Urban Daydreaming
Referring a newborn
baby to the Sick Newborn care unit. This is being done by 102
(Mahtari Express ) now. In the past Mahtari Express refused newborns.
However now a new issue has arisen- the PHC refers the newborn and
the ambulance does not take the mother, whom the PHC keeps. This
fulfills the 48 hour admission rule, but disrupts the supply of
breast milk, warmth, TLC and so affects the baby- who desperately
needs mother’s milk till six months.
Measles vaccination- are we too
busy to visit the one or two mothers who reach 9 months post
delivery? The vaccine gets given before one year of course. But are
we losing the home visit and the human touch?
Diabetes prevalence is low still- only one
of 20 Mitanin Trainers in the room had a blood sugar of 198 mg/ 100ml
when tested. Everyone was tested using a glucometer, around 2 hours
after a meal. And one area had 5 similar newly found suspected
hyperglycemics.
What should a type 2
diabetic eat? A sedentary (halka kaam karne wale) worker? Doctors say
1500 calories will help this patient with reducing their blood
glucose levels.
-300 calories Nastha
(breakfast)- could be poha/ 2 idlis/ 2 slices bread 2 roti
- 600 calories
Lunch- 100 gms chaul/ rice (400gms bhath- cooked form)
(or 4 roti)
Plus dal, sabji/
curry
- One seasonal fruit
- 600 calories
Dinner
Like lunch- however one may
reduce one roti and add a 200ml glass of milk