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| A condition in which the sugar level in the blood is major |
| The keys of the prediabetes |
Writing / agency
Washington Hispanic
The prediabetes is a condition in which the sugar level in the blood is major than the normal one, but not so high as type classifies like diabetes 2.
Anyway, the consequences of this condition are dangerous. The reason is that if someone presents prediabetes, the long-term consequences of the diabetes (cardiac problems and of the cardiovascular system) can begin.
In the United States, 54 million persons have prediabetes, according to the American Association of the Diabetes. Without intervention, this condition can turn diabetes type 2 in only 10 years.
But there is good news, the progression of the prediabetes to diabetes type 2 is not inevitable. With a change in the life style, which includes to feed healthily, to do physical activity and to support a healthy weight; it is possible to have again levels of sugar normal in the blood.
Symptoms
Often, the prediabetes does not present symptoms. But it is important to bear in mind the warnings that yes the diabetes delivers. These include be a constant, frequent need to urinate, extreme famine, loss of weight without explanation, fatigue, blurry vision and difficulty of healing of wounds or frequent infections.
Causes
To understand the prediabetes, it is necessary to understand like the sugar or glucose is processed by the body.
The glucose is the biggest energy source for the cells that form the muscles and other textiles of the body. This one comes principally from two sources, the food that are consumed and the liver. The hormone insulin comes from the pancreas, a gland that is located just behind the stomach.
When food is consumed, the pancreas secretes insulin to the blood flow. On having circulated, this one acts like a microscopic key that allows the sugar to enter the cells. Therefore, the insulin lowers the sugar levels in the blood. As the sugar lowers his concentration in the blood, also it diminishes the level of insulin secreted by the pancreas.
The liver acts like a factory and a store of glucose. When the insulin levels are low (when he has not eaten up for a little bit, for example), the liver secretes the glucose stored to support the levels in normal grades.
But when someone has prediabetes, this process is employed at imperfect form. Instead of going on to the cells, the glucose begins to accumulate in the blood. This happens because the pancreas does not produce enough insulin or because the cells become resistant to the hormone (or for both reasons simultaneously). The porqué this happens is not known, but yes it is known that the fat excess (especially the abdominal one) and important factors are the sedentarismo so that this process begins.
When to look for medical help
Consult with his doctor if it worries about the diabetes or if type notices any typical symptom of the diabetes 2.
Ask also his health provider if you have any factor of risk of prediabetes, for example, if you have excess weight, if it has a sedentary life style, if it is major than 45 years, if it has familiar diabetes precedents, if you belong to ethnic minorities, if it had diabetes gestacional while it was pregnant, if it has syndrome poliquístico in the ovaries, if it has blood high pressure or high bad cholesterol (LDL) or if high place has the triglicéridos levels.
In fact, the American Association of the Diabetes recommends routine glucose checkups in the blood for all the persons older than 45 years.
Prevention
If it has prediabetes, a healthy life style can revertir his condition and to turn his sugar levels in the blood to the normality.
The Endocrinological American School recommends to eat I cure, that is to say, to choose food under in fats and calories and high places in fibre. Focus in fruits, vegetables and entire grains.
Do more physical activity. Point to obtain from 30 until 60 minutes of moderate physical activity at least five days a week. Walk, ride bicycle, swim.
Lower these pounds sterling of more. If it has excess weight, to lose five per cent of his but corporal (10 if it weighs 200 pounds) can limit to 20 pounds his risk of suffering diabetes type 2. To support a healthy weight, perm does the nutritive changes that it does and does not forget the exercise. Be motivated remembering the benefits of a healthy weight, like major cardiovascular health, more energy and better self-esteem.
Take his medicines. Sometimes, the medicines are an option if it is in diabetes risk. This includes if his prediabetes is deteriorating or if it has cardiovascular disease, illness of the liver or syndrome poliquístico of ovaries.
| Devices can contain powerful magnets |
| “Earphones can interfere with pacemaker |
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| A study thought that the imams of the earphones can interfere in the pacemaker functioning. |
For Marilynn Marchione
AP
“Some earphones to listen to music can interfere with the pacemaker or the desfribiladores if they are very close between themselves, even when the earphones are disconnected, according to a study.
The earphones even might prepare that a desfribilador expresses an electrical discharge that might save the life of someone, said the doctors who did tests with earphones.
“ The earphones contain magnets and some of these magnets are powerful”, said the doctor William Maisel, principal author of the study, cardiologist of the medical center Beth Israel Deaconess of Boston and consultant of devices of the heart for the Direction of Food and Medicines (Food and Drug Administration, FDA in English).
“ I do not believe that the people should get alarmed for this information”, it pointed out, but it is surer to support small electronic devices for less a few centimeters of distance of those medical devices implanted in the heart, said the doctor.
Also it pointed out that more it costs not to stop after anybody who takes earphones to approach the breast of any person who has pacemaker.
“ The interference can happen independently if the earphones are connected to the music device and if this one is working or not”, it added.
The Maisel investigation was presented during a conference of American Heart Association.
Common device
Almost two million persons in the world take pacemaker, desfribiladores and other devices to help to that his hearts beat of regular form. Tests realized by the FDA this year concluded that the iPods and other devices of music did not suppose a threat for pacemaker or other gadgets if they were used of correct form.
Maisel and other doctors wanted to know if the same happened with the earphones. They did tests with eight models different from earphones in 60 persons who use devices for the heart.
When the earphones were to two centimeters and a half (one inch) of the device, the interferences were detected almost the fourth part of the times: four times of 27 patients with pacemaker and 10 times in 33 patients with desfribiladores. A pacemaker was restored automatically in one of the patients.
It is very probable that the patients who experience these interferences do not notice anything, but the interferences might, of temporary form, deactivate a desfribilador, preventing from expressing a key electrical discharge for someone who needs it.
The study did not realize tests with bigger magnets of the normal thing. The size of the magnet is not related straight to the magnetic potency. The small earphones normally use neodimio, one of the most powerful magnetic substances, said Maisel.
| He interviews the expert on plagues of the University of the District of Columbia, David Jefferson: |
| “The cockroaches can provoke asthma” |
For Felipe Lagos
Washington Hispanic
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| The expert has at disposal a “Manual for the Control of the Cockroaches” in Spanish. |
The presence of cockroaches in the hearth often is loaded with a negative stigma, since his presence connotes lacking in cleanliness.
But the true thing is that the cockroaches live probably in hundred per cent of the houses of a city. How?, thanks to the fact that his basic needs for refuge, meal and it always waters down they are satisfied thanks to the lack of concern of the proprietors of house.
This way it is thought by David Jefferson, specialist of pest control of the Center of Community Extension of the University of the District of Columbia (UDC).
As the same, to increase the knowledge grade in the Hispanic community on these insects, the expert has at the disposal of the community a “Manual for the Control of the Cockroaches”, document prepared by the University of Nebraska in which it is explained in clear language what it is necessary to do to control the cockroaches population in a house (if he wants to receive the manual, it must call (202 667 8881 ext. 219).
“ The cockroaches are one of the principal desencadenadores of asthma. If someone in his house has this respiratory condition and there are cockroaches, it is necessary to control them. What happens is that it is that they change skin periodically and also they dump feces for all sides, what turns part of the dust of the house being inhaled and causing asthma”, says Jefferson.
— Are known the ideal conditions in which the cockroaches find a perfect ambience for his multiplication?
“ They eat what we dump. They like the humid and closed places. If you leave meal in the kitchen in the nights, or not washed plates or if it has a pet and leaves the open meal for them, the most probable thing is that it is going to find cockroaches. They eat also pasteboard and cat excrement, what can be can constitute a poisoning risk for food”.
— Is it possible to eliminate the cockroaches completely?
“ It is not impossible. What there is that knowledge is that they need refuge, meal and water. The small holes of the walls must wrap up in his house, not leave food without keeping and repairing the filtrations of the water pipes. Only one cockroach in his house can generate another 30 cockroaches if it finds the ideal conditions. It is known that the cockroaches population in a house can come to 100 thousand adults”.
— Does exist a correct way of killing cockroaches?
“ If. Many persons use insecticides, but the problem with these products is that only they kill those who are out of his refuge. The correct way of killing them is using a bait, but eye, it is necessary to clean everything else that we already speak not to give to them eaten on the one hand and at the same time to use the meal of the bait to kill them. Now, if the persons want to use pesticides of all forms, please read the tag. It is necessary to be known that it is illegal to use pesticides of any form that is not the specific use for this chemist. Also it is a necessary knowledge that they are risky”
| Interesting phenomenon |
| Medicines prescription increases for children |
Writing / agency
Washington Hispanic
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| A study thought that the use of medicines in children has increased significantly last years. |
The use of medicines between the children of the United States is growing dramatically as more minors get treatment for the diabetes, the asthma and the disorder for attention deficit with hyperactivity (TDAH), report the investigators.
It is possible that the increase in the number of prescribed recipes should largely to a major obesity valuation between the children and the consequences of health of this tendency, stand out the investigators.
“ In all the classes of medicines that we analyze, the use valuations had increased, in some cases of a dramatic way”, pointed out the coauthor of the study, the Dra. Donna Halloran, teacher assistant of paediatrics of the University of San Luis. “This situation is really worrying, since several of these diagnoses have been associated with the obesity, like the diabetes, the hypertension, the depression and the asthma”.
For the study, the team of Halloran analyzed the use of medicines between 2002 and 2005 of the children of the USA.
The investigators found that throughout four years, the recipes prescription for children from 5 to 19 years increased in a significant way. Also, the use of two medicines to treat the diabetes type 2 doubled. This increase owed to an increase of 166 % in the predominance of the illness between the girls from 10 to 14 years, and to an increase of 135 % between the youngsters from 15 to 19 years.
Also, the use of medicines to treat the asthma grew in 46.5 per cent, and the use of medicines to treat the TDAH in 40.4 per cent. The number of recipes for medicines differentials of the cholesterol grew in 15 %, the investigators found.
Major in girls
The increase in the valuation of prescription of recipes was higher in the girls compared to the children. For example, the use of medicines to treat the diabetes type 2 increased in 147 per cent between the girls, but only in 39 per cent between the children.
The use of medicines to treat the TDAH increased in 63 per cent between the girls and in 33 per cent between the children, and the use of antidepressants grew in 7 per cent between the girls compared to 4 per cent between the children.
“ If the increase in the use of medicine is good it depends in fact on the perspective with which it looks”, pointed the coauthor of the study Emily R. Cox, manager of investigation of results in Express Scripts Inc., in San Luis. “Most of the people who should look at these numbers will think that these tendencies are worrying. We need to know what is what is behind this increase”, said Cox.
As the number of obese children increases, also there grows the number of children who endures chronic illnesses, warned Cox. “To know that they are being treated is something good”, he said. “The worry is: are they the doctors most inclined to prescribe medicines therapies instead of diets and exercise?”.
Dr. Michael Artman, the director of the department of paediatrics of the University of Iowa, is worried by it that the children with chronic problems of health and private insurance are receiving better attention than the children with similar problems that depend on governmental programs or that do not have health insurance.
“ I imagine that the need is so big or enclosed major between the disadvantaged children”, said Artman. “We know that the predominance of these chronic complaints in the most depressed socioeconomic classes is major. It is the top of the iceberg in the recipes prescription between the children”.
| Conference of the Association of the Heart of the United States |
| Medicine against the cholesterol prepares heart attacks |
writing
Health Guides
The persons at low cholesterol levels and little risks of cardiac illnesses reduced moreover his possibilities of dying or of having a cardiac unemployment thanks to the consumption of the medicine against the cholesterol Crestor, according to a study.
The results spread during a conference of the Association of the Heart of the United States, were indicated like a milestone in the prevention of cardiac illnesses.
The doctors said that the study might take another seven million Americans to consider the consumption of medicines of estatina to reduce the cholesterol, as it is the case of Crestor, Lipitor, Zocor or others in generic presentations.
“ This raises the prevention at a new level, because one applies to patients of whom at present we do not have any evidence of which they need treatment”, said the doctor W. Douglas Weaver, cardiologist of Detroit and president of the School of Cardiology of the United States.
The study also presents the best evidences till now in favor of the use of a re-examination to identify the persons who might need treatment, said doctor Elizabeth Nabel, director of the National Institute of the Heart, Lung and Blood.
The new investigations will be evaluated by the experts who check the current treatment lines.
Nevertheless, some doctors recommended precaution. Crestor had clear benefits in the study, but between these persons of low risk happen few cardiac unemployments and deaths, in addition to which to give treatment to the people with these characteristics in the United States would cost up to nine billion dollars a year, “something difficult of justifying”, said an expert.
According to the first calculations, nearly 120 persons would have to take Crestor for two years to prepare only one attack, an embolism or the death between them, said the cardiologist Mark Hlatky, of Stanford's University, who wrote a leading article on the study.
“ To any world he likes the idea of preparing, but we must take the things calmly and wonder how many we are going to be treating with medicines to prepare illnesses of the heart for the rest of his life, compared to other things that we are not doing to improve the health”, said Hlatky.
The estatinas are the medicines of major sale in the world. Up to this study, all of them, except Crestor, had shown the aptitude to reduce the risk of cardiac unemployments and death in persons at high levels of LDL, the called bad cholesterol.
But half of all the heart attacks happens in persons at normal or low cholesterol levels, so the doctors have been proving other mechanisms to determine risk factors.
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