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Posts Tagged ‘Jeeves’

Lifestyle diseases like diabetes and hypertension have a tendency to quietly enter the house of our physical bodies, much like unbidden and unwelcome guests. In most of the cases, repeated attempts to entice these to depart and scour around for some greener pastures are unsuccessful. After the first stage of shock and denial has passed, a state of active acceptance comes about. The basic principle of a peaceful coexistence eventually gets followed.

Diabetes is labelled as a silent killer. This unwelcome guest has a tendency to enfeeble almost all the organs of the body. Its special affection gets directed towards ones which are already in a state of disrepair. These could be our heart, eyes, kidneys, feet or any other organ or limb which catches its fancy. Nerve endings get compromised. Initially, some tingling sensations may be there, more bothersome at night. Over time, sensations may be lost completely, leading to problems which do not even get felt.

Excessive thirst and frequent urination are the well-known symptoms of diabetes. These could easily get ignored and we could chug along in our lives, blissfully ignorant of the arrival of this unbidden guest amidst us. With urine, the body also ends up ejecting some minerals. The disease leaves one feeling tired and exhausted.

The alpha and beta of diabetes

At the core of this affliction is an organ known as the pancreas. Due to genetic reasons or owing to prolonged abuse, there are times when it refuses to behave like an alpha male. It ceases to run on all its twelve cylinders. It does not produce enough insulin, the hormone which controls blood sugar levels in the body.

The beta cells in our pancreas not only produce insulin but also govern the sugar level fluctuations in the body. So, the higher the level of blood sugar, the higher is the fluctuation of sugar levels in general. The fact that South Asian genes happen to be more susceptible to attracting this disease does not really comfort someone who is actually suffering from diabetes.

There are those in whose case the cells that produce insulin are selectively lost. They would qualify to be suffering from Type 1 diabetes.

The body surely needs sugar to keep active and kicking. But when the sugar intake is more than what it can handle, insulin production lags behind its demand. The pancreas is unable to keep pace. Those whose pancreas has started losing its efficacy over a period of time get categorized as having Type 2 diabetes. Often, obesity rules. The battle of the bulge gets lost. Pear pressure kicks in.

Then there is a portion of humanity which shows signs of an imminent onset of diabetes. These could be called pre-diabetics. Surely, there is some hope for them, provided they adopt an active lifestyle, change their diet pattern, and do not allow diabetes to walk in.

The delicately nurtured amongst our species, when they happen to be in the family way, face the risk of gestational diabetes.  Though it is a temporary condition, they end up having a higher predisposition towards Type 2 diabetes.

Sharing some key observations

Yours truly is neither a physician nor a person even remotely connected with the field of medicine. Nevertheless, here is a summary of what one has learnt so far. Some of you might find these of use. These observations pertain to Type 2 diabetes.

Blood sugar levels are a function of the following major factors:

  • Stress: The higher the stress levels, the higher the blood sugar levels. A prolonged challenging situation – whether on the home front or on the office front – could reduce the immunity levels of the body and increase the sugar levels.

Laughing things off helps, so does the company of those who exude positivity. Building up inner resilience reduces the impact of external circumstances, and thereby helps in controlling sugar levels better.

  • Physical activity is a basic factor. Be a couch potato or a chair tiger and repent at leisure. Regular brisk walks and light exercises help. But these produce results only after about six weeks, by which time the body forms a habit and starts demanding its daily dose of whatever physical regime you decide to follow.

Pottering about in the garden or in the kitchen and doing household chores provides some protection. Climbing up stairs and not using an elevator helps. Living life with lesser dependence on your favourite Ferrari helps.

But nothing to beat the efficacy of either cycling or a brisk walk, which is closer to the way a soldier would typically walk. Sweating it out is a key factor. It also helps with heart-related issues.

Much like a tube light needs an initial surge of additional power to get going, the body also needs an initial impetus of will power to walk the first 500 meters. Thereafter, once it has warmed up, a brisk walk often sounds more like a cake walk.

  • Medication cannot be taken lightly. It needs to be taken regularly, on time. This implies that meals required to keep the body and soul together also need to be taken on time, day after day.

Oral medication is convenient. At times, if it is unable to bring blood sugar levels within control (fasting values in the range of 70-100 and other values being in the range of 120-200), the physician may prescribe insulin injections.

Insulin has a singular advantage of the necessary hormone reaching the blood stream directly. But the flip side of using insulin, or any other anti-diabetic agent, is the risk of blood sugar dropping down to such dangerous levels as 60 or below. Symptoms could be tiredness, giddiness, excess sweating, palpitation and even coma and other          complications. This could even prove to be fatal.

To avoid such complications, a bar of chocolate, some dry fruits and biscuits should always be kept handy. Sugar cubes could also help. A glucometer needs to be used to immediately check the blood sugar levels and the incident reported to one’s doctor.

  • Diet is a crucial factor in managing diabetes. Our scriptures often extol the virtues of leading the life of an ascetic or a monk. Diabetes propels us towards such lofty goals in life. Controlling our taste buds is a serious challenge and needs nerves of chilled steel. When a piping hot junk food item like a ‘samosa’ comes up in front of us, or when a ‘rasgulla’ gets lovingly offered by an otherwise well-meaning friend, the deep reserves of our tenacity have to be marshalled to refuse these and instead pick on a green salad.

Even fruits like mangoes and bananas are harmless, if taken in moderation and if in the absence of any other item on our plate.

Some tests and parameters

  • Regular checks on blood sugar levels (fasting as well as postprandial, PP) are highly recommended.

For fasting level to be correctly ascertained, during the previous night, except for plain water, nothing else should be consumed after 10 PM. Medicines to be taken after the test. Normal breakfast can be had after about 30 minutes.

For PP, a reading would need to be taken two hours after breakfast, with nothing else being consumed in the meanwhile. Any deviation from this procedure can be brought to the notice of one’s physician.

  • Once in six months, our physician may recommend a test known as HbA1C. This one tells us the weighted average of our sugar levels over a period of the past three months, thereby indicating the extent of control we have exercised over ourselves during that period. A value below 7 would normally indicate a fair amount of control, though the exact value is best decided between the doctor and the patient.
  • Frequent eye and feet check-ups are necessary. Once in a year, functioning of the kidney needs to be reviewed by means of appropriate tests.

When prolonged tension leads to hypertension

Yet another lifestyle disease which creeps up on one is that of high blood pressure. If left unattended, this could result in the hardening of arteries, cardiac problems and an increase in one’s intraocular pressure in the eyes. Keeping this on a strict watch is in some ways even more crucial than regular monitoring of blood sugar levels.

Of doctors and miracle cures

The role of a doctor in managing diabetes is more akin to that of a guide. The hapless physician has no clue as to what our daily meals comprise and the amount of liquors and desserts we gobble up at social events.

Often, we may come across miracle cures made by those who are proficient in alternative streams of medicine, claiming to get us rid of diabetes in a short period of time. If followed, these could achieve good results in the short run, but could do more harm to the body in the long run. The reason is simple – these are not sustainable. In a controlled environment, these cures could really work. But when we are back in the civilization, living our routine lives and facing all the harsh slings and arrows of Fate, the short-term benefits could simply evaporate. However, there is a general belief that some medicines from alternative streams do work as supplements, somewhat nullifying the side effects of allopathic medicines.

A helping hand from the government  

One has no statistical evidence, but there is no doubt that those suffering from this lifestyle disease do end up suppressing the economic growth of the country they inhabit.

Revenue-hungry governments world over could think of imposing a hefty ‘sin tax’ on all things sweet. Tax breaks can be offered to those who suffer from a lifestyle disease. The delivery of public health services can be strengthened.

The civic authorities would do well to ensure that there are adequate provisions for bicycle tracks and for taking brisk walks in open spaces for its denizens. Public transporters could pitch in by ensuring availability of diabetic diets to those who might be in need of the same.

The trick of managing a lifestyle disease

The real control of diabetes and other lifestyle diseases rests in our own hands. Guided by a competent physician, management of these is no rocket science.

Basically, the trick lies in holding our chin up, looking ahead to a joyful life with clear eyes, and marching on with our lives, wearing this affliction as a badge of honour on our sleeves, aspiring to evolve spiritually, with nary a wrinkle on our forehead.

Bertie Wooster and Jeeves would heartily approve of a sunny disposition of this nature. So would Ashe Marson of the ‘Something Fresh’ fame.

(Inputs from Dr B S Suryanarayana, Additional Professor, Department of Medicine, JIPMER, Pondicherry, are gratefully acknowledged)

(Illustrations courtesy www)

(Related Posts:

https://ashokbhatia.wordpress.com/2013/05/05/o-my-beloved-when-would-you-depart

https://ashokbhatia.wordpress.com/2013/08/04/getting-india-in-the-pink-of-health

https://ashokbhatia.wordpress.com/2014/10/06/handling-the-diabetes-tsunami-in-india

https://ashokbhatia.wordpress.com/2015/07/01/how-diabetes-helps-us-to-improve-our-sq)

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ashokbhatia

We live in times when the only feline creatures we happen to know are from the realm of cat-toons. We knowPGW Doraemon Doraemon, Felix, Garfield, Tom and Top Cat, to name just a few. Their eccentricities we adore. Their haughtiness we endure. Their ingenuity makes our spirits soar. Their ruthless manner in handling mice of all kinds we ignore. To put it simply, in a world dominated by TV and internet, they have become a part of folklore.

Now, one does not mean to offend any of these personalities whose intrinsic felineness is rather unmistakable. But there are several others from the realm of literature who are no less admirable. They were born in times when the printed word was ruling the roost. They have left an indelible impression on the minds and psyches of several generations. They have exemplified the traits of bosses and the bossed-over alike. Surely, once in…

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ashokbhatia

Respected Sir,

As a lay citizen of India, allow me to say that you are spearheading a great drive to reform the education system of the country. There may be no big ticket announcements, but one can see some incremental steps which would help our youth to realize their full potential in the years to come.

I write this with all humility at my command, merely to suggest one such incremental reform, which, I am reasonably certain, can help our youth to develop their soft skills faster and better.

I write this to suggest that a special drive be launched to expose Indian students to the works of the eminent humourist, P G Wodehouse. By discovering, delving into and devouring these, our future citizens shall turn out to be cheerful, joyous and happy. India would soon become a country which would be not only chasing her Gross Domestic Product numbers…

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There are indeed times when the harsh slings and arrows of Life weigh one’s soul down with woe. The intensity of each succeeding sling shot becomes more acute. The frequency also registers an uptick. Life seems to be overtaken with a Thos-like propensity – to test the depth of one’s reserves of patience and fortitude. It appears as if each arrow is doused in paraffin and is being shot by an Edwin the Scout to douse an already raging fire in one’s cottage. One’s Guardian Angels appear to have gone off on a long vacation. The air is congested with a series of W-shaped depressions which keep hitting one at regular intervals. Even before one has had a chance to pull oneself out of the preceding episode, the next one follows, leaving one all of a twitter. The soul remains in a phase of perennial torment.

When faced with a situation of this nature, one has two options. One can either wallow in self-pity, question one’s Guardian Angels as to what one has done to deserve a harsh treatment of the kind being dished out, and generally keep looking for shoulders which would not look askance at the prospect of getting wet with one’s tears. Or, one can start exploring the possibility of clawing one’s way back up the cesspool of darkness one finds oneself in.

In case the latter option suits one’s temperament, there could be no better way to beat the blues than to immerse oneself in one’s work with a renewed vigour and enthusiasm.

Besides, the following actions, if taken, might make one realize that one should never repine, never despair, and never allow the upper lip to unstiffen, come what may.

  1. Remaining in touch with the loved ones, who care and share.
  2. Being surrounded by those who bring some sunshine into one’s life. Warm hugs and embraces perk one up no end.
  3. Having advisors like Jeeves around whose keen intelligence and resourcefulness may enrich one’s life.
  4. Calling upon the services of pals like Bertie Wooster who would never let one down.
  5. Treating oneself with a daily dose of some Larsen Exercises, making an acquaintance like Ashe Marson proud.
  6. Trying to break the mould and doing something one has never done before; visiting far off places, meeting new people, and indulging in such heavenly pursuits which had so far remained pious intentions. These could even include such acts as pinching umbrellas and policemen’s helmets.
  7. Avoiding the company of aunts who feast on glass bottles and happen to be lionesses in the garb of sheep. Instead, getting oneself invited to lairs which boast of an Anatole on the premises.
  8. Standing up to a bully like Roderick Spode and giving him a piece of one’s mind; provided, of course, one has access to a Eulalie-like secret.
  9. If one belongs to the tribe of the delicately nurtured, one may like the company of someone configured along the lines of Rupert Psmith.
  10. If one is instead from the tribe of the so-called sterner sex, one may like the company of an Emerald Stoker, a soothing and sympathetic girl one can take one’s troubles to, thereby being confident of having one’s hand held and one’s head patted. However, it may help to avoid the company of persons built along the lines of Florence Craye, Honoria Glossop, Roberta Wickham or Stiffy Byng.
  11. Curling up in bed with one’s favourite whodunit, preferably with a tissue restorative by one’s side, and with soothing music softly playing in the background.
  12. Remembering that this phase too shall pass, as the wise men have said!

Overall, one may like to brood upon the singular advantage one’s Guardian Angels have conferred on one – that of facing harsher slings and arrows of Life. The perks of such a fate are many. One develops a spiritual outlook towards life, that too at a faster pace, much like the clergymen who come in contact with Master Thos. Nerves of chilled steel get developed. One’s inner resilience improves, leaving one less prone to distress of any kind in future. One develops a tendency to focus on the sunnier side of life. The inner will to live life to the hilt gets back on its throne. The brow is no longer furrowed. Rather than believing oneself to be a victim of circumstances, one learns to go with the flow of life, adapting to change. One learns to respond to life gracefully, with ease.

One may then look north, south, east and west and discover not a single cloud on the horizon. One realizes that no matter how dark the skies may be, the sun would be shining somewhere and will eventually come smiling through; just like Bertie Wooster says somewhere in his memoirs!

(Related Post: https://ashokbhatia.wordpress.com/2016/12/10/shopping-therapy-and-some-plummy-techniques-to-treat-depression)

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Netizens who have made the cardinal error of following me on any social network could be forgiven for imagining me as a dashing speaker, blogger and author.

Not a Jeeves in the realm of Management

Snapshots, videos and blog posts would inevitably depict me as a managementPGW MuchObligedJeeves expert dishing out sage advice with an impish sparkle in the eyes, often misconstrued as indicating supreme intelligence. Seasoned observers would notice a receding hairline and imagine me to be an intellectual cove. Perhaps a head bulging out at the back, much like that of Jeeves, would lead many amongst my followers to conclude that I would have minted millions by this time, squeezing the last penny out of some Bertie-like super rich but mentally negligible bosses I would have assisted in a long career.

Well, nothing could be father from the truth. Those who wish to dig deeper into the subject of…

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The literary canvas of the works of P G Wodehouse is vast, drawing upon the works of several other literary figures we admire.

Here is a blog post from Plumtopia which connects our favourite author’s work to the narratives dished out by Jane Austen.

Plumtopia

pgw

“Bertie, it is imperative that you marry.”

“But, dash it all…”

“Yes! You should be breeding children to…”

“No, really, I say, please!” I said, blushing richly. Aunt Agatha belongs to two or three of these women’s clubs, and she keeps forgetting she isn’t in the smoking-room.”

The Inimitable Jeeves

Once again, Plumtopia is celebrating the romances of P.G. Wodehouse to commemorate the anniversary of his death on St Valentine’s Day 1975.

This year’s topic is the romances of Bertie Wooster. It’s a potentially controversial subject because Bertie is best known — celebrated even– as one of literature’s bachelors. Despite numerous engagements and entanglements, he always manages to slip the wedding knot.

Bertie’s romances, if we can call them that, are mostly unwanted entanglements brought about by Aunt Agatha’s efforts to marry him off, and his own chivalric code.

In Right Ho, Jeeves, Bertie makes it clear that…

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ashokbhatia

PGWodehouseThe foundations of our civilization are quivering. Homo sapiens are faced with a medical crisis of gigantic proportions. There is widespread concern about the pace at which the epidemic of Wodehousitis is spreading across countries and continents. Medical researchers of all hues are twiddling their thumbs, trying to figure out a cure for this dreaded affliction.

Wodehousitis is reported to be a disease which affects all human beings, irrespective of their age, sex, cast, creed or ethnicity. It is said to be highly contagious. A word of mouth is all that is required to lead one to contract it. One merely borrows a work of P G Wodehouse. A cursory perusal of any part of a narrative follows. A lifetime of bondage ensues. Frequent purchases of his books gladden the hearts of many a publisher. When one is not able to lay one’s hands on a particular title, one’s moral…

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