Trzeba marzyć - Cukrzyca a Zdrowie

MAGAZYN MEDYCZNY
P6/26/8PA
Czwartkowe Obiady
u Diabetyków
Trzeba marzyć
Żeby coś się zdarzyło
Żeby mogło się zdarzyć
I zjawiła się miłość
Trzeba marzyć
Zamiast dmuchać na zimne
Na gorącym się sparzyć
Z deszczu pobiec pod rynnę
Trzeba marzyć
Gdy spadają jak liście
Kartki dat z kalendarzy
Kiedy szaro i mgliście
Trzeba marzyć
W chłodnej, pustej godzinie
Na swój los się odważyć
Nim twe szczęście cię minie
Trzeba marzyć
W rytmie wietrznej tęsknoty
Wraca fala do plaży
Ty pamiętaj wciąż o tym
Trzeba marzyć
Żeby coś się zdarzyło
Żeby mogło się zdarzyć
I zjawiła się miłość
Trzeba marzyć
Jonasz Kofta
T A B L E O F C O N T E N TS
CURRENT ISSUE
4 - 11 Diet and healthy life-style as an approach to management of diabetes type 2
WORTHILE TO KNOW
12 - 14 Drug-drug and drug-food interactions
15
Erratic life-style furthers diabetes
16 - 17 Drink of health
18 - 19 Reishi
20 - 21 Diabetes type 3
INTERVIEW
22 -23 From America
54 - 57 Małgorzata Kalicińska
prefers the hearth and home
rather than high life glamour
24 - 25 We will never slim down on our own
KONKURS
25 - 29 Program edukacyjny
„Świadomy Diabetyk”
ANGELS FOR ANGELS
52
F O R T H O S E A R E E A G E R F O R T H E W O R LD
Angels for Angels
30
Jedzenie migdałów zmniejsza
ryzyko cukrzycy
READER’S PAGES
31
A letter to the Editorial team
Cukrzyca a Zdrowie
1
TABLE OF CONTENTS
FOR THOSE ARE EAGER FOR THE WORLD
32
Miracle leaf
33
Litoterapia
IDEAS FOR HEALTHFULNESS
34 - 35 Technologia EM
HEALTHYLIFE-STYLE
42 - 43 Sunlight comes in aid of diabetes mellitus
44
Do you know your type of perso nality? Part II
STEVIT
36
Cherries settle sleeplessness,
More efficient brain on the strength
of berries
37
Glucos Care
38 - 39
Margarin or butter instead?
41
Stewia
TOURIST EYE
53
We discover enchanting sites of nature
GET-TOGETHERS
45 - 51 As safely as Healthfully
Thursday Dinner at Diabetics’
We introduce reprints for didactic and educational purposes based on regulations of the legislative articles 25, 26, 29, 33, and 49 in section 2 of copyright laws, and related laws dated 4.02.1994.
(DzU* of 23.02.1994, no. 24, entry 83) and generally accepted editorial usages.
•
Journal of Laws of the Republic of Poland
On the cover:
Andrzej Bauman – the Chairman
of the Board of the Polish Diabetes
Association
2
Cukrzyca a Zdrowie
Dr. Andrzej Paciorkowski – the Coordinator of the
“Szkoła Cukrzycy” programme in Środa Wielkopolska
Prof. Maria Górska M.Sc.D., the
Voivodship Consultant
on Diabetology
Tadeusz Truskolaski, the President of Białystok, and the Priest Andrzej Dębski
„DIABETES AND HEALTH” EDITORIAL OFFICE
Publisher: University of Diabetes
PSD OW Białystok
Based in:
Warszawska 23, 15-062 Białystok
cont.no. 85 741 57 01, fax 85 732 99 74
e-mail: redakcja@cukrzycaazdrowie.pl
www.cukrzycaazdrowie.pl
Editor-in-chief:
Danuta Maria Roszkowska
EDITORIAL TEAM CO-OPERATES WITH:
Prof.dr.hab. Maria Borawska
Prof. Ewa Otto-Buczkowska M.Sc.D
Anna Danilewicz
Marek Dolecki
Joanna Filipowska M.Sc.D.
Małgorzata Frąś MA
Hanna Bachórzewska-Gajewska M.Sc.D.
Prof. Maria Górska M.Sc.D.
Agnieszka Kierznowska-Rurarz
Prof. Ida Kinalska M.Sc.D.
Małgorzata Korolczuk-Zarachowicz M.Sc.D.
Bogumiła Ławniczak MA
Krzysztof Malinowski
Jolanta Obidzińska MA
Renata Saniewska
Prof. Jacek Sieradzki M.Sc.D.
Anastazja Szachowicz
Ewa Szarkowska
Lucyna Szepiel
Prof. Małgorzata Szelachowska M.Sc.D.
Prof. Mirosława Urban M.Sc.D.
Anna Worowska
English translations:
Michał Iwańczuk MA
Urszula Tarasewicz MA
Spanish translations:
Marcin Szachowicz
Mieczysław Kazimierz Baszko, the Vice-Marshal
of Podlasie Voivodship, and Józef Piotr Klim – a
Member of Parliament
As like as not, every one of us happened to find oneself somewhat taken aback receiving an unexpected email message on a random occasion. Typically,
such an electronic letter is embellished with design
and music. Now and then it can be a kind of joke,
while more often than not it tends to be texts regarding the depth of being
and sense of life. For instance, the last correspondence I welcomed was related
to love, or actually intense need for love, this what may translate into many
a way, when for example work may turn into slavery, power may evolve into
tyranny, or faith into fanaticism etc., the litany of which can be concluded as:
“life without love is of no meaning”. So true to appear almost banal.
However, it is not the content I am pointing to. In this given situation, the
idea is so as to re-send the message to as many friends as possible as if it was
to develop into multiplied dimensions of happiness for us ourselves at long
last. This, what can be binding is belief, that it works. Regrettably, not all
stand opportunity to play a part in these chain letters, which is those, who
simply have not any access to internet. But yet, free contact with the net does
not have to mean, that this person or another is willing to get involved.
I am not asking for the answer who is naïve, and who is kind-hearted in the
respect. For me, the most important is the everlasting striving for happiness
the manhood has been after - so vital and elemental a value as health and love
is. And, friendships is what parallels to it. Ones from the world wide web?
Yes, why ever not? It is the times we are of.
Danuta Maria Roszkowska
Colonel Leszek Czech, the Commandant of Podlasie
Border Guards, and Insp. Igor Parfieniuk, the Provincial Police Commissioner of Podlasie
Marek Siudym, a TV and theatre actor, together with Maciej Żywno,
the Voivode of Podlasie
Cukrzyca a Zdrowie
3
CURRENT ISSUE
Diet and healthy life-style as an appro
Diabetes is a chronic disease, which develops when
disordered metabolisms of carbohydrates, fats, and proteins take their effect. And this what triggers the disorders is defective insulin economy, whether it is its secretion or performance.
The number of the diabetes stricken is growing year
by year far and wide over the globe. It has been estimated, that in 2030 the incidence will be the concern of 366
million patients. In Poland, it is already 2 million individuals who had been diagnosed with diabetes. As much
as 90-95% of the population considered proves diabetes
type 2. This type of diabetes engenders on the ground
of obesity, inadequate diet, and lack of physical activity.
Series of clinical and epidemiological studies demonstrated, that adjustment of life style enables to reduce
the risk of diabetes prevalence and related complications altogether. This is the reason why securing suitable body mass is a principal element in prophylaxis and
treatments of diabetes type 2. Obesity not only furthers
the risk of diabetes threefold, but also equally exposes
to interdependent complications and death rates on the
whole. Scientists made it evident, that 5kg reduction of
body mass plainly relieves glycaemia, moderates blood
lipid concentrations, affords better glucose tolerability,
and regulates arterial blood pressure all in all.
Management of diabetes type 2 necessitates multidirectional approach, and bases on carbohydrates’ metabolism control, blood lipids’ levelling, arterial blood
pressure stabilising, and body weight command. In order to make it accomplished, patients fulfil dietetic treatments, pharmacological therapies, and educational
programs. Nevertheless, the question of any success possible rightly relies on the very patients themselves. It is
their responsibility to realise all the medical support in
everyday life. Adapting an appropriate diet, and exercising it in line throughout physical activity is as far effective as saves from the inevitability of drugs’ and medications’ use.
The obese or over weighted patients are well-advised
against any crash diets since such routines present with
only short-lived immaterial body mass reductions leading to exaggerated instead secondary gaining in weight, so called yo-yo effect. Slimming down in this respect is meant to advance by degrees and be observed
continually, the optimal results of which should come to
0,5-1,0kg weekly. So as to meet this aim patients are recommended diets which are 500-1000kcal lower in proportion to a given 24h energy requirement.
4 Cukrzyca a Zdrowie
Accordingly, such a diet needs to be appropriately balanced, in case of which fats provide not more than 2530% of total daily energy, proteins 10-20%, whereas carbohydrates the remaining demand, but still not less than
50%. Minding the diet to be multifarious, it is also expected to profile it low-fat (restraining from fatty meat, cold
cut, fish, or full-cream dairy, junk-food and potato crisps), and similarly assumed to be free of simple sugars
(for instance those found in table sugar, honey, confections, jams). In its place, the diet should comprise at least 400g of vegetables, and some about 200g of fruit. Regarding fluids, it is supposed to be 10-12 glasses of water drank on a daily basis. For best and winning results,
the dietary caloric values and dietetic compositions have
to be agreed together with applicable eating habits. Hence, meals should be as frequent as consumed 4-6 times
a day while served in smaller doses. This in turn must
be respected to be regular, being followed at the same
hours every day, within no different breaks in-between.
CURRENT ISSUE
roach to management of diabetes type 2
Then, the nourishment diabetes patients are advised is
to be founded on polysaccharides (starch, dietary fibre),
rather than easily digested carbohydrates (sugar, sweets).
In line, proteins are supposed to supply 10-20% of needed energy, which in adults stands for 0,8-1,0g per 1kg of
a given body mass. In case of those who suffer from microalbuminuria, or early in stage overt nephropathy syndrome, the share of protein in the diet is pointed so as not
to exceed 0,6-0,8g per 1 kg of a given body weight. Correspondingly, still growing children and youth, pregnant
and breast feeding women, need more protein quantities,
which is understood to be 1-4g per 1 kg of a given mass.
Watching protein intakes, it is worthwhile to remember,
that those of animal nature should cover 50% of total daily
demand, for the ample content of amino acids they afford.
In order, fats are meant to deliver not more than 30%
of required energy. Viewing the overall fat share in the
diet, saturated fat acids (present in animal foods such as
lard, butter, cream, backfat, bacon, etc.) should provide
with 10% of energy, monounsaturated fat acids (e.g. olive
oil) equally 10%, whereas polyunsaturated fat acids (con-
tained in these vegetable oils which are based on soya,
sunflower seed, rapeseed, or in fish as an alternative)
additional 6-10% of total daily energy demand. In one,
the concentration of cholesterol in blood cannot be higher than 300mg a day (offal and eggs are thought to be
reduced in use).
In turn, carbohydrates are ascertained so as to cover
45-60% of total energy human body expends. These are
the organic compounds every single meal should afford. As the main source of them dieticians suggest rich
in vegetable fibre products, such as whole-wheat flours
and breads, coarse grits, cereals, legumes and vegetables. Monosaccharaides (glucose, fructose), and disaccharides (saccharose, lactose), can be added in some set
of choices, though in proportions of 10-30g regarding
daily measures.
Altogether, dietary fibre is one of the basic nutritional components, prescribed amounts of which should
be as much as 10g per 1000kcal. The fibre regulates performance of the alimentary system, however far more
important is the fact, that it slows down the absorption
of carbohydrates moderately absorbing lipids instead.
Dietary fibre is found in vegetables, fruit, dry seeds of
leguminous plants, and cereals. Diabetes patients are
encouraged to consume the fibre in higher than normal
doses which is 15g per 1000kcal.
All alike, any well-balanced diet is meant to afford fairly adequate amounts of vitamins and minerals. Diet
supplements are recommended only then when some
evident scarcities transpire, or are very likely to take
place (e.g. rapid growth of bones and tissues, menopause aftereffects, recurrent diarrhoea).
Furthermore, daily intakes of salt need to be controlled so as to consume it not more than 5-6g, since it is
the easiest and straightforward way to be able to prevent against hypertension, or maintain blood pressure
levelled.
In most cases, diabetes necessitates pharmacotherapy. Treatments of diabetes type 2 are generally based
on oral anti-diabetic agents. They are employed in monotherapies, or in combined therapies, whereas in the
course of the latter more than one medication is used,
or the oral drugs are conjoined together with insulin.
Generally, oral anti-diabetic class of medicines is divided into 2 groups, and this what singles them out is the
mechanism of performance; hypoglycaemic drugs – derivatives of sulfonylurea, glinides, and antihyperglycaCukrzyca a Zdrowie
5
CURRENT ISSUE
emic drugs – derivatives of biguanide (metformin),
inhibitors – glucosidases and glitazones.
Insulin therapy is the sole form of treatment diabetes type 1 can be subjected to. Diabetes type 2 patients are managed with insulin only when it is well-grounded – this is, as soon as glycaemia of 300mg/
dl is confirmed, persisting HbA1 of above 7% is proved, or when other dietetic inaccuracies or other ineffectiveness of oral drugs are observed.
The most innovative generation of anti-diabetic
drugs today is incretin medicines. Incretins are hormones secreted in L cells down in the intestines. The
concentration of them grows throughout meals what
stimulates releasing of insulin on one hand, and restrains secretion of glucagon on the other. In turn,
hyperglycaemia intensifies action of incretins. Incretin medicaments perform as analogically as the hormones produced in the intestines. They have been
proved to be very effective in treatments of diabetes
type 2, particularly in cases of patients over weighted and obese. Incretin drugs block against degradation of incretins, the hormones released during meals, on the strength of which pancreas secrets more
insulin in an answer to blood sugar excess. Simultaneously, glucose production turns to decline then.
Above and beyond, clinicians accept the perspective, that incretin medicines can be applied in case of
patients, who are over weighted or obese but not any
afflicted with diabetes in any way or form.
Notwithstanding the methods of treatment patients have to consistently act upon discipline with
regard to taking medications (regularly, every day at
the same hours, in prescribed doses). Equally important is correlating meals and drugs. As far as insulin therapy is concerned, insulin solution is supposed to be injected 30min ahead of a meal, whereas insulin suspension 60min prior to a meal. In turn, oral
anti-diabetic medicines, dependently on a kind of a
given drug, are meant to be administered 10-15min
in advance of a meal, during a meal, or immediately after a meal.
In case of diabetes type 2, one which happens to be
associated with obesity and lipid metabolism disorder, the first-choice drug is metformin. The substance reduces intensities of glucose in blood, and concentrations of glycosylated haemoglobin there, and
altogether, moderates intensities of free fatty acids,
triglycerides, total cholesterol in one with its fraction LDL. All through the duration of insulin therapy using alcohol is absolutely unacceptable, even in
trace quantities comprised in some of medicaments.
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Cukrzyca a Zdrowie
Persons, who are treated with insulin or oral hypoglycaemic drugs in combined therapies, are particularly exposed to hypoglycaemia episodes. This, what
engenders deficiencies of sugar is: dietetic inaccuracies (imbalanced proportions of carbohydrates in given meals, overly small meals, irregularity of consumption, incidents of being peckish, missed meals),
overdose occurrences, or unexpected instances of physical activity.
In order to be able to prevent hypoglycaemia it is necessary so as to follow certain principles. Firstly, meals have to be consumed regularly, day after day at the
same hours. Secondly, medicaments must be administered systematically in prescribed doses. In line, frequency and intensity of physical activity should be individually adjusted taking given bodily conditions
into consideration. Correspondingly, meals ought to
be as numerous as 4-6 times a day, and each one of
them is supposed to be composed of carbohydrates,
fats, and proteins. And, respectively, servings of food
should consist of complex carbohydrates, dietary fibre,
low-fat dairy products, and vegetable oils.
One of the advantageous techniques used in favour
of diabetic diets is applying of carbohydrate exchangers (bread units). A single carbohydrate exchanger
stands for such an amount of food which affords 10g
of carbohydrates. Patients have to know how many of
them they can eat in the course of a meal throughout a
day. Tables of carbohydrate exchangers enable to recognise given groups of products, and facilitate compromising individual gustatory preferences with apposite dietary choices.
In order to be able to prevent against acute post-meal upsurges of glucose concentrations in blood food
intakes should be based on carbohydrate products of
low glycaemic index (GI). Some examples of them are:
whole-wheat bread, wholemeal pasta, buckwheat groats, whole wheat rice, cereals, green vegetables, tomatoes, apples, grapefruits, milk, and low-fat dairy produce.
CURRENT ISSUE
Table 1 presents food products of glycaemic index < 50%
PRODUCT
IG
QUANTITY
IN GRAMS
AMOUNT OF CARBOHYDRATES
PER PORTION
Fresh peaches
42
110
7
Canned peaches
in natural juice
30
125
12
Tinned peaches
in natural syrup
38
120
11
44
100
16
34
30
20
Oat bran bread
47
30
18
Chickpea
28
150
30
Cooked chickpea
33
120
22
Drained
canned chickpea
42
95
15
Tinned chickpea
in brine
42
150
22
White chocolate
44
50
29
Dark chocolate
22
10
5
Milk chocolate
49
30
19
Cherries
22
80
10
Cooked
white bean
31
70
13
Brown bean
38
150
25
Cooked
black-eyed pea
42
150
30
Pudding
Coarse-grained
barley bread
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CURRENT ISSUE
Canned pinto bean
45
150
22
Mung bean
31
150
17
Pressure cooked
mung bean
42
150
17
Soaked mung bean
cooked 20min
31
150
17
Cooked
kidney-bean
27
90
18
Roasted bean
48
160
15
Pure fructose
23
10
10
Grapefruit
25
120
11
Cooked
split yellow pea
32
90
16
Green pea
48
80
7
Cooked
green pea
22
150
9
Cooked frozen
green pea
48
80
5
Pears
38
150
21
Tinned pears
in natural juice
44
120
Apples
38
Dried apples
33
200
31
Cooked
pearl barley
25
80
17
Fruit cake
47
35
18
Lactose
46
10
10
“LU petites”
49
50
35
Nut M&M
33
30
17
Instant noodles
47
180
40
Instant Asian noodles
46
85
55
45
180
45
Tube-shaped pasta
47
180
48
Cooked
durum wheat
drill-shaped pasta
43
180
56
Cooked
Vermicelli pasta
35
180
45
11
Cooked
small-star
shaped pasta
38
180
56
120
15
Cooked carrot
47
80
6
29
60
34
Fresh carrot
16
80
8
Cooked
pearl barley
25
159
42
Fresh carrot
43
250
23
Yogurt of 0% fat
27
200
24
Orange marmalade
48
30
20
Natural yogurt
35
200
9
Fat corrected milk
32
250
13
14
200
13
27
250
13
Low-fat fruit yogurt
with aspartame
8
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Low-fat fruit yogurt
with sugar
Capellini pasta
Milk of 3% fat
CURRENT ISSUE
Chicken nuggets
46
100
16
Nutella
33
20
12
Nutella
14
50
6
Bran
42
49
22
Fish fingers
38
100
10
Oranges
42
120
11
Pumpernickel
46
30
11
Lentils
29
159
18
White flour spaghetti
cooked 10-15min
44
180
48
Plums
39
120
12
Strawberries
40
120
3
Grapes
46
120
18
Cherries
22
120
12
ling. Cereal products and vegetables should not be completed overcooked, since it boosts glycaemic index, what all
prompts blood glucose to gain in intensity after consumption. Hence, vegetables and fruit are meant to be served
raw. For the fact, that vegetables differ in nature regarding
the content of carbohydrates and dietary fibre they provide, we introduce the relevant characteristics in the table 2.
Diabetes patients are recommended the produce belonging
to the group 1 in the greatest extent possible, and those belonging to the group 2, but in a fairly smaller degree.
Diet needs to be diversified, and composed of meals, which harmonise with the gustatory preferences of a given patient. Meals are
supposed to be assorted supplying complex carbohydrates, dietary fibre, proteins, and fats.
The methods of preparing advised are cooking in water or steam, roasting in cooking foil, stewing in small amounts of fats, gril-
Table 2. Content of carbohydrates in vegetables
GROUP
CONTENT OF CARBOHYDRATES
% OF WEIGHT
EXAMPLES
OF
VEGETABLES
1.
< 6%
lettuce, cucumber, spinach, Chinese cabbage, courgette, leaf celery, tomato,
asparagus, onion leaves, witloof, radish, pepper, cauliflower, broccoli, scallion, litvak, fresh mushrooms
2.
6 – 11%
aubergine, turnip cabbage, red pepper, onion, white cabbage, runner bean,
celery, pumpkin, savoy cabbage, mirepoix, Brussels sprout, carrot, beetroot,
parsley root
3.
> 11%
broad bean, green pea, potatoes, sweet corn, garlic
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CURRENT ISSUE
In diabetes type 2 treatments physical activity is as important
as diet is. Physical activity is immeasurably health promoting,
both in case of those well-built diabetes patients, and those, who
need to combat overweight, or obesity.
Bodily exertion, whether it is work, or exercising, especially
that which takes place systematically, advances alleviating of diabetes as:
a) it favours expending of glucose, what exacts blood sugar
levels reduced
b) furthers competence of heart, lungs, and muscles, all of
which uplifts general wellness
c) consumes energy
d) prevents against obesity, or relieves it
As often as not, diabetes patients are recommended to practise aerobics. In order to be able to control glycaemia and secure given body mass the diabetes concerned have to exercise 150 minutes a week. Workouts can be drilled every day, or decided to have
effect 3 times a week, however the gaps in-between cannot be longer than 2 days in a row. It is important viewing the fact, that heightened sensitivity to insulin extends over 72 hours only. Similarly, physical activity may be resolved to come to pass a few times a day instead, for instance 10 minutes’ walk after each one
meal.
Understandably, obese persons are meant to take care to keep
fit not only so as to command glycaemia condition, but also so
that they could reduce their body mass. The time they are expected to allocate for moderately intense exercising has to be lengthier, which is to be some about 7 hours a week.
Those individuals, who never reposed actively, should start
with brief physical endeavours, such as walks to work, for shopping, with a dog, as well as it can be opting for any action and movement together with children or grandchildren, together with
friends, or even if with neighbours. Subsequently, the physical
undertakings need to be progressively furthered.
Home exercise program can be agreed with so called strength
training (elastic belts, weights), what is usually adopted to take
place 2-3 times a week. This form of working out builds up muscle mass, develops muscle fortitude, and all in all elevates sensitivity to insulin.
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Even so, physical activity has to be safe. Physical
exertion is advised against in situation when blood sugar concentration is higher than 300mg/dl, or
glycaemia on empty stomach higher than 250mg/
dl, and ketone bodies are present in urine altogether. Physical efforts in such conditions may exacerbate hypoglycaemia and set ketoacidosis in train.
100 mg/dl of blood sugar intensity is equally hazardous, and necessitates an extra portion of carbohydrates afore any exercising comes to pass.
Also, it is essential so as to be taking readings of
blood sugar before and after physical activity. If a
given exercising is to last for more than an hour blood testing has to be carried out during the workout.
When blood sugar intensity is lower than 70mg/dl
a snack needs to be consumed, in situation of which
one can administer such rations as 2-3 tablets of glucose, ½ glass of fruit juice, 1 glass of milk, or 1-2 spoons of sugar or honey. Then, after 15 minutes another examination of blood sugar concentration has
to be conducted. If it still approximates 70mg/dl one
more nibble needs to be consumed once again.
In line, prolonged physical activity, for instance an excursion, similarly requires blood sugar evaluation, what is to have effect within a couple of hours afterwards. Other examples of protracted activity, however ones of aerobic character, are energetic walk, climbing stairs, swimming, dancing, biking, or playing tennis.
Everyone who is diabetes concerned has to be clinically examined to be perfectly secure while planning taking up exercise programs. What should be
specifically investigated is potential late complications, ones like lesions on the fundus of the eye, or
diabetes neuropathy. Patients who prove retinopathy mustn’t lift weights, whereas persons who suffer from neuropathy ought to be exceedingly cautious minding their feet during a given activity.
Appropriate eating patterns and physical activity in pair is what naturally levels glycaemia and
exacts disordered lipid parameters restored reducing body mass all in one. Unmistakably, diabetes
patients should feel free to follow this form of non-invasive therapeutic management.
CURRENT ISSUE
Tabela 3. Sugestie posiłku w zależności od typu wysiłku fizycznego i poziomu glikemii.
Types of physical activities
Activity of short duration (30min or less) and low-impact, e.g. 1 km walk, 30 min biking
Blood glucose concentration
< 5,6 (<100)
5,6-10,0 (100-180)
> 10,0 (>180)
Activity of moderate duration (1hour) and temperate impact, e.g. tennis, swimming, jogging, biking, gardening, golf, vacuuming
< 5,6 (< 100)
5,6 – 10,0 (100-180)
10,0 – 13,3 (180 – 240)
> 13,3 (> 240)
Activity of long duration (more than 2hours) and
high impact, e.g. football, basketball, biking, swimming, ploughing, skiing
< 5,6 ( < 100)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
> 5,6 (> 100) ale < 7,8 (< 140)
> 7,8 (> 140) ale < 10,0 (< 180)
Suggested meals
1 fruit + 1 slice of bread + 1 slice of meat
1 slice of bread or 1 fruit
An extra meal is not required
1 slice of bread + 1 fruit
1 slice of bread + a piece of meat
1 slice of bread or 1 fruit
An extra meal is not required
A drink with sugar + yeast-raised cake
or bread, grouts, pasta
2-3 slices of bread + poultry cold cut or
cheese + fruit
A sandwich with poultry or cottage
cheese
Eat minimum 5 meals daily, regularly, at intervals of 2-3 hours
Consume minimum 400g of vegetables everyday (with the exception of potatoes, sweet corn, beet roots)
Refrain from highly-processed products, for instance fast-food
Be mindful of well-balanced diet, each one meal should afford 10g of fats, 15-20g of pro
teins, and 25-30g of carbohydrates
Drink 10-12 glasses of on a daily basis, preferably 1 glass an hour
Avoid those beverages which are sweetened with saccharose or fructose
Resist towards any crash diets. They work only the time while being practised. The mo
ment of termination is when the effect of yo-yo transpires.
Exercise systemically, every other day if possible, minimum 45-60 minutes. The way of doing it is your own individual choice (whether it is biking, jogging, orbitrek, skipping rope or another form).
Make your efforts to conform your body weight to your age and height.
Observe your medical examinations to be regular. Carry out your everyday testings of blood glucose intensity, cholesterol, and blood pressure.
Danuta Pawłowska M.Sc.D.
Faculty of Public Health at WSAP, Białystok
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WORTHILE TO KNOW
DRUG-DRUG AND
DRUG-FOOD
INTRACTIONS
It is worthwhile to know, that consuming of some food products,
partaking of some vitamin preparations, and using diet supplements, may engender a variety of biochemical interactions with
drugs, that concurrently happen to be administered. These interactions every so often are exceedingly multifaceted, and tend to take
place at this or another stage of drug absorption, or on the strength
of metabolic reactions in the liver and intestines. Hence, the therapeutic effect of a given prescribed medication can be unpredictable
indeed.
Wielu pacjentów stale zażywających leki oraz stosujących preparaty bez recepty nie zdaje sobie sprawy z możliwych interakcji pomiędzy lekami a żywnością. Z różnych badań przeprowadzanych w USA wynika, że ponad połowa chorych doświadczyła skutków negatywnego oddziaływania między lekami a pewnymi składnikami żywności. Ich kliniczne następstwa były bardzo różne, od nieszkodliwych, polegających na mniejszej skuteczności leku, do bardzo niebezpiecznych, prowadzących nawet do zgonów. Najczęściej dochodzi do zaburzeń wchłaniania
leku. Niektóre składniki pokarmowe, takie jak błonnik pokarmowy, wapń zawarty w produktach mlecznych, czy też taniny znajdujące się w herbacie, mogą spowodować, że wchłonie się z przewodu pokarmowego tylko niewielka dawka leku. Ma to bardzo istotne znaczenie w przypadku niektórych antybiotyków stosowanych
w leczeniu zakażeń dróg oddechowych i moczowych. Brak jest
wówczas efektu terapeutycznego i poprawy klinicznej.
Bardzo trudne do przewidzenia, a zarazem bardzo groźne w skutkach, są zaburzenia metabolizmu leków w organizmie spowodowane na przykład działaniem flawonoidów i furanokumaryn zawartych w owocach cytrusowych, zwłaszcza w grejpfrutach. Zahamowanie czynności enzymów zawartych w wątrobie i jelicie cienkim
doprowadza do tego, że niektóre leki nie mogą być metabolizowane, co prowadzi do bardzo dużego wzrostu ich stężenia we krwi i,
w konsekwencji, do wystąpienia objawów klinicznych „przedawkowania”, takich jak spadek lub wzrost ciśnienia tętniczego krwi czy
też zaburzenia przewodzenia i rytmu serca.
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Większość poznanych dotychczas przypadków wzajemnego oddziaływania pomiędzy żywnością a lekami zachodzi
na etapie wchłaniania leku. Ma to miejsce, kiedy lek zażywany jest w trakcie jedzenia lub tuż przed posiłkiem.
Leki podane doustnie wchłaniają się
w całym przewodzie pokarmowym, głównie jednak w jelicie cienkim, ponieważ
ma ono ogromną, silnie unaczynioną powierzchnię chłonną. Skutki interakcji mogą
mieć różne stopnie nasilenia, a statystyki pokazują, że w co najmniej 30 proc. w istotny
sposób zaburzają proces leczenia i narażają chorych na poważne powikłania. Z analiz przeprowadzonych w Polsce na podstawie badań losowych wiemy, że skala problemu jest bardzo duża. Narażenie na interakcje między żywnością a lekami wystąpiło u
WORTHILE TO KNOW
62 proc. badanych, przyjmujących co najmniej jeden lek,
a
przecież
ryzyko
interakcji
rośnie
wraz
z ilością zażywanych leków. W Polsce aż
58 proc. osób zażywa stale więcej niż 3 leki.
Badania przeprowadzone przez Instytut Żywności
i Żywienia wykazały, że ponad 50 proc. respondentów nie zdawało sobie sprawy z możliwości interakcji
pomiędzy przyjmowanymi lekami a spożywaną
żywnością.
Podstawowa wiedza może zapobiec lub ograniczyć
możliwości wystąpienia interakcji. Należy pamiętać,
że występują one częściej u osób, których dieta jest nieprawidłowo zbilansowana. Jeśli jakieś produkty spożywcze lub składniki odżywcze zjadane są w nadmiernych ilościach, a inne w niewystarczających, to narażenie na ryzyko interakcji jest większe.
Interactions between drugs and fats
The absorption rate of some drugs depends on fat
content given food affords. Fats amplify absorption
of these drugs, which are more lipophilic than others,
what means, that they have ability to dissolve in fats,
oils, and lipids, but not in water. This category of medications are very well-soluble in fats emulsified by bile
acids. Fat emulsion becomes a drug carrier and catalyses its absorption.
Some examples of aftereffects drug-fat interactions
engender
Rich in fat meals, which advance absorption of theophylline, may expose patients to heart arrhythmia, tachycardia (palpitation), hypotension (abnormally low
blood pressure), headaches, and sleep disturbances.
Theophylline is a purine alkaloid present in tea, and
other substances. First and foremost, it is employed in
treatments of asthma and chronic obstructive pulmonary disease (the drugs based on it are euphylilin and
teophylium).The contraindications which were affirmed in the case of theophylline refer to the persons who
went through myocardial infraction, or suffer from arrhythmia, severe arterial hypertension, epilepsy.
Receiving of some lipophilic medicaments from the
group of beta-adrenergic blocking agents before a
meal, during a meal, or immediately after a meal, providing it with volumes of fat, may prompt very serious body disorders, such as bradycardia, hypotension,
heart block, and heart failure. Beta-blockers is a wide-ranged class of drugs exerted in cardiologic managements being applied in case of coronary disease, arrhythmia, and hypertension (e.g. propranolol, bisocard,
metocard).
In turn, consuming meals full of fat along with some
anti-depressants may trigger consciousness disturbances, sleep disturbances, and hypotension conditions.
What is the safety measure against interactions between drugs and fats?
In case of receiving drugs, which may interact with
fats, it is advised so as not to administer them before,
during, and after meals, which present with ample quantities of fats. Examples of such meals are: fried on fat
dishes, bacon, plentiful amounts of butter, or full-cream
milk.
Also, rich in fat meals or products should not be consumed two hours before taking drugs, as well as one
hour afterwards.
If a doctor, or a pharmacist, happens to command taking given medicines before, during, or after meals, then
food choices should be low in fat.
Likewise, products of low or average fat content consumed in greater amounts may equally contribute to the
risk of an interaction.
Interactions between drugs and grapefruit juic.
Metabolism of some types of medicaments, there in
the liver and intestines, may become disturbed in case
when the drugs are washed down with grapefruit juice. This is what prompts given medicines to accumulate, and acute poisoning arise as a result. The condition takes place on the strength of grapefruit flavonoids
– kaempferol, naryngenina, quercetin (organic chemical
compounds functioning as pigments, antioxidants, and
natural insecticides and fungicides, exacting intense colour in fruit, saving from harm of ultraviolet radiation,
and protecting against insects and fungi), and furanoco-
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13
WORTHILE TO KNOW
umarins. These bio components, as well as drugs and other materials,
are metabolised by P-450 cytochrome enzymes generated in the liver
and intestines. Altogether, P-450 cytochrome defends against toxic elements, and in the view of this fact is called to be “the second immunological system in humans”. Receiving medicines with grapefruit juice
chemically blocks this group of enzymes, drugs cannot be metabolised and amass accordingly.
Some examples of after-effects founded on interactions between
drugs and grapefruit juice
Ingestion of grapefruit juice or its whole pieces together with drugs
intended for hypertension (calcium channel blockers, e.g. amlozek, nifedypine, isoptin, plendil) may engender as high as 3-10fold upsurge of drug concentration in blood, what is likely to lay given patients
open to considerable blood pressure decline and headaches.
Grapefruit juice used for washing cyclosporine down (an immunosuppressive drug applied in treatments of patients after transplantations, and in managements of acute atopic dermatitis and psoriasis) risks with drastic rise of blood tension, and fits of convulsions in one.
Alike, any given produce of grapefruit should not be consumed
along with some certain antihistaminic medicines (a basic group of
drugs employed in treatments of atopic allergy diseases - e.g. astemizole), since it may prompt life-threating arrhythmia.
In line, grapefruit juice should not be drank the moment when benzodiazepine associated drugs are taken. These are medicines which
are of anxiolytic and hypnotic performance (diazepam, midazolam,
triazolam). Clinical consequences of interactions by way of multiplied
drug intensities in blood may be very dangereous, and lead to circulatory and respiratory depression.
What is the preventative measure
against interactions between drugs and
grapefruit juice?
This variety of juice should not be partaken 4 hours before and four 4 hours
after receiving given medicaments. The
recommendation relates to all forms of
grapefruit conceivable. Even a meagre
portion of the juice (250ml) may effect an
interaction.
Correspondingly, there are also some
certain diversities of oranges, that similarly affect alimentary responses.
For this reason, let us not wash anything down with grapefruit juice unless
we consult a doctor, or a pharmacist,
whether a given drug runs a risk of interactions or does not.
The expertise of the interrelations between medicines and grapefruits is not
fully satisfactory yet, therefore it is well-advised so as not to attempt the described drug-food combinations.
However still, there are many other
medicaments which do not interact with
grapefruit juice, so the produce then can
be freely consumed, especially when, it
is a great source of vitamin C, potassium,
and flavonoids.
Compiled by: Bohdan Waydyk
14
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WORTHILE TO KNOW
ERRATIC
VIRUSES
LIFE-STYLE
AND
FURTHERS DIABETES
DIABETES TYPE 1
The reasons why human body system discontinues producing insulin, or turns to resist it, have not been entirely recognised.
However, the up-to-the-minute studies point it out, that the risk of diabetes incidence
shows a relationship with the circadian rhythm – actually with its distractions and disruptions.
The experiments were conducted by J. Bass
and his associates from the North-western
University in Evanston. The researchers reproduced laboratorial strains of mice beta cells
and monitored the process of insulin production. What they concluded was the fact, that
progress of diabetes may well advance by way
of disturbance of a given pancreas body clock.
The mice beta cells, isolated from the genes
which regulate the circadian rhythm, evidently declined generating of insulin. They released less than 50% of the hormone the enervation of which is assumed to prompt diabetes
type 2 fairly rapidly.
Accordingly, the scientists determined it,
that shift work, which observably upsets natural body clock for artificial light influence and unsettled day-to-day hours of functioning, must be the ground of diabetes to some
extent.
Now then, it is worthwhile to be mindful
and cautious about this facet in respect of
diabetes prophylaxis.
The Source: medycyna24.pl
Some Australian scientists maintain,
that viruses answer for diabetes type 1
progression. The researchers from the University of New South Wales, and ones from
the Institute of Endocrinology and Diabetes in Sydney, analysed 26 methodical programs, which involved participation of 4,5
thousand of diabetes type 1 patients.
The investigators aimed to establish
whether viruses have an actual effect on
diabetes type 1 or not. And, in line with
their opinion published in “The BMJ” they
have: “The children with diabetes type
1 proved to experience enteroviral infections tenfold more frequently ( enteroviruses are those which induce infectivity
of the respiratory system, as well as may
engender meningitis). Consequently, the
scientists reached the conclusion, that anti-enterovirus vaccination is what will enable to combat and win diabetes type 1 prevalence in children.
Be that as it may, but we have to face the
problem, thatv there are hundreds of enteroviruses far and wide. Identifying which
one alone favours progression of diabetes
may be exceptionally difficult – states dr.
A. Foulis from the Royal Hospital in Glasgow. Then again, the experts attempt to counter the question, and consider the possible occurrence, that it is not enteroviruses what prompts diabetes, but instead it
is diabetes what exposes to enteroviral infections.
Altogether, it might be some another yet-unrecognised factor – genetic, environmental, or combination of any given, that
exacts children more susceptible to both
diabetes and enteroviral infections. In order to determine it some further medical
inquiries must be carried out.
Źródło: Wojciech Moskal, Gazeta Wyborcza
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WORTHILE TO KNOW
DRINK OF HEALTH
Hexagonal water presents with beautiful regular forms in its structure and is most salubrious in favour of all living organisms.
Japoński uczony, profesor Masaru Emoto, specjalista od stosunków
mA Japanese scholar, a specialist of international relations, a doctor of
alternative medicine, the professor Masaru Emoto has been examining
water for 20 years now, and it is this length of time in the course of which
he could not cease to resist its captivating value. The moment when he
realised the fact, that water has capacity of saving and coding information, his life undeniably changed. He discovered this actuality in the
United States, where he was introduced with the conception of water
micro clusters, and familiarized with the magnetic resonance quantum
analyser functions. Also, it was then when he met Lee H. Lorenc, the
scientist who devised the technology which enables generating of highly dispersed water, magnetic water to be precise.
Exploring the mysteries of water, prof. Emoto elaborated a revolutionary method, which allows for photographing of crystals, namely its frozen constituent parts. The samples of water he screened were all of different complexion and dissimilar origin – those derived from natural reservoirs, those utilised by man, as well as those found in human body. As
a result of growing interest, the world of science pays to his studies, affiliates of the Research Institute HADO IHM were founded in Europe and
the United States, and entrusted the very Masaru Emoto. Concurrently,
he himself set up the IHM company, and launched the Friends of HADO
IHM International Society.
In order to explicate the idea of the HADO technology, and its relationship with water, we need to open the subject from the core, explicitly from the atom.
Atoms are the basic units of matter that consist of a nucleus and electrons. The negatively charged electrons speedily orbit the positively
charged nucleus, and emit unique, subtle vibrations called HADO. In
line with the ancient scholarship of the East it is chi energy. By means
of electrical interactions HADO diffuses rapidly forming a kind of an
electromagnetic pattern. Viewing the fact, that there is not two identical
fields possible to take place, such a phenomenon is termed to be chaos.
Admittedly, the universal principles of atoms are known to the learned,
but even so the modern science is still to face the challenge of “deciphering” what elemental particles represent.
As far as prof. Emoto is concerned, the question remains unresolved,
because these particles change their attributes depending on awareness and perception of a given observer. In other words, the world meets exactly the same level as human awareness happens to stand for. This
in turn can be interpreted, that human awareness is capable of modelling each one creation all over the world. In contrast HADO, such a vital
quality of energy, is not studied on, for it is undetectable to human eye.
By use of photographs Masaru Emoto revealed existence of HADO
energy in water crystals. He proved, that it can be employed in research
16 Cukrzyca a Zdrowie
WORTHILE TO KNOW
works in order to explain many a phenomenon insofar as it offers greater insight, that is, enables to see
our health condition, mind condition, or water condition itself. It is because, HADO, the smallest particles of the invisible energy, is nothing but sound waves, exactly the same as those applied in TV sets, radio
receivers, cell phones. We are all globally immersed
in HADO. The apparatus, which processes the unique modules of vibrations, and allows distinguishing
HADO, was named Magnetic Resonance Quantum
Analyser – MRQA.
Prof. Emoto was the first one who employed this
piece of equipment, and used it in order to explore
HADO and water capacity of collecting and storing
information. He managed to prove, that water can
heal in this or another extent owing to the information it provides.
The technique of photographing he developed
made it possible to discover “the face of water” present in frozen crystals. The photos simply show the
life energy water affords. Since water is us – humankind. Being fertilised eggs in motherly wombs we are
water as much as in 95%, being adults we are water
in 70% in turn. It is the proportion in which water covers Earth, living in oceans, clouds, rivers, mires, eternal snows of high mountains, or ice fields there in the
poles.
For us, common people, each one water is alike.
Whereas, recorded on the photos samples of water
drawn from several different places exposed variations of crystals, from those beautiful, rare, and symmetrical, to those disagreeable, and deformed. Every
single photo was distinct. Monitoring of the crystallisation process gave ground so as to conclude it, that
water “attempts” to shape crystals to be delightful,
however happened to be unsuccessful on occasions.
For instance, although tap water in Japan is restrictively supervised, the water was not able to form any
regular crystals in many a sample. Hence, it must be
the reason why water in Tokyo does not taste well. To
be exact, it is what takes place in all massive agglomerations - water crystals there repel dreadfulness.
Water is the source of life. The moment it becomes
contaminated is when all populations of living organisms befall to be in grave existential danger. Consequently, the professor makes his efforts so as to find
out the method which would enable valuation of water quality. Some experiments confirmed, that wa-
ter can change, for example on the
strength of music. It turned out,
that water reacts to words, whether it is good ones, or bad ones,
and, over and above, senses emotions and feelings.
In point of fact, water records
all singularities of us and life, and
memorises it by means of its peculiar structure – set of particles
which bond in clusters. These clusters are assumed to be some kind
of memory cells, that can be compared to hard disc, where water saves everything what it sees, hears,
senses, or even intuits. The structure, just as the nervous system,
responses to any given stimulus.
Each one cell encloses 44 thousand
of information fields, whereas each
one of them answers for a distinctive way of communication.
Notwithstanding the fact, that
the clusters are somewhat unstable, the interchangeable particles
restore their integrity, and can last
for a fairly long time. In reality, endurance of the structure is what facilitates securing new information,
situation of which does not influence the chemical composition of
water at the same time.
Barbara Ciereszko, a therapist,
and an inventor of unconventional
health-promoting devices, designed a plate, which converts physical properties of water amplifying its pH up to 8,5 and energising
it all together. The plate transforms
tap water into spring water insofar
as it purifies it away from harmful chemical compounds and pathogenic bacteria. The contrivance
develops the energy from its shape and contained energising units.
The influence of geometrical
forms and shapes is called geoenergy. In the ancient times, it was
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17
WORTHILE TO KNOW
seen as divine or sacred geometry, something what manifests itself high and low, whether it is a microscopic particle, or a giant galaxy. The dynamism induces secret harmony
and exacts environmental balance what from time immemorial was hold to account in the
architecture planning. Today, this knowledge of geometry is discovered anew again. It is
what guided Miss Ciereszko throughout the constructing of the plate. She explains, that
the shape itself radiates with some quantity of energy. Furthermore, the plate is intended
to be closed tight in a case, so as the energy can magnify, just as perpetuum mobile machines function. Then, strong dextrorotary motion emits above and below the plate energising all what is around.
The efficiency of the plate 8,5 was attested
in the Hado Life Europe Institute of Emoto
Masaru in Liechtenstein, where water was
submitted to the action of the plate, and analysed afterwards. The crystals obtained turned out to be regularly hexagonal. Water of
this nature is most valuable of all. It can be
found only there where ecosystem happens
to be intact and undisturbed. The examinations prof. Emoto carried out show, that hexagonal water crystals are present in healthy tissues, whereas ill and sick cells present irregular crystals. Altogether, hexagonal water penetrates cells far more easier,
and exacts better hydration improving absorption of nutrients.
The hexagonal water attained from treatment by the plate 8,5 was also scrutinized
in the Regional Environmental Inspectorate
in Białystok. It was ascertained, that the water afforded more calcium and magnesium,
whereas provided fourfold less iron.
Likewise, the water treated by the plate 8,5
was furthermore examined what took place
in the Water Mains Laboratory in Białystok.
It was made certain, that the water delivered
less of cola bacteria and less of nitrites.
All in all, the water, energised by the plate, intensifies alkaline reaction up to 8,5, which
is why it performs just like natural antioxidants safeguarding against acidification. Hence,
it tones well with the saying: “water is health supporter”.
Compiled by: Lucyna Szepiel
18
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WORTHILE TO KNOW
Diabetes type 3
The neuropathologist, Susan de la Monte from the American Brown University, was the one, who proposed to name Alzheimer disease diabetes type
3. This was founded on the fact, that diabetes patients stand twofold higher
risk of acquiring the disease, as well as they prove medical problems in terms
of learning and memorising abilities.
Insulin is the hormone which aids cells to store energy materials, namely carbohydrates and fats. In situation when body system generates it insufficiently (diabetes type 1), or defectively responses to it (diabetes type 2), metabolic disorders take place, exposing heart, vascular vessels, and peripheral
nerves to endangerment.
Formerly, it was thought, that the hormone is produced only in the pancreas, and does not affect the central nervous system as such. In the 1980s, insulin and its brain receptor was discovered. Then, it turned out, that it not only
penetrates the blood-brain barrier, but also is generated there, however in
small quantities. Soon after, insulin was confirmed to be the substance which
improves learning and memory. Injected, or administered rostraly, it evidently advances memory performance.
Susan de la Monte, and her co-workers, measured up the volume of insulin, and the number of its receptors, they extracted posthumously from brain
tissues of some given Alzheimer patients.
“It explains the fact, that a person can be challenged by exactly the same
problems as diabetes patients are, except related to the brain”- the scientist
concluded. And, for the reason that insulin concentrations in the brain are
strengthened by systemic insulin intensities, Alzheimer disease afflicts the
diabetes concerned more often.
De la Monte, and other researchers,
managed to find it out, that Alzheimer
is associated with low brain levels of insulin-like growth factor IGF1 and its receptor . IGF1 is a protein which resembles insulin and its receptor (sometimes
insulin binds to the receptor of IGF1,
and vice versa, IGF1 binds to the receptor of insulin), what suggests, that Alzheimer disease develops from severe
shortage of IGF1 in the brain.
Some of the latest studies point, that
there is a link between diabetes, Parkinson’s, and Huntington’s diseases
alike. The Huntington patients acquire
diabetes seven times more frequently,
whereas the 50% of the Parkinson concerned are diagnosed with glucose metabolism syndromes.
Though, it has been not established
in what way scarcities of insulin and
IGF1 may prejudice the condition of
the brain. “It is the key issue we dedicate all our efforts to” – de la Monte states. Some of experts assume, that insulin is networked with protein deposits,
which form in the brains of Alzheimer
and Parkinson’s patients.
The fact, that insulin and IGF1 are
interrelated with neurodegenerative
diseases, is not questioned any longer.
Hence, there are continued endeavours
piloted in order to institute a therapy,
which would enable restoring insulin
degrees to normal, or even could bring
the progress of the diseases to an end.
It was already demonstrated, that the
dynamics, which reinforce responses
of the brain and other organs to insulin, recess cognitive atrophy at the early
stages of Alzheimer.
“It is wonderful, that eventually we
know the direction we need to follow”
– de la Monte rejoices.
Based on the article of Melinda Wenner“Świat Nauki”, issue of 7/204, comp. by ota
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WORTHILE TO KNOW
FROM AMERICA…
RESTORING PENSIONERS TO HEALTH
Martin. A decently tall man. Bearded, and somewhat warm in nature.
Trust-inspiring. A bus driver in Warsaw in Poland. A pension receiver.
In America, a building worker. The job not any lightweight. Especially
when compared with the one back in the mother country…
When I saw him for the first time he did not look sickly. Actually, I never perceived him to be any ailing.
Once, we went for fishing, choosing one of the Atlantic beaches (yes
indeed, there are such places in the world where one catch fish from the
seashore), and he introduced me with the story of his life. The “open water” and favourable circumstances was what helped him to do so.
He had been planning emigrating to America for many years before.
Then again, he hesitated to leave his position for the social insurance he
received. He was aware of the fact, that he would not be able to find any
work in case he returned to Poland. Hence, he came up to an idea, which
could meet the saying “wolf full and entire sheep”.
And, all of a sudden, headaches and spine pains transpired to affect
him. His legs occurred to numb. He soldiered on visiting one doctor after
another. In effect, he recurrently was on the sick-leaves. He received continual medical attention. He was treated in the spas all the more. In vain.
Then, he was granted a disability pension. Finally, he found his Golconda.
Jadwiga. Some about fifty years old, well-groomed. An accountant in
Tarnów in Poland. In the USA, a domestic cleaner. Fairly tough physical labour. At times nerve-racking. Employers can be of different character and make-up in any event. The heart complaints she proved gave
ground to a pension. The doctors advised against any bodily exertion,
and recommended avoiding stress. For a period of time she helped her
daughter so as to raise her grand-child. The economic situation at home
was quite limited. The son-in-law disappeared into thin air, and no one
knew where he was, and what was doing. – A small boy aged thirty
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went out for milk and got missing in action” – she used to comment. Having received an invitation from her friend she
travelled down to the United States. For a
while. Whereas, it appeared that “a while” was simply not enough. She stayed on.
Stasio… I learned his health condition in
pretty comical a context. Try and imagine
a weekend afternoon in Key West in Florida. I am lying on a deckchair. Stasio is wetting his feet in the ocean. Then, out of the
blue, a desolate scream takes place. Stasio
is stretching out on his back, all red in his
face, crying at the top of his voice. For a
time I could not realise what was on about. Only when he administered some pills
and settled down, he started to explain it
to me. It turned out, that something drew
on underneath his feet, and forced him
out onto the coastline. Most probably, it
was a manatee, that moved out of the water so as to breathe some air in. The thing
is, that Stasio is a pension receiver, since
his heart had been confirmed to be in poor
shape. He told me this in secret for he was
concerned about his job to be secure. He
came from Wrocław, where he was a teacher of physics before he retired. In Florida, he worked in one of the local restaurants. The sanitary conditions there are
further than damaging. The privation of
WORTHILE TO KNOW
air-conditioning in such a Caribbean climate can break down many a man.
But not Stasio.
In Chicago, they say, that the ill and sick pensioners from Poland recover
the moment they happen to have a drink from the Michigan lake waters.
While some teasers add, that it equally relates to those husbands and wives
who are left behind in the fatherland.
Time and again, I wondered how it comes to pass, that afflicted with illness pensioners are not able to board a bus being in their own country, whereas they come here, overseas, and recuperate. For instance, such a given pal
receives a pension, attributable to his infirm joints or spine cord, but shifts
tones of bricks somewhere in a building-site, and still is fit and ready to go
for a pint with his fellows. For another example, a woman, whose heart proves to be unmanageable, bustles with a vacuum cleaner up and down the
floors, as well as frequently climbs windows. Obviously, she has to do shopping and cook afterwards altogether. In most cases, they all have that much
stamina so as they are able to party right through the weekends on the whole.
My good friend, Zibi, whom I introduced in the previous articles, explicated it to me presenting his own point of view.
In order to be healthy each one of us needs this or another kind of motivation.
Though, those who come here have no other alternative. They have to work, or else
return home on the shield instead. And, this is seen to be humiliating. What would
be the reaction of family and friends? Hence, they disregard their maladies, and get
down to earning their living.
He could be right, I guess. After all, he is well-experienced being an asthmatic himself. At a time, he received a temporary pension alike. Similarly, he was treated in spas. The same as he administered numerous medications in one. And, today, he smokes Red Marlboro, as much as 20 cigarettes a
day. He does not want to opt for lighter ones for they affect asthma as far as
he is concerned. Invariably, he takes any opportunity so as to go to Poland,
and bring some packets of Extra Strong, or Russian Prima, or Biełamor in its
place. He hardly uses pills, or the inhaler. And, when all things considered,
he defies the humid pestilent climate of
Chicago like no one else does.
At one time, I went into details on it
with one of my American colleagues, Greg. This was what revealed the
overwhelming disparities in mentality we stand for as nations. Greg could
not comprehend the fact, how the country, which is not that exceptionally wealthy, can support these masses of pensioners. And most of all, he could not figure it out, why healthy people, that is
ones who work in the States, receive money in Poland, and are doubly insured
altogether. Being an American, he found
it to be unfair. He arrived at the conclusion, that American rules of mathematics must be different from the Polish
arithmetic principles. By no means he
could grasp the reality, that wages plus
pension amounts to be one and half of
wages, since one alone is not sufficient
plainly.
What is the difference in the average rate of
salaries in Poland and America? – he asked.
In the America, weekly earning meets the
expense of humble living throughout whole
month, in Poland in contrast, monthly pay
lasts one week. – I explained. It was what
naturally displeased him. He turned lost
in thought.
Then, what do you live on? After all, you are
educated, to say very well-educated in cases.
– he insisted. Evidently, he tended to discern the problem carefully. Me, in turn,
I made an inexcusable mistake answering:
A typical Pole learns, or studies, something
different from what he, or she, does in life,
and from what he, or she, gains money from.
– I retorted. He became crazed. He gave
me a look as if I was a Martian. Then, I
realised, that he would not understand
it. Difficult to a certain extent.
Okay. – he said departing. I do not understand. Hopefully, you know what you do.
I am not quite convinced of it – I spoke to
myself in mind.
Casey Kozlowski
Cukrzyca a Zdrowie
23
WORTHILE TO KNOW
We will never slim down
on our own
- In the first place, you do need to lose some weight –
the message diabetics and many other patients receive
seeing doctors. It is because, overweight, obesity above
all, is what engenders serious disorders, actually being
considered to be civilisation diseases themselves, pandemic diseases, that plague the world of the satiated.
“Slim down, please”. But how exactly? If the simple
formula to be eating less than what consumed could be
equally simple to be fulfilled, then the problem would
not exist as a matter of fact. As a species timelessly endangered by hunger, evolutionarily taught to decide on
high-energy food, we cannot manage to stand firm against the excess of readily available empty calories, especially when they are globally promoted in quite an uncompromising way.
The causes of obesity have been ascertained, whether
it is genetic, metabolic, or neurological ones. We know
how it develops, but still are not able to find a method so
as to challenge it.
There is a copious number of diets advanced, whereas all of them are specifically difficult to follow. Researchers confirmed the fact, that two thirds of individuals
who approached any of these nutritional regimes, after
two years on proved to weigh far more.
Maybe, biology alone cannot be sufficient to present
the answer. Hence, it might be worthwhile to refer to
the behavioural psychology, which explains the line we
tend to conduct.
Burrhus Frederic Skinner, a psychologist from the Harvard University, particularised the underlying principles of so called behavioural analysis. He concluded it,
that psychological apparitions are specific side-effects
of brain performance, and cannot be determined by means of scientific techniques, the attempts of which admit several interpretations. What he proposed as an alternative is repetitive actual observations on given locations, all in order to be able to associate based on fact
environmental influences with psychological responses. This relies on the facility of telling apart which ones
situations, and outcomes, effect given psychological reactions, and which ones of them in turn transpire to be
positive reinforcement (reward), and which negative
(punishment).
24
Cukrzyca a Zdrowie
Behavioural therapy appeared to be remarkably useful
in case of autistic patients, and persons who prove to be
alcoholics.
As far obesity is concerned, this form of management
has been put into practice for years and years now. Psychologists posed successions of questions. What is the reason why people so willingly consume “junk” food? What
prompts them to lead unhealthy diets? What can be the
best reward that would motivate them to be choosing
wholesome nourishment? What would encourage them to
live more actively?
Accordingly, it has been learned, that lasting losing of
weight can be realised by way of simple everyday monitoring, recording of calories consumed, body mass measures, in agreement with hours and intensity of physical exercises. Nonetheless, the decisive attitude to be taken is making small steps, rather than those unreasonably ambitious ones, and limiting given food products, instead of eliminating them on the whole. Altogether, equally effective are groups of support, that bind people sharing the same medical problem, and enable collective therapeutic treatment.
In point of fact, it is the commanding idea the movement
of Weight Watchers go along with. The association was set
up in the United States of America in 1963. Over a span of
years, they developed new eating patterns, exchanged the
knowledge, but first and foremost were spiritual companions one for another.
The Weight Watchers, just as other programs of slimming, did not offer the complete range of behavioural methods, one-to-one therapeutic sessions in particular, namely those, which make it possible to adapt a certain guidance to given home situation, work place, and environmental setting by and large. Even so, they achieved fairly
a lot in the respect. It was no one else but them, who managed to maintain reduced body mass for the period of
two years, during which the experiments were conducted.
Then, they resolved the fact, that tenacity, and dutifulness,
is as important as matching diet itself.
Some American scientists, including Michael Cameron,
the head of the behavioural analysis department in the
Harvard University, agreed to practise on improving, popularising, and individualising of the behavioural techni-
WORTHILE TO KNOW
ques. The four-person team of Cameron work only in small
groups, or with single individuals, and employ personally-adapted, optimalisated diets. They meet during video-conferences, and exchange consultations. The reward for observing physical exercises is favourite food servings. In the course of one year, the partakers of the programme lost from 8
to 20 per cent of the initial body mass.
In the search of the most precise way of controlling calories, Matt Normand, from the University of the Pacific, recommended collecting shopping receipts, tracking and noting amounts of food, as well revising it with pedometers’ readings. In return, the participants of the programme received daily balance sheets of calories. As a result, three persons out of four enduringly maintained their reduced body
weight.
Richard Fleming, from the Medical School Shrivel Centre
University of Massachusetts, discovered that it is evenly effective so as to demonstrate to the adults what adequate portion of food is. In turn, in case of children, he accepted their liberty of choosing given delicacies, however on the condition, that they walked to the shop on foot.
Why behavioural interventions are so efficacious? It is because they prompt environment to promote required attitudes. Being under pressure of ever-present commercials,
which take advantage of our basic need to be sensually fulfilled, and our common credulity altogether, we call for any
support possible. And, taming of appetite can be achieved
on the strength of continual encouragement received
from the others around.
Nevertheless, so far, there has not been found the
universal solution so as to face this widespread problem of obesity. In spite of the fact, that the personalised behavioural therapy proves to be greatly practical, people concerned do not make their efforts to become involved to. Instead, they expect miracle diets
to rescue them, or give up since they are not able to
challenge genes…
Though, the answer remains to be the shift of the
habits we have developed, and this necessitates help
from without. Why? Because, we human species
have not changed by no means, whereas the environment has progressed markedly, and, exposes us to
these all high-caloric, cheap, but attractively supplied
food products. In this place, social policy may play a
role, as far as it would promote producing and buying healthier, and less-processed groceries and victuals, as well as would advance the society towards
engagement into physical activity. All in all, joint action and mutual furtherance is pivotal, whether it is
family, friends, acquaintances, or unfamiliar persons
in the same way.
We will never slim down on our own.
Compiled by: Dorota WysockaBased
on the article of David G. Freedman “Pokonać otyłość”
Issued in the monthly “Świat Nauki” 3/235
Cukrzyca a Zdrowie
25
KONKURS
Większość ludzi dbających o sylwetkę robi to z pobudek estetycznych. Atrakcyjny wygląd liczy się najbardziej. Tymczasem otyłość ma o wiele bardziej poważne konsekwencje - jest przyczyną jednej z najgroźniejszych chorób, cukrzycy typu 2.
Polskie Towarzystwo Diabetologiczne stwierdza:
diagnostykę w kierunku cukrzycy powinno się przeprowadzić u wszystkich osób, które skończyły 45 rok
życia i powtarzać raz na trzy lata. Natomiast wykonywanie badań diagnostycznych szczególnie konieczne
jest w grupach zwiększonego ryzyka wystąpienia cukrzycy. I tu - uwaga! Na pierwszym miejscu wymienia
się osoby z nadwagą lub otyłością (w kolejności osoby
z rodzinną historią cukrzycy, mało aktywne fizycznie,
z zaburzeniami gospodarki węglowodanowej, z nadciśnieniem tętniczym lub chorobą układu krążenia, z
występującymi zaburzeniami gospodarki lipidowej,
po przebytej cukrzycy ciążowej).
Cukrzyca zbiera coraz większe żniwo. Światowa organizacja zdrowia bije na alarm: według jej danych
liczba chorujących na nią zwiększa się o 11% rocznie.
Przewiduje się, że w 2025 roku cierpieć na nią będzie
ok. 300 mln ludzi.
Stres, urazy, infekcje, starzenie się organizmu –
wszystko to sprzyja zachorowaniu na cukrzycę typu 2.
Jednak pierwsze miejsce na liście przyczyn zapadania
na tę chorobę zajmuje bezapelacyjnie otyłość. Zaraz za
nią plasuje się brak aktywności fizycznej.
Mogłoby się zatem wydawać, że wystarczy zadbać
o linię, a kłopot sam się rozwiąże. Niestety, nie tędy
droga, ponieważ bardzo istotną rzeczą jest nie tylko ile
jemy, ale również co jemy. Nasz jadłospis często składa się z łatwo przyswajalnych węglowodanów i tłuszczy. Osoby praktykujące ten sposób odżywiania mogą
być pewne, że za kilka lat doświadczą jej na własnej
skórze.
Cukrzyca to ciężka choroba, rozwijająca się latami.
Wywiera ogromy wpływ na funkcjonowanie całego naszego organizmu. Pomijając kwestię ostrych, napadowych powikłań cukrzycy, czyli hiper- i hipoglikemii, powinniśmy być świadomi powikłań, jakie ta
choroba może wywoływać. Do najczęstszych należą:
uszkodzenie wzroku, uszkodzenie nerek, miażdżyca
tętnic, choroba niedokrwienna serca, zawał mięśnia
sercowego, zaburzenia czynności układu nerwowego.
Dowodem na związek pomiędzy otyłością a ryzykiem zachorowania na cukrzycę 2 typu potwierdza fakt, iż 90% chorych stanowią osoby z otyłością brzuszną. Ten typ otyłości,
zwanej też otyłością ,,typu jabłko’’, charakteryzuje się skumulowaniem tkanki tłuszczowej na brzuch. Gromadzenie
się tkanki tłuszczowej wewnątrz jamy brzusznej prowadzi
nie tylko do rozwoju cukrzycy, ale także nadciśnienia tętniczego czy zaburzeń gospodarki lipidowej.
Oprócz typu „jabłko” jest także otyłość udowo-pośladkową, typu „gruszka”. Występuje ona częściej u kobiet. Ale jest
i dobra wiadomość dla mężczyzn. Jak twierdzą specjaliści,
stosunkowo najłatwiej pozbyć się brzusznej tkanki tłuszczowej. Kluczem do sukcesu jest zmniejszenie kaloryczności spożywanych produktów (przy leczeniu otyłości nawet
drastyczne) oraz zwiększenie aktywności fizycznej. Liczy
się ujemny bilans energetyczny, mierzony różnicą między
energią uzyskiwaną w diecie a wydatkowaną przez organizm. Łatwej walki nikt nie obiecuje. Walka z otyłością to inwestycja we własne zdrowie.
Cukrzyca a Zdrowie
27
KONKURS
Program edukacyjny „Świadomy Diabetyk”
Cukrzyca jest chorobą, z którą można prowadzić długie, dobre życie. Trzeba jednak wiedzieć jak to robić – konsekwentna, właściwa samokontrola, znajomość zasad zdrowego odżywiania, aktywność fizyczna, to tylko kilka ważnych kwestii, które determinują jakość życia diabetyka i możliwość „radzenia” sobie z chorobą w codziennym życiu.
Jesteśmy o tym przekonani dlatego na łamach pisma „Cukrzyca a Zdrowie” konsekwentnie, systematycznie przekazujemy materiały w tym zakresie. Tym razem chcemy dodatkowo Państwa zmotywować do dokładnego zapoznania
się z materiałami edukacyjnymi oraz przesłania nam odpowiedzi na kilka pytań w tym zakresie. Zapraszamy Państwa do wspólnej przygody, podczas której zapoznają się Państwo z zamieszczonym na poprzednich stronach materiałem edukacyjnym, wytną umieszczony poniżej kupon konkursowy, odpowiedzą na znajdujące się na nim pytania,
uzupełnią swoje dane i wyślą do nas na adres:
Redakcja „Cukrzyca a Zdrowie”,
ul. Warszawska 23
15-062 Białystok
Z dopiskiem KONKURS
Za poprawnie udzielone odpowiedzi wyślemy na podany przez Państwa adres
glukometr DIAGOMAT firmy DIAGNOSIS sp. z o. o.
Wśród uczestników, którzy nadeślą odpowiedzi na pytania zawarte w trzech kolejnych
wydaniach magazynu medycznego „Cukrzyca a Zdrowie”, rozlosujemy 3 aparaty
do pomiaru ciśnienia krwi marki AND, model UA-767 Plus.
Wyłącznym sponsorem naszego programu edukacyjnego jest firma DIAGNOSIS sp. z o. o.
PYTANIA KONKURSOWE
1. Czy przyczyną otyłości mogą być czynniki psychologiczne?
a) Tak
b) Nie
2. Czy najczęstszą przyczyną otyłości jest zbyt duża wartość energetyczna pożywienia?
a) Tak
b) Nie
3. Czy aktywność fizyczna ma wpływ na należną masę ciała?
a) Tak
b) Nie
IMIĘ ..........................................................................................................................................................
NAZWISKO ...........................................................................................................................................
ADRES .....................................................................................................................................................
KUPON KONKURSOWY 1
SERDECZNIE ZAPRASZAMY DO UDZIAŁU !!!
FOR THOSE ARE EAGER FOR THE WORLD
Eating almonds eases the risk of diabetes
Consuming almonds may alleviate insulin-resistance, and reduce intensity of
so called bad cholesterol in case of persons who prove imminent diabetes - follows from the research work published in the Journal of the American College of
Nutrition.
The scientists from American Loma Linda University made an attempt to analyse the effect of rich in almonds diets on the risk of diabetes type 2, and cardiovascular diseases, in a lot of 65 persons, who had been diagnosed with imminent diabetes syndrome, and averagely aged 53.
The subjects were divided into two groups, one of which respected non-nut balanced diet, while the other received 20% of almond calorie intakes. Both of the regimes had been accepted by the American Diabetes Association.
After 4 months of the trial, the individuals, who were treated with almonds, confirmed substantial decline in concentration of bad cholesterol LDL, and insulin-resistance altogether.
Almonds afford these properties on the strength of unsaturated fat acids, proteins, valuable vitamins, and minerals. The experts are convinced, that the nuts should be comprised in any daily diets.
-
Adjustments in eating patterns may well prevent against the risk factors of
the abovementioned diseases – states dr. Michelle Wien, the specialist in charge.
Today, the relevant estimations reveal, that imminent diabetes is a concern of
more or less 16 million of Americans, and predicted to plague as much as the entire half of the society in 2020.
KUPON KONKURSOWY 1
The Source: Rynek Zdrowia
30
Skrócony Regulamin Programu edukacyjnego „Świadomy Diabetyk”
• Regulamin zwany w dalszej części „Regulaminem”, określa warunki, zasady uczestnictwa oraz nagrody w programie edukacyjnym „Świadomy Diabetyk”, zwanym
dalej „Programem”.
• Program jest przeznaczony dla Uczestników posiadających dostęp do czasopisma zawierającego zestaw pytań i kartę zgłoszeniową, lub dostęp do strony organizatora
www.cukrzvcaazdrowie.pl, gdzie dostępna jest karta zgłoszeniowa.
• W wydaniach czasopisma „Cukrzyca a zdrowie”, ukazujących się w okresie realizacji Programu drukowane są zestawy pytań. Każdy zestaw zawiera 5 pytań nawiązujących do informacji zawartych w treści danego numeru czasopisma „Cukrzyca a zdrowie”.
• Uczestnicy obowiązani są udzielić odpowiedzi na wszystkie pytania zawarte w dowolnym numerze czasopisma i umieścić je na kartach zgłoszeniowych, które następnie wysyłają na adres Organizatora: ul. Warszawska 23, 15-062 Białystok. Poprawnie wypełniona karta zgłoszeniowa musi zawierać odpowiedzi na wszystkie pytania
zawarte w danym numerze czasopisma „Cukrzyca a Zdrowie”. Odpowiedzi będą przyjmowane w terminie od lutego 2011 r. do końca grudnia 2011 r.
• Nagrodą za dostarczenie na adres Organizatora w terminie od lutego 2011 r. do końca grudnia 2011 r. poprawnie wypełnionej karty odpowiedzi 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.
• Wśród Uczestników, którzy nadeślą odpowiedzi na pytania zawarte w trzech 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 zostanie opublikowana w najbliższym numerze magazynu medycznego „Cukrzyca a zdrowie” po losowaniu i na stronie Organizatora www.cukrzycaazdrowie.pl. Aparaty zostaną wysłane do laureatów w ciągu 14 dni od zakończenia losowania.
• Biorąc udział w Programie, Uczestnicy wyrażają zgodę na zbieranie i przetwarzanie podanych przez nich danych osobowych przez Organizatora w celach promocyjno - marketingowych, związanych z prowadzoną przez ten podmiot działalnością, 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.cukrzcaazdrowie.pl.
Podpis Uczestnika Programu Edukacyjnego.............................................................................
A letter to the Editorial Team
READER’S PAGES
I am waiting…
I am 25 years old. I have been living through diabetes type
1 for 10 years – facing it with courage, with resignation on occasions, with humility equally. There are moments when I turn heated with anger, and then, I ask why it is me to experience it, whereas I still love life, and wish for having a child…
At present, I am in a relationship with a great, sensible, and
patient man. We walk our station of life together as one, and plan
to be sharing it with children in future. I am aware of the affliction, that befell me, but at the same time I appreciate my being to
be beautiful.
Every single day, my head is absorbed, and focused, so as to
take care of my health frame, while it is what saves me from the
harm of the disease related complications. Now and again I feel
proud of myself, now and again then the whole situation depresses me, and I assume, that I will not make the grade…
Pregnancy, and labouring it to be hale and hearty in part of a
beloved father, is my delight dream. Naturally, I bear some fears…
Me and my husband, we hope, that we will win the miracle.
We do make our efforts, and read all what is possible in concern of
gestational diabetes mellitus. We approach it in peaceful and sensible a manner, however being abreast of the fact, that it involves
risk and stress on the way. At any rate, I know how important
self-discipline and smile is.
Cheerfulness is what defies adversities. Smile unifies, while
will-power heals and affords trust.
Be strong and do not panic – which is what my husband likes to say…
May you all be – Wiktoria Mierzwińska
The author of the published letter receives a reward from the Editorial Team which is a set of cosmetics made by the Laboratory of Natural Cosmetics FARMONA Ltd.
The Editorial Office:
Readers’ Pages
“Diabetes and Health”
23 Warszawska Street
15-062 Białystok
FOR THOSE ARE EAGER FOR THE WORLD
MIRACLE LEAF
Air Leaf in its composition encloses polysaccharides, flavonoids, vitamins (vit. C in particular), tannins, organic acids, mineral salts, enzymes, and other valuable biogenic compounds,
that stimulate and regulate defence mechanisms of organisms.
Studies conducted authenticate it, that performance of air leaf is
multifarious: anti-inflammatory, safeguarding against bacteria,
viruses, fungi, regenerating cells and tissues. Hence, it is highly recommended in case of patients who are treated with chemotherapy and radiotherapy.
In Western Europe, in Poland and Russia, life leaf is cultivated as a houseplant. It can reach the height of 1 meter provided
that it is well maintained. The second year of growing is when it
blooms with slightly violet and squat-like flowers. It is a medicinal plant, not decorative, therefore it is better to cut it before blossoming, namely when it is 1 year in age. This is because it affords
then wealth of active bodies.
Goethe leaf juice can be blended with apple juice, currant juice, apricot juice, or mixed with bee honey, varieties of which might be monk seal, acacia flower, boraginis herba, and heather.
The proportions suggested is 1 portion of Goethe leaf per 3 portions of honey.
Miracle Leaf (Kalanchoe Pirata), also called
Air Leaf, Life Leaf, or Goethe Leaf, originates
from the lands of South-Eastern Africa. It is a
perennial of dark green, succulent leaves. On
the margin of each one young leaf, tiny spores
blossom out, develop into two blades and some
fibres, which in turn fall down on the ground,
root in it, and give rise to a new another plant.
Similarly, the plant can be extracted for both internal and external use in
form of tinctures and ointments. These preparations serve medic treatments of
many a disease, for instance diabetes (regulate pancreas performance), asthma,
pneumonia, as well as eye syndromes (e.g. inhibit progress of cataract improving focus of eye-sight in one). They adjust blood circulation system, strengthen heart, protect against aging. For another example, spirit of kalanchoe pirata prevents hair against falling out, regenerates its bulbs, or even restores its
natural colour as far as it takes place in early stage of greying.
Altogether, essences of miracle leaf are applied past intervention in therapeutic managements of dental surgery, obstetric genecology, and general surgery, in cases of hardly-healing wounds, decubital ulcers, boils, gum inflammations, cavital oris infections of mucus membrane, tonsillitis, or otitis media.
Compiled by: Aniela Szymańska
32
Cukrzyca a Zdrowie
Cukrzyca a Zdrowie
33
HEALTHYLIFE-STYLE
Cherries settle sleeplessness
Drinking cherry juice day after day relieves wakefulness and effects
falling asleep - the Journal of Medicinal Food reports. Scientists
have a suspicion, that cherries present these beneficial properties
owing to the content of melatonin, the natural antioxidant, which
regulates the rhythm of activeness and sleep.
A panel of experts from the USA carried out a pilot survey in
a group of 15 elderly individuals, who in the course of two weeks drank some about 225g of cherry juice every morning and
every evening, and then in turn, another assortment of juice for
two more weeks. It was evidenced, that the problem of sleeplessness eased for the period of drinking cherry juice, and the persons subjected tended to fall asleep 17 minutes earlier than usual,
which is when they did not drink cherry essence.
Dr R. Reiter from the University in Texas points, that although
the supplements based on melatonin are widely promoted and
recommended to persons who are influenced by sleeplessness,
the healthier alternative is consuming fruit instead, especially
when the produce is available all year throughout. He asserts it in
view of the fact, that for instance Americans alone spend 84 million dollars yearly on soporific medicaments.
- Regular intakes of cherries may come in aid so as to be able to
regulate and adjust the natural cycle of daily activeness, and further the quality of sleep altogether. And, regarding the fact, that
cherries afford some more other antioxidants the health avails
grow indeed – dr Reiter states.
More efficient brain on the strength of berries
Źródło: PAP/Rynek Zdrowia
JThe most precarious of the processes which decide on deterioration of intellectual brain efficacy is age progressive decline in defence capacity against free radicals and inflammations.
It is these disturbances berries safeguard us from. Some of fruit and nuts provide with polyphenols, the compounds which are
highly antioxidating and anti-inflammatory in one. This is the reason why these chemicals can lastingly protect the brain from the
harm of aging. In contrary to appearances possible the protection
is fairly powerful.
The team of dr Poulose from the United States conducted a satisfying experiment on well advanced in years rats. The rodents,
maintained in a laboratory, received food enriched with twopercent extract of strawberries, berries, American blueberries,
or black raspberries. The span of 2 months was as much as necessary to advance the effectiveness of their brains. Additionally, the researchers observed some another property the fruit present. Namely, taking the test results into account, berry fruit play
a role in removing toxins and other unneeded substances away
from the body system.
The up-to-date studies confirm, that given diets composed of
berries, along with fruit which is dark red, orange, or violet in colour, as well as walnuts, distinctly serve preserving intellectual
efficiency all the way through to a grand old age.
36
The Source: Nauka w Polsce
Cukrzyca a Zdrowie
Gurmar (Gymnema sylvestre) to roślina pochodząca z południowych
Indii, pnącze podobne do winorośli.
Hindusi nazwali ją „niszczycielem cukru”, jako że żucie liści
powoduje utratę słodkiego smaku. Przeprowadzono wiele badań
i stwierdzono, że Gurmar jest niezwykle skuteczny w terapii cukrzycy
typu 1 oraz w pewnych przypadkach cukrzycy typu 2.
Gurmar oczyszcza organizm z trujących substancji.
Liście tej rośliny mają działanie przeciwcukrzycowe, przeciwpasożytnicze i moczopędne. Regulują gospodarkę węglowodanową
organizmu. Składniki Gymnemy sylvestre stymulują
beta-komórki trzustki, co może zwiększać wydzielanie insuliny.
Ponadto kwasy gymnemowe i gurmaryna, blokując receptory
smakowe, hamują zdolność odczuwania smaku słodkiego
lub gorzkiego bez wpływu na zdolność odczuwania
smaku kwaśnego lub pikantnego, a tym samym zmniejszają
zapotrzebowanie na słodycze.
GlucosCare - Herbata ziołowa
- to suplement diety.
SKŁADNIKI: liście gymnema sylvestre
herbata zielona / camelia sinensis
Zawiera wyłącznie składniki naturalne.
Reguluje poziom cukru we krwi.
Wspomaga proces spalania tłuszczu
oraz przemianę materii w organizmie.
Herbata idealna dla diabetyków,
osób z nietolerancją glukozy.
Sposób użycia:
1 saszetkę zalać szklanką (200 ml) wrzątku
i zaparzać pod przykryciem 10 min.
Pić najlepiej po posiłku.
Jedną saszetkę można zaparzać 2 razy.
Produkt posiada wszelkie niezbędne do jego
dystrybucji na terenie Polski atesty, certyfikaty
i opinie, wystawione przez Instytut Roślin
i Przetworów Zielarskich, Główny Inspektorat
Sanitarny Wojewódzkiej Stacji
Sanitarno-Epidemiologicznej w Warszawie.
Produkt „GlucosCare” jest także polecany przez
Polskie Stowarzyszenia Diabetyków
(PSD).37
Cukrzyca a Zdrowie
HEALTHYLIFE-STYLE
V
Fats comprised in food are the most concentrated source of energy, and are those, which determine absorption of fat-soluble vitamins (A, D, E, K), and supply with essential fatty acids (EFA) human body system is not able to synthesise itself. One gram of fat is
as much as 9 kcal, whereas one gram of protein, or carbohydrate affords 4 kcal. Providing that 30 per cent of energy is supposed to be
imparted from fat, proportions of individual fats should compose as
follows: saturated ones in 8%, monounsaturated in 14%, polyunsaturated in 8%. Fats play a structural role in the organism. They
are constituents of cells and tissues, amount to body fluids, protect
from excessive heat loss, obstruct contraction of stomach and secretion of gastric acid, upholding the organs in the abdominal cavity altogether.
Some of groceries and victuals deliver so called invisible fats,
ones of which are beyond perception of the end-users, but are present in cold cuts, bakery goods, or sweets for example. Such products as butter, lard, margarin, or comestible oil, are qualified to be
visible fats in turn (some about 45%). Fats are esters of glycerol (or
another organic alcohol) and of fatty acids. The saturation of the
bindings between carbon atoms in the fatty acids is what determines biological properties of given eatable fats. Saturated fatty acids
enclose single bindings of carbon atoms. Their share in fat particles
exact fat consistency to be solid. The acids of the kind are generally
found in animal fats (butter, lard, tallow), however also in some vegetable ones (e.g. palm tree oil, coconut oil).
One of the advantages of such a structure fatty acids exemplify is their resistance to oxidation. In most cases, saturated fatty
acids amplify intensity of cholesterol, and add to better blood coagulability.
Unsaturated fatty acids, these ones which contain double bindings in the carbon chain, are divided according to the number of
these bindings, and classified as monounsaturated, or polyunsaturated.
Monounsaturated fatty acids, such as ones which are present in
olive oil, reduce concentrations of “bad” cholesterol (LDL), and heighten strengths of “good” cholesterol (HDL), whereas additionally they enhance activity of proteins which expand in the muscles, what in turn stimulates muscles to break down more amounts
of calories, and more heat energy is generated as a result. Comparably, the soft home-made lard delivers 10% of unsaturated fatty
acids, while olive oil no more than 8,5%.
Regarding unsaturated fatty acids (omega and n-) the most beneficial are the groups of n-3 and n-6. Though, double bindings can
take one of two special forms: cis and trans. And, it is trans isomers of fatty acids which are disadvantageous in respect of the human body needs, since they:
heighten total intensity of cholesterol in blood
-
reduce concentration of HDL cholesterol
-
exact firmer arteriosclerosis effects
-
can degrade birth body mass of babies penetrating foetus
-
and impairing it
38
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MARGARIN
-
may amplify insulin strength in blood
-
perturb immune system performance
-
lessen metabolic activity of linoleic acid
What precisely margarin is?
Margarin is emulsion of edible vegetable oils, blended with water or milk, and fortified with taste enhancers, enhancers of use
properties and food value, as well as enhancers extending expiry date (emulsifiers, stabilisers, dyes, flavourings, vitamins A,D,
E at times, salt, sugar, citric acid, alternately preservatives). The
butter-like savour and aroma margarin acquires by means of tang
extracts generated as a result of milk fermentation. Margarin is
produced out of vegetable oils in the process of their solidification.
This can be achieved by the method of hydrogenation (partly or
complete hydrogen saturation of double bindings of the fatty acids
– in hard cube ones, in confectionery ones, along with ones inten-
HEALTHYLIFE-STYLE
ded for frying), or by transestrification, throughout of
which fats melting in low temperatures are exchanged with fats melting in high temperatures (mainly in
margarin so called “kubkowa”).
Particularly “unhealthy” margarins are those hard,
because they cover both unfavourable isomers of trans
fatty acids ( even up to 50%), and residues of unusable to be removed catalysers, which separated during
dehydrogenation (e.g. compounds of nickel, copper,
chrome, or palladium). Fat content of these margarines encloses saturated fatty acids derived from dehydrogenated oils of palm tree, lard, and tallow. Consuming the margarins, or cakes with custard, puff
pastries, confectioneries (e.g. crackers, wafers, ice-creams), as well as products fried on this type of fat
(chips, crisps), we contribute to expansion of “bad”
cholesterol in the body system, promoting pro cancer
lesions to take place, and allergic diseases to transpire. None of vegetable oils includes animal cholesterol, just as commercials assure, however hydrogenated vegetable oil in form of margarin boosts its levels
in the organism, in spite of the fact, that the oils do not
contain it as such.
What specifically butter is?
Butter is a high-fat diary product churned from
milk exclusively. It is the most digestible of animal
fats. Its defects in structure and in consistence arise from seasonal changes of milk fat composition, and
failures in observance to adequate parameters thro-
reas drinking carrot juice did not. Cholesterol consumed
in line with butter is not that unsafe as the one produced in the body system on the strength of disproportionate intakes of carbohydrates. Nonetheless, it is important to bear it in mind, that cholesterol as such is one
of the essential constituents, since it builds cells membranes, synthetises bile acids, as well as processes steroid hormones.
All told, scientists agree, that pregnant women and
children should be advised against margarins, while recommended liquid vegetable oils, butter, and fish oils instead. In turn, anyone of us, who has reached the middle age (namely the time of life when the number of pro-cancer lesions tends to grow), needs to take it into consideration, whether to decide on butter and its anticancer properties, or on margarin, which does not prove it,
counting no other health benefits known.
Prof. dr. hab. Maria H. Borawska
Maria Konopka MA Pharmacy
N OR BUTTER INSTEAD?
ughout the process of production (maturing, rinsing,
kneading).
The share of trans fatty acid isomers in butter is limited (not more than 3%), though they are natural,
being isomers of trans linoleic acid generated in the
cow rumen. The isomers penetrate milk fat, and moderate given cancer progress in breast, large bowel, liver, reins and lungs, the anti-oxidation of which does
not take place in any single brand of margarin. However, the mainstream of manufacturers in Poland supplement butter with natural colours (carotenes), and
other additives, which are not specifically health-promoting! It has been proved, that isolated beta-carotene exaggerated risk of lung cancer in case of smokers
who moreover happen to be exposed to asbestos, wheCukrzyca a Zdrowie
39
HEALTHYLIFE-STYLE
LITOTHERAPY
Litotherapy, namely treatment with stones, was known as early as 3 thousand years ago, and was commonly practised in the ancient times. The
exacted in the approach body and mind healing properties were recognised and acknowledged by Babylonians, Egyptians, Greeks, and Romans.
The then antique medics and astrologers recommended wearing stones as
a steadfast line of health advancement. Today, this way of medicinal management meets the time of credit and appreciation de novo.
Both the energy and the chemical composition of stones may equally
influence the condition we happen to stand for. For example, adequately
harmonised minerals can purge the negative radiation TV sets and computers emit (e.g. rhinestone). In turn, some of precious rocks are more advantageous to be physically worn along. Amber, for instance, is fossilised resin derived from coniferous trees. More often than not, it tends to encompass some plant residues and vestiges. It presents with honey-like colour, whereas may be found to be red or russet either. This is one of the stones which is highly curative in effect. As long as it is raw, it gives finest resultspossible.Amberpalliatespaincomplaints,rheumaticonesinparticular. It restores throat and thyroid disorders to health. Tincture of this organic agent warms up, while drinking it eliminates harmful microorganisms
inthealimentarytract,andrelievescolds,performinglikeanaturalantibiotic in actual fact.
In order to be able to conduct warm or cold massage sessions, two
genres of stones are needed: marbles (white elements), and basalts
(black elements). The latter are excavated from the ocean beds, where
water and sand grind their textures, therefore they are so ideally smooth and level, and best-preserved in sea salt. Heated up to 50°C, they
lastingly afford the temperature, and this is the reason why they tone,
relax, stimulate blood circulation, and oxygenate in one. Marbles, on
the contrary, are adapted in therapies of freezing, and applied in cases of local oedemas and contusions.
The technique of massaging with stones is based on the theory of
the energy flow and flux. In the times past, some Chinese and Indian
scholars managed to frame “maps of energies” we humans exemplify. Stones are placed in required body locations, and appropriately moved in given directions. The method allows migration of energy within fatigued, or diseased human body system.
Depending on a specified concern, we may
opt for a massage position on the back, or on
the front. Subsequently, a person offering the
treatment is expected to lay out stones, for instance anywhere on the back, or exclusively
along the spine, or there on the cheeks, or laterally on the lower jaw, alternatively in-between the fingers and toes. Selecting the biggest two of the stones (bathed in olive oil or
aromatic lubricant) the masseur uses them to
knead all the length of the body subjected. If
we are prepared to relax, warm stones will lighten up the muscles, then blood will circulate more freely, and at that point tissues and
cells are bound to invigorate by virtue of oxygenating and detoxication. The worthiest positive sensations are assumed to be achieved in the way of interchangeable warm and
cold stone massaging. Experts term it “race of
energy”. Thanks to the temperature difference, human body system disposes itself of accumulated toxins, and some certain microscopic generators of energy form. It is what
helps energy to travel to locations where its
insufficiency transpire. In view of that, massage is suggested to those people, who prove metabolic syndromes, impaired immune
systems, but first and foremost to those, who
lead their life-styles far too intensely.
Undeniably, there is almost not a person,
who in this exceptionally busy commotion of
the world, would not aim for some assured
peaceful moments in life. Massage is one of
the alternatives in the respect. Hence, taking
a liberty of the kind might be a valuable experience.
Compiled by: Karol Łyczkowski
IDEAS FOR HEALTHFULNESS
SUNLIGHT COMES IN
The latest discovery of the scientists from Łódź. The more it shines and is warmer,
the better diabetic patients feel. All to the extent, that doses of insulin can be reduced
in the end of the summer.
What the breakthrough developed from was an unintended conversation in a consulting room of the Children’s Hospital in Łódź. Dr. Beata Mianowska stated, that
the young patients manage more advantageously during summertime. Someone commented it, that indeed, autumn and winter are the seasons, when the greatest part of
the admitted children is diagnosed with diabetes mellitus. In turn, another person
present there, started a computer, and searched the internet in order to find relevant
publications. There was none of the kind. The doctors decided to offer their supervisor
an innovative piece of work dealing with the issue in question.
-
It is worthwhile to disclose the matter as far as it meets certainty - rejoined
prof. Wojciech Młynarski, the head of the Clinic of Paediatrics, Oncology, Haematology and Diabetology.
Dr. Mianowska referred to the hospital archives. There, she collected records of glycated haemoglobin (HbAc1) readings amassed within the last three years. It is a line of
examinations each one diabetic patient is aimed to carry out every three months, for
it enables to assess how effective was treatment throughout a given quarter. The blood measure sought-after is 7%, as it provides the evidence, that diabetes is balanced,
and potential complications are unlikely. The higher the value is the more changeable
the disease develops.
-
From August 2006 to October 2009 the check-up was conducted as frequently
as 5600 times – cites Wojciech Fendler, a physician from the clinic.
-
We scrutinized the data in detail, and assumed, that our colleague must have
been right.
The most disappointing results children with diabetes type 1 proved in winter: at
the turn of January and February, the safest ones in summer: in August, and in the beginning of September.
Prof. Młynarski: - I asked my associates to continue the undertaking. Although, I remarked, that I somewhat mistrust, whether anyone would earnestly consider a thesis
titled as: “Weather and its influence on the course of diabetes type 1 in children”. The
reason why? Well, because it sounds as exotic as “Aurora and penguins’ ovulation”.
Such frivolousness returns with anti-Nobel rewards.
Thus, the diabetes specialists resolved, that they will approach it in so serious a manner, as if could not perceive it any funny or silly.
Nevertheless, we advanced to it light-heartedly discussing the possible gro-
unds of this singularity – says Fendler.
One of the reasons could be the fact, that summer is when children do not have to
go to school. After all, school amounts to stress, and altogether can be the same weighty a factor as vitamin levels, or intensity of sunrays on a given day. Some websites did
42
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IDEAS FOR HEALTHFULNESS
IN AID OF DIABETES
suggest, that vitamin D may affect HbA1c, but then again there was nothing in regards to insolation.
And, someone came up with the idea, so as to compare blood readings with weather news, immediately on the very day when examinations were run.
Fendler: - Since the endeavour was agreed to be completed in a meaningful way,
we opted out any amateur searching of archival forecast documentation. Hence,
we requested experts from the Institute of Meteorology and Water Management for
any co-operation achievable.
What they presented us with was precise certification of weather facts and figures, that had effect in 2006-2009 in Łódź. The rapport simplified what was the then
insolation, air pressure, temperature, and how much of solar energy reached the
ground altogether.
-
The statistics were obtained from a weather station located in a Łódź airport – informs Elżbieta Grzelak-Agaciak, one of the workers of IMiGW. – We are
confident in 99%, that the results of measurements in the hospital, which is sited as
remote as a few kilometres away, were nearly identical.
The moment when the evaluations were matched against, there was no voices of
scepticism ever since. The concentration of HbA1c was confirmed to remain in straight relation to weather conditions. The more pleasant aura took place ahead of examinations, the more recovering HbA1c transpired.
The researchers ascertained the fact, that adults prove similar responses, however not proportionately strong, and it is the reason why the subject matter escaped medical attention. Nonetheless, diabetes patients living on the Northern hemisphere feel better on the turn of August and September, whereas those from the Southern hemisphere feel better on the turn of February and March instead.
Prof. Młynarski: - For the time being, we are not able to explain these observations, though we plan to further the studies.
How exactly should we understand the findings? - First of all, witnessing a situation when a patient undergoes winter in a worse condition, is not supposed to
prompt panicking, as for it is a natural, transitional response in answer to darker
and colder aura. – clarifies Fendler. – Then, what one can do is administering higher doses of insulin. In summer in reverse – dosages of medicaments can be reduced, because it is far easier then to stabilize blood glucose intensities. But still, it
is not an argument for falling in euphoria, since it is equally transitional, just the
same as weather is.
The doctors concluded, that many clinical tests may be inaccurate, for were not
determined with weather dynamics all along.
The diabetes specialists articulated the discovery in a scientific article, and published it in the most renowned European magazine committed to the concern of diabetes therapies “Diabetology”.
The Source: Adam Czerwiński, Gazeta Wyborcza
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43
IDEAS FOR HEALTHFULNESS
DO YOU KNOW YOUR TYPE OF PERSONALITY?
PART II
It is fairly important so as not to forget this basic actuality, that
there is as many diversified temperaments as people all over the
globe. The identified four types of human dispositions allow only
for generalised classification in the respect. Consequently, each
and every person needs to be individually approached, and acquainted by reason of given behaviour and circumstances.
And so, we may well proceed and introduce the remaining
two types of personality.
Rapt choleric person
This category of temperaments belongs to those most dynamic. As far as sociable sanguine proves to be somewhat careless
and inconsequential, choleric character decides on action in its
place. The quick-tempered type does not take an interest of someone else’s opinions and their limitations. This type is perfectly
convinced to be right at all times, has things his or her own way,
what in actual fact translates into successes achieved in life. He or
she readily defies risks, and confronts responsibilities. A person
of the kind tends to be tenacious, and unwilling to share power
at disposal. Then again, he or she uses the power to render duties
straightaway and to the last. Such a type truly believes, that being in his or her command assures headways. His or her resolve
and strong will goes in pair with determination and lightning reflex. The type organises everything completely respecting adversities as motivating. Such a person is of no contest as for getting
along oppressions.
In the view of what above, it should not surprise anyone, that
choleric type is not one, who is likely to have many friends. Whereas, it equally arises from the fact, that he or she does not actually need it. All the time on the way is aimed to serve new further
challenges, and crafting of strategies so as to fulfil them.
It seems to be logical, that rapt choleric type is an indispensible feature of this world. One, who can be compared to an ever-working machine. Although, some measure of tolerance and consideration would add to the personality. In turn, some treat of patience is what would make him or her to slow down, and eventually rest. The fact, that he or she is effortlessly competent, does not
mean, that accepting arguments of others, or even making an apology on occasions, could change it at all. Indeed, these traits would meet choleric existence to be the pillar of strength of the humankind.
Self-possessed phlegmatic person
Relaxed temperament of this type plays a peculiar role in the
relationships of people. It works for balance in front of go-ahead choleric attitude, ever-dissatisfied melancholic stance, or bright sanguine line.
Phlegmatic person has an impartial flair of mitigating disputes, being patient, and able to be listening to opponents. This cha44
Cukrzyca a Zdrowie
racter follows objectively inborn drive towards
tranquillity, and moments of reflexion. He and
she is not any bossy, or attention-seeking. Such a
type is far from radical statements, while prefers
safe middle answers. Person of the kind is not highly demanding. He and she can prove composure even in extreme situations relieving given
tensions. Any urgency is not his or her concern.
Accepting own fate, he or she is moderately free
to agree to the pessimism on the cards. This type
of personality does not dwell on setbacks just as
perfect melancholic nature does. The fact, that he
or she is compassionate and able to listen sensibly, is what contributes to the number of friends
around. It is the reason why phlegmatic character is an ideal subordinate.
However, such a personality would reasonably need an infusion of enthusiasm, some action drive, and better aptitude for changes. It is
the very phlegmatic temperament that is at times
perceived to be more willing to await an earthquake, than independently stir tea in a cup. His or
her indecisiveness delays “pressing matters” ad
infinitum.
Then again, the world devoid of phlegmatic
character would be sentenced to copious conflicts, ones of which could be pretty difficult to
solve in case of the other three temperaments.
Being aware of the dissimilarities we all share, it is far easier to understand the people we
happen to be in contact with. Nonetheless, it is
a great fortune, that we are circumvolved with
such a multiplicity.
It is comparatively simple to observe, that
each one type of personality plays a distinct, indispensible to the world role. This is the reason
why opposites attract creating some sense of balance as a result.
Whether we form relationships in a small
community (family), or more or less bigger, it is
worthwhile so as not “to bend” others to our own
personal standards. Let us learn to coexist supporting one another.
Ewa Andrzejewska
GET-TOGETHERS
AS SAFELY AS HEALTHFULLY
Thursday Dinner at Diabetics’
It was an enchanting evening – shiny and balmy, and our another get-together
fulfilled the restaurant with smile, humour, and general good spirits. As usual, the
awaited guests appreciated the treat of the “thoughtful dinners”.
This time, the Thursday Dinner at Diabetics’ was attended by gentlemen in representative uniforms. The way they looked, and the solemnity they aired, aroused a sense of security, hence it was the Police and the Border Guard officers who
appeared. Insp. Igor Parfieniuk, the Provincial Police Commissioner of Podlasie,
and Colonel Leszek Czech, the Commandant of Podlasie Border Guards, together
with prof. Maria Górska M.Sc.D., and famed theatre actor Ryszard Doliński, were
the virtuoso chefs, who served us health-giving and flavoursome dishes: broccoli cream soup, Chinese cabbage salad composed of amaranth popping seed based
on pumpkin oil and a pinch of vingrette, basmati rice on vegetables, and plums in
dark chocolate.
Unsurprisingly, the reception ballroom was bursting at the seams, what evidently bears witness of noteworthy social interest. In any case, signals of popularity
Thursday Dinners at Diabetics’ rejoices, come down from the furthest recesses of
the country. We are pleased, that we stand for a significant place in the map of Podlasie, in the respect of meaningful communal integrity, and above all, patronage
of the diabetes concerned. Indeed, it is what inspires us to continue the tradition of
the Thursday Dinners at Diabetics’.
Bon appetite expressed by our pleasing and
smiling chefs. Col. Leszek Czech composed an
uncommonly healthy salad with popping, whereas insp. Igor Parfieniuk velvet-like cream
broccoli soup.
Ryszard Doliński prepared a carnival remedium
based on basmati rice. The served dish he awarded
with an ample measure of humour. The multicolour, appetizing, full of vegetables course met everyone’s liking.
Zenon Chwieśko M.Sc.D. gave us a lecture on non-traumatic diabetes rheumatic syndromes.
The experience of making cream broccoli soup is what insp.
Igor Parfieniuk, the Provincial Police Commissioner of Podlasie, proved effortlessly. He daringly approached the duty, and
completed it with such a savour … hhm, the plentiful number
of seconds answered the quality.
Prof. Maria Górska, cheerful in her face, prepared a delectable dessert – plums in dark chocolate. Certainly, a dish of royal tradition.
Education with taste, unpretentious in form, and naturally communicated, changes people’s
attitude and life, and imparts joy of being healthy for longest possible…
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45
GET-TOGETHERS
A sprinkling of education, a share of nostalgia
- welcome to “Thursday Dinner at Diabetics’”
The history of Thursday Dinners reaches as far as 18th century. The king, Stanisław August Poniatowski,
an enthusiast and connoisseur of culture, organised conventional get-togethers of intellectuals and artists, what
he decided to take place in the court since 1770. In line of French salons’ formula, spontaneous discussions on
science, art, and even politics were frequented. The then latest literary works were deliberated, and new trends
in culture modelled. Some of those, who attended the gatherings, were noble citizens, to quote Ignacy Krasicki,
Hugo Kołłątaj, Józef Wybicki, or Śniadecki brothers. This high profile of the guests, the patronage and presence
of the king, was what assured the Thursday Dinners to be the legendary institution of culture. Regrettably, the
conventions of the times outlawed women from any involvement in the meetings. In contrast, during our today’s “Thursday Dinners at Diabetics’”, ladies are unusually favourably received.
The “Thursday Dinner at Diabetics’” are our innovative approach to education. This is a form of cyclical get-togethers for the
duration of which we head “health-promoting mission”. Assuming an original line, we propagate knowledge of healthy life-style. And, the artistically-educational-culinary fashion we adopted movingly smooths the progress of communication.
By virtue of these happenings, people are further motivated to
take care of their health, to confront their own vulnerability, as
well as to proceed self-examinations. Consistently, the program
of the “Thursday Dinners at Diabetics’” exacts public cooking,
gustation, along with open lectures, and presentations of science findings, introduced by numerous experts of medical, dietetic,
and rehabilitation background.
The tradition has been revived, and history
renewed… And, we arrived there, where all
was pioneered from – at the capital city…
The recognised elegance, and judiciousness
of such a meeting, the kind of which provides for satisfaction of even the most fastidious individuals, appealed not only to the guests from Warsaw, but also to those from Siedlce, Sokołów Podlaski, Bydgoszcz, Białystok,
Ciechanów, and Środa Wielkopolska. It was
an outstanding get-together. The multifaceted menu of artistic, educational, and culinary shares appeared to be a wealth of great sensations.
The new guests of the Thursday Dinner
at Diabetics’ were astonished with the selection of presentations, and the reliability of the
all endeavour in everyday life of diabetes patients, and society in general.
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The exceptional guests among others: Maciej Żywno, the Voivode of Podlasie, Mieczysław Kazimierz Baszko, the Vice-Marshal of Podlasie, Józef Piotr Klim, a member of parliament, and Anna
Ratowska, a representative of the Ministry of Health.
GET-TOGETHERS
The audience was listening and posing questions. The subject matter was so extensive and thought-provoking, that the doctor promised to reintroduce it.
The lecture, “ The headways in diabetes management
based on incretin medicines”, was delivered by dr.hab.
Mariusz Jasik from the Warsaw University of Medicine.
We served a royal menu indeed – a refined dinner of three courses,
prepared by as many as six remarkable chefs. The entrée was pumpkin
cream soup, interlaced with some droplets of cold pressed pumpkin oil
funded by Szarłat company, which was cooperatively cooked by Andrzej Bauman, the Chairman of the Board of the PSD, and dr. Paciorkowski, a coordinator of the “Szkoła Cukrzycy” program.
The professional cook’s knife sharpened, a smile…
and we are ready to be preparing the first course!
The chairman of the Board of the PSD Andrzej Bauman, and Andrzej Paciorkowski
M.Sc.D., attentively attended by the Master of Ceremony Dariusz Szada-Borzyszkowski,
were preparing pumpkin cream soup.
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47
GET-TOGETHERS
Pork loin on Antonovka apples – this culinary composition was
performed by the noteworthy duet of the politicians from our Podlasie. The liaison over the pots appeared to be more than flavoursome in effect, so the guests asked for seconds with much pleasure.
For the second course we offered: pork loin on Antonovka apples,
puree made of lentils, and colourful salad with sauce vinaigrette
and cold pressed flax seed oil sponsored by Szarłat company. The
delicacies were kindly prepared by Mieczysław Kazimierz Baszko,
the Vice-Marshal of Podlasie, and Józef Piotr Klim, a member of
parliament in Poland. The dishes were lined with cold pressed oils
since they are both scrumptious, and nutritious in respect of essential fats..
And, the dessert presented was plums in dark chocolate. This responsible errand was completed by Maciej Żywno,
the Voivode of Podlasie, and Marek Siudym, a famous TV and theatre actor.
Even during staging of cooking, one can be posing to photos and giving an interview on impressions of “Thursday Dinner at Diabetics’”, to Elżbieta
Korczyńska, a radio reporter of the “Trójka”, who runs the cyclic programme “Na wyciągnięcie ręki”.
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GET-TOGETHERS
In order, the artistic dessert, performed by “Sarakin” band, astounded Warsaw audience with their jazz-folk variations on Chopin. The newly arranged music of the maestro, enriched the atmosphere, during which the instrumentalists proved, that classical music may be well received in modern and attention-holding a manner.
A conversation in the lobby…
Anna Ratowska from the Ministry of Health, and Henryk Ochniak, a diabetes consultant in the PSD.
The diabetics from the capital city,
and local boroughs, were highly appreciative towards this form of popularising knowledge, in respect of
leading healthy life-style.
Even so, the idea, it all developed
from, was bringing tradition and
contemporaneousness
together.
Our intention was to combine the
pleasant with the useful, entertainment and education, enjoyable getting-together and prophylaxis, all in
one in the course of healthy and full
of flavour dinning.
You are more than welcome to be
our guests.
Everyone savoured the food served, whereas Walentyna Rakiel-Czarnecka, the director of the Regional Masovian Tourism Organisation, asked for
a recipe so as to make pork loin on Antonovka apples herself.
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49
GET-TOGETHERS
DePe vocal band conducted by Grzegorz Perkowski
Danuta Pawłowska M.Sc.D., reassured us, that frozen fruit and vegetables are thoroughly essential in diabetic diet.
It was another extraordinary meeting. New guests, curious, but somewhat anxious, they proceeded to their seats…
The “Thursday Dinner at Diabetics’” was commenced
with a concert of DePe vocal band. It was an enthralling
performance of young people, who on the strength of their gust and enthusiasm induced unflawed atmosphere, giving ground to the further artistic and educational interchanges…
The culminating point of the evening was when cooking
took place. The menu presented with kutia, full of poppy
seed, nuts, figs, and almonds, then vegetable salad, fish roasted under colourful bedding, and plums in dark chocolate.
There was three chefs on this occasion. Those, who attended the pans and pots were: Wojciech Dzierzgowski,
the Vice-Voivode of Podlasie, Tadeusz Truskolaski, the President of Białystok, and the priest Andrzej Dębski. The
aprons with printed logos of our “Diabetes and Health”,
and “Thursday Dinners at Diabetics’” became them. And,
the dishes they managed were undeniably palatable.
The closing stage of the evening was when we all expressed our gratitude, and applauded. We are contented, that
our attempts and efforts not only broaden the knowledge
of diabetes far afield, but also give rise to more wholesome
spirits. Warmly smiling faces, shaking of hands, showing
thankfulness is what evinces the sought after recognition.
Tradition and contemporaneousness, yesterday time and
today moment, and the principal of matters – health, which
is unchangeably actual notwithstanding time and space.
Oprac. Agnieszka Kierznowska
Three of honourable chefs, Wojciech Dzierzgowski, the Vice-Voivode of Podlasie, Tadeusz Truskolaski, the President of Białystok, and the priest Andrzej Dębski –
charmed out delectable dishes of royal uprightness.
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Cukrzyca a Zdrowie
The priest Andrzej Dębski was the one,
who opened the cooking, and prepared fish
roasted under colourful bedding.
GET-TOGETHERS
The President Tadeusz Truskolaski single-handedly treated
guests with kutia repleted with poppy seed and nuts. The traditional taste of childhood, and home atmosphere, was peculiarly
favourably received by Tadeusz Kulikowski,
the Mayor of Goniądz.
Wojciech Dzierzgowski, the Vice-Voivode of Podlasie, prepared a delicious dessert – frozen plums
dipped in hot dark chocolate. The guests were looking
forward to be served such a delectable dish.
The vegetable salad made by Tadeusz Truskolaski, the President of Białystok, was what attracted the attention of media, particularly the reporter of
TVP Białystok – Dorota Kuc.
The Marshal of Podlasie Voivodship, Mieczysław Kazimierz Baszko did not disappoint anyone as a rule. Today, he arrived to attend the Thursday Dinner as a gourmand, and most probably he was drawn to pry how others would “contend” in the kitchen…
The guests from Augustów, Białystok, Bielsk Podlaski, Grajewo, Goniądz, Mońki, and Sokółka were pleased indeed. Rounds of applause resounded…
Cukrzyca a Zdrowie
51
ANGELS FOR ANGELS
Rewarding is a value of its own accord
They 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 ...
ANGELS
for
ANGELS
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 ...
The Prizes of the Editorial Team
1. The principal idea of the “Angels for Angels” prize is to distinguish merits of individuals, businesses
and institutions, who outstandingly have managed to enrich life quality of diabetes experienced patients, contribute to social awareness of the disease, and foster mutual understanding, acceptance and
solidarity towards the diabetes stricken.
2. The prize is appointed by the Editorial Team of the “Diabetes and Health” magazine.
3. The prize is decided respectively to the following categories:
a) BUSINESSES AND INSTITUTIONS, that distinctively support diabetes experienced persons
b) HEALTH SERVICE WORKFORCE, who are there on mission to serve diabetes diagnosed patients
c) MEDIA AND JOURNALISTS, that advocate social and medicinal education in the line of diabetes
disease
d) PUBLIC FIGURES, who are unusually sensitive in relation to diabetes stricken, are personally involved and committed in aid of change for the better
4. The Editorial Team may resolve a Special Prize, apart from the categories, to pay recognition to any
well-deserved contributions, that might happen to come to pass
5. The prize is a wooden sculptured statuette of an “Angel with Energy”, the creator of which is Aleksander Grzybek
6. The prizes are awarded once yearly
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TOURIST EYE
We discov e r enchan ting
sitesof na t u re...
ONE OF SEQUENTIAL STOPS IN THE OPEN,
namely a day off reserved for Masuria...
Ziemio mazurska! Tyś mi jest magnesem
Kiedy tu przyjeżdżam – przepadam z kretesem.
Nie chce mi się wracać, bo kiedy to robię
Znów planuję wyjazd – bo tęsknię po tobie.
Ciągnie mnie do jezior, do lasów zielonych
Do pól biwakowych, licznie rozproszonych.
W terenach gościnnych, gdzie brzask dzień zaczyna
Jest świerzop i gryka, jest też dzięcielina.
Choć nie wiem, jak wygląda, lecz ją tu umieszczam
Sławiona jest przecież przez naszego wieszcza.
Musiał mieć na myśli właśnie te tereny
Bo gdy w wolnej chwili tutaj przyjedziemy
Wszystko nam się zgadza: przyrodą wspaniałą
Można oko napaść – tutaj echo grało
W odpowiedzi na zachwyt, naszym gromkim głosem,
Tu po staropolsku częstują bigosem.
A znamy ten przepis, co to w słowach trudno
Oddać smak przepyszny, wygląd i woń cudną.
Kwaszona kapusta, jarzyny, mięsiwo
Sprawia, że dokładki pochłaniamy żywo,
Zagryzając chlebem swojskim, na zakwasie,
Zdając sobie sprawę po niejakim czasie,
Że uczty czas minął - i tylko na koniec
Wokół nas powietrze aromatem zionie
Bigosu oczywiście i kwiatków dokoła,
Bo już na wycieczkę przyroda nas woła.
Prosimy rodzinę oraz licznych gości
Na spacer po lesie – tak dla zdrowotności.
Tu przerwę, lecz ton ten utrzymam.
Wszystkim się zdawało, że słyszą muzykę:
To nam w duszach grało!
Andrea
foto: Marek Tomaszuk
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53
INTERVIEW
MAŁGORZATA KALICIŃSKA
PREFERS THE HEARTH AND HOME
RATHER THAN HIGH LIFE GLAMOUR
Małgorzata Kalicińska, a writer, the author of the bestseller cycles “Nad rozlewiskiem”, is interviewed
by Monika Zawadzka, and investigated on cooking, eating patterns, and healthy life-style.
In the book “Fiołki na trzepaku”, you introduce readers with the memoirs of your childhood. The depiction you presented suggests, that it was time of carefreeness and enjoyment, as well as occupied with duties,
at any rate moments so unlike to today
world of young persons.
- Only just now, I realise it, how important a stage my childhood was. What I
instantly associate it with is vacation
time I spent here, here in the local village Szafranki in the vicinity of Goniądz.
It was exceptional years in my life. My
mother was a teacher, hence she had
two months of statutory holiday. All
this long periods we passed in the countryside. We worked equally in the field,
as in the garden. Undeniably, it was an
uncommon school of life. I gained experience of many a disposition, what proved
to be worthwhile later on in adulthood. It
was these very days in the village when I learned to attend duties first, and then take liberty of leisureliness. I really held dear this
blissful feeling when after given arduous labouring we took our blankets, and headed by the river to lie and relax. Actually, it was the way so as
to be able to combine the pleasant with the useful. It
rendered me well-ordered, and organised, what makes
my life easier in return. Be as it may, I do not like the city,
and I am very eager so as to finish the house construction, and
move away from the urban hustle and bustle. Then, I would spend
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INTERVIEW
any of my spare time there where I feel at best. I plan to unreservedly leave Warsaw behind me, and settle in
rural area. If I am to travel to the capital it would not be much frequent.
It is what will take place in the forthcoming future, whereas at present, you are simply fated to live in
Warsaw. So, what is the life-style you lead at this point?
- One of common middle-class means. I mind it to adjust to the rhythm of the milieu, but not specifically
seriously. Instead, I dedicate to the most basic and utmost imperative matters for me: giving birth to my children, bringing them up, and creating decent home for them. I always met my satisfaction in female concerns.
I invariably fulfil myself performing the only too elementary household chores. I certainly not surge for chan-
ges, or impressive adventures. In its place, I favour ordinary existence in the course of which I can apprehend
a multitude of my small valuable sensations. In truth, it is something of greatest essence from my perspective.
What is your standpoint in respect of physical activity? Do you do any sport yourself?
- No, I do not. I am a typical “homebody”. The choicest point in time I remember was the maternity and paternity leave. I found it irresistible to accord with motherhood. The days I spent with my children, was when I
developed patience, and sensitivity, simply by virtue of authentic love. As regards sport… I always joked, that
it is bad for me. There was one occasion when I went for aerobic classes, and I happened to drill so hard, that
only sweat run, breath escaped, and I decided so as not to follow up the feat ever again. No, it was never my
cup of tea. Possibly, if I trained more systematically, I would find it any pleasurable. So far, I have not.
Therefore, walking can be one of alternatives. The characters from your books every so often stroll along
the Rozlewisko…
- In my opinion, having a walk down a city is substantially nonsensical. It cannot be compared to pacing
on foot along a village, on the way to a forest, or meadows for instance. Environment shapes thinking, even
mentality. Village relieves to slow down, so as not to chase life, but to charge with positive energy found there. During such a solitary walking, more sagacious reflections come to mind, problems and difficulties ease.
Walking in Warsaw may merely distress, since there is no ground for silence, and fresh air. It is not any different in the parks, where traffic noise still reverberates, and the common is all over crowded. This way, or another, any peaceful moments must sooner or later come to an end in the street. Whereas, the delight of nature
is in scents, wind, landscapes. It is what becomes a part of us, and lives within us ever after. And, it is countryside that offers it.
Cukrzyca a Zdrowie
55
INTERVIEW
On account of “Dom nad Rozlewiskiem”, the sequential
books, and now the popular sitcom, you became fairly famous. A significant turn. Today, you need to share out your
time for public meetings, interviews, campaigns. How weighty bearing has this recognition on your everyday life?
How exactly did you manage to get accustomed to it?
- The popularity, the publicity, and related responsibilities,
certainly reordered the previous currents, what many a time
gave rise to intense maelstroms. Nonetheless, one thought
unvaryingly requested my mind, actually a prudence voiced
by my mother: If life fondles your lot, do not say it tires you,
but present a smile accepting it. It might be once-in-the-lifetime. At present, life caresses me enormously, almost kills me
with kindness, but I do not dare to have a word of complaint! I cannot deny, that it is demanding, or onerous. However, celebrity necessitates its price. And, I simply face it as natural and understandable, that I have to be travelling a great
deal, and learning new endeavours I am not experienced of.
Do you prefer solitude, or companionship instead?
- I used to be sociable, indeed, but I needed to change in attitude towards regular get-togethers with other people. Today, I am more likely to appreciate serene evenings I spend
with my partner. In fact, reading books and scrabble is what
I favour far more than attending parties being their “attraction”. Definitely, quietness at home is of no contest in view of
grooving somewhere outdoors.
What was the reason behind the changes?
- Actually, I do not know. In basic terms, I ceased to enjoy discos, or New Year bashes. In time, I abstained from social gatherings. In its place, I turned to value those cosy, relaxed, and dearer relationships with people. And, such bonds
is what requires intimate surroundings. The atmosphere of
public venues defies it. Consequently, I prefer private engagements, during which I can have a talk with a friend, or the
daughter. Beyond doubt, ballrooms and dress without back
is not my taste by any means.
May I ask why don’t you drink coffee?
- Because, I do not like it. I do not have to be using the stimulant. In case I need to fuel myself with some energy I am
able to do this without the substance.
Green tea as a substitute conceivably?
- Yes, please! When I was in Japan, I run mad after green tea in any form imaginable. It is the country where the
opportunity of exploring the plant is unmatched. In order,
Southern Korea is the nation where one can find exceptionally unique varieties of tea, for instance those made of roasted rice grains, or concocted out of smoked herbal leaves.
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I try to familiarise with any tea assortment I happen
to come across, however experimenting is what I generally avoid. Then again, chilled drinks are my favourite still.
- While we are about it… I would like to draw attention to what we serve our children. More often than
not we treat them with these unhealthy, coloured and
carbonated drinks, whereas reviving the tradition of
stewed fruits could be pretty rewarding. The home-made beverages are more wholesome, as well as flavoursome, except they require some certain effort.
After all, fruit must be collected, washed, cooked, and
placed in jars… whereas any pitiful drink can bought
in any shop given. It is the way how convenience wins
through, at health expense of course. It should not be
so in the respect, since anyone is able to conjure up
some miracle tastes in the kitchen, and restore aura of
old times.
.
Then, is the kitchen the place of your exact preference?
- I coined an expression, which is mine, and which, I
will guard to the last: Even though I am 53 years old I
am still a nursing mother. It was always true, it is true
now, and will be true ever. I am passionate about pre-
INTERVIEW
These days, healthy eating is widely promoted. Do you
yourself pay attention to food and cooking?
- I am pretty mindful what I eat and what I serve. It is
equally important for me to have it flavoursome and healthful. Though, the present mainstream ECO orientation seems to me to be some exaggeration. In actual fact,
it is somewhat pestering. Tracking shops, selecting producers, investigating ingredients is plainly time-consuming.
Moderation is the answer in any circumstances thinkable.
Some self-reliance altogether. Life is supposed to be pleasing rather than shadowing of calories or ecology.
At the moment, the question of soya bothers me
-
a little. It appears to me to be as furtive as unhealthy. Fortunately, I do not use it much, but some people they do.
Naturally cultivated soya is salubrious, but the modified
tends to be corrupted… It is worthwhile to examine the
subject and shape one’s opinion. I am on the point of doing
it myself.
paring meals, and feel really miserable when there is no
one around I can cook for. This in fact is what causes the
problem, that I do know how to cook in small measures, just as for one dinner only. It is essentially me and
my partner now. Before the children left the nest, cooking
was occasions of creativity as well as added productivity.
It was impossible to cook sauerkraut stew in a small volume, or broth for one go simply. It is beyond my imagination. What can be prepared in a small amount is scrambled eggs, period. I grow very happy when my broods, or
friends announce their visits. It means, that I can cook to
a large extent. The kitchen is absolutely my space.
What is your personal formula which translates into
healthy life-style?
- I reckon, that each one of us should be in tune with oneself. We all are meant to follow inner voice and respect given actual needs. It is called healthy egoism to know what
is suitable and satisfying, and what is not. Everyone is responsible for oneself. Hence, the moment we afford physical and mental comfort is when we can share with the
world.
Thank you for the conversation.
What cuisine would you single out, traditional, or
some other more fanciful?
-
One, which is as much jumbled as is in the cards,
combined out of everything what I like and recognise.
Nevertheless, I make the condition, that it is not to be molecular gastronome, either not fusion one, since I do not
quite understand all the raptures over these oddities. However, I must admit, that my dishes fix mixtures from the
four corners of the world. It is why I may well serve Russian dumplings or any Korean elements. Mediterranean
features is what I also welcome. I try to remain open and
invariably curious.
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57
„Jeśli chcemy w pełni wykorzystać
nasznaturalnypotencjałsamouzdrawiania,
musimy jedynie
wspomóczdolnośćorganizmdoantyutleniania”.
Teruo Higa
Tradycyjna japońska receptura
Udoskonalona formuła
Moc antyutleniaczy
- oczyszcza organizm z wolnych rodników i toksyn
- zmniejsza zmęczenie i spowalnia procesy starzenia
- poprawia funkcjonowanie układu immunologicznego
- pomaga organizmowi pokonywać alergię
- skutecznie oczyszcza organizm podczas odtruwania
i odchudzania
- zwiększa wytrzymałość psychiczną i fizyczną
REGIONALNY AUTORYZOWANY PRZEDSTAWICIEL
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58
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