Fatherxmas

[Fatherxmas @Fatherxmas11]

@kh505043 I have seen a case like this, unfortunately the healthcare workers tried to hide the issue but the patient later came back with canula having moved up from the causation site. The patient was in pain

[Fatherxmas @Fatherxmas11]

@acmilan The "idea" that never comes to fruition Haa landed. In the words of Mr T, I pity a fool! 😃

[Dr. Priyam Bordoloi @DocPriyamMD]

Let me explain to you stepwise why this happens.

• One of their primary jobs of the kidneys is to clear and degrade circulating insulin. In a healthy person, the kidneys are responsible for clearing up to half of the insulin from the bloodstream.

• ​When a patient develops advanced Chronic Kidney Disease, that renal tissue dies. The failing kidneys completely lose their ability to degrade insulin. Because of this, the insulin (whether produced by the pancreas or injected) just circulates in the blood for much longer, constantly driving blood sugars down.

• ​But it gets worse. The kidneys also act as a backup glucose factory. Through a process called renal gluconeogenesis, they normally produce new glucose during fasting states to keep your levels stable.

​• In advanced CKD, this backup factory completely shuts down. So the patient loses their ability to produce baseline glucose, while simultaneously having prolonged, uncleared insulin circulating in their blood.

• ​Add in the fact that the buildup of toxic kidney waste (uremia) makes the patient chronically nauseous so they eat significantly less, and you have a perfect storm for severe, spontaneous low blood sugar.

• ​This is clinically known as the Burnt-Out Diabetes phenomenon. The diabetes isn't cured; the kidneys have just failed so severely that the body's entire metabolic clearance has collapsed.

• ​This is exactly why we have to drastically reduce or even stop anti-diabetic medications in severe CKD patients otherwise, that uncleared insulin will cause fatal hypoglycemia.

👉​Hi, I am Dr. Priyam. I break down complex medical science and advocate for Evidence-Based Medicine. Follow me for more clinical facts.

[Fatherxmas @Fatherxmas11]

@BitcoinPulseX Psg 2:1 Arsenal

[Fatherxmas @Fatherxmas11]

@cryptobeast Psg 0:2 Arsenal

[Fatherxmas @Fatherxmas11]

@Wenguss Think it's going to game 7

[Fatherxmas @Fatherxmas11]

@sharonChomba2 Very true...drove at night from Lusaka to kabwe the other day and I almost had a terrible day...and to top it all, everyone drives with high beams with no regard for oncoming drivers at all

[Fatherxmas @Fatherxmas11]

@nocontextfooty Zambia 1 😆

[Fatherxmas @Fatherxmas11]

@Glaziya True....but we can trying until we get there, giving up will never be an option

[Fatherxmas @Fatherxmas11]

@bethTmufc Why would you stick to an "idea " that doesn't give you any positive results week in week out....yes the players are shit by why not give a chance to the academy players.....the coach is also problem

[Fatherxmas @Fatherxmas11]

@bethTmufc Some of the decisions from the coach are surprising....not sure what he is trying to do..

[Fatherxmas @Fatherxmas11]

@Mwebantu "protruding tongue, clenched fists, and the presence of human waste" ....Over k1900 😔 😟

[Fatherxmas @Fatherxmas11]

@LskBusinessMan I got 2 jobs from there....job hunting is stressful but never lose hope

[Fatherxmas @Fatherxmas11]

@HumansNoContext @mabezere pretending my jokes are funny 😁

[Fatherxmas @Fatherxmas11]

@FreckleFaceFvck Nah we understand....it still the most hoe shit anybody has ever done...suing over beef...nigga please....have some self respect

[Fatherxmas @Fatherxmas11]

@Kingofdreams01 ETH in the man united dressing room:

[Fatherxmas @Fatherxmas11]

@MicmarZambia 1. A
2. C
3.A

[Fatherxmas @Fatherxmas11]

@LuSE_Plc The LuSE app doesn't work, I have seen alot of people have been telling you on this platform but you guys just pretend you don't see the posts.

[Fatherxmas @Fatherxmas11]

@XXL Paul ngozi sample ❤️ 😍...Zambia kuchalo

[Fatherxmas @Fatherxmas11]

@MupingaNancy Call or WhatsApp [phone]