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 last kings of the wilderness: vanishing tuskers
In the vast dry-zone wilderness of Sri Lanka, where ancient reservoirs mirror crimson sunsets and monsoon winds whisper through forests untouched for centuries, there still roams a giant who has become both legend and symbol.
His name is Mahasen — perhaps the most celebrated wild tusker Sri Lanka has ever known.
To wildlife enthusiasts, photographers, researchers, and villagers across the North Central Province, Mahasen is not merely an elephant. He is the living embodiment of Sri Lanka’s ancient wilderness, a reminder of a time when giant tuskers ruled the forests that surrounded the island’s great hydraulic civilisation.
Secretary and Chief Coordinator of Wild Tuskers of Sri Lanka, Chandika Lakmal, describes Mahasen as “one of the greatest living treasures of Sri Lanka’s natural heritage.”
“When people see Mahasen, they are not simply looking at a wild elephant,” he said.
“They are witnessing history, culture, ecology, and wilderness all combined into one magnificent animal. Tuskers like Mahasen are extremely rare, and losing such an elephant would mean losing a part of Sri Lanka’s identity itself.”
Sri Lanka has long shared a sacred bond with elephants. Ancient kings regarded tuskers as symbols of sovereignty and divine authority.
From the kingdoms of Anuradhapura and Polonnaruwa to the Kandyan era, elephants marched beside rulers during ceremonies and wars alike. Within Buddhist culture, elephants became revered symbols of strength, wisdom, and spiritual purity.
Yet among all elephants, the tusker has always occupied a special place.
Unlike African elephants, only a very small percentage of male Asian elephants develop tusks. This makes Sri Lankan tuskers exceptionally rare. Over centuries, they became deeply embedded in folklore, temple art, and village legends.
Mahasen stands today as perhaps the finest surviving example of that ancient legacy.

Mahasen, one of Sri Lanka’s most iconic wild tuskers, photographed during his majestic prime in 2014 and in 2025 as the ageing giant continues his struggle for survival in the island’s shrinking wilderness
The legendary tusker was first photographed in 2002 by renowned wildlife photographer Vajira Wijegunawardena. During those early years, wildlife enthusiasts referred to him as the “Somawathiya Tusker” because he was frequently sighted around the floodplains near Somawathiya before travelling towards Minneriya and Kaudulla during the season of the great elephant gathering.
Later, the giant elephant was named Mahasen in honour of the ancient King Mahasen, the visionary ruler who built the magnificent Minneriya Tank. The name reflected not only strength and majesty, but also a deep connection to the same historic landscape shaped by kings, forests, and elephants thousands of years ago.
Today, Mahasen is believed to be around 60 years old, making him one of the oldest surviving wild tuskers in Sri Lanka. Towering above most elephants, he possesses perhaps the largest pair of tusks ever documented among Sri Lanka’s wild elephants, stretching beyond six feet in length.
For decades, Mahasen became one of the greatest attractions of the famous elephant gathering at Minneriya National Park and Kaudulla National Park — one of the largest congregations of Asian elephants anywhere in the world.
Photographers from across the globe waited patiently for hours hoping to capture the old king emerging from the dusty grasslands, at dusk, his enormous tusks glowing beneath the golden evening light. For many wildlife lovers, witnessing Mahasen in the wild became an unforgettable experience.
“Mahasen carries an extraordinary presence,” Chandika Lakmal explained. “Even among large elephants, he stands apart. There is a certain calmness, confidence, and dignity in the way he moves. You immediately understand why ancient people considered tuskers sacred.”
Yet beyond his beauty and fame, Mahasen also represents the fragile future of Sri Lanka’s elephants.
Modern conservation science identifies elephants as “keystone species” and “umbrella species,” meaning their survival protects entire ecosystems. Elephants create pathways through forests, disperse seeds, maintain grasslands, and help sustain biodiversity across vast landscapes.
“Elephants are ecosystem engineers,” Chandika Lakmal said. “The forest itself depends on them. Without elephants, the structure of these ecosystems begins to change. Protecting tuskers, like Mahasen, means protecting entire habitats and countless other species.”
Sadly, Sri Lanka’s wild elephants now face mounting threats.
Habitat fragmentation, shrinking forests, electric fences, roads, railway accidents, illegal shootings, and human-elephant conflict continue to endanger their survival.
Nearly 60 percent of Sri Lanka’s wild elephants live outside protected national parks, surviving within fragmented forests and ancient tank ecosystems increasingly surrounded by human settlements.
Traditional elephant migration corridors that existed for centuries have now been blocked by agriculture and development projects. As elephants lose access to food and water, they are increasingly forced into villages and farmlands, creating dangerous encounters between humans and wildlife.
Even Mahasen has not escaped these pressures.
In recent years, the ageing tusker’s movements have become increasingly restricted. Wildlife observers believe the enormous weight of his tusks, combined with old age, has forced him into smaller forest patches between Kakirawa and Maradankadawala where food and water are available within shorter distances.
Several months ago, Mahasen was discovered with a serious wound on his back believed to have been caused either by a gunshot injury or a clash with another elephant. Wildlife officials intervened quickly and treated the giant tusker, offering hope that he would recover once again.
However, concern continues to grow among conservationists and wildlife enthusiasts as sightings of Mahasen have become increasingly rare in recent months.
For many Sri Lankans, the thought of losing Mahasen is deeply emotional.
“Mahasen is not just another elephant,” Chandika Lakmal said quietly. “He is one of the last living symbols of Sri Lanka’s ancient wilderness. Future generations deserve the chance to see such animals alive in our forests, not only in photographs or history books.”
Despite his immense ecological and cultural importance, many villagers living near elephant habitats still struggle with fear and economic hardship caused by crop raids and property damage.
Conservationists stress that long-term coexistence can only be achieved through proper land-use planning, protection of elephant corridors, community awareness, and sustainable conservation policies.
Across the forests of Yala National Park, Wilpattu National Park, Gal Oya National Park, and Wasgamuwa National Park, Sri Lanka’s remaining tuskers continue their silent struggle against an uncertain future.
But among them all, Mahasen remains special.
He is more than an old tusker wandering through fading forests.
He is the last king of a vanishing wilderness.
And as long as Mahasen still walks beneath the ancient trees of Sri Lanka’s dry zone, the spirit of the island’s wild heritage continues to survive majestic, untamed, and unforgettable.
By Ifham Nizam
Life style
Stars shine bright
An auspicious beginning for ‘Tharulya’
The Muhurath ceremony of ‘Tharulya’ the newest teledrama directed by Sudarma Jayewardena, was held in a graceful setting at Waters Edge recently, bringing together artistes, television personalities and invited guests from the entertainment industry.
The auspicious occasion marked the official beginning of the much-awarded teleseries, with the lighting of the traditional oil lamp adding colour and glamour to the evening.
Cast members and crew joined Sudarma in celebrating the launch while industry well-wishers extended their support for the production.
Sudarma is known for her emotionally rich story telling and distinctive creative touch. When asked about her new tele-serial, she expressed optimism ‘Tharulya’ is expected to bring a fresh narrative to the local television audiences. For her ‘Tharulya’ can be described as a reflection of dreams, emotions and human relationships, woven into meaningful teledrama narratives. The word ‘Tharulya’ evokes a poetic sense of stars, hope and destiny, symbolising the journeys and emotional bonds explored through the story.
Sudarma Jayewardena is known for her work as a actress, director, producer and creative visionary behind several acclaimed teledramas. Over the years she has build a reputation for presenting emotionally layered stories that explore family dynamics, social realities, women’s experiences and human relationships with sensitivity and depth .
Her teledramas are known for strong story telling, refined casting and cinematic production.
The teledrama, ‘Ganga Adare’, directed by Sudarma, is among the well known television production.
This tele-series became popular on the small screen for its emotional story telling, strong character development and family centred narrative style that resonated with Sinhala TV audiences.
Sudarma’s involvement in musical events, like ‘Sonu Nigam,’ highlighted her versatility beyond teledramas, showcasing her ability to create large scale entertainment events that combined glamour, culture and audience appeal.
Sudharma, who is no stranger in the entertainment industry, is the Managing Director of Star Events. ‘Tharulya’ was produced by Saranga Mendis. This much talked about teleserial is all set to unspool on Derena TV.
Beyond teledramas , Sudarma also contributed to musical and entertainment programmes, expanding her influence within Sri Lanka’s media industry. Her productions are often noted for their polished presentation and emotional story telling. (Zanita) Pix by Thushara Attapathu
- Smile,glamour and anticipation for the young star
- Powerful performances expected as he steps into a key role
- Moments from the launch
- Soulful voice adds magic
- Creativity in motion as Director Sudarma Jayewardena leads the cast with her spouse
- Invited guests marked the launch
Life style
Sri Lanka and Viet Nam soar into a new era of co-operation
Air Bridge of Friendship
The state visit of the Party Secretary and State President, To Lam of Viet Nam, to Sri Lanka, heralds a defining moment in bilateral relations, where diplomacy and aviation converge in a new era of connectivity. With the launch of Viet Nam air services, linking the two nations, the partnership soars behind traditional statecraft -opening a seamless corridors for tourism, trade and cultural exchange between South and South East Asia.
My interview with the Ambassador for Viet Nam in Sri Lanka, Trinh Thi Tam, went as follows:
(Q) How significant is the State visit to Sri Lanka by Party General Secretary and State President To Lam?
(A)Party General Secretary and State President To Lam’s visit to Sri Lanka is highly significant as it takes place when the two countries have just celebrated 55 years of diplomatic relations in 2025. Viet Nam is the first ASEAN members to visit Sri Lanka, and is also the first ASEAN country that President Anura Kumara Dissanayake visited after assuming office. More, importantly, both sides agreed to elevate bilateral ties to a Comprehensive Partnership on this occasion, opening a new chapter for cooperation in politics, trade, tourism, culture, education, and connectivity. The visit reflects the strong mutual trust and the shared determination to deepen cooperation in the years ahead.
(Q) Viet Nam and Sri Lanka share centuries old Buddhist links. How can these spiritual and cultural ties be transformed into stronger people-to-people tourism?
(A) Viet Nam and Sri Lanka share centuries-old Buddhist and cultural links, which create a very strong foundation for closer people-to-people relations. These spiritual ties can be transformed into stronger tourism cooperation through Buddhist pilgrimage tours, exchanges between temples and universities, cultural festivals, and tourism promotion programmes. Increased air connectivity and easier travel arrangements will also encourage more visitors to explore each other’s cultural heritage and strengthen mutual understanding between the two peoples.
(Q) Direct flights between Colombo and Ho Chi Minh City has generated great excitement in Sri Lanka. How important is this milestone for tourism and bilateral relations?
(A) The launch of direct flights between Colombo and Ho Chi Minh City by Viet Nam Airlines (national carrier) and Viet Jet (a private airline) is a historic milestone for bilateral relations. It not only shortens travel time but also creates new opportunities for tourism, trade, investment, business cooperation as well as people-to-people and cultural exchange. This achievement comes at a very meaningful moment, following the establishment of the Comprehensive Partnership, demonstrating the commitment of both countries to enhance practical cooperation and strengthen connectivity between Southeast Asia and South Asia.
(Q) Do you think this direct flight will significantly increase Vietnamese tourist arrivals to Sri Lanka within the next few years?
(A) Yes, we believe the direct flights will significantly increase Vietnamese tourist arrivals to Sri Lanka over the next few years. Sri Lanka is becoming increasingly attractive to Vietnamese travellers because of its beautiful beaches, Buddhist heritage, natural landscapes, and hospitality. Easier connectivity and tourism promotion activities will help more Vietnamese people discover Sri Lanka. We also expect stronger two-way tourism exchanges, contributing positively to economic cooperation and people-to-people relations between the two countries.
(Q) Do you see Colombo becoming a stronger regional hub connecting Viet Nam with the Indian Ocean region?
(A) Colombo has great potential to become a stronger regional hub connecting Viet Nam with South Asia and the Indian Ocean region. Sri Lanka’s strategic geographic location, combined with improving connectivity and growing economic cooperation, can help facilitate trade, tourism, logistics, and maritime cooperation. Following the establishment of the Comprehensive Partnership, Viet Nam sees many opportunities to work more closely with Sri Lanka in regional connectivity initiatives and strengthen economic links between Southeast Asia and the Indian Ocean region.
(Q) Viet Nam and Sri Lanka have enjoyed decades of friendly relations. What makes this partnership unique in Asia?
(A) The Viet Nam–Sri Lanka partnership has been built on longstanding friendship, mutual trust, and deep cultural connections rather than only economic interests. The two countries have consistently supported each other over many decades and share common values regarding independence, peace, and international cooperation. President Ho Chi Minh, Viet Nam’s Nation Father, stopped over in Sri Lanka on three occasions. Vietnamese people has always treasured the strong, unconditional support offered by Sri Lankan people during our hard struggle against imperialism and colonialism. The recent elevation of bilateral ties reflects the maturity of this relationship and the shared vision to expand cooperation across many sectors in a sustainable and balanced manner.
(Q) How does Viet Nam view Sri Lanka’s role with South Asia and the Indian Ocean together?
(A) Viet Nam highly values Sri Lanka’s important role in South Asia and the Indian Ocean region. Sri Lanka’s strategic location and historical role as a maritime and commercial centre make it an important partner for regional connectivity and economic cooperation. With Sri Lanka’s keen interest in engaging more with ASEAN (Regional Comprehensive Economic Parnership ) Viet Nam believes Sri Lanka can play an even stronger role in connecting South Asia and Southeast Asia, especially in trade, tourism, logistics and maritime cooperation.
(Q) How would you describe the current diplomatic relationship between Viet Nam and Sri Lanka after the Party General Secretary and State President’s visit?
(A) Following the visit, the diplomatic relationship between Viet Nam and Sri Lanka can be described as stronger, more dynamic, and more future-oriented. The establishment of the Comprehensive Partnership demonstrates the high level of political trust and creates a solid framework for expanding cooperation in many important sectors, including trade, investment, tourism, education, digital transformation, agriculture, and cultural exchanges between the two countries.
(Q) After the Party General Secretary and State President, what is your vision for Viet Nam-Sri Lanka relations over the next decade?
(A) Over the next decade, we hope Viet Nam–Sri Lanka relations will develop into a stronger, broader, and more practical partnership under the framework of the Comprehensive Partnership. We expect deeper cooperation in trade, tourism, connectivity, digital economy, education, renewable energy, agriculture, and maritime cooperation. At the same time, people-to-people exchanges and cultural cooperation will continue to grow, creating a solid foundation for long-term friendship and mutual prosperity between the two countries.
(Q) What message does Viet Nam wish to send to Sri Lanka and South Asian Region through the visit?
(A) Through the Party General Secretary and State President’s visits to India and Sri Lanka, Viet Nam wishes to send a strong message of friendship, cooperation, and shared development to Sri Lanka and the wider South Asian region. The visits demonstrates Viet Nam’s commitment to strengthening partnerships in South Asia and promoting peace, stability, connectivity, and economic cooperation in the Indo-Pacific region.
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