Kereta

Beberape member semua dah start beli kereta.. akma chevrolet. saiful new jazz.. bila la aku nk merasa kereta hasil sendiri nih..

posted from Bloggeroid

Doraemon Comic Kelate version

Komik Doraemon Loghat Kelate

Aku jumpa komik ni dari satu blog dan terasa nak share komik ni demi memartabatkan bahase kelate.
ternyata bahase kelate meme best..

Sumber  Komik dari cerahjeff.blogspot.com

Hospital Tanah Merah

Lame Tak Updated

Long Time No see..  Lama Sungguh Tak updated..
haha .. Busy dengan kerja yang banyak dan memenatkan  mase untuk  menyesuaikan diri dengan enviroment kerja membuat saya kurang bernafsu untuk menyentuh keyboard..  online pon kadang - kadang jer...

Teaching insulin injection technique

• Make sure the person assembles the pen, attaches the needle, dials the dose and gives the injection themselves.You may need to guide them - but don’t do it for them.

• Don't forget to do an air shot before each injection, especially if a new cartridge and/or needle has been fitted.An air shot will make sure the plunger is connecting, and expel air from the pen.

• If using intermediate or pre-mixed insulin, invert or rotate the pen at least 20 times to mix the insulin.

• Inject into clean skin with clean hands.Alcohol wipes are not recommended.Alcohol is an astringent and can make the injection more painful, as well as hardening the skin.
• To 'pinch up' or not to 'pinch up'? Insulin should be injected into soft fat, not muscle. To avoid intramuscular injection, slim people, or those using injection sites without much subcutaneous fat, may need to 'pinch up' and/or use a shorter needle length.

• Inject at a 90º angle.

• Push the needle in all the way.
• Needles come in 5, 6, 8, 12 and 12.7 mm lengths.Shorter needles reduce the fear of injections, and suit most people regardless of age or weight.A few people prefer longer needles, but they may need to ‘pinch up’ or inject at an angle less than 90º to avoid injecting into a muscle.
• After the injection, leave the needle in the skin for 5 to 10 seconds to avoid leakage.With large doses, it may need to be left in for longer.
• Occasionally, there may be bleeding after the needle is withdrawn. Reassure the person, and advise them to apply gentle pressure for a couple of minutes to minimise bruising. They should not rub the area, as this may increase the rate of insulin absorption

Demam Denggi Malay Leaflet

Leaflet Kempen Bahaya  Denggi ni saya ambil di pejabat kesihatan Kota Bharu

insulin treatment in Type 2 diabetes - Part 2

Insulin Type


Manufactured insulin can be either synthetic (human) or animal in origin, and falls into five main categories

• rapid-acting
• short-acting
• intermediate acting (also called isophane insulin)
• fixed mixtures (of rapid - or short-acting and intermediate-acting insulin)
• long-acting

Indications for insulin treatment

Strong indications for insulin therapy include:

• symptoms of hyperglycaemia such as polyuria, thirst, 
  recurrent fungal infections (especially genital thrush) or bacterial infections (especially urine infections
• pregnancy or planning pregnancy
• oral hypoglycaemic treatments not tolerated/ contra-indicated
• weight loss without dieting in someone of low or normal weight.

Possible indications for insulin therapy include:

•  unsatisfactory glycaemic control, even with the maximum tolerated dose of oral hypoglycaemic agents (OHAs) (HbA1c higher than 7 per cent, self blood glucose monitoring results higher than 7 mmols/litre before meals or 9 mmols/litre two hours after meals) 
• personal preference
• painful neuropathy
• foot ulceration and infection.