Life style
COVID 19 and Diabetes: a lethal partnership? How do we overcome this?
by Dr. Kayathri Periasamy
With the latest wave of COVID-19 infections sweeping steadily across Sri Lanka, attention has been directed towards persons with uncontrolled, pre-existing conditions, particularly diabetes; as a sect most vulnerable to get severely ill or die because of complications caused by the virus. This has shed light on another growing concern among healthcare providers and patients, which is that patients suffering from diabetes or other chronic conditions are finding it increasingly difficult or are unable to access the medical care they require due to mandatory albeit essential curfew measures combined with a deep fear of contracting the virus in communal healthcare settings.
With a staggering 463 million adult diabetic patients present worldwide, World Diabetes Day 2020 – falling on the 14th of November- is a critical time for diabetes support communities and healthcare advocates to rally together to create awareness about this debilitating medical condition and push for progress in the standards of care and the better management of diabetic patients during a pandemic. In Sri Lanka alone, 1 in 10 adults are approximated to suffer from the disease. It is also then vital to look at ways to help stop more people from getting this disease, particularly at a time when ‘lockdown’ lifestyles are more often than not likely to be sedentary, unhealthy and stressful; an ideal background for a diabetes diagnosis.
Why is uncontrolled diabetes such a potent accelerant for COVID-19?
A recent study conducted by Lancet on Diabetes & Endocrinology screened over 61 million medical records in the U.K. to find that 30% of COVID-19 deaths can be attributed to people with diabetes. After accounting for factors such as demography and chronic medical conditions, the risk of succumbing to the virus was shown to be about three times higher for people with Type 1 diabetes and almost twice as high for Type 2, versus those without the disease.
There appears to be two primary reasons driving this predicament. Over a lifetime, poor glucose control inflicts widespread damage in our systems which can lead to strokes, heart attacks, kidney failure, eye disease, and limb amputations. The linings of blood vessels throughout the body weaken to an extent where they can’t ferry necessary nutrients adequately. Inflammation is another byproduct of poor diabetes control, which makes the body ill-prepared for the onslaught of the viral disease. Secondly, the rich environment of elevated blood glucose present in diabetic patients, makes them prone to superadded bacterial complications during the viral infection. Many diabetics also tend to have other co-morbidities such as obesity, hypertension, and heart disease, which are all factors that aggravate complications during viral illneses. These problems are seen in any infections in the setting of diabetes and not only with COVID 19. The pandemic has just highlighted the difficulties of having diabetes
What precautions can diabetic patients take?
So during this pandemic, apart from strict adherence to general COVID-19 personal safety protocols such as strict social distancing and sanitization, it is important for patients to regularly monitor their glucose levels to avoid complications caused by fluctuating blood glucose. Proper hydration is essential for good health. It is also crucial to have access to a good supply of the prescribed diabetes medications and healthy food so that patients are able to correct the situation if blood glucose levels fluctuate. Finally, sticking to a comfortable daily routine, maintaining an exercise program even within the confines of your home, reducing excessive work and having a good night’s sleep can go a long way in keeping you strong. In essence, maintaining good blood sugar levels may be their best defense against severe COVID-19.
Disruption to continuity of care for diabetes patients
A rapid assessment survey conducted by WHO among Ministries of Health across many countries, focusing on the service delivery for NCDs during the COVID-19 pandemic, revealed deepening concerns that many people living with NCDs are no longer receiving appropriate treatment or access to medicines during the COVID-19 pandemic. The more severe the transmission phase of the COVID-19 pandemic, the more NCD care services were disrupted.
With our country currently in the cluster transmission phase and heading towards the community transmission phase due to the large and distant spread of the first-line contacts, the threat to NCD care and especially routine and emergency care of diabetes patients worries us physicians. As healthcare providers, we too are torn between the dilemma of not wanting to expose our patients to unnecessary hospital visits and the need to ensure that all our patients have continued access to their healthcare team along with a steady supply of medicines and other diabetes care products such as glucometer strips and insulin. Unfortunately, the delay in visiting their healthcare provider when they have symptoms of complications has caused many people to present late to the hospital with heart attacks or infections. A delayed presentation, weakens the patient further.
This disruption to healthcare services is foreseen to be a huge dilemma for patients and healthcare providers alike, especially when it comes to the care of patients with diabetes and other non-communicable diseases. In Sri Lanka, the Ministry of Health, is currently providing a number of telemedicine services and has opened avenues to deliver medicines to houses without diabetic persons having to visit crowded settings
How do we counter this?
At Healthy Life Clinic, we adhere strictly to COVID-19 safety operational health protocols established according to Ministry of Health (MOH), Epidemiology Unit. All incoming patients are screened by our nurses as soon as appointments are made over the phone, to understand the nature of their illness. If there is a worry that they could have contracted COVID-19 or have been in contact with such patients, they are given the opportunity to speak to the doctor first over the phone for a detailed history. Every patient will be consulted and no one is turned away from our care.
In order to help patients overcome barriers such as curfews or even the fear of entering communal healthcare settings, our experienced, highly-regarded team of consultants conducts telehealth consultations via established, trusted telemedicine partners such as oDoc and Mydoctor.lk to maintain continuity of care throughout this pandemic. We have also moved many of our long-standing diabetes care and weight management programs online, which have proven to be effective even in the absence of a physical meeting and examination. Additionally, our social media platforms and website are constantly updated to increase awareness about this condition, along with content that informs people about the proper management and prevention of diabetes – particularly when it is thus connected to COVID-19.
(Dr. Kayathri Periasamy is a consultant physician MBBS (UK), MRCP (UK), Board Certified in Int. Medicine (U.S.A). She is the founder of Healthy Life Clinic, Colombo 07.)
Life style
Meet the author rewriting the rules of children’s fiction
Representation matters:
By Ifham Nizam
“There are no books written about pirates with prosthetic limbs, sporting blades, or racing wheelchairs—that is, until now,” says award-winning international children’s author Jann Weeratunga, whose Polly’s Piralympics series is challenging conventional ideas about who gets to be the hero in children’s literature.
For Weeratunga, representation is not simply about placing a disabled character somewhere in a story. It is about putting that character at the centre—leading, competing, winning, making friends, overcoming challenges and, most importantly, having adventures on their own terms.
Her books are designed not merely to be read, but to be experienced. Through interactive pages, children can colour, draw, write and respond to the stories, leaving something of themselves behind as they explore themes, ranging from disability and bullying to friendship, resilience and family.
At the heart of her growing literary brand is Polly’s Piralympics, a series in which disability is not presented as a limitation, but as part of a character’s identity and adventure.
The inspiration came from an unexpected moment during the closing speech of the 2012 London Paralympic Games by Sir Philip Craven. He recalled a young boy looking at an illustration of a pirate with an eye patch, a hook, a parrot and a wooden leg.
When his mother asked who the figure was, the boy replied that because the man had only one leg, “he must be an Olympian.”
The story moved Weeratunga deeply.
That moment of innocent perception—where disability was associated with sporting achievement rather than limitation—sparked the idea of Polly and her extraordinary Piralympic world.
In the series, Polly, a bird-napped African parrot, finds herself bullied in a Scottish pet shop before being rescued by Captain Hake. Their shared one-eyed view of the world becomes the beginning of an unusual friendship. Captain Hake teaches Polly the ways of a pirate, while Polly creates the Fellowship of Pirates and the Pirates Paralympics.
Soon, pirates from around the world are competing in events ranging from three-legged races and climb-the-rigging gymnastics to walk-the-plank diving and even a MasterChef competition.
It is an imaginative world, but behind the humour and adventure lies a serious message about inclusion and leadership.
Weeratunga recalls one school visit that brought home to her exactly why the books mattered.
A student with a prosthetic leg embraced her and said: “Thank you for writing these books for me, Auntie.”
The words left her overwhelmed.
“That was why I had written these books,” Weeratunga reflects.
Her journey towards becoming an author, however, began long before Polly sailed into the world of children’s fiction.
Earlier in her life, Weeratunga was a Scout Leader in the UK, where volunteering became a way of life. She subsequently spent a decade in Sri Lanka, falling in love not only with a Sri Lankan, but with the country itself.
After her husband died just four years into their marriage, she joined five other women to establish a small school in Senarathwela to teach English to those who wanted to learn. Many of her pupils, subsequently, found employment at the newly opened Victoria Golf Course.
When she returned to Sri Lanka in 2025 and revisited the village and golf course, she found a landscape transformed by new roads, homes, shops and businesses. But the people she had taught remained.
“The village is unrecognisable, with new roads, homes, shops and businesses, but my dear pupils were still there as Caddies, Caddy Master and Golf Pro. I was so proud of them,” she says.
Her connection with Sri Lanka deepened further during one of the country’s darkest moments.
On Boxing Day 2005, while holidaying in the UK with her recently widowed mother, Weeratunga was woken by the words: “Something terrible has happened in Sri Lanka.”
She rushed to the television and witnessed the devastating aftermath of the Indian Ocean tsunami.
That very day, she established a non-profit organisation to raise funds and take relief to Sri Lanka. With support from local McDonald’s franchises, schools in Ferndown, the Mayor of Ferndown, freight companies and her friend Mr Wijekoon, a local Grama Niladhari, she helped rebuild lives in Arugam Bay.
The experience was hands-on and deeply personal. A family’s home had been swept away, and days were spent persuading surfers to help construct a future for her adopted family.
A Montessori was established on the hill, within the Buddhist temple grounds, while evenings were spent crafting, building and working with a small but effective generator.
Meals of rice and curry, prepared by the family’s sisters, using provisions donated from Senarathwela, brought the long days to a close.
When Weeratunga returned to the family, in 2025, she was able to see how far they had come.
Today, living in South Africa, she continues to draw inspiration from the landscape around her.
“Travelling—it leaves you speechless and then turns you into a storyteller,” she says, echoing the famous words attributed to Ibn Battuta.
And storytelling has become her way of opening conversations with a new generation.
While Polly’s Piralympics remains the flagship of her children’s publishing brand, Weeratunga’s wider collection explores a range of issues that matter to children and parents.
Terry and the Bully gives children practical and empowering ways to stand up for themselves, transforming a difficult subject into a story through which young readers can explore courage and self-confidence.
In Evie Visiting Grandma, children encounter the sensitive experience of visiting a loved one who now lives in a residential home. Rather than avoiding a potentially difficult subject, the story gently opens the door to conversations about ageing, family and change.
Terry the Toucane explores another universal childhood experience—the challenge and beauty of being different. Its central message is simple: being different should never prevent us from developing deep and lasting friendships.
Then there is Captain Bluebird, a resilient and entertaining adventure exploring what happens when Captain Bluebird receives a brand-new ship.
Across the collection, Weeratunga combines entertainment with meaningful life lessons, while her interactive approach gives children an opportunity to become participants rather than passive readers.
They can colour illustrations, draw pictures and respond to pages, making each reading experience personal.
That approach also gives the books an added value for parents and educators. They can become conversation starters—helping adults discuss subjects that children may find difficult to raise directly.
For Weeratunga, this is part of the larger purpose of her work.
Her books seek to fill a gap in children’s literature where diverse characters are not simply included for the sake of inclusion, but are given agency, personality and leadership.
In Polly’s Piralympics, disabled characters are not watching from the sidelines. They are the stars.
They lead.
They compete.
They win.
They champion their own adventures.
And that, ultimately, is the brand Weeratunga is building: children’s stories in which every child can find a place, a voice and perhaps even a little courage to become the hero of their own story.
Representation matters.
For young readers in Sri Lanka, Weeratunga’s books are now available through Sarasavi Bookshop, Vijitha Yapa Bookshop, M. D. Gunasena and Expo Graphics, Battaramulla.
Life style
An evening where hearts sang as one
By Zanita Careem
Music, laughter and a generous spirit filled Raflfles Hotel Colombo as Heart to Heart sing along brought together a vibrant gathering for an evening of melody, friendship and giving. The elegant ballroom reverberated with familiar lyrics as guests joined in, sang along and simply let their hair down. Adding to the infections atmosphere was the talented Rajiv and Clan, whose lively performance kept the energy soaring and had the gathering singing to some much loved favourites.
Keeping the evening moving with plenty of wit and warmth was the compere Mirzab Sherifdeen who ensured there was never a dull moment between the music, laughter and spontaneous sing-along moments, Guests were also treated to prizes galore adding an extra element of excitement to an already festive evening. There was cheers as winners stepped forward to collect their prizes, while friends and families aplauded and celebrated every winning moment.
Yet beneath all the sparkle was the meaningful purpose of Heart to Heart Trust Fund, founded by Dr. Rajitha Y de Silva and Dr. Ruwan Ekanayake, bringing people together in support of a cause built on compassion and care.
The dedications and the volunteering was evident throughout the evening with their commitment adding a special warmth to this special event.
Adding to the evening’s indulgence was a sumptous spread of cuisine by the Raffles, Hotel with an enticing selectiom that kept guests happily returning for more. From savoury favourites to tempting desserts, the food complemented the festive mood perfectly.
As the final song faded and the evening drew to a close, there was a quiet sense of gratitude. Behind the music, laughter, prizs and beautiful memories was a cause built as compassion, a cause that has continued to touch lives through the dedication of Dr. Rajitha de Silva and everyone who has stood beside him in the journey of Heart to Heart.
And as guests left Raffles Hotel with the last melodies still lingering in the air the most beautiful note of the evening remained – the sound of hearts earning for hearts. At the very heart of Hearts to Heart is Dr. Rajitha whose compassion has become the soul of the initiative. Dr. Rajitha’s work reminds us that medicine is not only about repairing what is broken. It is about giving people the courage to believe in tomorrow. And perhaps that is the greatest gift he offers. This spirit was beautifully reflected throughout the evening.It was a beautiful evening of music, friendship and generosity, with every contribution going towards a worthy cause- keeping alive a legacy built one one simple but powerful belief that every heart deserves a chance to beat on.
- Ramzi Rahaman with friends and family enjoying an evening of music
- Sarath Wimalaratne, Chandra and Bunny Bohoron
- Brigadier Bohoron
- Shanti Fernando shares a warm and happy moment with volunteers, adding to the camaraderie and cheerful spirit
- Shahana, Sherin and Shahareen
- Lakshmie with her graceful moves
- Onitha Gurugalle with Arujana Ranasinghe
- Cardiologist and Senior Consultant Dr. Ruwan Ekanayake
- Dr. Rajitha Y de Silva and Dr. Arunie
- Former Cricketer with spouse
- A guest takes centre stage
Life style
Taste of Ceylon leaves a lasting flavour
Taste of Ceylon opened its doors at Beira Kitchen, Courtyard by Marriott Colombo, on September 3rd; a festival of Southern, Central, Uva and Northern regional food, brought together on one table.
Four Regions, One Unforgettable Table
Each night, guests moved between four distinct culinary worlds. From the South came the deep, coconut-rich flavours of malu abulthiyal and Negombo pork curry with pineapple, alongside a lively fish polla roti action station. The Central province brought Kandalama lake fish, black octopus curry and carrot kalupol; dishes rooted in the region’s lakes and forests. Uva’s table leaned rustic and warming, with village chicken stew, prawn curry with murunga, and a coconut pittu drawing steady queues. And from the North came bold, unmistakable flavours of Jaffna crab curry, Jaffna mutton curry, and a dosai action station that quickly became one of the evening’s most talked-about corners.
Layered around the four regional stations was a spread that told its own story of Sri Lankan hospitality, from belimal herbal welcome drinks and a bread corner stretching from curry leaves rolls to kurakkan viyana rolls, to a dessert corner where watalappan, wood-apple coconut wandu and king coconut jelly sat alongside a full spread of traditional Sri Lankan sweets like kokis, athirasa and aluwa.
What the guests had to say
The feedback on opening night carried a common thread: guests were struck by just how different each region’s food tasted, side by side, on the same table. What could easily have blurred into “just Sri Lankan food” instead came through as four distinct culinary identities; the fire of the North, the coastal warmth of the South, the earthiness of the Central hills, and the rustic comfort of Uva, each unmistakably its own.
A Word from the team
Reflecting on the festival, the team at Courtyard by Marriott Colombo shared that Taste of Ceylon was designed from the start to be more than a menu. It was meant to be an experience guests could travel through, one region at a time, without leaving Beira Kitchen. Judging by the response over the four nights, that’s exactly how it landed.
There were many rave reviews and as the Taste of Ceylon experience at Beira Lake drew to a close, the flavours, aromas and vibrant spirit of Sri Lanka lingered on.
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