why quality of diabetes care so poor even in those who can afford it

Even in the capital of India with top most doctors and state of the art hospitals & clinics,the quality of diabetes care remains poor.This is not because patients cant afford the cost of diabetes care.The results of the article published in diabetes care clearly says very few diabetes patients are getting their HbA1c done.The reason may be lack of a diabetes team and comprehensive care delivery approach.This can be addressed with maintaining the electronic records with reminders for regular follow up visits and devising a comprehensive diabetes package including check up for blood sugars as well as assessing diabetes complications.The link to the article is given below.

http://care.diabetesjournals.org/content/29/11/2341

Cholesterol is not the reason for heart attack or blocked arteries!

Everything US says is not right!But we are fascinated anything which western countries declare.One of this is - cholesterol is a major cause of coronary heart disease.The US government has finally accepted that cholesterol is not a nutrient of concern doing a U-turn on their warnings to us to stay away from high-cholesterol foods since the 1970s to avoid heart disease and clogged arteries.

The US Department of Agriculture, which is responsible for updating the guidelines every five years, stated in its findings for 2015: "Previously, the Dietary Guidelines for Americans recommended that cholesterol intake be limited to no more than 300 mg/day.

"The 2015 DGAC will not bring forward this recommendation because available evidence shows no appreciable relationship between consumption of dietary cholesterol and serum (blood) cholesterol, consistent with the AHA/ACC (American Heart Association / American College of Cardiology)

The Dietary Guidelines Advisory Committee will, in response, no longer warn people against eating high-cholesterol foods and will instead focus on sugar as the main substance of dietary concern.

Dr. George V. Mann M.D. associate director of the Framingham study for the incidence and prevalence of cardiovascular disease (CVD) and its risk factors states: Saturated fats and cholesterol in the diet are not the cause of coronary heart disease.That myth is the greatest deception of the century, perhaps of any century."Cholesterol is the biggest medical scam of all time"

Experts say that there is nothing like LDL(bad cholesterol) or HDL(good cholesterol). 

So what exactly is the reason in food for coronary heart disease- its the ratio of                  omega 6: omega 3.Higher ratio goes in favor of production of pro inflammatory prostaglandins and subsequent more risk of vessel inflammation irrespective of cholesterol profile.

how to adjust insulin while travelling long haul journeys

Insulin needs to be adjusted while travelling long haul journeys;travelling east will shorten one's day and hence reduced dose of insulin is required. Travelling west means longer day and insulin dose to be increased.