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FOOD:The Relative Theory Of Healthy Fish & Chips - Why You Must Have Fun Dieting

Fish,Chips & Salads ๐Ÿ“ท: by Dr.Kevwe - instagram.com/drkevwe

Thank God it's another Friday but as I settle into the cafeteria at my work place to enjoy the weekly and nicely put together "fish and chips" garnished with salads/veggies, all I can hear is the wailings of anti-calorie mongers who certainly will not appreciate what I have termed,"THE RELATIVE THEORY OF HEALTHY FISH & CHIPS"! I know that I am on a healthy diet drive and so should you all but as you can see, I nicely ignored the wailings, shot my images and devoured the sumptuous meal you see in the photo above; but come to think of it, why should I not have fun dieting?
๐Ÿ‘€: High Quality Wallpaper

What do I mean by "the relative theory of healthy fish and chips" though? Since I relocated to the UK, I've come to appreciate the secret of healthy dieting and having fun whilst at it. I used to lament at the site of fresh leaves nicely tucked besides every meal, in the name of salads but now I know better. The ever growing world of weight loss has tilted many people into fanatical calorie disdain, forgetting that the body actually does need energy in form of calories to function at optimum levels. Yes, fish and chips does contain calories that can become unhealthy if consumed excessively in an abusive manner but if consumed in moderation, a beautiful combo of low salt-baked or even fried fish and chips, garnished with fresh salads can give you a super balanced diet composed of: carbs, proteins, fats, vitamins and minerals...that can get you winning after a busy morning at work or anywhere else. This is the relative theory of healthy fish & chips!
๐Ÿ“ท:by Dr. Kevwe - instagram.com/drkevwe

I will refrain from speaking too much grammar about the matter, as my family members and friends in the Legal world will say but anything worth doing is worth doing well and since we must all commence on healthy dieting, let us at least enjoy ourselves whilst at it. Clinically, I have realised that patients  are able to hang in much longer and even develop their dieting into permanent lifestyles when feeding with food timetables that promote only moderate nutritional abstinence. Many who have overzealously delved into extreme diets like Ketogenic and co, relapse even before they know it and become worst at their junk eating habit. Others move about feeling very weak and actually unwell inside- please what is that? Eating good food is fun and unless the clinical indication is absolute like: Kidney disease patients who must go drastically low on proteins or Hypertensives and Diabetics who must drastically go low on table/cooking salt and sugar respectively etc, on no account should anyone advise you not to enjoy your journey into the world of healthy dieting. Consult a standard Nutritionist for your personal dietary guidance and always remember that too much of anything can kill! For more information about the health theory of fish and chips, see references below. The matter is that serious...Lol.

REFERENCES:
* BT| 4 Reasons Fish And Chips Is Good For You

* NHS| Eat Well:Healthier Takeaways

World Cancer Day 2019: What's New With The Fight Against Cancer - INFOGRAPHICS


Another February 4th and thus yet again , another WORLD CANCER DAY but this year what's new with the fight against Cancer? As the burden of cancer grows unfortunately more worrisome, in addition to all the group efforts being put in by The World Health Organisation (WHO) and partners like The Union for International Cancer Control (UICC) amongst others, individuals from every part of the world are being called upon to take personal action, no matter how small, towards reversing the current menacing cancer statistics; just in case we all might be able to achieve a cancer free world or perhaps the next generation. The theme for this year  "I AM AND I WILL" creates room for all and everyone to fit in to the struggle and take action in any way possible. This article is my own little way of taking action and I believe strongly that it would go a long way in creating awareness towards what we are dealing with and what we must do....."I AM AN ADVOCATE AND I WILL SPEAK UP"!!!

* THE PROBLEM:


APPROXIMATELY 9.6 MILLION DEATHS EVERY YEAR****As recorded in 2018.

* THE CULPRIT:
๐Ÿ‘€: GLOBOCAN

* THE PLAN:
๐Ÿ‘€:worldcancerday.org

* THE PREFERRED WAY FORWARD: Just because prevention is better than cure so, the less the risk of coming down with cancer, the better for us all.
๐Ÿ‘€: twitter.com/who

It's time to make a personal commitment against cancer people....."I AM AN ....Individual, Student, Advocate, Medical Professional, Business Person, House Husband or Wife, Jobless etc...AND I WILL....Spread The Word; Reduce My Cancer Risk; Fund Research; Support Cancer Victims etc. Whatever you can do, it will be super important in the fight against cancer and together, perhaps we could make the world a better place. For more information about World Cancer Day 2019, see the references below.

REFERENCES:

* WORLDCANCERDAY|World Cancer Day- 4 February 2019 #IAMIWLL

* WHO|CANCER

* UICC|World Cancer Day

World Cancer Day 2019: How Mrs Imafidon Got It All Wrong & How You Must Not! #IAMIWILL

Courtesy of ๐Ÿ‘€: Breakthrough Art Gallery by Ufuoma Evuarherhe

She had recently been diagnosed with advanced breast cancer which had spread to her liver. I wondered how Mrs Imafidon had let it fester for so long, when her house was a stone throw from the biggest hospital in the state. I didn't need to think for long because she was like every other Pentecostal, who believed they could pray their problems away. An extra offering here, one week of fasting and some anointing oil before bed and that pesky hard seedling in the left breast would wither and die. After all, the God she served wouldn't allow something as evil as breast cancer to afflict his faithful servant, it was only for the enemies and unrepentant sinners. If only she had known early enough! February 4th is World Cancer Day......."I AM" a fictional Cancer victim so "I WILL" speak up!

๐Ÿ‘€: worldcancerday.org

I stared into the mirror, watching the contours of my face, previously smooth but now hardened by age. Sleep fled my eyes as I scrolled my phone book looking at names, some of which wouldn't connect if I tried to place a call through and the fleeting nature of life hit me. The older one grows, the list of those numbers grows longer; numbers belonging to those who have passed on. My eyes paused at that of Mrs Imafidon. Just to be sure, I placed a call through and of course it did not connect. Her death hurt even more because it was the most recent.  The last time  I saw her was a couple of months ago and she was still full of joy and hope but I couldn't match her happiness because of my learned skepticism. I had seen many people on this same path she was on and it only ended in one place, the cold hands of death. If only they had known better..."I AM" a fictional victim and "I WILL" spread the word!

The seedling kept growing and became harder and bigger, till she couldn't keep it to herself. One day after a wonderful church service, she mentioned it in passing to her friend, a Professor of medicine. She didn't want to be a bother, but could she maybe take a look at her breasts, not that she thought it was anything serious. As she took off her bra in the women's rest room, she saw the blood drain from her friend's face and the look told her all she needed to know. Months later, after the surgery, transfusions, chemotherapy and millions of money spent, the look on her face even with all her hair gone, the smile and the infectious, "I'm great" when asked about her health was unbelievable . She continued with her routine of helping and being a source of inspiration to all. This was someone who had looked death in the eye and laughed. I had no doubt she breathed her last with all dignity, being at peace with herself, still as vivacious as ever and happy till the last day but only if she had known better, she would be alive spreading the word of awareness!

Make no mistake esteemed readers...tell someone to tell someone else, who must tell more people that, prevention is better than cure for cancer otherwise,"EARLY DETECTION SAVES LIVES"! The above story is a fictional illustration of how Mrs. Imafidon got it all wrong but the most important lesson today is, how you must not. Every cancer death is one too many, so we must all join hands and lend our voices to spreading the message. Look out for recent statistical infographics and preventive measures in the next article.

By: Dr. Wisdom Aziegbe

















https://twitter.com/wisibord (@wisibord) is a Nigerian Medical Doctor with interests in Cardiology and Psychiatry. He loves writing medical fiction for Health Promotion purposes in his free time.

SPORTS: Australian Open Men Tennis 2019 Champion - What Made The Difference?

Credit: Reuters

7 times an Australian Open Tennis conqueror but overall 15 times a grand slam Legend and this is how we say massive congratulations to Novak Djokovic for becoming the Australian Open Tennis  Men's Singles 2019 Champion. Yes we were expecting a clash of the titans when Novak Djokovic and Rafael Nadal emerged as finalist for the 2019 Australian Open Men's Singles but the outcome of the match  left fans all around the world a bit more confused than not. What could have gone wrong from the Nadal side of the divide or better still, what made the difference?
๐Ÿ‘€: NDTV Sports

Till this moment I'm not quite sure because both players cruised into the final looking fitter than ever before, with Nadal reported to have let no set slide from the first game till after the Semi-Finals. How did he then manage to lose in straight sets on this particular final occasion?

Some of his fans are suggesting that something must have gone wrong with regards to mental focus.

 At the end of the day, fitness is all about overall 360 degrees wellbeing, isn't it? The Tennis King of Clay nevertheless, remains one of the Tennis greats of our time and we are certain that he still has a great career future ahead. In case you didn't watch the match live, here's a summary of how the game went down.
๐Ÿ‘€: ausopen.com

With the 7th Australian Open title in the bag, is Novak Djokovic still keen on lifting any more Norman Brookes Challenge Cups? What a question!๐Ÿ˜€ No Tennis player will ever be tired of winning gland slams, as long as they remain fit enough to kick *ss on the court.
The Norman Brookes Challenge Cup - ๐Ÿ‘€: twitter.com/ausopen

Overall fitness is the key thing and that is all we have to wish Novak and other grand slam hopeful champions in the future. I'm looking forwards to much more amazing Tennis in the course of the year and I'm sure you are too so, keep a tab with us. Until then, stay HEALTHERTAINED always!

REFERENCE:
* AO|A Perfect Match:Novak's Melbourne Masterclass

* The Telegraph|Novak Djokovic Swats Aside Rafael Nadal To Become The First Man To Win  Seven Titles At Australian Open

TRAVEL:How To Turn Your Vacation Into A Healthy Experience - Chronicles Of My Last Dubai Trip

๐Ÿ‘€: Free Wall Paper

More times than often, travelling for vacation is considered to be a leisure activity reserved for only the financially able but after almost 6 months of steadfast work from my new base and a gruelling professional examination experience, I was in dire need of a healthy vacation and I could practically  feel the stress draining out of my soul as I dragged the family luggage towards the tidy metro area of the Dubai International Airport Arrival Lounge. I couldn't care less about not having all the funds I needed; my major goal was how to turn the vacation into a healthy experience whilst having all the fun I could. This is not a paid advert for the Dubai Department of Tourism but a chronicle summary of my last vacation and what I made of the opportunity health-wise.
๐Ÿ‘€: dubai-international-airport.com
Since stable Health is "a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity", to turn a vacation into a healthy experience, every tourist has to take stock of their physical, mental and social gains as the holiday goes by. This was my simple strategy. Let's see how I did and perhaps you could get a few cues to turn your next vacation into a healthy experience.  

* PHYSICAL HEALTH:
Without knowing it, many of us get quite physically inactive with our everyday regular routines, so on this particular trip more than ever before, I was determined to take advantage of the pedometer on my I-phone and get the steps going. Check-In at the Rose Rayhaan by Rotana where we stayed was at 2pm Dubai time but we arrived at about 6:30am and by after 7a.m. we were practically done with immigration checking. My idea was to take the family straight to any restaurant around The Dubai Mall for breakfast and have a walk around before we retire to the hotel. We did just that, walking by the Dubai Mall Aquarium and heading straight outside to have a feel of the Dubai Fountains area for a daylight experience. The step count was slowly mounting up. After breakfast we headed to the Hotel, got checked into a room with the most amazing view I have ever had from a hotel, freshened up, had a much needed nap, dinner and then back to the Mall to experience an aspect of the trip I will mention below when I touch on mental health.  Why is PHYSICAL ACTIVITY important though and why should you make sight seeing on foot a very important aspect of your vacations, no matter where you go?    World Health Organisation (WHO) statistics reveal that, approximately 3.2 million deaths per year worldwide are due to physical inactivity. This probably sounds like a joke until you realise that - physical inactivity is estimated as being a major risk factor for developing: breast and colon cancer, 27% of diabetes and 30% of ischaemic heart disease(heart attacks) worldwide.  Being able to rent a car to take you around the city every single time you step out might feel like high level prestige but on this trip my brethren, I wasn't going to leave nothing to chance in turning this vacation into a healthy experience and by the end of our first day, this was my physical activity report card. Make no mistake about it, we certainly had to take Taxis in between. By the time we got back to the hotel, though our legs were aching, excellent oxygen-rich blood had circulated around our bodies and we had certainly surpassed WHO recommendations for daily steps per day. 

* MENTAL HEALTH:
Though it was my third visit but I realised that with every return trip, the scenery you experience as you enter the city and head Downtown kind of has a positively transformational effect on the mental faculty; if you know, you know ๐Ÿ˜€....Previously, I had thought this was the case because I was visiting from Nigeria on the last 2 occasions but here I was, visiting from the United Kingdom and my first expression was "woow"; my eyes were sending signals to my brain that in turn sent beautiful signals to it's own faculties and the overall effect was a deep sense of mental relief. The same effect you have when you go on wonderful sight seeing anywhere else in the world. You practically forget all your worries and just bask in the moment. The next visually exciting moment was our hotel room and the mind blowing view from the 33rd floor of the 65 storey high Rose Rayhaan by Rotana; and then the Dubai Aquarium that houses a large variety of water living creatures including: sharks,sting rays as well as other species too numerous to mention. To crown it all, was the superlative Dubai Fountain and Burj Khalifa light show, where water in fountain format was made to dance amazingly to soothing music, whilst an amazing light show was been simultaneously displayed on the front surface of the tallest building in the world- The Burj Khalifa. I will allow the pictures below to give you a better insight to what this all looks like and hopefully I will find time to edit a short video for my YouTube channel.   After all the sightseeing and more, my challenges may not have disappeared after the trip but the sheer amazement in the fact that, a set of people could live beyond their own challenges over time and make things look this beautiful for their satisfaction gave me a deep sense of hope that, with a little focus and determination, no future challenge was insurmountable! This gave me a deep feeling of mental relief and relaxation. I don't know how other visitors have felt but for me, the feeling is unexplainable.
๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜

The room views above and then the mind blowing scenery when I looked outside the glass wall...shown below ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜

๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜
Dubai Fountain by Miroslav Petrasco ๐Ÿ‘€: www.hdrshooter.com
Don't get me wrong people, a vacation is by no means the recommended or definitive treatment for anyone who has been diagnosed with some form of mental health challenge or even those yet to be diagnosed. Seeking help from your Healthcare Practitioner should be your first go to but for those struggling with one decision or the other and needing a clearer mind to gain fair perspective, a vacation might make a difference and sightseeing is a great way to go.

* SOCIAL HEALTH:
January 13 is my birthday and part of this trip was to have a memorable time for this year's celebration so, in addition to some of the already above mentioned sightseeing activites that had a social aspect, we also did some socialising by catching up with family who live and work in Dubai. High point was visiting The Salt Bae Restaurant/Nusr-et Dubai Steak House at the Four Seasons Jumeirah Resort with family on my birthday for the very popular steak experience. Their Salmon was amazing as well.
 ๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–๐Ÿ–
The Salt Bae Ottoman Rib eye steak by Nate Skid-๐Ÿ‘€: cnbc.com
๐ŸŸ๐ŸŸ๐ŸŸ๐ŸŸ๐Ÿด๐Ÿด๐Ÿด๐Ÿด

๐Ÿ‘ณ๐Ÿ‘ณ๐Ÿ‘ณ๐Ÿ‘ณ๐Ÿ‘ณ๐Ÿ‘ณ๐Ÿ‘ณ

๐Ÿ‘ฌ

I currently live in Europe and I have been to a few places in Africa and the U.S.A. for visits. I have been to the U.A.E. before but this trip felt different and so will the rest of the trips God willing. Take advantage of every moment you can to turn your vacation into not only an enjoyable but also a healthy experience. I can testify of the benefits, so should you.

REFERENCE:
* WHO|New Physical Activity Recommendations For Reducing Disease And Preventing Death

* TRAVELEXUSA|Why Is Travel Good For Your Health


SPORTS:New Queen On The Women's Tennis Block- Naomi Osaka Wins Australian Open 2019 To Become World Number 1


Very big congratulations to Naomi Osaka for winning the 2019 Australian Open Tennis Women's Final and for eventually emerging the games newest world number 1! All of those people that doubted the ability of this young Tennis legend after the last US OPEN can now put their suspicions to rest....there is a new queen on the women's tennis block and her name is NAOMI OSAKA! After what turned out to be a nerve racking battle between two amazingly fit fighters, the match decider between Naomi Osaka and Petra Kvitova seemed to boil down to mental energy/extreme focus and the outcome of the third set said it all. Health is a complete state of stable:physical, mental and social well-being and not merely the absence of disease or infirmity.....In this case, both players brought everything healthy to the table but mental tenacity made the difference, if you ask me. You probably felt the anxiety radiating within if you were there live or out of the arena through whatever screen you watched the match. The tension became palpable when Kvitova amazingly fought back to win the 2nd set. Was this going to be a repeat of her Semi-final match against Serena? Unfortunately NO!
๐Ÿ‘€: instagram.com/australianopen

Here's a summary of the game in numbers, in case you missed the live match.

How does a 21 year old female posses so much strength in a serve to make a tennis ball move at a speed of 164 km/hr? Naomi Osaka has just proven to be a phenomenal example of overall fitness...mind,skill and body. After raising the Australian Open Women's "Daphne Akurst Memorial Cup" for 2019, reviewed literature reveals that, Naomi becomes "the first player to win two consecutive  Grand Slam trophies since Serena Williams in 2015 and the first player to back up her maiden major title at the very next Slam since Jennifer Capriati won the Australian and French Opens back in 2001". 
The AO. Daphne Akurst Memorial Cup - ๐Ÿ‘€: scoopnest.com

Keep a tab with "DR KEVWE'S BLOG" for more of such amazing sport stories. Tomorrow is another day and the Australian Open Men's final between Djokovic and Nadal promises to be a Clash of The Tennis Titans. Since there is a health point of view to every such game amongst others, we would sure be congratulating the men's champion here and dropping our two cents on how it all went down.

REFERENCES:
* AO|Top Of The World:Osaka Wins AO Title-Takes No. 1 Ranking

* BBC SPORTS|Australian Open 2019:Naomi Osaka Beats Petra Kvitova To Win Title

Top of the world: Osaka wins AO title, takes No.1 ranking


#2019 Wellness Goals At A Glance - Happy New Year


It is with all pleasure that I not only welcome  our esteemed readers into 2019 but wish you all a very Happy New and Healthy Year. Whatever you do this new year, do not lose sight of your wellness/fitness goals. If you haven't made any resolutions in this regards yet, here's a realistic summary of wellness goals/targets at a glance. 

You can either take things one day at a time:

Or you can plan for the entire year and go for it......

Whatever suits you dear esteemed reader, health is wealth and if you will succeed in 2019, then you must make keeping healthy a top priority. HAPPY NEW YEAR.

WORLD AIDS DAY 2018:Why We Must All Know Our Status - WHO


Today is "WORLD AIDS DAY 2018" and this special 1st of December, The World Health Organisation (WHO) alongside her global partners have finally taken Public Health awareness action towards the dreaded fear that people feel, whenever the thoughts of taking the HIV test comes up. For some, the crippling fear is a bizarre feeling that sends bad signals down the spine and numbs the heart temporarily like...... Can you relate with this fear? If your answer is yes, then this year's theme is for you...."KNOW YOUR STATUS"!  The World Health Organisation(WHO) Infographics below emphasise: the gravity of the problem as a result of people not knowing their status and taking early measures where necessary; the  rate of disease occurrence amongst the most vulnerable group in one of the most affected regions of the world; risk factors that we must all know, as well as population demographics for people at risk; and finally a word of advise.

With the number of infected people known to be leading healthy lives on appropriate treatment, the Human Immunodeficiency Virus (HIV) shouldn't be claiming 1 million lives every year in this day and age but what do statistics reveal? Even greater fear of routine testing to confirm status, especially amongst people in at-risk populations.

Girls between the ages of 15 to 24 years of age getting infected as the minutes go by everyday in Sub-Saharan Africa? This is a nasty sad story for another day but then it reiterates the fact that, people need to know their "RISKS". A negative status today without the knowledge of risks/vulnerable factors that make people prone to getting infected, might lead to ignorant change in status and we certainly don't want that. Acquired Immunodeficiency Syndrome (AIDS) can be a thing of the past, if we all join hands to educate ourselves and help those already infected to get the best support they can. At least until medical science is able to come up with curative answers.

Unfortunately, certain category of people have been proven by Scientific demographic facts to be more at risk of getting infected. I am by no means trying to judge or stigmatise anyone but generally speaking, it is, what it is.

How can we reduce this dreaded statistic from 1 in 4 to 0?

The simple answer is getting tested and "KNOWING YOUR STATUS". Since prevention is always better than "no cure" in this case: Abstinence , Being faithful Or Condom use if we must, is the ultimate way forward.  There are now rapid tests kits available in patent chemist shops/Pharmacy stores in many parts of the world  that can be purchased and used even in the comfort of everyones home base so.....there is no excuse not to know your status. For more about WORLD AIDS DAY 2018, click on the References/Resources below. Being adequately informed can make a whole lot of difference. Do enjoy your day.

REFERENCES:
* WHO|WORLD AIDS DAY- "Know Your Status"

* WORLD AIDS DAY 2018|Rock The Ribbon

Paid Work Leave To Mourn For People Who Lose Their Pets?

๐Ÿ‘€: diariosanrafael.com.ar

The fact that people can get very close to and fall in love with their pets is no news but should paid days off work be given when such pets pass on? Whilst some Cooperations are documented to have started the employee friendly practice in the United States Of America, the debate is getting heated up in the United Kingdom. What is your take on this controversial issue?

Social groups in favour of this request have argued that, just as people grow close to and fund of each other , so do some families grow fund of their pets. In some cases, the pets are the only companions and termed as the best friends to their owners. When these pets eventually pass on, people have been noted to feel bereaved beyond imaginable levels, sometimes mourning for many months to years. "Why should time not be given off work for proper funeral ceremonies and bereavement as the case may be?"These are the exact words of a British Pets Rights Activist. Some of these pets can be breathlessly pretty though....
youtube.com

Will such a question ever come up for debate in Sub Saharan Africa and other parts of the developing world? Or are the economic conditions too hostile for pets to be taken too seriously?  Click into the links below for arguments being made around the world to support this paid leave from work request.

REFERENCES:


World Diabetes Day 2018:What You Should Know About Prevention As A Family - INFOGRAPHIC


What will "World Diabetes Day" be without talking prevention where possible? With approximately 150 million persons said to be living with the the condition worldwide, concerted efforts must be taken by families to prevent the numbers from getting to over 500 million by 2030 but just like any other thing in life, the factors that put people at risk of becoming Diabetic must be clearly understood, for preventive measures to be focused appropriately and eventually effective. The International Diabetes Federation Infographic below outlines some risk factors clearly.

Except for family history, the other risk factors enumerated above can be influenced by LIFESTYLE MODIFICATION, towards prevention of Diabetes Mellitus. Funny enough, one stone can be used to cause a positive ripple effect in this all important prevention drive and that's all shades of amazing, isn't it? Those who are overweight/obese must begin to exercise at least 30 minutes per day for at least 3 days of every week. This must be supported with a healthy diet mix of: daily portions of fruits; vegetables/salads regularly; fish and low salt with blood pressure control medications where necessary for those who are hypertensive. With all of this, it must be clearly stated that, being an occasional sweet tooth is very much allowed but moderation is key because you do not want to experience the repercussion of too much indulgence and sing the "had I know melody" to your regretting heart.

Prevention is certainly better than cure so, that's no doubts the way to go. Instead of going about it individually however, this World Diabetes Day, a family approach is being advised as an injury to one is practically an injury to all. Go on exercise walks together as a family. Couples should have more sex. The family diet should be sanitised as a unit and very importantly, routine hospital visits at least once or twice a year just for wellness sake, should be imbibed as family culture. For more information about World Diabetes Day 2018 and Diabetes Mellitus, click into the resources/References below.

References:
* IDF|World Diabetes Day 2018

* WHO|World Diabetes Day 2018

* WHO|Diabetes Mellitus