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Dr. Sylvia Karpagam Profile picture
Dr. Sylvia Karpagam
@sakie339
MBBS, MD Community Medicine #medtwitter https://t.co/uBnU4ywyPM https://t.co/9f8fFfzvZt https://t.co/cZP1KeLE9y
5 subscribers
Sep 8, 2024 • 10 tweets • 2 min read
Cut down on sugar in all forms. Fruits, especially sweet ones, can be limited to 1 a day or <.

Avoid fruit juices (natural &processed) -can raise glycemic index. If you have to consume fruit have it whole not juiced. Lime juice is fine with salt/ pepper rather than sugar. (1) · Cut down to stop all processed foods & outside food deep fried in high temperatures. Avoid foods with additives, tinned and canned foods.

· All dals to be bought whole and soaked for a few hours to reduce the anti-nutritional factors. (2)
Sep 27, 2023 • 6 tweets • 2 min read
Most patients with dengue recover in 1-2 weeks with rest and some basic medication. About 4-5% can develop dengue hemorrhagic fever (DHF) which is life threatening requiring emergency management and hospital admission. (1) About 1% of patients with dengue can die. Some of the things that help with dengue are rest (avoid strenuous exertion), plenty of fluids (lime/orange juice, buttermilk), good protein diet, mild painkillers like paracetamol (not more than 2-3 tabs a day 4 hours apart). (2)
Sep 17, 2023 • 9 tweets • 3 min read
Innocent (Indian) vegetarian PART 1

Lingayat groups in Karnataka threaten the government when eggs were introduced in mid-day meal scheme to address the malnutrition.

Luckily some Lingayat groups/leaders like SM Jamadar spoke in favour of eggs (1)
news18.com/news/india/rel… Innocent (Indian) vegetarian PART 2

Jain groups file PILs on meat-eaters and demand a ban - the exaggerated vegetarian fragility syndrome (EVFS).
"I won't eat and will punish anyone else who does" - but I'm SO INNOCENT (2)

timesofindia.indiatimes.com/city/mumbai/mu…
Dec 31, 2021 • 6 tweets • 1 min read
About Vitamin A

Presence of fat in the diet is important for the absorption of fat soluble vitamins like Vitamin A and carotene present in the diet. (1) Vitamin A is required for vision and integrity of epithelial cells (in mucosa/hollow organs). If Vitamin A is less, it can lead to permanent blindness. Retinol or preformed vitamin A is found in butter, ghee, whole milk, curd, egg yolk, liver etc. (2)
Dec 29, 2021 • 6 tweets • 2 min read
Dec 13, 2021 • 8 tweets • 2 min read
"Children from non-dominant caste and religious backgrounds are also the ones that bear the brunt of malnutrition. A study found that casteism was linked to stunted growth — often caused by poor nutrition in the first 1,000 days of a child’s life."
theswaddle.com/karnataka-scho… "Data suggests that children from the Scheduled Caste/Scheduled Tribe community were 14% more likely to be stunted than dominant-caste Hindu children; children from the OBC community were 10% more likely, and upper-caste Muslim children 9%."
Dec 12, 2021 • 4 tweets • 1 min read
ತೂಕವನ್ನು ಕಡಿಮೆ ಮಾಡಲು / ಸಕ್ಕರೆ ಕಾಯಿಲೆಯನ್ನು ನಿಯಂತ್ರಿಸಲು ಆಹಾರ ಸಲಹೆಗಳು

• ತುಪ್ಪ/ಬೆಣ್ಣೆ/ ಪ್ರಾಣಿಗಳ ಕೊಬ್ಬು ಸೇವನೆಯನ್ನು ಹೆಚ್ಚಿಸಿ
• ಬೆಲ್ಲ/ಸಕ್ಕರೆಯನ್ನು ಆದಷ್ಟು ನಿಲ್ಲಿಸಿ
• ಅಕ್ಕಿ, ರಾಗಿ, ಜೋಳ, ಗೋಧಿ (ಎಲ್ಲಾ ಧಾನ್ಯಗಳು) ಕಾರ್ಬೋಹೈಡ್ರೇಟ್‌ಗಳನ್ನು ಕಡಿಮೆ ಮಾಡಿ • ಕೆಂಪು ಮಾಂಸ/ಕೋಳಿ (ಚರ್ಮದೊಂದಿಗೆ), ಮೀನು, ಮೊಟ್ಟೆ, ಹಾಲು/ಡೈರಿ (ಪೂರ್ಣ ಕೊಬ್ಬು) ಸೇವನೆಯನ್ನು ಹೆಚ್ಚಿಸಿ
• ತರಕಾರಿಗಳು/ ಮೊಳಕೆ ಕಾಳುಗಳು ಬಳಕೆಯನ್ನು ಹೆಚ್ಚಿಸಿ
• ದಿನಕ್ಕೆ ಒಂದಕ್ಕಿಂತ ಹೆಚ್ಚು ಹಣ್ಣು ತಿನ್ನಬೇಡಿ

• ಊಟಕ್ಕೆ ಒಂದು ಗಂಟೆ ಮೊದಲು ಮತ್ತು
ಒಂದು ಗಂಟೆಯವರೆಗೆ ಚಹಾ/ಕಾಫಿ/ಹಾಲನ್ನು ಸೇವಿಸಬೇಡಿ
Dec 9, 2021 • 13 tweets • 2 min read
Worth reading this on livestock and greenhouse gas emission
aleph-2020.blogspot.com/2019/06/greenh… Global data should not be used to evaluate local contexts

Regional differences are due to large variations in feed digestibility, genetics, slaughter age/weight, climate conditions, and management as well as a different focus on wealth, draft power, fuel, religious significance
Dec 8, 2021 • 5 tweets • 2 min read
The only debate should have been whether the egg should be boiled or made into an omelette

The conflict is actually between ideology/politics vs simple nutritional science.

The children of the state need answers
deccanherald.com/state/top-karn… indiatoday.in/india/story/ka…
Dec 6, 2021 • 8 tweets • 2 min read
Here is an article I wrote on breastfeeding
auramag.in/breastfeeding-…

@aura_eMagazine "Doctors who get lured by these pharma or food companies are unlikely to genuinely promote breastfeeding and will tend towards promoting baby foods at every opportunity. It is not uncommon for a mother to be told that her breast milk is inadequate. "
Dec 6, 2021 • 11 tweets • 2 min read
These are Twitter policies 👇👇help.twitter.com/en/rules-and-p…

You can complain on these 👇forms. Lets see what action @Twitter takes !!
help.twitter.com/en/forms Hateful conduct: You may not promote violence against or directly attack or threaten other people on the basis of race, ethnicity, national origin, caste, sexual orientation, gender, gender identity, religious affiliation, age, disability, or serious disease.
Dec 4, 2021 • 10 tweets • 3 min read
science.thewire.in/health/nfhs-5-… Image Image
Dec 4, 2021 • 8 tweets • 2 min read
As nutritionists, doctors, activists, lawyers, & citizens extremely concerned about child malnutrition in Karnataka, we think eggs should be provided as part of MDM on ALL school days to ALL children in Karnataka, who are used to consuming eggs. aharanammahakku.home.blog/2021/12/03/ope… According to the (NFHS (2019, most children in Karnataka do not reach their ideal height / weight. Stunting of 35.4% & underweight of 32.9% are common in children even before they start their school life, more so in children from vulnerable communities.
Dec 4, 2021 • 10 tweets • 2 min read
Why the New Ayushman Bharat Digital Mission Does Not Bode Well

science.thewire.in/health/ayushma… Perfect informed consent in India has mostly been a wishful dream. The healthcare system has not found ways to make consent meaningful. Against this backdrop, to expect that the system will suddenly develop the ability to obtain consent is patently fallacious. (1)
Nov 21, 2021 • 6 tweets • 2 min read
Chromium is necessary for insulin to regulate metabolism of carbohydrates/lipids/protein. Sea foods, meat & whole grains are good sources, followed by egg, butter and tubers. Cheese is a concentrated source of Cr. Fruits and vegetables, in general, are not good sources of Cr. Selenium content varies depending on the soil where the animal was raised or plant was grown. Organ meat and sea foods are rich sources of selenium. Mustard, and to a lesser extent garlic and broccoli accumulate Se from soil. Cereals and grains are major dietary sources of Se.
Nov 21, 2021 • 10 tweets • 3 min read
Governments and researchers are messing with children's food and cultural preferences

Replacing rice with millets has no nutritional benefit.

And soya chunks are not a healthy option for children

This author also is misinformed about millets

indiatoday.in/india-today-in…
Nov 21, 2021 • 8 tweets • 2 min read
Start filing SC/ST atrocity cases on anyone who behaves in a casteist manner - in words/actions/by exclusion

@altlawforum is a people friendly lawyers group that has shared posters on how to. You can always reach out to them or tag them for support.🌺

altlawforum.org/pedagogy/poste… Specific crimes committed against persons from SC/ST communities by persons from non SC/ST communities

It includes INSULTING USING CASTEIST SLURS, economic and social boycott, displacing from property, sexual violence and murder.
Nov 3, 2021 • 10 tweets • 1 min read
Discrimination is…
When you (and people who share your identity) exclude others (who don’t share the same identity) from academic and social spaces. Discrimination is….
When you and your family don’t drink or eat from the glasses/plates that you give to certain people who work for you or visit your home
Oct 26, 2021 • 6 tweets • 2 min read
Bhakt logic 🙏🙏🙏🙏🙏🙏 Image Image
Oct 12, 2021 • 7 tweets • 2 min read
Diet to lose weight/control sugars

- Increase ghee/butter/lard
- Stop jaggery/sugar as much as possible
- Reduce carbohydrates from rice, ragi, jowar, wheat (including all millets)
- Increase consumption of red meats/poultry (with skin), fish, eggs, milk/dairy (full fat) (1) - Increase consumption of vegetables/sprouts
- Not more than one fruit a day
- Avoid tea/coffee/milk one hour before and after food
- Have lime juice with food and also at other times
- Eat when hungry. Try to give longer fasting gaps between meals (Avoid snacks) (2)
Oct 11, 2021 • 12 tweets • 8 min read
"Yes, digitalisation is an important aspect of making the system more accountable and responsive to people’s needs, but it cannot replace a robust, egalitarian, evidence-based and comprehensive healthcare system altogether."
science.thewire.in/health/ayushma… "The elderly woman who has a diabetic ulcer and is unable to buy her medicines and who hasn’t received her rations or her pension is the sort of person the government needs to be looking out for. But she may just become another statistic in India’s rush for digital gold."