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Sedantary lifestyles and diabetes

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Increasingly sedentary lifestyle, and high carbohydrate diets are leading to not just diabetes but also obesity and hypertension says Dr. Shyama Subasinghe MBBS (Colombo) Hon MD (SL) Consultant Physician Sri Jayewardenepura General Hospital . She obtained her overseas training at Redland hospital Brisbane Australia. She has presented her research in several national and international fora and authored the book SUwabara Mahluviyak

What is Diabetes?

Diabetes is a disease condition where the living being can’t maintain the blood sugar levels within the normal range and it remains elevated. Usually this is due to insulin deficiency or insulin resistance.

Sedentary lifestyles and High Carbohydrate diets are leading to diabetes obesity, hypertension explain?

There is a disease entity called metabolic syndrome. In this condition an individual has several or all the below mentioned conditions Obesity, Hypertension, diabetes, fatty liver, polycystic ovarian syndrome. A sedentary lifestyle pre-disposes to this by increasing insulin resistance in the body.

Can Type 2 diabetes be reversed?

Dr. Shyama Subasinghe

Type 2 Diabetes is usually not curable but controllable. In a newly diagnosed patient, there can be a temporary remission, and this is called honeymoon period, but careful regular monitoring of blood sugar is needed because majority of these people again develop high blood sugar values which needs to be controlled promptly. With good lifestyle modification, Diabetic diet, regular exercises and weight reduction certain individuals will be able to reduce or stop their diabetic medication altogether. This is not a true cure for diabetes because these individuals also develop high blood sugar levels with time.

How has the prevalence been evolving over the years and how do you explain the continuous growth?

Yes, unfortunately diabetes prevalence and incidence both are increasing despite all the measures we have taken up to date. Non adherence to health advice is the major reason. The percentage of people who are doing regular exercises is very low. And most of the people still live a sedentary lifestyle and the majority are consuming unhealthy diets. The stress level of the community has gone up with the very competitive lifestyle. Maternal obesity is identified as the independent risk factor for future development of diabetes in the offspring. Usage of certain medications like steroids and antipsychotics also contribute to increasing prevalence.

Any new innovations in the field of diabetes treatment?

Diabetic medications are divided into two major categories. Insulins and non-insulin hypoglycemic drugs. There are modern recombinant insulins available. Rangers from ultra short acting to intermediate, long and very long-acting ones making the diabetic control easier. We still do have very old oral medications like metformin, Gliclazide and acarbose. Newer medications (GLP-1 agonist, DPP-4 inhibitors, SGLT-p2 Inhibitors) has become the groundbreaking drugs due to its effect on the diabetic control and their favourable effects on the cardiovascular and renal function.

What are diabetic complications?

Diabetic complications can be divided into acute and long-term complications. DKA (Diabetes keto acidosis), HHS (Hyperglycemic hyperosmolar state) and hypoglycemic coma are some of the common acute complications. Long term diabetic complications can be divided into macro vascular or micro vascular complications. Ischemic heart disease, Stroke (CVA) and peripheral arterial disease (PAD) are the macro vascular complications of diabetes. Retinopathy, Neuropathy and nephropathy are micro vascular complications. Diabetic retinopathy is sight threatening. Therefore, every individual with diabetes should visit their eye surgeon annually. Diabetic neuropathy can affect the central as well as the peripheral nervous system. Meticulous blood sugar control is essential to prevent this complication. Diabetic nephropathy can lead to end stage renal failure requiring dialysis.

Yes, depending on the blood sugar fluctuations, escalations and de-escalation of the treatment is needed. Depending on other comorbidities, treatment changes need to be made. depending on the renal and liver functions drugs need to be changed accordingly.Now we have very long-acting insulin which needs to be injected once a week. It is good for people like travellers, mountain climbers and pilots. Insulin pumps that can detect patient own blood sugar and adjust the insulin rate accordingly are available now. They switch off the insulin delivery when the blood sugars are low there by preventing hypoglycemic coma. Nasal and oral insulins are on the way to making a happy life for patients with needle phobia. Isolated pancreatic transplant or combined pancreatic and renal transplant is the way forward for certain individuals with diabetes.

Stress causes diabetic ?

Long term stress is a well-recognized risk factor for the development of diabetes. Even short-term stress associated with acute medical conditions are known to elevate blood sugar levels.

Difference between adult diabetes and Juvenile diabetes ?

Adult diabetes is type 2 diabetes. It is due to insulin resistance. It can be managed with oral hypoglycemic drugs initially, eventually they also develop insulin deficiency requiring insulin treatment. Young Diabetes is type 1 diabetes. It is due to insulin deficiency. They need insulin from the beginning. Certain young individuals develop MODY (Maturity onset diabetes in young.) They behave like adult type 2 diabetes and can be managed with oral diabetic drugs. Rarely adults can develop type 1 diabetes then it is called LADA (Late onset Autoimmune Diabetes in Adults.). They need insulin from the beginning.

Do people with diabetes need to change their medicines over time?

Diabetic medications should go hand in hand with regular exercises, good diet control and stress reduction.Have your meals and medicines on time .Eat equal amounts every day. If you eat more and larger quantities, sugar will go up, if you eat less sugar will go down this will lead to derangement of human body’s metabolism,then your eyes and nerves get affected. Relax all the time. Consult your doctor immediately if you feel ill or discomfort any time.



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River of Life in Peril: Shantha Jayaweera’s Four-Decade Vigil in Boralugoda

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Shantha Jayaweera

In the quiet, rain-washed village of Boralugoda, where narrow streams slip silently through thick green undergrowth and the air carries the scent of wet earth, a remarkable story of science, persistence, and quiet resistance has been unfolding for decades.

At its centre is Research Scientist and artist Shantha Jayaweera—a man who has spent nearly 40 years studying, documenting, and defending one of the richest freshwater ecosystems in the island. His life’s work is not just about fish, but about a fragile world that exists beneath the surface of flowing water—often unseen, frequently misunderstood, and increasingly under threat.

“Sri Lanka holds a very special place in global freshwater biodiversity,” Jayaweera says, reflecting on decades of fieldwork. “But even within the island, there are pockets that are extraordinarily rich. Boralugoda is one of them.”

A Global Context, A Local Wonder

Sri Lanka is part of the Oriental region—one of the most biologically diverse freshwater zones in the world. Within the island, the lowland wet zone stands out as the most species-rich area, nurtured by year-round rainfall and dense vegetation.

But Boralugoda, located within this wet zone, is exceptional even by those standards.

“Out of about 94 true freshwater fish species recorded in the country, around 84 are found in the lowland wet zone,” Jayaweera explains. “What is remarkable is that Boralugoda alone supports 53 species. That is the highest number recorded in any inland location.”

He pauses before adding a sobering detail.

“Of those 53 species, 26 are endemic. And 23 are threatened—ranging from vulnerable to critically endangered. That’s a very serious signal.”

The Secret of the Maguru

Flowing through this biodiversity hotspot is the Maguru River—a relatively small river with an outsized ecological role. Originating in the rainforest-covered Morapitiya area, it carries with it the ecological signature of its pristine beginnings.

“What makes the Maguru unique is its clarity,” Jayaweera says. “Most rivers turn brown as they carry sediment downstream. But this river remains clear, which allows sunlight to penetrate and sustain aquatic life.”

The river’s structure adds another layer of ecological complexity.

“It starts with fast-flowing, rocky sections and then gradually shifts to sandy, slow-moving areas,” he explains. “Different species are adapted to each of these habitats. Some are highly specialised and cannot survive outside the rocky zones.”

This diversity of microhabitats is one of the key reasons for the area’s richness.

Banded mountain loach

Red neck goby – endangerd now extinct from the area due to sand mining

“Fish like certain gobies and barbs are restricted to fast-flowing rocky areas,” he notes. “If those habitats are disturbed, the species simply disappear.”

Streams That Sustain Life

Beyond the main river, Boralugoda is crisscrossed by an intricate network of streams—fed by rainfall, forest cover, and underground springs.

“This area has one of the highest stream densities in the Western Province,” Jayaweera says. “These streams act as nurseries, refuges, and migration pathways for many species.”

The surrounding landscape further enhances this ecological mosaic.

“You have a mix of rainforest patches, home gardens, tea estates, and cultivated lands,” he explains. “Each of these contributes in some way to the overall habitat diversity.”

However, this delicate balance is increasingly being pushed to its limits.

Sand Mining: A River Reshaped

One of the most destructive forces to hit the Maguru River has been large-scale sand mining, particularly since the early 2000s.

“The riverbed has been completely altered,” Jayaweera says, his tone turning grave. “We’ve lost aquatic plants, native riverbank trees, and entire habitats.”

The ecological consequences have been severe.

“The endangered Red Neck Goby has become locally extinct,” he reveals. “And the Ocellated Pipefish has not been recorded for years, largely due to the loss of specific aquatic plants it depends on.”

The physical damage to the river is equally alarming.

“Sand mining has deepened the river unnaturally,” he explains. “This leads to bank erosion, collapse, and long-term instability. It changes the entire character of the river.”

Although recent policy changes have halted new permits, the damage done over decades cannot be easily reversed.

Tea Expansion and Vanishing Buffers

Another major pressure comes from agricultural expansion—particularly the spread of lowland tea cultivation.

“Since the 1990s, we’ve seen a steady conversion of home gardens and even forest patches into tea plantations,” Jayaweera says. “In some cases, even rubber lands have been cleared.”

This transformation has not only reduced biodiversity on land but has also affected water systems.

“Riverbank vegetation is often cleared to make way for cultivation,” he explains. “But these trees are critical—they stabilise banks, filter runoff, and provide shade.”

What is particularly troubling is the disregard for existing environmental regulations.

“There are clear laws requiring buffer zones along rivers and streams,” he says. “But many local authorities are either unaware or do not enforce them. As a result, these protective areas are disappearing.”

A Life Dedicated to Observation and Action

For Jayaweera, these changes are not abstract trends—they are deeply personal.

“I’ve been observing this ecosystem for nearly four decades,” he says. “I’ve seen species decline, habitats shrink, and patterns change.”

But his work has never been limited to observation alone.

Through the Organisation for Aquatic Resources Management (OARM), he has led numerous conservation and restoration efforts.

“We’ve worked on replanting rainforest species in degraded areas, restoring stream banks, and raising awareness among local communities,” he explains. “In some places, we’ve seen encouraging signs of recovery.”

His approach combines science with grassroots engagement.

“Conservation cannot happen in isolation,” he says. “You need the community to be involved.”

Where Science Meets Art

What sets Jayaweera apart is his ability to translate science into art.

As an accomplished artist, he uses illustrations and visual storytelling to bring freshwater ecosystems to life.

“Art can reach people in ways that science sometimes cannot,” he says. “It creates an emotional connection.”

His paintings often depict the intricate beauty of fish species, aquatic plants, and flowing streams—capturing not just their form, but their essence.

“When people see what is at stake, they are more likely to care,” he adds.

A Community at a Crossroads

Despite decades of work, challenges remain at the community level.

“Some people still treat rivers as dumping grounds,” Jayaweera says with frustration. “Plastic and waste continue to find their way into these waters.”

Yet, there are also signs of hope.

“A group of committed individuals regularly organise clean-up campaigns,” he notes. “They collect waste and display it publicly to raise awareness. It’s a simple but powerful act.”

These grassroots efforts, he believes, are crucial.

“Real change begins at the local level,” he says.

A Fragile Future

For Jayaweera, Boralugoda is more than just a field site—it is a symbol of what is at stake.

“If we lose ecosystems like this, we lose something irreplaceable,” he warns. “These species are found nowhere else in the world.”

His message is both urgent and measured.

“We need stronger enforcement of environmental laws, better awareness, and a genuine commitment to conservation,” he says.

“Otherwise, the damage will become irreversible.”

As the clear waters of the Maguru River continue to flow through Boralugoda—past rocks, roots, and remnants of a once-pristine landscape—they carry with them a quiet story of resilience.

And alongside that flow stands Shantha Jayaweera—scientist, artist, and guardian of a hidden world—still watching, still working, and still hoping that it is not too late.

By Ifham Nizam

Pictures by Shantha Jayaweera

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Cheers to one year! Cinnamon Myst still casting its spell

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Perched in the heart of Sri Lanka’s hill capital, Kandy Myst by Cinnamon recently marked its first anniversary, celebrating a year of redefining modern hospitality in the historic City of Kandy. Since opening its doors on February 12, 2025, the hotel has quickly established itself as a vibrant lifestyle destination that blend contemporary comfort with the cultural charm of the region.

This property was designed to bring a fresh energy to the city’s hospitality scene with 215 modern rooms, the largest room inventory in Kandy. The hotel caters to both leisure and business travellers seeking comfort, convenience and stylish surrounding close to the city’s key attraction.

Within the first year, the hotel has achieved notable milestones, including become the first hotel in Kandy to receive Leed Gold Certificate reflecting its commitment to sustainable and responsible development. Beyond accommodation and dining, the property has also emerged as a hub for cultural events.

As Kandy Myst by Cinnamon enters its second year, the hotel continues to position itself as more than a place to stay. With its lively dining venues, social spaces and commitment to sustainability and community engagement, it is steadily shaping a new chapter in Kandy’s evolving hospitality landscape – one where tradition meets contemporary style.

Over the months the restaurant has hosted themed culinary events, special promotions and vibrant social evenings, further strengthening its place as a lively hub in Kandy’s hospitality scene. Guests have been drawn not only by the flavours on the plate but also by the inviting atmosphere that captures the essence of city’s elegance.

General Manager – Dhinal Perera

Kandy Myst by Cinnamon celebrates its first anniversary, marking a year as Kandy’s contemporary hospitality destination that brings energy, culture, and lifestyle experiences to the city. Opened through a partnership between Cinnamon Hotels & Resorts and Indra Traders (Pvt) Ltd, the hotel blends hospitality expertise with local insight to deliver a modern, energetic and lifestyle driven offering.

With the highest room inventory in Kandy, comprising 215 contemporary rooms, Kandy Myst by Cinnamon caters to both leisure and business travellers, offering modern comfort in close proximity to the city’s key attractions and transport routes. Its dynamic dining and social spaces; Grains Dining, Terra Lounge, and the rooftop Kosmos Sky Bar with heated infinity pool, invite guests and locals to engage, with panoramic city views, curated entertainment, and vibrant social experiences. Grains Dining, the buffet restaurant, serves an extensive selection of local and international cuisine, while Terra Lounge provides a welcoming café-style hub for casual meetups and social gatherings.

In its inaugural year, the hotel achieved significant milestones, becoming the first hotel in Kandy to receive LEED Gold certification, demonstrating a commitment to responsible, future-ready development. Reinforcing its culturally connected and globally relevant positioning, Kandy Myst by Cinnamon hosted globally celebrated icons such as Alpha Blondy and a series of high-profile local and international events, including the official trophy unveiling of the inaugural New Zealand U85kg Rugby Tour of Sri Lanka in May 2025.

Throughout the year, the hotel brought guests and the community together through seasonal activations, curated experiences, and loyalty-driven offers, contributing to strong engagement while supporting Kandy’s tourism economy through local partnerships and community initiatives.

As it enters its second year, Kandy Myst by Cinnamon continues to invite international and local guests alike to experience its vibrant dining, social, and lifestyle spaces, while reinforcing its role in shaping Kandy’s modern hospitality and cultural landscape. (Zanita )

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Montblanc launches Explorer Extreme in Sri Lanka

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From L - R - Ravin Hiru Surtani, President, Head of Fragrances - Exclusive Lines; Deshan Dias Bandaranayake, President, Head of Operations - Exclusive Lines; Hiru Surtani, Managing Director - Exclusive Lines & Apsara Hiru Surtani, President, Head of Beauty - Exclusive Lines

Internationally renowned luxury Maison Montblanc has introduced its latest fragrance, Montblanc Explorer Extreme, to the Sri Lankan market through Exclusive Lines, the sole authorised agent for the brand in the country.

The launch event was hosted at Virticle by Jetwing, where guests were invited to experience the newest addition to the bestselling Explorer line in a setting that reflected the Maison’s enduring themes of adventure, refinement and craftsmanship.

Montblanc Explorer Extreme represents a significant evolution of the Explorer franchise and is the first Parfum concentration within the collection. Conceived as an ode to vast landscapes and the world’s most remote desert terrains, the fragrance delivers a deeper, more intense interpretation of the original Explorer Eau de Parfum. Its woody, ambery and leathery composition is crafted to embody courage, ambition and the drive to push beyond limits.

Hiru Surtani, Managing Director and CEO of Exclusive Lines, said the launch reinforces the company’s commitment to bringing globally celebrated luxury brands to Sri Lanka. “Montblanc Explorer Extreme Parfum stands for courage, ambition and the determination to surpass boundaries, values that strongly resonate with us at Exclusive Lines. We are proud to present this remarkable fragrance to Sri Lanka’s discerning consumers, offering a scent that captures the essence of adventurous living,” he stated.

Inspired by dramatic desert landscapes such as Saudi Arabia’s AlUla, the fragrance reflects the bold spirit of modern exploration. It opens with fresh green notes of bergamot blended with clary sage, creating an immediate sense of vitality. The heart reveals patchouli layered with Ambrofix™, delivering warmth and depth, while the base combines rich amber, leather accords and refined vetiver to leave a powerful and lasting impression.

The bottle design draws inspiration from the Montblanc Extreme 3.0 Collection, echoing its distinctive textured motif associated with modern travel and dynamism. Crafted from fully black lacquered glass and topped with a polished black cap, the design underscores the intensity of the parfum. Production and assembly take place at Montblanc’s dedicated Pelleteria workshop in Florence, Italy, with elements crafted across Germany and France, a testament to the Maison’s European craftsmanship.

The global campaign features American actor, model and musician Justice Joslin as the contemporary Explorer, set against striking desert landscapes that symbolise ambition and achievement.

Montblanc Explorer Extreme joins Montblanc Explorer and Montblanc Explorer Platinum in the line-up and is now available exclusively in Sri Lanka through Exclusive Lines outlets and authorised retail partners nationwide.

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