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
The power of being heard, with psychologist Anita Sharma
Anita Sharma is a psychologist, who approaches the human mind with equal measures of empathy and insight. Known for her calm presence and thoughtful perspectives, she works closely with individuals navigating anxiety, relationship, trauma and the quiet emotional struggles that often go unseen. With experience working with individuals, couples and families, she has built a reputation for helping people navigate emotional challenges with clarity. Compassion and confidence. Anita Sharma stands as a reassuring voice bridging science, sensitivity and cultural understanding.
What inspired you to pursue a career in psychology?
I was inspired to pursue a career in psychology because I have always been curious about how people think and behave, especially when observing the world around us today. With so much happening in society, I often found myself wondering why people responded differently to similar situations and what influenced their choices, emotions, and behaviours. Psychology allows me to explore these questions on a deeper level and understand how factors like the environment, experiences, and social pressures shape a person’s behaviour. This interest motivated me to want to better understand others and eventually use that knowledge to make a positive impact.
How has your journey been as a psychologist? Have you faced unique challenges?
My journey as a woman in this field has required a lot of resilience and self-belief. In a world that is not always kind, there have been moments where certain spaces felt intimidating, but I chose to turn those experiences into strength rather than allow it to limit me. Instead of shrinking myself, I learned to speak up and trust my inner voice. These challenges have shaped my confidence, sharpened my perspective, and reinforced my commitment to the field.
What areas of psychology Do you specialise in and why did you choose them?
I specialize in counselling, focusing on people experiencing depression and anxiety, as well as adolescents, couples, and individuals recovering from surgery. I chose this area because I’m passionate about helping people go through life’s challenges. Supporting adolescents allows me to guide young people through critical stages of growth, counselling couples strengthens relationships, and working with individual’s post-surgery helps them cope emotionally and adjust to major life changes. Overall, this field lets me make a meaningful impact on people’s mental and emotional well-being.
How Do you approach therapy or counselling with clients facing anxiety or depression or trauma?
When working with clients facing anxiety, depression, or trauma, I approach therapy with empathy and patience. I start by creating a safe, non-judgmental space where clients feel heard and understood. I focus on understanding their experiences, thoughts, and feelings, and together we identify coping strategies and goals that are realistic and meaningful for them.
In your opinion, what are the most promising mental health challenges facing women and men?
In my opinion, some of the most pressing mental health challenges today revolve around stress, anxiety, depression, and the pressures of balancing personal and professional life. For women in particular, societal expectations, gender bias, and body image pressures can take a significant toll. Women are often expected to excel at work, manage family responsibilities, maintain social roles, and meet certain standards of weight and beauty appearances. Society frequently makes remarks or judgments about women’s bodies and looks, which lowers their self-esteem. Men also face challenges, like societal pressure to suppress emotions, which can lead to untreated stress or depression. Addressing these challenges requires awareness, supportive environments, and access to mental health resources
What role do you think society can play in reducing stigma around therapy and counselling?
Society plays a crucial role in reducing the stigma around therapy and counselling. By openly talking about mental health, sharing personal experiences, and normalizing seeking support, we can challenge the idea that needing help is a sign of weakness. Media, workplaces, schools, and communities all have a part to play in creating safe, supportive environments where people feel comfortable accessing mental health care. Education and awareness campaigns can also help people understand that therapy isn’t just for crises
Psychology can be emotionally demanding. How do you maintain your own mental health and balance work like pressures?
Psychology can definitely be emotionally demanding and it’s not a field that is suited for everyone. Maintaining my own mental health is a priority. I make a deliberate effort to detach from work at the end of the day, which allows me to process my own emotions and recharge. I also practice regular self-care, such as meditation, listening to music, and spending time with my family. Seeking supervision and peer support helps me gain perspective on challenging cases, ensuring I don’t carry that emotional weight alone
Would you say has been your most rewarding experience as a Psychologist?
Looking back, the most rewarding part of my work in psychology is hearing a client say, ‘I feel so much better after speaking to you.’ In those moments, I’m reminded that simply being present, listening without judgment, and offering support can truly make a difference in someone’s life. Knowing that I’ve helped someone feel lighter, more understood, or more hopeful is incredibly fulfilling and just reinforces why I chose this profession.
Where privacy and social perceptions matter greatly. How do you help individuals feel safe and comfortable seeking psychological support?
In a close-knit society where privacy and social perceptions are deeply valued, some women face pressures from traditional family expectations, including arranged marriages and strict cultural norms. To help them feel safe seeking psychological support, I focus on creating a space built on trust and understanding. For many, it’s the first time they can truly voice their thoughts and emotions, and helping them express themselves is incredibly empowering. By being sensitive to their cultural and societal context, I guide them towards confidence, emotional relief, and the belief that their feelings matter.
Ultimately, I hope this helps people understand the importance of mental wellbeing and seeking support when needed. I believe that at some stage, everyone can benefit from counselling. It’s not just for when you face a problem, seeking support can help you understand yourself better, manage challenges, and grow stronger. Life is always changing and nothing stays the same forever. By taking steps to care for our minds, we can move forward with clarity, courage, and a sense of inner balance, trusting that even difficult moments will pass.
By Zanita Careem ✍️
Life style
New era of wellness
Tranquil and tropical with a rugged beauty and temperate climate, Sri Lanka’s south coast is blessed with a naturally restorative environment. On a rocky outcrop overlooking a secluded cove of golden sand, Anantara Peace Haven Tangalle Resort harnesses the nurturing qualities of its shoreline home to create a sophisticated oasis of soothing and renewal.
Entering its second decade, the resort has announced a fresh expansion of its Anantara Spa menu, enriching an already extensive range of traditional and modern therapies. Anantara Peace Haven Tangalle Resort now hosts the region’s only spa overseen by three resident Ayurveda doctors. Led by Head Ayurvedic DoctorBhagya Wellapilli, these qualified medical officers work alongside accomplished practitioners in immaculate facilities, ensuring authentic and effective experiences, delivered by the safest hands.
In addition to enhancing its wellness team, the resort has also launched the pioneering Ayurvedic beauty sanctuary, Ayu Lavanaya. Named from the Sanskrit words Ayu (life) and Lavanaya (grace), the sanctuary is a modern reimagination of a quintessential Ayurvedic parlour. It aligns physical care with deeper wellbeing through timeless rituals and ancient wisdom. Offered in a new space within the lush, floral environs of Anantara Spa, each meditative treatment at Ayu Lavanaya is formulated for immediate results and long-lasting benefits.
Signature therapies complement a full menu of Ayurvedic manicures, pedicures and eye rituals. The brightening and firming Kumkumadi Royal Facial uses the esteemed Kumkumadi oil to leave skin supple and luminous. The Kesha Revive Hair Ritual pairs a lime and onion extract head massage with warm triphala therapy to relieve tension, fortify roots and boost scalp health. The 120-minute Prana Radiance Ritual detoxifies the senses and rejuvenates vital energies through carefully crafted steps that promote release, balance and renewal. Also available are Abhyanga massages, Pizhichil Kerala-style oil baths, Sweda thermal infusions and more.
Beyond Ayurveda, the award-winning Anantara Spa has also introduced four specially curated aromatic massages, showcasing the sensory potency of the island’s indigenous ingredients. Melt away stress and tension with a Four Hand Massage in which two skilled therapists work in perfect synchronicity to induce profound relaxation. Invoking the natural healing of the ocean, a unique Seashell Massage releases muscles and improves circulation by moving polished shells in graceful, flowing strokes across the body.
Age is no barrier to bliss at Anantara Spa with tailored 30-minute Kids’ Massages for ages four to 12. Using light pressure and natural coconut oils, these gentle treatments support healthy care for growing bodies. For mums-to-be, a 60-minute Pregnancy Massage eases the back, neck, and shoulders, reducing swelling and assisting sleep to boost comfort for mother and baby throughout their shared journey.
Yoga sessions by the sea, a state-of-the-art fitness centre, and nutrient-rich menus augment all therapies and treatments, maximising every benefit and laying the foundation for long-term vitality. For more intensive healing, five-day programmes focus on inner harmony, deep sleep, natural weight management, or holistic detox and rebuilding.
“Since our doors opened, we have been honoured to continue and grow Sri Lanka’s long-lasting tradition of Ayurvedic practices and natural wellness,” said Erik Billgren, General Manager at Anantara Peace Haven Tangalle Resort. “By expanding our spa menu and opening the exciting Ayu Lavanaya sanctuary, we are proud to set a new benchmark in holistic healing for every treasured guest.”
“As a fully-trained Ayurvedic Doctor, I understand the importance of fostering a calm and welcoming environment in which guests can feel completely comfortable,” added Ms Wellapilli, Head Doctor at Anantara Peace Haven Tangalle Resort. “By offering this alongside an extensive menu of expertly delivered rituals, we are excited to redefine the possibilities for soothing stays on Sri Lanka’s beautiful south coast – now, and for many years to come.”
Life style
ITC Ratnadipa awarded prestigious 5-Star classification by Sri Lanka Tourism Development Authority
ITC Ratnadipa has been awarded the coveted 5-Star Classification Certificate by the Sri Lanka Tourism Development Authority (SLTDA), reaffirming its commitment to delivering world-class hospitality and sustainable luxury.
The certificate was formally presented by Mr. Buddhika Hewawasam, Chairman of SLTDA & SLTPB, and accepted by Mr. Keenan McKenzie, Area Manager – Sri Lanka and General Manager of ITC Ratnadipa.
The ceremony was attended by several distinguished officials and industry leaders, including, Board Member, SLTDA; Mrs. Malkanthi Rajapaksha, Director – Standards & Quality Assurance, SLTDA; and Mr. Trevine Gomas, Chairman, Hotels’ Classification Committee. Their presence underscored the significance of this milestone for Sri Lanka’s hospitality sector.
ITC Ratnadipa, a Luxury Collection Hotel, opened its doors in Colombo, Sri Lanka, on April 25, 2024, introducing a new benchmark in responsible luxury and sustainability-driven hospitality. Since its inception, the hotel has been committed to offering exceptional experiences that blend opulence with environmental stewardship.
Addressing the gathering, Mr. Keenan McKenzie stated:
“We are grateful to the Sri Lanka Tourism Development Authority and the Hotels’ Classification Committee for their guidance and trust, and to our partners and stakeholders for their continued support. This milestone strengthens our resolve to elevate Sri Lanka’s hospitality landscape while delivering responsible luxury rooted in sustainability.”
This recognition underscores ITC Ratnadipa’s dedication to excellence, sustainability, and its vision to redefine luxury hospitality in Sri Lanka.
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