Tag: Care

  • According to doctors, the risk of gestational diabetes can be reduced by early screening and proper care.

    According to doctors, the risk of gestational diabetes can be reduced by early screening and proper care.

    Gestational diabetes puts women at greater risk for developing diabetes later in life. Doctors said it was important for early screening, counseling, proper diet and behavior modification and postpartum follow-up.

    National Gestational Diabetes Mellitus (GDM) Day is being observed on March 10, with doctors acknowledging that awareness on GDM has led to a marked improvement over the years, pointing to the need for preliminary investigations.

    V., a former professor of diabetes at Madras Medical College and the founding mentor of diabetes at the Pregnancy Study Group India. Seshaiah said that awareness of GDM was definitely better as obstetric and gynecologists were concerned about it.

    “My concept is that we should examine all pregnant women. We recommend screening in the first trimester, around six to seven weeks of pregnancy. If we diagnose GDM in the first trimester, we can take care of both mother and child, ”he said.

    She said that GDM puts women at risk for the development of diabetes in the future. “Within 10 years, 50% of them can develop diabetes. Children born to them can develop diabetes and obesity. In my experience, in 90% of women developing GDM, the levels can be controlled with medical and nutritional therapy, ”she said.

    Usha Shriram, Head of Endocrinology and Diabetes, Voluntary Health Services, said that care before and after pregnancy was important when it came to GDM.

    “The fact is that we now screen for GDM early in pregnancy. Women may have abnormal glucose in pregnancy. It is gradually becoming a standard of care and women are being shown earlier in prenatal screening. Women planning pregnancy or getting pregnant should be aware of GDM. This is where a lot of work has to be done, especially among the youth.

    At the present time, pre-diabetes, overweight, family history of diabetes, polycystic ovarian syndrome and sedentary lifestyles may put women at risk of GDM. “For this reason it is advisable to check the blood sugar level,” Dr. Shriram said. She stated that once diagnosed with GDM, women should remain healthy and within the recommended weight gain limits during pregnancy. “After pregnancy ends, follow-up is important. Breastfeeding has shown to reduce the risk of diabetes, ”she said. Prevention is important, he said, for all young women who plan a six-month to one-year pregnancy should be healthy, take folic acid and be active.

    Anand Musa, former director, Institute of Diabetesology, Madras Medical College, said that the prevalence of GDM was increasing. “It varies from 10% to 15% in pregnant women. This is why we recommend universal screening for pregnant women, because in many cases, GDM can be managed with dietary control. They need to split the food and avoid simple sugars, ”he said.

    There was a reduction in follow-up post delivery, he said, “Lifestyle management is very important and hence there are annual check-ups after delivery.

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  • ‘I Care a Lot.’ movie review: Pike and Dinklage are well-matched adversaries

    ‘I Care a Lot.’ movie review: Pike and Dinklage are well-matched adversaries

    The savage, dark thriller tears along at breakneck speed with double and triple crosses galore.

    The full stop at the end of I Care a Lot., suggests there is nothing more to say on the topic. One can almost hear Rosamund Pike as Marla Grayson ferociously using the full stop to quell any timid questions from weak-minded people. We first meet Marla in a blood-red dress with a sleek helmet of blond hair gently yet firmly showing a worried Feldstrom (Macon Blair) the error of his ways.

    Feldstrom is upset that he is not allowed to meet his mother in the retirement home selected by Marla, the court-appointed guardian. In court, Marla explains that she only stepped in to save Feldstrom’s mother from herself and she sold some of his mother’s assets to ensure the best care for her.

    As the movie progresses, we realise Marla and her girlfriend, Fran (Eiza González), have a sweet scam going. When Dr. Amos (Alicia Witt) tips them off about elderly, rich patients, Marla swoops in and gets herself appointed their legal guardian. She puts them in a retirement facility, cuts off their contact with the outside world and sells off their assets and pockets the money.

    Everyone is in on the scheme from the doctor to the director of the retirement facility. Judge Lomax (Isiah Whitlock Jr.) does not seem to be corrupt, his sin seems to be that of being very easily swayed—Marla can be very convincing.

    Everything seems to be going happily for all on this particularly juicy gravy train until Amos tells Marla about a particularly alluring mark. Jennifer Peterson (Dianne Wiest) is single, retired, has no relatives, is financially comfortable and lives in a beautiful house. Everything looks perfect and Marla moves in. She proves Jennifer is incapable of taking care of herself, gets appointed Jennifer’s legal guardian and sends her off to the retirement home.

    And then everything comes apart as Jennifer does not seem to be the helpless old lady she appeared to be and when a scary Russian Mafia boss, Roman Lunyov (Peter Dinklage) begins to take interest in Jennifer, Marla and Fran seem in over their heads.

    The savage, dark thriller tears along at breakneck speed with double and triple crosses galore. Pike and Dinklage are well-matched adversaries. The scam sounds eminently doable and is a sharp comment on consumerism and greed. The ending is just a little bit of a cop out, but the movie as a whole is enjoyable, full stop.

    • Director: J Blakeson 
    • Cast: Rosamund Pike, Peter Dinklage, Eiza González, Chris Messina, Dianne Wiest, Isiah Whitlock Jr.,  Macon Blair, Alicia Witt, Damian Young  
    • Story line: A con-woman picks the wrong mark 
    • Run time: 118 minutes 

    I Care a Lot. is presently streaming on Netflix.