Salam e Khaier Kaffante

Street Smart

Crossing the road
before crossing look to the right, left and right again

always wear a helmet and riding on the left side of the road

clothing at night
use a bright clothing so you could be seen

Get on to the bus
wait until the bus stops

pedestrian bridge /Flyover
use the flyover provided for the pedestrian to cross a busy road

Riding bicycle at night
make sure the lamp in good condition and the light reflector attachted at the back of the bicycle

Diabetes and How to control it

Diabetes Treatment

Self-Care at Home

If you or someone you know has diabetes, they would be wise to make healthful lifestyle choices in diet, exercise, and other health habits. These will help to improve glycemic (blood sugar) control and prevent or minimize complications of diabetes.

Diet: A healthy diet is key to controlling blood sugar levels and preventing diabetes complications.

If the patient is obese and has had difficulty losing weight on their own, talk to a healthcare provider. He or she can recommend a dietitian or a weight modification program to help the patient reach a goal.

Eat a consistent, well-balanced diet that is high in fiber, low in saturated fat, and low in concentrated sweets.

A consistent diet that includes roughly the same number of calories at about the same times of day helps the healthcare provider prescribe the correct dose of medication or insulin.

It will also help to keep blood sugar at a relatively even level and avoid excessively low or high blood sugar levels, which can be dangerous and even life-threatening.
Exercise: Regular exercise, in any form, can help reduce the risk of developing diabetes. Activity can also reduce the risk of developing complications of diabetes such as heart disease, stroke, kidney failure, blindness, and leg ulcers.
As little as 20 minutes of walking three times a week has a proven beneficial effect. Any exercise is beneficial; no matter how light or how long, some exercise is better than no exercise.

If the patient has complications of diabetes (eye, kidney, or nerve problems), they may be limited both in type of exercise and amount of exercise they can safely do without worsening their condition. Consult with your health care provider before starting any exercise program.
Alcohol use: Moderate or eliminate consumption of alcohol. Try to have no more than seven alcoholic drinks in a week and never more than two or three in an evening. One drink is considered 1.5 ounces of liquor, 6 ounces of wine, or 12 ounces of beer. Excessive alcohol use is a known risk factor for type 2 diabetes. Alcohol consumption can cause low or high blood sugar levels, nerve pain called neuritis, and increase in triglycerides, which is a type of fat in our blood.
Smoking: If the patient has diabetes, and you smoke cigarettes or use any other form of tobacco, they are raising the risks markedly for nearly all of the complications of diabetes. Smoking damages blood vessels and contributes to heart disease, stroke, and poor circulation in the limbs. If someone needs help quitting, talk to a healthcare provider.

Self-monitored blood glucose: Check blood sugar levels frequently, at least before meals and at bedtime, and record the results in a logbook.

This log should also include insulin or oral medication doses and times, when and what the patient ate, when and for how long they exercised, and any significant events of the day such as high or low blood sugar levels and how they treated the problem.

Better equipment now available makes testing blood sugar levels less painful and less complicated than ever. A daily blood sugar diary is invaluable to the healthcare provider in seeing how the patient is responding to medications, diet, and exercise in the treatment of diabetes.

Medicare now pays for diabetic testing supplies, as do many private insurers and Medicaid.

Smoking Is BAD

Medical Author: Ruchi Mathur, MD, FRCP(C)
Medical Editor: William C. Shiel Jr., MD, FACP, FACR

I can summarize this little article in one quick sentence: Smoking is bad. In the general population, and particularly in patients with diabetes.... Smoking is bad.

Cigarette smoking is the leading cause if avoidable death in the United States, and accounts for almost 500,000 deaths a year. Smoking plays a role in one out of every five deaths in the United States per year. Smoking is indeed bad.

Where the health of diabetic smokers is concerned, the statistics are even worse. There is an increased risk of premature death and the development of heart disease in patients who have diabetes and continue to smoke. There is also evidence that links cigarette smoking with microvascular disease (kidney and eye damage) in diabetes. Additionally, there is data that shows that smoking may actually play a role in the development of type 2 diabetes. Smoking is bad.

As a doctor, I think it is extremely important to encourage patients who have diabetes to stop smoking, and certainly not to start this habit. There are certain guidelines set forth by the American Diabetes Association to specifically help doctors deal with the issue of smoking in the diabetic population. The recommendations include:

A systematic assessment of the patient's smoking history
Counseling on smoking prevention and cessation
Assessment of willingness to quit smoking at each visit
Training on how to effectively deliver smoking cessation systems
Follow-up to assess and promote quitting
Most doctors I have spoken with agree that encouraging a patient to stop smoking can be frustrating at times. To do it properly, we must constantly nag, remind, and employ various tactics ranging from rationalization (" you know smoking is bad for you, don't you?") to blatant fear (" smoking is clogging up your arteries as we speak"). Patients often take our interest as intrusive and resent being lectured. Unfortunately, many physicians fail to address the issue except in a passing note.
Although I do not have a magic solution for this pervasive problem, I still wanted to highlight this topic in this column because of its serious nature.

If you are a doctor reading this column, I want to encourage you not to give up addressing the smoking issue with your patients. Continue to educate them about the benefits and methods of quitting smoking, especially your patients with diabetes. Arm yourself with material and resources to provide practical answers for your patients and understand that each patient must be approached in a manner based on his or her individual biases and needs.

If you are a patient, I hope that the reality of the danger of smoking is becoming clearer. With diabetes and smoking, 1 plus 1 does not equal 2, but rather 4. The risks for heart disease increase exponentially. Don't be afraid to approach your health care provider for information on quitting and any available resources and/or medications. Your physician is not going to judge you by whether you succeed in quitting or question your motivation for waiting until this particular time to try. Chances are, you will make your doctor's day by inquiring about ways to stop smoking. And, you just might save your life in the process.

Last Editorial Review: 5/23/2007 emedicinehealth

Kelantan VS Negeri Sembilan

Read more: Obsession v destiny http://www.nst.com.my/nst/articles/42ajitnegs/Article#ixzz13oXczQUw

NEGRI Sembilan coach Wan Jamak Wan Hasan claimed that Kelantan's obsession with winning the Malaysia Cup will give his team a head start in the final at the National Stadium today.
"It is not a dream for Kelantan, it is an obsession. The obsession is winning the title for the first time. It's one thing to follow a dream, it's another to have an obsession. For them it is an obsession," said Wan Jamak at the Malaysia Cup final press conference at the National Stadium yesterday.

"Even for Kelantan coach (B.) Sathinathan, it is an obsession as he has not tasted Malaysia Cup glory. We denied Kelantan the title last year and hopefully we can deny them again. For us, we will go out and play with a winning mentality as our dream is to retain the title."

Negri ended their 61-year Malaysia Cup wait by overcoming Kelantan 3-1 last year.

Having hyped up the importance of the game to Kelantan, Wan Jamak continued his mind games by playing down his team's chances in the final.

"Of course, Kelantan with a star-studded cast will start as the favourites. They have a good team. Our fans say we should be the favourites as we had won the FA Cup but looking at the limitations in our squad, I think they are a better team.

"I can't say for me it is a personal dream (to win the Malaysia Cup) as I have won it before but my hope is to win it for Negri again," he said.

Negri will start without their injured captain Rezal Zambery Yahya (midfielder), Rahman Zabul (defender), Zaquan Adha Radzak and L. Ragesh (strikers) but Wan Jamak believes his team will not be weakened by their absence.

"Except for Rezal, the rest are not in my final-18. Rezal has started training after a knee injury but he lacks fitness.

"We have been plagued with injury problems since the start of the Malaysia Cup. I experimented by switching players and it has worked so far," he said.

In Rezal's absence, centre-back Aidil Zafuan Radzak has been named captain of the Negri team.

Aidil should fit into the role without problems as he is the captain of the national Under-23 side.

"Being captain has made me even more determined to win the title. I think the absence of several core players will not weaken us.

"The beauty about Negri is that everyone in the team can fit into any position, whenever required, We are in the final because of hard work and determination," said the 23-year-old.

On Negri's strategy in the final, Aidil said efforts must be taken to stop Indra Putra (Mahayuddin) and Norshahrul (Idlan Talaha), who are Kelantan's most dangerous players, from settling down.

"We must shut them down at all cost. However, we should not forget about the other players. We will not go wrong if we play to our coach's instructions," added