Does Modi Government care? for Seniors or Diabetics? NO Way!


It is a government of the business, by the Business, for the business.  Modi Government its policies in the name of “Population . Dividend” . helping kill the Senior citizens.

Diabetes treatment in Depth

Putting patients on Insulin a Scam?

The prices of Insulin in India increased 25 to 30% in past 6 months.

Insulin therapy is often an important part of diabetes treatment. Understand the key role insulin plays in managing your blood sugar and preventing diabetes complications.

The role of insulin in the body

It may be easier to understand the importance of insulin therapy if you understand how this naturally occurring hormone usually works in the body and what happens if you have diabetes.

If you don’t have diabetes, insulin helps:

  • Regulate blood sugar levels. After you eat, carbohydrates break down into glucose, a sugar that is the body’s primary source of energy. Glucose then enters the bloodstream. The pancreas responds by producing insulin, which allows glucose to enter the body’s cells to provide energy.
  • Store excess glucose for energy. After you eat — when insulin levels are high — excess glucose is stored in the liver in the form of glycogen. Between meals — when insulin levels are low — the liver releases glycogen into the bloodstream in the form of glucose. This keeps blood sugar levels within a narrow range.

If you have diabetes:

Your glucose levels will continue to rise after you eat because there’s not enough insulin to move the glucose into your body’s cells. People with type 2 diabetes don’t use insulin efficiently (insulin resistance) and don’t produce enough insulin (insulin deficiency). People with type 1 diabetes make little or no insulin.

Untreated, high blood glucose can eventually lead to complications such as blindness, nerve damage and kidney damage.

Goals of insulin therapy

If you have type 1 diabetes, insulin therapy is vital for replacing the insulin your body doesn’t produce. Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven’t been able to keep blood glucose levels within the desired range. Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.

Types of insulin

There are several types of insulin available that vary in how quickly and how long they can control blood sugar. Frequently your doctor may recommend combining more than one type of insulin. To determine which types of insulin you need and how much you need, your doctor will consider factors such as the type of diabetes you have, your glucose levels, how much your blood sugar fluctuates throughout the day and your lifestyle.

The general types of insulin therapy include:

  • Long-, ultralong- or intermediate-acting insulin. When you’re not eating, your liver releases glucose so the body continually has energy. Long, ultra-long or intermediate-acting insulin helps the body use this glucose and keeps glucose levels from rising too high.
  • Examples of these insulins are glargine (Lantus, Basaglar, Toujeo), detemir (Levemir), degludec (Tresiba) and NPH (Humulin N, Novolin N, Novolin ReliOn Insulin N). These insulins work for between eight and 40 hours, depending on the type.
  • Rapid- or short-acting insulin. These insulins are ideal for preventing blood sugar spikes after you eat. They begin to work much faster than long-acting or intermediate-acting insulins do, sometimes in as little as three minutes. But they work for a much shorter period of time, usually about two to four hours.
  • Examples of these insulins include aspart (NovoLog, Fiasp), glulisine (Apidra), lispro (Humalog, Admelog) and regular (Humulin R, Novolin R).

Insulin delivery options

Insulin doesn’t come in pill form because the digestive system would break it down before it had a chance to work. But there are several choices for insulin delivery. Your doctor can help you decide which fits best with your lifestyle and treatment needs.

Options include:

  • Shots or pens. Insulin can be injected into the fat just below your skin with a syringe and needle or a penlike device that hold insulin with a needle attached. How often depends on the type of diabetes you have, your blood sugar levels and how often you eat. It may be multiple times each day.
  • Insulin pump. An insulin pump pushes small, steady doses of rapid-acting insulin into a thin tube inserted underneath your skin. These doses are delivered repeatedly throughout the day. There are several different kinds of insulin pumps available.
  • Inhaled insulin (Afrezza). This type of insulin is rapid-acting and you inhale it at the beginning of each meal. People who smoke or have lung problems such as asthma or chronic obstructive pulmonary disease should not use inhaled insulin.

Insulin therapy can sometimes be demanding, but it’s an effective way to lower blood sugar levels. If you have any trouble with your insulin regimen, such as difficulty avoiding very low or very high blood sugar levels, be sure to talk to your doctor to see if any adjustments need to be made. By choosing an insulin regimen that fits your needs and lifestyle, you can prevent diabetes complications and lead an active, healthy life. via

Insulin therapy is often an important part of diabetes treatment. Understand the key role insulin plays in managing your blood sugar and preventing diabetes complications.

The role of insulin in the body

It may be easier to understand the importance of insulin therapy if you understand how this naturally occurring hormone usually works in the body and what happens if you have diabetes.

If you don’t have diabetes, insulin helps:

  • Regulate blood sugar levels. After you eat, carbohydrates break down into glucose, a sugar that is the body’s primary source of energy. Glucose then enters the bloodstream. The pancreas responds by producing insulin, which allows glucose to enter the body’s cells to provide energy.
  • Store excess glucose for energy. After you eat — when insulin levels are high — excess glucose is stored in the liver in the form of glycogen. Between meals — when insulin levels are low — the liver releases glycogen into the bloodstream in the form of glucose. This keeps blood sugar levels within a narrow range.

If you have diabetes:

Your glucose levels will continue to rise after you eat because there’s not enough insulin to move the glucose into your body’s cells. People with type 2 diabetes don’t use insulin efficiently (insulin resistance) and don’t produce enough insulin (insulin deficiency). People with type 1 diabetes make little or no insulin.

Untreated, high blood glucose can eventually lead to complications such as blindness, nerve damage and kidney damage.

Goals of insulin therapy

If you have type 1 diabetes, insulin therapy is vital for replacing the insulin your body doesn’t produce. Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven’t been able to keep blood glucose levels within the desired range. Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.

Types of insulin

There are several types of insulin available that vary in how quickly and how long they can control blood sugar. Frequently your doctor may recommend combining more than one type of insulin. To determine which types of insulin you need and how much you need, your doctor will consider factors such as the type of diabetes you have, your glucose levels, how much your blood sugar fluctuates throughout the day and your lifestyle.

The general types of insulin therapy include:

  • Long-, ultralong- or intermediate-acting insulin. When you’re not eating, your liver releases glucose so the body continually has energy. Long, ultra-long or intermediate-acting insulin helps the body use this glucose and keeps glucose levels from rising too high.
  • Examples of these insulins are glargine (Lantus, Basaglar, Toujeo), detemir (Levemir), degludec (Tresiba) and NPH (Humulin N, Novolin N, Novolin ReliOn Insulin N). These insulins work for between eight and 40 hours, depending on the type.
  • Rapid- or short-acting insulin. These insulins are ideal for preventing blood sugar spikes after you eat. They begin to work much faster than long-acting or intermediate-acting insulins do, sometimes in as little as three minutes. But they work for a much shorter period of time, usually about two to four hours.
  • Examples of these insulins include aspart (NovoLog, Fiasp), glulisine (Apidra), lispro (Humalog, Admelog) and regular (Humulin R, Novolin R).

Insulin delivery options

Insulin doesn’t come in pill form because the digestive system would break it down before it had a chance to work. But there are several choices for insulin delivery. Your doctor can help you decide which fits best with your lifestyle and treatment needs.

Options include:

  • Shots or pens. Insulin can be injected into the fat just below your skin with a syringe and needle or a penlike device that hold insulin with a needle attached. How often depends on the type of diabetes you have, your blood sugar levels and how often you eat. It may be multiple times each day.
  • Insulin pump. An insulin pump pushes small, steady doses of rapid-acting insulin into a thin tube inserted underneath your skin. These doses are delivered repeatedly throughout the day. There are several different kinds of insulin pumps available.
  • Inhaled insulin (Afrezza). This type of insulin is rapid-acting and you inhale it at the beginning of each meal. People who smoke or have lung problems such as asthma or chronic obstructive pulmonary disease should not use inhaled insulin.

Insulin therapy can sometimes be demanding, but it’s an effective way to lower blood sugar levels. If you have any trouble with your insulin regimen, such as difficulty avoiding very low or very high blood sugar levels, be sure to talk to your doctor to see if any adjustments need to be made. By choosing an insulin regimen that fits your needs and lifestyle, you can prevent diabetes complications and lead an active, healthy life.

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Ethics Guy: “You’re Fired!” By E-Mail?


You’re Fired!  By E-Mail?
Bruce Weinstein, Ph.D.
The Ethics Guy
December 17, 2013

Which of the following are ethically acceptable ways to fire an employee?
A)    Text
B)    E-mail
C)    On the phone
D)    In person
E)    Facebook
F)    Twitter

If your answer included “B,” you’re in good company.  According to an interview with Fortune, George Zimmer, former CEO of The Men’s Wearhouse, was told via e-mail that his services would no longer be needed.

This isn’t a rude way to let someone go.  It’s unethical.  Here’s why.

When Do No Harm Won’t Do
There is no way to fire someone without hurting people.  It hurts the person you’re letting go, it hurts your relationship with him or her, and it hurts you.  Even if in the long run everyone will be better off, the immediate result is at best unpleasant and at worst deeply frightening to the person getting the news.

Ending a relationship presents a challenge to the most fundamental ethical principle of all, Do No Harm.  When it’s impossible to avoid hurting someone, the next best ethical guideline is Minimize Unavoidable Harm.  There are better and worse ways to fire an employee, and using electronic means is, in most situations, at the low end of the scale. 

Remember the Sex and the City episode where Carrie Bradshaw’s boyfriend broke up with her via sticky note?  Firing someone with an e-mail isn’t any better from an ethical point of view.

Do as George Clooney Does
In Jason Reitman’s film Up in the Air (based Walter Kim’s novel), George Clooney plays Ryan Bingham, a character whose job entails flying around the country to fire people face-to-face.  [SPOILER ALERT!] Although the film ultimately reveals Bingham’s life to be unrewarding, it powerfully illustrates how other means of letting people go–videoconferencing, texting–are much more demeaning than direct, personal encounters are. 

I’m happily married now, but when I was single, I had plenty of dates that didn’t work out.  I’m embarrassed to admit that I sometimes let the person know that I wasn’t interested by not returning her phone calls or e-mails or (even worse) implying that I wanted to go out again when I had no intention of doing so.

Why?  It was easy.  Who wants to experience the discomfort of hurting someone by being honest? But when a woman told me on our third date, “I’m sorry, Bruce, but I just don’t feel a spark,” I realized that a compassionate but direct response was infinitely better than the cowardly approaches too many people (including me) took.  The news still hurt, but I felt respected. 

Honor in the Workplace
How you let someone go reveals a lot about your character.  When you have to be the bearer of bad news, it’s more convenient to use e-mail, texts, or other electronic means.  It’s psychologically easier on you, too.  But as I told CNN last week, it’s dishonorable.  Employees deserved to be treated with dignity, and as hard as it is to have a conversation in person, it’s the ethically intelligent way to end a working relationship.

You may no longer feel a spark, just as The Men’s Wearhouse board of directors didn’t with respect to their former boss, but there are better and worse ways of getting that point across.  Why not do take the honorable path, rather than the easy one?