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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.
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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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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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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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TEXT
The good news is that your occasional memory loss is probably nothing to worry about
It's an all-too-common scenario: You've lost your keys (again!), don't remember where you left your glasses, or, for
the life of you, can't recall the name of that darn movie. And your first reaction is "Sheesh — I must be getting old.
[5] I'm losing my memory!"
Well, the reassuring news is that these so-called senior moments have nothing to do with your brain getting old,
says Pierce J. Howard, Ph.D., director of research at the Center for Applied Cognitive Sciences in Charlotte, North
Carolina, and the author of The Owner's Manual for the Brain. Chances are your (very normal) memory snafus are
associated not with age but with experience.
[10] Memory Rivalry
Try this brainteaser: Off the top of your head, name ten things that are the color red. Not as easy as it sounds, is
it? When you were 5 years old, you could probably have completed this task easily, but by the time you reach your
"seasoned" years, your brain is filled with some 6,000 objects that are red. And because we have so many things in
brain storage bins that fit the description — what scientists refer to as rivals — we struggle when we try to
[15] remember the name of a red object.
"Your mind will cycle through hundreds of candidates before you come up with the right ones," explains Howard.
"And it might take longer than you expect. That's not a memory lapse. It's simply trying to recall a memory that's in
storage." Ever notice your computer slowing down when the hard drive gets too full? It's akin to what happens with
the human mind — as it gets fuller, it takes more time to sift through everything. "Aging is a misnomer here," says
[20] Howard. "It's not getting old that causes the sluggishness of memory — it's simply a crowded memory bank. By
now, you've got so many associations that it's just a competition in your mind for the correct memory to surface."
[...]
In addition, certain substances can damage neurons, as can lifestyle choices and health problems, including the
following:
[25] Too much caffeine. A dehydrating agent, caffeine can, over time, make your neural membranes brittle. It's a double
whammy, too: It can affect your ability to recall because it encourages the production of excess cortisol, the stress
chemical that prepares you for "fight or flight." Too much cortisol can shrink the size of your hippocampus, which
is where memories are stored in the brain. Howard says it's best not to exceed one dose of caffeine every seven
hours. (A dose is one milligram per pound of body weight.) In such moderate amounts, however, some studies have
[30] shown that caffeine can, in fact, offer health benefits — just be sure not to overdo it!
Heavy alcohol consumption. Because alcohol is also a diuretic, it can cause dehydration, producing symptoms such
as confusion and memory problems. So for every ounce of alcohol you consume, drink a glass of water, says Howard.
Alcohol may also directly lead to neuronal degeneration.
A sedentary lifestyle and untreated high blood pressure. Both can make you susceptible to memory lapses. A rule
[35] of thumb worth following: Anything that's good for the heart is good for the mind. That's because mental activity is
dependent on blood flow (among other factors), which also supplies essential oxygen to the brain.
Prolonged stress and illness. Both of these can wreak havoc on mental as well as physical functioning.
Resting on your laurels. This is no time to be complacent or lazy. It's important to keep stimulating your mind to
learn new things and take on new challenges. Follow the slogan Use it or lose it!
[40] [...]
By JANENE MASCARELLA
(Source: https://www.everydayhealth.com/longevity/mental-fitness/memory-loss.aspx retrieved on September9, 2019)
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