECG arrhythmias), Dr Subramanium (Co Q 10 a new modality), Dr Neelam Mohan (Paed. Hepatology), and Dr. Sanjay Chaudhary on Eye Update etc) will deliver lectures.

CME will be followed by lively cultural evening (guest performances by noted singers Shabani Kashyap, Vipin Aneja and top singers of our medical profession Dr Praveen Khillani, Dr and Dr Mrs Subramanium, Dr Lata Tandon, Dr Arti Pathak, Dr Sanjay Chugh (on the drum), Dr Sudipto Pakrasi, Dr Harjeet Kaur, Dr Ramni Narsimhan, Dr Yash Gulati (Anchor) Dr Reshma Aggarwal (Anchor), doctors of the year award, dance and dinner. For registration mail  emedinews@gmail.com. We have crossed 1200 registrations.

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Letters to the editor

1. Cancer risk in radiation dose from CT scanners: The latest generation of hospital scanners could be far more dangerous than previously believed, according to a study showing that as many as one in 80 people could be at risk of developing cancer as a result of being scanned. Computed tomography (CT) scanners produce a much higher dose of radiation than conventional X-rays and the latest research suggests that the extra exposure could result in a 10-fold greater risk of cancer than is usually cited, scientists said. Researchers from the University of California said: While CT scans can provide great medical benefits, there is concern about potential future cancer risks because they involve much higher radiation doses than conventional diagnostic X rays. Dr Vivek Chhabra, MBBS MD

2. MS victim recovers after stem cell treatment: An Australian man who was confined to a wheelchair by multiple sclerosis has made a remarkable recovery after receiving ground-breaking stem cell treatment. Doctors carried out a new technique to remove stem cells from Mr Leahy's bone marrow before using chemicals to destroy all his immune cells. The stem cells were then transplanted back into his body to replenish the immune system, effectively resetting it. Doctors had previously been reluctant to use the treatment because the risk of death was estimated to be around eight per cent. But improvements in the techniques meant the risk was now around one per cent and Dr Colin Andrews, a neurologist from Canberra, said the outstanding results of Mr Leahy's treatment meant it could be used on more patients in the future. Dr Vivek Chhabra, MBBS MD


3. Dear Dr. Aggarwal: It is a very pertinent question. I do not think I would like to be answerable to another State where I am not practicing OR registered.  Similarly results of a case transferred so late cannot be the Medical Negligence of the last doctor to see the patient. Dr. Lakshmi

4. Dear Dr. KK, I agree with your personal view that the medical certificate issued by a doctor even if he is not registered with DMC should be valid as long as he is registered with some state medical council.  Your contention that medical fraternity should take up this matter with the MCI is not very correct. DMC being the official body for doctors should take up the matter at their level with MCI to remove this folly so that certificates issued  by doctors is held  valid as long as the doctor is registered with some state medical council and is practicing  outside the state. I am sure with you being an elected member of the DMC can exert lot of weight for this amendment for the medical fraternity instead of individual approaching the MCI. Ashok Ahooja, Sqn. Ldr (Retd)

Site to share
H1N1 Influenza Causes Unusual Damage to the Lungs (Dr Manoj Aron)
http://www.medscape.com/viewarticle/710625?src=emailthis

News and Views (Dr G M Singh)

1. Delayed onset pericardial effusion following cardiac surgery can give rise to significant morbidity due to its presentation as well as management by traditional surgical techniques.
2. Technological advances in the field of reproductive biology have enabled couples considered infertile to conceive and have healthy babies, causing a revolution in culture and customs.
3. Scientists have claimed that even moderate weight loss improves heart function of obese people. Losing 20 or so kg might seem daunting to some people, but we showed that even a more modest weight loss can yield heart and vascular benefits.  The study showed that weight loss lead to improvement in four key measures of heart and vascular health: decreasing thickness of heart muscle, improved pumping and relaxation functions and decreased thickness of the carotid artery walls.
4. Heart muscle thickening and impaired pumping and relaxation functions are predictors of heart failure, and increased carotid wall thickness is a predictor of plaque formation.
 

 


 

 



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