Dr. Kanika Sylonia

Afrezza - the only inhaled insulin for diabetes.

Afrezza® is an inhaled human insulin indicated to help improve glycemic control in adults with diabetes mellitus.

 

Afrezza is a rapid-acting, inhaled insulin used to control high blood sugar in adults with type 1 and type 2 diabetes. The product consists of a dry formulation of human insulin delivered from a small and portable inhaler. 

Administered at the beginning of a meal, afrezza dissolves rapidly upon inhalation to the lung and delivers insulin quickly to the bloodstream. Peak insulin levels are achieved within 12–15 minutes of administration. Afrezza is available in 4-unit and 8-unit single dose cartridges of insulin powder that can be used, as prescribed by a health care professional, in combination with other diabetes medications to achieve target blood sugar levels. For afrezza doses exceeding 8 units, patients may use a combination of 4 unit and 8 unit cartridges. Other sizes of cartridges are being considered. The disposable inhaler can be used for up to 15 days, should be kept in a clean, dry place with the mouthpiece cover on and may be wiped with a clean, dry cloth if needed.

Limitations of use

Do not use afrezza as a substitute for long-acting insulin; 

Afrezza must be used in combination with long-acting insulin in patients with type 1 diabetes.

Do not use afrezza to treat diabetic ketoacidosis. Afrezza is not recommended in patients who smoke or who have recently stopped smoking.

Important safety information for afrezza

Warning: risk of acute bronchospasm in patients with chronic lung disease

 

Acute bronchospasm has been observed in patients with asthma and COPD using afrezza. Afrezza is contraindicated in patients with chronic lung disease such as asthma or copd. Before initiating afrezza, perform a detailed medical history, physical examination, and spirometry (FEV1) to identify potential lung disease in all patients.

Do not use afrezza if you have problems with your lungs, such as asthma or COPD. Do not use afrezza during a low blood sugar reaction (hypoglycemia). If you are allergic to any of the ingredients in afrezza, do not use afrezza as this may cause a significant and severe allergic reaction. 

 

Resources:-

Afrezza patient starter kit

Yummy tehri reinvented

Let's make a conventional tehri in our own style. Let's see how we promote the weight loss after eating healthy and nutritious food.
2nd recipe direct from my kitchen just for you.

Tehri (conventional way)
Ingredients
Rice 1 1⁄2 cup (24 tbs), soaked in water for 30 minutes, drained
Water 3 cup (48 tbs)
Vegetable oil 3 tablespoon
Turmeric powder 1 teaspoon
Salt 1 teaspoon
Whole spices:
Cumin seeds 1 teaspoon
Peppercorns 1⁄2 teaspoon
Star anise 3
Cloves 6
Cinnamon stick 1
Vegetables:
Carrot 1, cut up
Green peas 1⁄4 cup (4 tbs)
Cabbage /cauliflower 1⁄2 cup
Onion 1, thinly sliced

Directions
Making
1. In a pressure cooker, heat oil, add in the whole spices, cook for 30 seconds. Add onion and saute until the onions turn translucent.
2. Add the other vegetables and rice, stir and cook for 3 to 4 minutes. Pour in water, add salt and turmeric, close the lid and cook for about 5 minutes.
Serving (ideal for two serve).

Total fat 44 g 60%
Saturated fat 6 g
Sodium 2027.5 mg 84.5%
Total carbohydrates 264 g 87.9%
Dietary fiber 14.7 g 58.9%
Sugars 12.2 g
Protein 28 g 56.6%
Vitamin a 212.2% vitamin c 52.5%
Calcium 28.1% iron 59.2%

Who does not like the yummy tasty' tehri. Now lets make it our way. Very healthy, yummy and low calorie. My own version of my favorite tehri right from my own kitchen.

We will use the same ingredient in most healthy and low calorie style, and then check the calorie count of our tehri.
Same ingredients just minus the oil and lessen the carbohydrate of the rice.
1. Boil one cup rice rice, when they are cooked and then drain the excess water. So our simple rice is ready.
2. Take a kadai, it should be heated t the maximum flame, then add onion, tomato, garlic and cook them with no oil. Add in the whole spices with salt, cook for 30 seconds and saute until the onions turn translucent after that add peas, other vegetables like carrot, cauliflower, broccoli.
3. Cook till the vegetables becomes soft, then add the turmeric powder, dhaniya powder, lal mirch and cook for 1 min.
4. After that add little water in the mix and add rice. Cook for 5-7 min and your yummy healthy recipe is ready. Now lets check its nutrific and calorie value.

So now lets check what is the diffrence between boiled and steamed rice.
Boiling means straining the excess water (starch) when the rice becomes soft. Steamed rice refer to the rice which is pressure cooked.
So the difference in calories if we take 100 gram steamed rice the calorie is 150 kcal and in cooked 100 grams boiled rice the calorie is 100 kcal. And the carbohydrate content is also very less in boiled rice. Brown rice can be a more healthier option if you like the taste of brown rice.

Lets see the calorie counts of our tehri.
We have used only one cup rice and taken out the excess starch. Secondly try to use as much vegetables in the rice. Vegetable increases the nutritive value but decreases the calories. We have reduced the calories count by 900 kcal. There is no diffrence in taste but we have added more of vegetables. So your minerals, vitamins and antioxidantteh content is more. What more you can ask for?

Calories 800 kcal (for two servings)
Total fat 2 g
Sodium 2027.5 mg
Total carbohydrates 175 g
Dietary fiber 20 g
Protein 28 g
Vitamin a 212 vitamin c 5
Calcium 28.1% iron 59.2%

5 bizarre sex accidents that have happened to real people

These sex accidents have actually happened to real people.

Sex is supposed to be fun, exciting and even relaxing, but sometimes, things might not go as planned.

Things can go wrong when people try to experiment or take risks without being sensible about it. Below are 5 sex accidents that have actually happened to real people.

Vaginal cuts - Small tears or cuts in the vagina are the most common sex accident and it is the direct result of rough sex, without proper lubrication.

Broken penis - Although there aren't actually any bones in the penis, it can still be broken. The condition is known as penile fracture and it occurs when the erect penis sustains the extreme force. A cracking or popping sound, immediate loss of erection, swelling, bruising and deep pain are the most common symptoms of a penile fracture. As embarrassing as it might be for some men, the solution is to rush to the hospital, waiting can result in deep scarring that can alter the shape of the penis and is much harder to treat.

Wrong lubricant - There is only one thing that should ever be used as lubricant during sex - that is a lubricant. Using other substances such as Vaseline, baby oil, cooking oil or toothpaste can result in serious rushes, genital infection for both partners and even poisoning. Check the labels of over-the-counter lubricant as you should also avoid ingredients

Blocked rectum - Far from being an urban myth, this is a highly common and equally embarrassing sex accident. During sexual experimentation, people have inserted all sorts of objects, including candles in their rectum. Depending on the softness of the object, it might be possible for doctors to remove it without causing too much damage. But in extreme cases, it can cause rupture of the anus area.

Blocked vagina - Another point of entry for sexual creativity and experimentation is the vagina. Cell phones, cans, and bottles have been recovered from women's vaginas in various hospitals around the globe.

Role of Homeopathy in Treating Digestive Problems

Digestive system is an intricate part of your body, spanning from the mouth to the anus. It plays a very important role in helping your body absorb essential nutrients as well as get rid of the waste that forms after digestion. Like every system in the body, it also gets plagued by health problems such as constipation, diarrhea, acid reflux or hemorrhoids.

How can homeopathy help in treating problems concerning your body's digestive system?

Homeopathy uses a single remedy to treat a condition irrespective of the number of organs or systems involved. It is an effective, safe and gentle treatment for curing digestion problems without any side effects. This is because the homeopathic medicines are derived from minerals, herbs or animal products. The ingredients are crushed and dissolved, shaken well and diluted till none of the original product exists anymore. The more diluted the substance is, the more its healing properties are believed to be.

Various digestive disorders like indigestion, stomach ache, gas ulcers, constipation, diarrhea, irritable bowel syndrome and heartburn can be treated with homeopathy. The remedies that homeopathy make use of help the body to correct its imbalance without causing any side effects.

Homeopathic remedies go to the underlying cause of the problem. When an individual experiences a stomach ache the body signals that something is not right within his or her body. Painkillers can help in controlling the pain for a short amount of time but it cannot treat the underlying imbalance.

A homeopath carefully selects a remedy for the digestive disorder keeping in mind the patient's emotional and physical factors along with his or her eating habits and lifestyle.

For instance: 'Nux Vomica' would be a good Homeopathic remedy for stomach problems when you feel heartburn that occurs after having coffee, spicy food or alcohol; however 'Pulsatilla' acts better for dealing with the gastric problems due to consumption of fatty food like pastries, or fried foods.

If you would like to consult with me privately, please click on 'Consult'.

Related Tip: How Does Homeopathy Cure Sinusitis?