The-Globe-August-2011

AUGUST/SEPTEMBER

2011

ISSUE 27

FIRST LADY VOWS TO TACKLE CHILDHOOD OBESITY

Last year President Barack Obama created the fi rst-ever Task Force on Childhood Obesity by signing a Presidential Memorandum. Nearly 1 in 3 children in the USA are overweight, and the problem is even

more serious in African-American and Hispanic US communities, where nearly 40% are obese. If this trend continues, one third of all children born in 2000 or later will suffer from diabetes. They will also be vulnerable to other obesity-related health problems like heart disease, high blood pressure, cancer, and asthma.Eating habits and inadequate levels of physical activity are to blame for the obesity epidemic. Americans in 2011 are eating 31% more calories than they did in 1971. They are consuming fi fteen more

pounds of sugar a year, 56% more fats and oils and 14% more sugars and sweeteners.

Teenagers spend an average of 7.5 hours a day using TV, computers, video games, cell phones and fi lms,

and only one-third of high school students get the recommended levels of physical activity.

Mrs Obama’s campaign focuses on providing healthier food in schools, making sure families can afford healthy food, giving parents vital information about healthy living, and encouraging children to become more physically active.

The First Lady says she is trying to “change the way a generation of kids thinks about food and nutrition”.

MICHELLE OBAMA IS CONTINUING HER LET’S MOVE! CAMPAIGN TO END CHILDHOOD OBESITY IN THE USA WITHIN A GENERATION.

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BUSINESS BIG SHOT: RAVI GILL

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A research specialist has created an artifi cial pancreas that could revolutionise the treatment of diabetes and put a stop to daily injections.Professor Joan Taylor from De Montfort University at Leicester in the UK is developing a device that would be implanted into the body between the lowest rib and the hip and would be topped up with insulin every few weeks.Glucose levels are normally controlled by the hormone insulin that is released by the pancreas when required.The artifi cial pancreas is undergoing pre-clinical trials and is made of a metal casing containing a supply of insulin that is kept in place by a gel barrier invented and patented by Professor Taylor.When glucose levels in the body rise, the gel barrier starts to liquefy and lets insulin out. The insulin feeds into the veins around the gut and then into the vein to the liver,

mimicking the normal process for a person with a healthy pancreas.As the insulin lowers the glucose level in the body, the gel reacts by hardening again and stopping the supply.This means the right amount of insulin is released automatically every time the body needs it, putting an end to daily injections and the guesswork often involved for diabetics when trying to control blood glucose levels that can lead to health problems such as heart disease, kidney disease, strokes and blindness.If successful, the device would be a simple and low-cost solution to the problem facing all diabetics. DMU Vice-Chancellor Professor Dominic Shellard said: “Research plays an incredibly important role at DMU as it brings huge benefi ts to society, whether it is building the world’s fi rst artifi cial pancreas or constructing revolutionary satellite navigation systems.”

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PM’S DIABETES PLEDGE

Vice Chancellor of De Montfort University Prof Dominic Shellard and Prof Joan Taylor with the artifi cial pancreas

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Extreme diet could cure type 2 diabetes

NHS FACES DIABETES TIME BOMB

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THE FIRST LADY SAYS SHE IS TRYING TO “CHANGE THE WAY A GENERATION OF KIDS THINKS ABOUT FOOD AND NUTRITION”.

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Dr Mandeep Singh Bindra is getting used to the limelight as the face of the Health Show on Sangat TV – a Birmingham based TV channel broadcasting on Sky Channel 847.The hour long show is aimed at bringing health education, awareness and advice to the south east Asian and Punjabi community and so far has included programmes on diabetes, obesity and mental health.The programme, which screens on a Tuesday evening, is the brainchild of Dr Bindra who for many years has recognised a need in the south east Asian and Punjabi community for accessible health education.So when he heard about Sangat TV he approached them with his idea and after a presenting a pilot show, producers were so impressed with Dr Bindra’s skills that they asked him to continue to present the show regularly.He said: “In the Punjabi and south east Asian community there is a real need to address health issues in an accessible way.“There are issues with accessing health care, for example many women do not realise they can have breast screening, they don’t know how to self examine, so by the time they present, the cancer can be quite advanced.“There are also some issues such as depression and women’s health which are not spoken about openly, and some are even seen as taboo.

“It is important that we address these topics and help tackle them in a way that can be accessed and understood by all.”Although presenting the show has been very enjoyable, Punjabi speaker Dr Bindra has no plans to give up his day job as an eye surgeon at City Hospital’s Birmingham and Midland Eye Centre.He said: “It’s been really good fun – it can get very stressful at work so being in the studio has been a chance to do something really different. “It has benefi ted me too. Because I research the topics and co-ordinate the guest experts, I’ve learnt lots about areas outside my specialty, and have got to know doctors and health care professionals such as counsellors, GPs and other surgeons, whom I wouldn’t normally deal with.“I’ve also learnt to describe medical problems in simple language that all can understand, and although I knew medical terms in Punjabi for my own specialty I am now learning a whole new terminology in Punjabi for other areas of medicine too.”Dr Bindra is also getting used to his new found fame.“I’ve already been recognised in the community with people saying that after watching the show they have made positive changes in their lives and for their health.”

02

ALL eyes are on a City Hospital eye surgeon who is the presenter and co-producer of a new health show watched by thousands of people across Europe.

London Eye...by Sanjana Anand

PEOPLE

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DOC’S A TV ‘EYELIGHT’Ustad Rahat Fateh

Ali KhanUstad Rahat Fateh Ali Khan performed at Leicester’s De Montfort Hall playing Qawwalis immortalised by his uncle Ustad Nusrat Fateh Ali Khan such as Dum Mast Kalandar and Akhiyan Udeek Diyaan as well as recreating his own Bollywood hits such as Dil To Bacha Hai Ji and Tere Mast Mast Do Nain.

Adrian Sanders MPAdrian Sanders MP has been reelected as Chairman of the Diabetes All Party Parliamentary Group. The group raises in Parliament the profi le of diabetes and its prevention; monitor new initiatives and work to ensure a better deal for people with diabetes.

Moni VarmaPress reports indicate that Moni Varma the Veetee Rice tycoon is planning to expand his rice empire with a take-over of Sharwoods, owned by Premier Foods. Veetee Rice has developed as one of the UK’s largest volume suppliers of rice to the UK grocery trade.

Nina Wadia, the Eastenders star, was one of the judges at the annual Lyca Tiffi n Cup in the Houses of Parliament. She joined top Chefs in sampling food from South Asian restaurants put forward by MPs across the country to fi nd the winner. St Leonard’s based Taj Mahal nominated by Amber Rudd MP was named the top restaurant - beating off competition from 61 others restaurants.

Nina Wadia

MAITS is an international charity which gives support to

organisations providing services to people with special needs or

disabilities in resource poor countries. We work with a network of

highly trained professionals and help link them to organisations

abroad that require specialist external support. Professionals

currently volunteering with us include Speech and Language

Therapists, Occupational Therapists, Physiotherapists, Teachers,

Art and Music Therapists and Nurses, however, we are keen to

support all professionals working in this field.

MAITS offers a unique and valuable opportunity for you to visit a

developing country and provide specific professional training and

support to an organisation that has limited access to up-to-date

practices and research.

Please visit our website: www.maits.org.uk or contact us on

[email protected]. uk / +442074919003

for more information.

Madhu’s 30th Anniversary

In collaboration with Jaguar, Johnnie Walker Black Label and Star TV, Madhu’s celebrated its thirtieth anniversary in style at London’s Westminster Bridge Hotel.Guests digested inspirational speeches and exquisite Asian food, interspersed with breath taking dance performances by the world famous traditional Indian dance group K-Sparz. The glamorous event paid homage to long standing clients, partners and associations who loved every moment of indulgence. Guests were joined by a host of industry icons, celebrities including Nitin Ganatra and Preeya Kalidas. A scrumptious four course meal was served by a team that was catering to

every need so guests could celebrate in pure opulence. Not forgetting live entertainment by Still Drifting featuring Ray Lewis who performed a selection of upbeat dance numbers that had guests swaying in no time. The glittering presentation was hosted by Kate Silverton, popular BBC broadcast journalist who added even more spice to the occasion. The gold candlelit Ballroom was lavishly decorated with crystal centre pieces, giving the room an extraordinary ambience whilst Bollywood singer Abhijeet Bhattacharya rocked the night away with a to voice like no other. He sang a medley of hits including Main Koi Aisa Geet from Yes Boss and title song Main Hoon Na.

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Jagjit Singh Concert World renowned ghazal king Jagjit Singh wowed fans live in concert at Hammersmith Apollo for his UK tour; he celebrated his 70th birthday with fans sharing a fresh fruit cream cake. The crowd sang happy birthday in true tradition whilst he cut his cake in excitement. He was accompanied by a very talented set of musicians from Mumbai that enabled him to engross the audience and take them on a thrilling ride of musical adventure in his concert entitled ‘‘Voice of Emotions’’. His love song ‘Tum ko Dekha To’ from Saath Saath was pure and uplifting. It captivated the ghazal lovers and took them to a world full of bliss and harmony. Ghazal king celebrated his 70th Birthday with 70 concerts worldwide. Incidentally this year also marked his fi ve decades of singing. The heart warming ‘Voice of Emotions’ tour was a true treat for both the connoisseurs and the masses. Today he is a living legend of ghazals, his magic has appealed to the innermost feelings of millions of hearts.

Jagjit Singh

talented set of musicians from Mumbai

captivated the ghazal lovers and took them to a world full of bliss

70th Birthday with 70 concerts

decades of singing. The heart warming ‘Voice of Emotions’

innermost feelings of millions

Did you know?Blackberries have the highest concentration of

antioxidants of any food.

Ustad Rahat Fateh

The report says 800,000 Type 1 and Type 2 patients have elevated blood sugar levels which could lead to kidney failure, limb amputation and stroke.It warned that many of the patients were young or middle aged and could require “substantial hospital care in a matter of years”.Diabetes UK said the fi ndings highlighted the need for urgent action.All forms of diabetes result in raised blood sugar levels. If this is not controlled then it can cause serious damage.The NHS Information Centre report confi rmed that the number of cases of diabetes, especially Type 2, is increasing - particularly in deprived communities.When it came to controlling blood sugar levels, around a third of more than 2 million patients had raised levels that placed them at risk of developing complications.This was a greater problem for the under 55s.Nearly 300,000 people were at “high risk” and 144,000 were at “dangerously high risk” in that age category.

POOR CAREThe report also found nearly half of patients were not getting the appropriate checks.The National Institute for Health and Clinical Excellence recommends patients with diabetes receive nine checks annually including: blood sugar levels, whether they are smoking, and an assessment of damage to the eyes or feet due to diabetes.The study showed that 53% of patients with Type 2 diabetes and 32% with Type 1 received all nine tests.Audit lead clinician, Dr Bob Young, consultant diabetologist and clinical lead for the National Diabetes Information Service, said: “These results ring alarm bells.“They show that younger people make up a quarter of all those with diabetes yet have the highest risks of potentially preventable complications.“If these risks could be reduced, much future disability and shortened life expectancy could be prevented.”

Dr Rowan Hillson, National Clinical Director for Diabetes, said: “I am very concerned that the National Diabetes Audit shows that we still have a long way to go in delivering basic standards of diabetes care for everyone.“In particular, young and middle-aged people with diabetes are not getting the regular checks they need to manage their condition and improve outcomes.“These checks are vital to reduce serious but avoidable complications. All health care professionals should follow NICE’s clear recommendations. There is no excuse for not doing the basics well.”Barbara Young, Chief Executive at Diabetes UK, said: “This highlights the need for urgent action to ensure that people with diabetes start to receive all the basic care processes otherwise there will be more amputations, more people going blind, and more cases of kidney failure, heart disease and stroke.”

03

NHS FACES ‘DIABETES TIME BOMB’

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BUSINESS BIG SHOT: RAVI GILLIn the present world, Business Education is a necessity to facilitate progress, be it fi nancial or governmental.As a result of recent Government intervention, Universities have had to increase their fees for students and it now appears that over 70% of these institutions will be charging the proposed £9,000pa.The management of LCA Business School is fully cognisant of the tremendous hardship this will prove for the average student. LCA Business School is at the forefront of Financial Studies in the private sector and this has resulted in 2 Queen’s Awards for Enterprise, the fi rst in 2006 and the recent in 2010. It is the fi rst primarily Accountancy college to be given these honours. The main reason for these achievements is the foresight of its Chairman, Ravi Gill, who wished to give back to society some of which he was fortunate enough to be given. He has recruited staffs, both academic and support, who have demonstrated their care for the success of LCA students.Having fi rmly established its professional routes, the college started exploring academic studies both undergraduate and postgraduate. It has established a fi rm foundation with Anglia Ruskin University resulting in a great measure of success for its students.

Even before the present Government proposals, LCA was charging the same reasonable fees for both Home and Overseas students. In its present expansion, it is cooperating with University of Wales as well. It has secured state of the art premises in the City at 19 Charterhouse Street, EC1N 6RA and it continues to promulgate academic excellence coupled with student integrity.In particular, Home students who will fi nd the increase in fees as an impediment to their studies will now be able to study and work. The proposed programmes all taken into account the student’s necessity for earning. Students will attend college for 2 days per week and have the rest of the week free not only to earn fi nancially, but also to produce work of high academic standards. Employers, who will assist students by giving time off for their employees to attend college, will approve the proposed programme for their work will be interrupted on only 2 days per week. This will enable the student employee to put into practice academic theories encountered in their studies.

In order to be of further assistance to its students, LCA’s programmes will allow home students to work part time to pay their fees, for the college will draw up individual payment plans as agreed with its students, and at the end of their studies the student will have nil indebtedness.LCA has already embarked on a programme to draw potential students’ attention that their dream of an academic qualifi cation can become a reality. It is at the forefront of demolishing any ideas that academia is only available for those of fi nancial means.For our home students, LCA stands by its mission statement “work, earn and learn”. It is also synonymous with value for money and has always believed that through hard work, academic attainment can be ecstatic.

“WORK, EARN AND LEARN”

The health service could face a “diabetes time bomb” according to an audit of patients in England and Wales.

PM’S DIABETES PLEDGEDiabetes UK’s Diabetes Week campaign ‘Let’s talk diabetes’ – aimed at encouraging people with diabetes to talk about their condition – was mentioned during Wednesday’s Prime Minister Questions (PMQs) in the House of Commons.

Adrian Sanders, MP for Torbay, asked Prime Minister David Cameron: “This week is national Diabetes Week and the theme this year is ‘Let’s Talk Diabetes’ - to encourage people with the condition to speak out and not feel stigmatised or worried about being discriminated against or joked against in school, or in the workplace. Would the Prime Minister please support this campaign?”

Prime Minister David Cameron replied: “I will certainly support this campaign. I think my honourable friend makes

an extremely good point which is that many people with diabetes fi nd it an embarrassing illness and something they don’t want to talk about, and yet it’s affecting more and more people. I think we have to fi nd a way of encouraging more people to come forward and say there’s nothing abnormal or wrong about this.

“We just need to help people manage their diabetes, particularly because we want to see them have control over their healthcare and spend less time in hospitals if at all possible.

“So I fully support the campaign and I think we’ve got to look at the long-term costs of people getting diabetes and recognise there’s a big public health agenda, particularly about exercise and other things, that we need to get a hold of.”

NEW ONLINE APPLICATION FORMFOR A VISA TO INDIA

Princess Anne with Ravi Gill

SILVER STAR INDIA

ON THE MOVE

Saturday 12th March 2011, Kohinoor Radio, Leicester

BESTWAY CASH & CARRY HACKNEYStaff and customers at Bestway Cash and Carry Hackney joined Silver Star to take the diabetes test. Everyone was relieved to fi nd that their blood sugar level was normal, and interested to hear what they can do to take care of their health and reduce their chances of developing diabetes.

100 YEARS OF HALL LEYS PARK - MATLOCKSilver Star went to Matlock to meet with Matlock Lions Club and help celebrate 100 years of Hall Leys Park. The friendly and inquisitive locals were happy to get a normal blood sugar result, learn about diabetes, and ways to improve their health. The Silver Star team is looking forward to visiting the beautiful town again.

SILVER STAR UK

ON THE MOVE

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We were tested

I think it is worthwhile piece of mind. It made my holiday even better.

QuestionHow many diabetes prevention units had been visited by the Secretary of State for Health since 12 May 2010?

AnswerThe Department is committed to the prevention of Type 2 diabetes. The NHS Health Check programme was specifically designed to help people between the ages of 40-74 to reduce their risk of diabetes, as well as heart disease, stroke and kidney diseases. The Secretary of State visited a health fair in Birmingham last year where he experienced an innovative approach to the delivery of this programme.Healthy Lives, Healthy People, sets out the Government’s strategy for improving public health and reducing the risk factors associated with developing conditions such as Type 2 diabetes. Lifestyle behaviours such as smoking, the harmful use of alcohol, drug misuse, poor diet and nutrition, being overweight and physical inactivity are acknowledged risk factors for a number of chronic diseases and conditions including Type 2 Diabetes.

QuestionWhat estimate had been made of the number of people In England and in Leicester who are using blood glucose testing strips to monitor their diabetes condition?

AnswerThe following statistics show the number of prescription items (blood glucose testing strips) dispensed in the community in England and the Leicester City Primary Care Trust, which is the PCT closest to the Leicester East constituency.

PARLIAMENTARY QUESTIONSPARLIAMENTARY

Diane from Newton Abbot

A selection of recent Parliamentary Questions asked to the Minister of Health in the House of Commons.

It is really a pleasing experience for all my staff and customers. Everybody is really happy to fi nd that they have been visited by the Silver Star. Thanks a lot.

Aqib from Dagenham

That was very good. It’s something that everyone should do. We are happy that the Mobile Diabetes Unit came to Matlock today

Ann and Stuart from Ripley

I think It was really easy, painless and only took a few seconds

The testing of the Silver Star Mobile Diabetes Unit is really a worthwhile experience. It reminds us to be more aware of our health. Thank you Silver Star for visiting us

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Craig from Leicester

NESTLE INDIA - GOAIn April this year Silver Star and Nestle India (a subsidiary of Nestle S.A of Switzerland) held a camp where 160 employees were tested for diabetes. Nestle is one of the largest companies in India, employing over 1000 people with a net profi t of 2557.1 rupees.The Factory Inspector contacted Silver Star to organise the camp, to raise awareness of diabetes related problems and explain why it’s important to get regular diabetes tests. The nurse gave those with an elevated blood sugar proper guidance on how to look after themselves. The staff expressed their gratitude for the work of Silver Star, and the camp was such a success we were invited back to hold more camps in the future.

PROTEK CO - GOAHuman Resources at Protek Co got in touch with Silver Star to hold a camp in June, where 67 employees took the diabetes test, and only one person was found to have diabetes. The camp was held for uneducated labourers working as gardeners or security guards, who didn’t know about the consequences of diabetes. They happily took the test, and were given advice regarding hygiene and diet. The workers showed their appreciation, and we’re glad we could help. Abdul from London

touch with Silver Star to hold a camp

Leicester East constituency.

Blood glucose testing strip prescription items written in

the United Kingdom and dispensed in the community -

November 2009 to October 2010:

England 5.944.895

Leicester City Primary Care Trust 58.165

QuestionMy grandmother has had diabetes for a long time and now my older sister has recently been diagnosed with it.Should I be worried that I may also have diabetes?

AnswerDiabetes does tend to run in families, but that does not mean that everyone in a family will get it. So, yes, your risk is higher than that of somebody who has no relative with diabetes.You should discuss your concerns with your GP. If at any point you do become concerned because you start to feel tired or unwell, it is easy to check your for diabetes with a urine test to see if there is any sugar in it - your GP will do that for you.

QuestionI have been told that I have a raised cholesterol level (7.4). I am taking fish oil capsules to help get it down. I also eat lots of veg, and try to avoid fatty food etc. Is there anything I can take or do to actively reduce this level?

AnswerIt sounds as if you are doing the right thing by avoiding fatty foods. You must also exercise and discuss your risk with your GP since start taking a special tablet called a statin.Fish oil supplements containing Omega-3 fatty acids may have a protective effect from coronary heart disease (heart attack etc.). Thus eating at least one portion of oily fi sh (preferably oily e.g. mackerel, sardine or salmon) a week may well help to reduce the risk of coronary heart disease and reduce blood pressure.However, before we get carried away with just cholesterol it is important to remember that it is but one risk factor for heart disease.What is a “safe level” for you is dependent on other personal factors, such as your smoking history, blood pressure, being overweight, whether or not you have diabetes, any family history of early coronary heart disease and your age. So discuss this with your GP.

Ask Doctor

Hina

OMEGA-3MAY LOWER DIABETES RISK People who receive high amounts of omega-3 fatty acids through their daily diet are less likely to develop type 2 diabetes in the long run. Two new studies have further suggested that eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) -- two omega-3s found in fatty fi sh -- have protective effects against type 2 diabetes. The study of 3,088 US elderly showed that those with the highest levels of the two omega-3 fatty acids are about one-third less likely to develop diabetes over the next decade, Reuters reported. About 5 percent of the participants with the highest blood levels of EPA/DHA developed diabetes while the rate was as high as 6.5 percent in those with the lowest blood levels of the fatty acids, Dr. Luc Djousse of Harvard University and his colleagues found. Furthermore, another study looking at 43,000 Singaporean adults

suggested that taking more amounts of omega-3 fats, particularly alpha-linolenic acid (ALA), lowers the risk of diabetes. Neither of the two studies published in the American Journal of Clinical Nutrition, however, confi rmed the direct protective role of omega-3s against diabetes. The fi ndings just suggest an association and not a cause and effect relation, the scientists noted, adding that individuals are not urged to take Omega-3-containing supplements to protect themselves against diabetes. People often hope there is a dietary “magic bullet” against disease, noted Andrew Odegaard of the University of Minnesota, who was involved in Singapore study. “Approaching your dietary intake with this ‘big picture’ approach should take care of the small things, like essential nutrients such as omega-3 fatty acids,” he added.

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DO YOU HAVE A HEALTH MATTER OR QUESTION ON YOUR MIND?If so, write to Dr Hina at [email protected] Hina Trivedi is a local GP in Leicester who has a special interest in diabetes.Information in this column is general information provided for educational or reference purpose only and is not a suitable for professional care. All queries should be directed to your health professional.

EYE IMPLANT COULD BENEFIT DIABETES PATIENTSTHE NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE (NICE) HAS ISSUED DRAFT GUIDELINES RECOMMENDING A DRUG-INFUSED EYE IMPLANT FOR SOME PATIENTS THAT SUFFER FROM VISION LOSS CAUSED BY MACULAR OEDEMA.

The fi ndings, which were praised by the Royal National Institute of Blind People (RNIB), could benefi t patients who have problems with diabetic retinopathy and central retinal vein occlusion. The macula is a part of the retina responsible for colour and fi ne detail in our seeing. Macula oedemas result from the retina becoming blocked and becoming infl amed and having a build-up of fl uid, which sometimes leads to severe visual impairment. The health watchdog has approved the treatment, a biodegradeable implant called Ozurdex, which is injected into the eye every six months, releasing a drug, dexamethasone, which controls the infl ammation and helps

to restore vision. Peter Littlejohns, clinical and public health director at NICE, commented “We are pleased to be able to recommend dexamethasone intravitreal implant for this condition. Retinal vein occlusion can be very debilitating and have a very profound effect on everyday life so this draft decision will be welcome news to all those affected.” Barbara McLaughlan, eye health campaigns manager at the RNIB, also said “We would urge PCTs not to force patients to wait for fi nal guidance to be published on treatment with Ozurdex, but to start providing this sight-saving treatment immediately.”

ADVISING PATIENTS WITH DIABETES ABOUT FASTING DURING RAMADANDuring the month of Ramadan, observant Muslims refrain from eating and drinking between sunrise and sunset. This tends to lead to consumption of a rather large meal in the evening and a variable amount of food before dawn, which, as expected, may affect glycemic control in people with diabetes.Among patients with type 1 diabetes or among insulin-requiring patients with type 2 diabetes, adequate insulin for the large meal and the maintenance of basal insulin levels during the period of fasting is crucial to avoid the development of hyperglycemia and ketoacidosis. Indeed, there is an association between Ramadan and the development of retinal vein thrombosis, suggesting that dehydration is particularly common in patients with diabetes during this period. Insulin lispro is helpful in both reducing the higher prandial glucose levels following the large evening meal and decreasing the likelihood of the hypoglycemia that has been reported in other settings. Although not yet reported in the literature, in principle the use of the basal preparation insulin glargine would also help maintain glycemic control. Thus, one would optimally treat the insulin-requiring patient with insulin glargine taken either once or twice a day in the same dose as that used during the remainder of the year. In addition, either of the rapid-acting analogues, insulin lispro or insulin aspart, should be given before meals in the evening at a dose to cover a somewhat large dinner and in the early morning at a dose the same as is typically given before breakfast. Using carbohydrate-counting regimens for adjusting insulin doses in the calculation of meal-related boluses will help achieve optimum insulin levels. The importance of home monitoring of blood glucose in this setting should be emphasized, as this will allow the patient to regulate glucose levels both during the period of eating and of fasting.

For patients with type 2 diabetes taking sulfonylureas, the potential for a decrease in daily calorie intake has been seen as an advantage of the Ramadan period, and stable or improved glycemic control has typically been reported along with improvements in diabetic dyslipidemia. Of course, for individuals with type 2 diabetes not participating in clinical studies, there may be a tendency to overeat both in the evening and before sunrise, so that dietary counseling is of great importance in the promotion of healthful lifestyle changes. Such approaches are, of course, also relevant to the treatment of the patient with type 1 diabetes.

ADEQUATE INSULIN FOR THE LARGE MEAL AND THE MAINTENANCE OF BASAL INSULIN LEVELS DURING THE PERIOD OF FASTING IS CRUCIAL TO AVOID THE DEVELOPMENT OF HYPERGLYCEMIA AND KETOACIDOSIS

What has inspired you in your career?

The plight of thousands of people injured in violence and accidents who have been my patients. Discovering new things in my research, seeing them published and realising that organised campaigning can get the results acted on. Realising that as a surgeon who treats victims of violence I have a unique and new perspective from which to study violence and what works to prevent it.

What are your proudest achievements?

Skin grafting a little girl’s burnt face in Nigeria. Building a Community Safety Partnership in Cardiff and seeing this model adopted throughout Britain. Having the information sharing arrangements I developed for violence prevention adopted by the coalition government and recommended by the World Health Organisation. Persuading the pub trade to switch to toughened glass. Prompting the first National Institute for Clinical Excellence guideline (on wisdom teeth operations). Initiating the first UK police science institute.

Please tell us about your current position at Cardiff University?

I spend about half my time treating patients with mouth, face and jaw injuries and other conditions in the University Hospital and the Cardiff Dental Hospital and the other half leading my research group and teaching clinical students. My vice dean role involves making sure that research discoveries have real impact and don’t just sit in dusty books on library shelves.

What has been the biggest obstacle in your career?

Having operations cancelled at the last minute is hugely frustrating. My cross country running at school taught me that there are always tough uphill stretches on a journey; for example the hard slog of study to pass exams and a PhD, putting in years of on call clinical work and revising research reports which don’t get published at the first attempt.

Who has been the biggest influence on your career to date?

I was inspired by Professor David Poswillo, a surgeon at the Royal

College of Surgeons who I worked for when I’d just qualified in dental surgery; he was really excited by what good research could deliver for patients and facilitated my first research project. Professor David Farrington at Cambridge was hugely encouraging when I took my first steps in criminology.

What is the best thing about your position at Cardiff?

Having time to lead my terrific research team, for campaigning for reform based on the findings of this research and for surgical practice.

And the worst?

Juggling the very different demands of the job.

What are your long term goals?

To see the violence prevention innovations I have developed from my research adopted in as many cities around the world as possible. To see the research and development arrangements which we take for granted in the NHS adopted in all our public services – particularly in education, policing and probation. To see the professions sharing expertise instead of working only in their own professional silos.

If you were Prime Minister,

what one thing would

you change?

I’d speed up public service reform by transforming R&D arrangements. Implementing a new strategy on this would rapidly improve local services for people by making them more effective and efficient.

If you were marooned on

a desert island, which

historical figures would you

like to spend your time with

and why?

Almost any leading 18th and 19th century British engineer; for example George and Robert Stephenson, Brunel, Richard Trevithick (who invented the first powered road and railway vehicles) and Sir William Arrol (the engineer who built the Forth Bridge), because they were great innovators and I’d like to know what motivated them and how they coped with risk. The Old Testament military leader, Joshua, would be good to get to know – a man of great faith, inspired, purposeful and dynamic.

Second Interview withProf. Jonathan ShepherdVice-Dean, Professor of Oral and Maxillofacial Surgery and Director, Violence Research Group, Cardiff University

Feel the spirit and exuberance of India’s youth.In villages, cities and jungles.

Join the Celebrations.Dance with the Locals.

For more information, e-mail [email protected],call 020 7437 3677 (Monday-Friday) or visit our website.

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MY VICE DEAN ROLE INVOLVES MAKING SURE THAT RESEARCH DISCOVERIES HAVE REAL IMPACT AND DON’T JUST SIT IN DUSTY BOOKS ON LIBRARY SHELVES.

Almost a third of British children are overweight. This week, (July 6th – 10th 2011) is National Childhood Obesity Week in the UK, and aims to raise awareness of the problem. The number of young people getting Type 2 diabetes in England and Wales is growing, according to the NHS Information Centre. A recent diabetes audit, the largest of its kind ever conducted in the UK linked this growth to the rise in obesity.Lead clinician in the audit, and clinical lead for the National Diabetes Information Service, Dr Bob Young said “These results ring alarm bells. They show that young people make up a quarter of all those with diabetes.”According to research by the University of Westminister, only 33% of boys and 21% of girls aged 4 to

15 years manage the government’s recommended dose of one hour of exercise a day. The study found that most children average just 33 minutes a day and spend more than double

that in front of the telly, plus more time online and playing computer games.The API has this week launched a report aimed at government and the play sector which calls for more government action to encourage play, physical activity and tackle the growing obesity crisis.

Backed by former Children’s Commissioner, Sir Aynsley-Green, the report warns of the growing rise of Play Gaps, areas of deprivation and poverty where children have no safe and easy access to playspaces. This is a vital issue as urban deprivation is often cited as one of the primary contributors towards rising levels of childhood obesity.The National Institute of Health Research, Health Technology Assessment and Public Health Research programmes are currently funding evaluations of interventions to prevent obesity, including a £2.7 million trial of an obesity prevention intervention in primary school age children.Perhaps the UK’s First Lady Samantha Cameron should launch her own Let’s Move! campaign.

NATIONAL CHILDHOOD OBESITY WEEK IN THE UK

“THESE RESULTS RING ALARM BELLS. THEY SHOW THAT YOUNG PEOPLE MAKE UP A QUARTER OF ALL THOSE WITH DIABETES.”

EATING AN APPLE A DAY SHOWN TO HELP CHOLESTEROL LEVELSA new study in the United States has revealed that the health benefi ts of apples is not just an old wives’ tale, but rooted in scientifi c reality. Apart from the benefi ts of fi bre, they have also been shown to lower the levels of bad cholesterol and contain pectin and polyphenols that help improve lipid metabolism and reduce the production of pro-infl ammatory molecules.

Dr. Arjmandi commented that “incredible changes in the apple-eating women happened by 6 months – they experienced a 23 per cent decrease in LDL cholesterol .” The group that ate the apples also showed a reduction in lipid hydroperoxide levels and C-reactive protein.

Arjmandi added “I never expected apple consumption to reduce bad cholesterol to this extent while increasing HDL cholesterol or good cholesterol by about 4 per cent.” The apple consumption also produced no weight gain in the women studied, but rather a loss of 3.3lbs on average over the period, offering another benefi t from eating an apple a day.

AUGUST/SEPTEMBER

BIRTHDAY’S

Barack Obama4th August 196144th and current President of the United States

Barack Obama

Roger Federer8th August 1981Dominant man’s tennis champion, born in Switzerland

Roger Federer

Cameron Diaz30th August 1972American superstar and former model

Cameron Diaz

Andrea Bocelli22nd September 1958Internationally famous operatic tenor, blind since age 12

Andrea Bocelli

Founder Patron: Rt Hon Keith Vaz MPInternational Patrons: Amitabh Bachchan, Shilpa ShettyNational Patrons: Anisa Dadabhai, George Jatania, Capt. Krishnan Nair, Lord Adam Patel of Blackburn, Dorothy Pudrew, Esther Rantzen, Sarah Teather MP, Baroness Varma of BraunstoneNational Chairman: Lord Khalid Hameed CBEChairman of the Trustees: Dr Malde Modhwadia

201 Uppingham Road, Leicester LE5 4BQemail: [email protected] www.silverstaruk.orgRegistered Charity No. 1119324

07www.theglobeuk.com Supporting Silver StarREAD LATEST STORIES ONLINE ATwww.theglobeuk.com Supporting Silver Star

Dr Malde Modhwadia

201 Uppingham Road, Leicester LE5 4BQemail: [email protected] www.silverstaruk.org

ABOUT SILVER STAR

Dr Malde Modhwadia

201 Uppingham Road, Leicester LE5 4BQemail: [email protected] www.silverstaruk.org

Will Smith25th September 1968American actor, fi lm producer and pop rapper

Will Smith

Lance Armstrong18th September 1971Famous road racing cyclist, seven-time Tour de France winner

Lance Armstrong

A Kentucky Fried Chicken franchise in Utah is offering to give $1 to the Juvenile Diabetes Research Foundation for every mega jug of Pepsi bought along with a meal.This is not a nationwide promotion, and is limited to the individual KFC branch where the KFC owner has a personal connection to diabetes. The Juvenile Diabetes Research Foundation focuses on type 1 diabetes, which is caused by the immune system attacking cells that produce insulin and affects

sufferers from childhood.Keith Vaz MP, who is Vice Chair of the APPG on Diabetes, said:“Encouraging consumers to increase their intake of sugar, which has been linked to type 2 diabetes, in order to fund diabetes research, seems counter-intuitive.However, it does raise the important issue of the responsibility of fast food chains to fund diabetes prevention work, given their role in causing obesity which has been linked to the rise in diabetes.”

EXTREME DIET COULD CURE TYPE 2 DIABETESScientists at Newcastle University have shown that in some cases, an extreme diet can cure type 2 diabetes. In research funded by Diabetes UK, eleven people cut their daily calorie intake down to 600 calories a day for two months. The low-calorie diet consists of non-starchy vegetables and diet drinks. Its aim was to return fat levels in the pancreas to normal, enabling it to make insulin again. An MRI scan of participants’ pancreases showed fat reduced from an elevated level of 8% to a more

normal level of 6% during the diet.After just 7 days of the diet, the pre-breakfast blood sugar levels of the study group had returned to normal. Once the diet fi nished, volunteers maintained healthy (but not extreme) eating habits, and controlled their portion sizes. After 3 months, 10 of the study group were retested and 7 sufferers no longer had diabetes.However, experts are careful to stress that more research will have to be done before it can be confi rmed that the diet can reverse the disease permanently.

HEALTH CHECK

SET A GOAL Sticking to a regime and being strict with your diet is easier if there is a date looming for which you need to be ready.

DON’T CRASH DIETMuscles require energy, just as a car needs petrol. When starved of food, your muscles begin to stall and cannot function, just like a car starved of fuel.

INCLUDE SOME INTERVAL TRAININGAlternating high and low intensity work burns fat more effectively than constant-pace training.

TAKE REST DAYSRest days will enable you to perform well during your next session. This doesn’t mean doing nothing, just taking it easier than workout days.

TRY A NEW EXERCISEA new exercise can take you outside your comfort zone. It will tell your body to pay attention and keep motivation levels high.

KEEP YOUR BODY IN TIP-TOP CONDITION, INSIDE AND OUT

Are you red-carpet ready? Want a celebrity body? Matt Roberts, personal trainer to Naomi Campbell and Samantha Cameron, believes that anyone can get dramatic results with his two-week blitz or 12-week plan. Here are his fi ve body-boosting tips.

MEGA JUGS OF PEPSI FUND DIABETES RESEARCH AT KFC

WEDDINGS OF THE MONTH

Preya Panchal and Roy married at Stoneleigh Abbey

WEDDINGS OF THE MONTH

111a-113a Belgrave Road, Leicester LE4 6AS t: 0116 268 0822 e: [email protected]

Maz of Leicester

Arti Modi and Achal Patel married at Athena

Amisha and Mayur Patel married at Savilles Leeds

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DHAMECHA CELEBRATES ITS 35TH ANNIVERSARY IN STYLEOver 600 guests joined Dhamecha family members and staff at the London Marriott Hotel, Grosvenor Square for a party to celebrate 35 years since the opening of the fi rst Dhamecha cash and carry in 1976.The event took place on 4th July and was a huge success, enjoyed by all. The party atmosphere was created by a combination of excellent cuisine from around the world, casino tables and entertainment ranging from a jazz band to a snake-charmer with her 12’ Burmese python!The guests thoroughly enjoyed themselves – Mark Neale of JTI said, “It was such a relaxed event and the format of the party allowed us to socialise and network with dozens of different people over the course of the evening”

Chief Executive of The Dhamecha Group, Pradip Dhamecha, added, “People and relationships have been the key to our success over the last 35 years and it was heart-warming to see so many of our friends from the trade turn up in such huge numbers for the celebrations. My father KR and my uncles SR & JR laid the foundations of the business way back in 1976 and we are proud to build the business on their solid foundations.It has been a signifi cant year for our company - passing the £½ billion barrier for the fi rst time in our history – and the party gave us an opportunity to thank all of our suppliers and our staff for their continuous support over the years. We couldn’t have done it without them”.

State Bank of India is a bank incorporated and headquartered in India and is regulated by the Reserve Bank of India.

The information provided is based on the current regulations, which are subject to change at any time without notice. For further information or clarification please contact the nearest branch. *AER stands for Annual Equivalent Rate and illustrates the interest rate if it was paid and compounded once each year. GROSS is a contractual rate payable before deduction of income tax at rate specified by law.

State Bank of India is regulated by the FSA and register number is 139156. State Bank of India is a member of the Financial Services Compensation Scheme established under the Financial Services and Market Act 2000. The Financial Services Compensation Scheme protects deposits held with our UK branches. Payments under this scheme are limited to £85,000 of your total deposits with us. In practice, this means that each of our customers will be compensated up to a maximum of £85,000 of their total deposits. Where two depositors hold a joint account, each depositor may receive a maximum of £85,000 compensation in respect of their claim, giving a total of £170,000.

3.10%Gross/AER

4.25%Gross/AER

4.60%Gross/AER

5.25%Gross/AER

5.75%Gross/AER

CITY OF LONDON t: 0808 168 0304

BIRMINGHAMt: 0121 515 0400

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LEICESTER t: 0116 242 8830

MANCHESTER t: 0161 817 2530

SOUTHALL t: 0208 574 0111

EAST HAM t: 0208 470 2992

Step up to a great rate of5.75% AER*

A flexible fixed deposit designed to give you higher returns, the longer you save.Withdrawals can be made from the

second anniversary of the account opening.

*For the fifth year of deposit. Overall average rate of 4.59%. As long as you keep your funds with us, you will get the higher rate the following year.

ACCOUNTANTS

TRAVEL

020 8515 9200

FIRST & BUSINESSCLASS DEALS

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TRAVEL

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LAWYERSRESTAURANTS EVENTS

Manish Dhamecha, Mukesh Vithlani & Pradip Dhamecha