The diagnosis of diabetes mellitus is traditionally based on demonstrating high blood glucose. The American Diabetes Association (ADA) criteria, 1997: Symptoms of diabetes plus casual/random* plasma glucose (RPG/RBS) concentration ≥200 mg/dl (11.1 mmol/l), or Fasting** plasma glucose (FPG/FBS) ≥126 mg/dl (7.0 mmol/l), or 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
This lady came for a general check-up. She was over 40 years of age and overweight, but the main reason for the visit was that the husband suspected that she had diabetes. After a brief clinical examination at the outpatient clinic, I told her that her blood pressure is slightly high but that may be due to the fact that it was her first visit to the hospital and reassured her. The husband took over. "No, no, doctor. I am sure she has high BP. Just order ...
Updated January 5th, 2010 at 03:26 PM by Shashikiran
The purpose of life is to be happy and to be useful to others. To achieve the first purpose, being happy, we should be open to recognizing subtle humour in routine life that often brings 'happiness', though happiness means much more than just that. I enjoy humour, especially when I share it with somebody. I like it even more when my children generate a 'Reader's Digest-worth' humour from their experiences at school, play or interaction with us. We came up with this ...
Updated November 30th, 2009 at 05:12 PM by Shashikiran
They say "when everything is going fine, nothing goes wrong". Similarly, when we face ‘failure’ in life, everything seems to be going wrong. The same principle applies to our days of medical studies too (as it would to many other situations). However, it is a reality that many students who ‘fail’ in medical course and eventually graduate do ‘well’ in their careers than many others who graduate without any failures during the course. This seems to be an anomaly at the face ...
When I was a medical student, the only PDA that I knew was Patent Ductus Arteriosus. Thank God, I didn’t have it. Now I know another PDA and thank God, I have it. I am talking about Personal Digital Assistants, also called handheld computers or palmtops. It’s a growing trend. More and more clinicians are using this gadget for accessing information at the point of care. While some well-organized hospitals have even daily patient data available ...
Updated February 28th, 2010 at 07:20 PM by Shashikiran
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