Position of CR CMO (NFSG) on 06 02 09

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Estimated Average Glucose (eAG)

Estimated Average Glucose (eAG), a new way to understand how you're managing your diabetes

eAG is directly related to A1C, but uses the same values and units that you observe when you check your blood glucose with a meter or receive a fasting glucose value on a lab report.

An A1C of 7% — the goal for most people with diabetes—is the equivalent of an eAG of 154 mg/dl.

Though eAG and A1C represent the same thing—the average level of glucose in the body over time—for many patients, it may be helpful to begin thinking about their diabetes control in terms of eAG. First, it's simple: with eAG you use the same units you're familiar with from self-monitoring. Second, understanding the relationship between eAG and the values you get in self-monitoring may help you understand how your daily blood glucose checks relate to your long-term control.

Using eAG may help facilitate a better understanding of actual daily control – helping you and your health care provider to make necessary changes to your diet and physical activity to improve overall diabetes management.

A1C to eAG Conversion Chart

This table shows the relationship between A1C and estimated average glucose.

A1C %	eAG mg/dl
6	126
6.5	140
7	154
7.5	169
8	183
8.5	197
9	212
9.5	226
10	240

The relationship between A1C and eAG is described by the formula 28.7 X A1C – 46.7 = eAG.

Dr Marwah

Pay commission and Doctors

The Cabinet has approved promotions under the Dynamic Assured Career Progression Scheme up to Senior Administrative Grade for doctors with 20 years of service.

Counting of Dearness Allowance on Non-Practising Allowance as on January 1, 2006 for fixing their pay in revised pay bands has also been approved.

Dr Marwah

Social & Health related message in the prescription

Social & Health related message in the prescription

CGHS has been computerized & prescriptions are generated on line. Social & health message could be inserted in the prescription as header & footer . This could be done very easily. NIC could easily do it with a table of above messages.

By default one message should always be present on the prescription. CMO I/c may have the choice to select / change the message.

Dr Marwah

Points regarding Cardio or Aerobic exercises ?

Points regarding Cardio or Aerobic exercises ?

Cardiovascular (cardio) exercise refers to exercise that strengthens the cardiovascular system. Aerobic just means in the presence of oxygen, and aerobic exercise refers to exercise that lasts long enough to require oxygen. The same type of exercise satisfies both of these qualifications, and the terms cardio and aerobic exercise are used interchangeably. Aerobic/cardio exercise uses large muscles, usually the legs, in a rhythmic fashion. Examples are running, walking, bicycling, swimming, cross-country skiing, rowing, skating, and machines such as stair steppers and elliptical trainers.

Warming Up

The best way to warm up for aerobic exercise is to start out doing the same exercise you are going to use for the workout at an easy pace for a few minutes. Then launch into a regular intensity workout. For example, if you're going out for a run, start with easy jogging, or even walking, depending on your fitness level. You may need a longer warm up in the morning or in cold weather.

Importance of Cooling Down

After vigorous aerobic exercise it is important to take 10 minutes or so to cool down gradually. Do not stop abruptly. For example, after a long run or jog, walk around and keep moving, rather than just stopping.

Cooling down properly (moving around) redistributes the blood that may have pooled in the extremities when you end your workout, and it prevents muscle stiffness because it allows the metabolic wastes to be worked out of your muscles.

Breathe Through Your Mouth

To improve your aerobic conditioning, you should work hard enough that you just naturally start breathing through your mouth to get enough oxygen. It is sometimes recommended to breathe only through your nose to minimize effects of air pollution, but this limits the intensity of your workout. Avoid pollution by working out early or indoors, if necessary.

Basic Fitness Routine

If you want to get a decent aerobic workout routine going, do aerobic exercise at least three times a week. During your aerobic workouts, try to keep your heart rate between 60-80 percent of maximum for at least twenty minutes. This will improve your cardiovascular fitness.

Sleep Benefits

Sleep duration and patterns can affect sports training and performance. Most people need 7 or 8 hours of sleep, and your body functions at its best when you have regular sleep patterns, generally sleeping at about the same time every night. So if your workouts, practices, or competitions aren´t going well, consider whether you´re getting enough sleep.

Jumping Rope

Jumping rope can be a good aerobic exercise. For most people it´s pretty vigorous, so intervals may be the best way to go. Warm up with some brisk walking, then jump for two minutes, rest a minute or so, jump two, etc. If you can go longer, do it. Add half a minute to your jumping and/or shorten your rest periods if you want to improve your jumping time and make this one of your main exercises. Make sure to choose a surface that isn't too hard. Like other cardio exercises, work at a pace where you´re breathing a little hard but can still talk.

Talk Test

If you don´t want to take your pulse all the time during aerobic exercise, apply the talk test to see if you´re in your training heart rate range. You should be breathing heavier than normal, but still be able to carry on a conversation. Don't push yourself, though--you want to be able to talk but not sing.

Stair Running

Running up stairs is a time-honored way to improve aerobic conditioning. Take them 2 at a time if you're athletic and consider them to be part of your interval training. Even if you're new to exercise, you can benefit from walking up stairs whenever you get a chance. The calories burned will add up, and your conditioning will improve. If you have trouble finding time to exercise, take 10 minutes once or twice a day and walk up and down stairs at work (or before or after). Hold on to the rail if you need to.

Improving Fitness

People who have higher cardiorespiratory fitness have fewer cardiovascular risk factors than people who are less fit, even if the less fit are equally or more active. This means you should improve your cardio (aerobic) fitness by challenging yourself instead of always doing the same workout. Move up a level on your bike or stair stepper, or try interval training: work hard for 2 or 3 minutes, then recover slowly for the same time. On the track, run a lap briskly followed by a slow lap. Do 4-8 intervals after a warm up once or twice a week instead of your regular workout, as a change of pace.

Dr Marwah

THINGS TO KNOW ABOUT BLOOD DONATIONS

WORLD BLOOD DONOR DAY 14 JUNE

THINGS TO KNOW ABOUT BLOOD DONATIONS

• 90% of individuals that are eligible to donate blood are not currently doing so.

• Blood donations have a short shelf-life, so regular donors are essential to secure a constant supply.

• Due to a shortage of blood and ageing populations, the age limits for blood donation acceptability are becoming increasingly flexible: the standard age limits for blood donation are 18 to 65 years of age, but in some European countries this has been lowered to 17 and increased to 70. In some places outside Europe, the lower and higher limits go from 15 with parental consent, to over 70 years of age.

• Regular blood donors are individuals donating at least twice a year, on a regular basis. They are demonstrated to be the source of safest blood donations. They have regular health checks on the occasion of each donation, and a healthy life style.

• The prevalence of markers for blood borne infections in blood donations can vary from 0.001 to 7.5 %, related to the category of blood donors. Blood which is found to be infected, for example with Hepatitis B, C or HIV, is disposed of and not used for transfusions.

• One donated unit of whole blood can save up to 3 lives, through separation and use of its components.

• Giving blood regularly may itself be good for you. It has been ascribed potential health benefits in coronary artery disease and oxygen-free radical chemistry. Regular blood donation is a life saving treatment for hereditary haemocromatosis and polycitemia vera.

• The world record in blood donation is held by Maurice Wood in the United States of America, who in 2004 gave his 300th unit of blood.

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Dr Marwah

Central Government Health Scheme — Sheet anchor of staff morale

Central Government Health Scheme — Sheet anchor of staff morale Where welfare measures and commitment to social responsibility are concerned, the Government scores over every private agency. This is vital in building up staff morale and motivation. There will be a perceptible fall in both if serving personnel are forced to wrestle with the vagaries

The Ministry of Health and Family Welfare has initiated a review of the working of the scheme with the help of a commendably comprehensive and eye-opening appraisal of its working by A. F. Ferguson & Co.

Read the views of one of the beneficiary in the newspaper. The link to that is given below.

http://www.thehindubusinessline.com/2008/04/09/stories/2008040950050800.htm

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Dr Marwah