Any lifestyle that is borrowed from the future is not sustainable. Don’t over estimate the future. Wonderful words from Mr. Shyam Sekhar - founder of iThoughts PMS.
Seeing silver in backwardation, when SpotSilver > Futures. Signals high demand for physical metal today rather than paper contracts. It’s rare. Offers an edge for physical holders (coins, bars) during supply crunches.
Stay sharp! #Silver#Commodities
Sometimes, I am not happy when a diabetic patient on a least possible tablet comes with Hba1c of 5.7% or 6 %. He even lost weight and he was super happy.
But I wasn't. Rather, I was worried.
Why should I be worried?
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This is a 64 year old man, diabetic since 4 years. I saw him nearly 1 year back when his Hba1c was 6.7%.
He brings his last two HBA1c reports. One in Oct 2024 was 6% and current one is 5.7%.
He lost 4 kgs weight in 6 months. His BP was slightly low.
He was on a small dose of Metformin 250 mg, once daily.
His only complaints were that lately he was feeling tired and increased hunger. Rest all he was absolutely fine, and was being quite active. He thought, he was doing more physical work than needed, hence he lost weight and was also feeling tired.
But I realised this was not the reason after hearing him out patiently and taking a detailed history.
Examination showed decreased muscle strength. And he lost his muscle girth in his limbs.
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Diet:
Breakfast: Rice with buttermilk
Lunch: Rice and curry and curd (about 120 gms)
Dinner: Chapati with curry or Upma.
No other snacks anywhere.
This is almost a zero protein diet. And he was restricted in his calories. And he didn't even have the necessary micronutrients like minerals and vitamins adequately.
All I could see was carbs.
No wonder he lost his muscle and felt tired.
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Advised him to eat sufficient protein in his diet. He ate eggs, so asked him to take atleast 3-4 eggs per day. And plenty of curd and paneer if needed. Asked him to take required vegetables and if needed 1 fruit per day. Asked him to take dry fruits in moderate quantities and add legumes.
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Reduction in weight or good diabetes control SHOULD NOT occur at the cost of macronutrients or micronutrients deficiency.
The yardstick by which you can measure good metabolic health, the yardstick by which you can measure if your lifestyle changes are working or not is by keeping your blood parameters in conteol and also by feeling physically healthy and active without tiredness, mentally active without brain fog and psychologically healthy too, without guilt or regret about the chosen lifestyle.
@UberIN_Support driver has not closed the trip for about an hours and unable to close the ride from my side as well. Called the driver and he said he doesn’t know how to close. 8939087073.
@firstcryindia ordered something on 20th April - was supposed to get delivered the next day. Still waiting. Worst experience. Order number: 4089713GAFE7FC9F3
Last January, I noticed something peculiar in my 2yo’s bedroom that - after a year of obsessive reporting - led me to a profound cosmic revelation about what’s even possible in our universe. A 🧵.
@UC_Assist do you have a customer support number? I couldn’t not login as my sms services is not working to receive OTP. And want to talk to your customer support.