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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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Copyright 2015 NewsGram

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Kejriwal’s Door to Door Donation Drive is a Farce: Munish Raizada

Chanda Bandh Satyagraha makes an appeal that AAP should immediately restore donors' list on its website and then only seek new donations.

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Kejriwal
Dr. Munish Raizada along with his Chanda Bandh Satyagraha team outside the office of AAP MLA Jarnail Singh (Tilak Nagar). File photo

Chicago: The Aam Aadmi Party Convener and Delhi CM Arvind Kejriwal has launched a door to door campaign seeking donations for the AAP.  According to former overseas co-coordinator of Aam Aadmi Party, Dr. Munish Raizada, this is nothing more than a misleading campaign!

Raizada says that Kejriwal has no moral right to seek donations from common man as he has dismantled financial transparency in AAP by removing donors list from its website. Displaying donors’ list showing real time donations and making the income and expenditure accounts available online were the basis and the promise of the AAP, emphasised Raizada.

Now, after hiding donors’ list and its balance sheets from the public, the AAP cannot claim to be practising alternative politics.

Munish Raizada, kejriwal
Lack of financial transparency in the Arvind Kejriwal-led AAP prompted a group of NRIs, who once worked to mobilise funds and support for the party, to turn against it. (File photo)

It may be noted that AAP removed the list of donors from its website in June 2016. Moreover, since then AAP has been surrounded with controversies related to donations. AAP had also received Rs 30.67 crore Income Tax notice, last year in November, implying that all is not well with AAP’s accounts, says Raizada.

He further questions Kejriwal, that if AAP has nothing to hide about its accounts and if AAP is honest with its account keeping then why is Kejriwal hiding the donations?

Even the donation policy that was earlier the pride of every AAP volunteer has been done away with. The donation policy on AAP website used to state: “Every single rupee donated to the party will be published on the website immediately along with the details of the donor. Every expense done by the party will also be published on the website.”

But rather than putting the donors’ list in public domain, the party’s corrupt leadership started blaming BJP and I.T. Department for harassing its donors.

 

munish raizada, kejriwal
Chanda Bandh Satygrah demands restoration of  lost values in AAP ( File Photo)

 

Opaque political funding is the fountain head of corruption. Further, Raizada says that if the party cannot be transparent in its political funding, then talking about fighting corruption and graft is a mere rhetoric. He said that the appeals by Chanda Bandh Satyagraha have fallen on deaf ears as far as the party’s

leadership is concerned. 

Chanda Bandh Satyagraha makes an appeal that AAP should immediately restore donors’ list on its website and then only seek new donations. Chanda Bandh Satyagraha was started by AAP’s volunteers in 2016, with an appeal to the public not to donate to AAP unless it makes its donation lists open and transparent.