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‘Am I at risk’ in epidemic like scenario of diabetes mellitus

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By Dr.J.K. Bhutani

The Indians are fast emerging as the most DIABETES prone people in the world. The urban-rural, rich-poor, young-old difference is becoming insignificant. Most of this burden is of type 2 diabetes mellitus. The current population of people with diabetes is more than 380 million which is estimated to rise above 592 million by 2035. Type 2 diabetes affects one in 12 people and almost half of these are in pre-diabetic hidden state. The genetics, obesity, sedentary life, changing food habits and lifestyle are all important risk factors.

The Indian diabetes scene is dismal as more and more young people are getting the disease and the chronic complications rates are the highest in the world. The poor health seeking behaviour, denial mode and the multiplicity of irrational remedies further add to the complication rate. The early diagnosis helps to prevent the deadly complications, thus ensuring healthier life and reasonable healthcare costs.

In the current epidemic like scenario, often the question is asked, ‘Am I at risk too?’ We all are, and we need to calculate our risks and how prone we are. A blood sugar test, glucose tolerance test or an HbA1c test is a sure way to diagnose diabetes, but one can assess the risk of developing diabetes by the following simple personal checks and measurements.

1) Body Weight: Being overweight puts an individual at an increased risk of metabolic syndrome and type 2 diabetes. To calculate the ideal body weight, just use this formula

Ideal body weight = Height in centimetres – 100 cm (for males)

Ideal body weight = Height in centimetres – 105 cm (for females)

2) BMI (Body mass Index): BMI = weight in kg/height in m2, a healthy BMI into a healthy range is important to reduce the risk of lifestyle diseases and type 2 diabetes. Since even non obese Indians are predisposed to diabetes, the suggested cut offs for BMI is 22.9 kg/m in Asian Indians as against 25 kg/m in Caucasians. Many BMI calculators are available for online and offline use.

obesity

3) Body fat around the waist: Central obesity is a common culprit of lifestyle diseases. One is more predisposed to lifestyle diseases if your waistline is more than 35 inches/90cm in males and 32 inches/80 cm in case of female. Since an individual cannot change his/her height, s/he should take special care to keep the weight and in particular abdominal girth in the healthy range.

4) The waist-to-height ratio: WHtR gives a more accurate assessment of health since the most dangerous place to carry weight is in the abdomen. Fat in the abdomen, which is associated with a larger waist, is metabolically active and produces various hormones that can cause harmful effects, such as type 2 diabetes and other metabolic disorders.

waist

If you find any abnormality in these measure tape parameters then you must go for a blood sugar, GTT or an HbA1c test for detection and confirmation of type 2 Diabetes.
Government of India has recently launched the National Programme on Prevention and Control of Diabetes, Cardiovascular diseases and Stroke (NPDCS) in 2008 and plans to extend it throughout India for such help at all Primary health facilities.
You may also refer to following web pages for various diabetes risk calculators.

JK1Dr J.K. Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self healing powers of human organism.
You can follow him at  https://twitter.com/drjkbhutani

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Kidney disease may increase the risk of Diabetes: says a study

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Kidney disease may increase the risk of diabetes.
Kidney disease may increase the risk of diabetes. IANS

New York, Dec 12: If you are suffering from kidney dysfunction, you may be at high risk of developing diabetes, finds a study.

The risk may be attributed to the rising level of urea — the nitrogen-containing waste product in blood, which comes from the breakdown of protein in foods.

Kidneys normally remove urea from the blood, but it can build up when kidney function slows down, resulting in greater insulin resistance as well as secretion in the body.

“We have known for a long time that diabetes is a major risk factor for kidney disease, but now we have a better understanding that kidney disease, through elevated levels of urea, also raises the risk of diabetes,” said the Ziyad Al-Aly, Assistant Professor at the Washington University in St. Louis.

“When urea builds up in the blood because of kidney dysfunction, it often results in increased insulin resistance and impaired insulin secretion,” Ziyad added.

The findings, published in the journal Kidney International, are significant because urea levels can be lowered through medication, diet — for example, by eating less protein — and other means, thereby allowing for improved treatment and possible prevention of diabetes, the researchers said.

For the study, the team evaluated the records of 1.3 million adults without diabetes over a five-year period, beginning in 2003.

Out of these, 117,000 of those without diabetes — or 9 per cent — had elevated urea levels, signalling poor kidney function and were at 23 per cent higher risk of developing diabetes. (IANS)

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Bhai Boolchand-the Indian who launched trade with Ghana

The first Indian to arrive in the Gold Coast (Ghana's colonial name) in 1890 , Bhai Boolchand launched trade in India with Ghana

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Ghanian flag, Bhai Boolchand launched trade in India with Ghana.
Ghanian flag, Bhai Boolchand launched trade in India with Ghana. pixelbay
  • Bhai Boolchand, the anonymous Indian, is credited with starting trade between Ghana and India
  • The year was 1890.

Not much is known about him, but it has now emerged that trade relations between Ghana and Indiawere started by Bhai Boolchand, the first Indian to arrive in the Gold Coast — Ghana’s colonial name — in 1890. That’s some 67 years before the British colonial government granted the country independence, research by the Indian Association of Ghana has found.

“As far as our records show, Bhai Boolchand (of the Bhaiband Sindhworki trading community), landed on the shores of the Gold Coast in western Africa in 1890. Nearly twenty years later, in 1919, the first Sindhi company was established by two brothers — Tarachand Jasoomal Daswani and Metharam Jasoomal Daswani,” the Indian Association said.

The duo opened a store — Metharam Jassomal Brothers — in the then capital city of Cape Coast in 1919.

“Their business flourished and branches were opened in Accra and Kumasi. A few years later, the two brothers separated and whilst Bhai Metharam Jasoomal continued the business as Metharam Brothers, Tarachand Jasoomal operated his business as Bombay Bazaar. These were the first two Indian companies that were established in the Gold Coast,” the Association said.

Boolchand’s arrival, therefore, pre-dates the historical links between the two countries that were always thought to have started between Ghana’s first President, Kwame Nkruman, and India’s first Prime Minister Jawaharlal Nehru. Boolchand can thus be described as the one who paved the way for the arrival of other members of the Sindhi community, initially as traders and shopkeepers.

The Indian Association said more of this group arrived in the 1950s and 1960s, with a few venturing into manufacturing industries such as garments, plastics, textiles, insecticides, electronics, pharmaceuticals and optical goods.

The Association said two more Indian firms were established under the names of Lilaram Thanwardas and Mahtani Brothers in the 1920s. This trend continued in the 1930s and 1940s with the creation of several more Indian companies like T. Chandirams, Punjabi Brothers, Wassiamal Brothers, Hariram Brothers, K. Chellaram & Sons, G. Motiram, D.P. Motwani, G. Dayaram, V. Lokumal, and Glamour Stores.

Glamour Stores, which was stared by Ramchand Khubchandani who arrived in Ghana in 1929, has grown — after changing its name to Melcom Group — to become the largest retailing business in the country. The Melcom Group, headed by Ramchand’s son Bhagwan Khubchandani, is now in its 60th year and about 40 stores all over the country.

Ramchand and his brother later went into garment manufacturing in 1955 and once employed over 1,200 Ghanaians. They later opened the first Indian restaurant, Maharaja, in Ghana. Bhagwan followed in his father’s footsteps and in 1989 established the Melcom Group with his sons-in-law, Mahesh Melwani and Ramesh Sadhwani.

Another Indian-owned company that has survived through the years is the Mohanani Group, which is currently in its 51st year. At the first-ever Ghana Expatriate Business Awards, the Ministry of Trade and Industries recognised the work of one of the thriving Indian-owned B5 Plus Steel Company and awarded it the Best Expatriate Company in the metal and steel category.

As these companies brought in new expatriate staff, some left their employers to venture out on their own — resulting in more companies opening up.

“After 1947, the Gold Coast attracted the attention of some Indian multinational companies, and big names like Chanrai, Bhojsons, K.A.J. Chotirmal, Dalamals and A.D. Gulab opened branches in Ghana,” the Association said.

“The employment of Ghanaians by these founding companies also helped to lessen the burden of unemployment in the country. This amply demonstrates the level of commitment India has in the developmental agenda of Ghana,” it said.

Indians are not only investing in the manufacturing and commercial sectors of the country; they are also investing in the financial sector. Bank of Baroda, one of India’s biggest and most reputable banks, recently established a branch in Ghana and hopefully it will expand its operations in other parts of the country very soon. (IANS)

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Beatles, Apple, Facebook knew India more than Indians

Famous non-Indian celebrities know more about India and its past

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The Beatles once visited India to know more bout its past and culture.
The Beatles once visited India to know more bout its past and culture. Wikipedia

-By Salil Gewali

Facebook’s Chairman Mark Zuckerberg had dropped a bombshell on the “secularists” in India during PM Modi’s visit to his campus in California. It’s all about the Facebook connection with India. Initially, it was never a bed of roses for what is now a household name “FACEBOOK” across the world. This world-famous ‘social networking service company’ had its own share of bad times. Revealing for the first time in the meeting at the Facebook office upbeat Zuckerberg told PM Narendra Modi that Steve Jobs, the founder Chairman of Apple, had advised him to visit a certain temple in India for blessings. The revelation may have caused heartburn to many. More so in India where so-called secular and snooty folks have long acquired a proclivity to look down upon their own culture, religion, and values while being appreciative of any bizarre customs and styles of the West. Yes, heeding the advice of his mentor Steve Jobs the depressed Mark had visited the temple and toured around India for nearly a month.

Facebook's CEO tells about India.
Facebook’s CEO tells about India. wikipedia

Well, the American techno-wizard Steve Jobs had himself spent over six months in India in 1974. He was here in quest of the higher meaning of life and spiritual solace. As understood, from early age Steve was quite haunted by a good deal of unanswered questions. Of course, his encounter with a book “Be Here Now” by Richard Alpert, a Harvard Professor, had opened up a gateway to the spiritualism of the East. This book had also introduced him to a mystic Yogi ‘Neem Karoli Baba’. That later inspired Steve to set out the journey for the East. As soon as Steve and his friend Daniel Kottke arrived India they directly went to meet the Guru in Kainchi Dham Ashram in Nainital. But to their disappointment, they found the Baba had already passed away some months earlier. Nevertheless, the urge to dive deeper into the spiritualism did not die away. They shaved their heads and put on Indian clothes and undertook an extensive meditation and yogic practices.

The most significant impact that had made upon Steve’s life was a book “Autobiography of a Yogi”by Paramhansa Yogananda. It is on record that he would read this book too frequently, at least once every year until his death, 2011. This book had given him the practical insight into what exactly this world is about and how a layman can prepare himself to realize the Supreme knowledge. The first-hand account of a Yogi with empirical approaches to know oneself this book by Yogananda is a smash hit manual now among the seekers of the Eastern spiritualism.

Yes, by dint of hard work, intuition and innovation Steve stood out as one of the most successful techno-tycoons of the modern times. As much known, Jobs was hardly possessed by the luxury of riches and materialistic vanity. He just regarded his entrepreneurship as a tool to awaken his dormant potentialities. The chairman of Salesforce.com and famous philanthropist Marc Benioff says with conviction — “If you want to understand Steve, it’s a good idea to dig into ‘Autobiography of a Yogi’.” It is this book which Steve’s family had given to all the guests as a last gift at his memorial service.

Here we can’t afford to ignore the Beatle’s fascination for INDIA as well. The band members that were basking in the opulence of materialistic riches and glory visited India (Rishikesh) in search of inner peace. They met with Sri Maharshi Mahesh Yogi and learnt from him Transcendental meditation (TM) who laid bare methods to feel true bliss within. Sri Maharshi is a big name in the West having a huge following that includes celebrities like Oprah Winfrey, David Lynch, Russell Brand, Hugh Jackman, Jennifer Aniston, Modern physicist Dr. John Hagelin, to name a few. The Beatle’s Paul McCartney and Ringo Starr often assist a Hollywood Director/actor David Lynch to organize the Transcendental meditation under ‘David Lynch Foundation’ across USA and the European countries. George Harrison later took refuge in Bhakti Yoga. The founder of ISKCON Srila Prabhupada showed him the pathway to the Supreme Consciousness.

What basically pulls the rational westerners to India is less known to Indians themselves. It’s shamefully paradoxical. From early 19th Century, the philosophical literary treasure troves and Yoga of India found more admirers in the foreign lands than at home. Indeed, the philosophy of the “laws of karma” and the presence of all-power-divinity within every being and everywhere — which any human being can realize irrespective of one’s caste, creed, nationality, and color, has intensely stirred the greatest of the great minds of the West. The ancient texts hold out a whole bunch of keys to unlock oneself and know his/her relationship with the Supreme Being which in fact seems very reasonable to the West. Further, the complex studies of world-view by Modern scientists are gradually arriving at the same conclusion what the ancient sages of India expounded over five thousands year back that ‘creation and creator are ONE’. Interconnection, inter-relation and interdependence among every individual particle/object, living or non-living, in the infinite universe — which is the fundamental tenets of the Eastern philosophy, provided a new light of wisdom to the the modern physicists like Schrödinger, Heisenberg, Julius Oppenheimer, Brain David Josephson, David Bohm, John Stewart Bell et al.

Well, Indian’s contribution to the western academia is immeasurable — though deliberately undermined or less discussed in India itself. It’s very worthwhile to recall a famous proclamation by our western master whom we hold in the highest esteem. TS Eliot, one of the most celebrated poets of the 20th century, asserts: “Indian philosophers’ subtleties make most of the great European philosophers look like schoolboys”.

Salil Gewali is a well-known writer and author of ‘Great minds on India’. Twitter @SGewali.