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Page 1: Angels for Angels page 50cukrzycaazdrowie.pl/Files/file/23/English Edition...Cukrzyca a Zdrowie 1 4 Vitamin D deficiency dangerous to diabetics 4 Increased incidence of diabetes during

MEDICAL MAGAZINE P6/23/8PA

Angels for Angels page 50

Page 2: Angels for Angels page 50cukrzycaazdrowie.pl/Files/file/23/English Edition...Cukrzyca a Zdrowie 1 4 Vitamin D deficiency dangerous to diabetics 4 Increased incidence of diabetes during

®

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Cukrzyca a Zdrowie 1

4 VitaminDdeficiencydangeroustodiabetics

4 Increasedincidenceofdiabetesduringwintertime

5 Docellphonesorx-raysaffectinsulinpumps?

5 Insteadofdrinking,onlyneedtorinselips

6-8 Somenewsondiabetestype2treatments9-10 Diet-thekeytodiabetestreatments

11 Candiabeteseatyogurts?12-13 Healthbeforeformalities

16-18 Multi-purposeandbeneficialricinumoil

19-21 Haveaswimina...„healthpond” –eatfishandseafood

22-25 Liverdiseasesrelatingtodiabetes

26-29 Lettertotheeditorialteam

T A B L E OF C O N T E N T S

C U R I O U S N E W S

C U R R E N T I S S U E

U S E F U L T O K N O W

H E A L T H Y E A T I N G

R E A D E R ‘ S P A G E S

page. 5

page. 12-13

page. 6-8

page. 11

page. 19-21

page. 9-10

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52-53 SequentThursdayDinneratDi

betes

54-57 Comprehenddiabetesandseize

control

T A B L E OF C O N T E N T S

2 Cukrzyca a Zdrowie

F O R T H O S E W H O A R E E A G E R F O R T H E WORLD

O U R W O R L D

L I V I N G D I A B E T E S

38-39 DiaryAlphabet

40-42 Ourhealthunderinfluenceofwather

44-47 Principlesofbodyexercising 48 Breakingoutofsweetzone

49 Fearsomeupshotsofallergic

rhinits

50-51 AngelsforAngels

O U R G E T - T O G E T H E R S

page 44-47

page 40-42

page 50-51

page. 49

page 52-53

page 54-57

A N G E L S

Kolejny Czwartkowy Obiad

u Diabetyków

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Cukrzyca a Zdrowie 3

It would seem, that it is

just few of us who keep it in mind, that Earth changes its position in universe with ve-locity of 30 kilometres per se-cond, and some of other pla-nets of solar system do move even faster. .

We do not perceive it on a daily basis, although we ourselves teem with this cosmic energy, to say life. Every single body organ also works autonomously, just as solar system does. Nonetheless, this orderliness of cosmos may befall disrupted, down to stress for instance, pessimism, or simply as a result of ill temper. We admit our hopeles-sness, alienation, we hunger after happiness. It is these negative feelings that upset our bodily functions.

It turns out, that diet may be a ground for these mind and physique conditions.

Admittedly, eating habits is not a kind of cure-all, but certainly is lifeblood.

Then again, there is a great number of people, parti-cularly diabetics, who need diet all the more, as a vital element of their therapies.

Judicious nourishment protects against many health problems. If food and drink is consumed in simple, na-tural way, it affirms a reliable foundation for our health, and meals partaken with family and friends, especial-ly in good atmosphere, fulfil our appetite for happiness.

Danuta Maria Roszkowska The edition of this magazine has been financially supported by Governmental Disabled Persons Rehabilitation Fund

We introduce reprints for didactic and educational purposes based on regulations of legislative articles , 25, 26, 29, 33, and 49 in section 2 of copyright laws and related laws act dated 4.02.1994.(DzU* of 23.02.1994, no. 24, entry 83) and generally accepted edito-rial usages.• JournalofLawsoftheRepublicofPoland

„DIABETESANDHEALTH”MAGAZINEEDITORIALUNITThe publisher:University of DiabetesPSD ZW in BiałystokEditors’ address:Warszawska Street 23, 15-062 BiałystokTel. 085 741 57 01, tel/fax 085 732 99 74e-mail: [email protected]

General editor:Danuta Maria Roszkowska

INcOOPERATIONwITHOUREDITORS:EdytaAdamskaMAProf.dr.habil.MariaBorawskaProf.dr.habil.EwaOtto-BuczkowskaPhDMarekDoleckiJoannaFilipowskaPhDMałgorzataFrąśMAHanna Bachórzewska-Gajewska PhDwiesławaGołąbekMAProf.dr.habil.MariaGórskaPhDMichałIwańczukMAProf.dr.habil. Ida Kinalska PhDMałgorzataKorolczuk-ZarachowiczPhDBogumiłaŁawniczakMAJolantaObidzińskaMARenata SaniewskaProf.dr.habil.JacekSieradzkiPhDAnastazja SzachowiczProf.dr.habil.MałgorzataSzelachowskaLucynaSzepielProf.dr.habil.MirosławaUrbanPhDWojciech WojszkoAnna WorowskaHalina Wójcik PhDEnglishtranslations:MichałIwańczukUrszula TarasewiczSpanishtranslations:MarcinSzachowiczEditorofgraphics:LucynaSzepiel

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C U R I O U S N E W S

Vitamin D Deficiency dangerous to diabetes InsufficiencyofvitaminDprompts cholesterol todeposit inbloodvessels,whatinturnleadstoblockingofvessels’lumen–“Circulation”paperreports.Thisisoneofthedynamics,thatbringrisksofcardiovasculardiseasesabout..-Vitamin D inhibits capturing of cholesterol by macrophages. If the-re is a vitamin D deficit, macrophages absorb more cholesterol particlesandarenotabletodisposeofthem.Thereforemacrophagesbecomepatholo-gicallyenlarged,whichisthefirstsymptomofarteriosclerosis–CarlosBernal-MizrachianendocrinologistofWashingtonUniversityinSt.Louisexplains. Immunological systemdirectsmacrophages to relieve inflammations. Bo-diesofdiabetespatientsperformlikewise.Scientistshavetestedmacropha-gesdrawnfromhealthyindividualsanddiabetics.Thecellswereexaminedin

termsofcholesterolunderhighandlowvitaminDinfluences.IncaseswhendiabeticsweresubjectedtolowvitaminDconcentrations,then

theirmacrophagesweregettingenlargedfarmorefrequently.

VitaminDdeficienciesparticularlybefalldiabetestypeIIpatients.Supplementsofthisorganiccompoundareregardedtoceasearteriosclerosis,oratleasttorendertheprogressslower.

VitaminDissynthesisedinskinonthestrengthofsunrays.However,injuriousnessofultraviolet(UV)istheargumentscientistsusetorecommendoralsupplementsofthevitamersD.

Sourced from. www.rynekzdrowia.pl

Increased incidence of diabetes during wintertime thousand children from 105 diabetes centres in 53 countries worldwide were subjected to examinations, that pro-

ved strong correlation between seasons and health of diabetes type I patients. Children aged 15 years old develop diabetes exactly in winter.

In 42 of the centres scientists observed seasonality of occurrence of the disease, and in winter they diagnosed peak numbers of individuals, which took place in 28 countries, in turn during summer time they acknowledged the disease to decline, which

statistically had effect in 33 countries. Last winter the trend was more observable among boys, and more balanced in groups of older children (aged 5-14) irrespective of sex.

The children, who live in lands more remote from the equator were identified to develop diabetes for the duration of winter. Great Britain, where 23,000 diabetes children have been confirmed, is the fourth in Europe in the respect of the disease.

There was many an interpretation to explain the phenomena of the periodicity. Winter fluctuations of glucose and insulin may arise as a

result of winter infections, eating habits, when children eat more, and winter indolence, when children do not exercise physically – Elena Molt-chanova of National Health Institute in Helsinki puts in plain words.

However, it remains not ascertained what the source of children’s diabetes is. Diabetes type I befall children in most cases and con-

strains to life-long insulin dependence. Sourced from: www.rynekzdrowia.pl

4 Cukrzyca a Zdrowie

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C U R I O U S N E W S

Do cell phones or x-rays affect insulin pumps?

Regrettably, no one can rule it out, that mobile phones disturb exact functioning of insulin pump. It is worth it to be on the safe side and keep at least 10 cm distance away from one device to another, despite the fact that best part of pumps are cushioned against electro-magnetic radiation.

In opposition, x-ray waves, spectroscopy impulses, and com-puted tomography is emissions of very intense radiating, and it is well-advised to remove one’s pump. Likewise, military radar is such an equipment, that emits energy. Still, the diabetics, who are implanted with this insulin apparatus do not have to worry to board an air liner. Thereof safety sys-tems, similarly as variations of pressure are of no consequence against insulin pumps. .

Sourced from:www.diabetesindex.de

Up till now, it has been thought, that energy drinks, by means of ingredients, improve physical and mental performance. And the latest research proves, that rinsing oral cavity and spitting beverage out is as much as necessary alone. The experts of Bir-mingham University and Manchester Metropolitan University screened a small group of people and observed, that at the very moment of mouth contact with some sports drink, the there sensory receptors detect sugar compounds. The sense cells send

messages to brain and rewarding emotions is what returns and jazzes human body up.The scientists attended 8 long-distance cyclists and administered 6,4 % glucose cup of something. Their results was weighed

against sportsmen, who were ordered exactly the same drink, but sweetened with artificial saccharin. It turned out, that the athletes, who received glucose managed the route on average 1 minute faster.

At the second stage of the trial, some of the subjects rinsed their lips with 6,4% maltdextrin (which is a blend of oligo- and po-lysaccharides, produced by enzymatic hydrolysis from gelatinized starch, tastes gently sweet, and gets absorbed equally tro-uble-free as glucose). The others consistently drank synthetic sweeteners. Those on maltdextrin cycled the route generally 2

minutes faster over those on placebo.

Every one of drinks was tested in terms of flavour. Hence, all of them tasted the same and no one knew what they was tre-ated with. Brain scanning gave evidence, that glucose and maltdextrin drinks triggered chemical signals of pleasure and sti-mulated these mind areas, which are inactive down to sweeteners. Consequently, the tryout sportsmen felt relieved and an-

swered with better outcomes.Dr Edward Chambers, the captain of the Birmingham team, he states, that energising drinks’ carbohydrates work just and

only thanks to the signals from oral receptors going to brain, not due to fuelling muscles.In his opinion, the study supports the theory, that sport performance ratio depends on how brain decodes and interprets in-

formation issued from body system, not muscles, or heart or lungs on their own.

The source: www.slodkiezycie.pl

Instead of drinking, onlyneed to rinse lips

Cukrzyca a Zdrowie 5

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C U R R E N T I S S U E

6 Cukrzyca a Zdrowie

The natural cause behind diabetes mellitus type 2 is insulin resistance (inept responses of body system, due to unbalanced glucose concentrations in re-lation to released or injected insulin) and disturbed insulin secretions in pan-

creas beta cells.

Althoughtheoldestdocumentregardingthesymptomsofdiabetestype2,theEberspapyrusdated1550B.C.andfoundinThebes,wasdiscoveredin1872,eventodayin21stcenturywefinddiabetestreatmentschallengingtoachieveitoptimal.Oneofthekeyobjectivesisresearchanddevelopmentofsuchdrugs,whichwouldadvanceper-formanceofpancreasisletscells.Atpresent,thereare6groupsoforalantidiabetesmedicinesavailableonthemarket:sulfonylureagenerations(glimepiride,gliclazi-de,glipizide),biguanidegenerations(metformin),alfa-D-glucosidaseinhibitors(acar-bose),glitazones(rosiglitazone)andglinids(metyglinid).Foreachonedrugexecutesdistinctmechanics,itispossibletocombinethem.Regrettably,thefinancialfaceredu-ceschancesofmanypatients.Thepricesholdtherapiesback,andforceuseofinsulininstead,whattakespatients’timetoacceptandleadstochronicacutecomplications.Whatfeedshopeisaturningpointincaseoftheincretindrugs.

What does system of incretins stand for?IncretinsystemwasrecognizedbyNauckandassociatesin1986.Theyobserved,thatapplyingglucoseorallyexactsmore insulinrelease inbetacells, thanby injecting,eventhesamedose.Itturnedout,thatcarbohydratefoodintakeinsmallbowelandcolonpromptsliberatingoftwoincretinhormones:glucagon-likepeptide-1(GLP1)andglucose-dependentinsulinotropicpeptide(GIP,Fig.1).Itmeans,thatalimentarytractistherightinsulinenvironment,particularlysmallintestine.Itistheseproteins,thatarehormonesnamedincretins,whicharesecretedinbowelonthestrengthoforalglucoseapplication,andwhichexerciseinsulin-likemechanism.Itappears,thattheglucagon-likepeptide-1,freedinLcellsjejunamucosaisoftheessence.Allthingsconsidered,incretinsarethosebowelhormones,thatactforinsulinrealisingthereinpancreasisletsbetacells.

How does glucagon-like peptide-1 work? Ithasbeenobserved,thatafteringestionororalglucoseapplicationGLP-1easesgly-caemiaduetoenhancedpancreasinsulinrealising,whatdependsonglucoseconcen-tration.Thepeptideinhibitsissuingofglucagon,whichisthehormone,thatincreasesthepancreasalfacells’glucose.GLP-1slowsdownthepassageoffoodviastomachandcontrolsappetite,whatalsoreducesglucoseconcentration.Allthisservestobeincommandofbodymass,andrelievetreatmentsofdiabetestype2.GIP-1ofhealthypeopleisgeneratedfaster,causedbyamealithappenswithin5-10minutes,whattrig-gers3-5foldupsurgeofthehormoneincontrasttobefore-mealcondition.

What is dipeptidyl peptidase DDP-4? DPP-4 is an enzyme of serine proteases, which carries out degradation ofmany circulating protein hormones, for instance GIP and GLP-1. The enzy-

SOME NEWS ON DIABETES TYPE2 TREATMENTS

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Cukrzyca a Zdrowie 7

C U R R E N T I S S U E

SOME NEWS ON DIABETES TYPE2 TREATMENTSme effects GLP-1 inactive. This enzyme resides in endothelium and pla-sma. It turned out that any inhibitors of DPP-4 lengthens GLP-1 duration.

Is diabetes type 2 incretine system disturbed? Nauckandhisteamdemonstrated,thatpeople,whoarediabeticstype2

undergotheirincretineeffectweakened.Thereforeinsulinincreaseatthemo-mentoffoodandglucoseintakeislower.Ithasbeenfound,thatdiabeticstype2,whenorderedexogeneticGLP-1,achieve3-5-foldlesserinsulingrowth,incomparisontohealthypersons.InsufficiencyofGLP-1rendersafter-mealin-sulinreducedandglucagonboosted,allofwhichupsetsmetabolic leveling.Thisisthereasonwhythereisthevitalneedtoformulatethemedicine,whichwouldadvanceincretineeffect.Now,wecandifferentiatetwotechniques.ItispossibletorealizeitthroughintensifyingGLP-1concentration,thatisthroughemployingGLP-1analoguesoragonistsofGLP-1receptor,allresistanttoDDP-4.Suchdrugswetermincretinagonists.ThealternativeissuppressingactivityofDPP-4,soastoincreaseconcentrationandactivityofGLP-1,andtheinhibi-torsofDPP-4aretermedincretineintensifiers.

Incretine mimetics of GLP-1 and its analogues. Withinthisgroupofinhibitors,wefindbiotechnologicallyengineeredGLP-1anditsanalogues.Theyareinjectedsubcutaneouslyanddeliverantagoni-stictodiabeteswell-definedeffects.Thesedrugs,exertingoutcomesanalogo-us tonativeGLP-1,theymoderatebloodglucoseconcentrations,preventingagainsthypoglycaemia.ThemedicineremainsunaffectedbyDPP-4enzyme.Thetwoanalogues,thathavebeenofficiallyapprovedisexenatide(“Byetta”byEliLilly),meanttobedoseduptwiceaday,andliraglutide(“Victoza”byNovoNordisk),andissupposedtobetreatedonetimedaily.Bothareintrodu-cedhypodermically.Thesepharmaceuticalscanbefreelyassociatedwithmet-formin,sulfonylureaendproducts,acarboseandrarelyusedinPolandglitazo-nes.TheagentsdecreaseHbA1ccommonlyin0,5-1,0%.Incretins,inlastimpor-tantword,makeiteasiertoloseweightandstayingoodshape.Anyundesira-blereactions(nocebo)isnausea,vomitinganddiarrhoea.

Incretin intensifiers – inhibitors of DPP-4 enzyme.

ThelattergroupoftheoralinsulinagentsisinhibitorsofDDP-4.TheyserveslowingdownGLP-1endogenicdecomposition,whichisquitevital,especiallywhenthebiologicalhalf–lifeofGLP-1isfairlyshort,whichisfrom1to2minu-tes.InhibitionofDDP-4givesrisetoconcentrationofcirculatingincretinhor-monesupto2-3timesasmuch,andresultsininsulinrealising,inoneblockingalfacells’glucagone.CapacityofDDP-4inhibitionisdirectlyproportionaltovolumeofGLP-1.Forreleasingofincretinsisstraightforwardlydependentonglycaemia,DPP-4inhibitorsarenotthoughttotriggerhypoglycaemiaonemp-tystomach.Moreover, thedrugsarebetacellsprotective.Also,diabetespa-tientspointanotherplus,thatisoralmodeofapplying.Thebrandnamesofin-Papirus Ebersa z 1550r.

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8 Cukrzyca a Zdrowie

C U R R E N T I S S U E

It should be emphasized, that no considerable in-teractions between DDP-4 inhibitors and other

drugs was observed.

What is the practical use of the drugs that have weight on incretine system?

Effectivenessofthesedrugsintermsofmetaboliclevellingwasacknowledgedwhenasearlyasin2008theywereintegratedasapartofdiabetestype2poli-cy,uniformlywithEuropeanandinternationalstan-dards,altogetherwithguidelinesof thePolishDia-betesSociety.Thesoleroadblockmaypossiblybetheprice.Weneedjusthope,thatstatereimbursementoftheincretinsystemmedicineswillallowtobeabletointervenetimelywith thosereferreddrugsandaidthemomentmetforminorsulfonylureaderivativestherapiesfallshort.Itiscommonknowledge,thatap-propriate screening of diabetes and protective lineof treatingpancreasbetacellsextendsphasetode-cideinsulintherapytobeincluded.Allthispreventsagainstacutecomplications lastingandrisksofde-athcases,whatbearsondiabetestype2individuals.Obviousasitis,prophylaxisissimplycheaperthan

alltheburdenoftreatments.

Prof. dr.habil. Małgorzata Szelachowska PhDEndocrinology, Diabetology and Internal Diseases Clinic

University of Medicine in Białystok

cretineintensifiersavailableonthePolishmarketareasfollows:sitagliptin(JanuviabyMerck&Co),vilda-gliptin(GalvusbyNovartis)andsaxagliptin(Ongly-zabyBristol-MyersSquibbandAstraZeneca). Sita-gliptinandsaxagliptinaretobeadministeredonceaday,whilevildagliptin–twotimesdaily.TreatmentsonDDP-4 inhibitorscanbecombinedtogetherwiththerapies onmetformin, sulfonylureaderivatives orglitazones.TheagentsreduceHbA1cin0,6-1,1%andachievebeneficial tolerance, for infrequencyofside-effects.ThroughouttreatmentsontheseGLP-1agoni-stsnauseadidnotoccurred.Itisworthtostressoveragain, that employingDPP-4 inhibitors relieves hy-poglycaemiatopointofminimallevels,unsurprisin-glysinceGLP-1stimulatesinsulinsecretionandde-pendingonglucoseconcentrationscombatsglucagon.Equally essential is the fact, that thepharmaceuticsdonotengenderbodyweightgain.Vildagliptingoesthrough hydrolysis and its inactivemetabolites arevoidedwithurine,whenjust20%ofthemareexcre-tedunaffected.Sitagliptinisdischargedalsounalte-redbutviareins,exceptrenalfailureboostsitscon-centrationsinblood.Inturn,saxagliptinismetaboli-sedinliverandintoactivemetabolites,bothofwhichsaxagliptinand itsmetabolitesarevoidedvia reins.Though,livermalfunctiondoesnotleadtopharma-kineticdifferencesofthesemetabolites.

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Cukrzyca a Zdrowie 9

C U R R E N T I S S U E

DIET - THE KEY TO DIABETES TREATMENTS

DIET IS A VITAL DYNAMIC IRRESPECTIVE OF WHICH DIABETES

TYPE YOU ARE.

If there is no need to be receiving insulin, except sugar levels in blood are exceptional-ly elevated, then your doctor can suggest glycaemic control drugs or less rarely sugar reducing insulin injections. It is crucial, that sugar intensity is meant to be close to normal. More than enough may lead to several setbacks, such as critical cardiovascular diseases. One way or ano-

ther, diet is essential for diabetes type 2 patients.

How to reduce blood sugar concentra-tions?

•Keepupyourbodymassasitshouldbe.Majori-tyofdiabetestype2 individualsarediagnosedwithoverweightandobesity,whatcausessugarconcentrationstorise.Ifyourbodyweightisnotin shape, you better start slimming, preferablybasedonpersonalizedmedicalconsultations..

• Eat frequently at fixed regular hours. Thiswayyouwill be able to command hunger and loseunwantedkilograms.Trytoconsume5mealsadayeverythreehours.Thefirstmealissupposedtotakeplacethemomentyougetupoffthebed,thelastone–4hoursbeforeyougosleep.

•Decideonlow-glycaemicindexproducts.Thankstoityoupreventagainstfluctuationsofbloodsu-garstrengths.Andwhichones theyare?Thoseleastprocessed,certainly.

•Have your bread wholemeal, instead of whitesorts. Rather than potatoes andwhite rice, trybuckwheat ormillet groats, either brownpastaorrice,branorsoya.

• Go for low-fat products. It is worth to give upfull-cream dairies ( and choose low-fat cheese,yoghurt), toquit fatmeat and cold cut,pork inparticular(andoptforveal,turkey,rabbit,orve-nison).

• Consumefishatleast3timesaweek.Suchase-lection is quite important for prophylaxis intermsofcirculatorysystemhealthrisks.Toadd,thedishesaremeanttobepreparedfittinglytodietguidingprinciples,e.g.fishisthoughttoberoastedintinfoil.Thevarietyweadviseis:cod,walleyepollock,trout,pike,vendace.

• Limityourself to2-3eggsaweek.Theproducedeliverslotsofcholesterol,intakesofwhichmayresultinarteriosclerosis.

• Takechoicesofvegetables,afewportionsdaily,ifpossible.Theideaistotreatitasanextrasaladtoeachonedish.Oneortwoslicesofcucumberortomatoesarefairlynotenough,morereadily500-600gaday.Atwintertime,deep-frozengoodsisadvisedforhighfoodvaluetheyprovide.Thequ-alityofveggiesis:greenlettuce,Chinesecelerycabbage,sauerkraut,cauliflower,radish,aspara-gus,onion,kohlrabi.

• Narrowdownonfruit,sincetheysupplyuswithplenitudeofcalories.Thepreferableamounts is300gtwiceaday.Asfarasitispossiblerestra-inyourselffromripebananas,grapesanddriedfruit,forabundanceofsugarandcaloriessimply.Choosegrapefruitsandapplesinstead.

• Stopeatingsweetsbyallmeans.Chocolatebars,biscuits,saltysticks,chocolates,layercakes,figs,nutsandjamsareoutofquestioninallhonesty..

• Payattentiontowhatyoudrink,someofbevera-gescontainsugar,whatdoesinflatecaloricvalu-es.Inplaceofenergyfizzydrinksorsweeteneddrinks you are encouraged to drink sugar-freecupsofsomething.Tosatisfyyourthirstyouarebetteroffdrinkinggentleherbalteas,alsothoseondriedfruit,neatwaterorgreentea.Certainly,alcoholisthelastonedrinktouse,foritisfullofemptycalories.

Do you have to receive insulin?

If your doctor confined you to take insulin, itprobably means you were diagnosed with diabe-

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10 Cukrzyca a Zdrowie

testype1.Sometimesithappens,thatinsulininjec-tionsareadministeredtodiabeticstype2. Thesi-tuationwhenyouarefreshlyidentifiedasadiabe-tespersoniswhenthelongstretchoflessonsbeginsinfrontofyou.Itistimeyouneedtobeabletoreco-gniseyourownbodysystemandlearnhowtotreatit.ThroughandthroughyoumayseekadvicefromyourpersonalGPordiabetologist.Theclinicexpertwillprescribecustomisedinsulindoses,drugtypesmade to order, will give apicture of carbohydra-tes’equivalents(foodunitsthatcorrespondtorequ-iredamountsof10gadoptivecarbohydrates).Die-teticiansinturnarethoughttointroduceyouwithdiet principles accordingly to your specific condi-tion,bodyweight,lifestyleyouleadandphysicalac-tivityyouundertake.

What is the benchmarks we ought to stand by?

• Ifyouareprescribedinsulinyouareadvisedtoeatfrequently,moreoftenthannot6timesaday.Donotsidestepanysingleone.Agapin-betweenmealsmayendupinariskydropofsugarbloodconcentration(hypoglycaemia).

• Sensibleindeedistowatchyourbodyshape.Ty-pically,diabetestype1patientsareunderweight.Optimalcaloricvalue,forbestresults,shouldbeagreedwithyourdietetician.

• Planning yourmeals, it is better to be prudentenoughandcomposeyourfoodoncarbohydra-

tes’equivalents.Thegraphicrepresentationsne-ededyoucanfindineverydiabetesclinic.

• Donot forget, thatalcoholcutssugarsdowninblood.Anyexcessivedosagesof it isdangeroustoyourhealth.

• Becautiouswhatyoudrink.Anysugarybevera-geaffordcarbohydratesandelevatesglucosele-velsinblood.

• Mindwhatdrugsyoutake.Someofthem(lozen-ge throat tablets,medicatedsyrups)containsu-gar.Tradelabelsiswhatyououghttoreadandfindallinformationabout.

• Exhaustive physical exercising prompts bloodsugarfallingoff.Takecarethenwhatsportandhowforcefullyyouperform.

Attention!

• Extremelyimportantitistocontrolyoursu-garlevelsinblood.Both,toohighsugarin-tensityortoolowconcentrationofitarethesamedangerous.Thisisthereasontocheckitregularlywithyourpersonalglucometer.

• Beingoninsulininjections,inordertoavo-idsugarfluctuations,youcertainlyoughttoscreencarbohydrateintakes.

Sourced from: slodkiezycie.pl Foto: Deviantart

C U R R E N T I S S U E

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Cukrzyca a Zdrowie 11

U S E F U L T O K N O W

I szybciej wraca regularność wypróżnień !

Laxinat to jedyny preparat błonnikowy wzmocniony działaniem suszonych śliwek i moreli. Zawiera w swoim składzie nasienie i łupinę babki jajowatej oraz inulinę.

• Pobudza jelita do pracy• Pozwala utrzymać regularność wypróżnień• Wspomaga naturalną mikroflorę jelit

Laxinat utrzymuje skuteczność nawet przy długotrwałym stosowaniu.W formie proszku 100 g = cena detaliczna 14,90 PLN

Can diabetes eat yogurts?

Dieteticians promotedairyproducts, for cal-ciumisgoodforourbones.Itseemstobepo-

intlessinviewofthefactthatthesugarthereem-bedded“steals”calciumindeed.Fruityogurts,ho-mogenised cheese, coffee cream, some milk areenhancedandsweetened.

Peoplewithdiabetesshouldratheravoidvolu-mesofmilk,kefiroryogurtwhenconsumed

inthesamebreath,causethosegoodsencloselac-tose(milksugar),whichelevatesbloodglucosele-velsprettyfast.Somepersonsexperiencereallysi-gnificantkicksthemomenttheydrinkmilkpro-duce,especiallyinthemorning.Therefore,itisad-visedtohaveitlaterduringthedayandinsmal-lerportions.Nevertheless,onemustnotgiveitup.

Individuals, who are diagnosed with diabetesareencouragedtooptforskimmilkyogurtsof0–0,5fatcontent.Thisisawaytocontrolsaturatedacidsandcholesterolweconsume..

Thenagain,weupholdtherecommendationtoread trade labels and inspect howmuch fat

andsugarweselect.Likewise,weaccept theap-proachtogoforsmallerpackagesof100-150g.

Source:medonet.pl

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12 Cukrzyca a Zdrowie

U S E F U L T O K N O W

HEALTH

BEFORE

FORMALITIES

I happened to encounter him at the junctionof Diversey and Austin in Chicago. He strode in-between cars, played his guitar and sang songs.His cowboy hat and shoes,worn jeans and check-patternedshirtsuggestedheisacountrymusicman.None the less, his repertoire was broad, countingpolishtunes.Except,hisspokenlanguagewassomebizarreandthemelodiesalikeunknowntome.ThemomenthewastiredhetendedtotakehisseatonabusstopbenchanddrinkcoldCoca-Cola. - Where are you from? -hestartedaconversationoneday- I’m from Poland - I replied taking a sit next to him. He seized hisinstrumentandmurderingPolishwordsandaccent,hechantedasongonKatewhowhoredabout.Imethim a couple of times soon after.We greeted as ifold friends,andwhenever itwashesang thestoryofKate.

All until hedisappeared someday.Timepassedand hearsay of him declined, but still then, formoments,Ifeltinclinedtoscanthejunctionlookingfor the cowboypal.A fewmonths elapsedandwecame across each other round a sidelong road.Hewas fumbling for something inhis car.Wereactedfondlytoseeoneanother,butIcouldnotdetectthispeculiarsparkinhiseyeanymore.Hisgazebecamelacklustre and his face ashen. My impression washehasaged.Hesaidhehadfallenill.TilltodayIdonotknowwhatthediseasewas.Perhapshetoldme,butmyEnglishwasnotgoodenoughtounderstandhim. The problem was not only his unfamiliar tomeailment,butalsothefacthewasnot insured.ItwasthentheoccasiontogetfamiliarwithAmericanhealthservice.

Hebelieved, that inhispositionhewasliterallysentencedtoanactofclemencyora lawofdeclinefromthispublichealthservice,whichisfinancedbyChicagodistrictagencies.Longqueuestoseedoctors,

appointments regarding interventions seemingthen to be inaccessible, and poor standards offactualattendanceiswhathethoughtUShealthsystemstands. I couldnotbeof the samemindwithhim.Luckilyenough,Iwasabletodiscoverthetruth.Atthattime,Irecalledwhatmyusedtobefriendsaid,whenwelivedinNewYork.

The man suffered heart artery occlusivedisorder. I hadnoknowledge of it. In linewithhis words I understood, that he was in criticalneed of laparoscopy surgery, so as to conducta restoration of aortal patency. He could notprovide social security. In conclusion, he wasonly capable to turn to an institution, wheretheytreat intime-consumingmodeandare justfor theunderprivileged.Except thathehadhadsome previous experience of American healthservices.Also, hehad anuncannygift of beinginsolent–aknacktotallyvaguetome.HeinbasictermschosearespectablehospitalinManhattanandcollapsedthere.Heconceivablywasaquitegoodactor,asfortheploywentoffwell.Hewasexaminedscrupulouslyandlivedthroughafirst-classoperation..

Theguywasnotanybotheredtobechargedwith the hospital demands for payment. Alongwith his side, up to now he has collected billsworth$100thousandandhehaspaidnotasinglecent. Thedue amounts he quoted sounded sky-high.Idisbelievedhimfullout.Until...

Myowncousinfellill,whenwelivedalreadyin Chicago. One day he gave me a phone callchauffeuring on the route to Pennsylvania.He is a lorry driver. He said, that he felt sick,stomach aching and fevering. It made my hairsome curl. Driving 25-tone monster in such astatemust be dangerous for the driver himself,as well as for people within surroundings.Still, America is America. If you want to exist

(as it goes in USA social security sector)

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U S E F U L T O K N O W

you have to be hale and hearty even as you aresick and ill. He was driving two days long. Hereturned half bent and Chinese-yellow-like.

NextdayItookhimtoaspecialist.Thediagnosis– bile duct congested by a stone.My cousinwasreferred to hospital and ordered amodality. Themediccompanycharged$150.Thedoctorwasaboutto call anambulance.With theaimofescapingasituationcolloquiallydubbed“discotheque”,whichisacommotionoffire-brigade,emergencymedicalaidambulanceandbeacon lightpolicecars I toldthemIwoulddrivehimmyself.Thehospitalhousewascloseathand.

Thenandthere,wewereaskedafewquestions,given somenotes toplace signatures on, andmysickly-yellow cousin vanished with some ebonyblacknurseinthelabyrinthofcorridors.Icollectedhim past two and a half days. My relative hadundergoneanoperationofstoneremoving,onethatwasthebiggest.However,thesurgeonsuncoveredmorestonesandyetagainmyfamilymemberwasreferred to hospital, this time inHarrison street.Harrison.

Heputanappearanceontarget.Havingspent24hsittingflatonachairinpassagewayhegotwordtherewasnotaroomforhimandhewasmeanttoapplyinamonthahead.Hedidnothesitatesoasnottobewaiting.HetravelledstraighttoPoland,wheredoctorsidentified,thathisbileduct,stonesand liverareallfine,save for the facthis reins isdeformed,whatwasmisapprehendedbyAmericanmedics.

InPoland,theretheysuccessfullycarriedoutanoperationofhisreins,thankstowhichmycousinis able to traverse American motorways, beinghopefulnothingofthekindwillbefallhimbeforehe returns homeland. Nonetheless, still beforehe came back anew to America being treated inPoland, hewas receivingbill after bill fromUSAhospitals.

60 hours of staying hospitalised plus theoperation was calculated into $25 thousand.Anaesthesiologist’s 30minutesworkwas in turnestimatedinto$1500.Naturally,noneoftheinvoiceswaspaiddown.Inone,therewasatrainofofficiallettersfordebtextinction,thatiscedingdebtsontomunicipalfunds.

Idonotknowtheendofthestory.Ideparted.Inspiteofeverything,beingawareofrealitiesrightthere, Iamprettycertainmycousinhasnotpaid

afiftypencepiece.iewiem,jaksiętozakończyło.Wyjechałem.Znającjednaktamtejszerealia,jestempewien,żemójkuzynniezapłaciłanicenta.

Now,IamkeentointroducesomeofthemythsonUShealthservice:

Itisafalseopinion,thatamaninneed,whoisnotabletoprovidesocialsecurityproof,heorshewillberefusedtobemedicallyattended.Quitethereverse.Atthefirstinstancesuchapersonreceivesmedic attention, after that he or she is asked toprovesecuritynumber.Incase,thepatientstandsnofinancial resources,no social securitynumbereither,thenthecostsofhospitalisationarecoveredby relevant municipal or district agencies. USsocial security takes various forms. It dependson given employer and agreed individual rate ofinsurance.Morethan40millioncitizensinUSAarenotatallinsured,letalonebeinginsuredtowardsretirement. These figures do not comprise illegalresidents, thenumberofwhomisestimatedto12million.Actually,thetotalofillegitimateresidentsmustbebigger, fornoone is capableof countinguptherest,whocrossedthebordersofMexicoorCanada.

Inthesecircumstances,USAasanation,theyface a serious, both social andfinancial problem.Hospitalisation expenses conspicuously weighdown local budgets. Some cities are gravelyindebted,andhardlyekeoutaliving.Forexample,Chicago – $ 5 billion of balance due. There areinstances,wheninsurancecompaniesprocrastinatepayments of compensations for lack of reserves.Oneofmyacquaintanceshasbeenwaitingoverayeartogetrecompensatedforanaccident,causedtoblameofChicagopublictransport.

ThepresidentObamaisgoingtochangethestateofaffairs,executingsocialsecuritysysteminsuchaliberalcountryastheUSAis.Sofar,hehasbeendoingitquitejudiciously,sinceinthesamebreathhe is realizing reforms concerning emigration. Itistheonlysensibleway to lighten local budgets’ loads, instead of defraying illegitimate costs ofémigrés, there is money flowing in out of taxesandinsurancecontributions.Isitlikelytosucceed?Withoutdoubt it isa tallorder.Thedoctors,whoearn good salaries oppose the idea. They are tomaintainthestatusquoandfindtheirsupportersamongrepublicans.Andthelobbyiscommandingindeed. Casey Kozłowski Foto: Deviantart

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16 Cukrzyca a Zdrowie

U S E F U L T O K N O W

Todayricinoilisrelativelyundervalued,whilstinlongforgotten folk times itwas vastly appreciated.However,

ricin applicationswere somewhat scant.Commonly, peopledelivereditorallywiththeaimofpurgation.Purgetakesplacein answer to ricinoleic acid, that is released on exposure todigestiveenzymesoutofglyceridesandinteractswithingestasodiumions.Thisisthewayhowricinoleicacidsodiumsoapisproduced,whichisirksometowardssmallbowel,butinturnstimulatesitsperistalsis.Ricinoilisdosedin1–2spoonfuls.Wecanquoteacosmeticusageaswell,andbearitinmindasahome-madeconditionerfordryhair,aconfectionforbrittlenails,orforeye-browsandeye-lashes,thattendtofallout.

DrD.C.Jervisinherbook“FolkMedicine”,describespeoples’practiceswithricinoil.Theywereinthehabitofapplyingitonanybody spotpossible, evenonwounds, alsoon roundbreasts in lactationp r o m p t i n gmassages, inhealing resistantbaby navel cases.It was believed,that rubbing feetwith ricin oil, thenwrapping themin cotton or woolsockscouldrelievepains there. Nextday afterwards,limbs becomesofter and eased.This oil lubricatecan be employedto treat warts,m e l a n o d e rm a ,and several othermoles.

Ricinus oil (in Latin: Oleum Ricini, Oleum Palmae Christi – what stands for Christ’s palm ),jisaprotein that is extracted from the castor bean,being the most toxic plant substance (Ricinuscommunis). The oil is pressed cold and boiledwithwater.Themethodisusefulingettingridofthepoisonousalbumin(ricin),astheintakeoftheessencemaybringafatalend.Nonetheless,ricinoilhasproventobeasafebody.Itsattributes;wefindittobetransparentorbrightyellowincolour,whichthickenswhileexposedtoair,butdoesnotharden.

The oil was recognised and used in Indiaand Egypt 4 thousand years ago, for instancewhen they used it to lubricate massive stonebuilding blocks to assist in moving them. Theoldestreferenceweknow,originatesfromthesocalledEbersPapyrus(XVIcenturyA.D.)Wecanlearn, for example, that the oilwas used in eyedrops against inflammations. Principally, ricinoil compresses helped to cure most upsettingcomplaints, alimentary track diseases such as;stomachulceration,duodenum,ulcerativecolitis,gallbladderandalsoskinindispositions.

Multi-purpose beneficial

ricinum oil

Albrecht Dürer, Autoportret, 1493

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Cukrzyca a Zdrowie 17

U S E F U L T O K N O W

Therapies on oleum ricini engendered more distrustthan fears. E. Cayce discovered broader potential of ricinoil,andfounditadvantageoustonurseinternalorgansandinjuries.Herecommendedittobeappliedexternally,ratherthanorally.Compressesfireupdefencemechanisms,andifthe blood circulation is apposite, there homeostasis mightbeachieved,thatisastateofcellbalance.Heobserved,thatricincompressesareeithereffective,whenlymphaticsystemisdisordered,whichiswhenclearoutoftoxinsisinsufficient.Afterallthoseyears,hestillsupportsricinoilqualities.

Internal syndromes are hard to distinguish. Painradiates and escapes locations. Thus, the very source ofpainmightbeelsewhere.Theinnerorgansasifconfusedare not capable to synchronize,while ricin oilmight bebeneficialandrescue.

We apply compresses for conditions that follow:

- Internal: pepticulcer,-autonomousoverpressure,appendicitis,,-gastritis,cholecystitis,pyelonephritis,ulcerativecolitis,-infectioushepatitis,-bowelobstruction,arthritis,headache-anusrupture,unidentifiedstomachaches, peritoneumhematoma,hemorrhoids-DeQuervainsyndrome,Bornholmdisease,bursamucosainflammation;

-Feminine: challengingmenstruations,nippleinflammations, Chlamydia trachomatis,risksofmiscarriage, fallopian inflammatorydiseases, menses’ haemorrhages, bacterialvaginosis, ovary inflammations, uterinefibroids,ovarycysts-onemaydirectahotricincompress,inordertoliquefysand,whichdwellsinbileductandgallbladder;

-Dermatological: arbscesses, mycoses,sebaceouscysts,purpura,warts,boils,sores;-Injuries:neck,biceps,low-backpains-compressescanbeappliedevenifapersonisrunningatemperature. The potency of ricin oil is whatencouraged scientists to conduct necessaryclinicalanalysis.Therewasastudycarriedout,whentheteamofDr.H.Grady(AREClinic’sFetzerEnergyMedicineResearch)drew thefinalconclusion,thatoleumricinicompresses

reinforce the immunology system. Lymphocytic Tcells areproduced inbonemarrowand the thymusgland. These are tiny lymphocytes, which detectandcombatalienbodies,suchasviruses,fungi,andbacterium.Placingcompressesattheupper-rightsideofstomach-liverandlymphvesselofsmallintestine– boosts the release of lymphocytes. It is thought,that incrediblyhotcompressesworkas if theywereelectrical stimulus in the style of acupuncture. Thebioenergetic theory,which gives details on ricin oilanditsexceptionalpropertiesprovidesevidence,thatricinfor itssubtleenergyemissions,strengthenstherelationshipbetweenhumansandthatwhichisvital,inandaroundthem.

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Itisprobable,thatthosemolecularfractionsofricinenergyactsimilarlyascrystalmoleculesdo.Oleumriciniplayabeneficialrolenotonlywithinimmunologicalsystem,butthankstomixingwithprostaglandinsasgoodasglobally.Ricinoilkindles theactivityofprostaglandin,whichmeansthat it effects entire human organism. It regulates muscle tightness,blood pressure,metabolism, stomach acids, body temperature, controlsinflammationsandtakespartinthecommunicationofneurotransmitters..

OLEUM RICINI COMPRESSES’ PREPARATION :NWearesupposedtocollect4flannelcoatingsoftherequiredsize.The

fabricisinfusedwithricinoilandappliedwhererequired.Theoilistobeheateduponafryingpanorinapotusedonlyforthisspecificpurpose.Thefirsttime, wewarmuptheoilalone,thefollowingdaysweheatittogetherwiththetextile.Itisreasonabletore-usethecloth.Themomentourcompressishot,wefixittoabodyspot,wrappingitwithatowelsoastoavoidcooling,then,inordertoprotectbedding,weenvelopapersoninplasticfoil.Thebesteffectsareachieved,whentheoilisoptimallyboiled,thatiswhenitisverythin.Extraoutercoveringmaycomeinhandy,forinstanceanelectricalblanketorawarmedsackofsalt..

The compress s is meant to deliver ricin oil through skin pores. Itmightbeafewhoursaday,untilonerecovers,orcyclically;3dayslong,then4daysbreak,andagain3days.Awordofadvice;onecanimprovetheprocessofassimilationandgastricclearoutbydrinkingoliveoil.Thecompresses serve detoxication, which takes place via perspiration andresultsinincreasedsurfacelymphcirculation.

The counter indications are on-goingmenstruation,beingonapple-detoxdietandofcoursepregnancy.

Scientistshaveprovedas fact, thatoleumricini isaversatilenaturalmedicament,low-pricedandeasilyobtainable.Itstrouble-freemethodofapplicationgivesitanincontestablemarketposition.

Compiled by: Antonina Niekrasz Foto: Deviantart

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Cukrzyca a Zdrowie 19

H E A L T H Y E A T I N G

It is worthwhile to treat ourselves with fish . Ż Nutritionists continually point out,

that it is themosthealthy sourceofprotein. Incontrast tomeat, fishdeliver far fewer calories.Fishandseafoodarebountifulinvaluablevita-minsandminerals(sodiuminparticular,thees-sentialelementtoproducethyroidhormonesandregulatemetabolism).Theysupplyuswitham-plephosphorus,potassium,andmagnesium,vi-taminsB,AandD,whilethin-bonedfishandpic-klesaffordcalcium.Theirveryfatappearstobewholesome. It is beena longpracticenow, thatdoctorsprescribefishadiposetissuecapsulestoaidthecirculatorysystem.

Fish and seafood are popular around theworld. In Poland, the favourite choices are:

mackerel, herring, cod,hake,halibut, tuna andflounder,andfromtheriver:carp,salmon,nor-thernpike, zander, common roach, trench, tro-utandeel.Ourmarketoffersfresh,frozen,salinwatered,andsmokedfish.Equallyacceptedareitemssuchas:tinnedfish,sandwichpastes,bre-adedfillets,marinatedfishor incream.Ontheother hand, sea food, moules, crevettes, crabs,octopuses, lobsters or spiny lobsters are not sopreferred, thePolishknowthembyhearsayra-ther thanhabit.Weassociate themwith luxuryandbanquets.Wehumblyoptforherringsinto-matosauceorsmokedmackerel.Providentially,thereisnoactualdifferenceineatingcrabsand

crevettesortraditionalaspicfish,formainstreamfishgivesimilaramountsofprotein,andlessfatandcholesterolthanmeat.Thisshouldappealtopeoplewhoareobeseorfacecardiovasculardise-ases.Equally;itismisleadingtobelievethatfattyfish,forexampleeel,salmon,herringormackerelarenotasgoodforyou.

Fish fat carries unusually helpful omega-3acids.Thesenatural complexes relieveaccu-

mulationofbloodclots,holdbackinflammationsandlightencontractionsofvessels.Thecompo-undsassistinthecreationofeicosanoids–sub-stancesthatcounteractcancers.

Have a swim in a

„health pond”

– eat fish

and sea food

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H E A L T H Y E A T I N G

Hence,many a scientist assumes,thatfatoffishcanguardusfrom

malignant cells, specifically breastcancer. Omega-3 acids distinctive-lysustainbloodlipidsystem,cuttingdowntriglyceridesandbadcholeste-rolconcentrations.Theyworkagainstarteriosclerosisgrowths,diminishingrisksofheartinfractandbrainembo-lism.Asmallportionofomega-3acidsalleviatessymptomsof:asthma,pso-riasis,rheumatoidarthritis,liverdise-ases andulcerative colitis. It inhibitsprematurepregnancydeliveries,obe-sityandtypeIIdiabetes.Fishfatappe-arstohavepositiveeffectsonthene-rvous system. Its composites reducevulnerability to depression, and canliftone’sspirits.

Diabetes causes danger of ischa-emic heart disease, and any

otherheartfailures,afishmealonceamonthreducestherisksby30%.Eve-ryday meals reduce the risks by asmuchas60%.Ariskoffishcanbesalt,soitissuggestedtoavoidsmokedandbrinyfish,likeherring.

Standinginfrontofafishstall,weneed to pay attention to how the

productsmellsandappears.Freshfishsmells subtly.The skin shouldbe lu-strous,evenandtaut,theflesh–tight,firm,andsupple.It isreliabletoexa-minegills–theheartycolourissup-posedtobepinkorred.Theeyessho-uld be gibbous, translucent and gle-aming.Iffishgivesyouacloudy,sun-kenlook, it isbest todiscardit.Sup-posing you plan to buy fillets, thentakenoticehow theyare stored.Thebestpracticeiswheniceorarefrige-rated counter is used. The marginscannotbe rusty,and thesurfaceco-veredinmucus.Fishfleshcontainsalotofwater,whichisthereasonwhyit goes bad so fast. Killed, disembo-welled,andrationedfishmustnotbestored in a fridge longer than a day.

Ifyouarenotgoingtofreezethefi-let,placeitinaplasticbagandcoverwithice.Again,meltingiceisarisk,sothisisamethodforstoringfilletsforacoupleofdays.Certainly,smo-ked and salted fish last longer, butpayattentiontothesmellwhichcanaffect other items of food. Cannedfishisprotectedfromtheairandispreserved formonths,whether it iskeptat3°or15°C,butthemomentitisopeneditshouldbeheldinacera-micpotandconsumedwithinafewdays.abetescausesdangerofischa-emicheartdisease,andanyotherhe-artfailures,afishmealonceamonthreduces the risksby30%.Everydaymealsreducetherisksbyasmuchas60%.Ariskoffishcanbesalt,soitissuggestedtoavoidsmokedandbri-nyfish,likeherring.

Wecancomposefishdisheswithavarietyoftechniques:bybo-

iling, frying, stewing or roasting.Mostfavourableresultscomethankstospecialisedpotsandbowls.Morefrequently thannot, it is a perfora-tedskilletinwhichweplacebitsoffish,andthiswelayinapotfullofsimmeringvegetableconsommé.Aslongaswefeellikesomefriedfish,thenwedecideonsmalldosagesoffats,andlinethepanwitholiveoil.Because frying creates strong odo-ursitissensibletooptforroasting,onagrateorintinfoil.

How do we defrost? Well, weneed topour1,5 -2 lofwater

over the fish, add 2-3 spoonful ofsalt,allofwhichwillhelptomain-tainthefleshjuicesandnutrients.Itis understood, that preparation offreshfilletsismorestraightforward.

Sourced from: www.apz.pl Foto: Deviantart

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H E A L T H Y E A T i N G

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H E A L T H Y E A T I N G

Liver diseases relating to diabetes

Liver is the biggest of glands, for its mass co-mes close to 1,5 kg. It is the pivotal organ, which processes food and keeps blood “hy-gienic”. The healthier it is the more effec-tively metabolism works, that is how it di-rects and assimilates food, as well as how it generates, accumulates and voids all vital body substances. This glandular part sup-plies other organs with energy material (gly-cogen), sorts out fat (as it delivers digestive bile), produces a great deal of blood prote-ins, and on top of that it cleanses toxins we develop from food, water, air.

Liver is a robust and “patient” organ, butmoreoftenthannotisover-exploitedwithvolu-

minous,stodgyfoodstuff,throughmanifoldfoodpoisoning,duetoalcoholoverindulgence,drugintoxications,orviruses’infections.Thesechronicinflammationsjeopardizeswithne-crosisofcells,calledhepatocytes.Thedamagesofliver,cha-racterizedbyreplacementoflivertissue,andcausedbywastefibrosis,scartissueandregenerativenodulesistermedcirrho-sis.Diabetesisnextonediseasetomakenecrosisandcirrho-sishappen.

DIABETES EFFECT ON LIVER Diabetes is a lasting, to say life-long disease. Years and

yearsofbeingadiabetespatientleadstolivermalfunctions,statisticallyitisaconcernofeverythirdperson.Thebasisofcomplaintsisdisordersofcarbohydrates’andfats’metaboli-sms,thatrevealsexcessiveglycogenandadiposetissuedepo-sitsinliver.Bothsyndromesmaysetinmotionthesameno-nalcoholic fatty liverandcirrhosis.Thosemaladies, in turn,mightaffectgallbladderandbiledust.Equally,diabetestypeI(insulindependent)andtypeII(insulinresistant)cantriggerillnessesmentioned. Precise laboratory tests and ultrasona-graphicanalysisbroughttolightthosesharedrelationships.

The disorders of liver initiated by diabetes are as follows:

1.Carbohydrates’metabolismdisorder2.Apodisetissuemetabolismcomplaint3.Diabetesgallstone4.Adversedrugside-effects5.Diseasecausingdiabetes

CARBOHYDRATES’ METABOLISM DISORDER

Liverplaysanimportantroleinprocessingofcarbohydra-tes.Glucose–anessentialbodyfuel–isabsorbedinintesti-nestoblood.Whenitreachesliver,itissubjectedto“chemicalcondensation”andconvertedintoemergencysupply,namedglycogen.Thissubstanceisstoredinliverandotherorgans,asifinagranary.Themoment,thereisshortagesofglucose,iswhenglucagonisrapidlybrokendown,andtheglucosere-leasedispromptlytakenintoblood.Regretfully,diabetesin-dividualsundergounfoundedover-productionandamassingofglycogeninliverandtheirconditionmakesmattersworse.

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H E A L T H Y E A T I N G

Why does liver produce and accumulate glycogen in surplus?

Itisthought,thattheliveroverloadofglycogenarises from hefty glucose fluctuations, in particu-laritiscasesofunmanageablediabetestypeI.Theexperimentsonanimalsprove,thataninsulininjec-tion,inananswertoitsdeficiency,sparksoffapro-longed,intensiveglycogenproductioninliver,whattakes placeuntil glycaemia restores to homeposi-tion,stillofhigherthannormalconcentration.

Does competent control put a stop to superfluous glycogen?

Excessglycogenaccumulatesbothinlivercells’nuclei,calledhepatocytes,andtheircytoplasm.Assoonasglycogenintensivelyflowsin–thenucleioflivercellsslowlybutsurelyturndegenerative.Thephenomenonaffects70%ofdiabetics,oftypeIandoftypeIIlikewise.Nonetheless,itmightoccurdu-ringhepatomegalia,tuberculosis,heartfailures,hy-perthyroidism,cirrhosisandchronichepatitis,andacute infectious diseases (such as mononucleosis,measles,diphtheria,rubella).Livercells’nucleidege-nerationunderglycogenweightisfoundtobecon-comitanttofattyliverinthecourseofdiabetes.

Does competent control put a stop to superfluous glycogen?

Excessglycogenaccumulatesbothinlivercells’nuclei,calledhepatocytes,andtheircytoplasm.Assoonasglycogenintensivelyflowsin–thenucleioflivercellsslowlybutsurelyturndegenerative.Thephenomenonaffects70%ofdiabetics,oftypeIandoftypeIIlikewise.Nonetheless,itmightoccurdu-ringhepatomegalia,tuberculosis,heartfailures,hy-perthyroidism,cirrhosisandchronichepatitis,andacute infectious diseases (such as mononucleosis,measles,diphtheria,rubella).Livercells’nucleidege-nerationunderglycogenweightisfoundtobecon-comitanttofattyliverinthecourseofdiabetes.

Is fatty liver reversible?

Yes,itis.Theampleglycogenaccumulationadultsexperience,andill-controlledtherapiestheysubmitthemselvestooreventotallyneglect,iswhyadipo-sedegenerationdiseasestrikes80%ofcases.Still,itmaybereversedthroughoutpropertreatmentandmetabolicallybalanceddiabetes.Itisthelineonene-

edstofollowtopreventoneself against cirrho-sisandchronichepati-tis.

Z LIPIDS’ ME-TABOLISM DISOR-DERS IN RELA-TION TO DIABE-

TES Liver is a strategic

organ, where impor-tant chemical changesoflipidstakeplace.Thefats generated duringdigestion reach liverand are converted intofatnourishment,mainlycholesterol.

Cholesterol is infamous for its contributions toarteriosclerosis,butstillisessentialmaterialtopro-ducehormones and tokeepnervous cells ingoodcondition.

What is diabetes lipids’ chemical changes syndrome about?

Diabetes,especiallytypeII(nexttoexcessivealco-holconsumptionandobesity)frequentlygiverisetoliverlipids’metabolismdisorders.Theupshotisdi-sproportionatebuildupoflipidsthereinhepatocy-tes,andmightfinishlivercellsinfattyliver.Overagefatdepositsisagroundtootherdiseaseslike:non-alcoholicfattyliver,liverfibrosisorabsolutecatarrh,thatiscirrhosis.Theincidenceofcasesreaches45%,whenpatientsreachageof60.Similarly,obesity,likephysiologicalage,drivestherisksup.DiabeticsoftypeIcanbepleasedtohear,thattheratestheymeet is4,5-17,0%,but justonaccountofimproperstabilizingofdiabetes.

Why excessive fat is harmful?

Ifdiabetesistreatedasitshouldbe,thereiswell-adjustedexchangeoffatbetweenliverandadiposetissue.Thebalanceisdeterminedbyfatreservesincellsandinsulinlevelsinblood.Anyseriousfluctu-ationofbloodinsulinmayupsetstability.Forinstance,long-lastingandweightyshortageofinsulin,particularlyindiabetestypeIcases,leadstointensivereleasingoffatdownfromadiposetissue.Asaresult,highconcentrationsoffatacidsgrowinblood, and these strengths are forcefully absorbed

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H E A L T H Y E A T I N G

intoliverhepatocytes.Thisiswhattriggersthepro-cessofsteatosis,whichislipidinfiltration.

Do diabetes patients exemplify this physiological mechanism?

No,theydonot.Incaseofdiabetes,steatosisdeve-lopsdowntodisordersoffats’metabolism,followedby overproduction of one lipid – precisely VLDL.Concurrently,obesity,dietlapses(e.g.surfeitofcarbsandfatsineatingpattern),physicalinactivityallinalltakethetoll.Notwithstanding, every one of us is unique andcomports many different ways. Still, ill-controlledtreatingofdiabetes is conclusive, inparticular su-perfluityofsugar(hypoglycaemia),thatpotentiatesfatproductioninliverandprogressionofsteatosis.

What is the initial stadium of diabetes still reversible steatosis?

Typically,lipidinfiltrationassailstheentireorgan.Attheoutset,itisseparatesinglehepatocytes’cellsthatareattacked.Thesecellularunitsgetpenetratedwith fatnearly to the full,what shifts cellnucleus(karyon)andcytoplasmtoperipheries.Thisconver-sionisreversible,nomatterhowaggravatingitgoes.Nowand then, steatosismayaffect justpartially.Thereasonbehindsuchafocaldamageisprobablytopicalischemia.

NECROSIS Someofcellsbreakdownandcollapse,andfatpo-urs out on those hepatocytes, that remained safe,andcyststakeshape.Suchatopicallipidinfiltrationisnotmuchdetrimental,howevermayturnoutaso-urceoffibrosis.This phase is called portal cirrhosis on steatosis.Themechanismofsteatosis,namelystimulusinthedirectionofconnectivetissuetoexpandinliver,hasnotbeenidentified,yetthedynamicisregardedtobehepatitis.Inthebeginningofcirrhosisliverissi-zeable, but itdecreases in awhile.Once regenera-tiontakesplace,thenlivergeneratesnewfreshhe-patocytes.

Is it easy to recognize the initial stage of cirrhosis entailed by diabetes?

Unfortunately,itisnot.Itisbecauseofthefact,thatclinicalsymptomsarediscreetandfaintlypercepti-ble,manyatimeitunfoldssymptomless.Standard laboratory equipment is not that suf-ficient,sinceaberrationsare insignificant,as faras

thereareany.Hence,thiskindofdiseasehappenstobede-tectedaccidentally,inthemainduetoanoccasionalliveracheorastomachdiscomfort.Tomakeaconditioncertain,therearesuchtechniquesaspalpablecheckup,medicalul-trasonography,x-raycomputedtomographyandmagneticresonanceimaging.

What is the approach to treat diabetics, who go through steatosis?

Fundamental,foranyperson,iseliminationorminima-lisingthedynamicsthatengendersteatosis.Nextinturnistodealwiththebasicdisease,whichisstabilisingofdiabe-tesglycaemia.Atthispointoftherapyweneedtocustomizeanadequ-atediet,andsimplycontrolhigh-energyfoodandfat..

What is the expertise on lipid metabolism disorders in liver?

Exceptionallyimportantiswhetherwefollowcarbohy-drates-abundantdietornot,thisiswhenweconsumelotsofpasta,potatoes,bread,sweetconfectionsorsweetfruit,etc.Suchavarietysuppliesplentyofsubstratesusedinli-verfatsynthesis.High-fatdietbringssimilareffects,whenweeattoomuchheftymeat,animalsaturatedfat,vegetablefat.Inasituationlikethis,livergeneratesprofuseamountsoffat,soprofusethattheorganisnotabletovoiditandli-pidinfiltrationcomestopass.Cuttingbackoncalories,andlosingweightisadown-to-earth,stilleffectiveapproach.

Could you tell what is the curative diet ingredients?

Naturally,itisBvitaminsandoptimal(balanced)dosesoffull-valueanimalproteins,thatdeliveraminoacidscholineandmethionine.Thesearesubstances,thatfightdownde-structivelipoproteinsVLDL.

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H E A L T H Y E A T I N G

DIABETES GALLSTONE

Inourday,itisconsidered,thatdiabetes,typeIIinpar-ticular,contributes togallstone.The thesis isbasedonepidemiologicstudies.Diabeticsoccurtohavegallstone2-3timesmoreoften.Then,whataconclusionwecandraw?Thissuscepti-bilityisknownasdiabetesdisorderofgallbladdercon-tractionsandinabilityofgallbladdervoidingviabile.These defects of contracting and voiding, and con-current upsurge of bile volume there,was authentica-ted thanks to ultrasonography and x-ray procedures.Wefind, that itmustbedue toa failureof autonomicnervous system, that commands gall bladder contrac-tion function.Additionally, ithappens sodown tofla-weddiabetescholesterolcoordinationsystem,whenbileturnsoverfilledwithcholesterol.

ADVERSE AFTER-EFFECTS OF ANTY-DIABETES DRUGS

Oralagainst-diabetesdrugs,e.g.onsulfonylureade-rivates, for instanceTolbutamide,maydisappointinglypromptjaundice.Itdependsondosagesandindividualreactionsofpatients.However,theincidenceisfairlyimmaterial,andside-effectsrelentthemomentonediscontinuestakingme-dicine.

DISEASES THAT ENGENDER DIABETES Liverimpairmentmayinduceincidentalsymptomsofdiabetes.Cirrhosisprompts80%ofthesymptoms.Tho-roughdiabetes,whenhyperglycaemiafiresupover126mg%ofglucoseonemptystomachandglycosuria(uri-neglucosevoiding)arisesin10%oftheseconditions.Itiswell-known,thatdiabetesdevelopsoutofinsulinresistanceandconfusedglucagonandgrowthhormo-

neimpactsonphysiologicalinherentregulationofblo-odglucose.

What else can aggravate diabetes?

Constitutional diseases, that stem from auto immu-nologyandmetabolicsyndromes,andaffectpancreasamongotherorgans.Forexample,itmightbehaemochromatosis,intheco-urseofwhichbreakingdownofironconcretionsleadstocirrhosisandproducesminorsymptomsofdiabetes.

Sourced: przychodnia.pl Foto: Deviantart, Wiki

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My dearest...

When I was a little girl I remember my grandma and grandpa to go through diabetes. I was quite puzzled what the disease was. Why the name was associated with sweets in a straight line? I

asked such questions as “what is the reason why my grandma and grandpa had “candies” in their blood?”. I grew up being a witness how they met the syndrome. It was a heartrending view to see them inject. .. In the meanwhile, I took an interest in baking cakes. Naturally, I was always eager

to treat them, save for they just nibbled, said their thank you and the word “delicious”.Still, I could not understand they did not seize my birthday cakes. Over time, they began making me aware, they did it delicately, as I was only a child. Nonetheless, I developed into a mature ob-server. I happened to leaf trough a pamphlet, a flyer, a booklet, and I could no how comprehend

it. Notwithstanding, for love for them I stood fast to be with them, to be close. The ground-break-ing moment was when I started losing my eye-sight. Doctors inferred diabetes. Luckily, the diag-nosis fell short. I am not a diabetic, but prove risks. The hospital was some school, where the per-

sonnel explained me great a lot, but when I felt the theory is still not as much as necessary. I know I am in need of further experience. I realize, that there are more and more diabetics, TV and radio inform us it turns out to be the pandemic of XXI century. Totally shocked I am. Diabetes may be-fall anyone, to say it with utter regret. Then again, I do hope, that education would relieve the sit-uation, that both media and associations involved will appear valuable service. Not being directly concerned, not other than supportive out of choice and compassion, I trust I may pay my own con-tribution as well. I am grateful indeed, that institutions and people share knowledge and make ev-

ery effort to raise social recognition of diabetes worldwide.I can see it full well how love secured my grandparents and was their strength. I have always been and will be dedicated to my grandma (grandpa passed away). It was them whom I owe the apti-tude of speaking in honest and straightforward way. It was them to teach me empathy and man-

ners of dealing with emotions as they come. Ewa Łyczkowska

Autorka opublikowanego listu otrzymuje od Redakcji zestaw kosmetyków Firmy SMOOTH - Miedziak Barbara

R E A D E R ‘ S P A G E S

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I lost my weight after I had read “Diet of Life” book of Maja Błaszczyn, what added up to 36 kg. It did not help, that doctors think of diabetes as “a sentence”. The set of choices was conforma-ble to calories’ figures. The charts of substitutes did make things difficult. In general, learning the diagrams does not seem doable and disheartens. I know personally older people, males, females ali-ke, who play truant every now and then.

One can not give up and home-imprison oneself to be endlessly counting calories, exercising charts of substitutes, signing fruit and veggies away.

Diabetes in my life

M y mother was diagnosed with diabetes when she was 40. I was born in 1945, and never was tested in relation to diabetes. Obesity was my share, at the age of 20 my body weight

was close to 86 kg, and what the top I scored was 136 kg. I gave birth to two children. My husband was afflicted for 17 years and passed away down to the 8th cerebral haemorrhage. I was in the con-stant frantic move, so as to attend home, to pay visits in hospital, to work, to the point of exhau-stion. My feet were incredibly painful. For the time of 2 years I consulted an endocrinologist, a sur-geon, an orthopedist, a neurologist altogether. The verdict was: “slim down” and “ forget gluttony”. I developed asthma, my heart was giving out, none of the doctors advised a check up. No one asked a single question, whether diabetes might run in family. A pension was allowed to me on “systemic health complaints”, and more 2 years had to pass, until it occurred to my GP, that it may be diabe-tes onset (“Praise be to God!”). It was then I was referred to analyze my blood sugar, and was given extra 2 tablets of Chloropropamid (the drug is out of the market today). The very next day I was in an excellent form, that vivacious as if I could fly, let alone walk. ”

I took my way to a Diabetes Clinic, one at Kozłowa Street, they examined me there and rendered the case history of a medical patient. What they found was advanced diabetes. The diet they sugge-sted was 1500 calories, to be consumed in 5 daily meals. Diabetes does not ache, however it is ne-atly devastating. At the moment, on top of that, diabetic cataract comes into being. What I suffer from also is aortic stenosis, aortic insufficiency and constant cardiac dysrhythmia. But the progres-sion has been put to stop by my cardiologist dr. J. Paruk. It is him, who gave me “a better life” of 8 years now. So far, my blood pressure has been nigh-impossible to normalize, 240/140 at the highest point, that 3 different drugs in chorus failed to adjust it. One year it took to come to terms, and at last I can say my body settled in and I feel good.

A le

tter to editoria

l tea

mR E A D E R ‘ S P A G E S

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Autorka opublikowanego listu otrzymuje od Redakcji zestaw kosmetyków Firmy Laboratorium KosmetykówNaturalnych FARMONA sp. z o.o.

Redakcja: StronaCzytelnika-Diabetyka Redakcja„CukrzycaaZdrowie” ul.Warszawska23 15-062Białystok

R E A D E R ‘ S P A G E SA le

tter to editoria

l tea

m It is not my line to go up against diets, summing calories, I am simply a normal person. Being a diabetic I need to deliver insulin, and it is all the story. Others befell to face cancer or asthma and manage it! The hope of mine is to be concerned as a human and to be able to expect any support on the cards.

C I do care for to be working and have some benefit of my life. I have my right to refuse being a ballast. No one appreciates pity but understanding. Communities isolate the ill, no-body aims for problems. From my own experience I know what it means to have a job and si-lence down the issues or secretly afford an injection.

Acquaintances of mine have diabetes and are of any age given, no touchiness of the kind. Except that I had to reach 64 to be courageous enough and be capable to disclose I am an in-sulin-dependent diabetic. .

Alicja Nycz

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PYTANIA KONKURSOWE 1. Czy aktywność fizyczna jest wskazana dla osób chorych na cukrzycę ?

a) tak b) nie 2. U osób z cukrzycą wysiłek fizyczny nie powinien spowodować przekroczenia: a) 100 uderzeń tętna na minutę b) 140 uderzeń tętna na minutę c) 200 uderzeń tętna na minutę 3. Czy przed wysiłkiem fizycznym, gdy stężenie glukozy we krwi jest niższe niż 100 mg% należy spożyć dodatkową porcję węglowodanów ? a) tak b) nie

IMIĘ ............................................................................................................................................................................................................................................................................

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ADRES ...................................................................................................................................................................................................................................................................

C O M P E T I T I O N

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Skrócony Regulamin Programu Edukacyjnego

„Świadomy Diabetyk”• Regulamin Programu Edukacyjnego „Świadomy Diabetyk” zwany w dalszej części „Regulaminem” określa warunki, zasady uczestnictwa

oraz nagrody w Programie Edukacyjnym „Świadomy Diabetyk”, zwanym dalej w treści Regulaminu „Programem”. • Program jest przeznaczony dla Uczestników posiadających dostęp do czasopisma zawierającego zestaw pytań i kupon konkursowy, lub dostęp do strony organizatora www.cukrzycaazdrowie.pl, gdzie dostępny jest kupon konkursowy. • W trzech wydaniach czasopisma „Cukrzyca a Zdrowie”, ukazujących się w okresie realizacji Programu drukowane są zestawy pytań. Każdy zestaw zawiera 3 pytania nawiązujące do informacji zawartych w treści danego numeru czasopisma „Cukrzyca a Zdrowie”. • Uczestnicy obowiązani są udzielić odpowiedzi na wszystkie pytania zawarte w danym numerze czasopisma i umieszczenie odpowiedzi na kuponie konkursowym, który należy wysyłać na adres Organizatora: Redakcja „Cukrzyca a Zdrowie” ul. Warszawska 23, 15-062 Białystok. Poprawnie wypełniony kupon konkursowy musi zawierać również dane osobowe niezbędne do przesłania nagrody. Odpowiedzi są przyjmowane w terminie od września 2009 r. do końca marca 2010 r. Decydująca jest data wpływu kuponu konkursowego do Organizatora. • Nagrodą za dostarczenie na adres Redakcji w terminie od września 2009 r. do końca marca 2010 r. kuponu konkursowego z poprawnymi odpowiedziami na pytania z wybranego numeru magazynu medycznego „Cukrzyca a Zdrowie” jest aparat do pomiaru stężenia glukozy we krwi DIAGOMAT, który zostanie wysłany do Uczestnika Programu w ciągu 14 dni od daty jego zakończenia. Jeden Uczestnik może otrzymać tylko jeden aparat do pomiaru stężenia glukozy we krwi DIAGOMAT w trakcie trwania całego Programu, niezależnie od liczby przesłanych kuponów konkursowych. • Wśród Uczestników, którzy nadeślą odpowiedzi na pytania zawarte w 3 kolejnych wydaniach magazynu medycznego „Cukrzyca a Zdrowie” zostaną rozlosowane 3 aparaty do pomiaru ciśnienia krwi marki AND, model UA-631. • Losowanie aparatów nastąpi w ciągu 14 dni od zakończenia Programu, a lista laureatów, którzy wylosowali ciśnieniomierze zostanie opublikowana w kolejnym numerze magazynu medycznego „Cukrzyca a Zdrowie” i na stronie Organizatora www.cukrzycaazdrowie.pl, aparaty zostaną wysłane do laureatów w ciągu 14 dni od daty losowania. • Biorąc udział w Programie, Uczestnicy wyrażają zgodę na zbieranie i przetwarzanie podanych danych osobowych przez Organizatora w celach promocyjno-marketingowych związanych z Programem, zgodnie z Ustawą o ochronie danych z dnia 29 sierpnia 1997 r. Uczestnikom Programu przysługuje prawo wglądu do swoich danych i ich poprawiania.

• Pełen Regulamin Programu jest dostępny w siedzibie Organizatora oraz na stronie internetowej www.cukrzycaazdrowie.pl.

Podpis Uczestnika Programu Edukacyjnego.....................................................................................

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Skrócony Regulamin Programu Edukacyjnego

„Świadomy Diabetyk”• Regulamin Programu Edukacyjnego „Świadomy Diabetyk” zwany w dalszej części „Regulaminem” określa warunki, zasady uczestnictwa

oraz nagrody w Programie Edukacyjnym „Świadomy Diabetyk”, zwanym dalej w treści Regulaminu „Programem”. • Program jest przeznaczony dla Uczestników posiadających dostęp do czasopisma zawierającego zestaw pytań i kupon konkursowy, lub dostęp do strony organizatora www.cukrzycaazdrowie.pl, gdzie dostępny jest kupon konkursowy. • W trzech wydaniach czasopisma „Cukrzyca a Zdrowie”, ukazujących się w okresie realizacji Programu drukowane są zestawy pytań. Każdy zestaw zawiera 3 pytania nawiązujące do informacji zawartych w treści danego numeru czasopisma „Cukrzyca a Zdrowie”. • Uczestnicy obowiązani są udzielić odpowiedzi na wszystkie pytania zawarte w danym numerze czasopisma i umieszczenie odpowiedzi na kuponie konkursowym, który należy wysyłać na adres Organizatora: Redakcja „Cukrzyca a Zdrowie” ul. Warszawska 23, 15-062 Białystok. Poprawnie wypełniony kupon konkursowy musi zawierać również dane osobowe niezbędne do przesłania nagrody. Odpowiedzi są przyjmowane w terminie od września 2009 r. do końca marca 2010 r. Decydująca jest data wpływu kuponu konkursowego do Organizatora. • Nagrodą za dostarczenie na adres Redakcji w terminie od września 2009 r. do końca marca 2010 r. kuponu konkursowego z poprawnymi odpowiedziami na pytania z wybranego numeru magazynu medycznego „Cukrzyca a Zdrowie” jest aparat do pomiaru stężenia glukozy we krwi DIAGOMAT, który zostanie wysłany do Uczestnika Programu w ciągu 14 dni od daty jego zakończenia. Jeden Uczestnik może otrzymać tylko jeden aparat do pomiaru stężenia glukozy we krwi DIAGOMAT w trakcie trwania całego Programu, niezależnie od liczby przesłanych kuponów konkursowych. • Wśród Uczestników, którzy nadeślą odpowiedzi na pytania zawarte w 3 kolejnych wydaniach magazynu medycznego „Cukrzyca a Zdrowie” zostaną rozlosowane 3 aparaty do pomiaru ciśnienia krwi marki AND, model UA-631. • Losowanie aparatów nastąpi w ciągu 14 dni od zakończenia Programu, a lista laureatów, którzy wylosowali ciśnieniomierze zostanie opublikowana w kolejnym numerze magazynu medycznego „Cukrzyca a Zdrowie” i na stronie Organizatora www.cukrzycaazdrowie.pl, aparaty zostaną wysłane do laureatów w ciągu 14 dni od daty losowania. • Biorąc udział w Programie, Uczestnicy wyrażają zgodę na zbieranie i przetwarzanie podanych danych osobowych przez Organizatora w celach promocyjno-marketingowych związanych z Programem, zgodnie z Ustawą o ochronie danych z dnia 29 sierpnia 1997 r. Uczestnikom Programu przysługuje prawo wglądu do swoich danych i ich poprawiania.

• Pełen Regulamin Programu jest dostępny w siedzibie Organizatora oraz na stronie internetowej www.cukrzycaazdrowie.pl.

Podpis Uczestnika Programu Edukacyjnego..................................................................................... Cukrzyca a Zdrowie 33

C O M P E T I T I O N

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Diary AlphabetPastel-colouredsenseoflife.

Thereisnoreturnsinthisworld.Andthemomentexistentialroadsinterweavebeyondintegratedidentity,coloursfadeandlightloseslustre.Daysbecomeoutstretchedin-betweennare’snestinheavenandestrangementdownonearth.Theroadsleadingmybeingdisappeargraduallytravellingawaywithwhispers.ToregainmyenergiesIneedtosurmountadversereality.InlinewhenIexperienceitandmyveryinneremotionsaltogether.Soasthespace,thatmeetsskyandground,couldfulfilitsemptiness.

Iwillliberatethewhisperstofly.Theywillgrowasifwingsofbirds,asifbranchesoftrees,notbeingabletoescape,astheessenceofthematteranticipatestheveryself,whentimeleavesitbehindallatonce.Diarywillopenthepages,justaslongingopensarms,afriendvitallyneeded.Heorshewillbecomeskyatbothsides,meinthemiddle,justlikeagreenfieldinfusedwithhope,likearingofholybeads,thelu-

minosityofwhichisamystery,onethatwillsetmefreeoutofdarknessanddespair.

Thediarytakestotheair,itswims.

Sublimationoftimerendersitshadow,see-thstłuszczenieroughdimension,necessitatingthecontextitiswithin–stillvolatile.

Myperspectiveisflatandnarrowed,allthemoremyinvolvement,itiswhatmyrelationshipwiththeplanetandhumankindis.

Theworldisalive–breathing,moving,understandinginandout,feeling,perceiving.Iamhere,inha-lingoxygen,respiringconsciousness,asanindividual,aswellasapartoftheworld.Thoughts,observa-

tions,imagesgetlocktotheclosedcircuitoftime–past,presenceandfuture..

IamwhoIam,andsimultaneouslychaselifezones,viajavaanddream,withmyfaithandsensitivity,azonewhichabsorbslifeandmakeshumanonewithenvironment.Iassimilateitintocreativenessso

tosay.

Theworldismultifariousfrombeginningtoend,peaceabletowhatitisandwhereitis.Aseveritfacesgoodandevil,truthandbogus,likewiseitrealizesjoyandsadness,fearandsecurity,anxietyandsere-

nity,allinterdependentasprimordial.

Thesensualandspiritualperceptionsblazetoashes,outofwhichsomenewauthenticitymaycome.Ireceiveitasifemotionaldancinginthickfog,whatturnsintoinsanityofexperiencing.Theydevelopintoembodimentoftheworld,whereIstepintostronger,moreandmore,deeper.Igettheinsighttro-ughmyself,asaresultofdeadnessandapotheosis,thenitrevealsitstransmissivity.Itdoesexist,eventhoughitisseeminglyinvisiblebynature.Then,Iamakindoftrial,testimony,entreaty,hymn.Andtheworldencompassingmeis incorporatedandfragmented,changeableandconstant,recognizableand

enigmaticinone.

38 Cukrzyca a Zdrowie

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Ourworldsuffersfromchronicovervaluations,imbalancesbetweensacrumandprofanum,shortco-mingsofrecognitionwhatfateanddestinationis.Everlastingsorrowfulnessandeuphoriaoftoday

progressispoison,thatstealsgenuineness.

Thephenomenamoreorless,likeinthecourseofdiseasechronicity,resemblestheonsetandtheclo-singstages–equallyelusiveasundeniable.Thesame,whattakeseffectandwhatdoesnotmateria-lizeinterlaceswithoneanother.Thesesingularitiescoatlifewithemanatingeternal,theycoatmeta-

morphosisfulloffictitioustonesandlambentillusions.

Itisthemomentofcreationandtermination,thatastralmake-upoforganisms,interactionsandob-jects.Consequently,thesensetheglobeandhumanbeingsstandistheconceptionofcosmos,theevo-lutionandrevival,somethingthatmightbringelationorhorror.Itwillarisefromauniquedream,outofshelteringsigh,thatisfusedwithjavainhardlyperceptibleparticleofinfinity.LifeofEarthandminetranspiresconnectingeastandwest,dayandnight,likedivinebeadscongealedtopulsa-tingtemplesofourhearts.Itistheseourshrinestomakeitpossibletoflythroughlightandshadow.

Andso,Iamoneofmicrocosmoseswithtwopivots,justastheglobe,allmingledwithsun.

Inthisway,Iwillstepoutofawaterstream,outofabead,andthiswhatillwillperishinshatteredglass.Justasendconclusiondiesinoneinimitableteardropandonesinglelaugh.

Fortheworldismeetingitsdeath.Thelongeritlasts,transforms,insuchrapidatempo,thedeeperitcollapsesinwards,andatthesametimetowards,towhatisgreaterandoffurtherimportance.Iaminfrontofmydeatheither,likeanyothernexttome,likeanyofthose,whoalreadypassedaway.

Andonlyarcadesofsky–therehigherthantheworld,aboveme,inme,inaman,notisolated,hen-ceperfect.Silverysapphirefallsasleep.Onoraftersigh,reminiscence,whisper,gaze,touch,casca-dingfromabove,openingthegatesofheaven,fromfartherthanabyssofsoulsIamwritingitwith

H–freethatspacious–happiness.

L I V I N G D I A B E T E S

Cukrzyca a Zdrowie 39

Author : Okrena

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40 Cukrzyca a Zdrowie

F O R T H O S E W H O A R E E A G E R F O R T H E W O R L D

Meteoropathyiscommonlyassociatedwith“achingbones”,abodilysensation,experiencedwhenachangeofweathertakesplace,or“drivers’psychomotorretardation”duetoaclimatecondition.Humanphysicalandmentalresponsivenesstoweatheriscurrentlybeingscrutinizedindepth,forhardlyanyonecandenythephenomena.Medicalmeteorology,itisthepropernameofthescience,developednotbeforethaninthemidoftheXXcentury,albeitancientBabyloniansandRomansbythen4thousandyearsago,theynoted,thatauradoesaffectpeople,animals,plants.“Thefatherofmedicine”,Hippocrates,hehimselfconductedmeteorologicalobserva-tions,soastorecordagivenweatherconditiontoproveitsafter-effectsonaparticularperson.

We react in different individual ways Thegreaterpartofphysicalandchemicalprocesses,thatcometopass

in life organisms are fairly balanced, stillweather stimulimay triggersomeof irregularities.Healthy livingbeing is very adaptive, thanks towhichcanquiteeasilyadjustabnormalities thathappen.However, it israreandwefacevariouscomplaints.Simply,itdependsonone’ssensitivi-tyandform.

Somepeoplearethatsusceptible,thatactbarometer-like.Theyareabletoforecastacoupleofdaysahead.Itoccursonaccountofelectromagneticradiationofextremelylowfrequencies,whatisemittedduringstorms,forexample.Itisreallydisturbing.Atmospherewavesandhumanbodybioimpulsescansynchronise,andthatishowthephenomenonisexplained.

Our

Health

Under Influence

Of Weather

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F O R T H O S E W H O A R E E A G E R F O R T H E W O R L D

Theyoung,whoarehealthy,theydonotgetmucheasilyupset.Inturn,theelderlyandthoseillandsickthiswayoranothermeettheirconditionsaggravated.Meteorologyisabouttoattempttorelievethesemedi-calproblems,butweallareunique,andthereisnotonestraightforwardanswer.Ofcourse,therearecharacteri-sticspeopleshareandstatisticallymatchup,butagaintherearecasesthatcannotbequalifiedtoaspecificsta-tisticalgroup.Allthemore,eachcontinent,anycountryorterritoryexemplifiesdistinctenvironmentsandwe-atherconditions.Acclimatizationprocess,thatweneedtogothroughwhenwetravel,takesabouttwoweeks,farlongerifwehappentochallengeextremechanges.Suppose,someoneisabouttotakeajourneytoahealth-resort,thenaccordinglytowhataboveheorshepracti-callyhasnotachancetobereadytoadapt.Therefore,itisadvisedtoplansuchvisitsextended.

Flesh, bones and mind The studies show, that physiological qualities are

subject to not only meteorological changes, but alsoto an actual year season. For instance, blood volumeexpandswhen it is heat around, anddeclines at coldtemperatures.Haemoglobin isof lower levels insum-mer,ofhigherinwinter,whereaswhitebloodcellsin-creaseinnumberallthroughdireatmosphericpressu-re.Stomachacidityboostsup in summer,andalightsin winter. Diastolic pressure turns elevated in sum-mer,andabatedinwinter.Forthedurationofcoldfronttranslocationtissuesgrowtobeimpenetrable.Timeofyearhavesomebearingonelementarybodiesandvita-minslevelsinbloodserum.Fluxionsofwarmandhu-midairmasses causeblood sugar intensities todrop,while coldmasses stimulate liverand itsmetabolism.Similarly,strengthofmusclesdependsonweather.Anyof those dynamicsmay influence ourwell-being andhealthingeneral.

Speakingofourlatitudesagoodnumberofimmu-nereactionsisheadachesandmigraines.Chieflybyre-asonofbarometricpressure.Thecommonnessofthemheightensthemorethefurtherfluctuationsofpressurego.Ithasbeenreviewed,thatrecurringheadachesmaybepromptedbyapassingatmospheric front, a force-fulwind,animpetuousdropintemperature,oraver-ticalairmovement.Thismedicalproblemrarelyoccursduringlowsouthernairpressure..Thesemeteorologi-calsingularitiesmayunsettlementalconditioneither.Psychicalirritation,fatigue,asthenia,hyperactivityand

sleeplessness are conditionsweobserve in the courseofoff-balanceweatherandduringadvectionofeasterntropical air masses. Then, concentration of mind fal-tersandchildrengrowlessinschool.Atsuchapointintime,wewitnessroadaccidentsredoubled,becauseofresponse retardation syndrome.Warm-humid phasesproducesimilarvariations.Sunshine,forinstance,inci-testosleepnotasmuchaswedoonrainydays.

Sweltering heat does not foster heart

Thosepeople,whoundergo cardiovasculardisor-ders,theyarepeculiarlyreceptivetoaura.Coronaryar-terydiseaseiswhattheyhavetocopewithmostfrequ-ently.Itiswhentheircoronaryvesselsabnormallytigh-ten,andbloodstreamistooweaktofuelmyocardium.Males,whoareagedabove40stand5-10%ofcases.Attheoutset,coronaryarterialdiseasemanifestsitselfpri-marilywith shortnessofbreath,quickenedheartbeat,wearinessandregressionofphysicalfitness.Thesitu-ation,whenmoisturecontentandtemperaturechangeconcurrentlyisacutelyunfavourable.Equallyadverseistropicalfrontsofwarmth.Heatandsultrinessdoesnotpromotehearttoremainhealthy,foritdepressesbloodpressure,whatatlonglastmayleadtoacollapse.

Heart-circulatorycomplaintsrestontimeofyearaswell.Poorweatherinsummerislessharmful,thanitisinwinterandspring.Factsandfiguresshow,thattherearelessmyocardialinfarctioncasesifweatherisestabli-shed.Also,studiesreveal,thatactivityofsunandsun-spotshas itsweightonheartand incidenceof infarc-tions.Thesickfeelfarbetterwhenitcomestocoldlowatmospherictides.Theyexperiencemorecomfortwhenairmassessettledown.Thepatientsfeeloutandawayatbestwhilecoldhigh-pressurewavesmovetowards.Again,mostdangerousofconditionsisheatandsunli-ght.Itisworthtoaccent,thataggravatingcircumstan-cespasssoonerorlater,butconsequencesmaystilllast.

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42 Cukrzyca a Zdrowie

F O R T H O S E W H O A R E E A G E R F O R T H E W O R L D

Diastolicandcontractilebloodpressurestaysinstrictre-lationtoclimateconditions.Clinicalaccountsbringuptodate, thatwarm air currents lower blood pressure, andcold currents heighten pressure of blood. The same, airpressureaffectbloodpressure.Highatmosphericpressu-reboostsupbloodpressure,lowairpressurelevelbloodpressuredown.

WhenbonesareachingDigestionsystemisalsosubjecttoweatherconditions.

Warmthandhumidityexacerbatesulcerationofstomachandintestines.Anythingthatresultsinmotoricpainister-medrheumatism.Thesearemedicalproblems,thataffectjointsandconnectivetissue.People,whosufferfromitarehighlyreceptivetoweatherchangesandexperiencelabo-rious“fidgetingorachingofbones”.Rainandintenseairmoisture, justasduringstorms,exacerbatesprogressingrigidityandsoreness.

Theperiodof transition fromwarmanddryaura tocoldandhumidweatheriswhenacutebronchitisandtra-chetiscasesarereported.Similarailmentsarisewhenairismisty and full ofwatervapour.Coldandhumidwe-atherexacerbatesstateofhealthofpeople,whosufferfromasthma. Actually, swelter and drought equally worsensasthmaticproblems.

How to challenge harmful outcomes?

Lifeandnaturalworldisavastnessofprocesses,the-reforeitisnotsoeasytoascertainforecastsunfalteringly.Forallcomputerandsatellitetechnologysomeshareoffo-recastsdonotproveaccurate.Likewise,thereisnotami-raculousremedytorestoreustohealth.

Eachonebodysystemperformsinitsownuniquewayandreactsdifferently inresponsetostress.Nonetheless,wehaveabsoluterighttomakeattemptsandcombatwhatadverseinweather.TherearealreadymeteoropathycarecentresinstitutedinsomeofEuropeancountries.Forin-stance, inAustria. Therapy is determined bymedicinalmassages,aerobics,specialdietsandbaths.Anotherprac-ticeisexercisingofmechanisms,thatregulateourorgani-sms.Withinthiscourseofaction,therearealsopsycholo-gicalmethodsemployed.Pharmaceuticaltreatmentstho-ughareaskedforthose,whoaremostseriouslyill.

Here, inPoland, there are not anyoutposts of thekind yet. However, the Institute of Meteorology andWaterManagement is involved in researches on we-ather influencewe receive, in order tomakefindingspublicandeducatesociety.Patientsareoftennotawa-rewhattroublesthem,andaspernormaltheyturntogeneralpractitioners.Then,theyareadministeredche-mical medicines, for only clinical tests provide exactanswers.Someofpatientsoptforhomehealing.Theyinfuseherbs, takesupplementsofmineralsandadaptdiets.Itmaybeeffectiveassuch,butapriorconsulta-tionwithGPiswell-advised.

Weencouragetopayattentiontowhatbodyexpe-riences.Understandingthereasonswhyweareinthisconditionoranotheristhekeytotacklesituations.Theveryreflection,thatgivencomplaintsarenotsymptomsof chronic disease, but here-and-now weather condi-tionsmightbecomforting.

Jacek Słomiński

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o

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O U R W O R L D

Necessity of exertion is geneticallyencrypted intoour existence. It is

nomatter,whetheryouareaprofessio-nalsportsman,oraSomeone-X,whoseexperienceof sport isTV sessionsandzapper click-clacking. One and all ofus inheritedgenesofpastgenerations,wholabouredtheirlivesagreatdeal.Ofcourse,naturalenvironmentwasardu-ousenough.Humanswere inconstantmovement,even ifonlyafter food.Ke-eping oneself in good shape was thelaw of survival. It was Aristotle whosaid, that there isnothingmoreharm-fulthanstandstill.Thewordsmustpro-vetrue,asifwecaretohavealookaro-undweareboundtoseeuniversalmo-tion.Whether it is bacteria or giganticcosmos, all the same.Motion is innaterhythmofourlife.

Progress ? .. civilization

In the present day, humankind losesheartfornatureandtouchwithit.Thehabitatwe live in is not an ecosystemanymore, it isman-made.Human racestruggleurgency and stress, andwhat

aggravates it further is thatwe aremoreandmorelazyandstarvedofrest.Advan-cedanddevelopingcountriesiswhere“se-dentary lifestyle” is an alarming socialproblem,andregrettablyPolandisnotanexception.Somestudiesshow, thatmere-ly6-8%ofadultsarephysicallyactive.Pe-opledomentalworkandseem tobenoteagerforexercising.Thereisnoneedanylongertouseone’sownbiologicalenergytomovefromoneplacetoanother.Tonsofironisnotmovedwiththepowerofmu-scles, but with petrol (emitting harmfulcombustion fumes into the atmosphere),and transports anywhere one wishes togo.Timeandagainheorshedoesnothavetostandononesfeettoprepareameal.Aphonecall,andshoppingdelivered.Suchalifestyleleadsto“diseasesofcivilisation”,for instance ischaemic heart disease, hy-pertension, diabetes type II and obesity.

Inthemiddleof the20thcentury,espe-cially in industrial countries,hipokine-ticdiseasedevelopedandamongotherre-asons brings an untimely death. The di-seaseisrelatedtoaggravationofnervoussystem, causedby insufficient activityor

Principles Of

body exercising

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O U R W O R L D

Cukrzyca a Zdrowie 45

lackofregularexercise.Hypokinesisdestruc-tively affects the respiratory system, depres-singbodymaximaloxygenuptake.Itcompro-misestissuestobindoxygenandimpairsven-tilationoflungs.Deficientbodyactivitycomesdown to deficiency of circulating blood redcells,whatinconsequenceresultsinincapaci-tyofthewholesystem.Peopleofdestitutephy-sicalfitness,gettiredmorerapidly,evenwhentheyjustwalkorstepupstairs.Wearinessendsindisquiet,ifunceasingitmightbethecauseofneurosis.

Interest in sport

There is some dissonance between passivecuriosityofsportandactingit.Inasense,

nationsarefedwiththesportcult.Nearlyeve-ryday sports competitions areheld: ski jum-ping,basketball,volleyballoranyotherdisci-plines,letalonesuchmasseventsastheOlym-picGames(duringtheoneinSydneyaudienceswereratedat3,7billionpeople,whichstandsforhalfofglobalpopulation).Inthesamebre-ath,manprovidentlyunderstands “thegenu-inespiritofsport”.Assoonasinancienttimes,oneofOlympicgames’disciplineswas“pan-kration”,whichwasboxingandwrestling jo-intly.Manyacontenderwastedphysicalcondi-tion.Itwaspermissibletobreakfingersopen,shatterarmsandfeet,orjabeyesout.Itisprac-ticallyimpossibletosay“sportishealth”refer-ringtotheabove.Whatmotivatedtheserivalswasnotbrutemuscleforce,butfameandwe-alth.Inturn,sportfansvieweditasentertain-ment.Itseems,thatnotmuchhaschangeduptonow.Contemporarily,professionalsportpre-sentssimilarexamples–suchas illegaldope.Notonlyitescapesdefinitionof“fairplay”,butalsoisboundtotakeitspriceinhealth.

Exertion agreed with our needs and abilities

Justasitgoeswithextremities,tooforcefulanactivityisalsodisadvantageousforourwel-l-being.Topromoteourhealthwehavetome-asureupintensityandpaceregularity.Inordertomakeitrewarding,exercisingshouldbere-

peated3timesaweekandlastabout30-40mi-nutes.Howintenseitissupposedbeisanswe-redbypulse.Forpeopleaged20-29itis130-160palpationsperminute,whileforthoseaged40-49theoptimumis110-140.Themomentaper-songoesbeyondtheageof40iswhenheorsheisadvisedtoconsultadoctor,evenifallappe-arstobefine.Atthisstageofone’sliferisksofcirculatory systemdiseases are quite serious.Therefore,everytrainingoughtbestartedwithawarm-upandcompletedwithrelaxing.Anysuddenhaltofaworkout,e.g.biking,mayfi-nishwith brain blood shortage (due to bloodaccumulationinlowerlimbs)andendinalan-guor.Bethatasitmay,wecoulddotoremem-bertomeetindividualpredispositions.

Otherwise, patients,who for instance facecardiovascular complaints may expect

further complications or even hyperthermiaand finally system overload. It is highly sen-siblenottooverburdenknees,hipsandspine,

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O U R W O R L D

and begin rehabilitation with swimming.For those,whoareoverweight, obeseandthosewithcirculationproblemsweadviselong-distancemarches (expenditure of ca-lories is comparable ifwere to run it).Be-ginnersandthementionedaboveareenco-uragedtooptforlongertime-span,thanin-tensity.

Health-promoting aspects of activity

Regular, personalised physical activityreducesrisksofmortalityin30%andof

cardiovascular diseases in 50%.Diabetics,who are very active can gain 33%. Ische-micheartdisease, that canbe a sourceofheartinfarction,occursmorefrequently,ifweleadsedentarylifestyle.Itisworthwhi-letopointout,thatendurancetrainingme-ansnormalcardiacoutput,butlowernum-berofsystoles,whathappensduetoincre-aseofstrokevolume.It lightenstheorganandbridgesmustofoxygen.

Systematicbodyexercisingbringssysto-licanddiastolicbloodpressuredown

about8-10mmHg.Ithappenssothankstoincreasedartery relaxation, aswell as en-hancedcapillarydensityinmuscles.Regu-

lar exercising effects alsowhole lipid sys-tem.Firstofall,itboostsconcentrationsofHDLhighlydenselipoproteins(“goodcho-lesterol”),andtogetheritreducesquantityofverylowdensityVLDLlipoproteinsandlow density LDL lipoproteins (“bad cho-lesterol”),allofwhichservesagainstarte-riosclerosis. Endurance trainings improvebloodflowofskeletalmusclesandraisele-velsofmyoglobin, theprotein, that storesand transmitsoxygen inmuscles.Orderlyexercisingstrengthensourmuscles,sinews,and ligaments.Contrary to those,whodonotdoanyfitness,activepeopleengendergreater than before density of bones, andstand better chances against osteoporosisin later future.Theirmusclesofbackandspinearereinforced,whichnaturallyhelpsouttokeepupanaptstature,andpreventsfrom potential burdensome pains. Balan-ced exercising make the immune systemstronger,whichsimplycreatesresistancetoinfections. How advantageous being acti-vemightbewecancomearoundandquoterespiratorysystem.Moreeffectiveventila-tionoflungs,advancedpeakoxygenupta-keandvitalcapacityaresomeofthebene-fits. Appropriate body exercising vitalisesmetabolism,thestateofwhichholdssteady

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Cukrzyca a Zdrowie 47

O U R W O R L D

forhourson.Also,metabolictempostraightafteramealgrowseither,andrecoversener-gybalance.Particularly,itisaconcernofpe-ople,whoareoverweightorobese.

Atthispoint,wecanintroducehowtheperception of hunger behaves. A one-

offshortworkoutisenoughtorestrictcra-ving.Itarisesoutofincreasedtemperature,and increasedbloodglucose concentration,lactate, and catecholamine. In the case ofdiabetes,exercisingsensitizes tissues to in-sulin,thehormone,thatcontributestosyn-thesis of glycogenand triglycerides and sousesupenergy.Furtheron,physicalactivityproduces valuable effects on structure andfunctioningof theposterior lobe.This cau-ses improvedmemory andmental concen-tration,inadditiontopsychiccomfortonthestrengthofendorphins,socalled“hormonesofhappiness”.

Personal responsibility of one’s health

Systematic physical activity and regularworkoutshelpstorelievebioburdenof

motoricsystem,aswellasofinternalorgans.Amateurcharacterofdoingsportmayappe-

artocombinewhatpleasureandusefulnessisinone.This is the reason,why it ismoreadvantageous toparkone’scarbythehouseandtohaveawalkorabikingtrip.Ourcityhasdevelopedandcanalreadyprovidecyclelanes–sowhynottomakesomebene-fitoutofit!

Compiled by: Jan GackoA graduate of Public Health

in University of Medicine in Białystok

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48 Cukrzyca a Zdrowie

The vision of her future life, when she would be to re-tire after 40 years of duty, Grażyna knew since the year one. Admittedly, the first weeks she felt as if she was on an extended leave of absence, then again the new day rhythm and postponed responsibilities prevailed. There was a good many plans, one of which was to take care of her herself. While it is true, that she is healthy and well-groomed and does not look her age, there is no sin against “shedding” some weight, even if for her physical com-fort alone.

In contrast, the doctor consultation, which was sup-posed to guide my slimming treatment led to a complete-ly different direction. But for the fact he was not content himself with blood sugar testing on its own, he could dia-gnose I am a diabetic. And he had a point there indeed, because the sugar concentration curve proved diabetes. It disturbed me greatly, so symptomless a progress, that overnight!! However, the perspective of treatments and required changes mobilised me. I relied on my doctor and followed his recommendations. Day after day I opted out food items I could not take liberty of eating. I do not buy cold cuts, sausages, gammons, pork, or bread any longer. What I eat is lean meat, for instance fillets or turkey legs, and fish, which I have twice a week. It goes with a por-tion of coarse buckwheat or barley. I prepare it blanched. Also, I cook vegetable soups, even out of convenience pro-ducts. Consequently, monotony is quite unlikely, there is varieties of frozen goods. I do not find any problems with fruit and vegetables. What is my daily meals? For exam-ple the yesterday one: my breakfast was cottage and kefir mixed, seasoned with garlic and sprinkled with parsley. I had a piece of fresh pepper and tomato as a snack plus green tea. The lunch was an apple and a glass of orange juice, squeezed out of 4 orange fruit. Before the dinner I ate a few walnuts. The very dinner was some vegetable soup on convenience products, which I flavoured with soya sauce and a spoonful of cream. For the second cour-se I roasted salmon in olive oil, together with pearl bar-ley groats and green lettuce, the leaves of which I sprin-kled with lemon juice. Finally, supper time and scram-bled eggs with tomato – bee’s knees! I drink green tea only when I have a fancy for it, I do not experience hun-ger, for I eat every 3 hours, but in far smaller portions. There is another novelty in my life, I exercise nord wal-king, and do this everyday. The first steps was short mi-nutes of mincing round the neighbourhood. Today, I de-

dicate 40 minutes to an hour to this healthy kind of acti-vity. After such a march I feel revitalised. It took Graży-na three months of diet and physical work out to lose 6 kilograms, and narrow down her waist by 7 centimetres. Nonetheless, the most important achievement was reco-very of blood sugar back to normal, just as healthy pe-ople stand.

It appeared very useful to write down my blood te-sts’ outcomes, immediately after each meal, and enclo-sing types of food I consumed. Thanks to these systema-tic and meticulous notes I knew what eating habits I sho-uld obey. This is the way how I managed to rule out sup-posedly healthy products, such as muesli, that was giving me rises of sugar up to 142!

There is another newness altogether – I learned how to read all those miniature signs down on brand labels. I have become a mindful consumer and understand what I buy.

In addition, there is one more award awaiting me. My doctor encourages me, that if I stay the course of my blood sugar levels, he will allow me to discontinue taking drugs for overpressure. I am healthy, fit, happy, and I succeeded in “breaking out of sweet zone”. I am not going to have any returns, all the more my plans are to come realized.

Irena Lus

O U R W O R L D

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Cukrzyca a Zdrowie 49

Sneezing, stuffy nose, whom of us it puzzles? Still, we belittle symptoms. Rhinitis is a clini-cal syndrome evoked due to inflammatory pro-cess there in nose mucosa, and quite often in pa-ranasal sinuses. It affects 10-25% of people world-wide, what is thought to be the most common al-lergy. This kind of immunological sensitivity is not only an unpleasant nuisance, stealing one’s quality of life, but also a dynamic leading to serious com-plications. One of them is sinusitis. Hence, so as to aim normal everyday being, we need to care to pre-vent it and treat it. Mucosa of nose and sinuses is as if one and the same, and fluently travels from nasal cavities on to surfaces of paranasal sinuses. Motion of cilium, that covers that mucosa area, transfers se-cretion of paranasal sinuses to nose cavities, what is beneficial, that it does not deposit there. Regretta-bly, this shared conjunction and mutual mucosa fa-cilitates spreading of ailments. Accordingly, any of viral, bacterial, or bacterial complaints concurren-tly take place both in nose cavities and paranasal si-nuses. At times, it is difficult to tell apart, whether infectious rhinitis comes about or it is allergic rhi-nitis. The best decision then is to go and consult a doctor. Still, there are some differences to tell be-tween. Infectious hay-fever is caused by viruses or

bacteria’s and relents the moment it is medically at-tended. In turn, allergic hay-fever is triggered by al-lergens, that is substances a patient is sensitive abo-ut, among which we find pollen, house dust mites, or animal nonparasitic antigens. Symptoms of this complaint come into view or escalate at the time of sensory contact, for instance with a bristle of a pet. Allergologists explain typical symptoms to be: fre-quent sneezing, watery secretion leaking out, sen-sation of nose congestion, bulbar conjunctiva war-ning signs, or smell disorder among others. Unhe-aled allergy may prompt asthma or diseases of sinu-ses. Accumulated in nose cavities rhinitis can block the way in to sinuses and produce inflammations. And again, if it is too late for prevention, then nur-sing is necessary. If possible, we need to avoid aller-gens, except that it is really hard keep away from al-l-pervading air pollen. What we can do in such a si-tuation is to follow prescriptions and cure with ta-blets, liquid formulas, or inhalators. Medicines can be absorbed topically or via mucus membranes stra-ight to blood. Being respectful to medical guidance we are able to recover well-being and secure future.

Sourced from: rodzina.informacje.int.pl

Foto: Deviantart

O U R W O R L D

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A N G E L S

ANGELS for

ANGELS

Rewarding is a value of its own accordThey say, that the beneficiaries promote their pockets,while the benefactors satisfy hearts. Dedicating purifies and brings joy.

Giving someone an Angel with Energy we give twofold – protection, and wings of inspiration ...

Aleksander Grzybek – the artist, who crafts Angels of Energy is interviewed by Alicja Lazar

The Angels of yours are ruthful and cheerless. Some examples have wings abated. Their faces unfe-elingly wrinkled.... in any case, angels are supposed to be cute and cuddly, little cherubims, cupids ... Whe-re then does your melancholy stem from?

Every human being – whether he or she likes it or not – has one’s own Angel. A believer or an atheist, a Christian or a Muslim. A villain and a decent person. Someone, who is hap-py and who happens to be unhappy. One and all. And my fi-gurines echo life. Then, what is it to gladden them? They feel what people feel. Still, my Angels are born out of exceptional energy from unusual wood. They are made out of old door and gate pieces, of old folk quarters. They are magical, because en-crypted with fate of generations.

Is it a kind of a fable? Enchantment of wood? En-cryptions of human fortunes?

No, it is not a sort of a fairy-tale. Wood is magical. Being ablaze it emits extraordinary warm and light. Sun-like. It is ma-n’s companion from birth to death. The Christ was born in a wo-oden stable of Bethlehem, rested in a wooden cradle, crucified on a wooden cross. Planks I use to make Angels would have died out but for the sculptures. I give them a second life and do hope, that someone someday will invent a tool or an instrument to be able to decipher what is enfolded. It is just like the situation, when we look at a vinyl, a digital cd, or a tape and there is nothing there on. The point is to decode it. Every single aged entity encloses some magic, evidence, energy. If any olden brick or flat timber could speak, they would tell us many a story. Archaeologists time after time interpret excavations. For instance, they already translated Egyptian hieroglyphics, but still have not worked out symbols of knots. I think, that one day somebody will read people destinations through my Angels.

Maybe, there is no need to await a new technology so as to reconstruct history of households and their inma-tes, when it might be enough to rely on accounts of those still alive, parish registers and museum archives ...

The editorial team of the medical magazine “Diabetes and Health” ascertained a continued

tribute to individuals and institutions, who uniquely support diabetes patients. The tribute is Angels ...

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Cukrzyca a Zdrowie 51

Certainly. I am trying myself to establish a local docu-mentation of these wooden boards, homes and family circ-les. For example, I retain Angels shaped out of non-existent today house, that used to be located at Hetmańska Street and was shot through with German bullets. The house not expressly old, as for was build in 1925, except it faced qu-ite tempestuous past. I preserve girders of 17th century bell tower from Tykocin. The bell structu-re collapsed, yet generous deposits of energy are still there. If the material I have is sizeable I create space installa-tions ... statures of people..

I frequently travel to coun-tryside, where over a half of ho-uses burned at some time and the deserted habitats emanate with grief.. which is fate of humans alike.

Such planks accommodate energy of sadness, pain and suffering. I do not give them a second life. Either, I do not paint on wood vestiges past loo, fences, pigsties. Just houses, barns, granaries, where the purest of humankind ener-gy rests.

Nevertheless, it is still matter, do you truly believe in this magic of creation, in the presence of in-corporeal living beings?

I have no doubts... there are spiri-tual personalities, ones of greater per-ception, to see, sense and hear far more, who grow gracious and feel soul. The Father Pio could see his Angel, and qu-arrelled with him... at times at work, I can smell specific scent, as if incenses, it is Angel aura.

You are an artist, was Angels the only inspiration? And wood?

Wood ... Until 16th century pain-ting was performed just on wood, the-re was not any other portraits in Mid-dle Ages. All was carried out on wood. What relates me to wood I can call it in-tercommunion. I used to write icons...

But icon writing is hedged in strict rules ...Yes, indeed. I know them and follow, although I never at-

tended a school of such a specialisation. In any case, I appro-ach Angels alike. I do not turn to church for confession, but seek my peace, light and transparency of mind.

And devils? Folk beliefs of our tradition and sa-cral art has always told of devils ... not scary for all

the time, most often it was mischievous sprites do-mesticated by people ...

No, not at all ... devils do not amuse me, they deliver no fun, and I have never had anything in common with them. One day, I was invited for a performance of “Stop-ka” on location, it was on devils. I took a trip there, save with my Angels ... there is no value fiddling with evil. Evil

does not enter man, it departs him... It is better not to tempt evil – it is ano-

ther demotic wisdom ... And when did you carve the first Angel of yours?

I guess it was when I was ten. At that time we had more hours and classes on manu-al skills. I sculptured in chalk and lime wood. I appeared lucky to meet my art teacher, miss Ela Sochoń. She led art sessions. I made sculptures of Indians – it was a period in my life, when I dived into books of Alfred Szklarski – prairies, Winnetou. I could find perfection of morals and humanity on these pages. I carved the Native Americans and heads of Saints á la Wawel sty-le. Miss Ela painted and endowed others, so she could earn materials for our sessions.

Was it her to discover your talent? No, it was not her. I have always been cri-

tical to my talent. The choice of art college was rather accidental – I enrolled, because my friend did. I got to the group of utility designs and we-aved for 2 years. Regrettably, children these days are provided with less opportunities to de-velop painting, drawing, or any other practical viability. A person, who is gifted with art ima-gination is more than likely to be good both at exact sciences and humanistic disciplines.

And now, where is the home of your Angels? Whom do they inspire? Whom do they protect? Where about do they wander?

The farthest they travelled to is Uruguayan and China. They settled together with the arch-bishops Szymecki and Głódź. I do hope, that they inspire Krzysztof Penderecki, Agnieszka Kozak and Szymon Hołownia. My Angels tone

with people of extraordinary sensitivity, people who are able to experience this dreamlike energy.

Thank you ever so much for the conversation. .

A N G E L S

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52 Cukrzyca a Zdrowie

Old timers showed their interest in the lecture of M.Sc.D. Be-

ata Telejko – “Comprehend diabetes and seize control”. Our Do-

ctor explained what a disease diabetes is and how to settle with

it. She managed it in such approachable and optimistic a man-

ner, that it gave impression, that it must be a fairly simple task. .

The chilly and windy evening was not

troubling enough to make it impossible to get

together and enjoy another Thursday Din-

ner at Diabetes. Magic flickers of tenderness

and friendship suffused the restaurant Eli-

da. We initiated the meeting with the dessert

of arts, which was a recital of the great poet,

dramatist and bard Jan Jakub Należyty. His

performance of a Jacques Brel song opened

heartsrts and overwhelmed guests.

While so cold and dark there in the

open air, we could melt on the strength of

splendid dishes – the menu of which was

performed by Jarosław Zygmunt Dwo-

rzański, the Marshal of Podlasie Voivo-

deship. The contentment smile of conno-

isseurs was a sign, that broccoli custard

and chicken on nuts and dried fruits in

brown rice was well-merited to be ap-

plauded.

Sequent Thursday Dinner

at Diabete’s

M.D. Beata Telejko

Jarosław Zygmunt Dworzański, Province of Podlasie Marshal

Dariusz Szada-Borzyszkowski and Jan Jakub Należyty

O U R G E T - T O G E T H E R S

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Cukrzyca a Zdrowie 53

Guest’s, Guest’s ...

E qually relevant as important was the pre-

sentation of “Jard” private company and the-

ir merchandise: “GlucosCare” drinking tea. The

brew regulates blood sugar levels. It reduces cra-

ving for sweets. The product supports metabo-

lism and aids fat breakdown in organism. It en-

hances carbohydrate system. We carried out an

experiment. 10 guests was invited to consume

the herbal drink. Their blood sugar was tested

in advance and afterwards. A few persons pro-

ved a glucometer effect.

The Thursday Dinners at Diabetes, the atmo-

sphere, the elegance and insight of our conventions

gratify even most finick y gusto. To cater the variety

of preferences we broaden horizons. The “Royal ba-

nquets” has become so in style, that it is a privilege

to frequent it.

Agnieszka Kierznowska

O U R G E T - T O G E T H E R S

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54 Cukrzyca a Zdrowie

O U R G E T - T O G E T H E R S

COMPREHEND DIABETES AND SEIZE CONTROL

World Diabetes Day, promoted by International Diabetes Federation and World Health Organisation is a large-scale movement

dedicated to diabetes, ascertained to the date 14th of November, to commemorate

the day of birth in 1891, which is when Frederick Banting was born, who together with Charles Best discovered insulin in 1522.

Ithasbecomeatradition,thattheseconddecadeofNovemberisthetime,whencelebrationsofthismonthtakeplace,savefortopicalcam-paignsrunallyearlong.Invariably,persistentpreventionisrequired.Inlinewithopinionsofspecialists,wholepopulationsoughttobesubjec-tedtoscreening,enablingearlierinterventionandmanagement.

WorldDiabetesDaywasestablishedin1991inanswertomountingincidenceofthedisease,atthispointidentifiedaspandemic.

Diabetesisthemostseriousofhealthproblems,notonlythereinco-untriesadvanced.Therearepoorer,backward incivilisationnations,whereowingtofast-food“culture”numbersofdiabetespatientsgrowandgrow.

Then,WorldDiabetesDayisobservedinmorethan60fatherlands,andissharedbyabout200organisations,associationsandindividualpractitioners,allofwhicharejoinedtogetherwithInternationalDiabe-tesFederation.

Everyyear,thereisonecommandingissueselected,whatleadstoglobalintegrity.Sofar,thequestionsthathavebeendeliberatedwassubjectmatters of diabetes and human rights, lifestyle importance,cost of living and consequential-to-diabetes complications.Diabetesofchildrenandyouthbefelltobeaguidingissueeither.Anyofthesethemesisaddressedtoentiresocieties,andchallengestounderstandthegravityofdiabetes,andsignificanceofeducationandprophylaxis.

“Comprehend diabetes and control it”was the leitmotiv of thisyear’sDiabetesDay.Almostmirror-like,onlyparaphrasedinto“Com-prehenddiabetesandseizecontrol”themewasintroducedon5thofDecember2009duringaconferenceintheOperaandPhilharmonicinBiałystok.“Manyyearsofexperience,personalfamiliarityofdiabetes,contactwithdiabetesonsocialandprofessionalgroundtellsme,thatitisnotenoughtorecognisethedisease,tocontrolit,orassomesaytobefriendit”–DanutaRoszkowskastates,theheadofPolishAssocia-tionofDiabetesinBiałystok.“Actually,isitpossibletogettolikesuchastealthenemy?Also,Idonotfinditverylikelytoacceptbeingsub-

Anna Czech - the Counsellor of the Secretary of State in the Ministry of Labour and Social Policy

Krzysztof Kosiński - the Head of Government Proxy Bureau in the Disabled Persons Department

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Cukrzyca a Zdrowie 55

O U R G E T - T O G E T H E R S

ordinatedtodiseasejustlikethis.Ourstrategyispopula-risingofassertivenessandactiveattitude ineverysingleaspectoflife,includingdiabetes,whenitisamusttohavepoweroverit”.

Suchanall-roundactivenessopenspeopleintoperspecti-veofbetterexistence,givesvocationalviews,givestrustinfruitionofdreams,ofsomefuturejoyorsuccess.Still,awa-renessofpotentialdisappointmentanddrawbacksisequ-allyimportant.Howevereachandeveryoneaspectcomestofullnessoflife–withinfamily,amongstfriends,work-mates, neighbours. Education and prophylaxis are even-lyessentialasmakingknownthesediabetesindividuals,whowinandrealizethemselves.SomeofthemareOlym-pians,sportsmen,whoreachpodiumsnationwideandin-ternationally,theatreorbandstandartists,allofwhompro-ve,thattheyarebeforethedisease.

PolishAssociationofDiabetesinBiałystokhasbeeninoperationfor20yearsnow.Thestatutoryundertakingsispublishingnon-profitbusiness,trainingsessions,prophy-laxiscampaigns, forsocialmindfulnessandlivingdayli-ghtsareofgreatconsequence.

AnyparticipationinWorldDiabetesDaysocietaleventsbringsusallcloser.Therearesuchfactsoflifeasrehabili-tationofpeople,whoareseverelydisabledduetodiabetes.Wecanlearnfromdiabetologistsofrecognisedauthority,forexamplethis,thatpatientsneedknowledgeofdiabetesjustasdoctorsdo.Prof.drhab.MariaGórskaalerted,that95%ofadvanceddiabetescaseshappentobedetectedonaccidentalglycaemia,andunidentifiedinstances in turnaremiddle-agedandelderly.Whereas,prof.drhab.IrinaKowalskaexplainedtouswhatdecisionalgorithmsindia-betestreatmentsis.Sheputanaccentonnon-pharmacolo-gicalmethods,thatisdiets,physicalexercisingandregu-larconsultationswithdoctors.Asforthefact,thatdiabetesembodiesmanydiseases.

Howvitallevellingofdiabetesisstraightsincediagno-sis, and preventing against potential complications waslecturedbyprof.drhab.MałgorzataSzelachowska,underthetitle“Controversiesoverdiabetestreatmentsinthefaceofthelatestresearches”.Itproves,thatalthoughthediseaseisasoldashills,peoplesufferedfromitasfarbackasinan-cientEgypt,diabetesexpertsstillareuncertainwhatdrugstoprescribeandwhattimestorecommendtoapplyit.

We had organised an assistance of nurses and any-onewhocaredcouldtestone’sbloodsugarstrength.The

Prof. dr hab. Maria Górska PhD - the Voivodship Consultant on Diabetology

Maciej Żywno - the Governor of the Podlasie Province

Prof. dr hab. M. Szelachowska PhD

Adam Wiński - the Head of Podlaski Department of PFRON , Marta An-druszkiewicz - Podlaski Department

PFRON

Prof. dr hab. I.Kowalska. PhD - the President of the Polish Diabetology Association

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56 Cukrzyca a Zdrowie

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examinations of samples was carried out byyoungstudentsofMedicineUniversityinBia-łystok. Another place of interestwas compe-tition of knowledge on diabetes and prizeswere granted. Further on, some food gusta-tion was staged, performed by a French cu-isine master, who served onion soup on ro-semary croutons,dainty in taste and texture,conforming to diabetes demands, and wha-t’s more, easy to cook. Obviously, the “des-

sertofarts” is the integralappetiserofThursdayDin-ner at Diabetes. JacekKawalec fulfilled this duty. Theartistry he presented kept the audience amused. .

Outof responsibility tocoverentirehappening,wewouldliketociteafewnamesofvaluableguests.Jaro-sławDworzański,theMarshalofPodlasieVoivodeship,hebrought someesteem in,bothbyhisverypresenceandoration.TheVoivodeMaciejŻywnoexpressedhisgratitude towards ourAssociation for our activity, de-terminationandefficacy,andpartnershipallthemore.

the audience were taking notes and attentively listening along

invitingly smiling students of the Medicine Academy were serving painless blood sugar and fat tissue tests

a demonstration of a glucometer

men like flowers as women do

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Cukrzyca a Zdrowie 57

was steaming and pleasing

the onion soup was delicious and the young barley energising

they were watching and being amused

He emphasizedthemeritourorganisationdelivertothediabeticsaloneandtothecityaltogether.Hecongratula-tedalsofortheoccasionoftheConference.

ItwasworthwhiletotraveltoBiałystok–membersofPSDMazovianbranchinWarsawaffirmed.ThevisitorsfromHajnówkacouldonlyconfirmit.

Irena Lus

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