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Getting a diagnosis of diabetes is like getting a second job. The good news is you're management. The bad news is you don't get a vacation. You have to take care of yourself, so you don't burn out.
Whether you have type 1 or type 2 diabetes, there are three tools that will keep you healthier and make managing your diabetes easier.
The first is activity. When you work your muscles, let's say walking around the block, they get their energy by sucking glucose out to the bloodstream, making it easier to control your levels.
If you exercise regularly, a 30-minute walk several times a week, you'll build extra muscle. Even when it's resting, muscle uses more energy than fat. So even when you're not exercising, you win.
The next tool is especially important if you have type 2 diabetes: consume fewer calories. Carbs and sugars turn straight into glucose when they're digested, and that goes directly into your bloodstream.
When you stop overloading your system with excess calories, your body will need less insulin and for all diabetics, that makes regulating your blood sugar a lot easier. If you eat less, you'll lose weight. Losing weight also helps you prevent other complications from heart disease to circulatory problems to back pain.
For type 2 diabetics, diet and exercise have an even bigger payoff. You can slow down or even reverse the progression of type 2 diabetes.
And the third thing, don't stress out. Managing diabetes is a job, but it's not a crisis. Worrying makes you lose sleep. Stress and exhaustion make you want to eat. So, think like a manager. Managing your lifestyle makes managing your diabetes a lot easier.
Disponível: https://healthguides.cnn.com/diabetes-video-center?vid=eat-well-move-more-stress-less&did=t1_rss7 Acesso em: 21/01/2021.
Men are threatened by intelligent women, study finds
The yet-to-be-released study reports that men \'showed less attraction toward women who outsmarted them\'
www.independent.co.uk/news/science/new-study-says-men-find-datingintelligent- women-intimidating-a6700861.html. Acessado em 19/10/2015.
O título e subtítulo acima permitem inferir que
A new law in Brazil has come into force under which employers can be fined if they fail to register their domestic workers.
It is part of new measures to provide basic protection for some seven million domestic workers long excluded from Brazil's stringent labour laws.
[…]
Disponível em: . Acesso em: 8 ago. 2014.
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The problem of rising ocean plastic pollution such as plastic bags, discarded fishing nets and microplastics has received increased attention in recent years. But other pollutants such as oil and gas, pesticides, antibiotics, heavy metals and industrial chemicals are also severely impacting the world’s oceans, says a new report from the High Level Panel for a Sustainable Ocean Economy (Ocean Panel).
“Even though plastic is a hot topic, it is unfortunately just the latest major pollutant to enter the ocean,” says Ellie Moss, an ocean plastic expert and co-author of the report. “I think one of the things that differentiates it from most of the other pollutants is that you can see it. In the other cases, it’s sort of these invisible pollutants that we don’t even recognise as being there. That’s a huge problem.”
The new report, commissioned by the Ocean Panel which is convened by 14 heads of state, outlines a range of ways to reduce these different ocean pollutants. Part of the solution is exploring how materials can be recaptured and recycled, the report says, preventing them from seeping into the ocean as pollutants and instead keeping them circulating in the economy. Developing more eco-friendly materials and chemicals is another important part of the picture. In many cases, strategies can tackle more than one type of ocean pollutant at once, the report says. “You really do have to look for opportunities to address as many of these pollutants at once as you can,” says Moss.
But there is also a need to simply use resources more efficiently in the first place, the report adds, such as through zero-packaging supermarkets, eliminating single-use plastics and exploring new business models which incentivise more efficient use of pesticides.
“A lot of people think about ‘how do we clean up the ocean’ and that’s the wrong question,” says Moss. “The question is not how do we clean it up, it’s how do we stop befouling it in the first place.”
(Jocelyn Timperley. www.sciencefocus.com, 30.05.2020. Adaptado.)
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Where are we letting our patients down?
By Rammya Mathew
October 20, 2020
A recent consultation has stayed with me. In many respects it was a run of the mill general practice consultation, but it made me reflect on health inequalities and why the care we provide for people with low levels of health literacy can be woefully lacking.
He was a patient with type 2 diabetes taking long term insulin, who had developed acute symptoms in the previous 24 hours. He had broken English, but he was able to communicate his history without too much difficulty, so I persevered without an interpreter. In response to some very direct questioning, it became apparent that he hadn’t had anything to eat or drink that morning, he hadn’t checked his blood sugar levels, and he hadn’t thought about adjusting his insulin dose. How was it feasible that a patient taking insulin for so many years had no idea about type 2 diabetes sick day rules? Could it really be that no one had ever taken the time to counsel him about this?
I looked online for a patient information leaflet that might be of use, but I abandoned the idea quite quickly, as I was unsure whether he’d be able to read it − and even if he could, I was worried that the information might be too complex for him to follow. I decided that giving him the minimum information to avert a crisis was the best course of action. So, I encouraged him to drink more, to check his blood sugar every four hours, and to call a health professional if it was over a certain threshold. I was firefighting, and it didn’t feel good to be in that position.
His lack of knowledge about type 2 diabetes sick day rules, however, probably reflected his overall understanding of the condition. It made me wonder where we’d let this man down. At diagnosis, was he enrolled onto a structured education programme? Even if he was, could he attend it around his shift work? And if so, was he able to take anything away from it, given his limited English?
Patients with long term conditions such as type 2 diabetes are meant to have annual reviews with their GP or practice nurse. Was anything meaningful happening at these reviews, or was his medication just being continuously titrated up? A significant part of these reviews is meant to focus on helping patients to set goals and take control of the aspects of their health that matter most to them. But, if you don’t understand your condition and your role in managing it, you can very quickly become a passive spectator in managing your health, and well intentioned tasks such as goal setting just become yet another meaningless, tick box exercise.
That single consultation and the patient journey behind it capture many of the gaps in our system, and they explain at least partly the stark health inequalities that have become so painfully visible in recent times. There’s a tendency to think that some patients can’t be helped, but the reality is that the system has let them down.
(Adapted from https://www.bmj.com)
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TEXT
The end of life on Earth?
It weighted about 10,000 tons, entered the
atmosphere at a speed of 64,000 km/h and exploded
over a city with a blast of 500 kilotons. But on 15
February 2013, we were lucky. The metereorite that
[05] showered pieces of rock over Chelyabinsk, Russia, was
relatively small, at only about 17 metres wide. Although
many people were injured by falling glass, the damage
was nothing compared to what had happened in Siberia
nearly one hundred years ago, when a relatively small
[10] object (approximately 50 metres in diameter) exploded in
mid-air over a forest region, flattening about 80 million
trees. If it had exploded over a city such as Moscow or
London, millions of people would have been killed.
By a strange coincidence, the same day that the
[15] meteorite terrified the people of Chelyabinsk, another
50m-wide asteroid passed relatively close to Earth.
Scientists were expecting that visit and know that the
asteroid will return to fly close by us in 2046, but the
Russian meteorite earlier in the day had been too small
[20] for anyone to spot.
Most scientists agree that comets and asteroids
pose the biggest natural threat to human existence. It
was probably a large asteroid or comet colliding with
Earth which wiped out the dinosaurs about 65 million
[25] years ago. An enormous object, 10 to 16 km in diameter,
struck the Yucatan region in Mexico with the force of 100
megatons. That is the equivalent of one Hiroshima bomb
for every person alive on Earth today
Many scientists, including the late Stephen
[30] Hawking, say that any comet or asteroid greater than
20km in diameter that hits Earth will result in the
complete destruction of complex life, including all
animals and most plants. As we have seen even a much
smaller asteroid can cause great damage.
[35] The Earth has been kept fairly safe for the last 65
million years by good fortune and the massive
gravitational field of the planet Jupiter. Our cosmic
guardian, with its stable circular orbit far from the sun,
sweeps up and scatters away most of the dangerous
[40]comets and asteroids which might cross Earth’s orbit.
After the Chelyabinsk meteorite, scientists are now
monitoring potential hazards even more carefully but, as
far as they know, there is no danger in the foreseeable
future.
[45] Types of space rocks
• Comet – a ball of rock and ice that sends out a
tail of gas and dust behind it. Bright comets only appear
in our visible night sky about once every ten years.
• Asteroid – a rock a few feet to several kms in
[50] diameter. Unlike comets, asteroids have no tail. Most
are to small to cause any damage and burn up in the
atmosphere.
• Meteoroid – part of an asteroid or comet.
• Meteorite – what a meteoroid is called when it
[55] hits Earth.
Taken from: http://learningenglishteens.britishcouncil.org - Access on 29/06/2020
“If it had exploded over a city such as Moscow or London, millions of people would have been killed” (lines 12 and 13).
We can conclude from the information in this passage that
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