it will be a regular soup, or, after all, in the process of parka, coconut milk will thicken here, as such it will not. so there is a similar soup tom moss, it is already thicker, but it has a way of cooking, but it also cooks on meat, while tom yam is pure broth. here's what you learned for yourself, maybe you saw something new, what kirill is doing kirill used ready-made milk today. and we can cook it at home ourselves, which will be very convenient for many, because you can take not only coconut milk, but also any cereal. oatmeal is sesame. this is almond. here are two ways to prepare hot milk, when we do not have time to soak our cereal nuts, and a cold option, when we soaked they got soaked, and then it all goes astray on a special program. so i have a question. tell me, please, here is coconut milk and coconut ah, where do we get the liquid

from? that is, we take the coconut base and mix it. yes, but water, where do we add it separately, or is it the water that is in the coconut, as it is right here , in general, we say, just water drinking water is purified, which we will add now coconut and of course, how can you not love coconut milk when it is just coconut pulp. it's just magic, it's candy and coconut cookies on coconut, so yes , drink such a drink. i think it will be just great. in fact, there are several cooking technologies, and coconut milk, and the first, but uses only the liquid that we get when squeezing the coconut pulp directly, while another technology involves the addition of water, often it is hot water in order to get these fats coconut milk emulsified better, because the white color of coconut milk as well as the white color of cow's milk is formed due to. let's weigh the microparticles. uh, fat

tatyan turned out. uh, still like such coconut cream, let's even say. yes, depending on the amount of water that we add, we could add more, and they would be more liquid and milky. we would have had much more . so the soup is ready. how beautiful it looks victoria well, here is a soup that is atypical for us belarusians, yang, not only is coconut there, but it is also very sharp, like a doctor nutritionist, i will say that the more spices we add to dishes, the more activity, a and our taste buds are more affected, respectively, the more taste. the more saturation, the faster saturation comes, the more pleasure we get satisfaction from eating. and this soup is rich in, uh, animal proteins in the form of shrimp in this soup a lot. schey in

general, but i like this option, but add a complex carbohydrate to the soup in the form, and a piece of bread and this is an ideal balanced meal victoria totally agree with you. after all, at least sometimes we can visit ourselves even with an exotic dish and, for example, today's soup. there yan is an example of healthy food. this is food with a plus sign, see it right and be healthy. how this simplified system works, but

on august 17 of this year we launched this simplified procedure for citizens of border states. this is primarily the baltic states and also poland, which has, first of all, of course, ethnic roots on the territory of belarus that once had citizenship of belarus or have grounds for a simplified procedure for acquiring the civil republic of belarus, and the procedure is that we have reduced the period for considering their applications for a permanent residence permit three times, if, according to the legislation, this is three to three months, then in relation to this category of persons . we decided to shorten this procedure to one month. well , the process is still the same. it has a certain list of documents. in any case, one of the main documents is this is, of course, a certificate of no criminal record. that is, something should not be in trouble with the law, so actually now. we receive a fairly large number of requests. just verbally, they come to the civil migration unit and say, yes, that's what we heard. we want what is needed for this that is. well, this is entry without a nickname. he must still return and bring with him an already apostilled certificate of no criminal record in the country,

that is, all the same, a certain formality. he must comply with the state reduced the time for consideration of applications for them, but he, for his part, must also submit a package of documents to the defendant. well a lot of intercessors have already got the radio working. people are already getting permission after moving to a permanent place of residents with a residence permit, it has certain preferences, it can bring personal property here, a motor vehicle, if it is registered in the country of nationality, again at a zero customs rate, that is, people are starting to show off the baltic states poland who the next one is planned to expand this list. we are still receiving feedback, including he writes an electronic appeal, and citizens of other countries are also interested, of course, in taking into account certain cataclysms that are happening in the world, and we will move to the permanent place of residence of the republic of belarus, but get practical experience work with this kuril, if it is actually recognized as effective, then in any case we will wear a proposal in order to reach other categories of citizens who may also get also belarusian citizenship. how difficult it is to get it today, and as for ukraine, i understand that the citizens

of the post-soviet countries. basically, most people apply for belarusian citizenship. for them, there are some concessions, or all on an equal footing. well, already, as it were, the president spoke about this, that we , of course, do not scatter citizenship, that is, but in fact, that is, according to the established laws, a person must live for at least 5 years on the territory of the republic of belarus, and, having the status of permanent residence, not violate legislation to have legitimate sources of livelihood, including renounce previous citizenship. well, there is, of course, its simplified procedures for acquiring citizenship in relation to ethnic belarusians. in relation to those who graduated from an educational institution on the territory of the republic of belarus and found a job, someone who is married to a citizen of belarus has a minor child. for this category of persons. there are simplifications of the procedure and the term for consideration of documents and, according to the qualification, permanent residence in the country. well, including international treaties with other countries to the russian federation, kyrgyzstan and kazakhstan, when only by close relatives, it is already possible to acquire citizenship of the republic of belarus through its registration procedure, the procedure is quite in demand. basically, people move for permanent residence by people petitioning. this is

citizenship. and now, since, probably, receiving the corresponding order from the president, more than 7,000 foreign citizens have already applied, when the thai acquisition of citizens of the republic at the beginning of the last century, this diagnosis was considered fatal, and even surgeons, until the early twenties, did not operate on people with this disease if they had gangrene, because in more than 95% of cases patients died, then doctors generally knew practically nothing about , how to treat diabetes, and it was about him that they kept patients on starvation diets 100 years later.

everything has changed drastically if all medical recommendations are followed, people with this diagnosis live ordinary, even active lives on the air of drug addiction. my name is ekaterina hertian. hello. and as you already understood. today we will talk about a sweet disease and its bitter consequences, if you do not start treatment on time, stay with us in the next half hour you will find out. it goes right through what the ancient greeks meant when they described diabetes. the main energy supplier in the body, the whole truth about insulin and the latest research on oti-mediabit from our scientists will tell and show soon the term diabetes comes from greek and translates as it passes through. why did the ancient greeks this is what this disease was called in our next material for the first time the term diabetes mellitus was introduced into medical practice in the

second century and literally translates diabetes. how to pass through just such a name was chosen. because in this disease , nutrients pass without being utilized until the middle of the 19th century, medical studies showed that there is a connection between diabetes mellitus and the pancreas in the late 1850s by the french doctor pierre piori. suggested to increase consumption sugar by patients to compensate for its loss with urine, but after 20 years, another french doctor noticed that rational nutrition and physical activity improve the condition of patients, and 120 years later, the romanian scientist paulesca in paris began to study the internal secretion of the pancreas for many years it took scientists, to derive a pure extract of the pancreas only in 1955 the british chemist sanger with a group of co-authors received the nobel prize for revealing the primary structure of insulin from that moment on and a new era of treatment began study of diabetes. but now i propose to go to the main part of the program

in the studio on lukomaniya doctor endocrinologist aleksey romanovskoy aleksey antonovich hello aleksey antonovich romanovsky candidate of medical sciences doctor endocrinologist associate professor of the department of endocrinology of the belarusian medical academy of postgraduate education area of ​​​​research interests diabetology and associated cardiovascular diseases, tyra and dalogy emergency endocrinology member european association for the study of diabetes international federation of diabetes, european and belarusian association of endocrinologists. what is insulin and what is glucose and in general how are they interconnected, connected and connected insulin is a hormone of which is produced by the pancreas by beta cells and insulin lowers the level of glucose in the blood. insulin is the main hormone that regulates the entire metabolism of the entire metabolism, that is, insulin regulates the metabolism of glucose under

the action of insulin, protein is synthesized and muscles grow. under the action of insulin , fat is synthesized and under the action. insulin slow carbohydrates are synthesized starch or as we call it glycogen both in muscles and in the liver, that is, it is one of the main metabolic anabolic human hormones, what happens to this hormone and why this happens to it. e, if a person is diagnosed with diabetes, usually a diagnosis of diabetes indicates that a person does not have enough insulin to ensure normal metabolism and this is primarily manifested by high levels of glucose or sugar in the blood, because in addition to regulating insulin metabolism contributes to the fact that glucose penetrates into the cells glucose is the food for our cells. and without insulin, glucose does not enter the cells and metabolism is disturbed. this is diabetes mellitus, when there is little insulin there is type 1 diabetes, there is type

2. tell us what's the difference, what's worse, is everything treated at the first? diabetes mellitus, the human immune system destroys beta cells, that is, it is an autoimmune disease. and there is such a serious genetic basis, insulin becomes low, and then it disappears altogether, because all beta cells are killed by their own immune system, less than 10% of the population of such patients, for example, in the republic of belarus today there are 19,700 of them. and here is the second type of diabetes. this is the most common type of diabetes. in our republic of belarus , 363,000 such patients have been registered today, and every year the number of patients with type 2 diabetes mellitus increases in our republic by approximately 20,000. i mean, it's such a big problem. in the first type , there is indeed a predisposition and some kind of trigger factor some strong stress infection. may lead to this.

basically, prevention. as such, the first type does not exist, but in the second type there are two factors that are polygenic. that is, many genes are responsible for the development of obesity for the development of diabetes mellitus of the second type, here half the disease develops as a result of some genetic predispositions, also a family history , and half this is due to lifestyle. let's take a moment. let's take a break. ah, we'll find out. what research on diabetes lead by our scientists. aunt of the study was to determine first of all the ultrastructural changes that lie at the very beginning at the very basis of the development of the disease. that

is. uh, when we consider a human patient with some kind of problem. we already see his manifestations of the disease, he has complaints, and when the process is just beginning. it can start from the smallest structures, that is, at the cellular level, er, at the level of its organs at the level of small vessels, that is, the microvasculature. this is not for us it was interesting to see. that is, it was we who, in the first place, wanted to investigate, in principle, the studies that were carried out in our laboratory at our institute. it was a very long period of time. we conducted research first on experimental animals. this is, of course, the white laboratory rat of our vivarium. institute of physiology diabetes mellitus. in particular research. this issue was covered somewhere. well, about four years on the final. groin, uh we looked and some labs and cells blood already of patients who have been verified, that is, diagnosed with diabetes mellitus in cooperation with clinicians, the main conclusions, the most important

very first target that takes the blow in diabetes mellitus. this is me brain weight. that is, it was the vessels of the microvasculature of the brain and the brain tissue that were damaged in the first place. e, ultrastructures of the endothelial cells, that is, those cells that line the frontal lobes inside the e vessels of the bloodstream. and changes were expressed with side of the platelets, that is, they were prone to increased aggregation. that is, they accumulated together formed such conglomerates and pronounced changes in red blood cells, that is, erythrocytes. and when we examined the erythrocytes of experimental animals. it was a very pronounced picture, that is, all the erythrocytes were not only of different sizes, but also of different shapes, and again they were prone to forming them into conglomerates. why does all this lead in parallel to the fact that the thickness of the muscle layer of the vessel wall changes, which

the desquamation of endotheliocytes increases, that is, the cells that line the inside of the vessel change, or even we found cells that had completely destroyed organelles, that is, an absolutely destroyed cell, damaged in parallel with this, a change occurs on the part of blood cells, that is, changes in the quality of structures. vessel walls and changes in the function of blood cells, that is, the formation of microthrombosis against the background of microcirculation disorders and swelling of the brain tissue, primarily in the area that we found these here are some microcirculatory changes . i assumed some things. i did not expect to see, i did not expect to find, for example, that in the earliest developments of diabetes mellitus, the level of renin already changes. it rises much. this is the substance that is responsible for the development of high vascular tone, that is, high blood pressure. that is, here it turns on in the early stages, the mechanisms of formation of arterial hypertension are early

changed by the content of 100 calcium substances, which are responsible for the metabolism of bone tissue. that is, the formation of bone tissue is also disturbed. her diet is also broken. these are the moments that were found at the earliest stages of the formation of diabetes. it was, of course. well, sad, maybe find, if i may say so. today we are talking about the sweet disease of its bitter consequences and do not miss further loss of consciousness convulsions nausea. how else can hypoglycemia manifest itself, does an animal suffer from diabetes, and how to protect yourself from a sweet illness on the air very soon? these people do

everything to make our life comfortable work. scientific road network. we try to achieve even coverage so that our drivers and not only our guests feel comfortable moving along our street, imagine what would happen if there was no electricity during the day, any emergency situation is eliminated within two hours, no more, and not working tirelessly every day . here we see a schematic representation of our transformer delivery dispatcher. all this understands all this to see all this controls, for example, this is with us here the philharmonic is encrypted, we offer to spend one day with specialists and learn everything about their difficult business. ours is open 24 hours a day, no matter the weather. watch on belarus 24 tv channel. they treat belarus with respect and warmth, and when i arrived in minsk i was. first of all,

they were struck by the wide streets of prostor and the sky for them, this is not just a second motherland. i don’t know how much god has given me, but i think i’ll live it in belarus and when they ask me, where are you from? i’ll say i come from grodno right here the characters found themselves determined their place in life. i am proud that i am here, and i will point out even more that i was allowed to lead a team of belarusians. in general, i believe that belarus is a blessed place, a special place, and this place has a special mission. watch the project look at belarus on our tv channel. for those who have just joined us, i am telling this science addiction. the topic of our today's program is diabetes mellitus in

the studio, endocrinologist alexei romanovsky directly. now let's try to understand this concept as hippolycemia. tell us the same sharp decrease, and the sugar level in patients with diabetes mellitus in the normal state of sugar is elevated, how is this even possible, and what happens with diabetes . this is a blood sugar level or glucose level below normal values, but in diabetes mellitus. it is we who define a specific glucose level of less than 4 mmol/l if a patient with diabetes has a glucose level of less than 4 mmol . here we must already sound the alarm to understand, and the cause of hypoglycemia with sugar. the most important - this is an overdose of either hypoglycemic pills or insulin and the second reason is the small amount of carbohydrates that a person consumes at a particular meal insulin is usually calculated on the amount of carbohydrates. how many people ate exactly

carbohydrates, which means, and, accordingly, the required amount of insulin. it is individually calculated, he should lead and if he leads more insulin than he received carbohydrates, then he will develop glycemia and the third reason for the development of hypoglycemia, especially in people who receive insulin - this is a big physical load, because our muscles consume a lot of carbohydrates. and if a person receives less carbohydrates, more insulin and more physical activity, then he will develop, hyperlime has and the fourth reason for development is with diabetes . this is the presence of tablets or insulin. plus the use of alcohol also leads. but the main reason is still an overdose of either drugs or insulin. and this must be excluded man. uh, the patient himself can understand that he has a sharp drop in sugar levels or and this can understand, well, the one who is nearby, what are the symptoms and what to do, in the vast majority of cases, uh, the person feels

the approach and glycemia. yes, it manifests itself as sweating in a person becomes covered, then the body begins to tremble and a wolfish appetite appears, excitement appears, if you do not take fast, carbohydrates, sweet, tea juice, sweet lemonade. and here, by the way, do not fit. these are the colas with black caps. do there are no calories, so this hypoglycemia will not save. and if something is not done, then it can develop hypoglycemic coma when help is needed. but in most cases, uh, patients, of course, feel the harbingers and educate a diabetic patient should have in his pocket or a candy, especially the patient who uses insulin to prevent hmm hypoglycemia what diabetics have there shouldn't be anything sweet at home. this myth is bad. yes, especially

when a person receives insulin, it is necessary that sweets be available. let's talk about the consequences of diabetes. eh, i understand that they can be very different. and this is a disease complex, or first a complex of diseases, and then, uh, diabetes mellitus is dangerous primarily for its chronic complications. ultimately, the chronic complication is very dangerous and they can lead to heart attacks, strokes, amputation of external limbs, blindness and kidney failure. this is the end stage of diabetic complications, so diabetes mellitus is a very insidious disease until a symptom develops. chronic objections. the diabetic patient does not feel anything bad. so to speak, pain or something else, this is the insidiousness of this disease, this disease must be taken very seriously. let's see

how to understand if there are problems or not. what tests do you have? at what age do you start to control this whole story? well, here we need to divide all our people into two high-risk groups and groups with low risk, low high-risk groups - these are people who, in the family, have someone sick diabetes mellitus, especially type 2. and also those who are overweight or obese, when the body mass index is more than 25 or more than 30, as well as those who have a waist measured in centimeters, with a tailor's tape for a man more than 102 cm, and for women more than 88, this risk group. and these people in the first place should check their blood glucose levels more often. it is necessary to hand over better two analyzes. now they are completely available, both in clinics for free and in commercial laboratories. this is the level of fasting blood sugar and glycated

hemoglobin, which indirectly and very well reflects the average glucose level over the past 3 months. these two tests are absolutely enough to establish a diagnosis of diabetes or an object. that is, when the numbers are not yet diabetic? what to start taking these two tests, if, for example, from and not at risk, that is, in your rainbow 40 years old, you can start from 65 years old and the older you are, the more often you ask, but not more often than once a year you need to do , as we are offered to do this in the clinic. that is, if they offered a medical examination of this level of glucose in the blood, it will definitely be there when applying for a job with the certificates that we receive for a driver's license and so on. if in doubt , you can turn it in at any time. but do animals suffer from diabetes and do our correspondents need to take tests? diabetes mellitus veterinary

practitioners of the disease often suffer from it, both farm animals and domestic animals. scientists from the institute of experimental veterinary medicine of the academy of sciences of belarus note that that most often this disease is diagnosed in dogs and horses, pigs and much less often in animals with the so-called multi-chambered stomach. this is sheep goat cattle. from the old registration of this disease. in, for example, dogs, cats make up approximately 3-4% of the total pathology. this figure may not be that big, but unfortunately, this is such a specific chronic disease that ultimately leads to damage to many organs and, to their functional and organic damage. and in connection with this very difficult to treat. diabetes

mellitus in animals is associated with a violation of all types of metabolism, but mainly carbohydrate due to the fact that destruction is observed. the so-called beta cells of the pancreatic long langer's islets are these cells that synthesize insulin, which is an important regulator of glucose levels in the body. due to the fact that diabetes mellitus causes a large number of causes, many organs are involved in the pathological process and the disease manifests itself with a variety of symptoms. when you level up glucose is the main, as it were, sign of this disease, a redistribution of fluid in the body occurs and, as a result, water electrolyte metabolism is disturbed and differs in this regard. dryness,

for example, of the mucous membranes of the skin, may also have deeper lesions, sometimes with this disease, even necrosis of the tip of the tail in animals is noted. organs. primarily liver heart brain. even the lungs are the only way to get your pet sick. don't run. it is time to diagnose it, donate color to clinics, blood and urine are important in terms of diagnosing this disease

. it is thanks to them that it is possible to diagnose in a timely manner and start treatment in general, the causes of the disease and the stages of its development in animals. the same as in humans, so diabetes therapy. the same insulin attraction is such a difficult problem, in principle, how do people pick up. e, the required dose of insulin, that is, starting from the usual small doses. and all this is carried out under the control of the glucose content in the blood and urine, and when these levels reach the optimal values, it selects the dose and then continues. treatment ether 24/7 is a project in which there is a place for a brief overview of important topics of the outgoing

weeks, we will not forget about the unique rituals and original culture of belarus. in addition, we will walk with our guides and learn a couple of unusual belarusian words. we will cut off a loaf of lutz bread at a time, then cut off a loaf of bread, and you and don’t forget to appreciate the work of people who make bread with gratitude - they raised it for you, asked cava and chewed it. we tell. about the most important thing, watch the broadcast 24/7, every friday night is a great place for both work and leisure. my dear little bug. no place to live but don't be upset. today we will build a house for you.