take a test to check your risk for diabetes

I used to think with my  weight  I am at low risk for  DM2  and  was really surprised  after taking this test.
I suggest every one to take this test ,and modify their risk factors by  lifestyle modification

AAPI USA Cook book indian diabetic

Just  recently I was given this  link by my friend  Dr. Anjali Deshmukh of Sanjose CA USA.
please send this to everyone you know who can benefit from this . I am planning to try to translate this in to other indian languages  for my Blog  wish me best .

take care

http://aapiusa.org/resources/nutrition.aspx

Intel's Sean Maloney: The man who couldn't speak

 For  a supposed Hotshot in Intel i think this guy was really stupid not to have  a  regular  doctor  or  not to go to the  ER  of a well know hospital. going to and urgent care center and being seen by a new and strange doctor, who is just moonlighting is the worst thing you can do ..
My advise have a PCP(Primary Care Physician) who knows about your problems.

http://postcards.blogs.fortune.cnn.com/2011/09/09/intels-sean-maloney-the-man-who-couldnt-speak/
"
Maloney and George drove to a local urgent-care center. "Look, I'm having a stroke," Maloney told the doctor authoritatively. "You're not having a stroke," he recalls the doctor replying. The doctor attributed his symptoms to stress and diagnosed a migraine headache.
As the weekend progressed, Maloney felt helpless. He couldn't convince the doctor. He couldn't tell Margaret, for fear that another medical emergency would send her over the edge. Sunday afternoon he felt normal enough to run the Stanford Dish, a hilly loop near the university. He kept up with his son that day, but the 40-minute jog did him in.
Around 4 o'clock, Sean was home with an awful headache and feeling "really weird," he told George. "I went up and sat on my bed," he recalls, "and the stroke happened." He fell back. He saw George walk into the bedroom, and then Brigid, crying. He saw the ceiling, white and full of stars. "George laid me down on the floor," he recalls. "Then there was the ambulance. Then I don't know."

what can be done to fight Diabetes in India

diabetes is a chronic disease which affects millions of people all over the world
india is becoming a country with the maximum number of diabetic patients. one of the main reasons for this is the changing nature of the diet and decreasing physical activity among Indians.
by the end of this  decade the number of obese people in India will double and the number of diabetes cases triple.


what can be done to fight this?
we should make physical education compulsory in all schools.
we should discourage our children from eating junk food which is becoming increasingly popular among young.

Lisinopril Conversion to ACE-Is and ARBs

	Approximate to Lisinopril 5mg	Equivalent to Lisinopril 10mg	Approximate to Lisinopril 20mg	Approximate to Lisinopril 40mg	Approximate to Lisinopril 80mg
Captopril	--	25mg BID	50mg BID	100mg BID	200mg BID
Enalapril	5mg	10mg	20mg	40mg	--
Ramipril	1.25mg	2.5mg	5mg	10mg	20mg
Benazepril	5mg	10mg	20mg	40mg	80mg
Fosinopril**	--	10mg	20mg	40mg	80mg
Moexipril	3.75mg	7.5mg	15mg	30mg	60mg
Perindopril	2mg	4mg	8mg	16mg	--
Trandolapril	0.5mg	1mg	2mg	4mg	4mg BID
Quinapril	5mg	10mg	20mg	40 mg	80mg
Candesartan	4mg	8mg	8-16mg	--	--
Valsartan	40mg	80mg	160mg	--	--
Losartan	25mg	50mg	100mg	--	--
Irbesartan	75mg	150mg	300mg	--	--
Olmesartan	5mg	10mg	20mg	--	--
Telmisartan	--	20mg	40mg	--	--

Lisinopril Conversion to ACE-Is and ARBs

 

 

*Approximate dosing was based off of ratios from known equivalent lisinopril doses

**If cough with lisinopril, Fosinopril (cough 2%-10%) may be used before switching to ARB

 

 

 

 

 

 

Kathryn Ley, our last pharmacy student, put this chart together.  Hopefully, it can serve as a good starting point. 

 

References:

Angiotensin converting enzyme (ACE) inhibitor antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Angiotensin receptor blocker (ARB) antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Diovan [package insert]. East Hanover, NJ: Novartis Pharmaceuticals Corp; 2011.

Lexi-Comp Online, Lexi-Drugs Online, Hudson, Ohio: Lexi-Comp, Inc.; 2011; September 12, 2011.

Lisinopril Conversion to ACE-Is and ARBs

	Approximate to Lisinopril 5mg	Equivalent to Lisinopril 10mg	Approximate to Lisinopril 20mg	Approximate to Lisinopril 40mg	Approximate to Lisinopril 80mg
Captopril	--	25mg BID	50mg BID	100mg BID	200mg BID
Enalapril	5mg	10mg	20mg	40mg	--
Ramipril	1.25mg	2.5mg	5mg	10mg	20mg
Benazepril	5mg	10mg	20mg	40mg	80mg
Fosinopril**	--	10mg	20mg	40mg	80mg
Moexipril	3.75mg	7.5mg	15mg	30mg	60mg
Perindopril	2mg	4mg	8mg	16mg	--
Trandolapril	0.5mg	1mg	2mg	4mg	4mg BID
Quinapril	5mg	10mg	20mg	40 mg	80mg
Candesartan	4mg	8mg	8-16mg	--	--
Valsartan	40mg	80mg	160mg	--	--
Losartan	25mg	50mg	100mg	--	--
Irbesartan	75mg	150mg	300mg	--	--
Olmesartan	5mg	10mg	20mg	--	--
Telmisartan	--	20mg	40mg	--	--

Lisinopril Conversion to ACE-Is and ARBs

 

 

*Approximate dosing was based off of ratios from known equivalent lisinopril doses

**If cough with lisinopril, Fosinopril (cough 2%-10%) may be used before switching to ARB

 

 

 

 

 

 

Kathryn Ley, our last pharmacy student, put this chart together.  Hopefully, it can serve as a good starting point. 

 

References:

Angiotensin converting enzyme (ACE) inhibitor antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Angiotensin receptor blocker (ARB) antihypertensive dose comparison. Pharmacist's Letter/Prescriber's Letter 2009;25(8):250801.

Diovan [package insert]. East Hanover, NJ: Novartis Pharmaceuticals Corp; 2011.

Lexi-Comp Online, Lexi-Drugs Online, Hudson, Ohio: Lexi-Comp, Inc.; 2011; September 12, 2011.