Dr harold Gunatillake

Why do most diabetics worry about the morning fasting blood sugar being high?-by Dr. Harold Gunatillake

FRCS, MBBS, AM (Sing), FICS (US) FIACS (US). Editor of ‘Health & Views’ Newsletter and health writer to many newsletters, newspapers- globally.

Harold Gunethilake

Fasting blood sugar is a test done on your early morning wake up time check, or when you visit the collecting centres to give blood for biochemical screening, fasting for 12 hours.

blood sugar

Fasting blood sugar is more diagnostic to check whether you have excess blood sugar. That would be the routine test your doctor will request on your annual blood check, sometimes with the HbA1C test.

If it is on the high side your doctor refers you for a random plasma glucose test or oral glucose tolerance test. The oral glucose tolerance test is the gold standard for diagnosing type 2 diabetes.

If your fasting level is higher than 126 mg/L (7 mmol/L) you have diabetes.
So, lets go back to the fasting blood sugar test (fasting for 12 hours) and its significance in diagnosis and control of diabetes.
After diagnosing diabetes, a fasting blood sugar level is not required as it takes you no where in your management of diabetes.

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Health & Views –May 2020 – 3rd issue By Harold Gunatillake

Dr Harold


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Cytokine Storm Syndrome link with COVID-19  Written by Dr. Harold Gunatillake

Dr Harold

Health writer

Cytokine Storm Syndrome

Have you heard of a syndrome called Cytokine Storm?
Let us find out what cytokines are. They are a group of proteins, peptides or glycoproteins secreted by specific cells of the immune system. They are chemicals that signal and regulate your immune system.
Such signaling by these chemicals stimulate the immune system to fight a foreign germ, or attack by a cancerous tumor. Now these are the good beneficial cytokines, that protect you from the invaders.

They function to protect your body cells from inflammatory diseases produced by bad damaging cytokines, and foreign invasions by pathogens.

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Alcohol consumption and COPD-by Dr. Harold Gunatillake

Harold Gunethilake


Alcohol consumption and

Any form of alcohol consumption, up to one to two drinks a day seem to favor good health in some chronic diseases including hypercholesterolemia, Essential high blood pressure, coronary heart disease, chronic airway disease(COPD), viral and bacterial diseases, and among others provided the medication taken has no side effects with alcohol, or contraindicated for other reasons.

Research articles on the alcohol consumption shows a U-shaped relation with allcauses, including COPD and cardiovascular mortality.

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Should a COVID-19 patient with poor lung function go under ventilator management?Written by Dr. Harold Gunatillake-Health writer

Dr Harold

Confusing terms when it comes to the management of Corona virus endemic

First thing we need to discuss is the difference between SARS-CoV-2 and Covid-19.

COVID-19 patient

The former is the scientific name of the virus that is causing the current pandemic (SARS stands for severe acute respiratory syndrome)

The disease caused by this virus is called Covid-19

If you have the disease it means that you have been infected by the SARS-CoV-2

It is the same as in HIV virus causing AIDS.

HIV virus is like the SARS-CoV-2 and the disease you refer to as AIDS, is like Covid-19.

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Is Tea as good as Coffee for your Liver & general Health?by Harold Gunatillake

Dr Harold


Recently, I viewed an interview given by Dr. Sanjiv Chopra MD Professor of Medicine at the Harvard Medical School, regarding the health benefits of consuming coffee pertaining to your liver

He gave some good reasons to drink coffee per day. He said multiple studies and meta-analysis have shown that people who drink two cups of regular have 40% reduction in primary liver cancer mortality. colon cancer, skin cancer including malignant melanoma, among others.

I thought, I should discuss the comparison between the health benefits of tea drinking, goodness and general side effects, with drinking regular coffee.

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Let’s discuss the latest research on finding a vaccine to fight against the COVID-19 by Harold Gunatillake 

Dr Harold Gunatillake




Under normal circumstances a vaccine program takes over 5 years to develop a vaccine.

Due to the urgency to control the spread of the present virus being further attacking people, the researchers are attempting to produce one at high speed within one year.

It is heartening to know that the Scientists at Oxford University have begun clinical trials of a coronavirus that has shown promise in rhesus monkeys and the first dose could be injected to humans within another few months.

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