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Category Archives: Diabetes
Frequent Tooth Brushing Tied to Lower Diabetes Risk – The New York Times
Posted: March 12, 2020 at 3:48 am
Brushing your teeth frequently may reduce your risk for diabetes, new research suggests.
Using Korean government health records and self-reports, researchers gathered health and behavioral data on 188,013 men and women, average age 53, who were free from diabetes. More than 17 percent had periodontal disease. Over the course of the 10-year study, 31,545 developed diabetes.
After controlling for age, sex, socioeconomic status, smoking, alcohol consumption, physical activity, lipid levels, hypertension and other factors, they found that people with periodontal disease had a 9 percent increased risk for developing diabetes. The study is in Diabetologia.
Compared with people who did not brush or brushed only once a day, those who brushed twice a day had a 3 percent reduced risk for diabetes, and those who brushed three times a day an 8 percent reduced risk. The loss of 15 or more teeth was associated with a 21 percent increased risk for developing diabetes.
Neither the number of visits to the dentist or the frequency of professional tooth cleaning was associated with the incidence of diabetes.
The lead author, Dr. Yoonkyung Chang, a professor of neurology at Ewha Womans University in Seoul, said that healthy lifestyle has more powerful effects on diabetes prevention than tooth brushing.
But, she said, Frequent tooth brushing reduces local inflammation and bacteremia, and if good brushing habits persist for a long time, this can affect systemic diseases.
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Wear The Gown: Rolling back diabetes with diet and exercise – KENS5.com
Posted: March 12, 2020 at 3:48 am
SAN ANTONIO For many who develop type-2 diabetes, they become reliant on medicationand, in many cases, more than one type. But it is possible to roll back diabetes and get off the medications with diet and exercise.
"It was eight-point-something and now we are down to 5.7, which is borderline diabetic. Anything under six is where I want to stay," said Armida Oliver, a diabetes patient for the past 10 years, while discussing her A1C number. "That was about two or three years ago. I'm down to just one medication and my numbers have been great."
At one point she was taking three medications: Metformin, Januvia, and Invokana. But thanks to diet and exercise, she managed to drop two of them, along with 55 pounds.
"I join my sisters for senior water aerobics every morning. We try Monday through Friday, but we are happy if we go four times a week," Oliver said.
Some of the benefits of exercise for diabetes includes lowered blood sugar levels, improved insulin sensitivity, reduced body fat, a lowered risk of heart disease and an enhanced quality of life.
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"Miss Oliver is really a model patient. She's the perfect example of someone who, through lifestyle modifications, has been able to not only get her diabetes under control, but really throwing the diabetes into what we call remission," said Dr. Alberto Chavez, an endocrinologist with the Texas Diabetes Institute within the University Health System.
He added there has been some debate about what diabetes remission really means.
"The bottom line is that it is a reality that patients can get off of medications or many amounts of medications by making meaningful lifestyle changes," Chavez said.
That is exactly what Oliver did in cutting her medications from three to one.
"I take it faithfully and I know that I can't have two donuts in one sitting," she said. "I'm not depriving myself, but, by the same token, I just limit myself."
For more information about family health, call (210)358-3045. You can also find the rest of Wear The Gown stories, just go to WearTheGown.com.
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Daily Steps Can Reduce Risk of Diabetes and High Blood Pressure – Healthline
Posted: March 12, 2020 at 3:48 am
More than 100 million people in the United States have diabetes or prediabetes.
Its also estimated that more than 100 million Americans have high blood pressure.
Those numbers have been rising, but researchers say there is a free and relatively easy way to reduce your risk of developing one of these diseases.
Its the simple act of walking.
The standard recommendation for physical fitness is 10,000 steps a day.
But even a fraction of that can work, according to the authors of a new study.
The researchers state that middle-aged study participants who walked the most steps per day over an average of 9 years had a 43 percent lower risk of diabetes and a 31 percent lower risk of high blood pressure.
The research was presented today at the American Heart Associations Epidemiology and Prevention/Lifestyle and Cardiometabolic Health Scientific Sessions 2020 in Phoenix, Arizona.
The benefits of exercise, specifically walking, have been studied extensively the past several years, David DaPrato, DPT, who works in sports rehabilitation and is a professional triathlon coach, told Healthline. There is good reason behind getting your 10,000-plus steps in each day.
The study was based on data from 1,923 participants in the national Coronary Artery Risk Development in Young Adults (CARDIA) study.
In addition to their overall conclusions, the researchers also reported that every set of 1,000 steps taken daily over the course of 9 years lowers the risk of obesity by 13 percent in middle-aged women.
In the study, participants wore accelerometer devices to measure physical activity at least 10 hours a day for at least 4 days.
The average age of the participants was 45. Almost 60 percent were women and about 40 percent were black.
The average follow-up time was 9 years.
Those with the highest step count were 61 percent less likely to have obesity, compared to women who walked the least.
The study didnt show any association between a lower risk of obesity and the number of daily steps walked by men.
Many people think that walking is not considered exercise and that walking on a daily basis is not enough to have a positive effect on your physical and mental health, said Cyrus Khambatta, PhD, the co-founder of Mastering Diabetes, an online coaching program helping people with diabetes reverse insulin resistance. For people with diabetes, even a short 30-minute walk before or after a meal has profound impact at lowering your blood glucose levels.
The 10,000 step benchmark goes back to 1965 when a Japanese scientist reportedly responded to the fitness craze surrounding the 1964 Tokyo Olympics by inventing the pedometer.
It was called the Manpo-kei, which translates to 10,000-steps meter.
It sounded like a semi-lofty but achievable goal. And it stuck.
Of course, there can be variations to all those steps.
My recommendation is 4,000 to 8,000 steps, but quality matters. Four thousand steps out in the countryside going up and down hills may give better health benefits compared to 8,000 steps in a mall. But its still better than nothing, said Sarah Sato, a nurse practitioner specializing in diabetes who recommends daily steps to her clients.
We see lovely, whole-person changes when someone starts walking regularly, Sato told Healthline. People often find their sleep improves, their mood can be more stable, and their digestion can become more regular.
Khambatta said the extra benefits can go even further.
Most people think that walking is only for their heart and diabetes but being active can also improve blood flow to your brain, which improves cognition, he told Healthline. Studies show that taking more steps on a daily basis can also reduce depression and anxiety. Given an increasing number of people diagnosed with mental health disorders, walking is a simple way to dramatically improve your mental health for free and can also be a social activity at the same time.
DaPrato says to start slowly and your body will adapt. And you may be grateful later when the cold and flu season comes.
After some time of consistent walking usually 3 or 4 weeks (what was) stress is now not so concerning to the body and is considered normal, he said. The body has adapted. So, since either exercise or a foreign bacterium is considered a stressor, the body more efficiently responds to invading bacteria once the tissues have adapted to exercise. This is why individuals who exercise regularly dont get sick as often.
Beth Auguste, a fitness trainer and registered dietitian, said walking gets blood to where it needs to go.
Imagine a credit card. Now imagine trying to tear it in half. You cant, she said. Now, imagine that you bend that credit card backward and forward multiple times. High blood pressure is often the result of stiff blood vessels. When you take a walk, your body needs to get more blood to your muscles quickly. If you think about your veins as similar to a hose, this means that the pressure will be increased. And, in the short term, this is a great thing. Your blood is pumping faster and harder and that increased pressure will have a similar effect on your veins, as the credit card. The frequent recurring pressure and release against the walls of your blood vessels may help to create a loosening effect, leading to more relaxed blood vessels and a lower resting blood pressure.
Mimi Secor, DNP, FNP-BC, FAANP, FAAN, is a family nurse practitioner and author of Debut a New You: Transforming Your Life at Any Age.
She said the habit of walking is more important than the intensity. Among her recommendations on how to incorporate more walking into ones life:
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River’s Edge Hospital: With diabetes, early detection can reduce risk – Southernminn.com
Posted: March 12, 2020 at 3:48 am
The number of people diagnosed with diabetes has been continually increasing over the years and is now estimated at over 34 million Americans, which is 10.5% of the population. Of the 34 million with diabetes, over 8 million have not yet been diagnosed.
Diabetes is a group of diseases involving elevated blood sugar, but they are not all the same. Type 1 diabetes is much less common 5 to 10% of the people with diabetes have this form of the disease. In type 1 diabetes, the body doesnt produce the hormone insulin, which is needed to move sugar (glucose) from the blood stream to the cells where it can be used for energy. This form of diabetes is considered to be more of an autoimmune situation, where the body attacks itself (the beta cells in the pancreas that make insulin) in response to a virus. Insulin injections are required to keep blood glucose levels in target.
Type 2 diabetes is most common and has a stronger link to family history than the other types of diabetes, but risk is also greatly affected by lifestyle (inactivity, obesity, poor eating habits). In type 2 diabetes your body isnt able to properly use the insulin it makes, which is called insulin resistance. Over time this puts extra work on the pancreas and it cant make enough insulin to keep blood glucose at normal levels. Physical activity and weight loss can help improve insulin resistance, but medications (pills or insulin injections) are often needed to help keep blood glucose levels in target.
The following symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so mild that they go unnoticed.
Common symptoms of diabetes:
Feeling very hungry - even though you are eating
Cuts/bruises that are slow to heal
Weight loss - even though you are eating more (type 1)
Tingling, pain, or numbness in the hands/feet (type 2)
Early detection and treatment of diabetes can decrease the risk of developing complications (source: http://www.diabetes.org).
Pre-Diabetes is where your blood glucose levels are higher than normal but not high enough to be considered diabetes. Normal fasting blood glucose is considered to be < 100. Pre Diabetes is a fasting blood glucose between 100-125 and diabetes is diagnosed when fasting blood glucose is > 126.
If your blood test results show that you have diabetes, ask your health care provider for a referral to a Diabetes Care and Education Specialist. If you have pre-diabetes or are at risk for diabetes consider joining a lifestyle change program offered through the CDC-led National Diabetes Prevention Program. Rivers Edge Hospital is your local site for the National Diabetes Prevention Program and the next series of classes start August 26th at 6:00 pm. For more information call 934-7694.
Jen Donkin is a registered dietitian at River's Edge Hospital in St. Peter.
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NHS project that improved diabetes care in Barking and Dagenham, Havering and Redbridge up for Health Service Journal Value Award | Health – Ilford…
Posted: March 12, 2020 at 3:48 am
PUBLISHED: 07:00 12 March 2020
Roy Chacko
A project which has improved diabetes care in Barking and Dagenham, Havering, and Redbridge was shortlisted for a national award. Picture: PA/Peter Byrne
PA Wire/PA Images
A project which improved diabetes care across Barking and Dagenham, Havering and Redbridge has been shortlisted for a national health award.
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The Barking and Dagenham, Havering and Redbridge NHS clinical commissioning groups (CCG) were named as a finalist for diabetes care initiative of the year in the annual Health Service Journal (HSJ) Value Awards.
The awards seek to recognise and reward outstanding efficiency and improvements in patient care nationwide and celebrate the teams and people who are making things better in the NHS.
Led by the NHS CCGs for Barking and Dagenham, Havering and Redbridge (BHR), and involving all 199 GP practices across the area, the work has improved diabetes care and treatment across the three boroughs.
It follows on from award winning work started in Baking and Dagenham which has led to an improvement in type 2 diabetes diagnosis rates and better advice for thousands of people living with the condition.
Dr Jyoti Sood, a GP who works out of Newbury Park, said she was extremely pleased to be nominated for the award and that the hard work of local practices to improve patient care was recognised.
As a result of the project, the estimated number of undiagnosed diabetes cases across the boroughs fell by more than 11,000 last year.
Clinical director for Havering, Dr Ann Baldwin said: 'This project was a great achievement as we worked with GP practices across the three boroughs to use the same quality improvement methodology to improve diabetes care in line with the best national standards.
'This has seen significant and swift improvements across the board, in a short period of time.'
Dr Anju Gupta, GP from Abbey Medical Centre in Barking, added: 'We are delighted our work is identifying and treating more people with diabetes.
'Our priority has always been to tackle inequalities and we want everyone to access the same quality of care, wherever they live.'
The HSJ Value Awards winners will be announced in Manchester on May 21.
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Epping man to honour diabetic sister by running the London Marathon – This is Local London
Posted: March 12, 2020 at 3:48 am
A man whose older sister suffered from type one diabetes for almost 20 years is training to run the London Marathon to fundraise in her honour.
Joe Staggs, 25, a property accountant from Epping, was inspired to take on the 26-mile Virgin Money London Marathon after seeing first-hand the effects living with diabetes can take.
He said: After learning a huge amount from the group my parents then became volunteers, helping fund raise, and supporting the group where they could in order to allow new members to gain knowledge.
I became wise to things to look out for to make sure my sister was looking after herself, nagging her to test her blood, guessing what her sugar levels would be and asking if she had taken her injection. I'm sure I became very annoying for her.
Diabetes is a condition where there is too much glucose in the blood because the body cannot use it properly.
If not managed well, both type one and type two diabetes can lead to devastating complications, including sight loss, amputation, kidney failure and stroke.
With the right treatment and support people living with diabetes can lead a long and healthy life.
The 25-year-old is aiming to complete the marathon in around five hours and has been training by running in all weather conditions, most recently hail and sleet.
He said: Some days you feel like someone has swapped your running trainers for a pair of concrete boots, others you can be running and not even realise how far youve gone.
The marathon hopeful is aiming to raise 2,000 for Diabetes UK and is planning a number of fundraising activities including a quiz night.
Peter Shorrick, Diabetes UK Midlands and East Regional head, said: Our much-needed work wouldnt be possible without the determination and generosity of our incredible fundraisers.
We are extremely grateful to Joe for his hard work running a marathon is no mean feat.
The money raised will help fund ground-breaking research, care services and campaigns that can change the lives of those living with diabetes.
The Virgin London Marathon will take place on Sunday, April 26.
To make a donation to Joe's fundraising page, click here.
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Traffic Noise May Increase the Risk of Diabetes and Hypertension – Myhealthyclick
Posted: March 12, 2020 at 3:48 am
A new study publishedMonday in the Journal of the American Heart Association has found that thetraffic noise could increase ones risk of developing diabetes and high bloodpressure (hypertension).
Canadian researchers foundthat the risk of diabetes and hypertension increased among people who werechronically exposed to high traffic noise.
They looked at over 1million Toronto residents between the ages of 35 and 100 for a period of 15years.
They discovered that for each10-decibel increase in traffic noise, the risk of diabetes increased by 8percent and hypertension by 2 percent. The risk further increased afterexposure to air pollution and poor socioeconomic status.
Research scientist withHealth Canada and senior study author Dr. Hong Chen said, This may havesomething to do with peoples sensitivity to noise exposure. For example,age-related hearing loss may play a role, as typically it is more difficult forrelatively older individuals to detect noise.
Dr. Chen explained that noiseexposure could instigate multiple stress responses, which could increase thelevel of stress hormones. Also, frequent exposure may cause metabolic problemsand insulin resistance, which could result in diabetes.
Previous studies have foundthat road traffic noise has been associated with severe hypertension anddiabetes. A 2017 study reported in Environmental Research found that road,rail, and airplane noise could increase the risk of severe hypertension,causing heart disease. A 2013 study found that each 10-decibel increase intraffic noise increased the risk of diabetes.
Dr. Richard Becker from theUniversity of Cincinnati Heart, Lung & Vascular Institute, who was not partof the study, said the new studys findings are important for a variety ofreasons.
He noted that people acrossthe world are increasingly living in urban areas, exposing them to the road,rail, and airplane noises.
The worlds urbanpopulation increased from 751 million in 1950 to more than 4 billion in 2018,according to the United Nations.
Dr. Becker said, Thisinformation can inform building codes, city planning, road surface reflection,ground absorption and a variety of things that will minimize exposure to roadtraffic noise.
It could be that criticalparts of the sleep cycle are disturbed or that there are subcortical reflexesto something that the brain is interpreting as potentially harmful, he added.
However, Dr. Chen said weneed additional studies to clarify the link between health issues and frequent noiseexposure. Public health efforts toreduce the exposure of noise to residents may foster a quality residentialnoise environment, thereby contributing to better health and well-being and ahealthier city overall, said Dr. Chen.
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My Antiviral Solution to the Coronavirus (COVID 19) – Diabetes Health
Posted: March 12, 2020 at 3:48 am
By Nadia Al-Samarrie
I am traveling in Europe to four cities in the next three weeks. Although I had no plans to go to Italy, a good friend had to cancel her flight to meet me in London. This was before her small town in Italy is identified as one of the cities that has a travel ban.
Similar to the United States, the run on surgical masks to prevent the infectious airborne Coronavirus is creating a shortage in Europe.
The American Surgeon General tweeted:
Seriously, people- STOP BUYING MASKS!
They are NOT effective in preventing general public fromcatching #Coronavirus, but if healthcare providers cant get them to care for sickpatients, it puts them and our communities at risk!http://bit.ly/37Ay6Cm.
What Are My Options Now?
I am going back to basics by boosting my immune system with vitamins and a diet that will keep me healthy. In addition to carrying an antiseptic spray, I am washing my hands for twenty seconds, avoiding touching my face and drink lots of medicinal herbal teas.
If you have an autoimmune disease like diabetes, your immune system is already compromised. Speak to your healthcare professional about which vitamins, supplements, and foods will not interfere with the medication you are on.
A deficiency in Vitamin C can further compromise your immune system, while Vitamin E can prevent infections.
Instead of panicking, look at what you do have control over as a preventive measure that you can adopt immediately.
Vitamins That Boost Your Immune System
Vitamin C
Research shows Vitamin C keeps the heart, immune system, and eyes healthy.
Foods rich in Vitamin C are bell peppers, broccoli, brussels sprouts, chili peppers, guava, kale, kiwis, lemons, spinach, strawberries, sweet yellow potatoes, and oranges.
Vitamin E
Vitamin E is an antioxidant, guarding your cells against being damaged by free radicals.
But be careful. Research shows taking large daily quantities of vitamin E may increase the likelihood of developing prostate cancer.
Foods rich in Vitamin E are kale, spinach, broccoli, leafy greens, nuts, some seeds. Some oils are more abundant in Vitamin E than others.
Exercise
If you are 55 to 84 and have practiced a lifetime of exercise- a new study shows that your immune system can be just as strong as your youthful days. Contrary to the aging theory, your immune system does not have to decline with aging.
Complimentary Essential Oil Infusion Therapy Used to Counter the Flu
Essentials oils are used topically or infused in the air with water. Undiluted can irritate your skin or bother your lungs. Dont run out and buy essential oils without checking in with your healthcare professional. If you have asthma or a blood pressure condition, know which oils are not recommended for your unique profile.A little information does not go a long way. It is best to meet with a credentialed, certified essential oil specialist that has graduated from a reputable school. You need to be well informed about your medications first to be sure if essential oils may do more good than harm.
I use infusion therapy for common colds and the flu. I also keep a warm mist steamer on hand with eucalyptus oil for the nights my stuffy nose makes breathing difficult.
My Antiviral Solution to the Coronavirus 19 When Traveling
In Scotland, I made an appointment with a registered holistic and aromatherapy practitioner who made me a nasal inhaler that fights viruses and infections. Before giving me my personalized aromatherapy bacterial and viral essential oils, she conducted a full intake asking me about my medical and emotional history. After my consultation, I received a nasal inhaler to be used when traveling.
Which aromatherapy oils did she combine? Three ingredients; tree tea oil and eucalyptus to fight a viral and bacterial infections and Rosemary to boost my immune system as an additional anti-bacterial oil.
Dont panic if you cannot get a mask to prevent an airborne virus or get a test to see if you are a carrier of the infection. Do what you can holistically by eating well, taking vitamins and checking in with your physician. Hopefully, by next year, there will be a flu vaccination to keep our minds at ease.
You may also be interested in reading What to Do if You Think You Have the Flu.
Source:
Exercise Slows Aging DownVitamin CVitamin ETree Tea OilEucalyptus OilRosemary Oil
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Welldoc Announces Collaboration with Dexcom to Enhance the Value of BlueStar with the Dexcom G6 CGM System – Associated Press
Posted: March 12, 2020 at 3:48 am
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COLUMBIA, Md., March 11, 2020 /PRNewswire/ -- Welldoc, a leading digital health company, announced today a collaboration with Dexcom, the global leader in continuous glucose monitoring (CGM) systems for people with diabetes. Welldoc and Dexcom signed an initial data partnership in 2019. This new collaboration will allow Welldocs award-winning BlueStar, a digital health product for individuals living with type 1 and type 2 diabetes, to deliver insights to Dexcom G6 CGM system users. These insights go beyond glucose trends to inform individuals how their glucose is being affected by other key parameters, including medication adherence, activity, nutrition, sleep and more. The parties will also explore additional opportunities with Welldoc customers to leverage a more integrated offering.
This is a pivotal time for those in digital health to work together to combine our expertise - in the utilization of technology and data science to drive user engagement and clinical outcomes, said Welldoc CEO Kevin McRaith. This partnership is a significant milestone for Dexcom, Welldoc, healthcare providers, and most importantly for those living with diabetes. These are the types of collaborations that will move the needle forward in improving population health.
BlueStar is an FDA-cleared digital health solution for type 1 and type 2 diabetes. It engages people with diabetes and delivers precision feedback to help improve long-term health. In addition to the new collaboration with Dexcom, BlueStar also integrates with blood glucose meters, pharmacies, labs and activity and fitness trackers, to make managing everyday life as simple as possible. On the backend, BlueStar aggregates various dimensions of data to deliver actionable insights to the individuals own care team, providing new opportunities to optimize care.
Dexcom is thrilled to integrate our G6 data into the Welldoc BlueStar platform to deliver an actionable digital solution to people with diabetes and their healthcare providers, said Matt Dolan, general manager of new markets for Dexcom. Now that users can view Dexcom CGM values alongside many other important data types with BlueStar, we hope people with diabetes can better manage their condition in a way that is both personalized and effective.
About Welldoc Welldoc, a founding member of the Digital Therapeutics Alliance, is a pioneer in revolutionizing chronic disease management to help transform lives. BlueStar was the first FDA-cleared digital health solution that guides individuals through the complicated journey of living with diabetes. By helping individuals with chronic disease self-manage their conditions and connecting them to their own healthcare team, Welldoc streamlines payers, employers and healthcare systems resources by focusing on a digital health solution to help better manage their populations living with multiple and costly chronic diseases. Having conducted multiple randomized clinical trials resulting in more than 45 peer-reviewed publications, Welldoc is based on a life science model. BlueStar has been recognized by IQVIA in 2017 as the Top App for type 2 diabetes treatment, awarded Diabetes Technology Societys 2019 Digital Diabetes Congress Mobile App Contest in the Established App category, and MedTech Breakthroughs 2019 Best Personal Health App award. Welldoc has created a suite of products that apply across a chronic disease domain. In 2019, Welldoc received its 10th patent with 9 others pending. For more information, visit http://www.welldoc.com.
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SSLC exam: Karnataka Education Dept allows students to carry insulin for Type-1 diabetes in the exam hall – EdexLive
Posted: March 12, 2020 at 3:48 am
Image for representational purpose only |Pic: TNIE
With the Karnataka Board Class10 examsbeginning on March 27, the Karnataka Secondary Education Examination Board (KSEEB) is gearing in all the ways especially in securing the question papers so that they don't leak. However, a few days ago, parents and students expressed their concern over carrying medicine inside the exam hall if they have Type-1 diabetes. Suresh Kumar, Minister of Primary and Secondary Educationhad instructed KSEEB officials to write a letter about this to the Department of Public Instructions to seek permission.
Yesterday, the Department of Public Instructions gave permission to KSEEB. As per the release from KSEEB, students who are suffering from Type-1 Diabetes are supposed to get a letter from the doctor and show it to the invigilator in the exam hall. Then they will be allowed to carry insulin pump and medications in the exam centre/hall. The release also stated that it is for the first time that the KSEEB has taken this decision in the interest of students.
Apart from this, there were also calls and letters from students who are dumband mute and communicate only through sign language. The KSEEB has instructed the in-charge person of the exam centres to check if there are such students allocated to write exams in their centre. In such a case, they have to mandatorily appoint a teacher who can communicate with these students in sign language to clear their confusions so that they can write their exam without any tension or fear.
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