سلام عليكم : للمتحدثين باللغة العربية ولهم علاقة بمرض السكري بكل أنواعه أتمنى أن يشتركوا في هذا الموقع الرائع وسأقوم انا بمساعدتهم بالترجمة والمساعدة
As a pediatric endocrinologist I was very happy to join this wonderful group,I learn many things about diabetes care,health care system in different countries,awareness campaigns,political issues that concern diabetes allover the world and most imoprtant to get to know people from everywhere.
Diabetes is uniting us and bringing down any false barriers that can come between us.
The wonderful thing also on this site is Art! Recently all of a sudden I became a poet,publishing my first book last year,and two are under publication,beautiful photos and attitude can send me writing,and forgive my english,I write in Arabic,but also in english.
Many thanks to Manny who started this family,and thanks to all of you.
Sohair
30th July 2008
14 th October 2008:
3 months with you,making friends,learning about diabetes from you,learning about health care systems worldwide and enjoying your beautiful photos,fun discussions especially by Dino .It is beautiful to share our artistic side: word in your hand,diabetes supply art contest,and poetry club.
Learning about our different cultures and relegions is so beautiful .A great community,Allah bless.(Allah is God's name in Arabic,we beleive in one God there who created the universe. )
18 October 2008:
I changed my profile,I have my patients who are mainly type1 but more come with type2,I have relatives with diabetes,and modern way of living proved thar I came from a population genetically predisposed to develop type2 diabetes. So I do belong here,I should not feel uneasy any more......
WE ARE FAMILY !!
16 November 2008:
Spending world diabetes day in Egypt with my dear family.I raised awarness for the epidemic of diabetes,obesity & environmental issues among my family.
We are 4 sisters+ 3 young sisters( when my mother died my father remarried a great lady).2 of my young sisters joined,one of my same generation sisters,Nagwa with her 3 grown up children joined our community to raise awarness among our family and friends.So now we are family within a bigger family......
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After going to do my fasting sugar and all my blood tests (after one elevated blood sugar a while back) it came back as normal. I burst into tears. My son wasked me why. I dont know why. Did I secretly want diabetes so I could struggle with him? Did I feel a horrible parent because I was healthy and he was not?
I am feeling so blue...
Study Identifies Key Factor that Links Metabolic Syndrome
Finding May Help Millions at High Risk of Cardiovascular Disease
BOSTON - February 5, 2008 - new study led by researchers at Joslin Diabetes Center has identified insulin resistance in the liver as a key factor in the cause of metabolic syndrome and its associated atherosclerosis, disorders that put tens of millions of Americans at high risk of cardiovascular disease.
The findings, published in the February issue of Cell Metabolism, provide not only an understanding of how metabolic syndrome occurs, but also pinpoint a target for treatment of the condition. This represents the work of Sudha Biddinger, M.D., Ph.D., and a team led by C. Ronald Kahn, M.D., Head of the Joslin Research Section on Obesity and Hormone Action and the Mary K. Iacocca Professor of Medicine at Harvard Medical School.
“This is one of the first true insights into the role of the liver in the metabolic syndrome and provides guidance for future therapies,’’ said senior investigator Dr. Kahn, an internationally recognized researcher in diabetes and metabolism. “Showing this connection between atherosclerosis and insulin resistance is one of the most dramatic findings I’ve seen in 35 years.’’
Metabolic syndrome is a collection of medical problems related to insulin resistance, including obesity, glucose intolerance, hypertension, lowered HDL (“good”) cholesterol and elevated triglycerides. Together these are associated with an increased risk of atherosclerosis, the buildup of plaque in the coronary arteries that leads to heart attack and stroke.
The findings indicate that many of the most important features of the metabolic syndrome do have a common cause, thus challenging a joint position statement issued by the American Diabetes Association and the European Association for the Study of Diabetes that questioned the very existence of the metabolic syndrome (Diabetes Care. 2005;8:2289–2304).
“This study clearly indicates that metabolic syndrome is not merely a collection of abnormalities that should be considered and treated independently, as some experts have advocated,’’ said Kahn and Biddinger. “Rather, it appears that metabolic syndrome is truly a group of closely linked disturbances in glucose and cholesterol metabolism that stem from a defect in insulin signaling in the liver.”
Dr. Biddinger said the study sought to understand whether insulin resistance – a condition where the pancreas makes insulin but the body doesn’t respond to it – could increase the risk of atherosclerosis. “The fact that one-fourth of American adults have the metabolic syndrome is alarming. The fact that large numbers of children are now being diagnosed with the metabolic syndrome is even more alarming,” said Biddinger. “These kids are at risk for having heart attacks in their 30s. We really need to understand the connection between the metabolic syndrome and atherosclerosis.”
To try and find out, the researchers engineered mice by “knocking out” -- i.e. genetically eliminating -- insulin receptors in the liver. From this one site of insulin resistance alone, these mice developed many of the lipid abnormalities associated with metabolic syndrome. Furthermore, when fed a high-fat diet, the mice developed extremely high cholesterol, more than four times the levels found in normal mice fed the same diet. More importantly, all of the “knockout” mice developed atherosclerosis, while none of the normal mice did.
These findings “focus attention on the liver, since resistance in the liver is enough to cause these abnormalities,” said Kahn. “By pinpointing the liver, it gives researchers a target for developing potential clinical treatments, such as finding a way to overcome insulin resistance in the liver or to change the way the liver responds to insulin resistance.”
The research was funded in part by grants from the National Institutes of Health and The Iacocca Foundation. In addition to Drs. Biddinger and Kahn, other researchers participating in the study included: Antonio Hernandez-Ono, Christian Rask-Madsen, Joel T. Haas, José O. Alemán, Ryo Suzuki, Erez F. Scapa, Chhavi Agarwal, Martin C. Carey, Gregory Stephanopoulos, David E. Cohen, George L. King and Henry Ginsberg from the Joslin, Columbia University School of Medicine, Massachusetts Institute of Technology, and the Beth Israel Deaconess Medical Center.
Joslin Diabetes Center is the world’s largest diabetes clinic, diabetes research center and provider of diabetes education. Founded in 1898, Joslin is an independent nonprofit institution affiliated with Harvard Medical School. Joslin research is a team of more than 300 people at the forefront of discovery aimed at preventing and curing diabetes. Joslin Clinic, affiliated with Beth Israel Deaconess Medical Center in Boston, the nationwide network of Joslin Affiliated Programs, and the hundreds of Joslin educational programs offered each year for clinicians, researchers and patients, enable Joslin to develop, implement and share innovations that immeasurably improve the lives of people with diabetes. As a nonprofit, Joslin benefits from the generosity of donors in advancing its mission.

One of my dear patients,her smile shines.
it is Haj ( pilgrimage) season.Best days.........how r u doing , all of us el hamdolallah fone , beedo is recovering mum is pit better but still lazy in going for doc :(... dad is fine he took now a tablet before breakfast & he is taking much care ... salamy leko koloko
Our world tends to think like the scientist, except that we are zealously anti-zealot. I think we must accept the reality of the spirit/spiritual world as well as the physical world.
I am so glad you are able to educate and advocate. Yes, life is busy... but I find that knowledge gives us the chance to see things others don't, and to help when others can't... sometimes even a seemingly random comment can initiate a cascade of healing.
I believe that we are all angels, we are all heroes, we are all role models. Our lives follow the same ups and downs, triumphs and defeats, as the great heroes of legend. If we are not strong enough at something to be positive role models, we can be negative role models -- examples of what not to do -- and that is sometimes just as helpful and just as powerful. But mostly, we try be good people... no matter what framework we use to describe it.
I am so glad to hear you started a group for Moslems here... one of the world's Great Religions, and I'd think there would be more of you here on TuD besides you and Ameera. You may even want to use Ning to start a similar group in Arabic to touch the many people in the Middle East who are touched by diabetes but who do not speak or write English.
Community and education are two very important tools in our fight against diabetes... and anything we can do to help our brothers and sisters in this fight... is a mitzvah.
BTW... love the pix you posted on the "Moslems touched by diabetes".
Interesting that one of the items you touched upon in your thread was what we call "The Akedah" -- the binding of Isaac (Yitzhak). This passage is read both on Rosh Hashanah (the religious New Year, starting the month of Tishrei, usually in the Gregorian month of September or October), as well as during the regular annual cycle of Torah reading. There are a number of rabbinical commentaries about the Akedah, ranging from questions about how and why G-d required this sacrifice of Abraham (Avraham) and commentaries about how old Isaac was at the time of the event. (A number of medieval commentaries place Isaac as an adult in his thirties or forties, aware of the intent, and willing to be the object of sacrifice since G-d willed it.) Today, a man of Abraham's age at that time (over 100) saying that he was required to do this would lead to us saying he was senile or had Alzheimer's, and incarcerating him in a nursing home for the remainder of his life. Which would have been a lot less than another 40-60 years...
Will his insulin level ever lower even though his blood sugar is good? SO many questions I have.
Thank you so much for your support. I love Egypt and the people there so much. They are wonderful.
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