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  1. How low should we push LDL cholesterol?

    by on January 21st, 2010 at 04:42 PM (OmniBlog)
    We need low-density lipoprotein (LDL) to transport cholesterol (and triglycerides) from liver to the peripheral tissues. Traditionally, LDL is also called bad cholesterol as high levels of this lipoprotein may mean increased transport of cholesterol towards arteries, causing plaques and coronary heart disease (CHD) eventually.

    When we detect high levels of LDL in our patients, we attempt to reduce the levels to an individualized target based on the patient's (cardiovascular) risk profile. ...
  2. Handling workplace politics

    by on January 6th, 2010 at 04:24 PM (OmniBlog)
    Every office has politics, as long there are at least two employees!

    Experienced something which I don't want to discuss here, but while googling about it, found this very well made statement:
    If you don't know the problem; you are INNOCENT.
    If you know the problem, but don't know the solution; you are IGNORANT.
    If you know the problem, you know the solution, but you don't want to use or implement; you are a CULPRIT.
    Perfect.

    Mahatma Gandhi's quote ...

    Updated January 21st, 2010 at 04:50 PM by Shashikiran

    Categories
    General
  3. Iatrogenic Mass Hypochondria

    by on January 5th, 2010 at 03:16 PM (OmniBlog)
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    Are we inducing mass hypochondria? Making even apparently 'normal' persons suspect that they 'may' have some disease? Seek medical attention for diagnosis of prediabetes and prehypertension?

    I wrote a response in 2005 to an editorial in the BMJ. Here's the text:
    Dear Editor,

    I have read the editorial by Westin & Heath and the subsequent rapid responses to that article with great interest. The extremes of views apparent in some of these are
    ...

    Updated January 21st, 2010 at 04:50 PM by Shashikiran

    Categories
    Medicine
  4. Glycated hemoglobin for diagnosis of diabetes mellitus

    by on January 2nd, 2010 at 01:55 PM (OmniBlog)
    The diagnosis of diabetes mellitus is traditionally based on demonstrating high blood glucose.

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ID:	80The American Diabetes Association (ADA) criteria, 1997:
    1. Symptoms of diabetes plus casual/random* plasma glucose (RPG/RBS) concentration ≥200 mg/dl (11.1 mmol/l), or
    2. Fasting** plasma glucose (FPG/FBS) ≥126 mg/dl (7.0 mmol/l), or
    3. 2-hour postload/postprandial*** glucose (PPG/PPBS) ≥200 mg/dl (11.1 mmol/l) during an OGTT.
    * Casual/random is defined as any ...

    Updated January 21st, 2010 at 04:50 PM by Shashikiran

    Categories
    Diabetes , Medicine