Blood sugar 266 mg/dl after-eating – good or bad?

We help you interpret your blood sugar values. You have tested your blood sugar after eating and the result was 266 mg/dl. The corresponding A1C is 10.9%. Let’s have a look at the blood sugar gauge:

Your result is:

Very High Blood Sugar (Hyperglycemia / Dangerous)

To improve your blood sugar after eating you need to
lower your blood glucose level by 126mg/dl.

Your blood sugar level (up to 2 hours) after eating should always be below 140mg/dl but not fall below 80mg/dl.

It is normal for blood sugar levels to rise immediately after a meal. The increased glucose is a product of the carbohydrates in the food that was just consumed. The higher blood glucose triggers the pancreas to produce more insulin.

Blood Sugar after eating

This release of insulin usually takes place within about 10 minutes of eating. The insulin removes the glucose from the blood and stores it for the body to use as energy. In a healthy individual, blood glucose levels should return to a normal level within about two hours after finishing the meal. In diabetics, the blood sugar level often remain elevated for a longer period because of the body’s inability to produce or utilize insulin properly.An elevated two-hour postprandial (after a meal) blood sugar may indicate diabetes or prediabetes. As a general rule, a normal two- hour postprandial blood sugar is as follows:

• Age 50 and under: Less than 140 mg/dl
• Age 50 – 60: Less than 150 mg/dl
• Over age 60: Less than 160 mg/dl

A doctor may recommend different postprandial blood sugar levels based on an individual’s particular circumstances and health history.

Several factors may cause a person’s postprandial blood sugar to remain elevated.

• Smoking after the meal: Studies show that smoking raises blood sugar levels in people with diabetes.
• Extreme stress: Stress produces the body’s fight-or-flight response triggering the release of stress hormones such as cortisol. These hormones cause the body to release the glucose it has previously stored for energy.
• Eating or drinking after the meal and before testing the blood sugar: Continuing to eat will keep blood sugars closer to their immediate post-meal levels.

Studies show that 15 to 20 minutes of moderate exercise, such as walking, shortly after a meal may improve glucose metabolism and reduce postprandial glucose levels.

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Blood sugar 266 mg/dl fasting – good or bad?

We help you interpret your blood sugar values. You have tested your blood sugar fasting and the result was 266 mg/dl. The corresponding A1C is 10.9%. Let’s have a look at the blood sugar gauge:

Your result is:

Very High Blood Sugar (Hyperglycemia / Dangerous)

To improve your blood sugar fasting you need to
lower your blood glucose level by 166mg/dl.

Your fasting blood sugar level should always be below 100mg/dl but not fall below 80mg/dl.

Blood sugar testing measures how much glucose is in the bloodstream. No matter what is eaten, from a small snack to a large meal, blood glucose values rise in response to any carbohydrates that are digested. Check your fasting blood sugar

In a healthy person, the pancreas reacts to the higher blood glucose by releasing insulin, a hormone that converts blood sugar into usable energy.

In addition to carbohydrates, other body processes also raise blood sugar levels.When a person fasts, which is defined medically as not eating or drinking anything aside from water for at least eight hours, the release of glucagon is triggered in the body. Glucagon instructs the liver to metabolize reserve supplies of glycogen, which are then circulated into the bloodstream as sugars. Accordingly, the amount of plasma glucose goes up. This is how the body creates energy even while fasting.

In sum, when diabetes is not present the body responds to all blood sugars by manufacturing insulin in proportion with the glucose level. When it comes to fasting blood sugars, insulin lowers and stabilizes the levels so that they remain in a normal, healthy range. Yet when any form of diabetes is present, either pre-diabetes, Type 1 diabetes or Type 2 diabetes, the whole physiological process doesn’t work correctly, and blood sugars are often considerably higher than normal. The fasting blood sugar test (FBS) is commonly used to detect the existence of diabetes.

In order to prepare for a fasting blood sugar test, one must refrain from eating or drinking from eight to twelve hours before the test, depending upon the doctor’s instructions. It is conducted in the same manner as any laboratory blood test. The health professional will wrap an elastic band around the upper arm in order to restrict blood flow, which enlarges the veins and facilitates the insertion of a needle. After disinfecting the site with alcohol, a needle is placed into the vein and blood is drawn into a vial, which will be then be sent for laboratory testing.

Intermittent fasting diet

A normal result for fasting blood glucose ranges from 70 – 100 mg/dL. According to criteria set by the American Diabetes Association, a higher than normal fasting blood sugar between 100 to 125 mg/dL (5.6 to 6.9 mmol/L) may indicate prediabetes. This shows an increased risk of developing Type 2 diabetes.

When the measurement is above 126 mg/dL (7 mmol/L), a diagnosis of diabetes is likely. A lower than normal result may point to hypoglycemia that is caused by a specific type of tumor in the pancreas, and further diagnostic testing is needed.

Besides eating or drinking during the eight hours before the fasting blood sugar test, other factors may influence the outcome. Illness, drinking alcohol or excessive caffeine the day before, smoking and emotional stress can all impact blood sugar levels. Fasting blood sugar tests should therefore be performed twice, on two separate days, in order to confirm that results are consistent.

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Diabetes Health Type 2: What Type 2s Can Do When Blood Sugar Soars

By Patrick Totty

The emergency condition most type 2s dread is hypoglycemia, where plummeting blood sugar levels can bring on a dangerous semi-conscious state, and even coma or death.

However, hyperglycemia, high-blood sugar levels consistently above 240 mg/dL, can be just as dangerous. Left untreated, at its most extreme high-blood sugar, can induce ketoacidosis, the build-up of toxic-acid ketones in the blood and urine. It can also bring on nausea, weakness, fruity-smelling breath, shortness of breath, and, as with hypoglycemia, coma.

However, once they’ve been diagnosed with diabetes, most type 2s have taken steps to prevent or lessen the most dangerous effects of high-blood sugar levels. Their concern shifts to dealing with unexpected, sometimes alarming spikes in blood sugar levels. The symptoms of those spikes are the classic ones we associate with the onset of diabetes—unquenchable thirst, excessive urination, fatigue, weight loss, and headaches.

When you do spike, what can you do right away to bring blood sugar levels down?

Immediate Steps You Can Take:

1. Insulin—If you are on an insulin regimen; a bolus injection should drive numbers down fairly rapidly.

2. If you are not on insulin or don’t use fast-acting insulin, taking a brisk walk or bike ride works for most people to start bringing their numbers down.

3. Stay hydrated. Hyperglycemic bodies want to shed excess sugar, leading to frequent urination and dehydration. You need to drink water steadily until your numbers drop.

4. Curb your carb intake. It does not matter how complex the carbs in your diet are, your body still converts them to glucose at some point. Slacking off on carb consumption is a trackable maneuver that lets you better understand how to control your numbers.

Preventative Steps:

These are extensions of the immediate steps listed above. By adapting them as long-term practices, you lessen your chances of undergoing distressing hyperglycemic episodes.

• Regular exercise—Although some of us do not experience a drop in blood sugar from exercise, the habit itself is a good one. Exercise helps control weight and appetite, maintain muscle strength, and generate a general feeling of well-being. These are important quality-of-life factors for type 2s.

• Shun high-carb foods.

• Reduce weight—The cliché may be old, but it is true: A reduction in body weight of only 5 to 7 percent can have a dramatic effect on A1c’s and insulin sensitivity. It is also good for the heart, which, thanks to the inflammatory nature of diabetes, is already under stress.

• Reduce stress—Stress is also an inflammatory. Even if your life is too complex to allow for extended breaks to de-stress, grabbing a few minutes whenever you can to relax and take your mind off current problems is a little thing that can become a big help.

• Revisit your prescriptions—Remember, most type 2 medications lose their effectiveness over time. That is why you can start on metformin or a sulfonylurea but later have to add or switch to Januvia, or Byetta, or Invokana. If your control is slipping even though you’ve been good about taking your medications, it is time to talk to your doctor and look at alternative drugs. It may also be time to look at insulin.

• Insulin—If you start on insulin, you’ll be taking as close to a wonder drug as type 2s can get. However, keep in mind what Dr. Richard Bernstein has cautioned for years: Small doses are better than large, which means managing your disease so that you do not fall into the habit of “covering” high-carb indulgences with big doses of insulin.

• Track your patterns—The more you know about your body’s unique diabetic patterns, the better. Knowing your patterns helps you to know not to over-react in some instances or to take drastic action in others. Give yourself time to detect your patterns—that means many finger pricks and tracking of different combinations of time, exercise, and food to find them. However, find them you will.

How to Reduce Blood Sugar

How to Reduce Blood Sugar

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High blood sugar (blood glucose) can be dangerous. It can happen if you have a high reading when you test your blood glucose, if you get a high value on your glucose test during pregnancy, or if you have prediabetes or diabetes. 

Some complications of high blood sugar develop over time, with months or years of high blood sugar. However, it is important to treat high blood sugar immediately because of other complications, such as hyperglycemic hyperosmolar nonketotic syndrome (HHNS), that can happen quickly and be emergency situations. In any case, you can take steps to reduce your blood sugar to prevent harm or further health risks. 

Signs of High Blood Sugar

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Time and Situation	Goal for Non-Diabetics	Goal for Diabetics
First thing in the morning (fasting before breakfast)	< 100 mg/dl	70 – 130 mg/dl
Before lunch, dinner, and snacks	< 110 mg/dl	70 – 130 mg/dl
Two hours after starting to eat a meal or snack	< 140 mg/dl	< 180 mg/dl
Before going to bed	< 120 mg/dl	90- 150 mg/dl

You may or may not notice signs of high blood sugar. They can include:

• Increased thirst, due to the extra sugar in your blood.
• Increased urination, due to the extra water you may drink.
• Blurred vision.
• Fatigue, weight loss, and hunger…all because your body is not using sugar properly for fuel. It is just sitting in your blood.
• Infections, foot numbness, and slow wound healing… due to sugar damaging your blood vessels and reducing oxygen delivery to parts of your body.
• Kidney damage, chronic gastrointestinal distress, and heart disease…due to sugar damaging these parts of your body.

The only way to know for sure if your blood sugar is high is to test it. Your doctor might order a fasting blood glucose, A1C, or oral glucose tolerance test (OGTT) as a routine test or if she suspects that you have diabetes or prediabetes. If you have diabetes, you are probably already testing your blood glucose at home, and you can test an extra time if you think that you may be having a hyperglycemic episode.

How to Reduce Blood Sugar Fast

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Say you have diabetes and are testing your blood glucose at home as your doctor recommended. You find that your glucometer gives you a high blood sugar reading. You know that you need to get your blood sugar down to stay safe. What can you do?

Take your medications. Did you skip a dose? If so, your next step depends on which medications you are on. For some medications, you should take a dose as soon as possible. For others, you may need to try another approach. Ask your doctor beforehand so that if you do ever miss a dose, you know what to do.

Drink water. Sometimes, lowering blood sugar levels can be as simple as diluting the sugar. You can do that by drinking water. Of course, be sure to choose water or another low-calorie beverage, and not a sugary beverage!

Exercise. Physical activity is one of the most effective ways to increase insulin sensitivity so your blood glucose can decrease. If your doctor has cleared you to work out, walk, cycle, or do another heart-pumping activity for 15 minutes, and be sure to check your blood sugar after exercising.

Have some protein. Protein helps lower blood sugar and slow digestion. As a bonus, protein can help reduce hunger and satisfy cravings that can be a sign of hyperglycemia. A small snack, such as an ounce of low-fat cheese, ½ cup of cottage cheese, a hard-boiled egg, or an ounce of almonds, is enough.

How to Reduce Blood Sugar in Pregnancy

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Gestational diabetes is a condition that happens if you did not have diabetes before pregnancy, but you develop high blood sugar while you are pregnant.[1] It becomes more likely during the late second and early third trimesters as insulin resistance increases. While many women are able to meet the higher insulin demands, others develop gestational diabetes.

Gestational diabetes can lead to complications such as high birth weight and low blood sugar for the baby, and pre-eclampsia and high risk for later type 2 diabetes. You are more at risk for the condition if you are obese when you get pregnant, you are black, Hispanic, Asian, or American Indian, or if you are 25 years or older when pregnant. The ways to lower your risk are to lose extra weight if you can with nutritious foods and to exercise regularly.

According to AACE, the goals in gestational diabetes are as follows. [2] Also shown are the ADA’s recommendations, which you can see are less strict. [3]

• Fasting upon awakening: 60 to 90 mg/dl (ADA: less than 95 mg/dl).
• Before a meal: 60 to 90 mg/dl.
• 1 hour after a meal: 100 to 120 mg/dl (ADA: less than 140 mg/dl).

The same approaches that help with regular diabetes management of blood glucose in type 2 diabetes are used to help reduce blood sugar in pregnancy. To control blood sugar:

• Eat a healthy diet with vegetables, whole grains, fruit, and portion control, and without many sweets and processed foods.
• Exercise when you can, such as walking or swimming if your doctor agrees that it is safe.
• Take insulin injections or oral blood sugar medication if your doctor prescribes it.

Foods to Avoid with High Blood Sugar

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Foods to avoid with high blood sugar are those which drive up your blood sugar or increase your insulin sensitivity. If you have high blood sugar, limit the times you choose the following.

• Foods with added sugars: candy, cookies, pies, muffins, ice cream, sugar-sweetened yogurt, sugary cereal.
• Sugar-sweetened beverages: soft drinks, energy and sports drinks, sweetened or flavored coffee and tea.
• White flour-containing products: white bread, bagels, pita, English muffins, rolls, crackers, and pretzels.
• Refined grains and grain products: white rice and pasta, and refined breakfast cereal.
• Fried foods: fried potatoes (French fries and hash browns), fried chicken and fish, doughnuts, onion rings, cheese sticks.
• Processed meat and fatty red meat: Ribs, fatty steak, pepperoni, salami, sausage, ham and other luncheon meats, hot dogs.
• Boiled potatoes.
• Dried fruit and fruit juice.

Another tip is to never eat refined carbohydrates – sugars and starches – on their own. If you do have refined carbs, be sure you have them with one or more of the following so that their effect on your blood sugar is lower.

• Fiber: add a veggie and choose whole instead of refined grains.
• Lean protein: beans, lentils, nuts, low-fat dairy, fish, egg whites, tofu, and chicken.
• Healthy fat: nuts and peanuts, nut and peanut butters, or avocado.

Foods That Reduce High Blood Sugar Instantly

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Actually…no food will reduce high blood sugar instantly, since it takes at least 10 to 20 minutes from the time you start eating until the time the digested food gets released into your bloodstream and can affect your blood sugar levels. Still, there are some foods to keep in mind for when you have high blood sugar and you want to lower it.

These are some foods that can help lower blood sugar, along with serving sizes. Remember, you do not need to have too much to have an effect.

• ½ to 1 oz. of nuts or peanuts, or 1 tablespoon of peanut or nut butter.
• 3 oz. of salmon or tuna.
• 1 hard-boiled egg or 2 egg whites.
• ½ small avocado.
• 1 cup of plain or regular Greek yogurt.
• ½ to 1 oz. of unsweetened chocolate.
• ½ cup of cooked beans or lentils.

Diet and Exercise to Reduce Blood Sugar

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Aside from taking any medications that you may be prescribed, losing extra weight, getting active, and eating right can be the best ways to reduce blood sugar.

Supplied by BMI Calculator USA

Losing weight: Any pounds that you lose if your body mass index is over 30 can lower your blood sugar dramatically. These strategies are simple and effective.

• Eating more vegetables.
• Cutting portion sizes of high-calorie foods.
• Eating less often at restaurants, or eating half of the amount you are served.
• Swapping sugary beverages for water and fruit for dessert.
• Steaming, grilled, and baking instead of frying with added fats.

You can check your BMI here. Overweight is over 25, and obese is over 30.

Getting active: Getting moving increases insulin sensitivity, lowers blood sugar, and also helps you lose weight. This includes dedicated workouts, activity throughout the day, and breaking up sedentary time.

• Dedicated workouts: At home, at the gym, or outside, the goal is to get 30 minutes, most days of the week. Find something you love, whether it is to walk, cycle, or swim, dance, kickbox, or do pilates, or train for and play tennis, basketball, or golf.
• Activity throughout the day: Take the stairs, park further away, and pace your office while you are on the phone. It all adds up – or subtracts – to lower blood sugar.
• Breaking up sedentary time: Sitting for too long, even if you went to the gym in the morning, can lead to higher blood sugar. Lower your levels by breaking up your sitting time at least once every 30 to 60 minutes. As little as 1 to 3 minutes of stretching, marching in place, or swinging your arms can help.

Eating right: While weight loss is a significant factor in blood sugar control, eating right also helps reduce blood sugar. What does “eating right” include?

• Carb control: Spread evenly throughout the day a moderate amount of healthy carbohydrates, such as small servings of beans, starchy vegetables, fruit, whole grains and low-fat dairy.
• Fiber consumption: To slow digestion and reduce blood sugar spikes, think about unprocessed plant foods: whole grains, vegetables, fruit, nuts and peanuts, soybeans, beans, and lentils.
• Healthier fats: avocados, olive oil, nuts and peanuts, and especially omega-3 fats from fatty fish and flaxseed.
• Lean proteins: Seafood, chicken, eggs, tofu, low-fat dairy, and beans.

Some research suggests that a low-glycemic diet can be helpful. You can choose one by limiting sugar and refined starches, having fiber, protein, and fat with your carbohydrate sources, and choosing less processed foods, such as whole grains instead of refined.

Home Remedies to Reduce High Blood Sugar

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What else can you do in your daily life to reduce high blood sugar? You have opportunities all day, and even all night!

Sleep: Sleep deprivation drives up blood sugar by causing cravings and poor food choices and getting hormones out of whack. Get adequate sleep, and your insulin and other hormones will realign to reduce blood sugar. Remember: sleep is not for lazy people. It is for healthy people who want to be at their best, so make it a priority.

Vinegar: Old wives’ tale? Maybe not. Apple cider and other types of vinegar may help lower blood sugar by slowing gastric emptying to reduce the post-prandial (post-meal) blood sugar spike, and suppressing glucose production by the liver if you take it at bedtime. According to research in the “Journal of Diabetes Research,” vinegar also increases insulin sensitivity and glucose uptake by muscles.

Chromium: Chromium is necessary for the proper use of insulin, and deficiency can lead to high blood sugar. Good sources include broccoli, spinach, bran cereal, oysters, and cheese. Chromium picolinate is a common form of chromium supplement, but you should ask your doctor before taking any nutritional supplement.

Stress: Too much stress gets your hormones out of balance and increases blood sugar. While you cannot eliminate stress, you can learn to manage it better. Exercise, deep breathing, aromatherapy, and letting go of what you cannot change can all reduce the burden of stress on your body.

Immunity: Catching a cold or getting another illness drives up blood sugar, so do what you can to strengthen your immune system. Besides getting adequate vitamin C from healthy foods such as bell peppers, oranges, and leafy greens, you can reduce infections by washing your hands frequently.

Staying aware: Monitor your blood sugar levels so that you know what is normal for you, how different foods and patterns affect your blood sugar, and when your blood sugar is high. Then you know when and how to react.

The best way to reduce blood sugar may be to use a diabetes app, such as Lark. It can coach you on making the behavior changes that can reduce blood sugar, and alert you to high blood sugar levels that may need attention.

covid-19: High blood sugar can be deadly for Covid patients, even if they don’t have diabetes

BEIJING: Patients with COVID-19 who have elevated blood sugar levels without a previous diagnosis of diabetes may be at a high risk of death and an increased risk of severe complications from the infectious disease, a new study says.

According to the scientists, including those from the Tongji Medical College in China, earlier studies had established high blood sugar as associated with an increased risk of mortality and poor outcomes in COVID-19 patients.

However, they said direct correlation between fasting blood glucose (FBG) level at admission to hospital, and clinical outcomes of COVID-19 patients – without diagnosed diabetes – has not been well established.

In the new study, published in the journal Diabetologia, the researchers examined the association between FBG on admission, and the 28-day mortality of COVID-19 patients without previously diagnosed diabetes in two hospitals in China.

The study assessed data from all consecutive COVID-19 patients with a known outcome at 28-days and FBG measurement at admission from 24 January 2020 to 10 February 2020 in two hospitals based in Wuhan, China.

“Blood sugar testing and control should be recommended to all COVID-19 patients even if they do not have pre-existing diabetes, as most COVID-19 patients are prone to glucose metabolic disorders,” they wrote in the study.

Hypertension May Show No Signs: 18+ Adults Should Check BP, Limit Alcohol Intake To 2 Drink.

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Myths & Facts About Hypertension

Hypertension is the most common and preventable risk factor for heart attacks, heart failure, stroke, kidney disease, and blockage of leg arteries causing pain and gangrene.

While it is important to follow a healthy lifestyle, one must educate oneself to control hypertension.

One can keep blood pressure (BP) under control with certain changes like eating a healthy diet (fruits/vegetables), working out daily, taking up a weight loss programme, quitting smoking, managing stress with yoga/meditation, and following up on medications and doctor’s appointment regularly.

From lowering sodium intake to reducing alcohol intake, Dr Nikesh D Jain, Consultant Cardiologist at Jaslok Hospital and Research Centre, shares facts and myths about hypertension.

Hypertension May Not Have Symptoms

Hypertension is known as the ‘silent killer’. More than 50% hypertension patients do not show any signs or symptoms for many years, and continue to damage blood vessels of important organs in the body. Some patients may experience symptoms like headache, palpitations, chest pain and breathlessness due to hypertension.

As soon as an individual turns 18, he/she should ensure checking blood pressure. There is an increasing prevalence of hypertension in younger age group, and is expected to increase further due to lifestyle changes.

Ditch The Table Salt

Salt restriction is the most important and effective way to control BP. Daily salt intake should not exceed 4-6 gram/day. Restricting salt means cutting down on intake of Sodium (Na). Apart from the regular table salt, we end up consuming a lot of sodium (approximately 75%) hidden in processed foods like sauce, packaged foods, chips, and junk food. While buying prepared or packaged foods, always look for Sodium (Na) content, and avoid high intake sodium-rich food items.

Kosher salt and table salt are the same, and both contain 40% sodium.

Hypertension Is Hereditary

Have a strong family history of hypertension puts you at a greater risk of developing the condition at an early age. However, healthy lifestyle changes have helped patients in delaying the onset of hypertension, and even preventing it in some cases.

How Alcohol Affects Blood Pressure

Alcohol, when consumed in excess, causes hypertension, stroke, heart failure, irregular heartbeats, high cholesterol, cancer, and even accidents.

Alcohol intake should be restricted to two standard drinks per day for men and one drink daily for women. One standard drink equals 14 grams of pure alcohol – which is found in 340 grams of beer, over 110 grams of wine and more than 40 grams of distilled spirits.

In the research, the scientists assessed patients’ demographic and clinical data, 28-day outcomes, in-hospital complications, and CRB-65 scores — a measure for assessing the severity of pneumonia based on four indicators, including level of confusion, respiratory rate, blood pressure, and age.

They said a total of 605 COVID-19 patients were enrolled in the study, including 114 who died in hospital.

According to the study, the median age of participants was 59 years and 322 were men.

A total of 208 individuals had one or more underlying conditions, but were not diagnosed with diabetes, the scientists said, adding that high blood pressure was the most common co-morbidity.

The researchers said almost one third of the patients fell into the highest category of FBG on admission, which they said would result in a diagnosis of type 2 diabetes if found consistently.

The study noted that a further 17 per cent were in the range that would be considered pre-diabetic, while more than half were in the ‘normal’ FBG range.

Based on the findings, the researchers said patients in the highest FBG group were 2.3 times more likely to die than those in the lowest.

They said men were 75 per cent more likely to die than women, and that patients with higher CRB65 scores were also at higher risk of death.

“This study shows, for the first time, that elevated FBG at admission is independently associated with increased 28-day mortality and percentages of in-hospital complications in COVID-19 patients without previous diagnosis of diabetes,” the scientists noted in the study.

According to the scientists, COVID-19 patients might suffer from high blood sugar brought about by other conditions.

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They said critically ill patients may develop acute insulin resistance, manifested by high levels of blood sugar and insulin levels.

“Patients with conditions not related to diabetes, such as severe sepsis, systemic inflammatory response syndrome (SIRS) and traumatic brain injury tend to have abnormally high blood sugar,” the researchers wrote in the study.

Citing the limitations of the study, the scientists said the findings were based on a retrospective analysis of patient data.

They said the study did not analyse levels of the molecule glycated haemoglobin (HbA1c) which is a long-term blood sugar control indicator that helps distinguish patients with poor long-term blood sugar control from those with stress hyperglycaemia.

The researchers added that they did not have sufficient data to study the effect of glucose-lowering treatment such as insulin on the outcome of the patients.

However, they believe acute hyperglycaemia is more important than long-term blood glucose control in predicting the clinical outcomes of hospitalised COVID-19 patients.

The authors suggest that possible mechanisms for this increased mortality include high blood glucose-induced changes in blood clotting, worsening of the function of the walls of blood vessels, and overproduction of inflammatory immune system molecules.

They said measuring fasting blood glucose levels can facilitate the assessment of prognosis and early intervention to help improve the overall outcomes in COVID-19 treatment.

Sound Sleep, Omega-3-Rich Diet, Stress-Free Mind: 5 Ways To Boost Body’s Immunity

For The Healthy You

As fancy as it sounds, the idea of boosting immunity, has proven to be difficult to materialise in reality. For years, researchers from across the world have been struggling to figure out the accurate formula to achieve a good immune system. Until the formula is known, it is recommended to adopt a healthy lifestyle for an enhanced immune function, and to keep the body intact and healthy.

Making healthy lifestyle changes in terms of diet, exercise and managing stress, in addition to other factors, can go a long way in helping the immune system get the boost it requires.

On International Immunology Day, Chennai-based clinical nutritionist, lactation consultant and diabetes educator – Ramya Ramachandran – shares five tips that can give your life a healthy spin.

Opt For A Balanced Diet

A balanced diet with the right amount of nutrients can do wonders in boosting a person’s immunity, and keeping you away from diseases.

Ginger, garlic, star anise, omega-3 fats, flax seeds are some foods that have antiviral and anti-inflammatory properties. These can be included in your meals daily. It’s also important to focus on micronutrients which have a major impact on health.

To add the required amount of micronutrients to any diet, one can look at home fortification as an alternative. In this method, a commercially available product is conveniently utilised on a daily basis to prevent nutrition deficiencies. Power mixes of rice and flour avaiable in the market is one such example of food fortification, which increases the micronutrient value of home-cooked meals.

Quit Smoking

This is one of the basic requirements. Smoking is a big ‘NO’ for the overall wellbeing of the body as it negatively impacts on both adaptive and innate immunity. It slowly kills the natural effectiveness of the immune system’s defences. If you are a regular smoker, it is advisable to quit it as soon as possible. One can also adopt alternatives like nicotine patches as it can helps to quit smoking and are relatively less harmful.

Rest Your Mind And Soul With Meditation

Chronic stress is responsible for releasing hormone cortisol, which can ruin the overall immune response of the body. Meditation goes a long way in keeping stress in check. Various mobile-based apps can help one to remain peaceful and mindful throughout the day with various features. Other healthy strategies to deal with stress may include yoga and pranayama.

Getting A Good Night’s Sleep

Most of us underestimate the power and importance of adequate sound and refreshing sleep. Lack of proper sleep can activate the inflammatory immune response, which can reduce reactivity to vaccines, further leading to the release of excess stress hormones. It will ultimately weaken the immune system.

A minimum of 7-8 hours of regular sleep is a must to maintain a healthy circadian rhythm, and help the body’s T-Cells (also known as immune cells) to kill the pathogens. A night of good sleep also helps in burning calories.

covid-19: High blood sugar can be deadly for Covid patients, even if they don’t have diabetes

BEIJING: Patients with COVID-19 who have elevated blood sugar levels without a previous diagnosis of diabetes may be at a high risk of death and an increased risk of severe complications from the infectious disease, a new study says.

According to the scientists, including those from the Tongji Medical College in China, earlier studies had established high blood sugar as associated with an increased risk of mortality and poor outcomes in COVID-19 patients.

However, they said direct correlation between fasting blood glucose (FBG) level at admission to hospital, and clinical outcomes of COVID-19 patients – without diagnosed diabetes – has not been well established.

In the new study, published in the journal Diabetologia, the researchers examined the association between FBG on admission, and the 28-day mortality of COVID-19 patients without previously diagnosed diabetes in two hospitals in China.

The study assessed data from all consecutive COVID-19 patients with a known outcome at 28-days and FBG measurement at admission from 24 January 2020 to 10 February 2020 in two hospitals based in Wuhan, China.

“Blood sugar testing and control should be recommended to all COVID-19 patients even if they do not have pre-existing diabetes, as most COVID-19 patients are prone to glucose metabolic disorders,” they wrote in the study.

Hypertension May Show No Signs: 18+ Adults Should Check BP, Limit Alcohol Intake To 2 Drink…

Myths & Facts About Hypertension

Hypertension is the most common and preventable risk factor for heart attacks, heart failure, stroke, kidney disease, and blockage of leg arteries causing pain and gangrene.

While it is important to follow a healthy lifestyle, one must educate oneself to control hypertension.

One can keep blood pressure (BP) under control with certain changes like eating a healthy diet (fruits/vegetables), working out daily, taking up a weight loss programme, quitting smoking, managing stress with yoga/meditation, and following up on medications and doctor’s appointment regularly.

From lowering sodium intake to reducing alcohol intake, Dr Nikesh D Jain, Consultant Cardiologist at Jaslok Hospital and Research Centre, shares facts and myths about hypertension.

Hypertension May Not Have Symptoms

Hypertension is known as the ‘silent killer’. More than 50% hypertension patients do not show any signs or symptoms for many years, and continue to damage blood vessels of important organs in the body. Some patients may experience symptoms like headache, palpitations, chest pain and breathlessness due to hypertension.

As soon as an individual turns 18, he/she should ensure checking blood pressure. There is an increasing prevalence of hypertension in younger age group, and is expected to increase further due to lifestyle changes.

Ditch The Table Salt

Salt restriction is the most important and effective way to control BP. Daily salt intake should not exceed 4-6 gram/day. Restricting salt means cutting down on intake of Sodium (Na). Apart from the regular table salt, we end up consuming a lot of sodium (approximately 75%) hidden in processed foods like sauce, packaged foods, chips, and junk food. While buying prepared or packaged foods, always look for Sodium (Na) content, and avoid high intake sodium-rich food items.

Kosher salt and table salt are the same, and both contain 40% sodium.

Hypertension Is Hereditary

Have a strong family history of hypertension puts you at a greater risk of developing the condition at an early age. However, healthy lifestyle changes have helped patients in delaying the onset of hypertension, and even preventing it in some cases.

How Alcohol Affects Blood Pressure

Alcohol, when consumed in excess, causes hypertension, stroke, heart failure, irregular heartbeats, high cholesterol, cancer, and even accidents.

Alcohol intake should be restricted to two standard drinks per day for men and one drink daily for women. One standard drink equals 14 grams of pure alcohol – which is found in 340 grams of beer, over 110 grams of wine and more than 40 grams of distilled spirits.

In the research, the scientists assessed patients’ demographic and clinical data, 28-day outcomes, in-hospital complications, and CRB-65 scores — a measure for assessing the severity of pneumonia based on four indicators, including level of confusion, respiratory rate, blood pressure, and age.

They said a total of 605 COVID-19 patients were enrolled in the study, including 114 who died in hospital.

According to the study, the median age of participants was 59 years and 322 were men.

A total of 208 individuals had one or more underlying conditions, but were not diagnosed with diabetes, the scientists said, adding that high blood pressure was the most common co-morbidity.

The researchers said almost one third of the patients fell into the highest category of FBG on admission, which they said would result in a diagnosis of type 2 diabetes if found consistently.

The study noted that a further 17 per cent were in the range that would be considered pre-diabetic, while more than half were in the ‘normal’ FBG range.

Based on the findings, the researchers said patients in the highest FBG group were 2.3 times more likely to die than those in the lowest.

They said men were 75 per cent more likely to die than women, and that patients with higher CRB65 scores were also at higher risk of death.

“This study shows, for the first time, that elevated FBG at admission is independently associated with increased 28-day mortality and percentages of in-hospital complications in COVID-19 patients without previous diagnosis of diabetes,” the scientists noted in the study.

According to the scientists, COVID-19 patients might suffer from high blood sugar brought about by other conditions.

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They said critically ill patients may develop acute insulin resistance, manifested by high levels of blood sugar and insulin levels.

“Patients with conditions not related to diabetes, such as severe sepsis, systemic inflammatory response syndrome (SIRS) and traumatic brain injury tend to have abnormally high blood sugar,” the researchers wrote in the study.

Citing the limitations of the study, the scientists said the findings were based on a retrospective analysis of patient data.

They said the study did not analyse levels of the molecule glycated haemoglobin (HbA1c) which is a long-term blood sugar control indicator that helps distinguish patients with poor long-term blood sugar control from those with stress hyperglycaemia.

The researchers added that they did not have sufficient data to study the effect of glucose-lowering treatment such as insulin on the outcome of the patients.

However, they believe acute hyperglycaemia is more important than long-term blood glucose control in predicting the clinical outcomes of hospitalised COVID-19 patients.

The authors suggest that possible mechanisms for this increased mortality include high blood glucose-induced changes in blood clotting, worsening of the function of the walls of blood vessels, and overproduction of inflammatory immune system molecules.

They said measuring fasting blood glucose levels can facilitate the assessment of prognosis and early intervention to help improve the overall outcomes in COVID-19 treatment.

Sound Sleep, Omega-3-Rich Diet, Stress-Free Mind: 5 Ways To Boost Body’s Immunity

For The Healthy You

As fancy as it sounds, the idea of boosting immunity, has proven to be difficult to materialise in reality. For years, researchers from across the world have been struggling to figure out the accurate formula to achieve a good immune system. Until the formula is known, it is recommended to adopt a healthy lifestyle for an enhanced immune function, and to keep the body intact and healthy.

Making healthy lifestyle changes in terms of diet, exercise and managing stress, in addition to other factors, can go a long way in helping the immune system get the boost it requires.

On International Immunology Day, Chennai-based clinical nutritionist, lactation consultant and diabetes educator – Ramya Ramachandran – shares five tips that can give your life a healthy spin.

Opt For A Balanced Diet

A balanced diet with the right amount of nutrients can do wonders in boosting a person’s immunity, and keeping you away from diseases.

Ginger, garlic, star anise, omega-3 fats, flax seeds are some foods that have antiviral and anti-inflammatory properties. These can be included in your meals daily. It’s also important to focus on micronutrients which have a major impact on health.

To add the required amount of micronutrients to any diet, one can look at home fortification as an alternative. In this method, a commercially available product is conveniently utilised on a daily basis to prevent nutrition deficiencies. Power mixes of rice and flour avaiable in the market is one such example of food fortification, which increases the micronutrient value of home-cooked meals.

Quit Smoking

This is one of the basic requirements. Smoking is a big ‘NO’ for the overall wellbeing of the body as it negatively impacts on both adaptive and innate immunity. It slowly kills the natural effectiveness of the immune system’s defences. If you are a regular smoker, it is advisable to quit it as soon as possible. One can also adopt alternatives like nicotine patches as it can helps to quit smoking and are relatively less harmful.

Rest Your Mind And Soul With Meditation

Chronic stress is responsible for releasing hormone cortisol, which can ruin the overall immune response of the body. Meditation goes a long way in keeping stress in check. Various mobile-based apps can help one to remain peaceful and mindful throughout the day with various features. Other healthy strategies to deal with stress may include yoga and pranayama.

Getting A Good Night’s Sleep

Most of us underestimate the power and importance of adequate sound and refreshing sleep. Lack of proper sleep can activate the inflammatory immune response, which can reduce reactivity to vaccines, further leading to the release of excess stress hormones. It will ultimately weaken the immune system.

A minimum of 7-8 hours of regular sleep is a must to maintain a healthy circadian rhythm, and help the body’s T-Cells (also known as immune cells) to kill the pathogens. A night of good sleep also helps in burning calories.

HbA1c (%) to estimated average whole blood glucose (mg/dl) conversion chart

Advertisement Chart design 2000-2018 DiabetesChart.org Chart no. 3 Convert HbA1c (%) to estimated Average Glucose (mg/dl) eAG for whole blood calibrated meters HbA1c 4. 0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 Glucose 61 64 67 69 72 74 77 79 82 85 HbA1c 5. 0 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 Glucose 87 90 92 95 98 100 103 105 108 110 HbA1c 6. 0 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 Glucose 113 116 118 121 123 126 129 131 134 136 HbA1c 7. 0 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 Glucose 139 142 144 147 149 152 154 157 160 162 HbA1c 8. 0 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 Glucose 165 167 170 173 175 178 180 183 185 188 HbA1c 9. 0 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 Glucose 191 193 196 198 201 204 206 209 211 214 HbA1c 10. 0 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 Glucose 216 219 222 224 227 229 232 235 237 240 HbA1c 11. 0 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 Glucose 242 245 248 250 253 255 258 260 263 266 HbA1c 12. 0 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 Glucose 268 271 273 276 279 281 284 286 289 291 HbA1c 13. 0 13.1 13.2 13.3 13.4 13.5 13.6 13.7 13.8 13.9 Glucose 294 297 299 302 304 307 310 312 315 317

90,000 Diabetes is curable! | Clinic “Movement”

Diabetes mellitus is a very serious disease associated with impaired metabolism of carbohydrates, primarily glucose, characterized by a sharp increase in its level in the blood, damage to small and large vessels. There are two main types of carbohydrate metabolism disorders. The first is associated with damage to the pancreas, namely, b-cells that synthesize insulin – a hormone responsible for lowering blood sugar levels.This mechanism underlies the development of type 1 diabetes mellitus. As a rule, this disease manifests itself at an early age, often develops after viral infections. Unfortunately, measures for the prevention of this condition and methods for its cure have not yet been developed. In the treatment of type 1 diabetes mellitus, synthesized insulin is used, which patients are forced to inject themselves to control their blood sugar levels.

In type 2 diabetes mellitus, insulin levels may be within the normal range, and sometimes even higher.But the process of utilization (use) of glucose by the tissues of the body is disrupted. For the treatment of this condition, diet therapy and an increase in physical activity are sometimes sufficient, since during sports activities the consumption of glucose increases. Also, tableted forms of antihyperglycemic drugs are prescribed, the mechanism of action of which is to improve the processes of glucose utilization. Despite this, it is not always possible to achieve good blood sugar control. At certain levels of blood glucose, damage to the inner wall of vessels of various sizes occurs.Micro- and macroangiopathy develops, leading to conditions such as cataracts, retinal detachment, atherosclerosis of the vessels of the brain, heart, lower extremities, renal failure, etc.

At present, type 2 diabetes mellitus is in the nature of an epidemic, is often the cause of human disability and even death. 90% of patients with type 2 diabetes mellitus are overweight or obese. A large number of studies have shown an improvement in the course of diabetes mellitus when patients try to control their weight.But the effectiveness of conservative methods of combating obesity ranges from 5-40%.

Recently, the term bariatric surgery (initially with the task of combating obesity) is increasingly being replaced by the term metabolic surgery. This is due to the fact that in patients suffering from diabetes mellitus against the background of obesity, after the operations performed by them, normalization of blood sugar levels was observed, moreover, before weight loss. They became very interested in this issue and began to actively study it. Remission of diabetes mellitus after bariatric surgery is explained by the “incretin effect”.In short, its mechanism can be explained as follows: when food enters the small intestine quickly enough, the body produces substances that increase the level of insulin and stimulate the processes of utilization of blood glucose. In addition, all patients after bariatric surgery begin to eat properly, the amount of adipose tissue decreases, which also contributes to the normalization of blood sugar levels for a long period of time.

Studies have shown that after restrictive operations (gastric banding, longitudinal resection or drain-gastrectomy) remission of diabetes occurs in 50-70% of cases. After combined interventions (gastric bypass, mini-gastric bypass, biliopancreatic bypass), remission is observed in 80-96% of cases.

A certain “gold standard” in the fight against diabetes mellitus has recently become mini gastric bypass (MGP), omega-loop bypass. The operation is performed by laparoscopic access and refers to combined interventions, since the result of its implementation is the formation of a small stomach and the exclusion of part of the small intestine from the digestion process.Unlike conventional gastric bypass surgery, only one anastomosis is placed between the stomach and the small intestine during the procedure. The good effect of this operation has been proven not only in the fight against excess weight, but also in relation to diabetes mellitus, and given its technical advantages in comparison with standard gastric bypass surgery, this intervention is becoming more widespread in metabolic surgery.

Good results of using mini-gastric bypass surgery are known for diabetes mellitus against the background of overweight or obesity of the 1st degree, that is, with a BMI of 26-35 kg / m2.

Any operation for the treatment of obesity has its own indications and contraindications, selection is carried out individually, therefore, prior to the intervention, consultation of a qualified bariatric surgeon is required.

90,000 Dia-arithmetic of type 1 diabetes mellitus (part 1)

This article is about 90,020 insulin calculations for type 1 diabetes mellitus . It makes me very sad when I see patients with a rather long history of diabetes mellitus who cannot correctly calculate their insulin and do not know the basic rules of behavior in type 1 diabetes.

Unfortunately, doctors often do not have time to explain in detail to patients the behavior in type 1 diabetes, most of the time is spent writing prescriptions or getting out of ketoacidosis in a hospital, where, by the way, a person often ends up because of his own illiteracy. And not every polyclinic has a diabetes school.

Literature about T1DM has been written a lot, sensible and understandable – not enough. To date, I consider the most successful “reference book” for type 1 diabetic – Ragnar Hanas “Type 1 diabetes in children, adolescents and young people.”We can say that a patient who has studied it knows how to “manage” his illness.

So, let’s start – concepts that EVERY diabetic should know (** these calculations do not apply to the “honeymoon” type 1 diabetes, where insulin is selected according to the level of current glycemia).

SDI (daily dose of insulin) – the total dose of all insulins per day (extended and short). If the doses are changed every day, then the average SDI value over 5 days is considered.

Insulin Sensitivity Factor (IPF) .1 unit of ultrashort insulin by how many mmol / l will lower blood sugar (SC). For ultrashort insulins (apidra, novorapid, humalog) = 100: SDI (daily insulin dose) = X mol / l .

For short insulin (humulin regular, actrapid) = 83: SDI = X mmol / L . That is, on the received X (mmol / l) and will reduce 1 unit of insulin blood sugar. This is especially important for children, where the initial doses of insulin are small !!!

Basal insulin dose . It should be fixed with type 1 diabetes! Calculated per kg of weight and no more! And not by the level of lean sugar!

0.2 kg * X kg of weight = dose of Lantus (or Levemir) per day, administered in the evening at 23.00.

No need to create an overdose of prolonged insulin!

Carbohydrate ratio (CC). How much insulin is needed to assimilate 1 XE of food !!! It is calculated according to the formula: 12: (500: SDI) = X (carbohydrate ratio)

In the morning, the need for short insulin is usually the highest – 1: 2, in the afternoon -1: 1.5, in the evening – 1: 1. Naturally, the amount of XE eaten and the state of blood sugar before meals are taken into account.

XE (grain unit) !!!!!! We should have put this figure first. Considered for carbohydrates only!

1 XE = 12 gr. carbohydrates , all foods can be measured in this indicator!

Tables with XE people with type 1 diabetes need to know by heart, like the multiplication table !!!!!! . Then you do not have to limit yourself to food, you can correctly introduce short insulin for food load.
Vegetables are also considered, a common misconception that vegetables can not be translated into XE !!!

XE requirement per day : 1-3 years – 10-11 XE \ day, 4-11 years – 16-17 XE, 12-18 years old and adults – 19-21 XE (max 25 XE).

CH – target glycemia. This is an individual indicator, that is, the ideal fasting blood sugar and food.
Usually, on an empty stomach 5.0-7.0 mmol / l – 2 hours after eating – 5.0-7.8 mmol / l.

AH – actual glycemia . This is what your meter NOW showed. Later we will need this data.

SK – blood sugar . SK should be measured on an empty stomach, after sleep, before brushing your teeth, before main meals, before bedtime, with feelings of hypoglycemia and hyperglycemia.

SK in the morning 5.0-6.5 mmol / L – this means that the doses of extended and short insulin were administered correctly in the evening, no correction is needed.

If CK is less than 5.0 mmol / L for more than 3-5 days in a row – this is a risk of hypoglycemia, you need to reduce the base (Lantus or Levemir) the day before.

If on an empty stomach more than 7.0 mmol / l – (exclude the phenomenon of morning dawn or hypoglycemia at night). To do this, measure 3 consecutive days of blood sugar at 1:00 – 3:00 – 5:00 am! And consult a doctor.

CK higher before lunch – you need to increase the dose of short insulin in the morning, CK higher before dinner – increase the dose of short insulin before lunch, higher before bed – increase the dose of short insulin before dinner.

AI – active insulin. That is, how many hours after the introduction of short insulin is still working. For example, ultrashort insulins (Novorapid) were administered at 8:00 – 10 units, every hour is -20% of activity. (9:00 – 8 units, 10:00 – 6 units, 11:00 – 4 units, 12:00 – 2 units).

These insulins work another 5 hours , this must be taken into account, counting insulin for the next meal!

Insulin correction for FOOD . The formula is as follows:
(UK * XE) + (AG-CG): PCI-AI = X units of short insulin for a given FOOD.

High sugar correction .
(AG-CG): FBI = X units of short insulin for normalization of blood pressure. In the previous formula for food – all this is taken into account!

Inulin exposure time . The time from the start of insulin administration to a meal.
Rule: the higher the blood sugar, the longer the exposure time .

CK 5.0- 6.5 mmol / L WE —–> for ultrashort insulin – 15 min, short 30 minutes, CK – 7.0-10.0 —-> SE for ultrashort insulin – 30 minutes, short insulin – 45 minutes , SK more than 10.0 – VE — ultrashort insulin – 1 hour, SK more than 15 mmol / l (food – canceled until blood sugar drops ).

SK less than 5.0 mmol / L – insulin is taken with food, below 4.0 mmol / L
(3.8 mmol / L) – relief of hypoglycemia, do not administer insulin .

DO NOT be lazy to calculate these indices for yourself, in the future it will be easier! Everything will be done automatically. Every person is different. These calculations are an individual approach.

In the second part, we will continue to count XE and insulin for FOOD, physical activity of various types, ARVI, etc.d.

Alfalfa PRO, 100 capsules / Alfalfa Pro / Detoxification, lowering cholesterol, alfalfa, price 264 UAH.

Alfalfa PRO, 100 capsules / Alfalfa Pro / Detoxification, lowering cholesterol, alfalfa

Lucerne.
Wonderful tonic with zagalnozmіtsnyuyuyuyuyuyuyuyu power, vіdminny detoxicant. I have a healthy and functional activity in the intestinal tract. Nada pidtrimku of the heart-vascular system and thyroid gland.

Long ago, alfalfa was called “the progenitor of the whole world”. This year’s won’t be victorious as a tonic and zagalnozmіtsnyuyuchiy zasіb for the promotion of energy and usunennya vtom. Alfalfa is cinnamon for all systems of the body, including for the health of the heart-vascular system.

Dovgі root of the dewline allows alfalfa to absorb the most lively speech, which is very much in the ground, and the natomіst to saturate the soil with nitrogen. Alfalfa is rich in vitamins, herbal enzymes, minerals and microelements, which are required by the human organism.

Alfalfa with normalization of low-level cholesterol levels and lower lipoproteins (LDL, or LDL) in people with high levels of “filthy” cholesterol.

Alfalfa is highly rich in antioxidants, chlorophyll and carotene, and other cinnamon phytonutrients, zokrem, saponin. They call this growth a “green” hedgehog, with a healthy child. In the warehouse of lucerne there is a great number of vitamins A, B6, D, E, Shu Order with them in lucerne is rich in gold, calories and magnesium.

Alfalfa leaves are filled with cinnamon flavonoids, isoflavones, styrenes and coumarin. Previously, it was shown that isoflavoni can produce estrogen-like powers, in addition to being able to thwart a beneficial infusion on the woman’s endocrine system.

Traditionally, alfalfa was vikoristovuvala for the improvement of the health of the herb system, puffing out the pulp and letting go. Historically, they used alfalfa for the treatment of ailments in the intestinal tract, especially for the treatment of diseases. Alfalfa is rich in cinnamon sticks, which, as a rule, take revenge on the lack of food for the happy people.

Records, to take revenge in Lucerne, add energy to the cells, and by themselves, develop their life tone and assimilate the taste.

HARDENED:

1 capsule 3 times a day.

UVAGA!

If you are pregnant, if you are taking any medication, if you have any medical condition, consult your doctor before using Alfalfa. Stop taking Alfalfa and consult your doctor if you experience any adverse reactions.

Do not use Alfalfa with estrogen or birth control pills.

If you have diabetes and are taking Alfalfa, keep your blood sugar under control.

Store Alfalfa in a cool dry place.

Do not pick it up, if the packaging is loose, you see a leakage or leakage of a leakproof leak.

TRANSLATIONS:

• Є Dzherel living words for health and normal functions of the heart-vascular system
• Supplementing the balance of cholesterol in the normal range
• Good self-esteem, vitality and energy
• Cinnamon for the health of the female endocrine system
• Supplementing the neutralization of toxins in the intestines, and also accelerating the release

Russian Pharmacy in Egypt

How to get to the pharmacy in the Nabq area.

Nabq is a fairly remote from the center of Sharm El Sheikh. For the convenience of our customers and to shorten the travel time to the pharmacy, we have opened a pharmacy in the area.

You can get to us in several ways, and we will tell you about them in detail here.

The pharmacy is located on the Nabq bypass road, within walking distance from hotels:

• Palmyra Amar El Zaman Aqua Park: after leaving the hotel reception you need to turn right, then you will see the sign of the diving club “Easy divers” and, continuing straight ahead, after about 100 meters, you will see our pharmacy
• Charmillion Club Aqua Park: leaving the hotel reception, turn left and walk to the roundabout (next to the police checkpoint).At the roundabout, you choose the direction of travel so that your hotel remains on your left, the roundabout is behind, continuing straight ahead you will see the Palmyra Amar El Zaman Aqua Park hotel. Passing the reception of this hotel, then you will see the sign of the diving club “Easy divers” and, continuing straight ahead, after about 100 meters you will see our pharmacy.

Only from these two hotels can you walk quickly and find a pharmacy.

In order to get from other hotels in the Nabq area, you can use public transport:

• The route in the city is one Nabq-Hadaba.Blue minibuses run from Hadaba to Nabq. From the Nabq area, you take a minibus and reach the roundabout near the Charmillion Club Aqua Park hotel (police checkpoint landmark). After exiting the roundabout, you start driving straight past the Charmillion Club Aqua Park hotel (you must stay on your left) towards the Palmyra Amar El Zaman Aqua Park hotel. Passing the reception of this hotel, then you will see the sign of the diving club “Easy divers” and see off the traffic straight for about 100 meters.

You can see the route more clearly in this video:

It should be borne in mind that the public transport route runs mostly far from most hotels. Therefore, how to get to the nearest stop from your hotel, it is better to find out in advance at the hotel.

City taxi

In order to use the services of a city taxi (white and blue cars), in most cases, you also need to go to the main road and “catch” a taxi there.Taxis are not available near all hotels.
The taxi driver must be told that you want to go to the pharmacy near the Palmyra Amar El Zaman Aqua park hotel (you can show the photo from our video)

It is better to agree on the cost of the trip in advance. And it is worth taking into account the fact that in most city taxis there is a meter that counts according to the tariffs established by the state, which is convenient and beneficial for passengers. This detail should be checked with the driver before driving.

• Arriving at the pharmacy, you can agree with the driver that he would wait for you and take you back, but the waiting time, of course, will cost a certain amount.
• You can also use a taxi service at your hotel, but it is usually more expensive than a city taxi. But for hotels that are located far from the main road, it is more convenient.

You can also use our free transfer service from the hotel to the pharmacy and back – this is the most comfortable option and the journey does not take much time. We provide transfers to the pharmacy in the Nabq area from hotels located in the Nabq, Soho, Sharks Bay areas.To order a transfer, you need to contact our manager, who keeps a record, she will help you choose a more convenient time for you to visit the pharmacy.

Registration for the transfer is carried out in Viber at +201027899533.
You can learn more about the transfer service in this video:

You can choose any of the above methods of visiting our pharmacy.