May faces an­other Brexit bat­tle

Daily Nation (Barbados) - - Front Page -

LON­DON – Prime Min­is­ter Theresa May’s blue­print for Bri­tain’s exit from the Euro­pean Union faces a cru­cial test start­ing to­day, when law­mak­ers try to win con­ces­sions from a weak­ened leader on the govern­ment’s leg­is­la­tion to sever ties.

It is yet an­other bat­tle for May af­ter scan­dals and gaffes that have brought ques­tions about her lead­er­ship into the open. As many as 40 of her law­mak­ers would sup­port a no-con­fi­dence mo­tion against her, ac­cord­ing to the Sun­day Times news­pa­per.

But sources in her gov­ern­ing Con­ser­va­tive Party say now is not the time to force her out be­cause de­spite back­ing Bri­tain re­main­ing in the EU, even if reluc­tantly, they think she is still the best op­tion to de­liver Brexit. (Reuters)

KINGSTON – The Ja­maica So­ci­ety for the Blind has ex­pressed out­rage at the treat­ment meted out to Op­po­si­tion Sen­a­tor Dr Floyd Mor­ris in the Up­per House on Fri­day.

Mor­ris, who is vis­ually im­paired, was given sev­eral pages of amend­ments in writ­ing for the de­bate on the Na­tional Iden­ti­fi­ca­tion and Regis­tra­tion Bill.

How­ever, he ex­pressed dif­fi­culty and asked for an ad­journ­ment of the sit­ting to fa­cil­i­tate his par­tic­i­pa­tion in the de­bate.

When Govern­ment se­na­tors voted against his re­quest Mor­ris sub­se­quently walked out. (CMC)

WASH­ING­TON – The In­ter-amer­i­can De­vel­op­ment Bank (IDB) has opened a call for artists from Latin Amer­ica and the Caribbean who want to of­fer new per­spec­tives on the re­gion’s de­vel­op­ment chal­lenges.

The Wash­ing­ton-based IDB said the artists would be able to “demon­strate the im­mense artis­tic cre­ativ­ity of Latin Amer­ica and the Caribbean.”

The IDB said artists from Bar­ba­dos and other ter­ri­to­ries have un­til Jan­uary 7, 2018, to re­spond to the call. The win­ning pro­pos­als will be dis­played in “Side­walk of the Amer­i­cas,” a pub­lic art in­stal­la­tion com­pris­ing over 150 art­works. (CMC)

CAPE TOWN – The mother of a five-year-old South African boy who died af­ter fall­ing into a pit la­trine at school has bro­ken down in court as she de­scribed find­ing his body.

Michael Komape’s mother Rosina took the wit­ness stand yes­ter­day on the first day of a civil law­suit.

She and her hus­band James are su­ing the Min­is­ter of Ba­sic Ed­u­ca­tion af­ter their son drowned.

The De­part­ment of Ba­sic Ed­u­ca­tion de­nies re­spon­si­bil­ity for his death. (BBC)

DMZ – A North Korean sol­dier has de­fected to South Korea at the heav­ily pro­tected Demil­i­tarised Zone (DMZ), South Korea’s mil­i­tary says.

The sol­dier was shot and in­jured by his own mil­i­tary as he crossed to the South Korean side of the Joint Se­cu­rity Area in the vil­lage of Pan­munjom. The de­fec­tor has been taken to hos­pi­tal.

About 1 000 peo­ple from the North flee to the South each year – but very few de­fect via the DMZ, one of the world’s most heav­ily guarded strips of land. (BBC)

HARARE – Zim­babwe’s army chief has warned those re­spon­si­ble for “purg­ing” the coun­try’s rul­ing Zanu-pf party to stop, or the mil­i­tary will step in.

The rare in­ter­ven­tion comes just a week af­ter Pres­i­dent Robert Mu­gabe sacked his deputy Em­mer­son Mnan­gagwa, once seen as a suc­ces­sor to Mu­gabe. He has fled into ex­ile. (BBC)

NEW YORK – Puerto Rico Gov­er­nor Ricardo Ros­sello yes­ter­day re­quested US$94.4 bil­lion from Congress to re­build the is­land’s in­fra­struc­ture, hous­ing, schools and hospi­tals dev­as­tated by Hur­ri­cane Maria. (Reuters)

IT IS NOT USUAL to hear a preg­nant woman on re­turn­ing from her med­i­cal checkup say, “I just heard I have di­a­betes.”

For many, it may seem as if this came out of the blue. But the con­di­tion has a spe­cial name – ges­ta­tional di­a­betes.

One in seven births, world­wide, is af­fected by ges­ta­tional di­a­betes, which med­i­cal prac­ti­tion­ers see as a se­vere and ne­glected threat to ma­ter­nal and child health.there­fore, at­ten­tion is be­ing paid to this con­di­tion to­day which is be­ing marked as World Di­a­betes Day ( WDD).

Ges­ta­tional di­a­betes is a med­i­cal con­di­tion that oc­curs in preg­nant women. Med­i­cal re­search into the causes of ges­ta­tional di­a­betes sug­gests that the in­creased pro­duc­tion of hor­mones pre­vent in­sulin from work­ing ef­fec­tively. If in­sulin lev­els are too low, or it is un­able to per­form its func­tions, blood glu­cose lev­els can rise.

Un­like other types of di­a­betes, ges­ta­tional di­a­betes usu­ally has no no­tice­able signs and symp­toms. Ges­ta­tional di­a­betes can oc­cur at any time dur­ing preg­nancy, but doc­tors typ­i­cally test for the con­di­tion dur­ing the sec­ond trimester at 24 to 28 weeks, as this is when the con­di­tion is known to typ­i­cally de­velop. The test may be done ear­lier if you had high glu­cose level dur­ing pre­vi­ous pre­na­tal vis­its or first trimester vis­its, or if you are at high risk for di­a­betes.

Screen­ing for ges­ta­tional di­a­betes can be done in two ways. The first method in­volves a glu­cose chal­lenge test where you have blood drawn, you are then asked to drink a glu­cose so­lu­tion (sweet liq­uid). Blood is drawn again for test­ing af­ter one or two hours. If your blood sugar lev­els are higher than what is nor­mally ex­pected you will be asked to take a glu­cose tol­er­ance test (GTT). For the GTT, you are not al­lowed to eat or drink for at least eight hours prior to test­ing. You will have blood drawn, you will drink a glu­cose so­lu­tion and a blood sam­ple is taken three hours later to test your blood sugar lev­els. Some doc­tors may choose to use this test only.

Who is at risk?

Any ex­pec­tant mother can de­velop ges­ta­tional di­a­betes; in fact, most women de­velop some in­sulin re­sis­tance dur­ing the lat­ter stages of preg­nancy. Cer­tain women, how­ever, have a higher risk of de­vel­op­ing the con­di­tion. Your risk is in­creased if you are: • over­weight or obese • have pre-di­a­betes • are over the age of 25 • have high blood pres­sure • have a fam­ily his­tory of di­a­betes • have pre­vi­ously given birth to a baby weigh­ing more than nine pounds

Ef­fects on mother and baby

Since your baby gets nu­tri­ents from your blood, higher blood sugar may af­fect it. Your baby may store the ex­tra sugar as fat and this may cause it to grow larger than nor­mal and may make de­liv­ery more com­pli­cated. They are also at higher risk for hav­ing com­pli­ca­tions im­me­di­ately af­ter birth such as jaun­dice, dif­fi­culty breath­ing and low blood glu­cose lev­els. Later in life, the baby is also has an in­creased risk of be­com­ing over­weight and de­vel­op­ing type 2 di­a­betes.

For the mother there is a higher chance that you may need a Ce­sarean sec­tion partly due to the large size of the in­fant. Ges­ta­tional di­a­betes may also in­crease the risk of preeclamp­sia, a con­di­tion marked by high blood pres­sure. Women with ges­ta­tional di­a­betes are also at in­creased risk of de­vel­op­ing type 2 di­a­betes af­ter preg­nancy. Mis­car­riage, preterm birth, still birth and death soon af­ter birth have also been recorded at higher rates among women with ges­ta­tional di­a­betes.

Treat­ment

Treat­ment for ges­ta­tional di­a­betes in­volves main­tain­ing a proper diet and ex­er­cis­ing on a reg­u­lar basis. Your doc­tor will also most likely ask you to test your blood glu­cose lev­els at home on a reg­u­lar basis. You may ad­di­tion­ally be asked to test your urine for ke­tones. If diet and ex­er­cise are not suf­fi­cient to main­tain nor­mal blood glu­cose lev­els, in­sulin ther­apy may be nec­es­sary. It will be im­por­tant to ad­here to your treat­ment plan so you and your baby can en­joy healthy lives.

Can you pre­vent ges­ta­tional di­a­betes? Pre­vent­ing pre­vent ges­ta­tional di­a­betes may not al­ways be pos­si­ble, but there are steps that you can take to help re­duce your risk of de­vel­op­ing this health con­di­tion.

Lower your body mass in­dex (BMI) – If you are over­weight and are think­ing about get­ting preg­nant, con­sider los­ing the ex­cess weight first.

Ex­er­cise – For high risk women, ex­perts rec­om­mend en­gag­ing in 30 min­utes of ex­er­cise three to five days. Please talk to your doc­tor be­fore start­ing any ex­er­cise rou­tine; they can help you de­cide what types of ex­er­cise and what level of in­ten­sity is right for you.

Main­tain a healthy diet – Be­fore get­ting preg­nant, en­sure that you are fol­low­ing a healthy diet.

Try to limit sweets and mon­i­tor your in­take of car­bo­hy­drate- rich foods. In­clude more fruits, veg­eta­bles, whole grain breads and ce­re­als, and re­duce pro­cessed foods and salt. Your doc­tor or a nu­tri­tion­ist can help you cre­ate a diet plan.

Man­ag­ing ges­ta­tional di­a­betes may seem stress­ful when com­bined with all of the other side ef­fects that women can ex­pe­ri­ence dur­ing preg­nancy. Cop­ing with the dis­ease may seem es­pe­cially chal­leng­ing in the early stages of the di­ag­no­sis when you are learn­ing to test your blood glu­cose lev­els at home, and learn­ing how to man­age your diet to avoid blood sugar spikes. The good news, how­ever, is that most women di­ag­nosed with ges­ta­tional di­a­betes can suc­cess­fully con­trol their blood glu­cose lev­els and have healthy ba­bies with­out any com­pli­ca­tions, as long as they re­ceive proper treat­ment and mon­i­tor­ing. The other en­cour­ag­ing news is that most women di­ag­nosed with ges­ta­tional di­a­betes re­turn to hav­ing nor­mal blood glu­cose lev­els af­ter the baby is born and no longer re­quire treat­ment. You will need to be screened for di­a­betes six to 12 weeks af­ter giv­ing birth. (MEC)

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