Simple treatment of diabetes

photo Utusan

Just imagine how your life if lost senses of sight, using a wheelchair due to a stroke or gangrene leg (leg cut) in addition to high-risk heart attack while not yet reached 40 years of age.

That's what awaits diabetes patients due to failing to control the disease, whether through lifestyle changes, not wanting to take medication or take traditional medicine will.

Situation is exacerbated if among them were diagnosed with diabetes from an early age.

Diabetes mellitus is a metabolic problem that causes the syndrome level high blood sugar (hyperglycemia) whether due to production problems (diabetes first type) or function (sensitivity) of insulin (diabetes or gestational diabetes of the second kind).

Most adults have diabetes mellitus type 2 (T2DM).

However, many people with T2DM can not control the disease with anti-diabetic drugs, respectively, they run the risk of complications.

Professor of Diabetes Medicine University of Leicester, Professor Melanie Davies told at least 67 percent of people with T2DM risk of deterioration of renal function is high and about 30 percent have experienced deterioration in the United States.

Meanwhile, eight to 10 diabetic patients with renal impairment have a higher risk of serious complications such as hypoglycemia and cardiovascular disease conditions.

"Therefore, patients in dire need of oral anti-diabetic drugs (OAD) that can be trusted with the safety profile and better tolerance of an easy to use regardless of the patient's renal function.

"Most of the OAD is not recommended or require dose adjustment and close monitoring for creating significant barriers to people with T2DM with the deterioration," he said at the launch of the drug (T2DM) newest Trajenta by Boehringer Ingelheim and Eli Lilly.

Trajenta is approved as a treatment of diabetes medication dosage strength (five milligrams, once a day) for adult patients. The Drug Control Authority (DCA) under the Ministry of Health has approved Trajenta as recommended in adult patients with T2DM to improve glycemic control together with diet and exercise, as monotherapy single treatment or in addition to metformin, sulfonylureas or metformin and sulfonylureas.

Add Professor Melanie, Trajenta can be taken with a dose for all patients regardless of kidney or liver failure.

"It offers the benefits afforded by DPP-4 inhibitor class with the efficacy and good tolerance and neutral in terms of weight and create a low risk of hypoglycemia and also provides the added advantage of no dose adjustment regardless of the patient's kidney and liver function," he said.

These positive developments are sure to delight people with T2DM, especially in Asia because the spread of diabetes has increased from two to five times in the last two decades compared to 1.5 times in the West.

Furthermore, due to the side effects associated with inappropriate OAD, patients may find it difficult to comply with the recommended treatment. Compliance rates of patients with T2DM is between 65 percent to 85 percent for the OAD and 60 percent to 80 percent for insulin.

"Trajenta provide a variety of benefits that are effective and appropriate for most people with T2DM," said Managing Director of Boehringer Ingelheim Malaysia Sdn. Limited., Cheong YK.

He added that many people with diabetes are often concerned about weight gain or hypoglycemia which reduces compliance with medication.

"Trajenta no effect on weight when used as monotherapy and can be taken at any time, with or without food, providing better control of T2DM without compromising patient care," he added.


reference - Utusan

Chocolate reduce risk of stroke

image credit to kenali-haslinda

Husband, father, brother or sister you buff brown man? Do not worry, chocolate provide benefits for men who 'love'.

The study, conducted by a team of researchers in Sweden showed men who regularly eat chocolate less risk of stroke.

The study has been published in a journal of neurology, which is more than a decade of research involving more than 37.000 men who like to eat chocolate.

Measures of male chocolate eaten in the study is equivalent to one-third cup filled with chocolate chips.

With regular consumption of padaan measure has reduced 17 percent higher risk of stroke compared to men who did not eat chocolate.

This is not the first study to indicate the benefits of chocolate on the human cardiovascular health.

Previously many other studies show chocolate aficionados have lower risk of system-related diseases such as heart disease, stroke and high blood pressure.

"What these chocolate fan to reduce the risk of stroke is the flavonoid content in it," said Susanna Larsson, a researcher from the Karolinska Institute in Stockholm, who is also head of the research involved.

Larsson also made the same study last year against women and also found the same results.

According to the study, is a flavonoid compounds that act as antioxidants.

It has a very good effect on blood pressure, cholesterol and blood vessel function.

In the study, the range of Swedish men aged 49 to 75 years reported eating as usual and also eat chocolate as their side food.

After 10 years of monitoring, only 1.995 of the total number of men involved in the study suffered a stroke for the first time.

Larsson's research group also lists other factors involved in their study such as weight, diet, and whether they have high blood pressure or otherwise.

"Although the factors mentioned above have been taken into account but men who eat a lot of chocolate to get a 17 percent reduction in the risk of stroke," he said.

Meanwhile, a researcher, Richard Libman, who is also Vice Chairman of the Department of Neurology at Cushing Neuroscience Institute Manhasset, New York, the United States said, flavonoids are not only found in chocolate or even other foods such as apples, broccoli, soybeans, tea and nuts.

"But the facts found above does not mean people can eat chocolate anytime.

"Consider the negative effects of chocolate consumption such as obesity and type 2 diabetes," she said.

source Utusan

Healthy lifestyle to avoid piles

image credit to Bupa

A woman who has just given birth suffer from hemorrhoids from getting worse when pregnant and had a normal delivery. The woman suffering from piles for large presses intestinal contents and cause constipation.

After delivery, buasirnya worse. Doctors advised him last piles soaking in warm salt water for 10 to 15 minutes to mengecutkannya.

Consultant General Surgery, Medical Centre Kelana Jaya, Petaling Jaya, Dr. Jonah Azariah said, patients now have healthy and do not need to undergo surgery.

"But if the piles are not terrified, half body surgery done under local anesthesia.

"Usually the surgery using a laser to reduce the pain and the blood," he said when met at his office recently.

Dr. Jonah adding that there was also a physician using staples or staples or rubber band to tie the hemorrhoid to stop the blood flow.

This technique will cause hemorrhoids off on their own within two to four weeks.

"Hemorrhoids or hemorrhoidal disease is a disease that occurs in the anus. It occurs when the blood vessels and swelling around the anus (rectum and anus)," he said.

According to her, hemorrhoids can strike anyone, regardless of age and gender.

"Normally, the early signs occur during straining, especially when constipated stools cause cell swelling superimposed anal canal," he said.

Constipation Dr. Jonah can occur due to infection in the gut, including gastric, those who suffer from constipation since childhood, less dietary fiber, colon cancer and large bowel disease incredible.

"Usually patients piles over 40 years should undergo colon screening to find the cave.

Elastic tissue "A young patient usually suffers from a tumor or cancer and colon preferably checked using the scope," he said.

The probability of those aged between 20 and 50 years are more prone to hemorrhoids but there are also cases of babies suffering from hemorrhoids because of abnormalities in the intestine.

Dr. Jonah said, there are also piles that are not caused by bowel problems but at the end of the intestinal blood vessels are blocked.

"Usually when constipation, patients should be straining every defecation causes the blood back to the heart difficult.

"Blood vessels are clogged and cause swelling of blood elastic tissue loose, thin or missing, causing severe hemorrhoids," he said.

Dr. Jonah said, there are four stages of hemorrhoids. For the first and second stages of the patient can be treated without surgery.

"Patients should take the drug at the right dose for shrinking hemorrhoids, stopping bleeding and bowels," he said.

At level three, usually 10 per cent as a result of hemorrhoids bleeding can not be stopped with medication. Usually hemorrhoids are tied with a rubber band to restrict blood vessels and hemorrhoids are removable in two weeks.

At stage four when the situation worsened, leading to bleeding and pus but elastic tissue remains, surgery should not be carried out.

"However, when the situation is getting worse because of the elastic tissue is lost, surgery should be done," he said.

Dr. Jonah said, hemorrhoids patients should change their lifestyle to stay healthy.

"Patients should be eating well with foods cut out, preferred fiber, drink plenty of warm water and exercise.

"Preferably stop smoking, drink less alcohol and spicy and use the toilet seat," he said.

If the problem recurring hemorrhoids, Dr. Jonah advise patients immediately consult a doctor for further treatment.



reference Utusan

Pap smear prevent cancer

EVERY minute, a woman diagnosed for cervical cancer in the world. Cervical cancer or cervical cancer can cause the entire uterus removed and cause the woman can not be pregnant anymore.

Even the delayed detection can be life-threatening due to the severity of the cancer which is the second highest killer of women in Malaysia after breast cancer!

Cervical cancer can happen to any woman ever have sex even once no matter the age and lifestyle as it is caused by human papillomavirus infection (HPV) during intimate contact.

Ironically, cervical cancer can be prevented with early detection through pap smear but women give a thousand and one excuses to avoid doing the test that could save this life.

Shame among their main reasons. For them, belly and show the private parts in front of the doctor in conscious is something that is very embarrassing.

Some even imagine the doctor inserts act like a spatula tool uterine wall then dig them as something very painful and then choose to submit only the likelihood of developing cervical cancer.

Consultant Obstetrician and Gynaecologist Prince Court Medical Centre, Dr. Paul Tay Yee Siang said Malaysians still lack awareness about the importance of doing a pap smear on the ground such as shame and fear.

"Some feel they are too young to get cancer when it has no regard to age and test it also helps to save lives because it can detect the abnormal tissue or infected with HPV and the potential to become cancerous from the beginning.

"HPV is a virus that is common and after it is detected through pap smear, it can be cured with regular treatments to prevent it getting worse then turn into cancer.

"Many people do not have to do a pap smear and cervical cancer detection later suffered and unfortunately it was too late to save his life," he said.

What is a pap smear Pap smear is also known as the Papanicolaou test created by Dr.. Georgios Papanikolaou (1883-1962).

Some tissue taken from the base of the cervix when the test was done and the tissue is sent to a laboratory to detect the abnormal tissue and potentially become cancerous.

Cervical cells usually do not turn into cancer cells overnight. Normal cells will change, over time, ranging from two to 10 years before becoming a cancer cell.

Pap smear regularly have the opportunity to detect potential cells become cancer cells and early treatment provides opportunities for us to heal.

During the procedure pap smear, the doctor can also detect polyps and infections.

Dr. Bright pap smear procedure. Paul, about five minutes it takes to undergo the test and it is not painful as it is often described only have a little discomfort.

The doctor will insert a speculum which is a device like a duck beak into the uterine route (through the vagina) and then put the brush 'cyto' into it.

Brush 'cyto' small is used to scrape some tissue on the cervix to rotate 360 ​​degrees, and the cells were placed in a special bottle and sent to the laboratory.

"If normal, she may repeat the Pap smear test again in the next one to two years and if not normal, then follow-up testing is required.

"We hope to detect early changes in the level of such lesions because the virus can turn into cancer within 10 years," he said.

He added that up to 80 percent of women infected with HPV will in their lives and it depends on whether the immunity it will remain and get worse or go away so easily.

Who needs a pap smear As described, the woman who had sex should undergo pap smear especially those aged 20 to 65 years every two years.

If the first test result is normal, women can be reduced to three years.

Pap smears should be done routinely because it could happen again in the period as long as there is sex.

An estimated four out of five sexually active women are infected with HPV during their lifetime even if they only have one or two pairs only.

More frightening when often no symptoms or signs of cervical cancer in the early stages of the period also able to treat them.

"Most at risk are those who have very active sex. In most western countries, these tests normal and about the campaign conducted in earnest," he said.

Strictly speaking, a woman in Malaysia to take the initiative to do pap smear as a precautionary measure.

Do not worry because it is relatively simple and it is done by a trained doctor!

source Utusan

Guide to overcome arthritis

To alleviate the symptoms of osteoarthritis, patients should minimize any heavy activity. Patients can also do exercise to maintain and improve mobility of joints and hardening regimes.

In addition to lifestyle changes, dietary habits and taking proper supplements is also important for the relief of osteoarthritis disease. Health experts consider Glucosamine and chondroitin sulfate as a popular supplement for arthritis. The study proves the ability of Glucosamine in improving symptoms of osteoarthritis and delays the development of osteoarthritis.

Studies show that consumption of 1500 milligrams of Glucosamine a day may reduce symptoms of mild and moderate levels of osteoarthritis. Glucosamine effective for relieving pain and inflammation, increase mobility and assist in the repair and maintain cartilage. This is because the Glucosamine has been shown to stimulate bone formation and repair of cartilage.

Meanwhile, the combination of Glucosamine and chondroitin sulfate were found to be more effective as a treatment of osteoarthritis in moderate and serious level, rather than Glucosamine alone or Celecoxib (a medicine non-steroidal anti-inflammatory (NSAIDs)), which provides temporary relief. These findings are from GAIT (Glucosamine / Chondroitin Arthritis Intervention Trial) conducted in the United States of sponsoring the National Institutes of Health (NIH).

Reference from Utusan

H1N1 : Wash your hands (funny video)

Wash your hands! Sorry they are not real Wonder Girls.. :D perhaps we can call them wonder boys???

Fact about Obesity: part 1

Fat cells or in scientific called adipocyte, function in the body to produces hormones called leptin. When we eat, the extra energy in food turned into fat and stored in our body. Adipocyte able to grow and shrink, depend on the fat content inside it.


When the fat stored in the adipocytes increase leptin hormone level produced by fat cells and absorbed into blood. This process gives signals to brain that the body has to obtain sufficient food. Leptin stimulates the sense of full and satisfied eating. It is a signal to stop eating. But even lots of leptin can be found in fat guy’s blood, they still feel hungry and need more food.


Why is this happening?

This explains the existence of other molecules in blood that give signals of full to the brain, beside leptin. This molecule cannot act when a person becomes obese. When these molecules failed to act, leptin does not work. There are chemical interactions that occur in the body, and all these molecules interact with each other.


What are these molecules?

Among these molecules are enzymes and hormones in the blood. Hormones and enzymes interact complexly to convert food into energy. When it cannot interact, energy are not produced and the food transformed into fat. There are techniques to increase the levels of enzymes and hormones in blood. Experts suggest intake of plant-based hormones. Obviously it gives a satisfactory effect. Extreme exposure to pesticides and food preservatives cause body gland that secretes enzymes and hormones become inactive. When the enzymes and hormones are definitely low, no fat burning activity.



Method of enhancing hormones and enzymes

Exercise is an effective way to increase the levels of hormones and enzymes in the blood. Exercise makes muscles active to send signal for high production of hormones and enzymes. We can also take supplements to improve blood hormones and enzymes under doctor's supervision.


Increased rates of hormones and enzymes mean an increment in your metabolic rate.

extracted from Utusan

How to prevent Swine flu

World is shocked by swine flu a.k.a Swine influenza : swine flu, pigfluenza, hog flu, and pig flu. The virus attacking known as influenza A (H1N1) virus. The swine flu transmitted from pig to Human. The flu spread was reported in April 2009 in Mexico. Every single person now are worried about it and trying to find the perfect swine flu vaccine.

Officials from the U.N.'s World Health Organization (WHO), and the Centers for Disease Control and Prevention (CDC) in the U.S., were expressing serious concern about the flu outbreak and might become a worldwide flu pandemic.

Widespread human transmission

The virus infects by human-to-human transmission. Investigations of infected patients indicated no direct contact with swine, such as at a farm or agricultural fair. The strain was later confirmed to have been transmitted between humans.

Prevention and treatment

To prevent infection by the virus, standard personal precautions against influenza must be taken. This includes :

Frequent washing of hands with soap and water or with alcohol-based hand sanitizers. Do not touch the mouth, nose or eyes ( these are primary modes of flu transmission).
If you have cough, coughing into a tissue and dispose the tissue and wash hands.
There is no risk of flu transmission from the consumption of properly-cooked pork products.

For more info on how to prevent from swine flu, try here.

reference : wikipedia