Frequency of isolation of enterobacteriaceae from diarrhoeic cases with multipleparasitism

90 cases with diarrhoea not more than two weeks with monoparasitic, di-parasitic and multiparasitic infestation were chosen for this study. Cases were divided in three groups: Group I: included 25 cases mansoniasis only, Group II: included 25 cases mansoniasis and amoebiasis or heterophyesis. Group III: included 40 cases mansoniasis and multiple parasitism [more than parasites]. The frequency of isolation of Enterobacteriaceae [enteropathogenic sero-types of Escherichia coli [EPEC], Salmonella and Shigella] was: 20 percent, 8 percent and 8 percent in the first group. 32 percent, 20 percent and 12 percent in the second group. 50 percent, 25 percent and 20 percent in the third group. In group III, the group of multiple parasitism, showed high frequency of isolation of Enterobacteriaceae. Also, [EPEC] isolations were the highest followed by Salmonella then Shigella in all the groups

Effect of addition of oil and a dietary fibre preparation to a popular Egyptian meal on blood glucose and plasma insulin in NIDD patients

Cooked beans is a popular meal for most of the Egyptians. We aimed to study blood glucose and insulin response to a beans meal and the effect of adding oil and excess fibre. We studied 21 non-insulin dependent diabetic patients [in 2 groups], and 10 controls. An oral carbohydrate tolerance curve was performed for all patients and controls using 480 gm of cooked beans [equivalent to 75 gm carbohydrates]. On the next day the curve was repeated after addition of 3 table spoonfuls of corn oil [58 gm] in group I [11 patients] and in controls or 2.84 gm of dietary fibre in group II [10 patients]. Beans were eaten with 160 gm whole meal bread. Compared to the values before the addition of oil, the mean percent increment rise of glucose and insulin after addition of oil, was not significant in diabetics [group, I] or controls [except at 120 and 180 minutes in controls]. In group II diabetics there was significant reduction in the values of percent increment rise of blood glucose and insulin at 60 and 90 minutes after the addition of the fibre diet if compared to the respective values without the fibre diet. In conclusion, corn oil is not harmful to diabetics and adding fibres to complex carbohydrate meals improves metabolic control

Honey: is it a safe sweetner for diabetics

The objective of this study was to determine whether or not honey could be used as a sweetening agent for non insulin dependent diabetics instead of sucrose. The work included 11 non-insulin dependent diabetic patients for whom an oral glucose tolerance test was performed on 2 alternative days. A carbohydrate load composed of 3 tea spoonfuls of honey together with a mixed flour bread [160 gm] was given on one occasion and 3 tea spoonfuls of sucrose with mixed flour bread [160 gm] on another. Blood glucose was determined in the fasting state and at 30, 60, 90, 120 and 180 minutes after the carbohydrate load. Serum samples were stored for insulin estimation by radio-immunoassay. Results showed that the values of the percent increment rise of blood glucose or serum insulin after sucrose were not significantly different from those after honey. It can be concluded that honey is not suitable to be used as a sweetening agent for non-insulin dependent diabetics in amounts higher than any other absorbable sugar allowance

clinical, pathological and imunological study of osteoarthrosis affecting diabetic patients

This work was planned to test a possible immunological background for the observed increased incidence and severity of osteoarthrosis in diabetes mellitus. Two matched groups of patients, a diabetic and non-diabetic control, with osteoarthrosis were studied. Each group included 15 patients. All patients were subjected to arthroscopic examination of the knee joint. The grade of osteoarthrosis was recorded and biopsies were taken from the synovial membrane and articular cartilage for immunofluorescent examination. Results showed earlier age of onset of osteoarthrosis among diabetics. The severity of osteoarthrosis was found to be related to the state of diabetic control, duration of diabetes and the presence of other microvascular complications. The study revealed significantly increased deposition of immunoglobulins IgG, IgM, IgA and C3 component in the articular cartilage in diabetics. This supports the theory of enhanced immunogenicity in diabetic osteoarthrosis through a proposed immunogenic effect of the glycosylated collagen

Study of effects of insulin on haemostatic system in obese and control subjects

The haemostatic effect of intravenous insulin administration was investigated in obese and control subjects. A hypercoagulability state was elucidated by enhancement of thromboplastin generation and increase of platelet adhesiveness. Stimulation of catecholamine release is supposed to be an underlying factor. An associated enhancement of fibrinolysis was observed and was less marked in obese than control subjects. Such findings point to paradoxical effects of insulin on the haemostatic parameters