The Midweek Sun

GOT SWOLLEN BIT FEET? TELL US A LITTLE YOURSELF ABOUT

I Modiitsane, Boago My name is and did my Mahalapye come from school and secondary primary school and Primary School at St Patrick’s School respective­ly. Secondary Madiba have three married and I am private Occasional swelling in your legs or feet is fair

- OPTOMETRY: IN YOUR CAREER EPIPHANY YOU HAVE AN DID ALWAYS OR WAS IT MOMENT THE MASTER PLAN? PART OF DOES YOUR BETWEEN DIFFERENCE WHAT IS THE OPTICIAN OPTOMETRIS­T, AN OPHTHALMOL­OGIST? AND JOB ENTAIL?

COVID is still a mystery mostly because of the way it affects various body organs. A respirator­y illness in nature, COVID affects the body way differentl­y than other respirator­y issues.

It affects the heart, lungs, kidneys and even brain. A recent research study has found a strong link between COVID and diabetes.

“After COVID-19, patients of all ages and genders had an elevated incidence and relative risk for a new diagnosis of diabetes. Particular attention should be paid during the first 3 months of follow-up after COVID-19 for new-onset diabetes,” the study, published in BMC Medicine, found. The researcher­s studied the risk of onset of diabetes in 10 population­s who had COVID.

“With nearly 40 million participan­ts, and nearly 200,000 cases of diabetes reported, we of in the prevention and visual system The ophthalmol­ogist injury. Gaborone coming and and eye disease trained specialist medically from Lobatse Hukuntsi Primary care: is the in total eye do outreach that one can deliver to who tertiary care and I told myself Hospital as one secondary, and have to be counted primary, services, contact vision day I will in Botswana. services (i.e. medical eye profession­als examinatio­ns, of eye care guidance eye our times, career lenses, eye care), diagnose During it is today, surgical treat developed as care, and body and our of the was not as research on general disease systemic some of we had to do So, after some manifestat­ions careers. ocular own regarding Optometry. settled for diseases. primary healthcare research I me scholarshi­p Optometris­t is a had offered eye and visual Government chose to of the but I profession­al comprehens­ive to do dentistry Optometry. provide - systems who includes my first choice care, which stick to BSc at diagnosis my part one eye and vision completing dispensing, After was admitted refraction and the Botswana, I diseases of University of Auckland in management conditions of University of and of at the Optometry. the rehabilita­tion to pursue eye and systems. Primary New Zealand home visual and I came back of the complete eye completion, graduate as is Upon care optometry Motswana to highlights the importance as the first done a prevention, I have also vision care that Modiisane Optometris­t. Health with in Boago an of optometry promotion, Degree in Public health basis, I am taking Masters in the UK. education, day-to-day not of Liverpool health diagnosis, treatment On a We are just University maintenanc­e, counseling, in 1996, I joined return home health rehabilita­tion, eyeglasses care of patients. or contact On my and subsequent­ly and consultati­on. providers medication­s of private sector 2000. interdisci­plinary prescribe the in and care lenses; we eye-health conditions. private practice primary health started my Opticians are care treat certain or an provide vision that infection who an eye surgical profession­als dispensing of If there’s and doing minor through refraction we are prescribin­g spectacles. injury, aids such as procedures, infections as well as optical to correct eye medication­s found a post-COVID-19 incidence of diabetes per 1000 person-years of 15.53, and a relative risk of 1.62 compared to non-COVID-19-infected people,” the researcher­s have said and have emphasized on the increased risk of the disease in those who get COVID infected.

They found that there was a 1.48 times increased risk of developing type 1 diabetes and a 1.7 times higher risk of type 2 diabetes compared to those who were not infected with COVID. Apart from this, the researcher­s have also predicted a higher risk of diabetes in other cases. Their analysis also found that there is a risk of 1.2 times of developing diabetes after COVID compared to patients with other upper respirator­y tract infections and a 1.82 higher risk of developing diabetes after COVID compared to the general population. The researcher­s have stressed on the need to test the patient’s glucose metabolism in the post-acute phase of COVID. Several other studies have found that the coronaviru­s acts on the mRNA of angiotensi­n-converting enzyme 2 (ACE2) in the endocrine and exocrine glands of the pancreas.

Also, the coronaviru­s can induce a cytokine storm that “may play a role in promoting insulin resistance and β-cell hyperstimu­lation, ultimately leading to altered cellular function and the death of β-cells,” the researcher­s explain.

A study published in The Lancet Diabetes & Endocrinol­ogy in March 2022, said that even mild COVID infections can amplify a person’s chance of developing diabetes, especially for those already susceptibl­e to the disease.

The researcher­s studied the medical records of more than 180,000 people who had survived for longer than a month after catching COVID. They found that those who had had COVID were about 40 percent more likely to develop diabetes up to a year. “That meant that for every 1,000 people studied in each group, roughly 13 more individual­s in the COVID-19 group were diagnosed with diabetes. Almost all cases detected were type 2 diabetes, in which the body becomes resistant to or doesn’t produce enough insulin,” the research study found.

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