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
Celebration of unity and tradition at Iftar dinner

In a grand celebration of unity and tradition, Cinnamon Lakeside Colombo hosted an exclusive and elegant Iftar dinner at the prestigious King’s Court. This remarkable evening, hosted by Nazoomi Azhar, General Manager of Cinnamon Lakeside Colombo, brought together a distinguished gathering of ambassadors, key figures, top corporate executives, and esteemed members of the media.
The event showcased a spectacular array of culinary delights, with a highlight being the masterpieces crafted by renowned Pakistani Chef Riaz Bhatti. His exquisite creations, alongside an extensive selection of traditional and contemporary delicacies of Pakistani dishes, left guests in awe of the lavish spread and exceptional flavors.
Among the standout dishes of the evening were the rich and aromatic Mutton Raghni Josh, the flavorful Mutton Shahi Qorma, and the perfectly spiced Peshawari Beef Chapli Kabab. Guests also delighted in the Lahori Chicken Tikka Boti and the indulgent Chicken Peshawari Karahi, which added a taste of authenticity to the menu. The Iftar spread was further complemented by traditional desserts such as Gulab Jamun, Shahi Tukda, and Ras Malai, providing a sweet ending to the feast.
The atmosphere was one of warmth and hospitality, reflecting the spirit of Ramadan while offering a truly memorable experience. Guests were highly impressed with the impeccable service and the thoughtfully curated menu, making this Iftar dinner a standout occasion in Colombo’s social calendar.
Cinnamon Lakeside Colombo, under the leadership of Nazoomi Azhar, continues to set the benchmark for luxury hospitality, delivering unforgettable experiences through its commitment to excellence.
Life style
Women -building blocks in shaping history of Turkiye

In the Republic of Turkiye women have been one of the building blocks in shaping Turkiye for centuries. However, especially since the founding of the Republic, Turkiye has been one of the leading countries in the world, especially in terms of the political visibility of women. Women were given the right to vote long before women were given political rights in many democratic and modern countries.
Turkish women are known for their unwavering determination and resilience. They exhibit remarkable dedication and courage in pursuing their goals and challenge injustice. Their hard work and perseverence contribute to their advancement of society. These statements were expressed by the Deputy Chief of Mission of Turkiye M/S Merve Goozde Otlu at the residence of the Turkish Ambassador in Sri Lanka, on the occasion of the International Women’s Day.
This day is also important for Turkish women, who have played a vital role in shaping Turkish society, from the early days of our Republic to the present said the Deputy Chief of Mission. In her speech she also pointed out that the founder of the Republic, Mustafia Kemal Ataturk, has an important place in the hearts of all Turkish people, but his visionary leadership for women’s rights are especially precious for all women of Turkiye.
She explained “Ataturk strongly believed in women’s equality and emphasized that a modern and progressive society could only be achieved if women had equal opportunities as men’’
“Women were encouraged to participate in all areas of life, including education, work life and politics. One of the most remarkable steps Ataturk took was granting women the right to vote and as early as 1930, women were able to run for office at the local elections and in 1934 women were granted this right long before many other countries (One year after that, there were already 18 women MPs). When we look at Turkish history, we see countless inspiring women who have shaped our country, playing crucial roles achieving many milestones. These women have proved that Turkish women could achieve greatness in any field from science to business, from arts to sports, if given the opportunity, she remarked.
Turkish women have also made a significant contribution to diplomacy, a field often seen as male-dominated, she remarked.
For decades, Turkish women have been representing our country with strength and determination on the global stage. The first woman diplomat Mrs. Adile Ayda was recruited in 1932, while Ambassador Filiz Dinemen is the first woman Ambassador of Turkiye, assigned to the Hague in 1982.
Women representation has been increasing in the Ministry of Foreign Affairs, constituting almost 40% of the Ministry.
It is a personal honour for me to serve in a country like Sri Lanka, which gave the world the first female Prime Minister in history, Sirimavo Bandaranaike, she said with pride.
Her leadership showed that women can take on the highest responsibility and be a driving force not just for women but for the whole society.
The contribution of women in Turkiye in the field of Science and Technology is far reaching. She said in Turkiye, a prominent scientist who worked for NASA, whose research was instrumental in the legendary 1962 Apollo mission. She is Dihlhan Eryunt, was the recipient of the NASA Appolo Achievement Awards she said with pride.
The First Secretary, Imren Kaygisiz said Turkish women who have contributed to the development of the country and thier enduring impact on society who are still continuing to inspire strength,resilience and success of women
The Commercial Counsellor M/s Gamze Erc an also paid tribute to the founder of Modern Republic of Turkiye, Mustafa Kemal Ataturk who gave importance to education of Turkish women and leader believed that development of a nation depends on a strong education foundation.
The evening had all the trappings of glamour followed by high tea.
Life style
Sri Lanka showing strong commitment to gender equality

The Embassy of the Republic of Indonesia in sri Lanka hosted the International Women’s Day ceremony at thier residence.
Ambassador of Indonesia Dwi Gustina Tobing invited a large gathering of invitees including the Minister of Women and Child Affairs Saroja Savithri Paulraj who was the Chief Guest. CBL Group Managing Director Sheamalee Wickramasighe, popular musician Umaria Sinhawansa and Stephanie Siriwardena also addressed the gathering. The ambassador looking elegant was busy welcoming the guests at her residence.
An evening of camaraderie, glitz and glamour. The event featured an insightful session aimed to empower women, and served as a tribute to the commitment of women who has contributed immensely. The ambassador in her speech said by celebrating the achievements of women and amplifying their voices, we pave the way for a more inclusive and equitable society, where gender does not hinder opportunity but enriches collective experiences. Here is an excerpt from the ambassador’s speech.
A warm welcome to all of you. It is an honour to host this reception in commemoration of International Women’s Day 2025.
She said ” This year’s theme, “Accelerate Action”, is a powerful call to all of us. It underscores that equality cannot wait, and that all sectors of society must work together to speed up progress in women’s rights and empowerment.”
- CBL group managing director Sheamalee addressing the gathering
- Stephani and Umaria
Around the world, we have seen tremendous strides toward gender equality in politics, economics, and social spheres. Women are increasingly taking up leadership roles, contributing to economic growth, and shaping the future of our societies.
In Indonesia, we are proud of the progress we have made in advancing women’s participation. She said
She reiterated that 127 women were elected to parliament, making up 22.1% of the seats—the highest in our post-reform history. However, this is still below our target of 30%, which means there is room for improvement.
Our new cabinet includes 14 women, both as ministers and deputy ministers, demonstrating our commitment to gender-inclusive governance.
Beyond politics, women are the backbone of Indonesia’s economy. Micro, Small, and Medium Enterprises (MSMEs) contribute over 60% to the national GDP, and 64.5% of these businesses are managed by women.
Additionally, Indonesia ranks among the top four countries globally for female business leaders
She pointed out Sri Lanka, too, has made significant strides in women’s empowerment. When I met with Minister Saroja Savithri Paulraj last week, we discussed the progress Sri Lanka has made in increasing women’s representation in politics and the economy. From women entrepreneurs driving economic growth to initiatives supporting women in leadership, Sri Lanka is showing a strong commitment to gender equality.
Many countries have made progress in advancing women’s empowerment, yet, despite this progress, we must recognize that challenges remain. Women still face barriers to equal pay, leadership opportunities, financial inclusion, and social mobility. Gender-based violence, discrimination, and unequal access to resources continue to hinder the advancement of women in many parts of the world.
This is why collaboration is crucial. By sharing experiences, policies, and best practices, we can accelerate meaningful action to bridge the gender gap.
We must continue working together, fostering partnerships that empower women economically and socially. Indonesia is committed to strengthening collaboration with Sri Lanka and other nations to create more opportunities for women, recognizing their immense importance. Invitees were able to enjoy authentic Indonesian delicacies specially curated by the Ambassador herself.
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