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A ZDROWIECUKRZYCA

MEDICAL MAGAZINE P6/22/8PA ISSN 1427-048 BARWY ZDROWIA

Pursue your

dream

Cukrzyca a Zdrowie 1

4 Remedyforhoarseness

4 Fructose-sweetexsposuretomemory medicalproblems

5-7 Pursueyourdream

12 Lyrically,healthillyandthoughtfully

14 Attiduestopricking

15-18 Diabetesfootprophylaxis

20-24 Carbohydratesanddiabetesorienteddiet

26-28 Lettertoeditorialteam

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

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

C U R I O U S N E W S

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

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

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

R E A D E R ‘ S P A G E S

D I A B E T E S D I C T I O N A R Y

page 12

page 4

page 14

page 31-35

page 20-24

page 15-18

40-42 Historyofmedicinefactspart4

43-45 EggofColumbus

46-48 Ajourneytothecapitalofcardoon

50-51 AlcoholandDiabetes

52-54 Yawing

55-56 Acupoflittleblack

inthemorning

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

2 Cukrzyca a Zdrowie

31-35 Competition

36 Slenderadultsprovetostandfavourablefat37-38 Vaccinationsagaintsseasonalinflu

39 Alfa-diaryalphabet

FOR THOSE WHO ARE EAGER FOR THE WORLD

O U R W O R L D

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

F E U I L L E T O N page 40-42

S O ME T H I N G A B O U T H E A L T H

C O M P E T I T I O N

page 36

page 55-56

page 52-54

page 46-48

page 43-45

page 32-35

page 37-

page 50-51


29 Somewordsofadvicetothosediabetics whoperformwintersports

page 29


ThemysticsoftheEastpre-sagedtheircontemporaries:- Do not speak before youthink,guardyourselfagainstwin-diness, otherwise you disheartenpeoplearoundyou!

Themessage,throughouttheseagesandages,hasrema-inedassecureasitwas,mostlikelyinthebeliefthatinaneverbosity–whetheritisinprivateortakesplaceinmediainimpudentform–hasbecomeourmagicalrealism,asifuniversalmeansforlife,especiallyforthisshareofitwearenotabletocontendwith.Weusetorrentsofwordstodeadenignorance,negligence,anyof inadequacies.And,we lose something important,we loseour insightandassetofself-preservation, fortheworldandallitsdimensionsbearsinfluenceonourbodyandmind,onthelifeforceflow.Anevilwordisthekeyto“thedoorofthelandofcrisis”,engendersconflicts,promptspredicamentsandruinsrela-tionshipsandhealthofanyinvolved.Afterall,healthisthecoreandessenceoflife.Inviewofthat,weneedtomakeeveryefforttoupholdsenseofbalancefacingone’sownmi-stakesandfaultsofothers.Hence, itmustbevital to learnhow tokeepdistance towhatappearsadverse in life, tobeable to simply takeawalkthen,ortoinvitesomeoneforafriendlyget-together.Admittedlyitisnotanyspectacularact,butbracesawa-renessofunity,whenonastrengthofonesinglesmilewemayopentoamitytowardsusourselves,towardspeopleandtheworld.Fairlypossibly, itmightgivegroundto love– the feelingthat fulfils well-being, is the source of geniality and thefund...ofhealthiness.

Danuta Maria Roszkowska

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

General editor:Danuta Maria RoszkowskaSekretarz redakcji:Katarzyna KakowskaIN cOOpERATION wITH OUR EDITORS: mgr Edyta Adamskaprof. dr hab. Maria Borawska prof. dr hab. n. med. Ewa Otto-Buczkowska Anna DanilewiczMarek Dolecki dr n. med. joanna Filipowska mgr Małgorzata Frąś dr n. med. Hanna Bachórzewska-Gajewska mgr wiesława Gołąbek prof. dr hab. n. med. Maria Górska prof. dr hab. n. med. Ida Kinalska dr n. med. Małgorzata Korolczuk-Zarachowicz mgr Bogumiła ławniczak janusz Niczyporowiczmgr jolanta ObidzińskaRenata Saniewska prof. dr hab. n. med. jacek Sieradzki Anastazja Szachowicz Ewa SzarkowskaLucyna Szepielprof. dr hab. n. med. Małgorzata Szelachowska prof. dr hab. n. med. Mirosława Urban wojciech wojszko Anna worowskadr n. med. Halina wójcikTłumaczenie z języka angielskiego: mgr Michał Iwańczuk mgr Urszula TarasewiczTłumaczenie z języka hiszpańskiego:Marcin Szachowicz

CUKRZYCA

The edition of this magazine has been financially supported by Governmental Disabled persons Rehabilitation Fund

A ZDROWIE

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


C U R I O U S N E W S

A REMEDY FOR HOARSENESS LEMON – Health promoting properties: The fruit furthers assimilation of iron, what adds to red cells volume in blood. It stimulates secretion of thyroid hormone – thyroxin – one that smoothes the progress of fat burning.Drinking lemon water relieves heart ailments, pulmonary infections, bronchial infectivities, intestinal contagions, arterial hyper pressure, or brittle nails if only.

100g of lemon features:Zinc–0,025mg, Calcium-25mg, Phosphorus-14mg,Magnesium-6mg, Iron-0,4mg, Sodium-1mg

1 100g of lemon embodies:Vitamin A-2mg, Vitamin B1-0,02mg, Vitamin B2-0,01mgVitamin PP-0,1mg, Vitamin C-31mgCalorific value: 24kcal and 100kj

Lemon club soda - Preparation guide: We can cut the fruit in slices and place the pieces in a glass of water. Instead, one can use lemon juice, mix it with water and stir with a spoonful of sugar.The beverage is meant to be drunk in answer to sickness and febris.

Do you know that:- Any most bountiful serving of food can be washed down from the stomach on the strength of lemon juice.- Husky voice can be rinsed and cured by means of some beetroot juice blended with an ounce of vinegar or lemon.

The source: www.lekmedia.ehost.pl

In Melchior Wańkowicz time “sugar invigorated” pe-ople, now it becomes more and more obvious that

the substance is more than unfavourable. There is another of examples. The scientists of the Georgia Sta-te University in the USA revealed, that fructose, the compound we consume in fairly great share, can da-mage memory.

So far, the fact has been established in trials on rats. None the less the results are distressing enough to

hesitate before we open another can of a beverage. During the experiment, the animals were abundantly fed with the sugar, and as a result were not able to memorise the location so as to win through out of the water pool they were in.

The researchers assume, that it was fructose de-composition products, namely fats down in li-

ver, that perturbed brain learning functions. Fructo-se, consumed before only in form of fresh fruit, now is technologically added to food in massive scale.

Fructose – sweet exposure to memory medical problems

The Source: www.slodkiezycie.pl

C U R R E N T I S S U E Pursue your dream

Since the very childhoodhe or she fan-tasizedofvoyagesviaexotic lands,his

or her vagrancies. Kids of the kind read“ThelifeandadventuresofRobinsonCru-soe”, “The Book of Jungle” or anything,that affords them imaginational journeysto places they have never been to. Thus,theyfollowthevoiceof theirdreams. JustlikeJacekŁuczek,whohappenedtobein-terviewed on an occasion, when he ad-mitted that travelling is his obsession.And, all of a sudden, hehad to acknowl-edgeanotherfact,namelyhisbodysetoffto go up against! Comprehensive exam-inations gave no ground to have doubts.

- You prove diabetes syndrome – adoctor sentenced. A sentence? No, the

diagnosismight changemy life, Jacek ar-rived at the conclusion. At any rate, hewas notwilling to bewaiting his dreamstocometruetheninthefarfutureofretire-ment.Whatdidhedoonemayask?–Eightmonthspassedthedayofthemedicaljudg-mentandhesetoutonasolitarytourtoNe-pal.-Ihadbeenpreparingforhalfayear,trainingingym,seekingadvicefrompeo-plewhoalreadywerethere,readingbooksandushers.All the tripwasorganisedbymemyself, so Imanaged to reach all theaims. By now, he has visited India, Thai-land, Ecuador. At the moment, he planstogotoseeUruguayinalittlewhile.Con-ceivably,Jacekwillalsomeethisambitionto rideAfrica on hismotorcycle. In addi-tion, he professionally occupied himselfwith photography and counselling on di-abetes.He is starved for anewchallenge.

Can it be expectations of all diabetes pa-tients?Cantheynotsetsightsonthisor

another career, thanks towhich theywouldbeabletofulfilthemselves?Ifdiabetesiswell-adjusted and balanced, then it does not foilone’sworkandself-realization.Quitethere-verse.Itcannotbeafoundofdiscriminationinrespectofvocation.Indeed,therearedisci-plinesdiabetes individualscannotaspire inaccordance with law and regulations. Also,theverymedicinedirectivessuggestcounterindications.Nonetheless,thelimitationsandrestraintsdonothavetomean,thatoneistorenounceaprofession.Adiabetespersoncanbeasgood,able-bodiedandcreativeaworkerasanyoneelse,forthediseaseisnotaconcernofmental impairment, is not infectious anddoesnotprompttoturnfirealarmhooterson.

.There are a few brief life-sketch-es of diabetes experienced individu-

als,whohappenedto faceupto thediseaseand stand world-wide known figures as:

Lech Wałęsa-thePresidentofthePolishRe-publicin1990-1995,thelaureateoftheNobelPeacePrizein1983,

Maria Fołtyn -anoperasingerandamotionpicturedirector,

Zbigniew Hołdys -amusicianandavocalist,

Michał Jeliński-aPolishsportsman,anOl-ympianchampioninBeijing,afourfoldworldchampioninmen’squadruplesculling(2005,2006,2007,2009),

Is a diabetes experienced person thought to hide somewhere underground and vegetate there the moment he or she receives the diagnosis?



Dorota Kośmicka-aTVandmovieproduc-er,oneofco-authorsofsuchseriesas:“TheNanny”,“CameraCafé”,or“KasiaiTomek”.In1887shewasselectedan“Elle”Personal-ityoftheYear,inturn2000the“Film”mag-azinerankedherthe12thofmostinfluentialmovieproducers inPoland. She is thefirstonewomantobesohighlyregardedinthemilieu.Atthemoment,sheengagedherselfintoTVPproductions,whichis“Polishemi-grantsinLondon”.,

Andrzej Zaorski-anoutstandingactoranddirector,onewhohappenedtobeourinter-view quest, the dialogue with whom waspublishedonthepagesofthe“DiabetesandHealth”magazine,

Marta Wiśniewska - the famousMandary-na–aPolishdancer,choreographer,actress,dancemusicvocalist,apromoterofculturebygraduation.

Formoreofinstances,thoseamongstworld-famed idols are: Angelina Jolie, Sharon Stone, Elizabeth Taylor,toquoteotherdis-tinguisheddiabetespersonssuchasEdison, Puccini, Hemingway.

Nevertheless,therearelifestoriesofpeo-ple,whomeet theirdrama. Iheardof

a young man, who was taught to be “aninvalid”andthatuseless“tosuitdregsofso-ciety”.Hemadesomestepsandgotholdofjustrightforhimajob,howeverthethentrialperiodwascompleted.Theemployerswerecontentedandofferedhimacontract“foranunspecified time”. The youth declared hewaswell-prepared,hewouldnot letdownetc.Allwhathewastoensurewasamedicalcheck-up...thereatadiabetologicalclinic.Heconsultedadoctorandwasbackatworkbuttofinditoutthatthecontractwasasequalas the litter in the bin. The company own-erspronouncedhimincapable,asifhewasabouttobealorrydriver,seadiver,miner,steelworker,pilot,oraanenginedriverofanelectrictraction,orevena...confectioner!

Iftheoccupationtheyoungwassupposedto handle necessitated more than earnestintellectualconcentration,justasitiscriticalforanairtrafficcontrolofficer,amarksman,orapilotofF16,themedicaladvisoryboardwoulddisqualifyhimasimmediatelyasitispossible.Ifthepersonsinchargeconcluded,thatthetermsofemploymentwerespecifical-lydemanding, theycouldaskcertificates toascertainthefact,whetherthecandidatesuf-feredhypoglycaemiahewasnotawareof,ornot.Nothingofthekind!.

Thereisanotherstoryinordertoillustratetheproblem.Arepresentativeofaquite

knowninsurancecompanybeguiledhispo-tentialclientswithsensationallyattractiveof-fersof lifepolicies,whichweretopairmin-imal contributions with maximal profits,namelyheleanedtopromisethemearthandmoon.And,therewasanoccasion,whenhewastocloseasalewithafamily,butthenthefather of the relations spoke it out, that ad-mittedlyheisdiabetestype2diagnosed,butitisnotplague,choleraorthisorthatberib-eri.Thiswasthemomenttheagentwasreso-lutetoloseanyofhisenthusiasm,swepthisadvertisingbrochuresandtookleavefarlessthangentlemanly.Whatwasrevealedoutofthesecircularswastheminuteprintedanno-tation, thatdiabetesmatchedthesamecate-goryasplague.Certainly,thismarginalnotewasmeanttobetinyintype,soasaninsuredpersonwas bound to fail to notice it,whatprompted charging rather than recovering.Whoisitofustoattachtoaninsurance,thatrenders one to be paying an indemnity in-steadofreceivingincomes?.

Is it a degree of discrimination? Yes, in100%!Apartfromthelimitationsimposedonprofessionsadiabeticmayopt for, thereshouldbeoptionsheorsheisfreetodecideon–claimsdrZofiaRuprechtfromtheEndo-crinologyandDiabetologyClinicoftheCol-legiumMedicumintheToruńNicolausCo-pernicus University. The doctor, a diabetesrelatedconsultant,sherecommendsthesevo-cations,which aremore of headwork char-




acter, thanphysical effort inquestion.Di-abetespatientshavenoalternative,but tocompromiseownpreferenceswiththeirre-sponsibility of sugar screening. Then, theworkplaceisthoughttoprovidethespacesoasoneisabletoself-examinebloodsug-ar intensities, feel uninhibited to conductinsulin injectionsorhave anecessarybiteof food.Also, apersonwhowouldbe anassistanceincaseofaserioushypoglycae-miaemergencyisveryimportanteither.Itissensibletosounditoutwithawould-besupervisor(someteaseothersthatthebestsituationiswhentheverybossisadiabetespersonhimself).

Ifatallpossible,theworkinghoursaread-visedtobehardandfast,itiswhatexactssugar control more reliable. Then again,shiftwork or flexible hours is not an un-acceptablechoice,butmorearduousinre-spectoftimeorganisation.Isitdoabletoac-commodate diabetes treatment and in-be-tweenmealswithworkinghours?Onecanturn to a personal doctor,who should becompetentenoughtoprescribeinsulincus-tomizedtothelifeoneleads.Forinstance,insulin analogues and analogue combina-tionsmightbeanansweragainstclassicalinsulinmedicines,forthefacttheyareeven-ly liberated throughout all day long. Theanalogues resist and counteract hypogly-caemia episodes, that is seriouslydanger-ousbloodglucosedowngrades.Theseana-loguemedicamentsrelievequalityoflifeastheyallowtobeabletoreducedailyfoodintakes.Thedrugsperformshortpeak,soconcentration of analogue insulin quick-lynarrowstobasicreading,andaddition-almealsandsnackscanbeforgotten.Nowthen,breaksatworkareresolved.Further-more,analoguesarehandyindeed,theyab-sorbatonceandcanbeinjectedstraightbe-foreameal(thereisnotarequisiteof30-45minuteswaitingfromthepointofinjectiontothestart-upofeating).

.Theconclusionisthatdiabetespatientsarecapabletobeworkingmanyanin-

fluentialprofession.Regrettably, it isvery

oftendifficultforthemtofindapostiftheyare not educated and experienced. Otherthanthat,thosewhoalreadyworkarecon-stantly worried because of themyths, thatthediseaseisthoughttobethecauseofab-senteeism and low labour effectiveness.Whereas, the study show, thatwell-adjust-eddiabetesconditiontranslatesintoefficien-cyandappositeattendance,whatmightbeexplainedon thebaseofdiscipline thedis-easeexacts.

Scientificresearchesprove,thatitisabout20% of insulin-dependent individuals,

who conceal thedisease.They refuse tobediscriminated,aswellastheyaimtoreceivepromotions.However,thereistheothersideof the coin. Suppose, an accident at workhappensontheweightof losingone’scon-sciousness,forinstanceonefallsdownfromaroof,thentheemployeeandemployerareboth subjected to penal consequences. It isthereasonwhytheemployershouldknow,thatheorsheprovidesworkforadiabetic.

Itisworthwhiletomention,thatthePolishDiabetology Association have elaboratedrelevantdocumentationonprofessionalac-tivity.Theyassumed, thatdiabetesstrickenshouldnotbeshownprejudiceinthissocialarea, even if there are some of professionscontraindicatedtodiabetics.All inall,eachonecaseought tobeconsidered individualandbeadapted.Itisabsolutelyintolerabletotreatunfairlyandseparatediabetespersonsatanyrate.

There is a few industrial tribunals, thathavedeliveredprecedential judgements

protectingdisabled, forexampleasentenceordering a company to reinstate and pro-moteacomputerscientistandsoftwareen-gineer,whosuffered...post-accidentparesisofhipjoint.

Janusz Niczyporowicz

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

Lyrically, healthily and thoughtfully

T herewasanaffluenceofpassioninformofanartisticdessert(unsurprisingly“served”beforethedinner–since

ithasbeenthisfiddlytraditionofours)performedbyaresi-dentactorAndrzejPetelski.Themusician,accompaniedbyapianistRomualdKozakiewicz,sangsomeballadsofLeonardCohen,eachoneofwhichwasabriefexemplarystoryonfe-elings,humandimensionsthatdonotaffordeasyorhappylife,nonethelessimportant.Itisnowonder,thatPetelskimo-vedbythelyricswasnotanyeagertoattend“cookingpots”,whereasitwasthesubsequentroleappointedtohim.

Cooking on stage

T hankfully, the food preparationwas headed by the undi-sputedmistressofourregionalartofcuisine–ArletaŻynel.

Tomention it, she ranaprominent restaurant “Arsenal” todeve-lopthatcompetenttobethepersoninchargeoftheEuropeanTra-deofChiefsnow.AssoonasduringtherecitalofAndrzejPetelski,shewassprightlyenoughtostiradishhereorseasonitthere.Thiswasthewayshemanagedthefirstcoursesmoothlyanddiscreetly.

T hefoodwashomely,penny-wise,saveforpalatableandhealthfulinone.ThemomentPetelskihascomple-

tedhisrepertoirehewasrequestedtoachieveachoreofwhippingeggwhite.Hewasfortunatetobeprovidedwithablender,sohecouldhandleitfairlyeffortlessly.Thefrothwasintendedtomakeplumpancakewith.Asexpected,thepieswerefriedbythechiefincommandArletaŻynel..

Not just niceties

I heideaofThursdayDinnersatDiabetics’isnotonlyenter-tainmentandsharinggoodfoodinamiableatmosphere.The

principalpointofourget-togethersiseducationalservice,namelylecturesonhealthproblemsdiabetespersonschallengeinevery-daylife.Onceagain,thesyndromeofdiabetesfootwasacentraltheme, introducedby IzabellaPiotrowska, theChairmanof thePolishPodiatryAssociation,soas toenablediabetespatients tounderstandthissofarunfamiliardisciplineofbothmedicineandcosmetology.

Doma

T heholidaytimehaspassedandourreopeningThursdayDinneratDiabetics’wasfrequentedasusualbyateemingcircleofguests.Therewerenewfacestocongregatewith.Forthefirsttime,wecouldhostanofficialdel-

egationofdiabeticsfromHajnówka.

For the first time, we could host an official delegation of diabetics from Hajnówka

Andrzej Petelski accompanied by Romuald Kozakiewicz served us the artistic dessert

Izabella Piotrowska, the Chairman of the Polish Podiatry Association, explaining what adequate foot nursing is

Dariusz Król, the ZEPTER Manager for the Region and Andrzej Petelski heartened

by the mistress of our regional art of cuisine.


14

Attitudes

In August 2008, the American Association of Diabetology Educa-tors have published the report on diabetes therapies based on in-jections. The source of the data was a survey, that provided stati-stics of 502 insulin-dependent diabetes persons and 301 doctors who attend this group of patients, among whom there were 101 general practitioners, 100 endocrinologists and 100 diabetes con-

sultants who promote knowledge of the disease.

Onethird(33%)of insulin-dependentpatientsareafraidoftheinjections.

Forty seven percent (47%) of diabetes pa-tients,whosetherapiesaredependentonin-sulininjections,wouldbemorewillingtoap-ply thehormone systematically if therewasanagentavailableinthemarketthatcouldal-leviatepainanddiscomforttheinfusionsen-gender.

Eightythreepercent(83%)ofpatientstreatedwith insulin injectionswould like to reducethedailynumberofthehormonejabstheyarenecessitatedtodo.

The source: www.slodkiezycie.pl

to pricking

D I A B E T E S D I C T I O N A R Y




Diabetes foot prophylaxis

Itexasperatestosomeextent,thatpolishmedicpublicationsrecommendpreventiveandcoun-teractmeasuresagainstdiabetesfoot,whereasdonotofferactualguidancehowpatientsaretoma-nageit.Infact,thoseinneedcannotexpectquali-fiedassistancetillthemomenttheirfeetnecessi-tatemedicalattentioninemergencydepartments.Thediabetesexperiencedadmitit,thatthespecia-listsareratherunwillingtoscrutinisetheirbodyunderneath.

Admittedly,prophylaxisofdiabetes foot condi-

tionisadvocated,butaddres-sedtopeople instillgoodashape, while the share ofpersons,who already sufferfromangiopathyandneuro-pathy,arenotprovidedwithany expertise. And, whatdoes actually foot nursingstand for? It is treatments,that prevent, reduce or de-ferdiabeteshealthcomplica-tions..

Itisthisverygapbetweenintuitionaltendingoffeetandbasic requisite ofmedi-calapproachwhichgavegroundtotheprofessionofapodiatricphysician.Suchapersonisaclinic,who contributes knowledge and competence toprophylaxisofpathologies,thatariseintheareaoffeet.Thepurposeitservesisdeliberaterecon-struction,recoveryandsafeguardingofphysiolo-gicalfunctionsofskinandnails.Diabetesindivi-dualsoughttoreceiveorderlyspecialistcareeve-

ry 4-6 weeks conformably to degenerativechanges.

Sofar,theprofessionhasnotbeeninstitu-tedinPolandyet.Itisoneofthereasons

whythePolishPodiatryAssociationwasfo-und.Theprincipalambitionoftheorganiza-tionisbroadeningofpeopleawarenessandcultureofdiabetesfoottreatment.

Sincethere isbarelyanexpert inthefieldanyonewhohasbeendiagnosedwithdia-

betesiswell-advisedforone’sowngoodtofa-miliarise oneself with the medical facts andclueswetrytointroduceyouwithinthisar-ticle.


Lesson 1 Derma of feet – everyday nursing

Theskinofthefeetistheouterlayerthatsa-feguardsinternalbodystructuresagainst

environmentalweightofdynamics.Ithastobeelasticinformtofunctionasitshould.Thena-turalsourcethataddstoepidermissupplenessis sebumproduced in sebaceous glands thatare located adjacent to hair follicles. Becausetheplantar skinof the feetdoesnotembodyeitherthefolliclesortheglandsitisthereforemoreexposedtodrynessandlossofplasticityinone.Deficiencyofsebumweakensdefencemechanismsandleadstofrequentskinsplitsandinjuries.

Otherofskindamagingfactorsarebonedeformitiesandabnormalitiesofmusc-

lesandligaments.Theseareones,thateffectmalpositionoffeetduringwalking.Thebodymass,theninmovement, iscarriedbyotherthanphysiologicallyintendedorgans.Inturn,it affects the defence system and engendershyperkeratoticpapules,namelycornificationtherewherefeetismostpressurised.Altoge-ther, blood circulatory and lymphaticdisor-dersmaybepartofthesyndrome..

Forthereasonthatallthecomplaintsmen-tionedabovetendtofeaturediabetesfoot

pooled, it isvery important toobserveanychangesandnursefeetconditiononadailybasis.

What should diabetes patients know?

Moisturisingskinoffeetdaybydayiswhathelps tomaintain itsflexibility.

Themoreelasticitisthemoreloadsitendu-reswithoutanycracks.Inoppositiontothecounsellingpublishedvaseline isnot suita-bletotreatfeetdryness.Whenspreadontheskinitcoatsitinverythickfilmwhatham-persperspiration.Then,theepidermisdepo-sitsofuselesswateraffect itscells.Applingvaselinesoonerorlatercausesdehydration.

Effective moisturising preparations arethose that comprise urea for instance.

It isoneofactivebioagents, that stimulateandupholdmoisture intissues.Also, iten-hancesregenerativeskinfunctionincreasingits exfoliationwhatpreventsagainst ruptu-res.Inaddition,itrelievesitchingsensationanddoesnotpromptallergyforitisnatural-lyinnatesubstanceskinproducesitself.Mo-



reover,onthestrengthoftinymoleculesitcanpenetrateandsoftenevencoarsecorns.

The intensity of urea iswhatwe have totakeintoconsideration.5-10%concentra-

tionisoptimaltoanyone.Inturn,strengthof15%affordskeratolyticeffects(emollientones).Wedocautionagainsthigherureapotencies.

Thecosmeticsmeantforfeetshouldbeap-plied there except the interdigital areas.

Theseareplaces,wheremoistureisprivileged,then extramoisturemay lead to athlete foot(mycosis).Powdersandtalcappearfairlyprac-ticalinthisinstance,howevertheyclumpand

roll,whatmightbedisturbing for sensitiveandclosetighttoes.Hence,itisbettertoem-ploydisinfectingagentsonoils,forexampleteatreelubricates.

Lesson 2 Hyperkeratosis – ignored

malefactor

The keratodermia term stands for fo-calovergrowthofhornyepidermislay-

er.Asitwasalreadypointedout,itdevelopsfromdistortfeetpositionduringpacing.Thebodymassgravitationiscopedbynotuptoit or-g a n s .T h e ntheskintriggersdefencemecha-n i sm sin formof cru-de, per-c e p t i -ble,yel-lowishc o r n s .Inmostc a s e s ,it takesplace on instep and toes’ sides,what oftenis related to transversely fallenarches. It iswhatwecallcallus.Typicallocationsarealsosidepartof thefifth toeanddorsalpartoftheothers.Itcomestopassalongsidesocal-ledhammertoes,wherethedeformedinter-phalangeal jointsare liable toabrasionandcornification.Anotherfeetspotisheels,whatmoreoftenthannotsetsoffdowntounsuita-bleshoesandinappropriatenursing.Tosumitup,anotheroflocationsmightbenailrid-ges thathappen tobe irritatedbyplatesofnails.

TThemost frequentmistake is toremo-ve corns in invasive amanner. Losing

“protectivelayer”skinstartstoproducestill


moreof it andworsens it furtheron.The layersinexcessoverlaponeanotherwhatgenerateshardrigidcornification.Toconcludeitallhyperkerato-sisisnotonlycosmeticaproblem.

Thequestionwhetherwe remove corns ade-quatelyorinsurplustorequirementscanbe

satisfiedjustinfrontofparticularcases.Therefo-re,itisbetternottobedoingthissingle-handedly.Especially,whenwearetousesharptools,suchasrazors.Invasivenessinthepracticeendswithpainandstinginginexacerbatedcornificationprocess.

The best of alternatives is to turn and trusta podiatric surgeon who will be compe-

tent enough toextract callusskin and willexplain howtomanageitathome.

What should the diabetes concerned know?

Cardiovascular complexities that linkupwithdiabetesmellitusrenderbloodcirculationandim-muneresponsiveness impaired,particularly the-

reinfeet.Thentheskinbecomesdrieranddrierbecause so undernourished.Defence reactionsareprejudicedwhatmayresultinchronicinfec-tionsandwounds.

Cornsonsuchweakenedandthinskinareverydangerous, especiallywhen soft tis-

suesunderneatharepressurised.Haemorrhagehavetheireffectandpromptulceration.

Interventions of corn removing should beexacted every 4 or 6 weeks depending onskincondition.Inanycaseandevent,diabetespatientsneedtonursetheir feetsystematicallyandmindfully.


Izabella Piotrowska - prezes Polskiego Stowarzyszenia Podologicznego, właściciel Satin SGK

Konsultacje: Katarzyna Rozmysłowicz - specjalista podolog Satin SGK




CARBOHYDRATES and diabetes oriented DIET

BiIn respect of particle structure carbohydrates are classified as follows:

• simple sugars (monosaccharides), among which fructose, galactose, mannose, fructose• complex carbohydrates: oligosaccharides, among those saccharose, lactose, maltose• polysaccharides, among which starch, glycogen, cellulose, inulin, dextrin.

seconcentrationinbloodserumistermedhyperglyca-emia.Glucosecanbederivedfromfruitjuicesorhoneyandisoneofingredientsofbeetsugar,lactose,starchorglycogen.

Fructose(fruitsugar)isconvertedintoglucoseinliverandintestines.Itistobefoundinhoney,fruitjuices,orisknownasacomponentofsaccharose(canesugar).

Sachcarose (glucose + fructose, sucrose), inlargerproportionsistobefoundinsugarcane,beetsu-gar,somefruit(pineapple)andvegetables(e.g.carrot).Saccharosemaybesubjectedtomildlyacidhydroly-setoproducesocalledinvertsugar.Itisafocalingre-dientofartificialhoneyandof50%sugarsembeddedinjams,juicesandconfitures.Deficiencyofsaccharoseenzymethereinintestinesexactsdisordersofsaccha-rose absorption, whatmanifests with flatulence anddiarrhoea.

Carbohydrates, named also sugars, are organic compounds that constitute nutritive share of diet. The composites are to be found in many a product of consumption (mainly vegetable) in form of sim-

ple sugars, disaccharides, starch or inassimilable fibre.

Glucose (grape sugar) is themost essentialofsugars, forwhole host of carbohydrates is absorbeddowninbloodinformofglucoseorisconvertedintoitinliver.Glucoseisabiochemicalelementallothersugarsarecomposedof (glycogen,ribose,galactose).Also,itisanindispensablesourceofenergyintissuesandfoetus.Incaseofdiabetespatients,surplusgluco-

Edyta Adamska, specjalista dietetyk



Lactose(glucose+galactose),acceptedasmilksu-gar,asitistobefoundindairy.Insufficiencyoflactaseen-zymetriggersdisordersoflactoseabsorption,whatmani-festswithdistensionwithgasandpurging..

Maltose(glucose+glucose,maltsugar),ingreaterquantitiesitcanbefoundinmalt(incerealgrain,inbar-leyinparticular),itisemployedinbaby-foodproduction,dieteticfoodmanufacturing,brewingindustry,alcohol-distillingindustry,bakerycommerce.

Polysaccharides zare built out ofhundredsoreven thousandsof simplesugarmole-cules.

Starch staccounts for vegetable reserve mate-rial.Producelikecorncomprises80%ofit,cerealgra-in75%,potatoes20%.Somequantitiescanbefoundinvegetableandnuts.Rawstarchistooheavytobedi-gested,thereforeitmustbethermicallyprocessed(co-oking, roasting etc). Temperature prompts starch todecompose into dextrines that assimilate easier andenclose30moleculesofglucose.Inturn,dextrinesaretobefoundinbread,toasts,cakes.

Glycogensisemergencymaterialanimalsuse.Itisgeneratedchieflyfromglucose,storedinliverandkid-neysinaimtocoverpotentialglucosedeficiencies..

Carbohydrates answer for the central source of ener-gy people expend. All the assimilable carbohydrates are decomposed in the alimentary tract into simple sugars. Digested and absorbed in form of glucose undergo CO2 and H2O oxidising. Glucose penetration via cell membra-ne is supported on the strength of insulin, the hormone secreted in pancreas beta cells. 1 gram of carbohydrates burnt delivers 4 kcal. Either, carbohydrates are necessary agents needed in processes of fat acid oxidation. If the-re is less than 100g daily of them supplied fat acids bre-ak incomplete, what results in intoxication by ketone bo-dies. Just as the saying goes: “fats burn in the fire of car-bohydrates”. Glucose can be spent on current basis or can be amassed as reserves. Human body system stores slight amounts of carbohydrates, on average 350-450g,

what does not stand even 1% of human body we-ight. The reserve resource more often than not ta-kes form of glucagon and is accumulated in liver, muscles, kidneys or in traces in blood serum, whe-reas lasts for merely 12 hours per 2800 cal daily re-quirement.. Glucose is a vital source of energy nervous sys-tem and red blood cells utilize. Brain of an adult in-dividual necessitates about 140g of glucose a day, whereas red blood cells alone 40g. If the demand can not be satisfied then liver releases emergen-cy glucagon (process of glycogenesis). Also, body system is able to synthesise glucose out of pro-teins ( glycogenic aminoacids) and partly by me-ans of fats (glycerol of triglycerides via process of glyconeogenesis). Hence, we can protect proteins supplying satisfactory amounts of carbohydrates and fats. On the other hand, excess of carbohydra-tes consumed is converted into triglycerides that amass in adipose tissue leading to obesity.

Carbohydratesare themosteffortlessandfast-expended“fuel”weuse,whichonefactmeans

thattheyhavepredominanteffectonbloodgluco-sefluctuation.Toadd,typeofcarbohydratesisequ-allyimportantasamountsthathappentobecon-



sumed.Foroptimaldieteticoutcomesdiabetespatientsarethoughttoselectandmonitoreatanddrinktheyde-cideon.Inaimtorenderitpossibletheconceptofcarbo-hydrateexchangeunit(CU)hasbeenestablished.Now,1carbohydrateexchangeunitissuchaportionoffood,thatdelivers10gofassimilablecarbohydrates.Forinstance,1CUis:1sliceofbreadof20g1/3wheatbreadroll1/5wholemealbreadroll

Anyoftheproductsexampledaboveserves10gcar-bohydrates.Thesituationwhenapersonfeelslikea

wholemealbreadrollheorsheneedstorealisethatthepieceis5CU(50gofsugars),whattranslatesinto5slicesofbread..

Thediabetespersonstreatedoninsulin(particular-lydiabetestype1patientswhodonotgeneratein-

sulinatall)requiretobeadaptingdosagesofinsulinproportionallytoCUreceived.

tailedchartsofcarbohydrateexchangeunitsareava-ilableinDiabetologyClinics.

Onemay accept as true, that havingprovided 1sliceofbreador1/3ofbreadrollheorshecan

expectidenticalglucoseupsurges.Itisnotthatstra-ightforward. Different carbohydrates stand diffe-rentrateofabsorption.Consequently,therehasbeenanother classification resolved, namely glycemic in-dex, one thatdetermines tempoof product absorp-

tion in relation toglucoseabsorption.Lowervalueof GI indicates lower past-meal glyceamia. It wasassumed, thatGIof glucose is asmuchasvalueof100.Productsthatprovelessthan50aremeantlowGI, thoseof 50-70 tobe standardGI,while all over70aregradedashighGI.Thepacehowfastapro-ductisabsorbedandcorrelatingtoitGIisdependenton other various factors, such as degree of fruit ri-peness,methodsof foodprocessingemployed,pre-sence and composition of food fibre, cell membra-nedegradation extent (e.g. attributable to cooking).This subjectmatterwas introduced in broaderme-asure in one of previous issues of our magazine,sowe narrowdown examples to those that below:



Product GI Baguette, wheat bread roll 95 ± 15Pumpernickel bread 50 ± 4Potatoes boiled 35 min 88 ± 9Boiled rice 64 ± 7Parboiled rice 47 ± 3Carrot juice 43 ± 3Boiled carrot from 49 ± 2(depending on the time span of cooking) to 92 ± 20Raw carrot 16

Inaccordancewith recommendationsof thePo-lishDiabetologyAssociation(PDA)carbohydra-tes should cover 45-50% of daily energy require-mentsgivendiabetespatientshappentoprove.Forinstance,2000kcaldailyenergyneedought tobefulfilledwith900-1000kcalincarbohydrates.Ifweknow,thatburnt1gcalculatesinto4kcal,thenweunderstandthat900-1000kcalis4kcal=225-250gof

daily carbohydrates, which is some about 22-25 CU(10g=1CU).

ThePDAadvocate it either, that it is supposed tobecarbohydratesoflowglycemicindex(GI<50).Inturn,

simple carbohydrates aremeant to be reduced tomini-mum,eventozeroifpossible.Altogether,suchaconductofdietetic treatmentaffordsbodymassnormalizedandmetabolicadjustmentachievable.

The text and the recipe: Edyta Adamska

Diet specialist


Turkey fillets and mushrooms1½cutalongsideturkeyfillet(ab.100g)Saltandfreshlygroundpepper½spoonfulofoliveoil50gshreddedmushrooms(wildorfarmones)20gchoppedonion1crushedcloveofgarlic1spoonoffreshthymeor¼spoonfulofthedriedherb60mllow-fatmilk½spoonfulofcornflour30mlwhitedrywineApinchofnutmeg½spoonofbreadcrumbsblendedwith½spoonofgratedparmesancheese1spoonfulofcutparsleyFItisadvisedtopoundmeattosquareitto0,5cm.Thenitistimetoseasonitwithsaltandpepper.Innextstepwegrillitintheovenorfryitonagrillpan.Usingapanwestewmushrooms,onionsandgarlictobesoft.Themeatfil-letisnowmeanttobeplacedinabakingtinandcoveredwithmushroomsandherbs.Inaseparatesaucepanwemixmilkandflour,whatistobemetwithwine.Thissauceshouldbeenhancedwithnutmegandslowlyboiledbeingstirredaslongasitturnssyrupy.Thenwecoatthefilletwithmushrooms,restitin180ºChotovenfor30minutestillitstartstobubble.And,inafinishingtouch,wemaysprinklethedishwithsomeofparsley.

Calorificvalue:around190kcalProtein:26gCarbohydrates:7gFat:5gSaturatedfatacids:2gSodium:0,1g



Dobroczynne działanie kropli Gorzów Wlkp. 04.10.2007 TODA Heart of Gold

O tym jak wspaniale działają krople Toda Heart of Gold przekonałam się na sobie samej i mojej rodzinie. Jako farmaceutka pracująca w zielarstwie od przeszło 15 lat zawsze wierzyłam w dobroczynne działanie ziół i ich wyciągów na organizm człowieka. Ale szczególnie przekonałam się sama na sobie, gdy miałam tzw. stopę miażdżycową i groziła mi amputa-

cja nogi. Towarzyszyła temu schorzeniu arytmia serca - miałam nadciśnienie tętnicze, chorobę wieńcową serca, zapa-lenie żył głębokich lewej nogi, nawracający wysięk do stawu kolanowego oraz zawał mięśnia sercowego. Mając cho-rą stopę na tle miażdżycowym byłam przez 3 miesiące na lekach przeciwbólowych. Dojście do przystanku MPK(300 me-trów) było dla mnie dużym problemem. Zastosowanie w/w kropli i równoczesne picie oryginalnej chińskiej czerwonej herbaty(2 litry dziennie) spowodowało wielką ulgę już po 7 dniach, a po 14 ból ustąpił całkowicie i bezpowrot-nie. Mogę chodzić na wysokim obcasie i wykonywać pracę stojącą - pracuję nadal mając 68 lat. Zapalenie żył głębo-kich, płyn w stawie kolanowym, oraz problemy sercowe ustąpiły całkowicie, a ciśnienie wróciło do normy. Czuję się zupełnie zdrowa, krople biorę nadal już drugi rok, ale w dawce profilaktycznej.

Krople Heart of Gold zostały zastosowane u mojego kuzyna, który od 20 lat cierpiał na łuszczycę i jest po ope-racji na BYPASS. Po dwóch miesiącach stosowania łuszczyca ustąpiła. Miejsca po chorobie zagoiły się. Ciśnienie wyrównało się, praca serca się polepszyła. Przed braniem kropli nie mógł zupełnie chodzić. Teraz normalnie odbywa długie wędrówki, prowadzi samochód. Krople te nadal kuzyn bierze.

Syn cierpiał na bezsenność - nie pomagały żadne leki. Nie sypiał całymi nocami, był na skraju wyczerpania nerwowego. Ponadto odporność całego organizmu zmalała - częste przeziębienia, anginy. Po 3 dniach przyjmo-wania kropli wrócił sen, praca serca zaczęła się wyrównywać, odporność wzrosła. Krople te syn bierze nadal.

Preparat firmy Toda zastosowała również sąsiadka, której puchły nogi i cierpiała na zapalenie żył i stawów, ustawiczne bóle głowy i nadciśnienie tętnicze. Chodzenie było dla niej wielkim problemem. Po 7 dniach stosowania objawy cho-robowe zaczęły ustępować, a po 3 miesiącach lekarz prowadzący odstawił wszystkie leki, które dotąd stosowała.

Z całego serca dziękuję panu Tadeuszowi Miszczakowi i doktorowi Markowi Pawlusowi za pomoc w odzyskaniu zdrowia mojego i w/w osób.

mgr farm. Bogusława Bednarek Cukrzyca a Zdrowie 25


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

R E A D E R S P A G E S A

letter

to ed

itoria

l tea

m It was quite a while before I realized what a disease diabetes is. Well, I did know how de-

ceitful it is, that it necessitates self-discipline, that it exacts one’s lifestyle revolutionized, whe-ther it is culinary preferences or leisure first cho-ices. Nonetheless, it was somewhere there but beyond me. The moment I heard my colleague is a diabetic I learned one more truth that the ail-ment is not written on the face or body.

And, it was then when I happened to receive an issue of your magazine. I studied the pa-

ges. Now, I am a regular reader and have fami-liarised with the knowledge you offer. I under-stand, that diabetes is a plague scale syndrome, that we all need to be particular about diet and lead active life as much as it is possible. Certain-ly, it can not be achieved effortlessly, it calls for perseverance and will-power. This is the reason why I am fulfilled with regards towards those diabetes patients who manage self-examination and self-discipline.

W hat I am most concerned about at the pre-sent is the conduct of my co-worker – he

does not screen blood sugar intensities, does not take medicines, has not adjusted eating patterns so far. I did attempt to talk with him, but in vain. None the less, I still encourage him and suggest reading the “Diabetes and Health”. Per-haps, he will arrive at the conclusion, that it is more than rewarding to live diabetes for long quality years. The essential idea is to develop a command of the disease. Whereas mature moti-vation is the first instance to start with.

Kasia

The author of the letter has been awarded by the Editorial TeamWith a set of FARMONA natural beauty cosmetics

Dear Editorial TeamSOME WORDS OF ADVICE

TO THOSE DIABETICS WHO PERFORM WINTER SPORTS

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SOME WORDS OF ADVICE TO THOSE DIABETICS WHO PERFORM WINTER SPORTS


• Frequent sugar screening managed in precise a manner is most impor tant of principles. It is the way to monitor blood sugar intensities so as to be apt to adjust insulin pump measures.

• There is necessity to prepare a reserve of carbohydrates that will match BE (grape sugar) and “sport” BE, as the latter of which should relieve physical effort.

• Naturally, winter time is the season of snow and ice. It is the reason why one ought to carry one’s pomp secure on the body. There is many a place we can rest it on.

• It is recommended to use soft containers, it can not be hard plastic packaging with a snap fastener for example.

• We have to be aware that the pump frame might be the cause of serio us injuries in case one trips on the run.

• Likewise, glucometer device is not low temperatures proof. This why we need to keep it warm close to body, but easy available.

• Blood sugar should be tested away from cold and wind, not there on the slope.

• Reduced serving of insulin is supposed to remain for a few hours past a tour. Suppose, one has plans to spend the evening dancing and ha ving alcohol, then it is sensible to continue downgrading insulin doses.

The Source: Diabetes Live

29

PYTANIA KONKURSOWE 1. Wymiennik węglowodanowy określa ilość:

a) węglowodanów b) kalorii c) glukozy we krwi 2. Indeks glikemiczny określa: a) ilość wchłanianych węglowodanów b) tempo wchłaniania węglowodanów c) ciśnienie tętnicze krwi 3. Ładunek glikemiczny określa: a) obecność i skład błonnika pokarmowego b) stopień rozdrobnienia produktu c) tempo oraz ilość wchłanianych węglowodanów

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

NAZWISKO ..............................................................................................................................................................................................................................................

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

C O M P E T I T O NProgram Edukacyjny „Świadomy Diabetyk”

Drukujemy już drugi kupon konkursowy w Programie Edukacyjnym „Świadomy Diabetyk” i wciąż serdecznie zachęcamy Państwa do wspólnej przygody – tak jak w poprzednim numerze Państwo

zapoznają się z poniżej zamieszczonym materiałem edukacyjnym, wytną umieszczony poniżej kupon konkursowy, odpowiedzą na znajdujące się na nim pytania, dotyczące zagadnień poruszanych w artykule,

uzupełnią swoje dane i wyślą do nas na adres:

Redakcja „Cukrzyca a Zdrowie”,ul. Warszawska 2315-062 Białystok

Z dopiskiem „KONKURS”

Za poprawnie udzielone odpowiedzi my wyślemy na podany przez Państwa adres glukometr DIAGOMAT firmy DIAGNOSIS Sp. z o.o. Wśród Uczestników, którzy nadeślą odpowiedzi na pytania zawarte w 3 kolejnych

wydaniach magazynu medycznego „Cukrzyca a Zdrowie” rozlosujemy 3 aparaty do pomiaru ciśnienia krwi marki AND, model 631.

W materiale edukacyjnym tym razem zajmujemy się zagadnieniem diety – uznając, że w szerokim znaczeniu słowo samokontrola dla diabetyka oznacza również przestrzeganie odpowiedniej diety, przekazujemy Państwu

raz jeszcze najważniejsze kwestie w tym zakresie, wciąż wierząc, że 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.

Wyłącznym sponsorem naszego programu edukacyjnego jest firma DIAGNOSIS Sp. z o. o.

SERDECZNIE ZAPRASZAMY DO UDZIAŁU !!!

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Skrócony Regulamin Programu Edukacyjnego

„Świadomy Diabetyk”• Regulamin Programu Edukacyjnego „Świadomy Diabetyk” zwany w dalszej części „Regulaminem” określa warunki, zasady uczestnictwa oraz nagrody w Programie Edukacyjnym „Świadomy Diabetyk”, zwanym dalej w treści Regulaminu „Programem”.

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

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

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

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C O M P E T I T O N

Diet glycemic index and dietary glycemic load

Diet is an essential feature in diabetes treatments. Observing dietetic recommen-dations, active with pharmacotherapy, promotes metabolic levelling. In conclu-sion, understanding of recommended guides furthers adequate changes in diet. We differentiate food into 3 leading nutritive groups. Namely: proteins, fats and carbohydrates. Undoubtedly, carbohydrates - the colloquial sugars - render stra-tegic impacts on glucose in blood. For many years, we relied on this categoriza-tion, that carbohydrates divide into Monosaccharides – simple ones, and Poly-saccharides – compound ones, what goes in accordance with their chemical struc-tures. Glucose and fructose (which may mainly be found in honey and fruit) be-long to the simple carbohydrates. In turn, the compound carbohydrates share two next subgroups: disaccharides ( among them lactose „milk sugar” and sac-charose – „table sugar”, which is constituted of glucose and fructose we use in everyday life) and polysaccharides (for instance starch, which we can find in

potatoes and cereals). Another category of carbohydrates is their adoptiveness - starch and fructose are those, that get assimilated, but dietary fibre does not. For blood glucose intensity stays in close relation to carbohydra-tes, sugars to be exact, diabetes diet must be strictly controlled in this respect, both in quality and in quantum.

Skrócony Regulamin Programu Edukacyjnego

„Świadomy Diabetyk”• Regulamin Programu Edukacyjnego „Świadomy Diabetyk” zwany w dalszej części „Regulaminem” określa warunki, zasady uczestnictwa oraz nagrody w Programie Edukacyjnym „Świadomy Diabetyk”, zwanym dalej w treści Regulaminu „Programem”.

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

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

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

Soastobeabletoprescribequantityofcarbohydra-tes,thetermcarbohydrateexchangeunit(UE)was

established.1UEissuchanamountofaproduct,thatembodies10nutritivecarbohydrates.Toillustrateit,1sliceofbreadis1UE,thatmeansitcontains10sugars,1/3ofwheatrollisalso1CU,sothewholerollis3CU(30gofcarbohydrates),1/5ofmixcerealroll isagain1CU,thenthewholemixbreadrollisupto5CU(50gofcarbohydrates!!!!).Howevertheseyears,weconcen-tratemoreoncarbohydrateeffectsonglycaemialevels.Nowtosay,carbohydratescanbedigestedandassimi-latedatvarioustempos.Someofthemgetabsorbedsorapidly,thattheyengenderrampantlevelsofsugarsinblood,otheronesgetassimilatedmoreslowlyandforthisfactglycaemialevelswillbeincreasinggraduallyiiiiiIiiiiiiiiiiiin consequence,anewclassificationofcarbohydrateswasborn,thatisglycemicindex(GI),onethatdefineswhatatempoofabsorbingis.Hence,carbohydratepro-ductshavebeendividedinto3groups:-OfhighGI>70,socalledgallopingcarbohydrates;-OfaverageGI=55-70,calledmarchingcarbohydrates;-OflowGI<55,calledcrawlingcarbohydrates.

Ithasbeenaccepted,thatglucoseisIG100.WheatrollisIG95,soinconclusionitgetsabsorbedasfastas

pureglucose.IGofcookedcarrotisagreed45-90,car-rotjuicearound40,butrawcarrotisjustas16-30.So,whatdoesarisefromthedifferences?Weneedtoun-derstand,thatthereisalotofdynamics,thatinfluen-ceIG:•Quantityandclassisofcarbohydrates•Degreeoffruitripeness•Methodsoffoodprocessing•Mealseatenbeforeaproductconsumption;amealoflowIGmaycauselesserglucoseupsurgethatonethatfollowsthenextmeal,socalledthesecondmealeffect.• Presence and composition of dietary fibre; its frac-tionsthatcandissolveinwater(onesderivedfromle-

guminousplants,fruit,vegetable,barleyoroat)genera-tegelsinalimentarytract,whichfunctionlikephysicalbarrierretardingdigestingenzymes;thenon-solublefi-brefractions(mainlycelluloseandlignin)havescarcebearingonstomachemptyingandarenotrecognizedtoinfluencedigestionandabsorbingofcarbohydrates;thereforehighfibredietdoesnothavetobelowIGone.•Degreeofproductfragmentation,itslooseningandcellwalls’structuresdegradation,e.g.asaresultoftem-peraturepowerthatdirectstheproducttodigestingen-zymes; for instancestarchswellsduringcookingandthismakesiteasiertobemanagedbyenzymes.•Companyofotherdifferentnutritive ingredients inthe product; proteins, fats, organic acids, pectin, tan-ninsandphyticacids,allcurbdigestingofstarch.

Tosumup,vegetablesandfruitarebuiltofcells.Inthe courseof cookingand temperature cellmem-

branes turn damaged, what prompts digesting qu-icker and fastens absorbing. The longerwe cook themoreruinwecauseinthemembranes.Thereforecar-rotstandsthedisparitiesinGI’s.Ifwecooklongerandlonger theGIwill be amplifying.The rule applies toany cookedproducts. Likewise, pasta shouldbepre-paredaldente(semi-hard).Agoodfashionofmakingfoodissteam-cooking.Membranesofready-made ju-icesaremechanicallybroken.So,ifproductsdonotre-quireboiling,weoughttoopt itrawtoforceourbo-dies“towork”,beforecarbohydratesaredigestedandabsorbed. Similarly,wepractise rice.Highlypurifiedorflakes’ typeswillbeassimilated faster thanbrownrice,whichislessprocessed.GIofwheatbreadis70-95,whenwholegrainorryebreadonly56.Glycemicindexalsobehavesaccordinglytotheripenessoffruit,morematurearedigestedeasier.Afullygrownbanana(yel-low)canapproximatetoGI70,whileagreenone52..


C O M P E T I T O N


C O M P E T I T O Ngarsinbloodwhatmightappearcorrecttooursurpri-se,whatinturnwemisinterpretitweareallowedtoeattheproducts.Inthesecircumstances,duetosora-pidanabsorption(sohighGI),itisunusuallydifficulttocaptureglycaemiaby“doityourself”method,andaltogetherthecarbohydratese.g.wheatrollonesmightbegonealready.Thequestionishowfarhadglucosereachedearlieron?

Weneedtopaytheattention,thatconsumingpro-ductsofhigh IGmaybring theoutcomeof an

“after meal” hypoglycaemia. Principally among theinsulin-dependent. It is when insulin-reception pe-aks(after1,5–2hoursamongusersoffast-proceedingstructuralanalogs),butallcontentsofalimentarycanalhadbeenabsorbedbefore.Fordiabetesoftype2,themomentwhentheirinsulinreleasingisstillon,thesi-tuationmaybecomparable,itiswhentheverypancre-as,asif“provoked”byrapidglucosegrowthinbloodliberatestoomuchofinsulin.

Doesitnothappenthathypoglycaemiastartsstra-ightaftermeal?Itmaycallforanassociationwhat

the thenGIwas?Or the otherway round – 2hoursaftermeal the glycaemia level is normal, whereas itexceedsthenormbeforenextonemealinstead.Itmi-ghthavebeentoolowanGI,but incompanyofcar-bohydratesvolume,doesthiscombinationprovethatglucosewill grow slow yet high for a longer periodoftime?Havewenotignoredtheglycemicloadaga-in?Brochuresandthecharts,thatdeterminecarbohy-drates’contentsperproducts(withthetablesofcarbo-hydrates’analogs)areavailableinalmostalldiabetesoutposts.Theyimprovealsotoprovidepublicationsonglycemicindexandloadoffoodproducts.Moreover,attimeswemanagetointroducecompletedishesandcoursesmenuswiththeirglycemicindexandloadcha-racteristics.IfweareincommandofGIandCU,theninsimplewaywecanmeasureGL.Abitmorecomplica-tedisglycemicindexidentification,whenwemeetse-veralproductsinonemeal(becauseaproductoflowGLmaymakeanotherproductabsorptionslower,thatisoneGLmaychangeanotherGLininteraction,thatiswhendigestedtogether).Withnohesitation,Idoenco-

Glycemicindexspecifiesjustthetempoofabsorption,doesnotidentifyamounts.Itisnotaperfectindicator.

Exempligratia,glycaemiaindexofchocolateisaround43,whereasitdoesnotmeanweshouldbeeagertoeatit,asforitcarriesampleofsugars.ThelowGIinthiscaseisju-stifiedbypresenceoffats,thatslackenthequicknessofab-sorption.Aconclusionwecandrawisthatchocolateisnotafriendofhypoglycaemia,whichisthesituationwhenwehavetoelevatebloodglucosethesoonestasitispossible.Inordertobecapabletoprecisebloodglucoseincreasingevenbetter,anothertermhasbeenoriginated,namelygly-cemicload(GL).Itassessesboththerapidityofabsorbingandamountsofcarbohydrates.Wecancalculateitusingtheformulagiven:

Whynottohaveatryandfindouttheglycemicloadofsomeproducts,whatismeanttoservetoexemplifydifferentwaysofglucoseboost.Watermelontobegin.ItsIGis72.Forthisreasoncarbohy-dratesgetabsorbedswiftly.However,a100gwatermelonportionismerely8gofcarbohydrates.WatermelonGL=(72x8):100=5,76.WatermelonGLcomesto5,76.Whatdoesitstandfor?Carbohydrateswillgetassimilatedquic-kly,butthelevelofglucoseinbloodwillnotrisehighforthatcontainofcarbohydrates.Now, banana, supposewepick some 200g banana, notmuchripened.BananaGL=(52x40):100=20,80Weshallanalyzeit.TheIGislow,yetitstands40gofcar-bohydrates,stilltheywillbeabsorbedquiteslowly,againglucosewillsustainfairlylongerthankstothecar-bohydrates.Wheatrollasthenextoneexample.WheatrollGL=(95x30):100=28,50.Howhighwillbetheglucoseupgrowth?Weknowweareatdisposeof30gofcarbohydrateswhichmustgetassimilatedasifpureglucose(IG95),sothelevelofglucoseshouldgrowfastandhigh(formuchofcarbo-hydratesubstance).After2hourslateronwecontrolsu-

urageforavisitatdietetician’s,whoistosatisfysafelyyourparticularquestions.

Inappreciationtomanyascientistworkfromallovertheworld,wecanfamiliarizehowcertainproductsinfluenceglucoseactivity,wecanunderstandfurther-moreour24-hourglycemicprofileanditsvariations.

The table: Values of IG and GL (glycemic index and glycemic load) of gi-ven products based on international IG and GL tables: 2002(Foster-Po-well K., Holt S.H.A., Brand-Miller J.)

C O M P E T I T O N

S O M E T H I G A B O U T H E A L T H


Grown-up persons stand “good”brownfatthateffectsburningofca-

lories.Sofar,ithasbeennewbornbabiesandchildrenassumedtoaffordthetis-sue–USAscientistsinformonthepagesof“TheNewEnglandJournal”.Thefin-dingmayappeartobeusefultochallen-geobesityanddiabetestype2therapies.

Apart from common preferences tohave it lesswe need fat as it con-

trolsdistributionofenergyandregula-tebodytemperature.Therearetwodif-ferentcategoriesofadiposefat,bothofwhichareofdifferentnature.The“bad”one,whiteincolour,functionsasaener-gystore,wheareasthegoodone,browncoloured,performsburningof caloriesandbodytemperatureadjusting.

To this point, researchers have cla-imed,thatadultpeopledonothave

much of adipose tissue. However, thescholarsoftheJoslinDiabetologyCen-tre at Harvard University havemana-gedtoascertainitthatadultshavealsosomeresourcesandwhatismorethere-serveisactive.

Otilo Obesity is a critical medicalproblem diabetes type 2 patients

face. Hence, the authors of the studycase encourage to attempt to stimula-tethebrownfatinordertorelievebodyweightandmetabolismofglucose.“Wehavediscovered that these fatdepositsdependnotonlyonage,butalsoonglu-cosefluctuationanddegreeofobesity”–

AaronCypesstheheadoftheinvestiga-tionexplains.

Obesityisacriticalmedicalproblemdiabetestype2patientsface.Hen-

ce, the authors of the study case enco-uragetoattempttostimulatethebrownfat inordertorelievebodyweightandmetabolism of glucose. “We have di-scoveredthatthesefatdepositsdepend

Slender adults prove to stand favourable fat

notonlyonage,butalsoon glucose fluctuationand degree of obesi-ty” –AaronCypess theheadoftheinvestigationexplains.

By means of advan-ced imagining tech-

niques the scientists de-termined that the “good” fat accumulates round the neck. They confir-med the fact, that youn-ger persons have it more

and its metabolic activity is more in-tense during cold weather, it is natural-ly when one has to burn some calories to warm up body. Furthermore, adult

people who are slender and prove adequate gluco-se metabolism afford the fat in greater volume. .

The source: www.Onet.pl


VACCINATIONS AGAINST

SEASONAL INFLUENZA

ThispercentageofPolishpopulationwhodoinocu-lateisnegligibleinpointfact.Evenpersonsfromthegroupoftheriskdonotgreatly.ItisthereasonwhytheFederationofHealthCareEmployers“Porozu-mienieZielonogórskie”isagreeabletopromotetheideaofimmunizationwithinthecampaign“Introdu-ceyourselfwithgoodhabits”..

Dr.HannaCzajka, a doctor ofVoivodship Children HospitalofSpecialCare inCracow,shereiterated it, that twelve-mon-thlyvaccinatingagainstgrippeunmistakably reduces preva-lence of serious complicationsandincidenceofdeceaseinthegroupoftherisk..

Sheemphasized,thattherouti-neshouldbeyearonyearregu-lar,forfluvirusestendtotrans-mutegenetically.Hence,vacci-nescallforeveryyearadjustmentsinrespectofthegenechemicalstructures.

Accordingtothedoctor,allthreevaccinesavailableon themarket are composedof the same identicalstrainsandbyimplicationareequallyeffective.

Inoculating is supposed to takeplaceat thebegin-ningofaseason,whereasanymomentintimecanbeacceptedonconditionthatitcomestopassinaimofprophylaxis–drCzajkaexplains.Shereferredtoit,

thatinourclimatefluratesaretolaunchinDecem-berandincreaseuptoMarch-April.Ithasbeenestimated,that1milliardpeopleacquireinfluenzayearinyear,amongofwhom3-5millionliveitthroughacutely,toaddthattheshareof3oo-500thousandpassawayoutofit.

Thelethalimpactofinfluenzaisincreasingforthefactoursocie-tiesareaging.Growinginageisoneoftheriskfactorsasitinvo-lves chronic diseases more fre-quent–drCzajkastressed..

Amongthecomplicationsfluen-genders are: precarious infec-tionsofrespiratorysystemwhatmay lead to pneumonia, bloodcirculationdisorders,centralne-rvoussystemmedicalproblems,reinsandlivermalfunctions.

InlinewithrecommendationsofWorldHealthOr-ganisation(WHO)andothermedicalorganisationsworldwideitispersonswhoreachedageof50,wo-men,whoplan tobecomepregnantorarealreadyexpecting a child in the course of unsafe months,chronicdiseasepatients,communityhomeresidentsandhealthcarepersonnel,whoisthoughttoreceiveimmunesystemenhancingvaccines.

Dr.Czajkaclarified, thatseasonalvaccinedoesnotsavefromharmofswineinfluenzaAH1N1.“Forthe

Seasonal flu vaccines are addressed particularly to the group of the highest risk, namely those individuals whose immune system is understandably exposed, that is the elderly and patients who suffer chronic diseases like cardiovascular disorders, pneumonic complaints or diabetes mellitus - it was the position

of the doctors on a press conference in Warsaw.


timebeingweneedtorecoursetodecentbodyhygie-ne,forinstanceguardingmouthwhilesneezingorco-ughing,refrainingoneselffromgoingoutdoorswhilesickandill,etc.Nonetheless,therearesomeprospects,thataresourcefulpandemicvaccinewillenterthemar-ketthisyear”.

In opinion of dr. Joanna Chorostowska-WynimkofromtheInstituteofTuberculosisandLungDiseases,patients,whoundergochroniclungdiseases,suchasbronchial asthma, chronicobstructivepulmonarydi-seaseorcysticfibrosis,arefarmorevulnerabletocom-plicationsfluengenders.Therefore,WHO,variousme-dicalassociationsandthePolishSocietyofLungDise-asedPatientsencouragethisgroupofpeopletovacci-nateonaregularbasis.

Auspiciously, the elderly has been observed to re-spondtothesevaccinesinmorethan70%reductionofthehealthrisktheyrunintermsofincidenceandmor-talityrates..

Regrettably,inPolandstatisticsshow,thatit is6,5%ofasthmaticswhotaketheirdutyofinjections,where-asinEuropeitcomesto62%”–oneofspecialistswastodisapprove.While, she assert it, that it ispatientswhoareingoodshape,whosemedicalconditionhasbeenachievedinfairlygoodbalanceonthestrengthofpharmaceuticalsupportandexpertconsultations,thatcanmeetvaccinationtreatments..

Adiabetologistinturn,prof.WaldemarKarnafelfromtheMedicineUniversityinWarsawstated,thatthedia-betesexperiencedaremoresusceptibletofluvirusin-fectionanddeceasethanthosehealthful.“Thereasonbehinditisthefactthatdiabetesstrickenhavetheirna-turaldefencesimpairedandtheycannotcounteracttoanyofmicrobes”.


Someofstudiesconfirmed,thatincaseofdiabetespa-tientstheriskoffluincidenceishigherin117%compa-redtohealthypeople,whiletheirriskofdeceasein90%correspondingly.Asaresult,thePolishDiabetologyAs-sociationadviseparentstoinoculatetheirchildrenstra-ightsinceageof6,asfarasfamilylinerunstheriskofdiabetesmellitus.

Hemadeapointofquotingfigures,itis2millionpeopleinPolandwhosufferfromdiabetesplus4millionwhoarepredisposedandalreadyshowsomemanifestationsofthesyndrome.

Insequence,expertsfromtheEuropeanCardiologySo-cietyandequallyfromPolishCardiologySocietycoun-sel,thatpersonswhoexperiencedacoronaryattack,tho-sewhoundergocoronaryarterydisease,orotherchro-niccardiacfailures,oughttoreceiveregularvaccineme-dication,drAndrzejCiszewskicited..

Inhispointofview,itisanunquestionablethatacutefluinfectionmayexacerbateinflammationofvessels,whatmightrenderatheroscleroticplaquerupturedandeffectitinmyocardialinfraction..

Succinctly,inoculatingagainstinfluenzasafeguardscar-dio-hospitalizedpatientsfromheartinfractionsandpo-tentiallossoflife.

The source: www.Onet.pl


Alfabet pamiętnikaWynurzamsięzmorza,nieba.Przewracambłękitnąkartę„Pamiętnika”.

Słońcegaśniewciepłychbarwachliści.Wpopieleiwoskuduszyczaskreśliswójinicjał.Myśliłamiąsięnibygałęziewognisku.Niczymdymsnujesięniepokój.Przenikadokrwi,wypełniaprzestrzeń,zasnuwajejfor-myiprzeobrażajewmojewłasne.Przemijaniezrumieniłoobliczezielonościinaglepowlekłobladością.Wprzy-mrużonychprzedwiatremoczach,zeszklonychniemalźrenicachżyciaczuwalęk.Kolejnyrazniejestemnanie-gogotowa...Promieńspojrzeniajestbiałądrogąwsen.Niezasnęjednak,ponieważbędęmusiałasięwybudzać.Znowu.Wyjdęnatędrogęiuczynięmałykrok.Ujrzę,jakzalśniąkamienie.Zdobędęwyrazistośćspojrzeniabodrogasamawsobiejestznaczeniem,sensemicelem.Skłonięsiępojedendrobnykamykirzucęgo.Nadprze-paściązabrzmiecho,odbiteodnieznanejmiobecności,wzdłużodległejdrogi.Niewiedzącjakąsiłąiwiarąpój-dędalejizbrakuoddechupoczuję,iżznajdujęsięnawytycznejswejświadomościinieświadomości,symulacjiotwartościświata,torzesłonecznegopromienia,którymniedotyka,mąwiarąwcudwschoduitchnieniemtę-sknoty,snu,wktórychżyjęiporuszamsięwprzeciwnądojawystronę.Mojadrogajestwplecionawarteriężył.Jestwłaściwatylkodlamnieiprzeztoważna.Aprzecieżopadamniefrustracjaiżal,refleksjąoprzemijalności,bezpowrotności. „Pamiętniku”–niktnieznajejlepiejodciebieiniktniejestwierniejszyjejwymowie.Scalaszmniezniąwsobietak,żeszukampomocy.Wszakmojadrogatrwadziwnympatosemizwykłością.Niemożeszmipomócprzyjacielu,ajednak...zobaczyłampustąstronę.Podniosłamznadciebiewzrokibyłoniebonademną–niesamo-wite,rozległe.Nietracąceanikropli,cząstkizsiebie. Sypnęłyzniebabiałepłatki:kwiatów,śniegu,sypałycorazgęściej.Amożetobyłyanioły?Światznikł,nastałacisza–wewnętrzna,prawdziwa.Nikogoniebyło,cobyjązmąciłswąprzeciwnąnaturą,wzbudziłmójniepokój.Wpełnymchaosuinieszczęściaświecietobyłoprawiejakszczęście.Kwiatykwitłyjesz-czeniedawno.Znowucośsięskończyło.Radośćsplotłasięzrefleksjąijużjejnieczuję.„Pamiętniku”-przyjacieluipowierniku–zdrzeważyciaspadłkolejnyliśćipozostałwtyle.Przemijanie,odchodzenie-sąniczymzmierz-chanie,zaciemnienie,cień,jakzgaszenieświatła.Wystarczyjednakświatłapromień,blasksłońca,płomieńświe-cy...iwduszyogieńwiarywsens,arodzisięuśmiech,cojaksoczewkaskupiamnóstwomaleńkichradości.Po-jawiająsięnagle,niewiadomoskądidlaczego,niczymzłoto-srebrnewrzecionasplatającezesobąprzeszłość,te-raźniejszośćiprzyszłość,odnajdującdrogędoswychpoczątków.Iprzemijaniewcudzieprzeistoczeniazyskujeswójpowód,przywracatrwałośćbliskości.Wmirażachprawdynicnieożywa,cobynieodchodziłowdrgnieniuwszechrzeczy.Wszystko,conaświecie,zeświatazmieniasię,niknie. Życiechoregoczłowiekatakżemija,mętniejewświecielecziponiekądobokniego.Światbowiemobracasięwokółosiwłasnychkryteriówzdobywania,posiadania,przyswajaniaiprzyspieszenia.Bywawszakżechro-niczniewręczzmęczonyiwprzesileniachodpoczywawtym,oczymzapominalubudaje,żenieistnieje.Tymczymśjestpięknoodpowiedzialnościzaczyjąśnadziejęipoczucieprzynależności,wolężyciapodprąd,tood-najdywanieprzyjemnościiodpoczywaniepośródcierpienia,bóluilękuchoroby,todeterminacjauzdatniającadotworzenia–uśmiechem,wzruszeniem,nadzieją–odcieni,tonów,poziomówziemi.Wzwyciężaniusamegosiebietkwidopełnieniedoskonałościąkropli–pucharuzwinem.Wtedychorobajestmiałkimpomnikiemnico-ściipatosu. Nieto jestzwycięskie,conaświeciezwyciężaleczto,cozwyciężaświat. Niemająctunic,moimjestwszystko,czegopragnę.Niewidzialnośćwiększaiważniejszamożesięstawaćpoprzezniezbywalnośćpozna-nia.Waranżacjiwyobraźniitęsknoty.Włożyłammiędzykarty„ŚwiętejKsięgi”czerwonyliść.Umieszczamtęczerwonąkartkę„Pamiętnika”pomiędzyprzodemityłemtwardejokładki.Kończętłoczonenaniejwtle„P”milczeniem.

Autor : Okrena

Ż Y C I E Z C U K R Z Y C Ą


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

Medicine of Romans Initially,Romanmedicinewasstrictlyinterrelatedwithreligion.ThereontheQuirinalHillwasashrineerec-tedinworshipofDeaSalus,thegoddesswhostooddo-miniontoallothersinrespectofdiseasesandhealing.Themost importantof them tobequotedareFebris,thegoddessgifted toheal fever,Uterine thegoddessexceptionalincuringgynaecologiccomplaints,orLuci-nadeityguardingchildbirthssafe.PlinytheElderwro-te,thatprehistoricRomedidnotseemedics,whereasmedicineassuchexisted.Thecharacterofthesearcha-icmedicalpracticeswasgatheredfromprescriptionsof

Cato theElder,whotaught to treatbonedislocationswiththespellhuanthanathuatistapistasistadomiabodamnaustria,orwoundswithshreddedcabbage.In 293 B.C., there was a delirious plague to spread,whichonthebaseofLibriSibylliniwasansweredinacultofAsclepius,calledalsoAescul.Sincethenon,histemplehasbeenestablishedontheislandofTiberRiver.PThefirstonedoctor,whohappenedtoreachRomein219B.C.wasacertainArchagatos,onewhowasofGre-eceparentage.Atthestart,heenjoyedrecognition,butlaterontheappreciationdevaluedasaresultofthera-dicalmethodsheused. In themeanwhile,numberofGreekpractitionersinRomegrowsandgrowsonthestrengthofRomanexpansionthereintheEasternba-sinofMediterraneanSea.Someshareofthemfindthe-irwayinItalia,howeverasslavesalready.Still,someof them are fortunate enough to gain their freedombackandacquirecivilrights.TheCato,mentionedabo-

ve,wasonewhoattemptedtochallengethewaveofGreeksfloodingRomanlands.And,hisendeavo-ursweigheddownscienceofmedicineinRomeforawhile.Then,100yearspassedfromthetimewhenArchagatos broke the ground ofmedical routinesanotherfamousnewcomerappearsinthecapitalofLazio.ItisAsclepiadesofBithynia.Thisedified,so-ciallysophisticated,skilledinrhetoricalartmanwonRomansthankstohistemperateapproach.Forin-stance,hewasagainstbloodletting.HisinsightintomentalconditionofRomanspromptedhimtoem-ploysimple,rationalmodusoperandi.HewasfartoconformtothehumoralismofHippocrates.Conver-sely,hereliedontheatomistictheoryofDemocritusfromAbdera.Inhisownwayhedecidedonprag-maticandindividuallinewithpatients.Hetrustedthattherapiesshouldbetheleastburdensomepar-tiescanachieve.Dietcompositionsheofferedcorre-spondedtopreferenceshispatientsproved.Hene-verprescribedvomitingorpurgativeagents.Whatherecommendedinsteadwaswine,rest,massagesormusic.Inalastwordonhisbiographyonecanbeinterestedinisthefact,thathedidnotarriveatRomeasadoctor.Hewasateacherofrhetoric,ho-weverhewasnotmuchsuccessfulintheprofessionandmedical art became thiswhat he devoted to.Onemore figure,who asserted a noteworthy po-sition in the history of Roman medicine was

AulusCorneliusCelsus.Hewas the author of anencyclopaedicopus,themedicinalsectionofwhichregrettably has not survived at large. In his oeu-

History of medicine facts part 4



vrehefulfilsanapproachconsistentwithHippocra-ticschool,whathemanagedtoenrichwiththesisofAlexandrianandIndianscholars.Thework iscom-posedofthreevolumes,thattreatondietetics,phar-maceuticsandsurgery.There,Celsusvoiceshiscri-ticism towards empirics, who tend to applymedi-cines toanyailmentonanyanoccasion,aswellastowardsmethoditians,whodirectpatientsnomorethan eating regimes and physical exercising.Whatheunderstood as groundspromptingdiseaseswasclimate and environment, age, andbodyandmindcondition. Advocating Hippocrates he recommen-ded:moderationinphysicalexercises,frequentbre-aks incountryside,restraint fromsexualendeavourandalcoholself-indulgence,controllingbodyweight.

ThemostfamousRomandoctorwasGalen(130-200).JustlikeallintroducedinthisarticlehewasaGreek.Hewasborn inPergamon,wherehe receivededu-cationinmedicineasadiscipline.Then,hecontinu-ededificationinSmyrna,Corinth,Alexandria.Here-turnedtohishometownandattendedgladiatorsforacoupleofyears.From161bythetimehedied(exc-ludingtheperiodof166-169)helivedinRome,itiswherehemetmanyapersonage tobecomeofspe-cialconcerntocaesareancourt.Hehappenedtowit-nesseventsofgreat importancethetimedatedthe-re,suchasmassiveplaguecarriedbythearmyofLu-ciusVerus from the East, battles andwarsMarcusAureliusconductedoverMarcomanniorwarfareforthronethattookplaceafterdeathofhissonCommo-dus which was conquested by Septimius Severus..

Theknowledgehepossessedheconcludedincopio-usworks.Amonghisseveralpursuits the favouritewereanatomyandphysiology.Inthisfieldheachie-

vedtodistinguishveinsfromaortas,andmanagedtogivedescriptionsofcraniumnervesandcardiacva-lve.FortheRomanlawforbidnecropsyonhumanshehandledtodetermineitonanimals.

Inconsequence,RomanmedicineisanalogoustotheGreek.InviewofthefacthowmuchRomansadaptedformtheheritageofHellasitshouldnottakebysur-prise.Nonetheless,therewassomeinnovativeinde-pendent influences Romanmedicine stands. It wasthem to institutemobile army surgical hospitals, toinventsomeofsanitarydevices,ortofoundlegisla-tionofmedical educationandpracticeofmedicine.

The advancement of the hospitals cited above waswhatfollowedstrongerandstrongerexpansionoftheEmpire.Atthethresholdoftheancientwarsthebat-tlescametopassrelativelyclosebyRome,sotheca-sualtiesweretransportedstraighttothenearbycapi-tal. However, dominating foreign landsmeant thatsoldiers had to proceed further on away from Ita-liaanditiswhentheproblemofnursingthewoun-ded transpired. Those hospitals, called in Latin va-letudinarian, provided not only rooms where 2 or5 injuredpersonscouldbeaccommodated,butalsoa patio, bathing facilities and areas for personnel.

The advancement of the hospitals cited above waswhatfollowedstrongerandstrongerexpansionoftheEmpire.Atthethresholdoftheancientwarsthebat-tlescametopassrelativelyclosebyRome,sotheca-sualtiesweretransportedstraighttothenearbycapi-tal. However, dominating foreign landsmeant thatsoldiers had to proceed further on away from Ita-liaanditiswhentheproblemofnursingthewoun-ded transpired. Those hospitals, called in Latin va-



letudinarian, provided not only rooms where 2 or5 injuredpersonscouldbeaccommodated,butalsoa patio, bathing facilities and areas for personnel.

The ancient doctors were sumptuously bestowedwithprivileges,civillibertiesofwhichwerelawregu-lated.GaiusJuliusCaesargrantedittoallforeignerswhoattendedillandsickinRome.In10ourera,GaiusJuliusCaesarAugustusexempteddoctorsfrompay-ingtaxes.Inturnin117ofourera,Hadrianabsolvedmedicsfrommilitaryserviceandotherpublicobliga-tions.Alltheseavailsattractedmoreandmoreperso-nalitiestoearnmedicinaleducationandbecomedo-ctors.Nevertheless,itwasmirroredindevaluationofartofmedicinepractitionersexecuted.Thesituationnecessitatednew lawand regulations toamend thethenstatusquo.ThesuccessorofHadrian,theempe-rorAntoninusPius,hequalifiedlegislativeimmuni-tiesdoctorshadtheirrightto,whatwasinaimtoeventhesharingofphysiciansonallsidesofthecountry.In193-211ourera,SeptimiusSeveruslaunchedalaw,thatalegallicencewasrequiredtobeabletobeintheprofession.Oneofhissuccessors,AlexanderSeverus(222-235)made communal lyceum facilities officiallypermitted,authorizedsalariesteachersreceived,andapprovedallowancesforallpoorerstudents.Withindecadesandagesthesystemofmedicaleducationbe-camemore andmore standardised.Apart from themedicswhoworkedonone’saccounttherewasfac-tionofpublicpractitioners,whowereprovidedwithmunicipal fully-equipped accommodation and wa-ges.Hence, the latterwereobliged to serve anyonewhohappenedtobe inneedfreeofcharge.Asone

canpresume,emperorandhiscourt,aswellastherichestoftheland,affordedtheprosperitytohavepersonaldo-ctors andnurses. In the lateyearsof the imperialismanewmovement inmedicineprevailed. ItdevelopedonthestrengthofChristianityandoriginatedinmonasteries.Thebeliefwastodiscardmedicinaltomesaspaganandconvertpracticeandpeopletodemoticdispositioninformofexorcismandprayer.Infact,themedicinethenwaspe-culiar to the atmosphereof forth comingMiddleAges.

Marcin SzachowiczCompiled on:

De la magia primitive a la medicina / Ruy Pérez Tamayo – 1997History of Medicine edited by Tadeusz Brzeziński - 2000

Glossary of Egyptian civilisation / Guy Rachet – 1994Glossary of Greek civilisation / Guy Rachet – 1998

Photo: Gallery


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No drink no 55 kg body weight

A certain lorry driver fromWaleslost nearly 55 kilograms the mo-menthestoppeddrinkingCoca-Co-la.The33yearsoldwasuptocon-sume5two-litrebottlesdailyofthissweetfizzybeverage,whattransla-tes into26tincans.Thedayheco-uldnotfitinXXXXLanymorewas

whenhedecided

to revolutionize his eating habitsand reached his body mass 93 kg

within8months..

Bacon-flavoured sweet bar NTheretailmarketofGreatBri-

tainhasbeenintroducedwithcho-colate bars tasting of ...bacon. No-twithstanding the fact, that bothchocolate and bacon are found tobe delicacies each one of the kindno one before challenged the ideatocombinemilkychocolatewithba-conandsaltandmerchandiseit.ThesnacknamedMo’sBaconBarishi-ghlypopular,sohighlythattheste-eppriceof5,99£apiecewasnotanyroadblock in the Selfridges chainshopswhereallthestockhappenedtobesoldasreadilyasin48hours.

Egg

Risky tummy

WProtrudingstomachisasdan-gerousasmayleadtoprematurede-athevenincaseofpeoplewhoarenot underweight. This argumentaimstoshow,thatthefataccumula-tingroundthewaistcanaffectone-’s longevity. There was a researchstudy inorder toexamine350 tho-usandEuropeans, results ofwhichprove,thatfemaleswhowere100cmingirthweretwofoldtimesmoreindanger of precipitate decease thanthosewhohadtheirmiddleasslimas 65cm. Respectively, males hap-penedtobear itout inproportionsof120and80cm.Theauthorsofthetrialpublishedtheoutcomesonthepages of the “New England Jour-nalofMedicine”,wheretheyexpla-in, that abdomen excessive adipo-se tissuemayprompt such serious

diseases as cancer or car-diovascular disorders downto harmful hormones andother substances it releases..

The third circle

SHappiness, just as obesity orsmoking, is a collective experien-cesharedbywayofsocialbonds–Americanscientistsdeclare.Thefin-ding is reported byNicholasChri-stakisandJamesFowler.Theyoffertheevidenceofasurvey,thataffordsdata of 4700 individuals. The le-adingquestionwashowfardepen-dentonrelationshipswell-beingis.Whattheytookintoaccountwasfa-mily,marriage,neighbourhoodandfriendship. It turnedout, thathap-pypeoplethesameasunhappyper-sonsformcharacteristicgroups(clu-sters),onesthataredistinctivelygre-

ater, than those that takeplaceperchance.Theinvestigatorsobserved,thatheorshewhoprovestobehap-pygenerallyhasapredominantpo-sitionamongothersanddoeshavemanyhappyfriends.Whatismore,the sense of happiness extends tomeet the third link inagivenrela-tionship,whichispersons,whoarefriendsoffriendsthatarefriendsofhis/her friends. Fowler describedthisphenomenonas anair ofhap-pinessthatfansoutfrompersontoperson.–Inword,whatwewitnessis all-in-one emotional urge, Chri-stakissays.Themoretherearehap-pypeoplearoundusthemorelike-lyitisthatweourselvesmaybeco-meashappyas theyare.Thepro-babilityisestimatedto9%.Inturn,beingunhappyisfairlylessinfecti-vewhatwasfiguredoutas7%odds.Thehappiestofhappiestarethose,

who stand most numerous so-cial relationships – any of compa-nionable,marital, neighbourly anddefinitely familial. – Each oneper-

of Columbus


Nicholas Christakis

soncontributestothetotalpotentialofhappiness–Christakisconcludes.

The right-eared

Thebestpartofpeoplepreferstoli-stenwiththerightearandismorewilling to fulfil a request ifwe di-rectittotherighthearingorgan,nottheleftone–Italianscientistshaveconfirmed.Thenewswaspublishedin“Naturwissenschaften”.DrLucaTommasiandDanieleMarzolifromtheChietiGabrielUniversityinItalyscrutinizedcasesofold timers thatfrequentednoisynight clubs.They

carriedout3researchstudies.In the course of the first one, 286club goers were observed conver-singnexttoloudmusicinbackgro-und. The 72% of subjectswere fo-undouttotendtoreceiveoralmes-sagesandmelodieswiththeirright

ear.Inthesecondapproachitwasare-presentative group of 160 club en-thusiastsduringwhichinvestigatorsdrewneartothemmutteringsome-thingobscurelywaitingfortheirre-actions. Thereafter, they asked theexaminedforcigarettes.Altogether,

58% proved re-ception with therightear,whereas42% with the leftone. The resear-chersnotedit,thatonlywomenwereunswervinginbe-haviourandexer-cisedtherightearfor all time. The-rewasnocorrela-tion between thefactwhichoneearwas exposed to arequest and thenumber of ciga-rettesobtained.

Throughout thethirdtrialon176clubfollowersin-vestigators deliberately decidedwhicheartospeaktoandaskforci-garettes.Thetacticontherightoneappeared more rewarding. In linewith theauthors, the rightearandtheleftbrainsemi-sphereplaycru-cial role in verbal communication,andall in all both semi-semi-sphe-resevidentlydrivesuchattitudesassocialisingordetachment.Thesefe-aturesweresubstantiatedintestson

animals.

Artificial hormone reduces body mass

SExpertsof the IndianaUniver-sity have achieved outstanding re-sults in scientific research aiminginventionofnewgenerationdrugs,onesthatcouldpromptlossofbodyweight.Intestsonmice,theyexac-tedanimalsslimmerasmuchas in33% and bare of fat tissue in 63%.IntheviewoftheevidencetheBri-tish journal “Daily Mail” made itpublic: “Finally, humankind willbe ready to challenge this socialand medical problem obesity is”.

The base of the medicament isan artificial hormone, that has ca-pacitytoregulateglucoseassimila-tionthereinlifeorganisms.Theexe-cutiveoftheresearch,prof.RichardDiMarchi stated, that the hormo-ne affords full-scale body reaction,which renders and stabilises one-’snaturalweight.Sofar,ithasbeenascertainedonanimalsonly,howe-veritisplannedtoemployvolunte-erstoproveitrightinhumans.Allthemore,thatmolecularmodellingworks have transpired promising.

The root of obesity is in the head

JThelatesttestsofDNAstructu-res reveal the fact, that inclinationtowardsovereatingandgainingwe-ightmaydevelopfrommentalpre-disposition, when not necessarilyoutofmetabolicimbalance.Scienti-stshavediscoveredsixgenesrelatedtooverweight,fiveofwhichareac-tivenowherebutinbrain.Thebre-akthroughseemstobepromisinginrespect of obesity treatments. The-rapiesthenaremeanttobefocusednotonphysiologicalneedsforfoodbutonpatternsofeating.Therese-archersexamined90thousandindi-vidualsanalysingtheirgeneticma-


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terialscrutinisingallmutationspo-ssible.Theresultsof the testswereconfronted with bodymass index.Thetechniqueallowedtoisolatesixgeneticvariantsthatexactslightbutdecisive gains in weight. The per-sons who proved all six of themwereinthemain1,5–2kgheavierthat people of average body size.

The five variants referred invo-lvegeneswhichareactive there inbrain areas. Then, it might implythatoverweightmayhavebeenco-dedinchromosomessincetheveryconception. By 2007 none of inter-relations between genes and over-weight were concluded. However,

inourday,anybearingsofthekindwe have managed to uncover mayhaveaneffectonbrain functioning.

It has been approximated, that40to70percentofbodymassinsta-bilitiesdonot follow frombehavio-ural stimulus but from genes. No-twithstanding the fact, that the solegenes thathasbeen identified tobepromptingweightgainingweretho-se which actuate body physiology,likethegenethatcodesleptinsatietyhormone,one thatanswers for con-sumptionandexpenditureofenergy.

The most up-to-date findingsthrows some light on other geneswhich engender minute but influ-ential dispositions to gaining we-

ight, what additionally maybe aggravated by high caloriemeals and alcohol altogether.

Thereareinstances,whenmu-tations of active genes inhypo-thalamusafforddramaticweightgaining to theextentofobesity.

In accordance toWorld He-alth Organisation estimations400millionpeopleindevelopedcountriesanddevelopingnationssuffer fromclinicalobesity.Thegreaterpartofthemrunstheriskofdiabetestype2.Inopinionofprof.MarkMcCarthythescienti-ficdiscoveriesmaycontributetotreatmentsofotherdysfunctionsbasedongenetictransmutations.

J . N .


A journey to

the capital of cardoon

There are multifarious agricultural events classified ads of which one is encoura-ged to find in the press. The happenings

are staged in aim to crown a season of cultiva-tion as well as intended to achieve regional mar-keting publicity. A given village or town finds it an occasion to celebrate preferred fruit or vege-table crops whereas it is a decent way to pro-mote rural community or township. In view of re-sourcefulness organisers happen to afford initiati-ves like All-Poland Strawberry Days in Korycin or Cucumber Day in Kruszewo offer amusement of competitions and complimentary food tasting. Na-turally, feasting like this is not a distinctiveness of our voivodship or country only. It is more and more popular round the four corners of the world being tourist attraction and sharing local colours.

One of such places is Spanish Benicarló. This relatively small town of 26 thousand inhabi-tants was established at the seaside of Medi-

terranean Sae in the province of Castellón which spa-ce belongs to Valencia autonomous community. Whi-le the primary trace of human beings there dates the first millennium of our era the commencement of city life should be sought in the settlement Beni-Gazlún, where Berber tribes called Gazlún found their haven after the Muslim conquest. The moment the community were bestowed Carta Puebla by king Jaime I (1236) it renamed into Benicarló..

Just as the entire strand of Valencia, the gro-unds of Benicarló benefit from gentle weather conditions. For instance, at the turn of 19th cen-

tury the main source of income the town generated

was wine production. The export of the Vino Carlón then amounted to 17 million of litres yearly. It was certainly good cause for the nation to be rejoicing, but sadly the period of prosperity came to an end the time when fitch spread the lands. This greenfly pest of vineyards, passed on from the eastern parts of the United States, devastated harvests in all Europe from sixties of 19th century. This was when farming of grapevine utterly declined. Fortunately, it appeared she-er true, that wine is not the only asset the town had. Since then it has been cardoon to be their reputation.

RoThe plant, actually its lineage, for today cardoon ge-nus did not existed then, in all probability origina-ted from Egypt or Northern Africa. The contemporary


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name was derived from an Arabic al-karshüf. Ancient Romans and Greeks called it cynar, which was the name of a girl Zeus captured and transmogrified into this plant. It was the reason why people believed it to be an aph-rodisiac..

As one may expect, it is not the focal benefit cardoon affords. Numerous acti-ve substances comprised in the leaves,

among which cinnarizine as one of most valu-

able, provide with impressive record of nutritious qualities. For example, the vegetable exacts bilige-nic and cholagogic responses in the body system what involves relaxing of gall bladder and urinary tracks. Also, cardoon serves protective basis for the liver organ. Equally important is its cholesterol-reducing function as vital it is how its polyphenolic compounds resist anti-oxidation of free radicals.

The esculent portion of cardoons supplies with 10 carbohydrates. To say, inulin is one that is more essential than others. Intermediate products of its metabolism relieve peristalsis of inte-stines and foster assimilation of minerals plus it stimulates potency of bacterial flora. For the

reason digestion of inulin does not prompt relevant upsurges of glucose and insulin in blood cardo-

ons are recommended as an element of diabetes diet.

PocThe rise of cardoon cultiva-tion in the lands of Benicarló is considered to come to pass

in 13rd century, which was the era of Muslim supremacy. Whereas, the mass-scale production of the vegeta-ble was launched in forties at the turn of 20th century. In the course of time cardoon has become the propeller of the economy. As the “Alcachofa de Benicarló” it has been a regional pro-

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bly long queues that line up for it, so this public affair ne-cessitates a great deal of cultivators to meet the demand.

Catering demonstrations of culinary recipes is another attraction one can acquaint with.

And, what we may suggest as a sample is::

Salmon filled with cardoon paste

The components: 1,5kg of fresh salmon 1kg of artichoke thistle hearts (receptacles) 1 piece of onion 2 tomatoes 2 cloves of garlic 4 eggs liter of cream parsley, olive, salt, pepperThe fish is thought be cleansed and cut open. Then, we remove the spine. In next move, we cut onion, tomatoes, garlic, parsley together with cardoon what we fry on olive oil. Afterwards, we grate the who-le blend, mix it with eggs and cream, season it and the dish should be ready in 10 minutes while frying. The paste completed is meant to serve stuffing inside the meat of salmon and be cooked 20 minutes in temperature of 160ºC.

Bon appetite! Marcin Szachowicz

duct endorsed by the UE law under Protected Designation of Origin. Nonetheless, cardoon is not trade and indu-stry characteristic only for it is one of the features the there cultural identity stands. How deeply it has beco-me entrenched in the way of life is epitomized in the city crest. Enquiring about this “official” role of cardoon we need to retreat to the 18th century. In those days the castle Peńiscola and the immediate environs, including Beni-carló, were ruled by the grand master of the Knights Templar Berenguer de Cardona. Of course, the coat-of-arms represented cardoni, one of artichoke species. It is how historians rationalize the image of the city heraldic sign.

Every year, in January or February, Benicarló hosts Fiesta de Alcachofa. The feast is planned to be abound with fun and games, but also anticipated to stand professional guidance on farming or healthy food and li-festyle. The opening of the ceremony is introduced with the artichoke dedicated cuisine anyone is free to

have a taste of. The dish “Torrá” , that is grilled cardoon, has been one customarily dearly preferred. It is incredi-

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WOLNE RODNIKIWykazano eksperymentalnie, że wolne rodniki mogą być zarówno pierwotnymi czynnikami prowokującymi rozwój cukrzycy, jak i czynnikami wtórnymi, pogarszającymi przebieg cukrzycy i wywołującymi jej powikłania. Do walki z wolnymi rodnikami

nasz organizm wykorzystuje antyoksydanty – substancje zdolne wychwytywać i neutralizować wolne rodniki.

Żywa woda (zjonizowana woda zasadowa) jest wielofunkcyjnym antyoksydantem. Z jednej strony jest ona zdolna do działania jako antyoksydant, a z drugiej – wielokrotnie zwiększać działanie antyoksydantów enzymatycznych

i nieenzymatycznych takich jak witamina C oraz flawonoidy.

PRZECIWDZIAŁANIE CUKRZYCY ŻYWĄ WODĄ

Chorzy na cukrzycę, zarówno pierwszego, jaki i drugiego typu, przyjmujący, jako dopełnienie do tradycyjnego leczenia żywą wodę z mikroelementami już po kilku dniach podkreślali znaczną poprawę samopoczucia, złagodzenie stanów osłabienia i zwiększenie sprawności. Szczególnie zauważalna była poprawa u chorych z bezwładem rąk i nóg, a także bólami w mięśniach łydek i utrudnieniami przy chodzeniu. Już po 2 tygodniach u chorych takich znikały bóle w nogach i parastezje, mijały nocne skurcze mięśni łydek.

Wpływ picia żywej wody z mikroelementami przez okres 1 miesiąca (obserwacja w trakcie spożywania i do 6 miesięcy po zaprzestaniu spożywania):

1. na zawartość glukozy we krwi u chorych na cukrzycę typu drugiego. Zwykle efekt miesięcznego spożywania jest trwały przez następnych 5-6 miesięcy, potem poziom glukozy we krwi zaczyna powoli wzrastać. Przy początkowych średnich wartościach glukozy 175 mg/dl obserwowaliśmy obniżenie poziomu glukozy we krwi na czczo: po upływie 2 tygodni o 16%, po 5 miesiącach o 13,7%.2. na zawartość glukozy we krwi u chorych na cukrzycę pierwszego typu. Przy wprowadzaniu katolitu w celu wspomagania leczenia chorych na cukrzycę pierwszego typu, przy początkowych średnich wartościach 143,5 mg/dl średnie wartości glukozy obniżały się: po upływie 2 tygodni o 21,4%; 5 miesięcy o 8,1%.3. na wskaźnik glikozowanej hemoglobiny HbA1c u chorych na cukrzycę drugiego typu. Obniżenie glikozowanej hemoglobiny u chorych na cukrzycę drugiego typu: po 2 tygodniach z 9,2 na 8,6% (obniżenie o 0,6%), 5 miesięcy po ukończeniu leczenia do 7,9%. Oznacza to, że u chorych pijących przez 4-6 tygodni żywą wodę z aktywnymi mikroelementami niebezpieczeństwo wystąpienia powikłań obniżało się bardziej niż o połowę.4. na wskaźnik glikozowanej hemoglobiny HbA1c u chorych na cukrzycę typu pierwszego. U chorych obserwowano znaczne obniżenie wskaźnika glikozowanej hemoglobiny we krwi, przy czym obniżenie to osiągało maksymalne wartości po 2 miesiącach od ukończenia wspomagania leczenia: po 2 tygodniach z 7,9 do 7,4%; po 5 miesiącach do 7,0%.5. na obniżenie zapotrzebowania zastępników insuliny u chorych na cukrzycę typu drugiego. Chorzy, którzy przyjmowali w ciągu 4-6 tygodni katolit z aktywowanymi mikroelementami mogli obniżyć swoje zapotrzebowanie na insulinę lub jej analog. Oznacza to, że w wyniku działania żywej wody i aktywnych mikroelementów z jednej strony wzrasta produkcja insuliny, a z drugiej wrażliwość na nią komórekorganizmu. U chorych na cukrzycę obniżało się średnie zapotrzebowanie na insulinę lub jej analogi: po 2 tygodniach do 72%, po 5 miesiącach od zakończenia leczenia do 63%. Wystarczył miesiąc wspomagania leczenia żywą wodą z mikroelementami, by prawie 2 razy zmniejszyć przyjmowanie leków przez okres 5-6 najbliższych miesięcy. Wielu chorych po wypisaniu ze szpitala nabyło JONIZATORY i produkowało żywą wodę w domu – po prostu żywą wodę, bez dodawania do niej mikroelementów. U takich chorych w dalszym czasie następowało obniżenie zapotrzebowania na zastrzyki insuliny i poprawa lub unormowanie analiz krwi. Wielu tych chorych po powtórnym cyklu przyjmowania żywej wody z mikroelementami przenieśliśmy na terapię tabletkami.6. na obniżenie zapotrzebowania na terapie zastępujące insulinę u chorych na cukrzycę pierwszego typu.Nasi chorzy na cukrzycę pierwszego typu zmniejszali, i to bardzo znacznie, dawkę wprowadzanej z zewnątrz insuliny, co znaczy „nauczyli” się wytwarzać swoją „własną”, naturalną insulinę. U chorych na cukrzycę pierwszego typu zmniejszało się średnie zapotrzebowanie na insulinę lub jej analogi: po 2 tygodniach do 73%; po 5 miesiącach po ukończeniu cyklu wspomagania leczenia do 80%.7. na wskaźniki cholesterolu i lipoproteidów wysokiej i niskiej gęstości u chorych na cukrzycę typu pierwszego i drugiego.Cukrzyk powinien odnosić się do podwyższonego poziomu cholesterolu z czujnością, dążyć do tego, by go obniżyć, lecz nie sięgać od razu po preparaty lecznicze, ale próbować obniżyć poziom cholesterolu dietą, żywą wodą, ziołami leczniczymi – istnieje wiele wspaniałych możliwości. U chorych na cukrzycę pierwszego typu działanie katolitu z mikroelementami było bardziej wyraźne, jednak również wskaźniki wyjściowe u tych chorych były niższei wynosiły 219,5 mg/dl. Działanie katolitu z mikroelementami było obserwowane przez 6 miesięcy po miesiącu picia i praktycznie doprowadzało wskaźniki cholesterolu do normy. Identyczne działanie wykazywało picie wody bez mikroelementów. Katolit statystycznie wiarygodnie obniżał wartości „złego” cholesterolu u cukrzyków zarówno typu pierwszego, jak i drugiego, przy czym działanie katolitu było długotrwałe i trwało przez 6 miesięcy po miesięcznej kuracji.8. na obniżenie ciśnienia tętniczego. Zaobserwowaliśmy obniżenie ciśnienia tętniczego w przypadku wielu chorych na cukrzycę, którzy pili katolit z mikroelementami.

Podsumowanie

U około 4-5 osób na 30 pijących katolit z mikroelementami udaje się zastąpić dożylne przyjmowanie insuliny leczeniem w postaci przyjmowania tabletek. Pozostali zmniejszają dawki przyjmowanej insuliny i środków leczniczych o 20-70% w związku z poprawą wskaźników istotnych dla diabetyków. U około 1-2 osób na każdych 30 nie udaje się zmienić dawki insuliny, lecz następuje poprawa wskaźników krwi i ogólnego stanu, zwiększenie sprawności, zniknięcie osłabień, bólów w nogach - zauważają wszyscy chorzy bez wyjątku. Praktycznie u wszystkich chorych obserwuje się poprawę wyników analiz: zmniejszenie glukozy we krwi, glikozowanej hemoglobiny, ogólnego i „złego” cholesterolu oraz zwiększenie „dobrego” cholesterolu.

Z ciekawych efektów towarzyszących wspomaganiu leczenia katolitem zauważa się: unormowanie podwyższonego ciśnienia tętniczego aż do odstawienia wcześniej przyjmowanych preparatów przeciw nadciśnieniowych, zwiększenie libido i funkcji seksualnej u mężczyzn, zniknięcie bólów w nogach i chromania przestankowego, normalizację funkcji jelit, poprawę funkcji wątroby.

Jonizator „BiO H2O” jest dość prostym urządzeniem, do którego wlewamy wodę z kranu, podłączamy do prądu, po upływie ustawionego czasu aparat wyłącza się automatycznie. Otrzymujemy 2 roztwory posiadające właściwości

wspomagające zdrowie (3 szklanki wody zasadowej i 3 szklanki wody kwaśnej).

Drugim niezwykle ważnym aspektem przywrócenia prawidłowego funkcjonowania organizmu jest uzupełnieniewystępującego w nim krzemu. Już począwszy od lat 60-tych ksiądz profesor Włodzimierz Sedlak pisał na tematwiodącej roli tego pierwiastka w życiu biologicznym. Suplementacja jest mało wydajna przy braku krzemu. Dysponujemy bardzo skutecznymi preparatami łatwo przyswajalnymi i zużywanymi przez organizm prawie w całości.

Więcej danych na stronie internetowej www.orsi.pl. Konsultacje pod telefonem 885 560 375.

PRZECIWDZIAŁANIE CUKRZYCY ŻYWĄ WODĄ

www.OrSi.pl


Diabetes patients are more vulnerable to alcohol detriment that any other people who do not suffer from the disease. This psycho-active substan-ce prompts metabolic disorders, the most dangerous of which is suppres-sion of glucose production and secretion there down in liver, what more often than not engenders hypoglycaemia. Under the influence of alco-hol, people with diabetes are likely to become deluded and mismana-ge their hypoglycaemia episodes leading to future acute complications.

How rapidly alcohol is absorbed in blood?Straightafterconsumptionalcoholisassimilatedfromstomachtobloodinfa-irlyswiftatempo,thenslowerandslowerwhenviaintestines.Some90%ofal-coholthatisabsorbedfromthebowelsisentirelymetabolicallyconvertedinli-ver.Themetabolismrateisasequalas7gofalcoholperhour.

What is the disadvantageous impact of alcohol?•Itevokesseriousrandomsugarfluctuationsinblood,whenpatientsarenotablethentoassessdosesofmedicine,whatallculminatesinuncontrolledtoolowortoohighbloodsugarintensities.•Alcoholfostersgenerationofabnormalmetabolites,suchasketonebodies(acetones)orlacticacids,whatmaysettoxicosisinmotion.•Itelevatesbloodpressurewhenconsumedinexcess.•Itdirectlydamagesheart,liverandpancreas,thatisorgansalreadyexposedtodiabetesmellitus.•Altogether,patientswhodrinkalcoholhabituallyneglectprescribedtherapies.

Are there alcohol choices that are less destructive than others among, like wine and beer?Allproductsthatcontainalcoholareevenlyunfavourableinrespectofdiabetestreatments.Itisthereasonwhytoruleitoutofdietinanyinstant.

What is the therapeutic approach diabetes patients are meant to follow?Formerly,diabeticswererecommendedtorestrainfromalcoholnotwithstandingvariety,quantityandpointintime.Itwasassumed,thatalcoholaffordsdevastatingeffectsassuchandweighscontroldownwhetheritisdisciplineoftreatmentsorpersonalself-conduct.Inanycasethedependabilityoftheadvisehasnotbeenpotentenoughtoinflu-encepatientstoproveabstinence.



In our day, is alcohol totally contraindicated or allowable but in small me-asures?Today,weallrelyoneducation,patientsaregiventheopportunitytolearnwhethertouseitandinwhatamanner.Whatwequalifytoadvocateisoccasionaldrinksof10-15gaunit.Itappearsacceptable.Whereasregulardrinking,evenwhensmallquantitiesareobserved,isdefinitelyobjectionableformostprobabletoresultinaddiction.

What is the hazard of overusing alcohol in case of diabetes? Fromtheviewofmedicalpractice,alcoholismdiabetespatientshappentogothroughfinisheswithdeceaseoutofhypoglycaemiaorketonediabeticcoma.

What is the dynamics of the threat to life? Itbecomesmostcriticalwhenliverfailstoproduceandreleaseglucosewhatnaturallyeffectshypoglycaemiaincidence.Alcoholaffectsintellectualcapacityandphysicalcommandsothediseasebecomesunattainabletomanage.Inanyevent,notasinglebodysystemcanstanddiabetesandalcoholismasone.

When it is a vital charge to renounce drinking alcohol? For one’s own good anyone should abandon the idea of drinking beingchronicallyill.And,iftruthtobetold,diabetesisoneofthenever-endingdiseases.Statisticsprovideclearevidence,thatdiabetesandalcoholisboundtoconcludein loss of life,what translates in reality asmuchas 50%of occurrence. It is apri-ce of prices to say. Likewise, it is an equally grave concern of drivers, wo-men who are pregnant or feeding, and young individuals altogether. If there is some extraordinary occasion to have a drink you are re-spectfully asked to remember to:•Acceptonlysmallquantitiesofwineorbeer–preferablyaccompaniedbyameal.•Dilutemoreconcentratedalcoholwithwater.• Takeavoidingactionagainstdrinkingmorethan20gofvodkaorwhiskyatatime.•Bemindfulsoasnottoconsumedrinkslacedwithsugar(liqueurs,aperitifs)•Complywithdieteticevaluationstreatingalcoholasacounterpartofcarbohydra-tes:1gofalcoholdelivers7kcal(29kJ).

UImportant: Carry your diabetes identification card on you, especially when you intend going to a party. If you do not have one it is advisable to inform your familiars and friends how risky alcohol intakes are for you.

Compiled by: Edward Ozga Michalski MAConsulted with: prof.dr.hab. Andrzej Danysz PhD

The source: www.przychodnia.pl



YAWING

To state it straightforward: yawning does not have to be a symptom of boredom or weariness. At this instance, one may quote Olympic games at some stage of which sportsmen happen to be yawning ri-ght away before the showdown. Not only that they do do this at the point of rivalry but in front of millions viewing them altogether. Whereas, all experts around the globe are certain of one aspect wi-thin the theme: yawning is contagious. No one knows the reason behind it or the reason why we yawn for the fact as such. All the re-aders who happen to yawn studying this text may consider themse-

lves to be partakers of the world-wide expe-riment regarding yaw-ning.

Yawning or so calledmouth gaping is fair-

ly common in the courseofnature.Numerous rep-tiles, such as fish, birds,snakes,elephantsormanyotherspecieswerewitnes-sed to use this body lan-guage.Humansarereadytoyawnalreadyinwombwhich is sooner than thetimetheyareabletoacqu-ire anyof skills.Yawningmust generate a kind ofcocktail blended out ofsome multifarious hor-mones in face of whichwe are defenceless andcan expect no aid either.In clinical point of viewsome particular diseaseshave bearing on the fre-

The time when we are tired and feel like going to sleep is answered in the reaction of yawning, at least not unpleasant a response.

[...] If we are truly fatigued we are better to give in and have a comfortable rest in bed.

Dr. Anna Fischer-Duckelmann, Die Frau ais Arztin

O U R W O R L D

quencyofyawning, for instanceschizophreniaistheonethatre-duces it, others in turnmay re-double it. Healthy people tendto yawn briefly at bedtime andequallybrieflythemomenttheywake up. Other creatures, forexamplemalerats,theyoccasio-nally prove to erectwhile yaw-ning. Some others yawn withgusto whilst in company. Yaw-ning synchronizedwith rattlingsabres is what monkeys exerci-seasa signof threatwhich factwasascertainedbytheveryKa-rol Darwin. As it was mentio-ned, yawning is infectious andchimpanzeesormacaquesprovi-detheevidenceaswellashumanbeingsbutwiththeexceptionofbabies. Masculine gender seemtoyawnmoreoftenthanfemales,toaddthatrivingyawningmayresult in jawdislocation. In anycase,investigatingyearninghar-dlyeverappearsdullortedious.

Somesay,thatyawningmightbepromptedbydeficiencyof

oxygen. It is explained, that pe-oplewho have to stay in badlyventilatedspacestheyopentheirmouthsyawningsoas to inhalemoreairintothelungs.Thisideagives the impression to be toosimpletobeprobableatall.The

argument triggers second tho-ughts:whydo lionsyawn lyingaboutonallsidesofsavannahs?Are they short of oxygen?Whydo yet-to-be-born babies yawnthere in the womb, where theyaresuppliedwithoxygenviatheumbilicalcord?Whydon’tspor-tsmen yawn more often sincethey spendsomuchofoxygen?Science ismeant to substantiateasmany factsaspossibleand itiswhatthepsychologistRichardProvineandhisteamdidinlateeightiesof20ndcentury.There-searchers analysed,whether au-gmenteddosesofoxygenmode-rateyawning,orinturnwhetherdosagesof“consumed”oxygen,that is carbon dioxide, escalateyawningby contrast.Also, theyverifiedifitistruethatsportne-cessitates extra amounts of oxy-genalike.Theresultsofall casestudieswereunambiguouslyne-gative – stifling air and insuffi-ciency of oxygen induce tired-ness, but not yawning. Any-onewouldbepleasedwithsucha scientific professionalism asthe one quoted – theory, expe-riments, rebutment, there youhaveit.

Provine, who states his en-deavour over yawning to

be perversion, he was quite ta-ken aback themoment he rece-ived the records of his scruti-ny.Now, he is outright convin-ced,thatyawninghasnothingtodowithbreathing,butwithacti-

vesensinginstead.Itmeans,thatweyawnthetimewearefatigu-edorwhenweperceivesurgeofenergy.Hisassociate,RonaldBa-enninger, he afforded authenti-cation of the other of the hypo-thesis. He asked the subjects ofhis trial to wear motion detec-tingbraceletsthatcouldregisternumberofyawnsanytimesub-jects pressed the device button.Itcame intoview, thatyawningrepeatedly followed phases ofincreased activity. Presumably,some varieties of animals beha-ve likewise. For instance, maleSiamesefightingfishintimidatestheirrivalsopeninghisoralcavi-tywidewhatlookslikeyawning,howevernoonecanbeassuredasfarasfishdonotwearwristlets.

Itmightbetheanswerwhyfre-quentyawningisexercisedbymarathon runners before theystart on, by parachutists beforetheyjumpout,orbystudentswa-itingtoattendtheirexams:timeof waking up. Perhaps, act ofopeningmouthexactsextrablo-odprovidedtothebrain,whatinturnenhancesmentalconcentra-tion. Ifso,wecanconcludethatyawningisakindofabrainkick-starter– just like computer coldboot. The remaining question iswhyweyawnwhenweareget-tingtiredwhatisafamiliarsen-sationtoallofus?Canweinter-

pretittobeanalarmfunctionin-dicatingstatesofemergency?

In any event, one can induceyawning simply imagining itorbyintensivethinkingofit.Itisthereasonwhyreadingtextsontheissuemayprovoketobeyaw-ning.Themodern-dayneurologymethodsallowtoscanbrainac-tivitythroughoutanactofyaw-ning.A person is placed in hu-man-length long tube, and thenpresented with video movies,onesthatareonpeoplewhoareatthepointofyawning.Thanksto the technique a certain panelofGerman-Finnishexpertsreve-aled some features of the yaw-ningaetiology.Inlinewiththeirfindings,thecontagiousness

doesnotarisefromthemereme-chanism of personating others.To be precise, it does not origi-nate from the processes of lear-ning when we watch and copygivenbehaviour.Inotherwords,thebrainunitsthatenableusle-arning, called mirror neurons,do not respond more intenselytofilmsdepictingyawningthantofilmsnot showinganyyawn.Itimplies,thatwedonothavetounderstandhowoneyawnstobeabletoyawnourselves,itcomesto pass automatically. We mayassume, that it might be some

O U R W O R L D


O U R W O R L D

primordial mental apparatus that dri-ves and synchronise communicationwithin groups. It may code messageslike: “Be ready to attack!” or “Watchout!Anenemy there!” aswell as “Le-t’sgotosleep”.Maybe,insomeunde-terminedpast,yawningwasasquickasefficientawaytosettlematterswithouthavingtoexploitneedlesswords.

In turn, the neurologist Steven Pła-tek, togetherwithhis colleagues, re-ached another conclusion. Their the-siswasthatcontagiousnessofyawningmustbeanactofsympathy,whatwentalongwiththethesisintroducedasear-lyasinthesixtiesof20ndcentury.Inor-dertobearitout,Płatekandhisco-wor-kersexaminedindividuals,whoseper-sonalitytestsprovedeitherextraordina-rilyhighempathyoruncommonlylowcompassion.Theroutineofassessmentwasthesame,thesubjectswerepresen-tedwithvideosofyawningscreenedornot screened. The results did not takeby surprise asmore empathic personsweremoreinclinedtobedrawnbyyaw-ningthanlessconsideratepersons.Ali-ke, they employed magnetic resonan-ceimagingtohavemanagedtoascerta-init,thatthosebrainareasthatactivateyawningare the samebrainparts thatanswerforsympathy.Then,yawninginoneaccordwithsomeoneelsedoesnothavetomean“Iamboredaswell”,but“Isympathisewithyou”.

Thecriticalproblemistodifferentia-tecontextsandinterrelationsin-be-

tween.Oneofthedynamicsmaybeshe-erphysiologicalfacet,forexampleyaw-ninginaimtobreatheinmoreofair,tostimulatebloodcirculationortostretchfacialmusclessimply.Apart fromthe-se already cited, yawning physicallyopens the tract leadingfromoralcavi-ty toEustachian tube levellingpressu-rethereinthemiddleear,whatrelievescolds or conditions during plane lan-ding.Hence,doctorsreasonyawningto

behealthy.Intheotherhand,yawningseemstobeoneofsocialfactors,whe-theritiscommunicatingofsympathyoritistimingofmutualperformance.In thisfield, contagiousnessplaysanimportant role. Itmight sound at le-astweird,butweappeartobeuncon-sciouslytalkingyawningwhispersofunknowncontent.And,wearenotinpowertoavertagainstitcoveringlipswithhands.Thebrainisbasicallyaptenoughtocatchsightofsomeoneelse-’syawning.

Irrespective of the reasonswhywedo yawn apposite manner of mo-uth composing looks always iden-tical. Also, motivations that drive itbearmanifoldmeaningsincontrasttoinvoluntarybodilyreactionslikesne-ezing, coughing or laughing, whichare more unequivocal in this sense.Yawningappearstobemoreversati-leaweapon,onecraftedbyevolutiontointersperseouralreadyquaintexi-stence.

Źródło: „Leksykon Niewiedzy”Kathrin Passing / Aleks Scholz


F E U I L E T T O N

The custom ofdrinking cof-

fee has indeed at-tracted myths andlegends as far asthis. For some of

us it means a touchofritualthatcorrespondswithmagicalqualities,forothersitspeaksforgoodtonewhatfeelselegance,forotherpart ofus it is adayafterday routine. Somebelieve, that ithas tobedrank in themorningandabsolutely on empty stomach, others accept it justasakindofdessert,othersharedonotbotherdrin-king it at bedtime for it supposedly has no effect...

Asamatteroffact,thegeneralconfusioninrela-tiontocoffee,coffeineinparticular,iskindled

byadvertisement industry.The relevant companiespersuadeusviamedia,thatitistheircoffeeofusetowakeusupandgivestrengthfortheday,itisthemtoproducethearomathatwouldcharmourbeloved,that it wouldbe better andbetter, theywould of-fer more andmore. Noneof these cor-porations donot promo-te coffee asanantidotetohangover, ananswertofreeradicals,oraremedyagainstdiabetes.Then,whynottointroducesomefactsoftheworldscience?

Themyth,thatdrinkingcoffeeinalongrunisde-trimentalinresultisamisdeedofsmokers:they

drinkmorecoffeethannon-smokersdo.Peoplewhosmokestandbodysystemthatdecomposescoffeeasfastastwotimesfold,sotheyneedtoconsumeitfur-thermoretobeabletolivethroughanyofexperien-ce.Toadd,smokersgeneratemorehealthproblemsthanthosewhodonotsmoke,whereasitisnicotinetobeblamedonnotcoffeine.Thisalkaloidasapsy-cho-activeagentdoesnotaccumulateincellsandtis-sues,itissimplyvoided.Hence,provisowearehe-althy(notanyhyperpressure,arrhythmiaoranxiety

states)wearefreetowardschoices,includingcoffe-ineforyears.

The greatest supply of this substance is com-prised in Amazonian plant – guarana, to say

notincoffeebeans.Itsseedsafford5%ofcoffeine.Otherplantstoquotearetealeaves(2-5%),matele-aves(3%),colanuts(1,5-2,5%)andcoffeebeans(0,6-2,8%).Some tracesof itwecanfind in theobromagrainsorinfiringpin.

Theconcentrationofcoffeineisausterelydepen-dent on methods of infusion. It is the reason

whyacupofcoffeeembracestwotimesmoreofes-sencethananequalcupoftea,notwithstandingthefactthatcoffeebeansservelessofitthantealeaves.Ridiculouslyuncomplicated!Isitnot?

It isworthwhile tohave a cupof coffeeprior toany endeavour for it enhances thinking courseofaction,ascoffeineblocksreceptorsofadenosine,

the nucleoidthat expandsblood ves-sels and in-formsouror-ganismwhenthe time ofsleep is. The-re was anexperimentc o ndu c t e din the USA,

thatprovidedtheevidenceitisveritable.Deprivedof sleep soldiers were administeredmeasure of 2cupsofcoffeeandtheiralertness,memoryandle-arningcapacitydidimprovein60%.Italterssomeofbiochemicalprocesses,becauseitbelongstotheclassofstimulants:250mgofcoffeine(twocupsofstrong coffee)may induce3 timesasmuchof ad-renalin,simultaneouslyquickeningbreathregulari-ty.Also,coffeineintensifiesreleasingofdopamine,the neurotransmitter of diverse performance, cal-ledtobethehormoneofhappinessasforitactivatescentresofeuphoriaandpleasuresensing.However,itcanbe treatedasanysexsubstitute, regrettably.

KoleIt has to be to be admitted, that coffe-ine more often than not becomes an ad-

A cup of little blackin the morning

Feuilleton



F E U I L E T T O N

diction, withdrawal state of which exacts heada-ches and irritation. The more we spend it themore serious symptoms of discontinuation are.

Interestingly,ithasbeenestablishedtoanirrefuta-ble extent, that reasonable intakesof coffeine ad-vance diabetes prevention. Some scientists mainta-in, thatclimatezoneisofcertainimportanceeither.Heatiswhatstopspeopletobephysicallyandmen-tallyactiveanditiswhentheyoverusecoffee,whe-reas thosewho live inmoderate and chilly regionstheydonotneedextrastimuli.Inturn,Canadianre-searchers found out, that persons whose metabo-lism is slow should avoid coffee to be secure aga-inst heart diseases. In reverse, it might protect pe-opleofrapidmetabolismtheyassert.Itisbecausethepotencyofcoffee isnotcoffeineonly,butalsoanti-oxidantproperties.Other stronganti-oxidisingpro-ducetobementionedistomato,carrot,milk,animalliver, aswell as vegetable oils, nuts and cereals. Inthisrespect, itdeliversqualityofgreentea.Tosumit up, it is not recommended to be consuming cof-feinedrinks in excess, ordefinitely sparklingbeve-rages.Themostbeneficialofall is stillmineralwa-ter, and the safest daily dosage of coffeine 400mg.

Janusz Niczyporowicz

Janusz Niczyporowiczzmarł 22 listopada 2009 roku

Żegnamy Pana, Panie JanuszuZespół Redakcji „Cukrzyca a Zdrowie”

Przez wiele lat współpracował z redakcją Magazynu Medycznego „Cukrzyca a Zdrowie”. Jego artykuły, felietony, cykle materiałów, m.in. „Bliżej świata” wzbogacały nasze pismo, a tym samym naszych Czytelników.

Debiutancki zbiór reportaży Janusza Niczyporowicza, zatytułowany „Maskarada”, ukazał się w 1979 roku. Kolejne jego książki to między innymi „Coraz więcej mamy wrogów”,

„Czyściec”, „Smarkateria”, „Hegemon”, „Rosyjska ruletka”, „Kraina proroków” oraz „Zew Itaki”.

Jego reportaże znajdowały najwyższe uznanie nie tylko jurorów konkursów literackich, cenili je przede wszystkim czytelnicy. Zawsze otwarty na ludzi i aktualną rzeczywistość,

Janusz Niczyporowicz, dziennikarz, reportażysta, współpracował z regionalnymi oraz krajowymi pismami i gazetami. Talent, lotność pióra, pasja ugruntowały

Jego wyjątkowość, sprawiły, że był zauważany we wszystkim co robił. Z pasją też łowił ryby. W listopadową niedzielę 2009 roku wypłynął na wieczne łowiska…

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