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

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