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HYPOGLYCEMIA , LOW BLOOD SUGAR AND ROAD ACCIDENTS IN INDIA - CAPT AJIT VADAKAYIL

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PET DOGS TRAINED TO SNIFF AND ALERT HYPERGLYCEMIA AND HYPOGLYCEMIA LIMITS IN DIABETIC PATIENTS ,  GLUCAGON HORMONE INJECTION KIT FOR INSULIN SHOCKED UNCONSCIOUS DIABETICS -- CAPT AJIT VADAKAYIL



Above : All those who say animals cannot be trained , raise your hands.  By the way men are educated, animals are trained , OK ?


Below is the picture of a pet dog who can alert a diabetic patient .  


Dogs pick up on scents created by the chemical changes that occur in the person’s body using their powerful sense of smell: while humans has around five  million olfactory receptors, a dog has more than 200 million, producing a scenting skill that is a thousand times more sensitive than that of humans.

The other way to do it is to draw blood from your finger using a one touch monitor ( below ).


You will understand this post only after reading another post.

Punch into Google search-
TYPE 2 DIABETES , THE EVOLVING EPIDEMIC IN INDIA  VADAKAYIL


How many of you know that a big chunk of road accidents in India is due to sudden low blood sugar spike? 

The driving licence issuing authority must check if the driver is a diabetic .  



Above :  Why did the truck driver NOT know of an onset ?   Hypoglycemia unawareness occurs more frequently in those who frequently have low blood glucose episodes (which can cause you to stop sensing the early warning signs of hypoglycemia)


Anytime while driving you feel hypoglycemia setting in you must stop the car , unlock the doors, and roll down the windows immediately-- and keep your DIABETES BRACELET visible.


Instead of talking about such critical things , which destroy families dependent of a bread winner, our media talks about Bharat Ratna- Sachin Tendulkar who still sells Coke and cheap wares on TV .  Yup, he is the same greedy guy who claimed tax relief for being an artiste -- and made poor Indian tax payers , pay for his Ferrari car.



Worth billions of rupees,  Sachin Tendulkar had also claimed petty expenses tax deduction of Rs.57,969 towards staff welfare expenses  , that included expenses incurred on tea and snacks provided to his staff,  Rs.50,000 each on account of entertainment expenses and telephone expenses and Rs.1,42,824 on account of car expenses.   However, the pissed of IT tribunal dismissed these shocking claims saying that the use of telephone, car and food was for him and his family .


After getting tax exemption for his Ferrari, Sachin Tendulkar sold his Ferrari presented by Michael Schumacher for a handsome profit.  Who knows one day someone may buy his Bharat Ratna medal too.


Never mind that if India is the last in the cricket ranking , it will still be a  very high at NINE AND A HALF.


Why I have put all this crap here— just to tell my readers NEVER EVER lose perspective.

When I was  in SCI in the eighties , I was the only Captain whom the Chairman ( a powerful political post ) would consult on technical matters –by a letter which started off with –“ Dear Captain Ajit “.    


We used to have seminars after seminars,  on how to save fuel.   So I shot off a letter to the Chairman stating that the shortest distance between two points A and B is NOT a straight rhumb line on a Mercator chart , but a great circle ( on a globe ) and this type of navigation can be done only with the aid of a GPS.  I also told him, that I hold a private GARMIN GPS, but the company ships do NOT have it.  

He immediately issued a fiat to equip all ships with GPS.


In order NOT to lose perspective it is important to talk about HYPOGLYCEMIA— because high blood sugar is only one side of the effin’ coin. .

By the way if you wanna know how the white invader made a CHOOT out of Indians with MERCATOR CHARTS—

Punch into Google search-

THE COUNTRY SIZE RACIST CONSPIRACY  VADAKAYIL




Six out of ten people with  type 2 diabetes have had at least one  episode of hypoglycemia.  He may NOT have fallen unconscious, but he would have been almost next to it.


Hypoglycemia can occur during normal daily activities such as working, exercising, driving, or traveling, which can be very dangerous.

Hypoglycemia, ( low blood sugar ) , occurs when blood glucose drops below normal levels.  Glucose, an important source of energy for the body, comes from food.  Carbohydrates are the main dietary source of glucose.  Rice, potatoes, bread, chappati, cereal, milk, fruit, and sweets are all carbohydrate-rich foods.


After a meal, glucose is absorbed into the bloodstream and carried to the body's cells. Insulin, a hormone made by the pancreas, helps the cells use glucose for energy. If a person takes in more glucose than the body needs at the time, the body stores the extra glucose in the liver and muscles in a form called glycogen. 

The body can use glycogen for energy between meals. Extra glucose can also be changed to fat and stored in fat cells. Fat can also be used for energy.


When blood glucose begins to fall, glucagon—another hormone made by the pancreas—signals the liver to break down glycogen and release glucose into the bloodstream. Blood glucose will then rise toward a normal level.  

In some people with diabetes, this glucagon response to hypoglycemia is impaired and other hormones such as epinephrine, also called adrenaline, may raise the blood glucose level. But with diabetes treated with insulin or pills that increase insulin production, glucose levels can't easily return to the normal range.

Hypoglycemia can happen suddenly. It is usually mild and can be treated quickly and easily by eating or drinking a small amount of glucose-rich food like a sweet candy. If left untreated, hypoglycemia can get worse and cause confusion, clumsiness, or fainting. 

Severe hypoglycemia can lead to seizures, coma, and even death.




Once on  my ship, while navigating in fog and heavy traffic, I got a call on the bridge from the ER stating that the Polish Chief Engineer is unconscious.

By the time I went down they ER staff in full number , had already brought him from the AE platform to the ECR.  And some idiot was doing CPR.  On checking his pulse and breathing he did NOT need it.  

On the ship we do NOT have diabetics as the blood urine tests before joining are quite stringent. So we usually do NOT suspect diabetic coma with low blood sugar.  I asked the ER watch keepers, if Chief Engineer has sugar with his coffee ( I knew the answer already ), and there was silence. 


For a Captain can send a diabetic home from the next port.   And I had been noticing his diabetic acetone reeking breath .

You cant put sugar into an unconscious man’s mouth. So I send the 2nd engineer with my master key to check out his top drawers for GLUCAGON injection.  On the ship we do NOT carry such injections , it is NOT required unless it is a passenger ship. 


He came down with INSULIN injection. So I had to send him back to search in another drawer and pretty soon he came back with the glucagon injection, which I promptly emptied into his ass cheek. The Chief Engineer opened his eyes almost as a knee jerk reaction.

I am NOT gonna say , if I send him home from the next port—as per company rules .

In adults and children older than 10 years, hypoglycemia is uncommon except as a side effect of diabetes treatment.


When people have such diabetic conditions they must inform their closest friend or colleague about their condition, for their own good.

Hypoglycemia can also happen during sleep.   Some signs of hypoglycemia during sleep include crying out or having nightmares, finding pyjamas or ed sheets damp from perspiration, feeling tired, irritable, or confused after waking up.


Hypoglycemia can occur as a side effect of some diabetes medications, including insulin and oral diabetes medications—pills—that increase insulin production.

There are some diabetes pills, when taken alone, do not cause hypoglycemia, unlike the majority of other . 

Examples of these medications are
acarbose (Precose)
metformin (Glucophage)
miglitol (Glyset)
pioglitazone (Actos)
rosiglitazone (Avandia)


People with diabetes should get to know their signs and symptoms and describe them to their friends and family so they can help if needed. School staff should be told how to recognize a child's signs and symptoms of hypoglycemia and how to treat it.

For good diabetes management, people with diabetes should take diabetes medications in the recommended doses at the recommended times.


Hypoglycemia causes symptoms such as
hunger
shakiness
nervousness
sweating
dizziness or light-headedness
sleepiness
confusion
difficulty speaking
anxiety
weakness

In people on insulin or pills that increase insulin production, low blood glucose can be due to meals or snacks that are too small, delayed, or skipped increased physical activity.  For example, taking a dose of insulin—or other medication that increases insulin levels—but then skipping a meal could result in hypoglycemia.



The driving licence issuing authority in Indian must know about this.  Hypoglycemia is dangerous if it happens to someone who is driving.  

People with hypoglycemia may have trouble concentrating or seeing clearly behind the wheel and may not be able to react quickly to road hazards or to the actions of other drivers.  To prevent problems, people at risk for hypoglycemia should check their blood glucose level before driving. 

During longer trips, they should check their blood glucose level frequently and eat snacks as needed to keep the level at 70 mg/dL or above.  If necessary, they should stop for treatment and then make sure their blood glucose level is 70 mg/dL or above before starting to drive again.


Two types of hypoglycemia can occur in people who do NOT have diabetes:

Reactive hypoglycemia, also called postprandial hypoglycemia, occurs within 4 hours after meals.

Fasting hypoglycemia, also called post absorptive hypoglycemia, is often related to an underlying disease.

Symptoms of both reactive and fasting hypoglycemia are similar to diabetes-related hypoglycemia.

Symptoms may include hunger, sweating, shakiness, dizziness, light-headedness, sleepiness, confusion, difficulty speaking, anxiety, and weakness.

To relieve reactive hypoglycemia, it is good to eat small meals and snacks about every 3 hours and being physically active, eating foods high in fiber and avoiding or limiting foods high in sugar, especially on an empty stomach.

Fasting hypoglycemia is diagnosed from a blood sample that shows a blood glucose level below 50 mg/dL after an overnight fast, between meals, or after physical activity.   Fasting hypoglycemia occurs as a result of abstaining from food for eight or more hours.  The symptoms are often more severe than those of reactive hypoglycemia and can include seizures, loss of consciousness, and a loss of mental acuity

Drinking alcoholic beverages, especially binge drinking, can cause hypoglycemia. The body's breakdown of alcohol interferes with the liver's efforts to raise blood glucose. Hypoglycemia caused by excessive drinking can be fatal.


Hypoglycemia is most common among people with diabetes, as too much insulin can cause blood sugar levels to fall (an insulin reaction).  Left untreated, hypoglycemia can cause permanent neurological damage and death.  People at risk for hypoglycemia should keep sweets or glucose tablets in their pockets and purses, to treat themselves when the feel an onset . .

Like I said, insulin is a hormone that reduces blood sugar. It is produced by the pancreas in response to increased glucose levels in the blood.  Insulinoma is a rare tumor in the pancreas that produces too much insulin.

Insulin facilitates the transport of glucose from the bloodstream into the cells, especially those of muscle and fatty tissue, and causes glucose to be synthesized in the liver.

If the pancreas is not functioning properly, normal carbohydrate metabolism is impossible. As the blood sugar drops, stress hormones such as adrenaline and cortisol kick in at high levels to prevent the blood sugar level from dropping dramatically.  Glucose (sugar) is the brain's primary fuel.


Hypoglycemia occurs when your body's sugar (glucose) is used up too quickly or glucose is released into the bloodstream too slowly or too much insulin is released into the bloodstream.

Below: Glucagon is a hormone that stimulates your liver to release stored glucose into your bloodstream when your blood glucose levels are too low.



To help prevent hypoglycemia caused by physical activity ( like fast bowler Wasim Akram ) , doctors  may advise checking blood glucose before physical activity and having a snack if the level is below 100 milligrams per deciliter (mg/dL) , checking blood glucose at regular intervals during extended periods of physical activity and having snacks as needed, checking blood glucose periodically after physical activity.


Hypoglycemia unawareness develops when frequent episodes of hypoglycemia lead to changes in how the body reacts to low blood glucose levels. The body stops releasing the hormone epinephrine and other stress hormones when blood glucose drops too low. 



The loss of the body's ability to release stress hormones after repeated episodes of hypoglycemia is called hypoglycemia-associated autonomic failure, or HAAF.


Below:  You should also make sure you regularly change the spot where you inject your insulin, as the amount of insulin your body absorbs can be different depending on where it is injected.


Epinephrine causes early warning symptoms of hypoglycemia such as shakiness, sweating, anxiety, and hunger. 

Without the release of epinephrine and the symptoms it causes, a person may not realize that hypoglycemia is occurring and may not take action to treat it.

BELOW: OUR SMJ DOUBLE AGENT DESH DROHI AAMIR KHAN 




COKE AND PEPSI CANNOT FOOLTHE DENIZENS OF THIS PLANET ANY MORE, WITH THEIR ZERO CALORIE DRINKS .


Coke and Pepsi‘s pro-health, obesity-prevention campaigns that insist their sweet beverages can be a part of an active, healthy lifestyle, especially given their calorie-free options.


But these ads never mention diabetes, which is quickly becoming an even bigger PR problem for sugary brands than obesity.

Below : Two timer-- for both Coke and Pepsi.   Maal maangtha hai !


Majority of the young people who saw a soft drink ad with a pro-exercise, anti-obesity message reacted with a positive attitude toward the products’ parent brand. 


When the ad was changed to send an anti-diabetes message, however, participants’ attitudes toward the brand became 40% percent more negative.


That’s a paradigm shift in reaction.

Youngsters  are not willing to punish the brand for obesity, which seems like a simple free choice lifestyle problem.   



But diabetes is considered a evil disease, and many see that these greedy and callous multinationals as contributing to it.


Coke said that the company is helping build 100 fitness centers in U.S. schools to promote physical activity and thus reduce obesity .  

Hey, what about diabetes ?

Pray?


Prithee ?


Grace and peace !



sarvasya buddhi-rupena janasya hrdi samsthite
svargapavargade devi naraya, ni namostute
kalakasthadirupena parinama-pradayini
visvasyoparatau saktyai narayaoi namo stute
sarva-mangala-mangalye sive sarvartha-sadhike
saranye tryambake gauri narayani namo stute
srsti-sthiti-vinasanam sakti bhute sanatani
gunasraye gunamaye narayani namo stute
saranagata-dinarta-paritrana-parayane
sarvasvarti-hare devi narayani namo stute
hamsa-yukta-vimana-sthe brahmam rupa-dharini
kausambhah ksarike devi narayani namo stute
trisula-candrahi-dhare maha-vrsabha-vahini
mahesvari-svarupena narayani namo stute
mayura-kukkuta-vrte maha-sakti-dhare naghe
kaumari rupa-samsthane narayani namo stute
sankha-cakra-gadasarnga-grhita-paramayud­he
prasida vaisnavi-rupe narayani namo stute
grhitogra-mahacakre danstroddhrta-vasundhare
varaha-rupini sive narayani namo stute
nrsimha rupenogrena hantum daityan krtodyame
trailokya-trana-sahite narayani namo stute
kiritini mahavajre sahasra-nayanojjvale
vrtra-prana-hare caindri narayani namo stute
siva duti-svarupena hata-daitya-mahabale
ghora-rupe maharave narayani namo stute
damstra-karala-vadane siromala-vibhusane
camunde munda-mathane narayani namo stute
laksmi lajje mahavidye sraddhe pusti-svradhe dhruve
maharatri maha vidye narayani namo stute
medhe sarasvati vare bhuti babhravi tamasi
niyate tvam prasidese narayani namo stute





CAPT AJIT VADAKAYIL
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